heal. Spring 2015 by Sheppard Pratt Health System

heal

A publication of the Sheppard Pratt Health System • SPRING 2015

Hope Has No Limits After a traumatic brain injury, Sandy Richter learned to enjoy life again.

PLUS EXCHANGE PROGRAM PROMOTES INTERNATIONAL MENTAL HEALTH MENTAL HEALTH FIRST AID SPORTS AND EATING DISORDERS

In this issue.

SPRING 2015

4 13

11 4

3 There and Back Again:

Hope Has No Limits

12 Philanthropy:

Lessons Learned from a Mental Health Care Exchange Program in Israel

13 Jocelyn’s Story

A Tale of Three Studies

15 Meet Our Doctor: Susan Wait, M.D.

7 Calendar

After a traumatic brain injury, Sandy Richter learned to enjoy life again.

You give. They heal.

On the cover.

In the News

10 ‘Rescue 9-1-1’: Learning Mental Health First Aid

11 Eating Disorders and Athletes:

Sandy Richter makes huge strides in recovery thanks to a strong support system and The Concussion Clinic. Photo by David Stuck

Myths vs. Realities CMYK / .eps

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Connect with us.

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heal. is published four times a year by the Marketing Department of the Sheppard Pratt Health System, a private, nonprofit health system with one of the nation’s leading mental health programs. Information provided is general in nature and should not be substituted for the medical advice of a physician. Please consult your health care provider for recommendations specific to your personal health, medical treatment, and medical conditions.

@sheppardpratt

CMYK / .eps

youtube.com/user/SheppardPrattHealth

Editor/Director of Marketing

Jessica Kapustin

Marketing Account Manager

Chelsea Soobitsky

Design & Production

Mid-Atlantic Custom Media

Jeni Mann and Cortney Geare

Contributing Photographers

Brian Glock and David Stuck

If you wish to have your name removed from the list of those receiving communications from Sheppard Pratt Health System, please email the Marketing Department at marketing@sheppardpratt.org or call 410.938.3133.

SHEPPARD PRATT

There and Back Again: Lessons Learned from a Mental Health Care Exchange Program SHEPPARD PRATT HEALTH SYSTEM

Here are highlights from

and Geha Psychiatric Hospital in Tel Aviv,

that discussion:

Israel, participated in an exchange program this past November funded in part by a generous grant from the Harry & Jeanette Weinberg Foundation. As a

Sheppard Pratt: What is the purpose of the Israel Exchange?

result, strong and hopefully permanent

Sharfstein: According to the

bonds have been developed between

proposal that was written by

the two institutions.

the Israelis, the purpose is to

Dr. Steven Sharfstein, president

facilitate an exchange of

and CEO, and Dr. Desmond Kaplan,

professional practice and

service chief of the child and adolescent

knowledge between Sheppard

neuropsychiatry unit and medical

Pratt and Geha, and to further

director of the telepsychiatry program,

represent the highest

who initiated the exchange, along with

standards of mental health

Sheppard Pratt’s exchange participants

care in the U.S. and Israel.

Bonnie Katz, Ernestine Cosby, and

Over a period of 24 months, there

Dr. Faith Dickerson, spoke candidly

would be an exchange of at least five

about their experiences in Israel, their

professionals from each institution

impressions of Geha Hospital, and

to improve standards, increase

the mental health landscape in this

eﬃciency, utilize multidisciplinary

developing country.

staff, and reduce costs.

From left: Ernestine Cosby, Bonnie Katz, and Faith Dickerson in Israel.

How is the mental health landscape

“[My biggest takeaway] was probably more about the country itself than the experience at Geha: the resiliency of the country, and the entrepreneurship. It’s really alive and well and thriving.”

in Israel diﬀerent from the U.S.?

Sheppard Pratt Health System exchange participants:

Katz: I think mental health in Israel,

— Bonnie Katz vice president of business development and operations

especially at Geha, seems to be

Ernestine Cosby vice president and chief nursing oﬃcer

research/academically focused. For Geha, their mental health landscape

but right now they don’t have to

revolves around their connection with

think about it.

Dr. Faith Dickerson director of psychology and head of the Stanley Research Program

the university. I don’t have the feeling

Kaplan: Some of the strengths of

that mental health is organized from

the Israeli system are that it’s a family-

an advocacy standpoint, or that the

oriented society; it’s a smaller country,

psychiatric hospitals are in any sort of

and so there’s less fragmentation in

Bonnie Katz vice president of business development and operations

trade association or anything of that

families, and there is, in a certain way,

nature. From a business perspective,

more support of families.

Geha relies on an annual budget; it is

Dickerson: The length of stay is, on

not fee for service, but that’s changing.

average, 29 days for adults and 40 for

So, when I asked the head of the hospital

children. So it takes us back to where

his cost per day, he kind of looked at me,

we were [20 years ago].

and I showed him how to figure it out,

Continued on page 14

sheppardpratt.org • heal.

FEATURE/NEUROPSYCHIATRY

Hope Has No Limits

BY MELISSA APTER

AFTER A TRAUMATIC BRAIN INJURY, SANDY RICHTER LEARNED TO ENJOY LIFE AGAIN

diminished, and her physical Sandy Richter with Lily, the newest family member and her constant companion.

limitations persisted. “She was the subject of an experiment. She wasn’t being treated like a patient,” said Mark. “We thought, ‘This isn’t working. We need to find a doctor who cares.’ ” Their luck finally changed at a brain injury conference in spring 2014. Two presenters from Sinai Hospital correctly identified the source of Sandy’s balance issues, and through Sinai’s relationship with Sheppard Pratt and The Concussion Clinic, Sandy and her

family finally found the right medical team andy Richter achieved something

realizing the extent of her injuries.

— Dr. Margo Lauterbach, director of

this winter that most people take

She was sore all over, especially along

The Concussion Clinic, Sarah Loeffler,

for granted: For the first time in years she

her jaw, which was covered in bruises.

LCSW-C of The Concussion Clinic,

was able to put on her winter coat

The next morning when Sandy, usually

and Dr. Melinda-Ann Roth from Sinai

without help.

the first one awake on family vacations,

Rehabilitation Medicine Associates.

A traumatic brain injury (TBI) impairs

could not be roused, her husband,

“I was so happy because I felt like

her cognitive and physical abilities, causing,

Mark, began to suspect that something

I found the help I needed,” said Sandy.

among other symptoms, a loss of feeling

was wrong.

“I feel like I finally have a team. I think the

in her left arm and left hand. With the help

A CT scan taken at Upper

hardest thing with brain injuries is finding

of a medical team from The Concussion

Chesapeake Medical Center revealed

Clinic, part of the Neuropsychiatry

a concussion, and it was recommended

Program at Sheppard Pratt, and a strong

that she see a neurologist. That’s when

referred to multiple providers after a

family support system, she has made

the runaround began.

concussion or TBI,” said Dr. Lauterbach.

huge strides in her recovery journey.

Sandy was sent from doctor to

the right help.” “Many patients, like Sandy, are

“In The Concussion Clinic at Sheppard

doctor, with none providing a definitive

Pratt, we serve not only as treatment

Ocean City, Md., six years ago, Sandy

path for recovery. Sandy’s condition

providers but as part of a larger treatment

was attempting to paddle toward shore on

worsened. She had trouble searching

team, willing to lead in collaborative and

a boogie board when a freak wave caused

for words, her peripheral vision had

coordinated care efforts.”

During a family summer vacation to

the board to strike her forcefully in the jaw. When she came out of the water, she “was confused and falling over.” She said, ‘I feel really dizzy,’” recalled her daughter, Kelly. “I took the boogie board off her and she fell back into the water.” EMTs arrived to examine Sandy, but she declined to go to the hospital, not

heal. • Sheppard Pratt Health System

Concussion Signs and Symptoms: For those who have suﬀered a concussion, symptoms can last for days, weeks, or even years. Some patients may not experience any symptoms until long after the initial injury was sustained. Symptoms of a concussion can include: Diﬃculty thinking clearly, concentrating, or recalling new information. Headaches, nausea, sensitivity to noise and light, are commonly described, as are depression, lack of energy, and general anxiety. Sleep patterns may be disrupted in the form of insomnia, oversleeping, or not getting enough sleep.

Together, they

Sandy’s books have helped her share her journey and educate others about TBI.

work on tools that will set Sandy up for success, whether creating a day-to-day schedule or sorting through how to navigate special occasions, such as son

Neuropsychiatry and The Concussion Clinic

John’s three-day college graduation celebration. (Dinner, yes; fireworks, no.) In their sessions they tackle “She’s a lot more energetic and

thorny issues such as how Sandy compares her new sense of self to who she was before

optimistic,” said Mark. “I think this feeling of

her injury.

hope she talks about comes through in the

“[Sandy] is a highly motivated woman who prior to her TBI could easily

way she carries herself and her outlook for the future.” Their kids agree. “She used to feel she’d

multitask, run on empty, and keep late night hours without consequences. Cognitive,

be stuck like this,” said Kelly. “Just from this

emotional, and physical symptoms following

time last year [until now] we can see how

a TBI can be overwhelming and may impact

much she has improved.” Sandy credits her family’s support as

one’s own sense of self-competence,” said

Neuropsychiatry refers to a speciﬁc subspecialty of medicine that focuses on the cross-section between neurological disorders and mental disorders. The clinicians who run the multiple clinics of the Neuropsychiatry Program — The General Neuropsychiatry and Behavioral Neurology

Loeffler. “It is crucial in a strengths-based

crucial to her continued recovery. Everyone

therapeutic approach to create a sense

pitches in. Kelly has taken over meal prep

of accomplishment.”

and frequently drives her mother to and from

Developmental Neuropsychiatry

doctors’ appointments. Mark and John took

Clinic — have speciﬁc training in

still struggles with balance, concentration,

over grocery shopping and physical chores

behavioral neurology or

and awareness of surroundings, but with her

around the house.

behavioral neuropsychiatry

Sandy no longer has boundless energy,

Sandy’s recovery will likely last

team, she is learning to navigate her limits. “Depression, it dragged me down so low,

a lifetime. She openly shares her journey

Clinic, The Concussion Clinic, The Memory Clinic, and The

and psychiatry. The Concussion Clinic,

I thought I would never escape,” she said.

through online TBI support groups, TBI

led by Dr. Margo Lauterbach,

“But I did, and talking to Sarah Loeffler and

conferences, and through two books of

serves patients with mild brain

Dr. Lauterbach has made such a difference in

writings and photography on the subject.

injury-related neuropsychiatric

my life.”

With her writing, she calls attention to the

symptoms in an outpatient

invisible nature of TBI.

setting. Individuals who have

The results are noticeable to her

“She looks in perfect health and finds

immediate family, whom she describes as her “home team.”

that this often influences the expectations

Family support has been critical for Sandy. From left: husband Mark, with their dog Lily, Sandy, daughter Kelly, and son John.

that others have of her,” said Loeffler. “She has become more comfortable being her own self-advocate and working to educate those in her life about her injury and its consequences.” “I want to say to other brain injury patients: Be kind to yourself,” said Sandy. “It’s like a line in my book: ‘I still love the beach, I just love it in a different way now.’ You have these limitations, but you can still enjoy life having a brain injury.

sustained a concussion or multiple concussions, in the context of a sports injury, car accident, fall, or other similar event, are evaluated and treated, in some cases long-term, using a comprehensive approach perfected through years of experience that values the patient and their family. For more information about the Neuropsychiatry Program or The Concussion Clinic, please call 410.938.4762.

You have to learn to live your life differently.”

sheppardpratt.org • heal.

STANLEY RESEARCH PROGRAM AT SHEPPARD PRATT

A Tale of Three Studies REPURPOSING MEDICATIONS FOR THE TREATMENT OF SERIOUS MENTAL ILLNESS COULD novel add-on treatments — all

mania and are looking to see

readily available in the management

if a probiotic supplement is

of other conditions — improve the

helpful in treating their

outcomes of mental illness patients

symptoms after their discharge

and mitigate their symptoms? At the

from the hospital and preventing

Sheppard Pratt Stanley Research

re-hospitalization over a six-month

Program, we are answering that question

period. Led by myself, Faith

with three different clinical trials that

Dickerson, Ph.D., of Sheppard Pratt,

have promising potential to ease the

this study is funded by the Stanley

experiences of those suffering from

Medical Research Institute.

schizophrenia and bipolar disorder.

The second trial involves valacyclovir, an antibiotic used to treat

treat tuberculosis, for persons with

understood as to their causes and

herpes viruses. Previous studies have

paranoid delusions. The drug is given

underlying brain pathologies, and often

shown a link between herpes exposure

in conjunction with cognitive behavioral

have a devastating effect on the lives of

and reduced cognitive functioning in

therapy (CBT) sessions. Previous studies

affected individuals. Available treatments

individuals with schizophrenia. A small

have found that d-cycloserine helps

These illnesses are still poorly

patients with acute anxiety when

These illnesses are still poorly understood as to their causes and underlying brain pathologies, and often have a devastating effect on the lives of affected individuals.

combined with CBT, because the medication allows individuals to remember and more easily apply the skills discussed in therapy. We are carrying out the current trial to see

are typically only partially effective in

trial showed that add-on valacyclovir

if the same benefit will be found

lessening the severity of symptoms.

improved the cognitive functioning

in schizophrenia patients who

Clearly, new and better treatments

of patients with early courses of

have persistent delusions. Co-led

are needed.

schizophrenia. We are now performing

with Donald Goff, M.D., of NYU,

a larger trial to confirm these results.

this trial is funded by the National

uses probiotic supplements containing

Led by Alan Breier, M.D., of Indiana

Institutes of Health.

tiny healthy organisms similar to those

University and myself, this study is

found in breast milk, yogurt, and other

also funded by the Stanley Medical

For more information about the Stanley

foods, because they’re thought to

Research Institute.

Research Program or any of the trials

One trial being investigated

improve health by aiding digestion and

Our research group’s third

listed above, contact Dr. Dickerson

strengthening antibodies, the substances

trial involves the administration of

at fdickerson@sheppardpratt.org

that fight infection. We are enrolling

d-cyloserine, an antibiotic that was

or 410.938.4359.

patients who are hospitalized for acute

originally developed as a drug to

FAITH DICKERSON, PH.D., M.P.H. Dr. Dickerson is director of psychology and head of the Stanley Research Program at Sheppard Pratt Health System. She holds faculty appointments in the departments of psychiatry at the University of Maryland and Johns Hopkins University.

heal. • Sheppard Pratt Health System

Mark Your Calendar! For a complete listing of events, continuing education classes, and lectures, visit sheppardpratt.org/calendar-events.

PHILANTHROPIC EVENTS

medicine program, UT Southwestern

2nd Annual Sheppard Pratt Stride

Medical Center in Dallas.

Saturday, October 3, 2015 Save the date for this family-fun event complete with music, games, and more.

EDUCATIONAL CLASSES

Psychotherapy Networker Sexuality and Aging: The New Normal

Sheppard Pratt Health System, and the National Council on Alcoholism and Drug Dependence of Maryland. A FREE, eight-class series held Wednesday evenings at The Conference Center at Sheppard Pratt from 7 p.m. to 9 p.m. Call 410.938.3900 for information.

March 26-29, 2015 — Washington, D.C.

May 6, 2015 Kirsten M. Wilkins, M.D., associate

BIAM Annual Conference

professor of psychiatry, Yale University

March 26-27, 2015 — Baltimore, Md.

School of Medicine.

NCADD-Maryland TUERK Conference

Dick Prodey Lecture Series Sponsored jointly by The Kolmac Clinic,

CONFERENCE EXHIBITING

Clarence G. Schulz Prize Winner: Topic TBD

April 17, 2015 — Baltimore, Md.

May 27, 2015

ISSTD’s 32nd Annual Conference

Clarence G. Schulz Prize Winner, chosen

April 18-20, 2015 — Lake Buena Vista, Fla.

from Sheppard Pratt/University of Maryland’s Resident Class.

ASAM 46th Annual Medical-Scientific Conference

The Three Aspects of Being Human: The Biological, Psychological, & Spiritual Components of Well-Being

April 23-26, 2015 — Austin, Texas

Continuing Education: Wednesdays @ Sheppard Pratt

June 10, 2015

Academy for Eating Disorders International Conference

C. Robert Cloninger, M.D., Ph.D., professor

April 23-25, 2015 — Boston, Mass.

A lecture series at The Conference Center

of psychiatry and director for the Center

at Sheppard Pratt most Wednesdays

for Well Being, Washington University.

American Psychiatric Association 168th Annual Meeting May 16-20, 2015 — Toronto, Canada

mental health professionals. Visit

Stalking: The Terrifying Behaviors of Pathological Attachment

sheppardpratt.org/education-training

June 24, 2015

NAMIWalks Maryland

for more information.

John R. Lion, M.D., clinical professor of

May 16, 2015 — Baltimore, Md.

from noon to 1 p.m. to support continuing education of medical and

Upcoming Wednesday Lectures: Harry Stack Sullivan Lecture “Concussion in Sports” April 8, 2015 (11:30 a.m. to 1 p.m.) David A. Baron, D.O., vice chair, Department of Psychiatry at the Keck School of Medicine at USC in Los Angeles. The New Language of Genetic Medicine and its Implications for the Ethical Conduct of Human Research April 22, 2015 Frederick Grinnell, Ph.D., professor of medical science, ethics in science, and

psychiatry, University of Maryland School of Medicine.

AWARENESS HOLIDAYS Check out our website for ways you can help us honor the following:

National Autism Awareness Month April 2015

Mental Health Month May 2015

Throughout the year, Sheppard Pratt Health System and its programs exhibit at a number of conferences and community events. Make sure to stop by our booth if you plan to be at any of the above.

National Women’s Health Week May 10-16, 2015 sheppardpratt.org • heal.

IN THE NEWS

Retirement Announcement: Dr. Steven Sharfstein OUR VERY OWN Dr. Steven S. Sharfstein, the fifth president and CEO of Sheppard Pratt Health System, announced his

Expert Psychiatric Care in a Residential Setting

intention to retire as president and CEO, effective July 1, 2016. Also a clinical professor and the vice chair of psychiatry at the University of Maryland, Dr. Sharfstein is recognized throughout the community for his work in mental health. Over the last several years, Dr. Sharfstein has held a variety of positions at the National Institute of Mental Health and is a former president of the American Psychiatric Association. In the last 30 years under Dr. Sharfstein’s leadership, Sheppard

Dr. Steven S. Sharfstein’s portrait was unveiled on January 22.

A premier residential program that

Pratt Health System has evolved from

offers patients seeking care for

a psychiatric hospital to a health system with almost 40 locations throughout Maryland.

depression, anxiety, personality,

The board of trustees, under the leadership of Dr. Byron Forbush, is establishing

and addictive disorders, a chance

a search committee to lead the effort to appoint the sixth president and CEO.

to make meaningful progress

The committee will be chaired by The Honorable J. Frederick Motz, a longtime

toward recovery.

Sheppard Pratt Health System trustee. For updates on the progress of our search, visit our website at sheppardpratt.org.

Our expertise is in working with professionals in transition, young adults, and adults facing life-changing events.

THE RETREAT is pleased to announce the promotion of Karen McGovern.

• Experienced psychiatrists lead treatment teams.

Karen, who has been a psychiatric nurse at Sheppard Pratt Health System for more

• Intermediate length of stay from three weeks to several months.

will serve in Karen’s place as the senior staff nurse.

• Residential treatment in an open, unlocked setting.

For more information, call 410.938.3891. 6501 N. Charles Street Baltimore, MD 21204

retreat.sheppardpratt.org 8

Changes in Leadership at The Retreat

heal. • Sheppard Pratt Health System

than 22 years, will serve as The Retreat’s new program director. Kathleen Burke

Karen McGovern

Kathleen Burke

Improving Patient Safety PLEASE JOIN us in congratulating Joshana Goga, a pharmacist at

Wrapping Recovery and Wellness Together

Sheppard Pratt who submitted her LEAN project on the appropriate use of antipsychotic medication within the geriatric population. She was recognized

AS MEMBERS of the recovery community,

at the Maryland Patient Safety

we frequently struggle to incorporate the tools

Conference in March and received the circle of honor for patient safety innovation.

necessary for lives of wellness; too often, we hear of Joshana Goga

those who continue to define themselves in terms of their illness and fall into old destructive patterns. But the solutions are as varied as each one of us, which is why a program such as WRAP can help. WRAP stands for Wellness Recovery Action Plan — it’s a self-management and recovery system developed by Dr. Mary Ellen Copeland and others suffering from mental health diﬃculties. The basic premise is that we can learn to live based on an “I can recover and stay well” attitude as opposed to an “I can’t” mindset. WRAP focuses on a person’s strengths and not-perceived deficits. It provides a step-by-step look at what we need to do to catch ourselves before we fall into old destructive patterns. Once we are able to identify those patterns, we intervene as quickly as possible with a self-determined plan to avoid the pitfalls of the past and further disruption to our lives. How do we create a WRAP? It’s facilitated by our peers, people who have been through experiences similar to our own and live in our communities. They have worked through it in their

2015 Love Your Tree Winner THE CENTER FOR EATING DISORDERS AT SHEPPARD PRATT received more than 300 posters, created by students from 23 public and private schools throughout Maryland, in response to its ninth annual Love Your Tree campaign.

own lives and have seen the benefits. They have also been specially trained to facilitate WRAP classes. WRAP is a tool that one can use in any area of life. It is not a replacement for therapy, medication, or any other tools you use in your recovery.

This campaign challenged students to create posters that

To ﬁnd out more, call Maryland’s WRAP

confront society’s narrow ideals about beauty and that

Outreach Project Coordinator Denise Camp

embrace body diversity and self-acceptance. We congratulate

at 410.646.0262 or visit copelandcenter.com.

Amelia Robinson, a junior at Patterson Mill High School in

This year, the WRAP Around the World

Bel Air, Md., on her selected poster, “Love Every Tree, Love

Conference will be held in Washington, D.C.,

Every Body.”

August 24-26, 2015.

sheppardpratt.org • heal.

SHEPPARD PRATT AFFILIATES

‘Rescue 9-1-1’: Learning Mental Health First Aid A COLLEAGUE at work suddenly experiences a major panic

They also learn risk factors and

attack. You suspect that a close friend may be abusing

warning signs for mental health

prescription drugs. A family member confides in you that he

or substance use problems,

has been feeling extremely depressed and has even

engage in experiential activities

contemplated suicide.

that build understanding of the

Would you know what to do in any of these situations?

impact of illness on individuals

With one in four American adults experiencing a mental

and families, and learn about

health challenge in any given year, situations like these are all

evidence-supported treatment

too common. You can learn how to help through Mental Health

and self-help strategies.

First Aid training available through Sheppard Pratt’s aﬃliate, Mosaic Community Services. Mental Health First Aid is an eight-hour, evidence-based

During the course, participants are taught how to apply the 5-step action plan

course that gives people the skills to help someone who

in a variety of situations. The

is developing a mental health problem or experiencing

training is far more active than

a mental health crisis. It aims to build mental health literacy

sitting at a table and listening.

and help people identify, understand, and respond to signs of

An important component of

mental illness.

the Mental Health First Aid

Created in 2001, Mental Health First Aid USA is

course is the opportunity to

coordinated by the National Council for Behavioral Health,

actually practice intervention

the Mental Health Association of Maryland, and the Missouri

strategies. The experience

Department of Mental Hygiene.

can make it easier to actually

Just as ‘first aid’ or CPR training helps a person with no clinical training assist an individual in a medical emergency, Mental Health First Aid training helps a person assist someone

apply the knowledge in

• Similar to first aid and CPR, it teaches individuals how to help those experiencing a mental health issue or crisis • It is an eight-hour training certification course • Participants learn a 5-step action plan to help them identify, understand, and respond to signs of mental illness • It originated in 2001 in Australia and is available in 20 countries worldwide

a real-life situation. Mosaic’s executive

experiencing a mental health crisis. Trainees are coached

director, Jeff Richardson, has long advocated for Mental

in a 5-step strategy that includes assessing risk, respectfully

Health First Aid. “When someone is suffering from a mental

listening to and supporting the individual in crisis, and

illness or addiction, family, friends, and the community so often

identifying appropriate professional help and other supports.

don’t know what to do or how to help,” said Richardson. “With training, pain could be alleviated and perhaps tragedy avoided.” Ready to become a Mental Health First Aider? To register for a class or for more information, visit mosaicinc.org/mental-health-ﬁrst-aid or contact Kate Joyce, at 410.453.9553, ext. 1183.

CINDY EIKENBERG Cindy Eikenberg is the director of communications and public relations for Mosaic Community Services and is a certified Mental Health First Aid instructor.

heal. • Sheppard Pratt Health System

EATING DISORDERS

Eating Disorders and Athletes: Myths vs. Realities sports or may take messaging about fitness and weight loss to an extreme. MYTH: Weight loss leads to increased performance. REALITY: This is not necessarily true! Even short-term weight loss can hurt performance. This is because it will often result in a decrease in water weight that leaves the athlete dehydrated. Dehydration can impair the body’s ability to transport oxygen and regulate body temperature, which can cause an athlete to overheat, be out of breath, and experience premature muscle fatigue. Restricting carbohydrates to reduce

YOU MIGHT be tempted to think that

image, athletes are at higher risk than

athletes are immune from eating

non-athletes for developing eating

disorders. You would be wrong. Eating

disorders. This is because athletes face

disorders afflict both men and women

the same risk factors as non-athletes,

athletes — in surprisingly large numbers.

MYTH: Exercise is always healthy.

plus some additional risk factors

REALITY: Regular exercise is healthy.

specific to the sport environment. Risk

disorders: the National Collegiate

However, exercise can become unhealthy

factors associated with sports include

Athletic Association study,” published

when taken to extremes. An inflexible

performance anxiety, fear of failure, an

exercise schedule, rigid routine, or taking

imbalance between energy input and

part in exercise solely for weight loss

energy output resulting in weight loss,

instead of fun can be signs that someone

and social pressures regarding athletic

is engaging in excessive or unhealthy

ability and performance. Wrestling,

exercise. Additional warning signs

gymnastics, swimming, and long-

include: neglecting important obligations

distance running, in particular, can carry

in order to fit in exercise, calculating how

an increased risk for disordered eating

much to exercise based on caloric intake,

due to weight restrictions, a focus on

overusing injuries and stress fractures,

maintaining a specific body size, or an

and experiencing exercise withdrawal.

According to “Athletes and eating

in the International Journal of Eating Disorders, nearly 10 percent of women athletes were identified as having problems with bulimia; some 3 percent exhibited anorexia nervosa; and 13 percent of men athletes reported binge eating on a weekly basis. Here, Amy Gooding, a clinical psychologist at The Center for Eating Disorders, debunks the myths and realities of athletes and eating disorders.

emphasis on the way the body looks while performing. It is important to

MYTH: Athletes are less likely to develop eating disorders.

remember that the sport is not the reason

REALITY: While participating in sports

disorder. Individuals who are predisposed

can boost one’s self esteem and body

to develop one may be drawn to specific

why an athlete may develop an eating

weight can lead to a decline in strength, speed, and stamina.

Excessive exercise can lead to menstrual irregularity, decreased testosterone, decreased immunity, and frequent colds. Get the facts at eatingdisorder.org. For more information or for help, please call 410.938.5252.

AMY GOODING, Psy.D Dr. Gooding is a clinical psychologist at The Center for Eating Disorders who specializes in working with athletes. Dr. Gooding provides consultation and education to providers and organizations about specific issues related to prevention, assessment, and treatment of athletes and eating disorders.

sheppardpratt.org • heal.

XXXXXXXXXXXXX SHEPPARD PRATT HEALTH SYSTEM PHILANTHROPY

You give. They heal. You make great things happen when you give to the Sheppard Pratt Health System.

stride

SAVE THE DATE for the 2nd Annual Sheppard Pratt Stride Saturday, October 3, 2015 Sheppard Pratt Health System’s Towson Campus Join us for a family-fun day to raise awareness and funds to support Sheppard Pratt programs that help patients and students, their families, and those affected by serious mental illness! Questions regarding the Sheppard Pratt Stride or sponsorship should be directed to Jade McArdle at 410.938.4025 or jmcardle@sheppardpratt.org.

THANK YOU Sheppard Pratt Health System would like to thank its sponsors for making the 23rd Annual Care for Kids Benefit its most successful event yet! PRESENTING SPONSOR Morgan-Keller Construction PLATINUM SPONSORS Allied Telephone and Data Corp. Audrey S. Knewstub Foundation Leonard Paper Company Oakwood Construction Services Ruppert Landscape

GOLD SPONSORS 3W Cleaning Services, LLC Allegeant, LLC CannonDesign Corporate Office Properties Trust Daft-McCune-Walker, Inc. Taylor Foundation Venable Foundation

PALLADIUM MGH, Inc. Schneider Electric WB Mason Generous support also provided by SunTrust Foundation

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SILVER SPONSORS

BRONZE SPONSORS

Bank of America Merrill Lynch CTS Services DeCosta Construction Specialties Electrico, Inc. First Potomac Realty Trust GBMC HealthCare System Ironmark Kelly & Associates Insurance Group KPMG Peat Marwick M&T Bank Marshall Craft Associates, Inc. Mercer Investment Management, Inc. Prime Buchholz RCM&D Shawe & Rosenthal, LLP Siemens Industry, Inc.

Aon Brown Advisory Causey Contracting Inc. Centric Business Systems Dunbar Armored, Inc. MacKenzie Commercial Real Estate Services Mount Vernon Associates, Inc. SC&H Group Skyline Technology Solutions Spears/Votta & Associates, Inc. T. Rowe Price Transamerica Retirement Solutions

SHEPPARD PRATT AFFILIATES

Jocelyn’s Story FSI’S “KEYS TO SUCCESS” PROGRAM SUPPORTS, UPLIFTS TEEN MOTHERS IN NEED JOCELYN RAMOS was pregnant —

Montgomery County. There, Jocelyn

with twins — at age 15. Her mother was

found both a sympathetic ear and an

angry; Jocelyn was afraid. Complicating

advocate. Though the road before her

matters, Jocelyn’s twins were delivered

was long, she would not travel it alone.

nearly two months early and spent

Through the EHS home-visiting

weeks in the NICU. A sophomore in

program Jocelyn got help negotiating

high school, Jocelyn’s future was

the health system for the twins’ medical

suddenly uncertain.

and developmental needs. When the

When Jocelyn’s twins came home

boys were offered free care at the

from the hospital, she was overwhelmed

FSI-EHS Discovery Station Child

trying to meet their needs, deal with the

Development Center, Jocelyn went

strained relationship with her mother,

back to high school for her junior year.

and involve the boys’ father. “I doubted

She attended the Keys to Success

that it was even possible to finish high

after-school tutoring program and

school. How would I ever be able to do

improved her grades.

that?” she recalls thinking. Indeed, statistics show that only

Many who met Jocelyn at the time were impressed by her determination

some 40 percent of teen mothers are

and certain of her potential. Teachers

able to complete high school. Most

and specialists at Discovery Station

are faced with a lifetime of financial

CDC coached her about the twins’

struggles, under-employment,

special needs and helped her reconcile

and stress.

with her mother. And, after two years at

Fortunately, Jocelyn was referred to

Discovery Station, the boys met every

the Early Head Start (EHS) program at

developmental target by the end of

Family Services, Inc. (FSI), a program that

Jocelyn’s senior year.

serves infants, toddlers, and pregnant women from low-income families in

Jocelyn on Capitol Hill on National Head Start Association Day, advocating for the importance of early childhood education.

patient representative at Community Clinic, Inc., a partner to FSI. Because of programs at FSI, young mothers can overcome personal challenges despite daunting odds. Like Jocelyn, they can not only survive, but thrive.

The program also taught Jocelyn advocacy, leadership, and public speaking skills. She was elected chair of

Jocelyn and her twins, Joseph and Jeovany, during the holidays.

the EHS Policy Council and joined the EHS Health Services Advisory Council, developing an interest in health care. On National Head Start Association Day on Capitol Hill, she personally spoke with Congressman John Delaney (D-Md.) and congressional staff about the value and importance of Early Head Start. Last spring, Jocelyn was selected for the Generation Hope Scholarship. She is pursuing a nursing degree at Montgomery College and works as a

ABOUT THE PROGRAM FSI’s Keys to Success program for young parents focuses on the whole family and the community. The program uses a multigenerational approach to break the cycle of poverty and supports middle and high school students (71 percent of whom are Latino) who are pregnant or parenting as they move toward high school graduation and self-suﬃciency.

sheppardpratt.org • heal.

SHEPPARD PRATT

entrepreneurship. It’s really alive and well and thriving. I had last been in Tel Aviv in 2008, and the growth [has been] just stunning in that time — the growth to tourist attractions and different things. There’s so much ingenuity in the country that it shines through. You see it in everything. Nobody’s walking around looking unhappy. Everybody is going about their business, doing things. From left: The Western Wall in Jerusalem. The group at Caesarea, a town on the Israeli coast.

Tourist spots were busy; the restaurants were great.

Continued from page 3

Dickerson: The hospitality, it was

What was your biggest take-away

Dickerson: And clearly, the people are so

from this trip?

resilient in the face of threats that most

Dickerson: The immediacy of war; that

of us haven’t experienced.

absolutely extraordinary. Where does this project go in the future? What’s next?

was so compelling to me. The war had

Sharfstein: Existential threats. Constantly

just ended, and from the people we

dealing with existential threats.

spoke to, both at the hospital and other

Dickerson: And real threats.

[places], the pervasiveness of that kind of

Kaplan: All the psychiatrists, until

they feel they have a lot to learn from us

risk [was evident], and the immediacy of

the age of about 45 or 50, serve in

on the business side of things, and also

warfare and hostilities and the frequency

the reserve, so they get called up if

someone else to look at the hands-on

of PTSD (post-traumatic stress disorder).

there’s a crisis. You also have

kind of stuff.

Because of these things, the whole

reserve duty once a year for up to a

context of mental health care is

month, where you still get your salary,

very different.

but you get taken out of the hospital.

Cosby: The direct-care folks are dealing

Cosby: The person who drove us to

with so many of the same safety issues,

Gaza was talking about her children who

the same kind of issues that we deal with

had to serve. It was just hard for me to

on a daily basis here and with so much

understand — your kids HAD to go.

less resources. But yet their attitude,

Katz: [My biggest take-away] was

and their commitment to the care of the

probably more about the country itself

patients, was overwhelming to me.

than the experience at Geha: the

It was really a positive experience.

resiliency of the country, and the

Kaplan: Geha will be sending three people here next: their deputy medical director and their accountant because

Sharfstein: And then we should send some more people too. We have enough funding for another exchange of two or three people each. Kaplan: And a [monthly] video conference to continue the exchange of information, that’s Bonnie’s idea. Dickerson: That would really extend the connection. That could be very substantive.

Share Your Story with Us Have a story from your treatment experience that you think is worth telling? We want to hear it! Share with us your memorable story from your time at Sheppard Pratt, and help us fight stigma. Please contact Jessica Kapustin, director of marketing & public relations, at 410.938.4466 or share@sheppardpratt.org.

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MEET OUR DOCTOR

Catching Up with Dr. Susan Wait COMMITMENT TO INDIVIDUALIZED CARE PROPELS TRAUMA DISORDERS PROGRAM

Susan Wait, M.D., service chief and one of the founding clinicians of the Trauma Disorders Program, has extensive experience and expertise in the treatment of patients with dissociative disorders, PTSD, complex PTSD, and anxiety disorders. She has also been trained in dialectical behavior therapy (DBT) and is interested in broadening the use of this technique in patients with trauma-related disorders.

Q. Who do you treat in the Trauma

educational and informational groups

Disorders Program?

based on their interests.

A. Our patients have extreme symptoms related to psychological trauma, which manifest as complex post-traumatic stress disorder (PTSD), dissociative

Q: How has the treatment of trauma disorders changed during the past 20 years?

disorder, or other trauma-related

A: The terrorist attacks of 9/11 brought

disorders. Oftentimes, these individuals

into the public eye the psychological

have experienced prolonged exposure to

effects that traumatic events have

trauma: for example, childhood abuse or

on people. That day also heightened

domestic violence. It’s possible that these

awareness of military PTSD and combat

incidents of trauma have also occurred

trauma. And the research being done to

over multiple periods of one’s life. All of

show the difference in both the mental

our patients are adults. And while there is

and medical health of adults who have

no restriction in terms of gender, we do

experienced a childhood trauma

see more female patients in our program.

versus those who have not has also helped us recognize the impact

Q. What is unique about the Trauma

trauma has on the whole person,

Disorders Program?

which in turn helps us better treat

A. Our longevity in the field, our dedication to education, and our individualized approach to care make this a unique program. Three of the staff, including me, have been with the Trauma Disorders Program since it opened its

our patients.

Q: What can we do to destigmatize mental health treatment and encourage people to ask for help?

doors 23 years ago. We have developed

A: We should be focusing our efforts

a level of expertise and a commitment to

on preventing trauma. We should

care that is very diﬃcult to find elsewhere.

be providing education to parents

Our individualized approach to treatment is also pretty special. Each person who enters the Trauma Disorders

and helping them learn appropriate responses to children.

CMYK / .eps

We should also let people know

Program comes here with a very unique

that PTSD and other trauma-related

situation and, as a result, a unique set

conditions are disorders and not

of symptoms. Our staff understands

personal failings. People suffering from

Visit our YouTube channel to hear

the importance of tailoring treatment

these disorders need our help to see that