Piedmont
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December 2013 Piedmont Healthcare Quarterly A Kings Mountain Herald, BannerNews, Cherryville Eagle publication
There is Hope! Which feelings are normal? .........4 Golden years? They can be! ........6 Teen suicide a silent epidemic....12 Crisis resources .......................19
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HQ - Depression. Anxiety. Hope
December 18, 2013
Studies examine racism’s effect on young minorities Anxiety, depression that might result from bigotry may lead to poorer grades, higher dropout rate. by Dave Blanton Depression and anxiety among minority children and teens may be a result of racism, says a new study whose results were published in the October issue of the journal, Social Science and Medicine. The study, which used data from scores of scientific inquiries relating to childhood psychology and developmental behaviorism looked at 461 cases of links between racism and the health and well-being of young people, mostly in the United States. “The review showed there are strong and consistent relationships between racial discrimination and a range of detrimental health outcomes such as low self-esteem, reduced resilience, increased behavior
problems and lower levels of well-being,� said lead researcher Naomi Priest, who teaches at the University of Melbourne in Australia. “We know that children who experience poor health and well-being are less likely to engage in education, employment and other activities that support them to lead healthy and productive lives, and to participate meaningfully in the community,� Priest said. At a local level, the Kings Mountain area has seen a growth of minority residents – especially among young people – in the last generation, according to school administrators who track such figures. In schoolhouses across the Cleveland County Schools district, counselors and
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faculty have longed tried to nip racial hostilities in the bud. “We really try to address that through character traits – respect, tolerance ‌ and good student collaboration and cooperation,â€? said Sandy Hamrick, the Student Services Coordinator for the Cleveland County Schools. “Through teachers and staff, we try to train cultural competence.â€? That “cultural competenceâ€? is a concept that modern-day teachers to be are trained in at the undergraduate and graduate levels of their own educations, she said. “We try to curb any type of stereotyping,â€? she said. Teachers, counselors and social workers take the long view when it comes to student success. The goal is to match “instruction to individual learning needs,â€? Hamrick said. The conventional wisdom about students suffering from depression, anxiety or low self-esteem is that grades may suffer and in some cases young people may fail to graduate if there’s no intervention to steer them back on course. “First of all we’ve got to make sure they do leave the school system successfully. (Not graduating) could really hamper their goals down the road,â€? Hamrick said. “If any problems lead students to drop out, unemployment and a detrimental effect on our work force could follow. Hamrick said that when children begin school, they’re at a stage where they don’t
make much of the differences between them and other children they’re interacting with and meeting for the first time. “Developmentally, they really don’t even recognize the differences. It’s more like “Let’s be friends, let’s get along.� Other school officials agreed, and noted that as they mature they may carry into school some of the racial prejudices they’re picking up at home or in their respective neighborhoods. That dovetails with the next stage of brain development most children are going through by the time they reach 7 or 8 years old. “They start about third grade acquiring meta-cognitive skills, — ‘Hey, little Suzie is answering the questions faster than I am,’� Hamrick said. In 2002, researchers looking to learn more about how minority children see themselves, in what has become an oftcited study about how ingrained racial identity can become, even among the very young. A group of preschool-aged black children was given the choice between two dolls – one white and one with darker skin – and were told to point at either doll to answer the questions asked by an interviewer. “Can you show me the doll you like best or the one you want to play with?� was the first question. The first black girl immediately picks See RACISM, 14
December 18, 2013
HQ - Depression. Anxiety. Hope
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HQ - Depression. Anxiety. Hope
December 18, 2013
Which moods or feelings are ‘normal’? tem in the body with DHA being the predominant fat.
Hallelujah Acres Olin Idol, N.D., C.N.C. Between the pressures and pleasures of everyday life to the turmoil taking place around the world, it’s no wonder we experience a wide range of moods (sadness, grief, elation, etc). While most of these feelings are transient, the demarcation between “normal” and “abnormal” feelings is often difficult to determine. In regards to the “abnormal”, depression is the most common mood disorder. As we approach late fall and winter, “winter depression” or “seasonal affective disorder” will be a major factor for many. Are there steps we can take to minimize the risk? Mental and emotional health can be quite complicated since different types of disorders share a great deal of overlap, making it difficult to differentiate between two separate disorders. In this article we want to: define depression, discuss the prevalence of depression, identify some common symptoms, and look at issues that may be root causes so that we can identify ways to support the body and mind in overcoming these challenges. Depression is defined as “a serious medical condition in which a person feels very sad, hopeless, and unimportant, and often is unable to live in a normal way.” In recent years, severe depression is occurring more often than ever in younger people – even pre-teens (Russell Blaylock, M.D.). Dr. Blaylock tells us that those born before 1945 were 100 times less likely to suffer from major depression at age 45 than those born after 1945! Depression affects slightly over 11% (35 million) of the American population and has become a major American epidemic, with predictions that 50% of the population will experience at least one episode of depression during their lives. Depression is often accompanied by one of the following: • Feelings of sadness about the future, as though it’s hopeless. • Listlessness, and a lack of belief that positive things will occur. • A certainty of future negative emotions. • Possible suicidal thoughts. Physical symptoms that may be present with depression: • Severe lack of energy or drive. • Flat affect (complete lack of emotion) along with slowed thinking and behaviors. • Severe appetite changes, headaches and sleep problems. Depression tends to have few visible physical symptoms, while the mental symptoms can be so dangerous (especially the potential for suicidal thoughts) and the lack of
Vitamin B12: As noted in the book, Could It Be B12? An Epidemic of Misdiagnoses, B12 deficiency is widespread regardless of one’s dietary choices. “B12 deficiency can cause severe mental illness, including depression, paranoia, and even symptoms resembling schizophrenia. . . . One telling fact is that around 90 percent of patients we identify with vitamin B12 deficiency in the ER (emergency room) are on antidepressants, which reveals their primary care doctors and other specialists failed to screen for B12 deficiency as a reason for their depression.”2 B12, under ideal conditions, is produced in the colon by friendly bacteria. Due to a host of factors, the vast majority of the population is lacking in friendly flora and either lack B12 in their diet or lack an intrinsic factor that is necessary for assimilation and utilization of dietary B12. Supplementation with a sublingual B12 (Methylcobalamin form) may be most beneficial in supplying the body’s B12 needs.
energy so pronounced that many people with depression deal with intense daily struggles that are not understood by family and friends. The framework underlying the development of depression is complex and variable among individuals. Both psychological and biological factors influence a person’s mental, emotional and physical health at any given time. Emerging scientific research and clinical experience indicate that dietary intake and nutrient deficiency play a critical role. Omega-3 Essential Fatty Acids: “Over the past century, people in developed countries, particularly in the United States, have largely eliminated omega-3 fatty acids from their diets. There is considerable evidence that this has had a very negative impact on the inner workings of many bodily systems, most notably the heart and the brain. We are learning that restoring the body’s natural balance of omega-3 oils may improve a multitude of medical disorders, including coronary artery disease, major depression and bipolar disorders (also called manic-depressive illness).”1 One important aspect of The Hallelujah Diet is to ensure an optimal intake of nutrients that are not readily available in our foods today, emphasizing the importance of getting the essential fatty acids (EFA) back into the diet. This is accomplished with land-based omega-3s from flax seed, walnuts, and/or flax seed oil along with sea-based omega-3s from Pharmax Fish Oil for crucial DHA. The brain requires more omega-3 fatty acids than any other sys-
Vitamin D3: Marc Sorenson, EdD, in his book, Vitamin D3 and Solar Power for Optimal Health, tells us that, “Sunlight is the ‘drug-free’ antidepressant. Depression is remarkably reduced by sunlight and light therapy.” The human body was designed by God to be exposed to liberal amounts of sunshine. Cholecalciferol (D3) forms in the skin when UVB radiation from the sun strikes bare skin. Unfortunately, we live in a day when we have been taught to almost fear the sunshine. We’ve been told to limit our exposure and use sunscreen when we are out in the sun. This prevents the production of vitamin D (which is actually a hormone, not a vitamin) and has led to almost epidemic vitamin D deficiency. Vitamin D influences over 200 genes, so optimizing our vitamin D levels is extremely important, not only in regards to depression but regarding almost all chronic diseases. In conclusion, I would encourage the adoption of a whole food, plant-based diet as the best means of providing the nutrition that the body requires to carry out the innate self-healing God has placed within each of us. In addition to supplying our body with optimal dietary nutrition, we need to be keenly aware of the limitations in the availability of the specific nutrients that we discussed are lacking in our food supply today, and ensure we meet those needs. 1 Andrew L. Stoll, M.D., The Omega-3 Connection Simon & Schuster, New York, NY 2001 2 Sally M. Pacholok, R.N., B.S.N., Jeffrey J. Stuart, D.O., Could It Be B12? An Epidemic of Misdiagnoses, Quill Driver Books, Fresno, CA 93721
December 18, 2013
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Anxious or depressed? Exercise can help! friends, or going to work or school. Major depression affects the way a person thinks, feels, behaves, and functions, but is treatable. There are three main types of depressive disorders—major depression, dysthymia, and bipolar disorder and any of these can occur with anxiety. Major depression can involve low energy, poor appetite or overeating, insomnia or oversleeping, nervousness, irritability, or problems concentrating for a two-week period and is disabling and will interfere with the ability to work, study, eat, and sleep. Major depressive episodes may occur once or twice in a lifetime, or they may re-occur frequently, but can also take place spontaneously due to a major life event. Some people with major depression may feel that life is not worth living and might attempt to end their lives.
Cleveland County YMCA At some point in life most people will feel anxious or depressed about something—losing a loved one, getting fired from a job, or going through other difficult situations can make a person feel sad, lonely, scared, nervous, or anxious. If a person experiences these feelings daily or nearly every day for no apparent reason and making it difficult to carry on with normal, everyday function, these people may have anxiety, depression, or both. It is not uncommon for someone to have both. The good news is that these disorders are treatable, whether a person has one or both. Exercise can have a positive effect on lowering stress and improving self-esteem, which can help a person cope with anxiety and depression. At the YMCA we have a great family that can lift people up and en-
;
courage one another. Depression is a condition when a person feels discouraged, sad, hopeless, unmotivated, or disinterested in life in general. It is called a major depressive episode when these feelings last for more than two weeks and interfere with daily activities such as taking care of family, spending time with
Dysthymia is a less severe, long-term, and chronic form of depression and involves the same symptoms as major depression. It can manifest as stress, irritability, and mild anhedonia (the inability to derive pleasure from most activities). People with dysthymia might see the glass as half empty. Bipolar disorder is characterized by a mood cycle that shifts from severe or mild highs to severe lows or depression. During the highs, a person may experience a feeling of being very happy, a decreased need for sleep, irritability, increased talking, racing thoughts, increased sexual desire, increased energy, poor judgment, and inappropriate social behavior. Depression and anxiety disorders are different, but some of the symptoms are the same. Each disorder has its own causes and See EXERCISE, 17
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704-487-8068 Toll free 1-877-627-7627
©2013 Medical Arts Pharmacy. All rights reserved. KM Herald
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HQ - Depression. Anxiety. Hope
December 18, 2013
‘Golden years’? With plenty of available options, they can be by Alan Hodge Popular belief is that the so-called “golden years” for folks are supposed to be a wonderful time. However, for millions of people, their senior citizen days are clouded by medical issues, financial constraints, loneliness, and an overall feeling of sadness. Research shows that depression affects more than 6.5 million of the 35 million Americans aged 65 years or older. Most people in this stage of life with depression have been experiencing episodes of the illness during much of their lives. For others, depression has a first onset in late life— even persons in their 80s and 90s. Recognizing depression is important. Depression in elderly people often goes untreated because many people think that depression is a normal part of aging and a
Photo by Alan Hodge
The East Gaston Adult Day Care Center in Catawba Heights offers senior citizens plenty of ways to beat the blahs and dancing is one of them. In this shot Joe Moses, Blanche Bailey, Ilene Potter and Dorus Woodward are seen dancing up a storm. natural reaction to chronic illness, loss and social transition. Many elderly people and
their families don't recognize the symptoms of depression, aren't aware that it is a medical illness and don't know how it is treated. Then there’s the stigma many still associate with depression. Many older folks think that depression is a character flaw and are worried about being made fun of or of being humiliated. They may blame themselves for their illness and are too ashamed to get help.
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Untreated depression in the elderly can be deadly. The highest rate of suicide in the U.S. is among older white men. Depression is the single most significant risk factor for suicide in the elderly population. Tragically, many of those people who go on to die by suicide have reached out for help— 20 percent see a doctor the day they die, 40 percent the week they die and 70 percent in the month they die. Elderly women are especially prone to depression because women in general are twice as likely as men to become seriously depressed. Biological factors like hormonal changes may make older women more vulnerable. The stresses of maintaining relationships or caring for an ill loved one and children also typically fall more heavily on women, which could contribute to higher rates of depression. Unmarried
and widowed individuals as well as those who lack a supportive social network also have elevated rates of depression. However, senior citizens need not let depression weigh them down because there are many options to the contrary. Social activity is one way to beat the blues and the East Gaston Adult Day Care Center in Catawba Heights has plenty of it to go around. The facility and activities that go on there is a branch of the Gaston County Department of Social Services. The general idea behind the program is to “provide a place for persons 60 years of age and older to have weekday care in a structured environment”. Further particulars on the program describe it as a place that “provides daily supervised care and socialization for older adults with decreased abilities to care for themselves”. It also enables the older adult to “postpone or negate the need for premature entry into nursing or adult care homes and provides support or respite for family caregivers”. What the East Gaston Adult Day Care Center does in practical terms is give qualifying senior citizens a place where they can kick up their heels, dance a jig, eat some great snacks, slap a pal on the back, See GOLDEN YEARS?, 18
December 18, 2013
HQ - Depression. Anxiety. Hope
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Eat Smart for a Healthier Brain!
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- % ,)((', ( 0" - ! +& 2
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HQ - Depression. Anxiety. Hope
December 18, 2013
What is depression and anxiety? Deepak Gelot, M.D. Medical Director Carolina Family Care Carolina Wellness and Cosmetic Laser Center Depression and anxiety can impact individuals of any age. Depression is the most common psychiatric disorder. It is a condition that adversely affects a person’s family, work or school life, sleeping and eating habits, and your health. Depression is typically characterized by mood, selfesteem, and loss of interest in activities that you enjoy. Some symptoms you may experience with depression include: sleep disorders, shifts in appetite and weight, irritability or anxiety, fatigue and loss of energy, feelings of persistent sadness, guilt, hopelessness, or loss of self worth, thinking difficulties such as memory loss or making decisions, and thoughts of death or suicide. Anxiety is a normal reaction to stress. However, when anxiety becomes excessive, it may fall under an anxiety disorder. Anxiety disorders are characterized by emotional, physical and behavioral symptoms that create an unpleasant feeling that is described as uneasiness, fear or worry. Just as no two people are affected the exact same way by depression and anxiety, there is no “one size fits all” treatment. The best way to treat depression or anxiety is to become informed as possible about the treatment options, and then tai-
lor them to meet your needs. There are many types of therapy available. Three of the more common methods used in depression include cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. Often, a blended approach is used. Therapy can help you understand why you feel a certain way, what your triggers are, and what
you can do to stay healthy. Another factor that can play a role in depression and anxiety is your hormones. Our natural aging and decline in optimal health can occur at any age. As a result of
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ber of ways, which may include: releasing feel good brain chemicals, reducing immune system chemicals that can worsen depression, increase body temperature, which may have calming effects. Exercise has many psychological and emotional benefits too. It can help you gain confidence, take your mind off worries, get more social interaction and cope in a healthy way. Talk with your doctor to make sure you know which activities, how much exercise, and what intensity level is OK for you. Diet A number of studies have shown that a diet high in simple sugars or in caffeine (750 mg daily) is related to increased rates of major depression. In one small study, eliminating refined sugars and caffeine resulted in improved symptoms of depression within one week. Alcohol People who suffer from depression should stop drinking alcohol. If alcohol abuse underlies the depression, it is critical that it be addressed directly.
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hormone imbalance due to aging and environmental conditions, you may be experiencing one or a combination of the classic symptoms: weight gain, limited energy, mood swings, sleeplessness, poor concentration, memory loss, night sweats, and fatigue/weakness. We offer a preventive approach to optimal health through personalized wellness and fitness plans,
customized weight loss and nutrition plans and “natural” Bio Identical Hormone Replacements. Our anti-aging solutions will allow you to experience renewed energy, restore youthfulness, live longer, and enjoy the of quality life you always wanted. Lifestyle changes are recommended to stay healthy. Lifestyle changes are simple but powerful tools in treating depression. Even if you need other treatment as well, lifestyle changes go a long way toward helping lift depression. Lifestyle changes that can treat depression include: Exercise When you have depression or anxiety, exercise often seems like the last thing you want to do but once you get motivated, exercise can make a big difference. Exercise helps ease depression in a num-
Sleep Poor sleep has a strong effect on mood. Social Support Strong social networks reduce isolation, a key risk factor for depression. Keep in regular contact with friends and family. Stress Reduction Make changes in your life to help manage and reduce stress. Too much stress exacerbates depression and puts you at risk for future depression. Depression and Anxiety is a serious condition but with your active participation and the support of your health care team, you can manage it while enjoying an active, healthy life. For further questions feel free to contact Carolina Family Care at 704.734.0010 or wellnesscarolina@ gmail.com
December 18, 2013
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Helping with the holiday blues Five ways to be a star for seniors during the holidays Carla Platter Healthy Generations Program Director Summit Place of Kings Mountain As many of you may have heard by now, symptoms of anxiety and depression occur in the senior population during the holidays at a much higher rate than with younger people. It’s not always long-term anxiety or depression, but rather sadness, anxiety, and fatigue that can result from the combination of grief, guilt, and this overly festive time of year. The holidays remind our seniors of good times that will never be the same, people they have loved and (possibly) lost, and of how much time has truly passed in their lives. Shine a little love and attention toward your elderly family members and friends and you may help brighten this difficult time of year! Many elderly seniors will be hesitant to talk about any anxiety or sadness they are feeling. When they were young, depression and anxiety weren’t diagnosed or discussed openly. Getting folks to open up about the good times and happy memories is much easier. This time of year is a great opportunity for families to learn more about their elderly loved ones. Ask your loved one how they are doing and then really listen to the answer. The answer might not be pleasant if they are having a tough time, but that’s ok. Don’t worry about being overly cheerful and trying to change their mood. Instead, ask some questions to draw out more information. Here are some ideas to get you started: “Tell me about your first Christmas with
Dad.� or “What was your favorite holiday with us kids when we were little?� After they open up and start talking, some of the information might lead to additional ways that you can bring some light into their lives. Below are five common feelings of loss that are related to feeling down during the holidays. For each category, I’ll share examples that have been successful during my career and also some ideas for you to try with your loved ones and friends who might need a bit of extra attention this year. 1. Loss of loved ones and feeling lonely- This category can be a bit tricky depending on how recent the deaths have occurred. Try some probing questions if you aren’t sure of the answer. In our community, we have small group activities where folks can share stories and photos about loved ones and family. We encourage new friendships within our building as well as with visitors and volunteers from around the community. Many other seniors are going through the same sorts of family and life changes and can relate to the feelings. Allow your loved one to share memories and stories whenever they feel up to it.
General and Non-Emergency Transportation Serving the Metrolina Region of North Carolina & South Carolina
What Does Our Service Mean To You? AS A HEALTHCARE PROFESSIONAL OR FACILITY: • Efficient coordination of services • Cost effective transportation • Single source for all non-emergent services • Wheelchair • Gerichair • Ambulatory
AS A PATIENT OR FAMILY MEMBER: • Hands-on care from the bedside to the destination and back again •Accurate, timely departure and arrival • Credentialed, uniformed, NC-EMT trained staff provides the highest level of care and peace of mind • Modern equipment with the latest features to assure a safe, comfortable trip.
Quality Is a Priority with Carolina Specialty Transport Patient care is provided by a team of dedicated and trained professionals. Each employee is dedicated to providing the highest level of quality service and has enhanced this commitment by achieving accreditation as a North Carolina certified EMT. All equipment is routinely, professionally maintained to give peace of mind.
Who Can Use CST? Carolina Specialty Transport provides professional transportation services when transportation by an automobile is not an option and the high cost of an ambulance is not warranted. Our vehicles are equipped with portable ramps.
Thanks for a great ride to Kings Mountain. Very professional, courteous driver. - D Butterfield
Thank you for all your excellent service. The young lady that transported me was extremely pleasant and professional. Thank you - E. Webb
& % ! & "! & & ! " ! # ! & ! % ! & ! ! & "! ! $ ! & "! ! ! ! & ! ! " " !
2. Loss of traditions- As families grow and time passes, new holiday traditions are formed. Perhaps a younger person has taken over the carving of the turkey or the family dinner might happen too far way or in such a rush that the elder family members can’t make it to the celebration. We encourage our residents and families to See HOLIDAY BLUES, 18
For More Information or to Schedule a Transport:
24 Hours-a-Day
704.824.2455 (Charlotte-Gastonia-Shelby areas)
carolinaspec@gmail.com
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HQ - Depression. Anxiety. Hope
Award Winning HealthCare for Cleveland County
Cleveland Regional Medical Center: 980-487-3000 Kings Mountain Hospital: 980-487-5000 w w w. C l e v e l a n d C o u n t y H e a l t h C a r e S y s t e m . o r g
December 18, 2013
Every Patient, Every Day, Always
December 18, 2013
HQ - Depression. Anxiety. Hope
No kneed to travel for joint replacement.
For information, call the Joint Academy at 980-487-3723 or visit our website. ClevelandCountyHealthCareSystem.org
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HQ - Depression. Anxiety. Hope
December 18, 2013
Teen suicide doesn’t have to be a ‘silent epidemic’ School social worker: “Don’t be ashamed to ask for help!” by Michael E. Powell For CHS resident social worker Rosalind L. White, the topic of teen suicide is one she wishes she didn’t have to discuss sometimes. It is, sadly, the “silent epidemic” haunting the nation’s youth, putting their futures in jeopardy. Nevertheless, she is trained, as are the school’s guidance counselors, Christy Clark and Mary Leslie Eaker, as well as the teachers, staff, and the school resource officers, to not only address it and deal with it, but to be on the lookout for the warning signs. It is, as one county health official who asked not to be named, the “elephant in the room”, or the big “no-no” topic, the unspoken problem for which there is no easy solution; no “pat” answer, at least not in the foreseeable future. While not at epidemic proportions, it is still one of the leading causes of death among teens and young adults, according to the National Institute of Mental Health. It is one of those facets of mental health study that isn’t readily acknowledged, White said recently, and is not, many times, openly talked about among teens and their parents. According to 2004 statistics presented by the North Carolina Health and Human Services, Division of Public Health report, suicide is the leading cause of death among the state’s teens. It eclipses other killers such as homicide, cancer, and heart disease combined as the biggest killer of young people. The 2004 report noted the state “is losing an average of 127 children and youth per year as a result of suicide,”
adding that while not diminishing the death of any child from any cause, “eight times as many children die from suicide as they do from influenza each year.” The Annie E. Casey Foundation web site updates child death numbers for North Carolina noting that from 2006 to 2010 (the most recent numbers they have listed) there was a drop from 2006’s 324 (or 53 cases per 100,000 children) to 266 (or 40 cases per 100,000 children) in 2010. It should be noted these numbers not only reflect suicides but also child deaths caused by accident and homicide. The Casey Foundation cites as their source data collated from the Centers for Disease Control studies National Center for Injury Prevention and Control (19992010) and from the U.S. Census Bureau (Population Division) data from 2001-2010. The numbers can be not only overwhelming White said, but many times they can give a false sense of suicide not being that much of a problem when one looks at the big picture. White said, as a social worker, other “lines of defense” she and her peers look to set up a center on observation, watching for any and all signs, and being available and accessible to the teens. It’s all about the training, for starters “Our school counselors make sure that our school staff watch a suicide prevention video provided and mandated by our county annually,” White said. “Counselors and social workers alike are trained to give suicide or at-risk assessments should a student disclose suicidal thoughts, and their parents are, of course, contacted.” Warning signs and obvious indicators
CHS and Gaston County Schools social worker Rosalind L. White working on reports on consultations she’s had with parents and teens. White, a 20-year veteran in the field of social work, has worked for the county for the last 12 of those years. photo by Michael Powell
White said there are indeed “warning signs” to look for in your teen or child, even a young adult. They aren’t really that much different, she added, when it comes to those of adults experiencing depression or some form of abuse or self-abuse. “If there is a sudden change in a student’s demeanor such as sadness or hopelessness, thoughts or mention of suicide, irritability, social withdrawal, attitude, appetite and sleep patterns, take them seriously.” The key is to get the child help as quickly as possible, she noted.
Prevention a priority for school system White said, “Suicide prevention is one of our many priorities for our school system because it not only effects teens but our younger student’s as well. “In my work with elementary and middle school students, I have seen it at those grade levels as much as I have seen at the high school level! “There are many things that can contribute to this traumatic events such as loss of a parent, or parents, a change in family dynamics, or bullying.” White said she believes “we, as a community, should always educate parents, pastors, youth leaders and after school facilities of dangers and warning signs.” Where to turn to for help White said if the kids are afraid to tell mom and dad of their thoughts or ideations, she encourages them to contact crisis or emergency places such as police, fire, or emergency personnel and public safety departments in their town. “Never, never put off getting help from someone or somewhere! I can’t emphasize that enough, whether a parent or teen.” She said there are crisis and suicide and emergency “hot lines”, such as (704) 867-4537, that students can call 24/7. Lastly, she said the school can refer students to various agencies, qualifying that statement by adding, “But, we have a mental health clinician who works for Gaston County Schools assigned to our school. She can also refer, but she can also help in a crisis situation.”
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Helping patients get on the road to recovery by Paula Vess Regional Marketing Group Abraham Lincoln. Winston Churchill. Ludwig van Beethoven. What do these three historical figures have in common? They suffered from some form of mental illness. Lincoln and Churchill suffered from bouts of depression, sometimes severe. Beethoven, it is thought, had bipolar disorder. A mental illness is a medical condition that disrupts a person’s thinking, feeling, mood, ability to relate to others and daily functioning, according to the National Alliance on Mental Illness (NAMI). These conditions often make it more difficult to deal with the ordinary demands of life. In the Behavioral Health Center at Kings Mountain Hospital (KMH) staff including Amy Bilmanis, LCSWA, licensed clinical social worker associate, help patients dealing with mental illness. “We are an acute crisis unit,�
said Bilmanis. “We are really the introduction to therapy and recovery for our patients. The average stay with us is 7-10 days.� Staffed with psychiatrists, nurses, social workers, substance abuse counselors and other professionals, this is the
only program of its kind in the area. Part of the Carolinas HealthCare System’s behavioral health centers, the program at KMH provides inpatient psychiatric, dual diagnosis and acute medical detoxification services to adults age 18 and older. “We are trying to teach healthier ways of living,� said Bilmanis, “and better ways of managing illness or disease.� “For substance abuse patients, we can assist with medical detox,� she continued. “We also evaluate patients who arrive with a substance abuse problem for other mental disorders. You can’t just treat the substance abuse and think that other issues will simply go away. Most substance abuse patients have an underlying mental illness.� It is estimated that more than five million adults have co-occurring mental health and addiction disorders, according to NAMI. Mental illnesses include major depression, schizophrenia, bipolar disorder, obsessive
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December 18, 2013
Communication is key to healing by Elizabeth Stewart Timmy, not his real name, had a phobia about school. “He simply didn't want to go and he wasn’t going to pass his grade,'' said Katherine Gordon, Kings Mountain's new resident counselor. The teenager didn't want to leave his house. He got around people and had panic attacks. He wanted to be a hermit. His mom made an appointment with Gordon, a Mental Health professional for 20 years. “I started working with Timmy the summer before school was to reopen and he was very debilitated and depressed. I used a lot of icebreakers to build a relationship, then I started sitting in the parking lot of the school with him, then we went inside the school building, went into his classroom
and after some therapy he was ready to start back to school in the fall." Gordon says that communication is the biggest obstacle for issues in any relation- Katherine Gordon ship and when conflict arises interpersonal skills must be developed. Children growing up in domestic violence or alcohol/drug abuse need love, says Gordon. “First, I try to track what triggers depression," said Gordon. Mary, not her real name, suffered from a chemical imbalance. The first thing Gordon did was to assess the need for a psychiatric evaluation and together the medication and support was what the patient needed.
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Working with Gordon, the girl developed coping skills to manage her depression. Gordon counsels adults, couples, singles, and children. Her office at 301 S. Battleground, the former Kings Mountain Farm Center building, also includes a playroom reception area and offices. “The first thing I do with children is play with them," she said. Whether they need attention or accompanying their parents, the kids enjoy all the toys in the play area. Daughter of Marie Poarch and the late Ronnie Poarch, Katherine is a Gastonia native, graduate of Hunter Huss High School and earned both her bachelor’s and master’s degrees from Gardner-Webb University. She was licensed as a counselor five years ago and before that was a mental health professional working in several counties. Next year Katherine expects to receive her Ph.D. from Capella University and is studying on-line. Beth Brock, a former mental health professional for 16 years, serves as office manager for Gordon. The two women worked together in Belmont some years ago. Brock is a former staffer with The Kings Mountain Herald. Gordon, 39, is the mother of three children: Trey, 16, a junior at Cramerton Christian School; Katherine, 9, a student at East Elementary School in Kings Mountain; and
Chance, 2. “Every possibility begins with courage and imagination” reads the sign over her desk in her busy office. She says she wants to accommodate her clients every way she can in this sluggish economy with a sliding fee scale and is also accepting insurance. The Gordon family likes calling Kings Mountain home. Newcomers to the community, she says, “This is really a great place to work and live.”
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up the white doll, and the next four young black girls choose the same. Of the group of nine, only two picked the darker-skinned doll. Additionally, a 2009 study conducted scientists at Rush University and Yale University, found that children develop an awareness about racial stereotypes early, and that those biases can be damaging. The study looked at more than 120 elementary school children from an ethnically and socioeconomically diverse area of the United States. Children were asked questions to determine their abilities to under-
stand another person’s stereotypical beliefs. The questions also sought to find out their level of comprehension of broadly held stereotypes. In addition, the children’s parents completed questionnaires asking about their parenting. Between ages 5 and 11, the researchers found, children become aware that many people believe stereotypes, including stereotypes about academic abilities (for example, how intelligent certain racial and ethnic groups are). When children become aware of these types of bias about their own racial or ethnic group, it can affect how they respond to everyday situations, ranging from interacting with others to taking tests.
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Some news about teeth that will make you laugh Shelby Dental Care Center (Formerly Young & Associates) Most people headed for the dentist don’t find a lot to laugh about. But citizens of Cleveland County might just have a different opinion. That is home to the Shelby Dental Care Center where there’s such good things going on they might just make you laugh. First off, the partners are rebuilding the practice with a whole new approach to dental health and happiness. New techniques. New innovations. New name. And soon a new building. Plus, a new brand message to help kick things off. “Made You Laugh� is the mood and atmosphere Shelby Dental Care Center is communicating to their neighbors. Since a smile fully expressed becomes laughter, everyone at the practice thought it was the perfect message. The staff
loves to laugh, the dentists love to laugh. And they all love to see patients laugh. One thing that hasn’t changed is the same great staff and wonderful dentists Cleveland County citizens have come to love.
from her exam chair. She likes to have fun at work and to make her patients laugh. Her kind manner and ready smile make her a favorite with children. But don’t let that lead you to believe she is anything but an extensively trained expert when it comes to leadHow to make little people laugh. ing-edge techniques that promote dental Mr. Thirsty? Mr. Sunshine? You have to health in children. (Oh, Mr. Thirsty is the be a little patient of Dr. Jessica Lackey’s to suction tube and Mr. Sunshine is the overmeet these chair exam light!) very fun characters at One-day smiles and off-site care to seniors the Shelby Did you know that you can get dentures Dental Care in a day? Dr. Brenton Young’s patients come Center. Dr. in at 7 a.m. for a consult and impression, L a c k e y then come back in the afternoon for final loves kids work and dentures. This is a huge step forand loves to ward for people who once could not manage laugh. No the cost or commitment of getting dentures. doubt that’s Now they are fast and affordable. why children arrive and depart giggling There’s also something special for older people who can’t come to the practice. Dr. Young visits adult care facilities, such as Peak Resources, Cleveland Pines and White Oak Manor, in three counties to provided vital dental care (and a little laughter). Exams, cleanings and dentures are some of
what he brings to these delightful patients, eliminating the need for them to travel unnecessarily. Where first impressions get a second chance When you look in the mirror, smile, and feel good about yourself, Dr. Pauline Cahill has accomplished her goal. She specializes in bringing out the absolute beauty in every smile. It takes a blend of scientific knowledge and artistic ability to practice dentistry from an aesthetic point of view. Whether a small adjustment or a full mouth restoration, Dr. Cahill will work to create the kind of smile that makes patients laugh with pride. Some of the techniques include veneers, Invisalign, whitening, and PFZ crowns and bridges, with the pleasing aesthetics of all-ceramic restorations. A fun, friendly atmosphere with lots of laughter. It’s easy when you have dentists who love what they do and love the community they serve. Check us out at the Shelby Dental Care Center Facebook page to see community-oriented fun, featuring events and photo booths and lots and lots of laughter.
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EXERCISE: can help those anxious, depressed feelings From page 5 its own emotional and behavioral symptoms. Many people who develop depression have a history of an anxiety disorder earlier in life, but there is no evidence one disorder causes the other. There is clear evidence however that many people suffer from both disorders. Exercise improves physical condition and helps fight disease, but is also important for maintaining mental fitness and reducing stress. Studies show that exercise can effectively reduce fatigue, improve alertness and concentration, and enhance overall cognitive function. When stress affects the brain, the rest of the body also feels the impact. If your body feels better, so does your mind. Exercise and other physical activity produce endorphins (chemicals in the brain that act as natural painkillers) and also improve the ability to sleep, which can reduce stress. Scientists have found that regular participation in aerobic exercise has decreased overall levels of tension, elevate and stabilize mood, improve sleep, and improve self-esteem. Even five minutes of aerobic exercise may start stimulating anti-anxiety effects. Although stress and anxiety are a normal part of life,
anxiety disorders are common psychiatric illnesses. The benefits of exercise extend beyond stress relief to improving anxiety and related disorders. Psychologists studying how exercise relieves anxiety and depression suggest that a 10-minute walk can be just as good as a 45-minute workout. The YMCA is a place where people can come to reduce stress by walking the track, lifting weights, or jogging on the treadmill. There are a variety of machines and classes to help motivate a person to get active and stay active to reduce stress. This can in turn help with depression and anxiety. Some studies show that exercise works quickly to ele-
vate depressed mood in many people. The effects are temporary but demonstrate that a brisk walk or other simple activity can being several hours of relief, similar to taking an aspirin for a headache. Science has also provided some evidence that physically active people have lower rates of anxiety and depression than sedentary people. Exercise can improve mental health by helping the brain cope better with stress. According to studies, regular exercise works as well as medication for some people to reduce symptoms of anxiety and depression. One vigorous exercise session can help alleviate symptoms for hours, and a regular schedule can significantly reduce them over time. Exercise has a positive effect for most people. But like all forms of therapy, the effect can vary. Some people may respond positively, others may find it doesn’t improve their mood much, and some may only experience a short-term benefit. Regardless, researchers say that the beneficial effects of exercise on physical health are not disputed and people should be encouraged to stay physically active. The YMCA provides a place for people to stay physically active and have a supporting group of people to help them.
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HOLIDAY BLUES: five ways you can help From page 9 embrace technology. We help our residents Skype their grandchildren to talk about their secret family recipes and receive emailed photos of this year’s Christmas tree. If possible, do the similar things with your family to let the older generation know you are thinking of them. 3. Loss of purpose- Feeling useful and having a purpose will be different for everyone. This is another opportunity to learn more about your loved one. I know seniors who enjoy delivering newspapers to neighbors. Finding and participating in volunteer projects doesn’t have to be labor intensive. Write letters to soldiers or make get well cards for patients at the hospital. Ask at church to see if someone would appreciate a friendly phone call.
make extra efforts to visit and call, but when it suddenly stops in January and doesn’t pick back up until Easter or Mother’s Day it can be just as stressful as 4. Loss of mobility - Many seniors some of the things mentioned earlier in this might be losing the confidence or ability to article. transport themselves safely to religious Anxiety and depression are complicated services and community events that involve driving at night. In addition to providing transportation at our community, we have the advantage that many churches, community groups, and children come to visit and share their services and talents. At home, taking the time to share a special TV proFrom page 6 gram or listen to Christmas music can help. Offer to drive to see Christmas lights or a give a pretty lady or gent a wink, sing special church service. a song, and generally have a swell time among their peers. 5. Loss of abilities such as eyesight or Melinda Silvers is activities spehand strength – Many activities can be cialist at East Gaston Day Care Cenadapted to focus on what a person is still ter and keeps the participants busy able to do. Assistance writing and reading having fun. On any given week, they greeting cards and letters can be particumight play bingo, dance, watch a larly useful at Christmas. Maybe all your movie, get a wellness check, visit a loved one needs is help with the enlocal restaurant, or be entertained by velope or address. Gift wrapping, a local choir. with all the scissors and tape can be “Some of them live alone and this tricky. Doing it as a group can allow is a great way for them to socialize,” Silvers a senior to choose something they said. “Social interaction is one of the most are still able to do successfully, like important factors in dealing with depression tape on tags or choose wrapping in senior citizens.” paper, without making a big deal One of the Center’s biggest hits is a guitar out of what they aren’t able to do band that plays there every Wednesday. anymore. A recent morning saw participants dancOnce the Christmas season is ing to a variety of tunes. over remember that our older fam“Exercise like dancing is good for depresily members, friends, and neighbors sion,” said Silvers. “It livens everyone up.” still appreciate our love and attenAnother angle that Silvers and her staff tion! The holidays are a time where use to perk up the senior citizens is by bringmany younger family members ing in children for them to talk to.
December 18, 2013 subjects and this article just has a few ideas for getting through the sadness and anxiety that can be related to holidays. If your loved one isn’t eating or sleeping normally or if you feel there could be more going on, please speak to a doctor or mental health professional.
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“We have kids from local schools and day care centers visit as often as possible,” she said. Other guests are welcome too. “Just before Halloween we had a visit from a Great Pyrenees dog dressed in a striped jail house shirt. The work that the East Gaston Adult Day Care Center does in keeping its clients on the sunny side of life is priceless. “We had one client tell us she begged God to come take her because everyone she had known was dead,” said Silvers. “But now she's doing fine.”
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Emotional isolation is a growing problem, with more than one out of three adults aged 45 and older describing themselves as chronically lonely, up from one out of five a decade earlier. The contributing factors are easy to identify: high unemployment; marriage rate at a historic low; increased reliance on technology over face-to-face communication. “Lonely people are not happy people, hence the increased stress that causes physical illness. But we can change, individu-
ally and collectively, if we heed the wisdom that has endured for 2,000 years.” To follow are five time-tested steps anyone can take to reconnect and restore happiness. They are: Work on loving everyone; Don’t judge; Forgive; Do good that makes a difference; Have faith Achieve, or at least work toward, these five steps and the result will be hope “Hope is happiness – a state of mind that transcends ordinary happiness.”
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HELPING: patients on the road to recovery From page 13 compulsive disorder (OCD), panic disorder, and posttraumatic stress disorder (PTSD). One in four adults – that’s about 57 million Americans – experience some form of mental illness every year, according to NAMI. The program uses treatment methods including coping skills, stress management training, substance abuse education and recreational therapy. “While our patients are with us we provide therapy and activities to help them, but we also let them know there is only so much we can do from this side of the fence,” said Bilmanis. “We work to set up referrals for resident therapy programs, outpatient therapy, local alcoholics anonymous (AA) meetings or narcotics anonymous (NA) meetings, and other resources that might help them once they leave our unit.” In addition, Bilmanis and the other staff ask patients about their support outside the hospital. They ask who the patient would call for help among their family and friends. Then, with the patients’ permission, they contact some of those people and invite them to participate in the patients’ treatment. “We invite family in for counseling sessions. We try to help family members think through different scenarios. They are able to ask questions about what to do in specific situations, and how they can help the patient. We also provide the family with other resources to help them deal with the situation.” Local AA and NA chapters come to the Behavioral Health Center to hold meetings every week, because the staff knows that
walking into the first meeting is a tough step. “Having meetings on our unit gives patients the opportunity to meet the leaders, people they may see again in meetings out in the community,” said Bilmanis. Patients meet with a physician every day, have individual therapy sessions, and participate in a variety of activities. “We try to keep patients engaged in activities, some educational and some leisure,” continued Bilmanis. “We want them to remember what it’s like to have fun. We also want to project a healthy environment.” The Behavioral Health Center at Kings Mountain Hospital accepts patients from all over North Carolina. No one is refused, as long as they are medically stable. If a patient has medical issues, they must be treated for those first. Once the patient is stable, they can be transferred to the Behavioral Health Center as long as there is a bed available. Mental illnesses can affect anyone no matter what their age, race, religion or income. It is estimated that one in four adults in the United States experiences a mental health disorder in a given year, according to NAMI. The Behavioral Health Center at Kings Mountain Hospital accepts voluntary and involuntary admissions. The program uses an interdisciplinary approach to substance abuse and psychiatric treatment. Most private insurance, Medicaid and Medicare are accepted. For more information call 980-4875470, or the Behavioral Health Call Center at 800-418-2065. The call center is available 24/7 to provide confidential screenings, referrals and information.
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Crisis Assistance Resources (IF YOU NEED IMMEDIATE ASSISTANCE DIAL 911) Suicide Hotline Numbers: Hope Line Network, 1-800-784-2433; National Suicide Prevention Hotline, 1-800-273-8255
799-7233 or 800-787-3224 (TTY) National Center for Missing & Exploited Children: 800-843-5678
Addiction: Alcoholics Anonymous, 212-8703400; Narcotics Anonymous, 818-700-0700; Al-Anon/Alateen Family Group Services, 800-3569996, 888-425-2666
Elder Care: American Association of Retired Persons (AARP), 888-687-2277; National Institute on Aging Information Center, 800-222-2225; National Center on Elder Abuse, 800-677-1116
Domestic and Child Abuse: Abuse Victim Hotline (free legal advice and counsel), 877-4488678; National Domestic Violence Hotline, 800-
Mental Health Information: SAMHSA's National Mental Health Information Center,877-7264727; Mental Health America, 800-969-6642
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