1. Understanding Depression and Suicide Cathy Gentino Mercer Island Youth and Family Services Counselor

2. Why this Topic? Depression is the leading cause of disability for 15-44 year olds in the U.S. Suicide is the 2 nd leading cause of death among young people aged 15-24 14% of 10 th grade MIHS students who responded to Healthy Youth Survey said they had seriously considered attempting suicide

3. Signs and Symptoms of Depression Change in mood – hopeless, helpless, worthless, sad, irritable – lasting at least two weeks and… Change in sleep patterns Change in appetite Loss of energy Withdrawal from friends and family Difficulty concentrating and making decisions Self-hatred Loss of interest in favorite activities Increased drug and alcohol use Increased thoughts about death or suicide

4. Depression is: A common, serious mental health disorder NOT a sign of weakness NOT about lack of willpower IS treatable!

5. Depression has Many Causes Difficult things that happen to us Genetic vulnerability Psychological factors Isolation Biological factors

6. Depression is Treatable! Counseling and medication are the most common treatments

7. Finding a Therapist In Washington, the age of consent is 13 There are exceptions to confidentiality Get a referral from someone you trust

8. Therapy Support Counseling is a place to work on your own goals Learn to tolerate distress Learn to manage difficult feelings Learn to recognize and challenge negative thoughts Learn skills for healthy relationships

9. Medication – Anti depressants are thought to act on brain chemicals called neurotransmitters – Can take up to 6 weeks – Alcohol and other drugs undermine effectiveness – Communication with doctor is important!

10. Helping a Friend Listen non judgmentally Offer encouragement Continue to invite a friend out even if you know they are likely to say no Know your limits and take care of yourself Help your friend connect with a trusted adult Don’t ignore any talk of suicide

11. Myths and Facts T/F – Asking about suicide may cause suicide behavior T/F – Those who attempt suicide really want to die T/F – If someone is talking about suicide, they won’t do it.

12. Warning Signs of Suicidality Change in mood and feelings Change in behavior – Reckless behavior – Self-harm – Drug/alcohol abuse – Withdrawing from friends – Talk about death or concerning statements – in person/social media/in writing – Giving away possessions

13. If You are Worried a Friend is Suicidal 1. Show you care 2. Ask “the question” Are you thinking about suicide? 3. Get help

14. Role Play

15. If you ever have a concern for a friend or yourself…. Consult, consult, consult

16. Resources R and R Place – Cathy Gentino and Chris Harnish Guidance Counseling Office Mercer Island Youth and Family Services – 275-7611 Crisis Clinic/Teen Link – 461-3222 Trevor Project – 866-488-7386 Family Doctor Clergy www.crisischat.org www.crisistextline.org

18. In the Tool Kit Coping skills for – Building healthy, fun relationships – Reducing stress – Finding humor – Tolerating distress and difficult feelings – Communicating thoughts and feelings – Being able to say no – Being able to keep expectations reasonable – Having activities to enjoy

21. Resilience Family Friends Support Healthy activity Positive outlook Healthy coping skills Creativeoutlets

22. What’s the Difference: Mood or Depression? How severe is it? How many symptoms? How long has it lasted? How hard is it to manage your life?

23. Coping Strategies Stay busy Be with friends/family Music/art Talk with someone you trust Sports/work out Be alone/don’t be alone Movies/TV Sleep/eat Write Coach yourself through Stay in the present Remember it could be worse

24. How is it Diagnosed? Therapist/Doctor/Psychiatrist/Psychologist A thorough evaluation “Rule out” other medical issues Beware self diagnosis!

25. Types of Depression Major or Clinical Depression Bipolar Depression Seasonal Affective Disorder (SAD) Dysthymia

26. Depression Often Occurs With Anxiety Substance Abuse Eating Issues

27. Scenarios Low mood or depression?

28. Helping Ourselves Breathe….accept that this is where you are right now Remind yourself: this won’t last forever Practice self care – short walks, a healthy meal, regular bed times Have strategies for night time worry Be careful about spending too much time alone

29. Barriers to Getting Help Embarrassment Hopelessness Fear of parents finding out Family/friends aren’t aware Lack of resources

30. Depression and Families Everyone is affected Increased conflict and worry Need for education and support

31. Seek Support Early On To reduce suffering To reduce the chances of suicide To reduce the chance of depression coming back To learn skills to deal with depression if it does come back

32. Life is Hard Loss Family conflict Fitting in Break ups School pressure Illness/injury Trauma