Publications - Anxiety Disorders

Men’s Body-Image Issues Got Worse During the Pandemic—Even if Many Didn’t Realize It, by Heidi Mitchell, The Wall Street Journal, Aug 14 2022.

“Having a negative body image has long been considered a female problem. Countless books, videos and after-school specials have been devoted to highlighting the concern and the damage it does to girls and women.  But men are nearly as likely to suffer from negative body-image concerns—and studies suggest that the stress and anxiety of the pandemic only made things worse.  Body dysmorphic disorder (BDD)—a clinical disorder in which people become preoccupied with a perceived imperfection in their physical appearance to the point that it causes them significant emotional distress or interferes with their day-to-day functioning—was first listed in the Diagnostic and Statistical Manual of Mental Disorders in the 1980s. Population studies show that 2.4% of Americans currently suffer from BDD, though most experts believe this number is underreported and may impact up to 3% of the population. [...] Without proper treatment, the consequences for men with BDD can be severe. About 80% of these men have had suicidal ideation at some point during their lives, and about 25% have attempted suicide. Signs of BDD include spending at least one hour a day thinking about perceived defects, obsessively looking at or avoiding mirrors, compulsively comparing oneself to others, missing work or school, an increased likelihood of alcohol or drug abuse, anabolic steroid usage (among men with muscle dysmorphia), and a feeling that one looks unattractive or even hideous. ”

Make space, listen, offer hope: How to help a child at risk of suicide, by Rhitu Chatterjee and Michelle Aslam, NPR, Jul 18 2022.

“As the coronavirus pandemic has worsened the mental health of kids, more families are dealing with their children feeling anxious, depressed and thinking about and even attempting suicide. But mental health professionals say that suicide is preventable and that parents and family members can play an important role.  It's hard work that requires parents to listen to their children, acknowledge their struggles and help them find a way out of their darkness. And in the long run, it calls for creating a home environment where kids feel safe sharing their emotional lives and where families solve problems together. ”

The new 988 mental health hotline is live. Here's what to know, by Rhitu Chatterjee, NPR, Jul 16 2022.

“People experiencing a mental health crisis have a new way to reach out for help in the U.S. Starting Saturday, they can simply call or text the numbers 9-8-8.  Modeled after 911, the new three-digit 988 Suicide & Crisis Lifeline is designed to be a memorable and quick number that connects people who are suicidal or in any other mental health crisis to a trained mental health professional.  "If you are willing to turn to someone in your moment of crisis, 988 will be there," said Xavier Becerra, the secretary of the federal Department of Health and Human Services, at a recent press briefing. "988 won't be a busy signal, and 988 won't put you on hold. You will get help." ”

It’s Science: Preschool play protects your child’s mental health later in life, by Kristen Fischer, Motherly, Jul 5 2022.

“Preschoolers who learn to play well with others have better mental health as they age, according to a recent study. The research looked at “peer play ability,” an indicator of how well kids play with each other.  The report provides the first clear evidence that peer play ability “has a protective effect on mental health,” the authors said in a statement. The study appeared in Child Psychiatry and Human Development.  Three-year-olds who had better peer play ability consistently had fewer signs of poor mental health when they were 7 years old. That is, their parents and teachers reported fewer emotional issues and conduct problems, they were less likely to get into spats with other kids, and they had lower hyperactivity.  ”

Myths about abortion and women's mental health are widespread, experts say, by Sandee LaMotte, CNN, Jul 2 2022.

“"There's so much misinformation, so many myths about abortion. Abortion will lead to substance abuse, depression, suicidal thoughts; abortion is bad for your health; every woman is going to regret it," said social psychologist Brenda Major, a distinguished professor emeritus in the department of psychological and brain sciences at the University of California, Santa Barbara.  In reality, decades of research has shown "the vast majority of women feel they made the right choice, and they don't experience regret," said Major, who led a 2008 American Psychological Association task force exploring the science on abortion and mental health. ”

Here’s How to Cry the Right Way to Relieve Stress and Anxiety, by Elizabeth Bernstein, The Wall Street Journal, Jun 28 2022.

“Stressed out? Sleep deprived? Sad?  You may need a good cry. Crying is an important coping mechanism, psychologists say. It allows us to express difficult emotions. It may help reduce stress by activating the parasympathetic nervous system, which controls the body’s ability to relax. And, perhaps most important, it allows us to solicit emotional support and bond.  “Suppression of painful emotions inhibits your ability to feel all emotions,” says Natalie Dattilo, a clinical psychologist at Brigham and Women’s Hospital in Boston and instructor of psychiatry at Harvard Medical School. “One of the best ways to feel better, and get better at feeling, is to cry.” ”

AAP now recommends screening all kids 12 and up for depression and suicide risk, by Sarah Pool, MA, LPC, NCC, Motherly, Jun 13 2022.

“Depression and suicide risk in children has reached unprecedented levels. Last year, amid the pandemic, youth mental health was declared a "national emergency" by a coalition representing over 77,000 physicians and over 200 children's hospitals. Additionally, the U.S. Surgeon General Dr. Vivek H. Murthy issued a 53-page advisory warning in 2021 of a growing mental health crisis among young people.   The CDC also released a 2022 report revealing a worsening mental health climate—asserting that 21% of teens experienced a major depressive episode before the pandemic, and 9% of children and adolescents experienced anxiety problems. The pandemic has only exacerbated these issues.  In response to this growing crisis, the American Academy of Pediatrics (AAP) recently issued a draft recommendation urging that pediatricians help screen for mental health issues such as major depressive disorder and anxiety. They are also now proposing that all adolescents are screened for suicide risk. ”

More states are allowing students to take mental health days off, by Giles Bruce, NPR, Jun 10 2022.

“The state allows K-12 students in public schools to have five excused absences per school year for mental health reasons, another example of the growing acknowledgment among lawmakers that emotional and physical health are intertwined. The new policy, which went into effect at the beginning of 2022, passed both chambers of the state legislature unanimously. But such novel policies are, in many ways, a half-step toward addressing the crisis of teenage mental health that has been highlighted and exacerbated by the educational interruptions caused by the pandemic. Many parts of the country are woefully short of therapists who can work with students to address mental health problems.  Seventy percent of schools that responded to a federal survey in April said more students had sought mental health services since the pandemic started. The National Center for Education Statistics' polling also showed that only 56% of schools said they effectively provide mental health services to all students in need and just 41% reported hiring new staff members to help address students' mental health needs. Nearly half the nation lives in a designated mental health worker shortage area, according to government data, and an estimated 7,550 new professionals are needed to fill that void nationwide. Even in places where mental health professionals are more plentiful, they often do not accept public insurance, making them inaccessible to many kids. ”

Schools are struggling to meet rising mental health needs, data shows, by Laura Meckler, The Washington Post, May 31 2022.

“A survey released Tuesday documents the toll the pandemic has taken on students’ mental health, with 7 in 10 public schools seeing a rise in the number of children seeking services. Even more, 76 percent, said faculty and staff members have expressed concerns about depression, anxiety and trauma in students since the start of the pandemic.  Yet only about half of all schools said they were able to effectively provide needed services.  The results come as an enormously stressful school year draws to a close. They add to the evidence that the pandemic is leaving this generation of students with significant mental health challenges. Anecdotally, teachers report that students’ emotional growth was stunted during months or longer of remote schooling, and that many returned to the classroom without coping skills that would be typical for their ages. ”

Adolescent suicides increased in 5 US states during the pandemic. Why parents should be concerned, by Kristen Rogers, CNN, Apr 25 2022.

“The mental health of Americans has suffered during the Covid-19 pandemic, and new research shows the damage wasn't limited to adults.  The number of suicides among adolescents between the ages of 10 and 19 increased in five states during the pandemic, according to research looking at 14 states published in the journal JAMA Pediatrics on Monday. "Suicide-risk screenings have yielded higher positive rates" during the pandemic than beforehand, the authors said. And in 2021, the American Academy of Pediatrics declared a state of emergency concerning children's and adolescents' mental health. ”

With students in turmoil, US teachers train in mental health, by JOCELYN GECKER, Associated Press, Apr 4 2022.

“Since the pandemic started, experts have warned of a mental health crisis facing American children. That is now playing out at schools in the form of increased childhood depression, anxiety, panic attacks, eating disorders, fights and thoughts of suicide at alarming levels, according to interviews with teachers, administrators, education officials and mental health experts. ”

‘A cry for help’: CDC warns of a steep decline in teen mental health, by Moriah Balingit, The Washington Post, Mar 31 2022.

“The Centers for Disease Control and Prevention is warning of an accelerating mental health crisis among adolescents, with more than 4 in 10 teens reporting that they feel “persistently sad or hopeless,” and 1 in 5 saying they have contemplated suicide, according to the results of a survey published Thursday.  “These data echo a cry for help,” said Debra Houry, a deputy director at the CDC. “The COVID-19 pandemic has created traumatic stressors that have the potential to further erode students’ mental well-being.”  The findings draw on a survey of a nationally representative sample of 7,700 teens conducted in the first six months of 2021, when they were in the midst of their first full pandemic school year. They were questioned on a range of topics, including their mental health, alcohol and drug use, and whether they had encountered violence at home or at school. They were also asked about whether they had encountered racism. ”

Mental Health In A Post-Pandemic World, by Ronit Molko, Forbes, Feb 1 2022.

“ Experts have predicted “a tsunami of psychiatric illness” in the wake of quarantining and distancing. A CDC study found the percentage of the population reporting that they felt depressed quadrupled. ”

Mental health crisis in children spurs psychiatric bed shortage, by TAMARA SACHARCZYK, NBC News, Jan 30 2022.

““Anxiety, depression, suicidal ideation have been among the most common presentations, but kids are coming in with a lot of different symptoms,” Bradley Hospital child psychiatrist Dr. Tanuja Gandhi said. “I think the pandemic stress has added to existing problems children had pre-pandemic.” ”

Why Therapists Are Worried About Mental Health in America Right Now, by Kate Dwyer, New York Times, Jan 3 2022.