Archive for the ‘treatment’ Category

Aquaphobia

Thursday, August 5th, 2010

Six teenagers drowned Monday in Louisiana’s Red River while attempting to save a friend who had slid into deeper water. The teenagers were wading in a popular recreation area where sandbars give way to 20 foot depths.

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Those who drowned were the Warners: Takeitha, 13; and her brothers, JaMarcus, 14; and JaTavious, 17. Their cousin, Dekendrix Warner, 15, was rescued. The others killed were the Stewarts: Litrelle, 18; LaDarius, 17; and Latevin, 15.

Neither the teenagers or the adults watching knew how to swim.

Dekendrix Warner, the lone survivor, was wading near the shore when he slipped on a slick, clay surface and fell into deeper water. The other teens came to his aide but were tragically overcome.

Shreveport Assistant Fire Chief Fred Sanders said, “According to the divers, there was about 12 to 15 feet of water that slowly graded off from ankle depth to about three feet. It’s very slippery and so if you start hitting that bank, it’s very hard to find traction.”

“If you don’t have a swimming capability, you could find yourself slipping down that angle all the way to the 28 feet at the bottom of the river.”

A friend of the families, Marilyn Robinson, told a local newspaper that she watched helplessly as the victims went under. She said a large group of family and friends, including 20 children, were at the sandbar to barbecue.

Robinson claimed that the children were familiar with the water, but “none of us could swim.”

According an USA Swimming survey, lacking swimming skills is far too common. 40 percent of white children have low to no swimming ability; 70 percent of black children have little to no swimming ability, followed by 58 percent of Latino children.

Experts attribute the high numbers to a lack of access to pools, lack of financial means for swimming lessons, and the fact that non swimming parents are significiantly less likely to raise swimming children.

However, the most common reason for not swimming is a fear of drowning. A fear of drowning is closely related to the fear of water, which is known as Aquaphobia. This type of fear can make it nearly impossible to enjoy swimming, whether as a swimmer or spectator. Experts believe that this fear stems from a previous unpleasant experience with swimming.

Common symptoms of Aquaphobia include: high anxiety, dizziness, nausea, trembling, increased heart rate, sweating, the overwhelming desire to flee, and the feeling that if one enters the water they will drown.

Aquaphobe.

 Small first steps can be taken to overcome your fear, such as dangling one’s legs in the pool or walking on a beach with someone you trust. Ultimately, behavior therapy can help with this phobia.

With behavior therapy, one of the best treatments may be finding the original source of the fear. If you fear drowning, you have to know where the fear stems from if you want to overcome it. Your counselor will help you learn whether the beliefs surrounding your original fear are real or fake.

If an Aquaphobe can rationally understand and accept the general irrationality of their fear, one will ultimately be able to rethink how they view the water. A fear of drowning doesn’t have to be debilitating or life threatening. Swimming is a necessary survival skill.

As stated earlier, behavior therapy is extremely beneficial. Your therapist at Apex Behavioral Health will help you take small steps in treatment until you can take that giant leap into the pool.

Antidepressants

Thursday, February 11th, 2010

Antidepressants are psychiatric medicines used to alleviate mood disorders. Antidepressants work on the brain in a variety of ways, different antidepressants target different areas of the brain  Tricyclic antidepressants were one of the first major antidepressants introduced in the late 1950’s, and were later replaced by selective serotonin reuptake inhitors, or SSRIs. SSRIs  increase the amount of serotonin available to bind to brain’s receptors; Prozac, Zolof, and Paxil are some of today’s most popular SSRI antidepressant drugs.  SNRIs, serotonin-norepinephrine reuptake inhibitors, such as Effexor and Wellbutrin, work by increasing the levels of the neurotransmitters serotonin and norepinephrine in the brain, which plays a role in one’s mood.  

Lately there has been controversy surrounding the overall success of antidepressants. Some researchers argue that people are being too over-medicated,  that antidepressants are not extremely beneficial in patients with mild depression. The placebo effect refers to a patient taking  a sugar pill and reporting  feeling better, simply because they took a pill they were told would improve their condition. In reality, the patient ingested a sugar pill and it was their change in thought that led their condition to improve.

Patient volunteers are told they will receive either the drug or a placebo, and neither the scientist nor the patient knows who is getting the sugar pill as opposed to the actual drug. Most volunteers want to get the actual drug, and several weeks into the clinical trial users know they are on the real drug when they experience side effects.  Some studies have shown that the worse the side effects, the more effective the patient believes the drug is, heightening expectations.

Newsweek argues that the belief in the power of a medical treatment can be self fulfilling, aka the placebo effect.

However, drug advocates argue that the FDA would not have approved ineffective drugs for millions of people to take. The FDA requires two clinical trials to prove that a drug is more effective than the placebo. In patient-doctor relationships, doctors personally monitor and see the positive effect antidepressants have on a patient’s mental state.

In an analysis of six experiments where depressed patients received a placebo or active drug, the true drug effect (the drug’s effect in addition to the placebo effect) was found to be “nonexistent to negligible” in patients with mild and moderate depression.  In patients with very severe symptoms, there was a statistically significant drug benefit.

Certainly, antidepressants have helped tens of millions of people, and people on antidepressants should not discontinue taking their medication. However, antidepressants may not be the best first choice for patients with mild depression.

Psychotherapy has shown to be extremely effective in treating patients with depression, depression ranging from mild to moderate to severe. For some patients, psychotherapy in addition to antidepressant medication works even better. Each individual experiences depression differently, and psychotherapy is particularly tailored to each person’s individual issues.

In the U.S., many patients with depression are treated by their primary care physicians, not psychiatrists.  If you are experiencing depression or any other mental problem, it is important to see a therapist or psychiatrist over a primary care physician. Therapists are able to truly individualize your treatment, and give your mental health the utmost attention.  Apex Behavioral Health can provide you with psychotherapy and psychiatry. Apex is specialized in mental health, all of our staff is certified and qualified. Please don’t hesitate to seek out a doctor or therapist - depression symptoms can get better.

The Newsweek article can be found here: http://www.newsweek.com/id/232781/page/1

Sojourn Chemical Dependency Program

Thursday, February 4th, 2010

Increasing individuals with alcohol or drug offenses are being required to participate in substance abuse assessment and treatment as an alternative to, or along with, time in jail. The interest is to have individuals with DUI’s, public intoxication, or possession of illegal drugs get evaluated if they have a substance abuse problem, and if so, receive treatment for their alcohol or drug problems.

Sojourn Chemical Dependency Program is intended to provide a reasonable alternative for chemical dependency services to clients in need of evaluation and treatment. Apex Behavioral Health is experienced in providing services for mandated clients.

Court ordered substance abuse evaluation and treatment is generally not covered by health care insurance. The individual ordered for evaluation has to pay privately for such services. An individuals ability, or lack thereof, to pay adds additional stress to an already stressful situation.

Apex has over 20 years of experience providing court and corrections mandated treatment of substance abuse. With an understanding of individuals’ challenge to afford treatment, Apex has put together an evidence based substance abuse treatment for a reasonable cost.

Courts may wish people go into treatment over serving jail time for substance related issues, and many courts have been accepting of our Sojourn program.

A client would come to a group session to recieve an assessment, which determines how long one continues to come to session for.

The intake and screening fees for Chemical Dependency Issues are only $25.

Clients are referred for a one time screening group. During this session, clients will take a SASSI substance abuse evaluation, along with completing a chemical history and the required legal paperwork.   Following completion of the evaluation session, a brief report is forwarded to the referring source  (which may or may not be a probation officer), including a recommendation for treatment if appropriate.

If the client is required to attend treatment, they then meet with the therapist for an individual treatment planning session. After the treatment planning session is complete, the client attends a minimum of ten one and one half hour group sessions.

Attendance notices and monthly reports are sent to the referral source.

Sojourn is a cash based program.

Initial Screening Group - $25

Individual Treatment Planning appointment - $50

Treatment Group (per group) - $25

If you meet the listed requirements, please contact us.

Sojourn is at the following office locations:

Ann Arbor: (734) 677 -0918

Brownstown:  (734) 479-0949

Detroit: (313) 394-2133

Westland: (734) 729-3133

Myths Surrounding Therapy

Thursday, January 21st, 2010

Potential therapists?

For some, therapy has a worse reputation than it should. For starters, you won’t be sitting on a long chair resembling the one Sigmund Freud’s office. The basis will not be on childhood issues. We here at Apex wish to dispel certain myths about therapy in hope of clearing any doubts prospective clients may have.

  

1. All people who seek therapy are mentally ill.

False! Many people with various issues seek therapists. If you are going through a rough patch, it makes it easier to have someone (certified) to talk over issues with you.

Racing to the behavioral health clinic.

2. Therapy is too much $$$

Therapy isn’t cheap, but we do offer low fee rates for clients who do not have insurance. But think of it this way; you’d put a lot of money into your wedding or doctors visits, right? It is worthwhile to make the investment on something that can improve your life and relationships. And if you find that therapy does not work for you, you can always quit - but it’s worth a shot. Friends and family are a great support system, but friendship is a two-way street and therapists devote 100% of their time to you.

Everything you tell your therapist is confidential.

Next stop therapy!

3.  Therapy is a hassle and takes up too much time. I don’t have time to work and go to therapy.

Our doctors and therapists work a variety of hours to accommodate your schedules. Some staff members are here until 8 at night, while others start at 9 in the morning. Therapy sessions are 45 minutes to an hour long, while medication management visits with the psychiatrist are twenty minutes.

 4. My therapist is going to judge me.

Therapists are here to help you and make you feel as comfortable as possible, not to judge you. Therapists are educated in human behavior and the dynamics between relationships. Therapy can benefit you and help you move forward. Also, none of your friends or family will know you are in therapy unless you tell them yourself.

Sojourn Chemical Dependency Program

Thursday, December 17th, 2009

Our Sojourn Chemical Dependency Program is intended to provide a reasonable alternative for chemical dependency services to clients in need of evaluation and treatment.

Apex Behavioral Health is experienced in providing services for mandated clients.

The intake and screening fees for Chemical Dependency Issues are only $25.

Clients are referred for a one time screening group. During this session, clients will take a SASSI substance abuse evaluation, along with completing a chemical history and the required legal paperwork.   Following completion of the evaluation session, a brief report is forwarded to the referring source, including a recommendation for treatment if appropriate.

If the client is required to attend treatment, they then meet with the therapist for an individual treatment planning session. After the treatment planning session is complete, the client attends a minimum of ten one and one half hour group sessions.

Attendance notices and monthly reports are sent to the referral source.

Sojourn is a cash based program.

Initial Screening Group - $25

Individual Treatment Planning appointment - $50

Treatment Group (per group) - $25

If you meet the listed requirements, please contact us.

Sojourn is at the following office locations:

Ann Arbor: (734) 677 -0918

Brownstown:  (734) 479-0949

Detroit: (313) 394-2133

Westland: (734) 729-3133

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