MENTAL HEALTH SERVICES
TRS Health DOES NOT prescribe controlled substances.
When feelings of worry or fear are strong enough to disrupt daily activities, this can be a sign of an anxiety disorder. If your stress is out of control or you cannot set aside a worry, counseling appointments are available.
There are many possible causes of depression – biological, psychological, social and more. If you have persistent feelings of sadness or loss of interest, counseling and therapy appointments are available.
ATTENTION DEFICIT DISORDER
Also known as Attention Deficit Hyperactivty Disorder (ADHD), symptopms include difficulty paying attention, impulsiveness and hyperactivity. Give us a call to set up a talk therapy appointment with our board certified professionals.
Disorganized speech or behavior, difficulty with memory and concentration and thoughts that are out of touch with reality are all characteristics of schizophrenia. If you think you are affected, call us for a psychotherapy consultation.
Mood swings from depressive lows to manic highs can be a sign of bipolar disorder. One component of treatment requires psychotherapy which is available by our board-certified psychologists.
Learning disabilities can affect self-esteem and motivation. Typically they impact abilities in reading, written expression, math, or non-verbal skills. Call us for an initial consultation to discuss your situation.
What is mental health and why is it important?
Mental health includes our psychological, emotional, and social well-being. Mental health can not only affect how we act, feel, and think, but also influences how we handle stress, decisions, and our relationships with others.
Over the course of your life, if you experience mental health issues, your mood, behavior, and overall thinking can be affected.
Mental health issues can be determined by:
- Biological factors, such as genes or brain chemistry
- Life experiences, such as trauma or abuse
- Family history of mental health problems
What is mental illness?
What it is: Also called mental health disorder, mental illness refers to a wide range of mental health conditions. These include disorders that affect mood, thinking, and behavior. Some common examples include addictive behaviors, depression, schizophrenia, anxiety disorders, etc. Most people will experience mental health concerns every so often. However, a mental health concern becomes a mental illness when signs and symptoms cause frequent stress and affect one’s ability to function. In most cases, symptoms can be managed with a combination of psychotherapy and medications.
Symptoms: Signs and symptoms depend on the disorder and other circumstances. Some examples include:
- Feeling down or sad
- Reduced ability to concentrate or confused thinking
- Withdrawal from friends and activities
- Significant tiredness, problems sleeping, or low energy
- Extreme feelings of guilt or excessive fears/worries
- Extreme mood changes
- Hallucinations, paranoia, or detachment from reality
- Inability to cope with stress, daily activities, or daily problems
- Trouble understanding and/or relating to people and situations
- Issues with drug use and alcohol
- Big changes to eating habits
- Sex drive changes
- Excessive violence, hostility, or anger
- Suicidal thoughts
Causes: Mental illness is thought to be caused by a variety of factors
- Inherited traits: Mental illness is more common in those whose close relatives also deal with mental illness. Some genes may increase risk for developing mental illness and a life situation can trigger it.
- Environmental exposures before birth: Exposure to environmental stressors, toxins, inflammatory conditions, or alcohol/drugs while in the womb has sometimes been linked to mental illness.
- Brain chemistry: Neurotransmitters are brain chemicals that carry signals to other parts of the brain or body. When the nerve networks involving these chemicals are working improperly, emotional disorders can result.
When to see a doctor: If you display symptoms or signs of mental illness, see your primary care provider or a mental health professional, such as the psychiatrists here at TRS Health. Most mental illnesses won’t improve on their own, and if untreated, these illnesses can get worse over time and severely impair your ability to function.
When to seek emergency help: Suicidal thoughts and behavior are common with some mental illnesses. If you think you may hurt yourself or attempt suicide, get help right away:
- Call 911 immediately
- Call your mental health specialist
- Call a suicide hotline number. You can call the National Suicide Prevention Lifeline at 1-800-273-8255 or use its webchat at suicidepreventionlifeline.org/chat
- Seek help from your primary care provider
- Reach out to a close friend or loved one
- Contact a minister, spiritual leader, or someone else in your faith community
Mental health disorders that we treat here at TRS Health include:
- Generalized anxiety disorder
- Bi-polar disorder
- Eating disorders
- Obsessive-compulsive disorder
- Post traumatic stress disorder
- And others!
What does a psychiatrist do?
A psychiatrist is a medical doctor who specializes in the diagnosis, treatment and prevention of mental illnesses. People can seek psychiatric help for a variety of reasons including panic attacks, hearing “voices,” and prolonged feelings of anxiety or sadness that have begun to affect everyday life, among others. Psychiatrists can also prescribe many different treatment options such as psychotherapy, medications, psychosocial interventions, and electroconvulsive therapy (ECT), depending on the needs of the patient.
Generalized anxiety disorder
What is the difference between anxiety and an anxiety disorder?
What it is: It’s common to feel anxious from time to time, especially when facing stress. However, excessive, continuous anxiety and worries that feel difficult to control and affect day-to-day activities may be a sign of generalized anxiety disorder. General anxiety disorder can manifest in both children and adults. Living with generalized anxiety disorder is a long-term challenge. In most cases, it occurs with other anxiety or mood disorders simultaneously. In most cases, generalized activity disorder can be improved with medications or psychotherapy. Making lifestyle changes, learning some coping skills, or using relaxation strategies can also help.
- Persistent worry or anxiety that is out of proportion to the actual impact of the events
- Overthinking plans and solutions to all possible worst-case outcomes
- Perceiving situations as threatening even when they are not
- Difficulty handling uncertainty
- Fear of making wrong decisions and indecisiveness
- Inability to set aside worries
- Feeling reckless, on edge, or inability to relax
- Difficulty concentrating or feeling your mind “go blank”
Physical signs and symptoms
- Difficulty sleeping
- Muscle aches
- Feeling twitchy or trembling
- Easily startled or nervous
- Nausea, diarrhea, or irritable bowel syndrome
Causes: Like many mental health conditions, causes for GAD likely arise from complex interactions with biological and environmental factors including:
- Differences in brain chemistry and function
- Differences in the way threats are perceived
- Development and personality
When to see a doctor: Some anxiety is normal, but see your doctor if:
- You feel like you worry too much and it’s interfering with your work or relationships
- You feel depressed or irritable, have trouble with drinking or drugs, or you have other mental health concerns along with anxiety
- You have suicidal thoughts or behaviors
In this case, seek emergency treatment immediately
Treatment: Decisions are based on how significantly GAD is affecting your ability to function. The two main treatments for GAD are psychotherapy and medication, though you may benefit most from a combination of the two.
- Psychotherapy: Also known as talk therapy or counseling, psychotherapy involves working with a therapist to reduce symptoms of anxiety. Cognitive behavioral therapy is the most effective form of psychotherapy for GAD. Cognitive behavioral therapy teaches you specific skills to directly manage your worries and return to the activities you’ve avoided because of anxiety.
- Medications: Always talk to your doctor about benefits, risks, and possible side effects. The medications below are sometimes used to treat GAD.
– Antidepressants: These are the first line of medication treatments. Examples of those used to treat anxiety disorder: Lexapro, Cymbalta, Paxil. Your doctor may also recommend others.
– Buspirone: Anti-anxiety medication that typically takes several weeks to become effective.
What it is: A mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day activities. These moods will range from extremely “up,” elated, irritable and energized periods (known as manic episodes) to very “down,” sad, indifferent or hopeless periods (known as depressive episodes).
- Experiencing periods of unusually intense emotion, known as “mood episodes”
- Changes in sleep patterns and activity levels
- Uncharacteristic behaviors
- People having a manic episode may:
– Feel “jumpy” or “wired”
– Have decreased need for sleep
– Feel very elated and touchy
– Lose appetite and need for sleep
– Do risky things that show poor judgement
- People having a depressive episode may:
– Have trouble concentrating or making decisions
– Feel slowed down or restless
– Feel unable to do even simple things
– Feel hopeless or worthless, think about death or suicide
Causes: Most experts agree that there is no single cause for bi-polar disorder, and it is instead attributed to many factors. These include having a specific brain structure in addition to family history. Research shows that if a person has a parent or sibling with the disorder, they have an increased chance of having the disorder themselves.
- Medications such as mood stabilizers and “atypical” psychotics
- Electroconvulsive therapy (ECT)
- Transcranial magnetic stimulation
When to seek a doctor: Despite the mood swings, people with bi-polar disorder often don’t recognize how much their emotional instability disrupts their lives and the lives of their loved ones and don’t get the treatment they need. And if you’re like some people with bi-polar disorder, you may enjoy the feelings of euphoria and cycles of heightened productivity. However, the periods of euphoria are always followed by emotional crashes that can leave you depressed and worn out – and perhaps in financial, legal, or relationship trouble. If you have any symptoms of mania or depression, see your doctor or mental health professional.
When to seek emergency help: Suicidal thoughts and behavior are common among people with bipolar disorder. If you have thoughts of hurting yourself, call 911 or your local emergency number immediately, go to an emergency room, or confide in a trusted relative or friend. Or call a suicide hotline number — in the United States, call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). If you have a loved one who is in danger of suicide or has made a suicide attempt, make sure someone stays with that person. Call 911 or your local emergency number immediately. Or, if you think you can do so safely, take the person to the nearest hospital emergency room.
What it is: Depression is a mood disorder that causes a persistent feeling of loss of interest and sadness. It can affect how you feel, think, and behave, and it can lead to a variety of physical and emotional problems that affect your day to day life, unlike sadness which is a more temporary feeling.
- Feelings of sadness, tearfulness, emptiness or hopelessness
- Anxiety, agitation or restlessness
- Angry outbursts, irritability or frustration, even over small matters
- Tiredness and lack of energy
- Loss of interest in or pleasure in most or all normal activities
- Suicidal thoughts or feelings
- Family history of depression
- Past physical, sexual or emotional abuse
- Certain medications including isotretinoin, corticosteroids, or interferon-alpha
- Major events such as getting divorced, losing a job or income, or retiring
- A death or loss
- Substance abuse
- Antidepressant medication
- Psychotherapy: Also known as talk therapy or counseling, psychotherapy involves working with a therapist to reduce symptoms of anxiety.
- Lifestyle changes
– Regular exercise
– Social support
– Eating well-balanced meals
– Getting enough sleep every night
– Stress reduction
When to see a doctor: if you feel depressed, make an appointment to see your doctor or mental health professional (which you can do here at TRS Health!). If you’re reluctant to seek treatment, first talk to a friend or loved one, any general healthcare provider, faith leader, or someone you trust.
When to get emergency help: If you think you might hurt yourself or attempt suicide, call 911 immediately. You can also call a suicide hotline number, 1-800-273-TALK (1-800-273-8255), or reach out to a close friend, loved one or someone you trust. If you have a love one who is in danger of suicide or has made a suicide attempt, make sure someone stays with that person. Call 911, and if you can do safely, take the person to the nearest hospital emergency room.
What it is: Eating disorders are illnesses that are associated with severe disturbances in people’s eating behaviors and related thoughts and emotions. Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder.
Symptoms: Symptoms for eating disorders depend on the type of eating disorder.
- People with anorexia nervosa may see themselves as overweight, even when they are dangerously underweight, and they will go to extreme lengths to control their weight and shape to the point that it significantly interferes with their health and life activities.
- People with bulimia nervosa have regular and recurring episodes of eating unusually large amounts of food and feeling a lack of control over these binging episodes. The binge eating is followed by forced vomiting, fasting, excessive exercise, and other behaviors that may compensate for the overeating.
- People with a binge-eating disorder lose control over their eating, leading to them being overweight or obese. They may eat quickly and eat more food than intended, even when they are not hungry, and they will likely continue eating even after they are uncomfortably full.
Causes: Eating disorders are caused by a combination of family history, biological, behavioral, psychological and social factors. Changes in your brain chemicals may play a role in eating disorders, in addition to having low self-esteem, perfectionism, impulsive behavior and troubled relationships.
- Cognitive-behavioral therapy
- Nutrition education
- Hospital day treatment programs or residential treatment for eating disorders
When to see a doctor: If you believe you may have an eating disorder or any of the above problems, seek medical help. Eating disorders can be difficult to manage or overcome on your own, and meeting with a healthcare professional as soon as possible is very important. Oftentimes, people with eating disorders do not believe they need treatment. If you believe a loved one may be experiencing some of the above-described symptoms and is not ready to acknowledge that they have an issue with food, you can start the conversation by expressing your concern and willingness to listen.
- There is also a confidential National Helpline set up for those with eating disorders. The number is 800-931-2237. For more information, please visit the Helpline’s website.
When to seek emergency help: If an eating disorder has led to severe malnutrition, hospitalization is recommended.
Attention deficit/hyperactivity disorder (ADHD)
What it is: ADHD is a common neurodevelopmental disorder that affects a person’s ability to pay attention and control impulsive behaviors, meaning that they may have difficulty regulating actions despite what the results may be. It is usually diagnosed during childhood and often lasts until adulthood.
- Daydreaming a lot
- Forgetting or losing things a lot
- Squirming or fidgeting often
- Having difficulty getting along with others
- Does not finish tasks
- Easily distracted
- Has trouble organizing tasks and activities
Causes: The causes and risk factors of ADHD are unknown, but current research shows that family history and genetics play an important role. Other possible risk factors and causes include:
- Brain injury
- Exposure to lead during pregnancy or at a young age
- Alcohol or tobacco use during pregnancy
- Premature delivery
- Low birth weight
Treatment: ADHD is best treated with a combination of behavioral therapy and medication. For children, behavioral therapy includes parent training in behavior management, behavior therapy in children, and behavioral interventions in the classroom. Stimulants are the best known and most widely used ADHD medication, but some doctors also prescribe nonstimulant medications.
When to see a doctor: If your child is displaying any of the above behaviors in two or more settings (in school, at home, with friends and relatives, etc.), and there is clear evidence that the symptoms are affecting their day to day activities and ability to properly function, then schedule an appointment with a healthcare professional.