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FM","link":"/"}},"futureofyou_445140":{"type":"posts","id":"futureofyou_445140","meta":{"index":"posts_1591205157","site":"futureofyou","id":"445140","score":null,"sort":[1540234802000]},"guestAuthors":[],"slug":"a-new-prescription-for-depression-join-a-team-and-get-sweaty","title":"A New Prescription For Depression: Join A Team And Get Sweaty","publishDate":1540234802,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Ryan \"China\" \u003ca href=\"https://adaa.org/living-with-anxiety/personal-stories/becoming-change\" target=\"_blank\" rel=\"noopener\">McCarney\u003c/a> has played sports his entire life, but sometimes he has to force himself to show up on the field to play pick-up soccer with his friends.\u003c/p>\n\u003cp>\"I'm dreading and I'm anticipating the worst. But I do it anyway. And then, it's a euphoric sensation when you're done with it because you end up having a great time,\" says McCarney.[contextly_sidebar id=\"gwsGwJ2iQLGQmBCouKy4FngfBXYfu4CD\"]\u003c/p>\n\u003cp>McCarney was just 22 when he had his first panic attack. As a college and professional baseball player, he says getting help was stigmatized. It took him six years to get professional support. He still struggles with depression and social anxiety, but says exercising helps him — especially when it's with his teammates.\u003c/p>\n\u003cp>Research shows exercise can ease things like panic attacks or mood and sleep disorders, and a recent \u003ca href=\"https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(18)30227-X/fulltext\" target=\"_blank\" rel=\"noopener\">study\u003c/a> in the journal, Lancet Psychiatry, found that popular team sports may have a slight edge over the other forms of physical activity.\u003c/p>\n\u003cp>The researchers analyzed CDC survey data from 1.2 million adults and found — across age, gender, education status and income — people who exercised reported fewer days of bad mental health than those who didn't. And those who played team sports reported the fewest.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One of the study's authors, \u003ca href=\"https://medicine.yale.edu/people/search/adam_chekroud-1.profile\" target=\"_blank\" rel=\"noopener\">Adam Chekroud\u003c/a>, an assistant adjunct professor at Yale's School of Medicine, thinks team activity could add another layer of relief for sufferers of mental illness.\u003c/p>\n\u003cp>He says there are biological, cognitive and social aspects to mental illness.\u003c/p>\n\u003cp>\"Some sports might just be hitting on more of those elements than other sports,\" he says. \"If you just run on a treadmill for example, it's clear that you're getting that biological stimulation. But perhaps there are other elements of depression that you're not going to be tapping into.\"[contextly_sidebar id=\"AnfCcZtwcDai9A2ip7Imx0DEvkjj5q1n\"]\u003c/p>\n\u003cp>Now, this study only shows an association between group exercise and improved mental health, and can't prove that the one causes the other. But, given what is known about depression in particular, it adds up, says Jack Raglin, a professor in the department of kinesiology in the School of Public Health at Indiana University, Bloomington.\u003c/p>\n\u003cp>People who are depressed often isolate themselves, he says, so exercising in a group setting, \"can help alleviate symptoms and deal with this very pernicious symptom of depression.\"\u003c/p>\n\u003cp>Group exercise or team sports might also have an edge over other forms of exercise because they add an element of accountability, says Raglin. He did a study finding that couples who started an exercise program together had a lower dropout rate than those who started one on their own.\u003c/p>\n\u003cp>The study showed that \"very simple forms of social support can be beneficial,\" he says.\u003c/p>\n\u003cp>Scientists don't know the exact mechanism that makes exercise elevate mood and decrease anxiety, but there is \u003ca href=\"https://www.apa.org/monitor/2011/12/exercise.aspx\" target=\"_blank\" rel=\"noopener\">a body of research\u003c/a> to show that it does work on the short and long term.\u003c/p>\n\u003cp>\"If you conceptualize exercise as a pill it means, well it's a rather small pill and easy to take and easy to tolerate,\" says Raglin.\u003c/p>\n\u003cp>One limitation of the \u003cem>Lancet Psychiatry\u003c/em> study is the data is based on patients self-reporting their symptoms. Dr. Antonia Baum, a psychiatrist and the past president of the \u003ca href=\"https://sportspsychiatry.org/\" target=\"_blank\" rel=\"noopener\">International Society for Sports Psychiatry\u003c/a> says patients don't always give an accurate picture of their mental health. She says the study is an important step in this research field, but the conclusions shouldn't be taken as scientific gospel.\u003c/p>\n\u003cp>\"We are animals. We are meant to move and if we don't, a lot of systems slow down, including our mood and cognition,\" says Baum. \"So it makes intuitive sense that exercise is beneficial, but it's nice to try to start to wrap our arms around being able to quantify and qualify that in some ways.\"[contextly_sidebar id=\"niLzEHeKc0OvTkkSZEOcmbbxguEskHkj\"]\u003c/p>\n\u003cp>Baum says she works with each of her patients to incorporate exercise into their lives. And she says this study will be a good jumping off point for more research on team sports and mental illness.\u003c/p>\n\u003cp>But, Baum and other researchers say getting someone who is depressed to start exercising is easier said than done.\u003c/p>\n\u003cp>\"It's all well and good to conclude that exercise whether it's done as a solo or a group pursuit is beneficial, but to get patients to do it is another matter and when you have a depressed patient motivation is often lacking,\" she says.\u003c/p>\n\u003cp>Chekroud says getting patients in general to stick to any kind of therapy is challenging.\u003c/p>\n\u003cp>\"It's not just exercises that people stop doing, they also stop taking medications. They stopped showing up for therapy,\" he says. \"Adherence is a big problem in health care right now,\"\u003c/p>\n\u003cp>He says the study's findings could lead to more tools to help people reduce the overall burden of mental illness, now the leading contributor to the \u003ca href=\"http://www.who.int/news-room/fact-sheets/detail/depression\" target=\"_blank\" rel=\"noopener\">global burden of disability\u003c/a>.\u003c/p>\n\u003cp>\"The field is really crying out for things that we can do to help people with mental health issues,\" says Chekroud.\u003c/p>\n\u003cp>For McCarney, team sports have helped him get a handle on his symptoms, he says. Before social gatherings, he often feels claustrophobic and panicked, but when he works through the anxiety and gets onto the field, he says it's always worth it.\u003c/p>\n\u003cp>\"It just gets you around people which I think is another huge thing when you're trying to maybe break out of a depressive cycle,\" he says.\u003c/p>\n\u003ch3>\u003cstrong>How to Get Started\u003c/strong>\u003c/h3>\n\u003cp>For some people, the idea of joining a team or any kind of group fitness activity is terrifying. Here are a few tips for getting started.\u003c/p>\n\u003cp>\u003cstrong>Find a sports ambassador. \u003c/strong>Raglin recommends finding a \"sports ambassador,\" a friend who can connect you with a group sport or activity. The friend can get you up to speed on the sport and what's expected of you. Team sports may feel like a leap of faith, says Baum. But, she says the rewards are worth it. \"It's like playing in an orchestra — the sum being greater than the parts — truly thrilling when it all comes together,\" she says.\u003c/p>\n\u003cp>\u003cstrong>Match your skill level.\u003c/strong> It's not hard to find amateur sports teams to join, on sites like meetup.com. A lot of workplaces also have team sport activities, but Raglin says you make sure the skill level is right for you. You're more likely to have a good experience and want to go back. \"There is nothing worse than being on a team where the skill or intensity of the players is way above or below your own level or the level of competition you were looking for,\" Raglin says.\u003c/p>\n\u003cp>\u003cstrong>Join a run or bike club.\u003c/strong> If you're not into team games, go to your local run shop or bike shop to find run communities, bike clubs or community rides to join. Raglin recommends the \u003ca href=\"https://november-project.com\" target=\"_blank\" rel=\"noopener\">November Project\u003c/a>, which is a free fitness program with chapters in major cities around the world that hosts workouts.\u003c/p>\n\u003cp>\u003cstrong>Put money on the line.\u003c/strong> If you really aren't into team activities, Baum says getting a personal trainer or signing up for a gym can \"help add a social element, and that all important accountability.\"\u003c/p>\n\u003cp>\u003cstrong>Try the obvious thing first.\u003c/strong> Baum says to look at the activities you've done throughout your life and think about which ones worked best for you. She says she sometimes takes her patients running or walking with her for a therapy session to start modeling the types of exercises that could work for them.\u003c/p>\n\u003chr>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Sasa Woodruff is a freelance radio reporter and producer based in Los Angeles.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+New+Prescription+For+Depression%3A+Join+A+Team+And+Get+Sweaty&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Most people who struggle with depression and anxiety have heard that exercise is a mood-booster. But exercising with friends, especially playing a team sport may help even more.","status":"publish","parent":0,"modified":1540229654,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1297},"headData":{"title":"A New Prescription For Depression: Join A Team And Get Sweaty | KQED","description":"Most people who struggle with depression and anxiety have heard that exercise is a mood-booster. But exercising with friends, especially playing a team sport may help even more.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"A New Prescription For Depression: Join A Team And Get Sweaty","datePublished":"2018-10-22T19:00:02.000Z","dateModified":"2018-10-22T17:34:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"445140 https://ww2.kqed.org/futureofyou/?p=445140","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/10/22/a-new-prescription-for-depression-join-a-team-and-get-sweaty/","disqusTitle":"A New Prescription For Depression: Join A Team And Get Sweaty","source":"DIY Health","nprByline":"Sasa Woodruff, NPR","nprImageAgency":"Maria Fabrizio for NPR","nprStoryId":"656594050","nprApiLink":"http://api.npr.org/query?id=656594050&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/10/22/656594050/a-new-prescription-for-depression-join-a-team-and-get-sweaty?ft=nprml&f=656594050","nprRetrievedStory":"1","nprPubDate":"Mon, 22 Oct 2018 07:51:00 -0400","nprStoryDate":"Mon, 22 Oct 2018 04:47:00 -0400","nprLastModifiedDate":"Mon, 22 Oct 2018 05:44:00 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/10/20181022_me_a_new_prescription_for_depression_join_a_team_and_get_sweaty.mp3?orgId=1&topicId=1128&d=215&p=3&story=656594050&ft=nprml&f=656594050","nprAudioM3u":"http://api.npr.org/m3u/1659416519-5c5312.m3u?orgId=1&topicId=1128&d=215&p=3&story=656594050&ft=nprml&f=656594050","audioTrackLength":216,"path":"/futureofyou/445140/a-new-prescription-for-depression-join-a-team-and-get-sweaty","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/10/20181022_me_a_new_prescription_for_depression_join_a_team_and_get_sweaty.mp3?orgId=1&topicId=1128&d=215&p=3&story=656594050&ft=nprml&f=656594050","parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ryan \"China\" \u003ca href=\"https://adaa.org/living-with-anxiety/personal-stories/becoming-change\" target=\"_blank\" rel=\"noopener\">McCarney\u003c/a> has played sports his entire life, but sometimes he has to force himself to show up on the field to play pick-up soccer with his friends.\u003c/p>\n\u003cp>\"I'm dreading and I'm anticipating the worst. But I do it anyway. And then, it's a euphoric sensation when you're done with it because you end up having a great time,\" says McCarney.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>McCarney was just 22 when he had his first panic attack. As a college and professional baseball player, he says getting help was stigmatized. It took him six years to get professional support. He still struggles with depression and social anxiety, but says exercising helps him — especially when it's with his teammates.\u003c/p>\n\u003cp>Research shows exercise can ease things like panic attacks or mood and sleep disorders, and a recent \u003ca href=\"https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(18)30227-X/fulltext\" target=\"_blank\" rel=\"noopener\">study\u003c/a> in the journal, Lancet Psychiatry, found that popular team sports may have a slight edge over the other forms of physical activity.\u003c/p>\n\u003cp>The researchers analyzed CDC survey data from 1.2 million adults and found — across age, gender, education status and income — people who exercised reported fewer days of bad mental health than those who didn't. And those who played team sports reported the fewest.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One of the study's authors, \u003ca href=\"https://medicine.yale.edu/people/search/adam_chekroud-1.profile\" target=\"_blank\" rel=\"noopener\">Adam Chekroud\u003c/a>, an assistant adjunct professor at Yale's School of Medicine, thinks team activity could add another layer of relief for sufferers of mental illness.\u003c/p>\n\u003cp>He says there are biological, cognitive and social aspects to mental illness.\u003c/p>\n\u003cp>\"Some sports might just be hitting on more of those elements than other sports,\" he says. \"If you just run on a treadmill for example, it's clear that you're getting that biological stimulation. But perhaps there are other elements of depression that you're not going to be tapping into.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Now, this study only shows an association between group exercise and improved mental health, and can't prove that the one causes the other. But, given what is known about depression in particular, it adds up, says Jack Raglin, a professor in the department of kinesiology in the School of Public Health at Indiana University, Bloomington.\u003c/p>\n\u003cp>People who are depressed often isolate themselves, he says, so exercising in a group setting, \"can help alleviate symptoms and deal with this very pernicious symptom of depression.\"\u003c/p>\n\u003cp>Group exercise or team sports might also have an edge over other forms of exercise because they add an element of accountability, says Raglin. He did a study finding that couples who started an exercise program together had a lower dropout rate than those who started one on their own.\u003c/p>\n\u003cp>The study showed that \"very simple forms of social support can be beneficial,\" he says.\u003c/p>\n\u003cp>Scientists don't know the exact mechanism that makes exercise elevate mood and decrease anxiety, but there is \u003ca href=\"https://www.apa.org/monitor/2011/12/exercise.aspx\" target=\"_blank\" rel=\"noopener\">a body of research\u003c/a> to show that it does work on the short and long term.\u003c/p>\n\u003cp>\"If you conceptualize exercise as a pill it means, well it's a rather small pill and easy to take and easy to tolerate,\" says Raglin.\u003c/p>\n\u003cp>One limitation of the \u003cem>Lancet Psychiatry\u003c/em> study is the data is based on patients self-reporting their symptoms. Dr. Antonia Baum, a psychiatrist and the past president of the \u003ca href=\"https://sportspsychiatry.org/\" target=\"_blank\" rel=\"noopener\">International Society for Sports Psychiatry\u003c/a> says patients don't always give an accurate picture of their mental health. She says the study is an important step in this research field, but the conclusions shouldn't be taken as scientific gospel.\u003c/p>\n\u003cp>\"We are animals. We are meant to move and if we don't, a lot of systems slow down, including our mood and cognition,\" says Baum. \"So it makes intuitive sense that exercise is beneficial, but it's nice to try to start to wrap our arms around being able to quantify and qualify that in some ways.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Baum says she works with each of her patients to incorporate exercise into their lives. And she says this study will be a good jumping off point for more research on team sports and mental illness.\u003c/p>\n\u003cp>But, Baum and other researchers say getting someone who is depressed to start exercising is easier said than done.\u003c/p>\n\u003cp>\"It's all well and good to conclude that exercise whether it's done as a solo or a group pursuit is beneficial, but to get patients to do it is another matter and when you have a depressed patient motivation is often lacking,\" she says.\u003c/p>\n\u003cp>Chekroud says getting patients in general to stick to any kind of therapy is challenging.\u003c/p>\n\u003cp>\"It's not just exercises that people stop doing, they also stop taking medications. They stopped showing up for therapy,\" he says. \"Adherence is a big problem in health care right now,\"\u003c/p>\n\u003cp>He says the study's findings could lead to more tools to help people reduce the overall burden of mental illness, now the leading contributor to the \u003ca href=\"http://www.who.int/news-room/fact-sheets/detail/depression\" target=\"_blank\" rel=\"noopener\">global burden of disability\u003c/a>.\u003c/p>\n\u003cp>\"The field is really crying out for things that we can do to help people with mental health issues,\" says Chekroud.\u003c/p>\n\u003cp>For McCarney, team sports have helped him get a handle on his symptoms, he says. Before social gatherings, he often feels claustrophobic and panicked, but when he works through the anxiety and gets onto the field, he says it's always worth it.\u003c/p>\n\u003cp>\"It just gets you around people which I think is another huge thing when you're trying to maybe break out of a depressive cycle,\" he says.\u003c/p>\n\u003ch3>\u003cstrong>How to Get Started\u003c/strong>\u003c/h3>\n\u003cp>For some people, the idea of joining a team or any kind of group fitness activity is terrifying. Here are a few tips for getting started.\u003c/p>\n\u003cp>\u003cstrong>Find a sports ambassador. \u003c/strong>Raglin recommends finding a \"sports ambassador,\" a friend who can connect you with a group sport or activity. The friend can get you up to speed on the sport and what's expected of you. Team sports may feel like a leap of faith, says Baum. But, she says the rewards are worth it. \"It's like playing in an orchestra — the sum being greater than the parts — truly thrilling when it all comes together,\" she says.\u003c/p>\n\u003cp>\u003cstrong>Match your skill level.\u003c/strong> It's not hard to find amateur sports teams to join, on sites like meetup.com. A lot of workplaces also have team sport activities, but Raglin says you make sure the skill level is right for you. You're more likely to have a good experience and want to go back. \"There is nothing worse than being on a team where the skill or intensity of the players is way above or below your own level or the level of competition you were looking for,\" Raglin says.\u003c/p>\n\u003cp>\u003cstrong>Join a run or bike club.\u003c/strong> If you're not into team games, go to your local run shop or bike shop to find run communities, bike clubs or community rides to join. Raglin recommends the \u003ca href=\"https://november-project.com\" target=\"_blank\" rel=\"noopener\">November Project\u003c/a>, which is a free fitness program with chapters in major cities around the world that hosts workouts.\u003c/p>\n\u003cp>\u003cstrong>Put money on the line.\u003c/strong> If you really aren't into team activities, Baum says getting a personal trainer or signing up for a gym can \"help add a social element, and that all important accountability.\"\u003c/p>\n\u003cp>\u003cstrong>Try the obvious thing first.\u003c/strong> Baum says to look at the activities you've done throughout your life and think about which ones worked best for you. She says she sometimes takes her patients running or walking with her for a therapy session to start modeling the types of exercises that could work for them.\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Sasa Woodruff is a freelance radio reporter and producer based in Los Angeles.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+New+Prescription+For+Depression%3A+Join+A+Team+And+Get+Sweaty&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/445140/a-new-prescription-for-depression-join-a-team-and-get-sweaty","authors":["byline_futureofyou_445140"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_592","futureofyou_204","futureofyou_1497"],"collections":["futureofyou_1093"],"featImg":"futureofyou_445141","label":"source_futureofyou_445140"},"futureofyou_442703":{"type":"posts","id":"futureofyou_442703","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442703","score":null,"sort":[1529076814000]},"guestAuthors":[],"slug":"u-s-suicide-rates-are-rising-faster-among-women-than-men","title":"U.S. Suicide Rates Are Rising Faster Among Women Than Men","publishDate":1529076814,"format":"standard","headTitle":"Women’s Health | KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>The number of people dying by suicide in the United States has risen by about 30 percent in the past two decades. And while the majority of suicide-related deaths today are among boys and men, a study published Thursday by the \u003ca href=\"https://www.cdc.gov/nchs/index.htm\" target=\"_blank\" rel=\"noopener\">National Center for Health Statistics\u003c/a> finds that the number of girls and women taking their own lives is rising.\u003c/p>\n\u003cp>\"Typically there's between three and four times as many suicides among males as among females,\" says \u003ca href=\"https://www.cdc.gov/nchs/injury/ice/steering_committee.htm\" target=\"_blank\" rel=\"noopener\">Dr. Holly Hedegaard\u003c/a>, a medical epidemiologist at the NCHS and the main author of the new \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db309.htm\">study\u003c/a>. In 2016, about 21 boys or men out of 100,000 took their own lives. On the other hand, just six girls or women out of 100,000 died by suicide that year.\u003c/p>\n\u003cp>But when Hedegaard and her colleagues compared the rise in the rates of death by suicide from 2000 to 2016, the increase was significantly larger for females — increasing by 21 percent for boys and men, compared with 50 percent for girls and women.\u003c/p>\n\u003cp>There's \"sort of a narrowing of the [gender] gap in rates,\" Hedegaard notes.\u003c/p>\n\u003cp>The biggest change was seen among women in late middle age. \"For females between the ages of 45 and 64, the suicide rate increased by 60 percent,\" she says. \"That's a pretty large increase in a relatively short period of time.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That the increase for women was more than double the increase for men \"did indeed surprise me,\" says \u003ca href=\"http://www.emory.edu/grady/emory-at-grady/doctors/kaslow.html\" target=\"_blank\" rel=\"noopener\">Nadine Kaslow\u003c/a>, a psychologist at Emory University and the \u003ca href=\"http://www.news.emory.edu/stories/2012/11/psych_kaslow_apa_president/campus.html\">past president\u003c/a> of the \u003ca href=\"http://www.apa.org/\">American Psychological Association\u003c/a>, who was not involved in the study. She says she finds the overall trends for both men and women \"disturbing.\"\u003c/p>\n\u003cp>Scientists don't yet know the reasons behind the steeper rise in the number of girls and women taking their own lives, says Kaslow. \"We're really just beginning to see these differences, and so people are just now beginning to look at this.\"[contextly_sidebar id=\"k6MDe9evjHueopXOQ84nJ1lOI9jYSpJm\"]\u003c/p>\n\u003cp>Though there are different factors at play in each case, excessive stress is a known risk factor for suicide overall, she says.\u003c/p>\n\u003cp>\"People often die by suicide when they just feel totally overwhelmed,\" Kaslow says.\u003c/p>\n\u003cp>According to the American Psychological Association, women say their \u003ca href=\"http://www.apa.org/news/press/releases/stress/2010/gender-stress.aspx\" target=\"_blank\" rel=\"noopener\">stress levels have risen\u003c/a> in recent years. And middle-aged women belonging to the \u003ca href=\"https://www.npr.org/sections/thetwo-way/2013/01/30/170694962/middle-aged-breadwinners-become-part-of-the-sandwich-generation\" target=\"_blank\" rel=\"noopener\">sandwich generation\u003c/a> are especially feeling the pressure of their many responsibilities at home and at work.\u003c/p>\n\u003cp>\"So they may be taking care of children, of parents, have work demands and then more responsibilities,\" Kaslow says.\u003c/p>\n\u003cp>There's also been \u003ca href=\"https://www.census.gov/newsroom/press-releases/2016/cb16-192.html\" target=\"_blank\" rel=\"noopener\">a rise\u003c/a> in the last few decades in the number of single-parent households headed by women. That means more women trying to do everything alone, she says.\u003c/p>\n\u003cp>\"And so there's, sort of, stress everywhere,\" she says. \"They may not have time to take care of themselves, to be kind to themselves, to get the social support they need.\"\u003c/p>\n\u003cp>The new report also shows that more adolescent girls are choosing to end their lives, notes Kaslow. So the problem is not specific to middle-aged women, but across all age groups.\u003c/p>\n\u003cp>\"Suicide is a public health concern,\" says \u003ca href=\"https://afsp.org/about-afsp/jill-harkavy-friedman-ph-d/\" target=\"_blank\" rel=\"noopener\">Jill Harkavy-Friedman\u003c/a>, the vice president of research at the American Foundation for Suicide Prevention. The statistics published Thursday underscore the need for a national prevention effort, she adds.\u003c/p>\n\u003cp>The report also looked at the means of suicide, as recorded in death certificates, and found that firearms remain an important method, particularly for boys and men.\u003c/p>\n\u003cp>\"For males, pretty much from age 15 and older, the majority of the suicides [involved] firearms,\" says Hedegaard.\u003c/p>\n\u003cp>\"We know that limiting access to lethal-means of any kind can reduce suicide,\" Harkavy-Friedman says, \"especially if you limit access during a crisis moment.\"\u003c/p>\n\u003cp>To help prevent suicide, society needs to offer better access to mental health care, she says. And each one of us can do our bit, too, by watching out for the warnings signs among friends and family.\u003c/p>\n\u003cp>Be aware, she says, if you notice something's changing in a loved one, friend or colleague. For example, if their mood is changing, she says, \"maybe they're more irritable, or withdrawn. Maybe they're talking about being a burden.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>At times like these, \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/23466401\" target=\"_blank\" rel=\"noopener\">it is important\u003c/a> to let people know they're not alone. \"It sounds simple,\" she says. \"But it does make a difference.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=U.S.+Suicide+Rates+Are+Rising+Faster+Among+Women+Than+Men&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"You can help prevent suicide, researchers say, by knowing the signs and reaching out. More boys and men in the U.S. take their own lives than women and girls, but that difference has narrowed.","status":"publish","parent":0,"modified":1529077837,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":742},"headData":{"title":"U.S. Suicide Rates Are Rising Faster Among Women Than Men | KQED","description":"You can help prevent suicide, researchers say, by knowing the signs and reaching out. More boys and men in the U.S. take their own lives than women and girls, but that difference has narrowed.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"U.S. Suicide Rates Are Rising Faster Among Women Than Men","datePublished":"2018-06-15T15:33:34.000Z","dateModified":"2018-06-15T15:50:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442703 https://ww2.kqed.org/futureofyou/?p=442703","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/15/u-s-suicide-rates-are-rising-faster-among-women-than-men/","disqusTitle":"U.S. Suicide Rates Are Rising Faster Among Women Than Men","source":"Health","nprByline":"Rhitu Chatterjee, NPR","nprImageAgency":"Veronica Grech/Getty Images","nprStoryId":"619338703","nprApiLink":"http://api.npr.org/query?id=619338703&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/14/619338703/u-s-suicides-rates-are-rising-faster-among-women-than-men?ft=nprml&f=619338703","nprRetrievedStory":"1","nprPubDate":"Thu, 14 Jun 2018 14:38:00 -0400","nprStoryDate":"Thu, 14 Jun 2018 00:01:00 -0400","nprLastModifiedDate":"Thu, 14 Jun 2018 14:39:01 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180614_me_us_suicides_rates_are_rising_faster_among_women_than_men.mp3?orgId=1&topicId=1128&d=173&p=3&story=619338703&ft=nprml&f=619338703","nprAudioM3u":"http://api.npr.org/m3u/1619853422-c93c36.m3u?orgId=1&topicId=1128&d=173&p=3&story=619338703&ft=nprml&f=619338703","path":"/futureofyou/442703/u-s-suicide-rates-are-rising-faster-among-women-than-men","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180614_me_us_suicides_rates_are_rising_faster_among_women_than_men.mp3?orgId=1&topicId=1128&d=173&p=3&story=619338703&ft=nprml&f=619338703","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The number of people dying by suicide in the United States has risen by about 30 percent in the past two decades. And while the majority of suicide-related deaths today are among boys and men, a study published Thursday by the \u003ca href=\"https://www.cdc.gov/nchs/index.htm\" target=\"_blank\" rel=\"noopener\">National Center for Health Statistics\u003c/a> finds that the number of girls and women taking their own lives is rising.\u003c/p>\n\u003cp>\"Typically there's between three and four times as many suicides among males as among females,\" says \u003ca href=\"https://www.cdc.gov/nchs/injury/ice/steering_committee.htm\" target=\"_blank\" rel=\"noopener\">Dr. Holly Hedegaard\u003c/a>, a medical epidemiologist at the NCHS and the main author of the new \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db309.htm\">study\u003c/a>. In 2016, about 21 boys or men out of 100,000 took their own lives. On the other hand, just six girls or women out of 100,000 died by suicide that year.\u003c/p>\n\u003cp>But when Hedegaard and her colleagues compared the rise in the rates of death by suicide from 2000 to 2016, the increase was significantly larger for females — increasing by 21 percent for boys and men, compared with 50 percent for girls and women.\u003c/p>\n\u003cp>There's \"sort of a narrowing of the [gender] gap in rates,\" Hedegaard notes.\u003c/p>\n\u003cp>The biggest change was seen among women in late middle age. \"For females between the ages of 45 and 64, the suicide rate increased by 60 percent,\" she says. \"That's a pretty large increase in a relatively short period of time.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That the increase for women was more than double the increase for men \"did indeed surprise me,\" says \u003ca href=\"http://www.emory.edu/grady/emory-at-grady/doctors/kaslow.html\" target=\"_blank\" rel=\"noopener\">Nadine Kaslow\u003c/a>, a psychologist at Emory University and the \u003ca href=\"http://www.news.emory.edu/stories/2012/11/psych_kaslow_apa_president/campus.html\">past president\u003c/a> of the \u003ca href=\"http://www.apa.org/\">American Psychological Association\u003c/a>, who was not involved in the study. She says she finds the overall trends for both men and women \"disturbing.\"\u003c/p>\n\u003cp>Scientists don't yet know the reasons behind the steeper rise in the number of girls and women taking their own lives, says Kaslow. \"We're really just beginning to see these differences, and so people are just now beginning to look at this.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Though there are different factors at play in each case, excessive stress is a known risk factor for suicide overall, she says.\u003c/p>\n\u003cp>\"People often die by suicide when they just feel totally overwhelmed,\" Kaslow says.\u003c/p>\n\u003cp>According to the American Psychological Association, women say their \u003ca href=\"http://www.apa.org/news/press/releases/stress/2010/gender-stress.aspx\" target=\"_blank\" rel=\"noopener\">stress levels have risen\u003c/a> in recent years. And middle-aged women belonging to the \u003ca href=\"https://www.npr.org/sections/thetwo-way/2013/01/30/170694962/middle-aged-breadwinners-become-part-of-the-sandwich-generation\" target=\"_blank\" rel=\"noopener\">sandwich generation\u003c/a> are especially feeling the pressure of their many responsibilities at home and at work.\u003c/p>\n\u003cp>\"So they may be taking care of children, of parents, have work demands and then more responsibilities,\" Kaslow says.\u003c/p>\n\u003cp>There's also been \u003ca href=\"https://www.census.gov/newsroom/press-releases/2016/cb16-192.html\" target=\"_blank\" rel=\"noopener\">a rise\u003c/a> in the last few decades in the number of single-parent households headed by women. That means more women trying to do everything alone, she says.\u003c/p>\n\u003cp>\"And so there's, sort of, stress everywhere,\" she says. \"They may not have time to take care of themselves, to be kind to themselves, to get the social support they need.\"\u003c/p>\n\u003cp>The new report also shows that more adolescent girls are choosing to end their lives, notes Kaslow. So the problem is not specific to middle-aged women, but across all age groups.\u003c/p>\n\u003cp>\"Suicide is a public health concern,\" says \u003ca href=\"https://afsp.org/about-afsp/jill-harkavy-friedman-ph-d/\" target=\"_blank\" rel=\"noopener\">Jill Harkavy-Friedman\u003c/a>, the vice president of research at the American Foundation for Suicide Prevention. The statistics published Thursday underscore the need for a national prevention effort, she adds.\u003c/p>\n\u003cp>The report also looked at the means of suicide, as recorded in death certificates, and found that firearms remain an important method, particularly for boys and men.\u003c/p>\n\u003cp>\"For males, pretty much from age 15 and older, the majority of the suicides [involved] firearms,\" says Hedegaard.\u003c/p>\n\u003cp>\"We know that limiting access to lethal-means of any kind can reduce suicide,\" Harkavy-Friedman says, \"especially if you limit access during a crisis moment.\"\u003c/p>\n\u003cp>To help prevent suicide, society needs to offer better access to mental health care, she says. And each one of us can do our bit, too, by watching out for the warnings signs among friends and family.\u003c/p>\n\u003cp>Be aware, she says, if you notice something's changing in a loved one, friend or colleague. For example, if their mood is changing, she says, \"maybe they're more irritable, or withdrawn. Maybe they're talking about being a burden.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>At times like these, \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/23466401\" target=\"_blank\" rel=\"noopener\">it is important\u003c/a> to let people know they're not alone. \"It sounds simple,\" she says. \"But it does make a difference.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=U.S.+Suicide+Rates+Are+Rising+Faster+Among+Women+Than+Men&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442703/u-s-suicide-rates-are-rising-faster-among-women-than-men","authors":["byline_futureofyou_442703"],"series":["futureofyou_219"],"categories":["futureofyou_1"],"tags":["futureofyou_592","futureofyou_61","futureofyou_1258","futureofyou_215"],"collections":["futureofyou_1093"],"featImg":"futureofyou_442705","label":"source_futureofyou_442703"},"futureofyou_442620":{"type":"posts","id":"futureofyou_442620","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442620","score":null,"sort":[1528905612000]},"guestAuthors":[],"slug":"1-in-3-adults-in-the-u-s-take-medications-that-can-cause-depression","title":"1 in 3 Adults In The U.S. Take Medications That Can Cause Depression","publishDate":1528905612,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>If you take Prilosec or Zantac for acid reflux, a beta blocker for high blood pressure, or Xanax for anxiety, you may be increasing your risk of depression.[contextly_sidebar id=\"HRiIrZXZvpwyxRdxPe5gDW5vYKh4YCMU\"]\u003c/p>\n\u003cp>More than 200 common medications sold in the U.S. include depression as a potential side effect. Sometimes, the risk stems from taking several drugs at the same time. Now, a new study finds people who take these medicines are, in fact, more likely to be depressed.\u003c/p>\n\u003cp>The list includes a wide range of commonly taken medications. Among them are certain types of proton pump inhibitors (PPIs) (used to treat acid reflux), beta blockers, anxiety drugs, painkillers including ibuprofen, ACE inhibitors (used to treat high blood pressure), and anti-convulsant drugs.\u003c/p>\n\u003cp>\"The more of these medications you're taking, the more likely you are to report depression,\" says study author \u003ca href=\"https://www.columbiapsychiatry.org/profile/mark-olfson-md\" target=\"_blank\" rel=\"noopener\">Mark Olfson\u003c/a>, a professor of psychiatry at Columbia University.\u003c/p>\n\u003cp>\u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2684607\" target=\"_blank\" rel=\"noopener\">The study, which was published Tuesday\u003c/a> in the Journal of the American Medical Association, included 26,192 adults who participated in a federal survey, the National Health and Nutrition Examination Survey. All of the participants listed the medications they were taking at the time of the survey. In addition, they each completed a depression screening, the Patient Health Questionnaire (PHQ-9), which asks about sleep, mood and appetite.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than a third of the people who took the survey were taking medications known to have depression or suicidal thoughts as potential side effects. Olfson and his collaborators wanted to determine whether those participants were more or less likely to be depressed, compared to participants who didn't take any of these medications.\u003c/p>\n\u003cp>\"What we found is that, in fact, they're more likely,\" Olfson says. And they found that people who took three or more of the medications were three times as likely to be depressed.\u003c/p>\n\u003cp>About 15 percent of participants who simultaneously used three or more of these drugs were depressed. By comparison, among participants who didn't use any of the medications, just 5 percent were depressed. Even those who used just one of these medications were at slightly higher risk of depression: About 7 percent were depressed.[contextly_sidebar id=\"A2lw5SZLyDBTWtThuZRlIcKINySG188T\"]\u003c/p>\n\u003cp>Olfson says the study does not prove that the medications caused the depression. \"We're just showing that if you're already taking them, you are more likely to be depressed,\" he says. To determine causation, he says, researchers would need to follow people over time — beginning at the time they start taking the medications — to see if they're more likely to develop depression.\u003c/p>\n\u003cp>Nonetheless, Olfson says, he was surprised by the \"strength of the association between the number of medications and the likelihood of being depressed.\"\u003c/p>\n\u003cp>These findings may motivate people to ask their health care providers more questions. \"People should always be ready to ask, 'What are the risks and the benefits of me taking this medication?' \" says\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/provider/donaldmordecai\" target=\"_blank\" rel=\"noopener\"> Don Mordecai\u003c/a>, a psychiatrist with Kaiser Permanente in San Jose, Calif. And he says doctors should be ready to have these conversations, too.\u003c/p>\n\u003cp>Mordecai says, if you start a new medicine it can be helpful to keep track of changes in how you feel.\u003c/p>\n\u003cp>\"People who don't have a history of depression and then, suddenly, start to have symptoms of depression should be concerned that it's potentially due to a side effect, or potentially, an interaction,\" Mordecai says.\u003c/p>\n\u003cp>It's also worth having a conversation with your doctor about whether you might be able to stop a medication, Mordecai says. For instance, it may be possible to go off — or reduce — a medication for high blood pressure if you make other changes \"such as changing your diet, limiting salt intake, or increasing exercise.\"[contextly_sidebar id=\"OVhdpjJFS6xtrzD3u8zENreJMFo4hrXo\"]\u003c/p>\n\u003cp>Use of medications with depression or suicidal thoughts as potential side effects has been on the rise, according to the study's lead author, \u003ca href=\"https://pharmacy.uic.edu/people-resources/directory/dimaqato\" target=\"_blank\" rel=\"noopener\">Dima Mazen Qato\u003c/a>, an assistant professor at the College of Pharmacy of the University of Illinois, Chicago.\u003c/p>\n\u003cp>\"People are not only increasingly using these medicines alone, but are increasingly using them simultaneously, yet very few of these drugs have warning labels, so until we have public or system-level solutions, it is left up to patients and health care professionals to be aware of the risks,\" Qato wrote in a release about the study findings.\u003c/p>\n\u003cp>Qato says physicians may want to consider including evaluations of medications when they screen for depression.\u003c/p>\n\u003cp>\"With depression as one of the leading causes of disability and increasing national suicide rates, we need to think innovatively about depression as a public health issue,\" Qato writes. She suggests that one strategy to reduce depression rates might be for health care providers to give more thought to the role these medications might play in depression risk.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Allison Aubrey is on Twitter \u003c/em>\u003ca href=\"https://twitter.com/AubreyNPRFood\" target=\"_blank\" rel=\"noopener\">\u003cem>@AubreyNPRFood\u003c/em>\u003c/a>\u003cem>. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=1+in+3+Adults+In+The+U.S.+Take+Medications+That+Can+Cause+Depression&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"200 medications have depression as a possible side effect. Now, a new study finds people who take these drugs are, in fact, more likely to be depressed. The more drugs you take, the higher the risk.","status":"publish","parent":0,"modified":1528849630,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":818},"headData":{"title":"1 in 3 Adults In The U.S. Take Medications That Can Cause Depression | KQED","description":"200 medications have depression as a possible side effect. Now, a new study finds people who take these drugs are, in fact, more likely to be depressed. The more drugs you take, the higher the risk.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"1 in 3 Adults In The U.S. Take Medications That Can Cause Depression","datePublished":"2018-06-13T16:00:12.000Z","dateModified":"2018-06-13T00:27:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442620 https://ww2.kqed.org/futureofyou/?p=442620","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/13/1-in-3-adults-in-the-u-s-take-medications-that-can-cause-depression/","disqusTitle":"1 in 3 Adults In The U.S. Take Medications That Can Cause Depression","source":"Health","nprImageCredit":"Glasshouse Images","nprByline":"Allison Aubrey, NPR","nprImageAgency":"Getty Images","nprStoryId":"619274492","nprApiLink":"http://api.npr.org/query?id=619274492&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/12/619274492/1-in-3-adults-in-the-u-s-take-medications-that-can-cause-depression?ft=nprml&f=619274492","nprRetrievedStory":"1","nprPubDate":"Tue, 12 Jun 2018 18:08:00 -0400","nprStoryDate":"Tue, 12 Jun 2018 18:00:28 -0400","nprLastModifiedDate":"Tue, 12 Jun 2018 18:03:05 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2018/06/20180612_atc_side_effects_of_drugs.mp3?orgId=1&topicId=1128&d=211&p=2&story=619274492&ft=nprml&f=619274492","nprAudioM3u":"http://api.npr.org/m3u/1619294449-46b5a5.m3u?orgId=1&topicId=1128&d=211&p=2&story=619274492&ft=nprml&f=619274492","path":"/futureofyou/442620/1-in-3-adults-in-the-u-s-take-medications-that-can-cause-depression","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2018/06/20180612_atc_side_effects_of_drugs.mp3?orgId=1&topicId=1128&d=211&p=2&story=619274492&ft=nprml&f=619274492","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you take Prilosec or Zantac for acid reflux, a beta blocker for high blood pressure, or Xanax for anxiety, you may be increasing your risk of depression.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>More than 200 common medications sold in the U.S. include depression as a potential side effect. Sometimes, the risk stems from taking several drugs at the same time. Now, a new study finds people who take these medicines are, in fact, more likely to be depressed.\u003c/p>\n\u003cp>The list includes a wide range of commonly taken medications. Among them are certain types of proton pump inhibitors (PPIs) (used to treat acid reflux), beta blockers, anxiety drugs, painkillers including ibuprofen, ACE inhibitors (used to treat high blood pressure), and anti-convulsant drugs.\u003c/p>\n\u003cp>\"The more of these medications you're taking, the more likely you are to report depression,\" says study author \u003ca href=\"https://www.columbiapsychiatry.org/profile/mark-olfson-md\" target=\"_blank\" rel=\"noopener\">Mark Olfson\u003c/a>, a professor of psychiatry at Columbia University.\u003c/p>\n\u003cp>\u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2684607\" target=\"_blank\" rel=\"noopener\">The study, which was published Tuesday\u003c/a> in the Journal of the American Medical Association, included 26,192 adults who participated in a federal survey, the National Health and Nutrition Examination Survey. All of the participants listed the medications they were taking at the time of the survey. In addition, they each completed a depression screening, the Patient Health Questionnaire (PHQ-9), which asks about sleep, mood and appetite.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than a third of the people who took the survey were taking medications known to have depression or suicidal thoughts as potential side effects. Olfson and his collaborators wanted to determine whether those participants were more or less likely to be depressed, compared to participants who didn't take any of these medications.\u003c/p>\n\u003cp>\"What we found is that, in fact, they're more likely,\" Olfson says. And they found that people who took three or more of the medications were three times as likely to be depressed.\u003c/p>\n\u003cp>About 15 percent of participants who simultaneously used three or more of these drugs were depressed. By comparison, among participants who didn't use any of the medications, just 5 percent were depressed. Even those who used just one of these medications were at slightly higher risk of depression: About 7 percent were depressed.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Olfson says the study does not prove that the medications caused the depression. \"We're just showing that if you're already taking them, you are more likely to be depressed,\" he says. To determine causation, he says, researchers would need to follow people over time — beginning at the time they start taking the medications — to see if they're more likely to develop depression.\u003c/p>\n\u003cp>Nonetheless, Olfson says, he was surprised by the \"strength of the association between the number of medications and the likelihood of being depressed.\"\u003c/p>\n\u003cp>These findings may motivate people to ask their health care providers more questions. \"People should always be ready to ask, 'What are the risks and the benefits of me taking this medication?' \" says\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/provider/donaldmordecai\" target=\"_blank\" rel=\"noopener\"> Don Mordecai\u003c/a>, a psychiatrist with Kaiser Permanente in San Jose, Calif. And he says doctors should be ready to have these conversations, too.\u003c/p>\n\u003cp>Mordecai says, if you start a new medicine it can be helpful to keep track of changes in how you feel.\u003c/p>\n\u003cp>\"People who don't have a history of depression and then, suddenly, start to have symptoms of depression should be concerned that it's potentially due to a side effect, or potentially, an interaction,\" Mordecai says.\u003c/p>\n\u003cp>It's also worth having a conversation with your doctor about whether you might be able to stop a medication, Mordecai says. For instance, it may be possible to go off — or reduce — a medication for high blood pressure if you make other changes \"such as changing your diet, limiting salt intake, or increasing exercise.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Use of medications with depression or suicidal thoughts as potential side effects has been on the rise, according to the study's lead author, \u003ca href=\"https://pharmacy.uic.edu/people-resources/directory/dimaqato\" target=\"_blank\" rel=\"noopener\">Dima Mazen Qato\u003c/a>, an assistant professor at the College of Pharmacy of the University of Illinois, Chicago.\u003c/p>\n\u003cp>\"People are not only increasingly using these medicines alone, but are increasingly using them simultaneously, yet very few of these drugs have warning labels, so until we have public or system-level solutions, it is left up to patients and health care professionals to be aware of the risks,\" Qato wrote in a release about the study findings.\u003c/p>\n\u003cp>Qato says physicians may want to consider including evaluations of medications when they screen for depression.\u003c/p>\n\u003cp>\"With depression as one of the leading causes of disability and increasing national suicide rates, we need to think innovatively about depression as a public health issue,\" Qato writes. She suggests that one strategy to reduce depression rates might be for health care providers to give more thought to the role these medications might play in depression risk.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Allison Aubrey is on Twitter \u003c/em>\u003ca href=\"https://twitter.com/AubreyNPRFood\" target=\"_blank\" rel=\"noopener\">\u003cem>@AubreyNPRFood\u003c/em>\u003c/a>\u003cem>. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=1+in+3+Adults+In+The+U.S.+Take+Medications+That+Can+Cause+Depression&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442620/1-in-3-adults-in-the-u-s-take-medications-that-can-cause-depression","authors":["byline_futureofyou_442620"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_592","futureofyou_190","futureofyou_952","futureofyou_1056","futureofyou_204"],"featImg":"futureofyou_442621","label":"source_futureofyou_442620"},"futureofyou_442519":{"type":"posts","id":"futureofyou_442519","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442519","score":null,"sort":[1528734280000]},"guestAuthors":[],"slug":"celebrity-suicides-highlight-troubling-trend-in-midlife","title":"Celebrity Suicides Highlight Troubling Trend In Midlife","publishDate":1528734280,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>The deaths of celebrity chef Anthony Bourdain and fashion designer Kate Spade highlight a troubling trend — rising suicides among middle-aged Americans.[contextly_sidebar id=\"VRyDwaewBsFbQgWstXuEk6sa8awOu2Ef\"]\u003c/p>\n\u003cp>Mental health problems, often undiagnosed, are usually involved and experts say knowing warning signs and who is at risk can help stop a crisis from becoming a tragedy.\u003c/p>\n\u003cp>Bourdain, 61, and Spade, 55, died three days and a continent apart this week amid a new U.S. report showing an uptick in suicides rates in nearly every state since 1999. Middle-aged adults — ages 45 to 64 — had the largest rate increase, according to the \u003ca href=\"https://www.cdc.gov/media/releases/2018/p0607-suicide-prevention.html\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cdiv id=\"div-gpt-ad-1470255291270-0\" class=\"ad-placeholder\">\n\u003cp>Previous studies have suggested economic downturns and the nation’s opioid crisis contributed to the rise in middle-aged suicides.\u003c/p>\n\u003cp>Dr. Christine Moutier, a psychiatrist and chief medical officer for the American \u003ca href=\"https://afsp.org/\" target=\"_blank\" rel=\"noopener\">Foundation\u003c/a> for Suicide Prevention, said Friday it’s important for everyone to know the warning signs and to intervene when family members, friends or co-workers appear troubled. Asking if they’ve had suicidal thoughts is not harmful and lets them know you care, she said.\u003c/p>\n\u003cp>Behavior that may indicate someone is suicidal includes:\u003c/p>\n\u003cp>—Talking about feeling hopeless, trapped, a burden to others or wanting to die.\u003c/p>\n\u003cp>—Unusual mood swings or withdrawing from family, friends and usual activities.\u003c/p>\n\u003cp>—Giving away important possessions.\u003c/p>\n\u003cp>—Increased use of alcohol or drugs.\u003c/p>\n\u003cp>This week’s report found that many suicides were in people with no known mental illness. But Dr. Joshua Gordon, director of the National Institute of Mental Health, said that contradicts years of data, suggesting many have “gone undiagnosed and untreated. It’s very troubling.”\u003c/p>\n\u003cp>Gordon said doctors need to ask patients at every opportunity about their mental health and evaluate their risk for suicide.[contextly_sidebar id=\"5yHVylMSzJGpyUIEUKvOwWpHBWw6aZNt\"]\u003c/p>\n\u003cp>“When you ask everybody and not just people you might suspect, you double the number you detect,” he said.\u003c/p>\n\u003cp>Gordon noted that psychotherapy and certain psychiatric drugs have been shown to reduce suicidal tendencies.\u003c/p>\n\u003cp>Moutier of the American Foundation for Suicide Prevention, said that suicides can be “contagious” — hearing about one may make others who are already at risk turn to self-harm. She said celebrity suicides also typically prompt an increase in calls to suicide \u003ca href=\"https://suicidepreventionlifeline.org/\" target=\"_blank\" rel=\"noopener\">help lines.\u003c/a>\u003c/p>\n\u003cp>“People should know that suicide is preventable. Anyone contemplating suicide should know that help is available, and that there is no shame in seeking care for your mental health,” Dr. Altha Stewart of the American Psychiatric \u003ca href=\"https://www.psychiatry.org/patients-families/suicide-prevention\" target=\"_blank\" rel=\"noopener\">Association\u003c/a> said in a statement.\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"It’s important for everyone to know the warning signs and to intervene when family members, friends or co-workers appear troubled.","status":"publish","parent":0,"modified":1528734634,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":446},"headData":{"title":"Celebrity Suicides Highlight Troubling Trend In Midlife | KQED","description":"It’s important for everyone to know the warning signs and to intervene when family members, friends or co-workers appear troubled.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Celebrity Suicides Highlight Troubling Trend In Midlife","datePublished":"2018-06-11T16:24:40.000Z","dateModified":"2018-06-11T16:30:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442519 https://ww2.kqed.org/futureofyou/?p=442519","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/11/celebrity-suicides-highlight-troubling-trend-in-midlife/","disqusTitle":"Celebrity Suicides Highlight Troubling Trend In Midlife","source":"Health","nprByline":"Lindsey Tanner\u003cbr />The Associated Press","path":"/futureofyou/442519/celebrity-suicides-highlight-troubling-trend-in-midlife","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The deaths of celebrity chef Anthony Bourdain and fashion designer Kate Spade highlight a troubling trend — rising suicides among middle-aged Americans.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Mental health problems, often undiagnosed, are usually involved and experts say knowing warning signs and who is at risk can help stop a crisis from becoming a tragedy.\u003c/p>\n\u003cp>Bourdain, 61, and Spade, 55, died three days and a continent apart this week amid a new U.S. report showing an uptick in suicides rates in nearly every state since 1999. Middle-aged adults — ages 45 to 64 — had the largest rate increase, according to the \u003ca href=\"https://www.cdc.gov/media/releases/2018/p0607-suicide-prevention.html\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cdiv id=\"div-gpt-ad-1470255291270-0\" class=\"ad-placeholder\">\n\u003cp>Previous studies have suggested economic downturns and the nation’s opioid crisis contributed to the rise in middle-aged suicides.\u003c/p>\n\u003cp>Dr. Christine Moutier, a psychiatrist and chief medical officer for the American \u003ca href=\"https://afsp.org/\" target=\"_blank\" rel=\"noopener\">Foundation\u003c/a> for Suicide Prevention, said Friday it’s important for everyone to know the warning signs and to intervene when family members, friends or co-workers appear troubled. Asking if they’ve had suicidal thoughts is not harmful and lets them know you care, she said.\u003c/p>\n\u003cp>Behavior that may indicate someone is suicidal includes:\u003c/p>\n\u003cp>—Talking about feeling hopeless, trapped, a burden to others or wanting to die.\u003c/p>\n\u003cp>—Unusual mood swings or withdrawing from family, friends and usual activities.\u003c/p>\n\u003cp>—Giving away important possessions.\u003c/p>\n\u003cp>—Increased use of alcohol or drugs.\u003c/p>\n\u003cp>This week’s report found that many suicides were in people with no known mental illness. But Dr. Joshua Gordon, director of the National Institute of Mental Health, said that contradicts years of data, suggesting many have “gone undiagnosed and untreated. It’s very troubling.”\u003c/p>\n\u003cp>Gordon said doctors need to ask patients at every opportunity about their mental health and evaluate their risk for suicide.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“When you ask everybody and not just people you might suspect, you double the number you detect,” he said.\u003c/p>\n\u003cp>Gordon noted that psychotherapy and certain psychiatric drugs have been shown to reduce suicidal tendencies.\u003c/p>\n\u003cp>Moutier of the American Foundation for Suicide Prevention, said that suicides can be “contagious” — hearing about one may make others who are already at risk turn to self-harm. She said celebrity suicides also typically prompt an increase in calls to suicide \u003ca href=\"https://suicidepreventionlifeline.org/\" target=\"_blank\" rel=\"noopener\">help lines.\u003c/a>\u003c/p>\n\u003cp>“People should know that suicide is preventable. Anyone contemplating suicide should know that help is available, and that there is no shame in seeking care for your mental health,” Dr. Altha Stewart of the American Psychiatric \u003ca href=\"https://www.psychiatry.org/patients-families/suicide-prevention\" target=\"_blank\" rel=\"noopener\">Association\u003c/a> said in a statement.\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442519/celebrity-suicides-highlight-troubling-trend-in-midlife","authors":["byline_futureofyou_442519"],"categories":["futureofyou_1060","futureofyou_73"],"tags":["futureofyou_592","futureofyou_204","futureofyou_1258","futureofyou_198"],"collections":["futureofyou_1093"],"featImg":"futureofyou_442524","label":"source_futureofyou_442519"},"futureofyou_442431":{"type":"posts","id":"futureofyou_442431","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442431","score":null,"sort":[1528484400000]},"guestAuthors":[],"slug":"from-chaos-to-calm-a-life-changed-by-ketamine","title":"From Chaos To Calm: A Life Changed By Ketamine","publishDate":1528484400,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1097,"site":"futureofyou"},"content":"\u003cp>For six years now, life has been really good for James. He has a great job as the creative director of an advertising firm in New York City. He enjoys spending time with his wife and kids.[contextly_sidebar id=\"s4NBmRFOwEaVfa4ea1pL5Kssair4SGBs\"]\u003c/p>\n\u003cp>And it has all been possible, he says, because for the past six years he has been taking a drug called\u003ca href=\"https://www.npr.org/sections/health-shots/2015/09/28/443203592/club-drug-ketamine-gains-traction-as-a-treatment-for-depression\" target=\"_blank\" rel=\"noopener\"> ketamine\u003c/a>.\u003c/p>\n\u003cp>Before ketamine, James was unable to work or focus his thoughts. His mind was filled with violent images. And his mood could go from ebullient to dark in a matter of minutes.\u003c/p>\n\u003cp>Ketamine \"helped me get my life back,\" says James, who asked that we not use his last name to protect his career.\u003c/p>\n\u003cp>Ketamine was developed as a human and animal anesthetic in the 1960s. And almost from the time it reached the market it has also been used as a mind-bending party drug.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But ketamine's story took a surprising turn in 2006, when researchers at the National Institutes of Health \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/16894061\">showed\u003c/a> that an intravenous dose could relieve severe depression in a matter of hours. Since then, doctors have prescribed ketamine \"off label\" to \u003ca href=\"https://www.npr.org/sections/health-shots/2017/03/20/520169959/ketamine-for-severe-depression-how-do-you-not-offer-this-drug-to-people\" target=\"_blank\" rel=\"noopener\">thousands of depressed patients\u003c/a> who don't respond to other drugs.\u003c/p>\n\u003cp>And pharmaceutical companies are \u003ca href=\"https://www.npr.org/sections/health-shots/2015/05/28/409800015/ketamine-depression-treatments-inspired-by-club-drug-move-ahead-in-tests\" target=\"_blank\" rel=\"noopener\">testing\u003c/a> several new ketamine-related drugs to treat depression. Johnson & Johnson expects to seek approval for its nasal spray \u003ca href=\"https://www.jnj.com/media-center/press-releases/new-phase-3-data-show-esketamine-nasal-spray-demonstrated-rapid-improvements-in-depressive-symptoms-in-patients-with-treatment-resistant-depression\" target=\"_blank\" rel=\"noopener\">esketamine\u003c/a> later this year, though the approval would be limited to use in a clinical setting.[contextly_sidebar id=\"WxNsPZS18b7j3a9u3SqMCjwKimnR3LX8\"]\u003c/p>\n\u003cp>Meanwhile, doctors have begun trying ketamine on patients with a wide range of psychiatric disorders other than depression. And there is now growing evidence it can help people with anxiety, bipolar disorder, post-traumatic stress disorder, and perhaps even obsessive-compulsive disorder.\u003c/p>\n\u003cp>\"I think it's actually one of the biggest advances in psychiatry in a very long time,\" says Dr. \u003ca href=\"https://www.mcleanhospital.org/biography/martin-teicher\" target=\"_blank\" rel=\"noopener\">Martin Teicher\u003c/a>, an associate professor of psychiatry at Harvard Medical School and director of the Developmental Biopsychiatry Research Program at McLean Hospital.\u003c/p>\n\u003cp>Ketamine may also offer new hope for people like James who have symptoms of several different psychiatric disorders.\u003c/p>\n\u003cp>James had a happy childhood, he says. But his thoughts were out of control. \"I always felt like I was crossing a freeway and my thoughts were just racing past me,\" he says.\u003c/p>\n\u003cp>He spent much of his childhood terrified of \"an unknown, an ambiguous force out there.\" The fear was \"overwhelming,\" he says. \"I literally slept with the cover over my head with just room to breathe through my mouth until I went to college.\"\u003c/p>\n\u003cp>And there was something else about James: his body temperature.\u003c/p>\n\u003cp>\"I overheated constantly,\" he says. \"I would wear shorts all year long. In my 20s in my apartment I would sleep with the windows open in the middle of the winter.\"\u003c/p>\n\u003cp>In his late 20s, James saw a doctor who told him he had attention deficit hyperactivity disorder. So he started taking stimulants.[contextly_sidebar id=\"IjfTHMEjzV27TicYbrGolDFdASO5y6qG\"]\u003c/p>\n\u003cp>At first, the pills helped him focus. Then they didn't, no matter how many he took.\u003c/p>\n\u003cp>He'd done well as an idea guy in the advertising industry. But now James was trying to work at home, and it wasn't going well.\u003c/p>\n\u003cp>\"ADHD pills will make you interested in anything,\" he says. \"So I was putting the desk together and taking the desk apart. I was putting a laptop stand together and taking it apart. I was going in a massive downward spiral.\"\u003c/p>\n\u003cp>James had always suffered from mood swings. But now they were rapid and extreme. And he couldn't stop thinking about gruesome scenarios, like a murderer coming for his family.\u003c/p>\n\u003cp>\"My wife took a summer off to be with me because she was scared of what was going to happen to me,\" he says. \"She would go to work for a few hours, then rush home. There would be times I'd call her just screaming, 'Please come home. I can't get through another minute.' \"\u003c/p>\n\u003cp>Eventually, James found his way to Dr. \u003ca href=\"http://bipolarchild.com/about/authors/\" target=\"_blank\" rel=\"noopener\">Demitri Papolos\u003c/a>, an associate professor of clinical psychiatry at Albert Einstein College of Medicine.\u003c/p>\n\u003cp>\"He was like a whirling dervish when he came into my office,\" Papolos says. \"He was extremely fearful and scanning the environment all the time and he overheated at the drop of a hat.\"\u003c/p>\n\u003cp>Papolos diagnosed James with a variant of bipolar disorder he calls the \"fear of harm phenotype.\" It typically appears in childhood and often doesn't respond to traditional psychiatric drugs.[contextly_sidebar id=\"ONPRitNVz88O9pFNNVQ7htlsCs7xWv0w\"]\u003c/p>\n\u003cp>But Papolos has found that the condition does respond to ketamine. \"It's been transformational,\" he says.\u003c/p>\n\u003cp>In January, Papolos published a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/28866299\">study\u003c/a> of 45 children with the problem. They inhaled a nasal mist containing ketamine about twice a week. Nearly all got dramatically better.\u003c/p>\n\u003cp>Scientists still aren't sure why ketamine works, but there's \u003ca href=\"https://www.npr.org/sections/health-shots/2012/10/04/162299564/ketamine-relieves-depression-by-restoring-brain-connections\" target=\"_blank\" rel=\"noopener\">evidence\u003c/a> that it encourages the brain to rewire, to alter the connections between cells. That process has been linked to recovery from depression. And it may also explain why ketamine helps people who have symptoms associated with several different psychiatric disorders.\u003c/p>\n\u003cp>\"I think it's having multiple effects, and that means it's probably useful for multiple different disorders,\" Teicher says.\u003c/p>\n\u003cp>One of those effects involves a part of the brain involved in temperature regulation. And that could explain why patients like James usually stop overheating once they are taking ketamine.\u003c/p>\n\u003cp>James started taking a ketamine nasal spray every other day. He says his response was dramatic.\u003c/p>\n\u003cp>\"One day I turn to my wife and I'm like, 'I feel calm today. I don't know if it's the sun coming in, I don't know if it's just the way we're sitting here, but I feel like I could go and sit at the computer and work.' \"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The next day, James did sit down at his computer. A month later, he was back at work.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=From+Chaos+To+Calm%3A+A+Life+Changed+By+Ketamine&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"The anesthetic ketamine first wowed the medical world with its ability to relieve severe depression in hours. Now it's showing promise for other psychiatric disorders, including bipolar and PTSD.","status":"publish","parent":0,"modified":1528412928,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":993},"headData":{"title":"From Chaos To Calm: A Life Changed By Ketamine | KQED","description":"The anesthetic ketamine first wowed the medical world with its ability to relieve severe depression in hours. Now it's showing promise for other psychiatric disorders, including bipolar and PTSD.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"From Chaos To Calm: A Life Changed By Ketamine","datePublished":"2018-06-08T19:00:00.000Z","dateModified":"2018-06-07T23:08:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442431 https://ww2.kqed.org/futureofyou/?p=442431","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/08/from-chaos-to-calm-a-life-changed-by-ketamine/","disqusTitle":"From Chaos To Calm: A Life Changed By Ketamine","nprByline":"Jon Hamilton, NPR","nprImageAgency":"Maria Fabrizio for NPR","nprStoryId":"615671405","nprApiLink":"http://api.npr.org/query?id=615671405&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/04/615671405/from-chaos-to-calm-a-life-changed-by-ketamine?ft=nprml&f=615671405","nprRetrievedStory":"1","nprPubDate":"Thu, 07 Jun 2018 16:02:00 -0400","nprStoryDate":"Mon, 04 Jun 2018 05:05:00 -0400","nprLastModifiedDate":"Thu, 07 Jun 2018 16:02:13 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180604_me_from_chaos_to_calm_a_life_changed_by_ketamine.mp3?orgId=1&topicId=1128&d=383&p=3&story=615671405&ft=nprml&f=615671405","nprAudioM3u":"http://api.npr.org/m3u/1616733862-f264c4.m3u?orgId=1&topicId=1128&d=383&p=3&story=615671405&ft=nprml&f=615671405","path":"/futureofyou/442431/from-chaos-to-calm-a-life-changed-by-ketamine","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180604_me_from_chaos_to_calm_a_life_changed_by_ketamine.mp3?orgId=1&topicId=1128&d=383&p=3&story=615671405&ft=nprml&f=615671405","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For six years now, life has been really good for James. He has a great job as the creative director of an advertising firm in New York City. He enjoys spending time with his wife and kids.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>And it has all been possible, he says, because for the past six years he has been taking a drug called\u003ca href=\"https://www.npr.org/sections/health-shots/2015/09/28/443203592/club-drug-ketamine-gains-traction-as-a-treatment-for-depression\" target=\"_blank\" rel=\"noopener\"> ketamine\u003c/a>.\u003c/p>\n\u003cp>Before ketamine, James was unable to work or focus his thoughts. His mind was filled with violent images. And his mood could go from ebullient to dark in a matter of minutes.\u003c/p>\n\u003cp>Ketamine \"helped me get my life back,\" says James, who asked that we not use his last name to protect his career.\u003c/p>\n\u003cp>Ketamine was developed as a human and animal anesthetic in the 1960s. And almost from the time it reached the market it has also been used as a mind-bending party drug.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But ketamine's story took a surprising turn in 2006, when researchers at the National Institutes of Health \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/16894061\">showed\u003c/a> that an intravenous dose could relieve severe depression in a matter of hours. Since then, doctors have prescribed ketamine \"off label\" to \u003ca href=\"https://www.npr.org/sections/health-shots/2017/03/20/520169959/ketamine-for-severe-depression-how-do-you-not-offer-this-drug-to-people\" target=\"_blank\" rel=\"noopener\">thousands of depressed patients\u003c/a> who don't respond to other drugs.\u003c/p>\n\u003cp>And pharmaceutical companies are \u003ca href=\"https://www.npr.org/sections/health-shots/2015/05/28/409800015/ketamine-depression-treatments-inspired-by-club-drug-move-ahead-in-tests\" target=\"_blank\" rel=\"noopener\">testing\u003c/a> several new ketamine-related drugs to treat depression. Johnson & Johnson expects to seek approval for its nasal spray \u003ca href=\"https://www.jnj.com/media-center/press-releases/new-phase-3-data-show-esketamine-nasal-spray-demonstrated-rapid-improvements-in-depressive-symptoms-in-patients-with-treatment-resistant-depression\" target=\"_blank\" rel=\"noopener\">esketamine\u003c/a> later this year, though the approval would be limited to use in a clinical setting.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Meanwhile, doctors have begun trying ketamine on patients with a wide range of psychiatric disorders other than depression. And there is now growing evidence it can help people with anxiety, bipolar disorder, post-traumatic stress disorder, and perhaps even obsessive-compulsive disorder.\u003c/p>\n\u003cp>\"I think it's actually one of the biggest advances in psychiatry in a very long time,\" says Dr. \u003ca href=\"https://www.mcleanhospital.org/biography/martin-teicher\" target=\"_blank\" rel=\"noopener\">Martin Teicher\u003c/a>, an associate professor of psychiatry at Harvard Medical School and director of the Developmental Biopsychiatry Research Program at McLean Hospital.\u003c/p>\n\u003cp>Ketamine may also offer new hope for people like James who have symptoms of several different psychiatric disorders.\u003c/p>\n\u003cp>James had a happy childhood, he says. But his thoughts were out of control. \"I always felt like I was crossing a freeway and my thoughts were just racing past me,\" he says.\u003c/p>\n\u003cp>He spent much of his childhood terrified of \"an unknown, an ambiguous force out there.\" The fear was \"overwhelming,\" he says. \"I literally slept with the cover over my head with just room to breathe through my mouth until I went to college.\"\u003c/p>\n\u003cp>And there was something else about James: his body temperature.\u003c/p>\n\u003cp>\"I overheated constantly,\" he says. \"I would wear shorts all year long. In my 20s in my apartment I would sleep with the windows open in the middle of the winter.\"\u003c/p>\n\u003cp>In his late 20s, James saw a doctor who told him he had attention deficit hyperactivity disorder. So he started taking stimulants.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>At first, the pills helped him focus. Then they didn't, no matter how many he took.\u003c/p>\n\u003cp>He'd done well as an idea guy in the advertising industry. But now James was trying to work at home, and it wasn't going well.\u003c/p>\n\u003cp>\"ADHD pills will make you interested in anything,\" he says. \"So I was putting the desk together and taking the desk apart. I was putting a laptop stand together and taking it apart. I was going in a massive downward spiral.\"\u003c/p>\n\u003cp>James had always suffered from mood swings. But now they were rapid and extreme. And he couldn't stop thinking about gruesome scenarios, like a murderer coming for his family.\u003c/p>\n\u003cp>\"My wife took a summer off to be with me because she was scared of what was going to happen to me,\" he says. \"She would go to work for a few hours, then rush home. There would be times I'd call her just screaming, 'Please come home. I can't get through another minute.' \"\u003c/p>\n\u003cp>Eventually, James found his way to Dr. \u003ca href=\"http://bipolarchild.com/about/authors/\" target=\"_blank\" rel=\"noopener\">Demitri Papolos\u003c/a>, an associate professor of clinical psychiatry at Albert Einstein College of Medicine.\u003c/p>\n\u003cp>\"He was like a whirling dervish when he came into my office,\" Papolos says. \"He was extremely fearful and scanning the environment all the time and he overheated at the drop of a hat.\"\u003c/p>\n\u003cp>Papolos diagnosed James with a variant of bipolar disorder he calls the \"fear of harm phenotype.\" It typically appears in childhood and often doesn't respond to traditional psychiatric drugs.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But Papolos has found that the condition does respond to ketamine. \"It's been transformational,\" he says.\u003c/p>\n\u003cp>In January, Papolos published a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/28866299\">study\u003c/a> of 45 children with the problem. They inhaled a nasal mist containing ketamine about twice a week. Nearly all got dramatically better.\u003c/p>\n\u003cp>Scientists still aren't sure why ketamine works, but there's \u003ca href=\"https://www.npr.org/sections/health-shots/2012/10/04/162299564/ketamine-relieves-depression-by-restoring-brain-connections\" target=\"_blank\" rel=\"noopener\">evidence\u003c/a> that it encourages the brain to rewire, to alter the connections between cells. That process has been linked to recovery from depression. And it may also explain why ketamine helps people who have symptoms associated with several different psychiatric disorders.\u003c/p>\n\u003cp>\"I think it's having multiple effects, and that means it's probably useful for multiple different disorders,\" Teicher says.\u003c/p>\n\u003cp>One of those effects involves a part of the brain involved in temperature regulation. And that could explain why patients like James usually stop overheating once they are taking ketamine.\u003c/p>\n\u003cp>James started taking a ketamine nasal spray every other day. He says his response was dramatic.\u003c/p>\n\u003cp>\"One day I turn to my wife and I'm like, 'I feel calm today. I don't know if it's the sun coming in, I don't know if it's just the way we're sitting here, but I feel like I could go and sit at the computer and work.' \"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The next day, James did sit down at his computer. A month later, he was back at work.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=From+Chaos+To+Calm%3A+A+Life+Changed+By+Ketamine&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442431/from-chaos-to-calm-a-life-changed-by-ketamine","authors":["byline_futureofyou_442431"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1520","futureofyou_592","futureofyou_1226","futureofyou_204"],"collections":["futureofyou_1093","futureofyou_1097"],"featImg":"futureofyou_442432","label":"futureofyou_1097"},"futureofyou_442408":{"type":"posts","id":"futureofyou_442408","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442408","score":null,"sort":[1528393846000]},"guestAuthors":[],"slug":"cdc-says-u-s-suicide-rates-have-climbed-dramatically","title":"CDC Says U.S. Suicide Rates Have Climbed Dramatically","publishDate":1528393846,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Suicide rates have increased in nearly every state over the last two decades, and half of the states have seen suicide rates go up more than 30 percent.[contextly_sidebar id=\"A9fL4YSxBETMe1qdZ5dnjcQFo9ddiBPf\"]\u003c/p>\n\u003cp>Suicide is a major public health issue, accounting for nearly 45,000 deaths in 2016 alone. That's why the Centers for Disease Control and Prevention in Atlanta decided to take a comprehensive look at suicides from 1999 to 2016.\u003c/p>\n\u003cp>\"Suicide in this country really is a problem that is impacted by so many factors. It's not just a mental health concern,\" says \u003ca href=\"https://www.researchgate.net/profile/Deborah_Stone6\" target=\"_blank\" rel=\"noopener\">Deborah Stone\u003c/a>, a behavioral scientist at the CDC and the lead author of the new study. \"There are many different circumstances and factors that contribute to suicide. And so that's one of the things that this study really shows us. It points to the need for a comprehensive approach to prevention.\"\u003c/p>\n\u003cp>She and her colleagues collected data on suicide deaths from all states. In addition, to better understand the circumstances surrounding suicide, they turned to more detailed information collected by 27 states on suicides that occurred in 2015.\u003c/p>\n\u003cp>The rise in suicide rates was highest in the central, northern region of the U.S., with North Dakota, for example, seeing a 57.6 percent increase since 1999. Nevada was the only state that saw no increase, and Delaware saw the smallest increase which was 5.9 percent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The findings are being published in the CDC's \u003cem>Morbidity and Mortality Weekly Report.[contextly_sidebar id=\"W7mWOW1ymDgCsEZ1nDOxImxApsaWP7Mj\"]\u003c/em>\u003c/p>\n\u003cp>Guns were the most common method used for suicide, accounting for almost half of the people who died.\u003c/p>\n\u003cp>Often, the suicide seemed to happen without warning: 54 percent of the people who killed themselves didn't have a previously known mental health issue. \"Instead, these folks were suffering from other issues, such as relationship problems, substance misuse, physical health problems, job or financial problems, and recent crises or things that were coming up in their lives that they were anticipating,\" says Stone.\u003c/p>\n\u003cp>Researchers and advocacy groups who work to prevent suicide say the report shows that much more needs to be done to tackle this growing problem.\u003c/p>\n\u003cp>\"None of this is surprising information, which is not to trivialize its importance. I think it captures a lot of trends that we've been becoming more and more aware of over recent years,\" says psychologist \u003ca href=\"https://www.usm.edu/clinical-psychology/faculty/michael-anestis-phd\" target=\"_blank\" rel=\"noopener\">Michael Anestis\u003c/a> at the University of Southern Mississippi, who researches suicide and is the author of \u003cem>Guns and Suicide: An American Epidemic\u003c/em>.\u003c/p>\n\u003cp>He thinks the general public commonly pictures someone like fashion designer \u003ca href=\"https://www.npr.org/sections/thetwo-way/2018/06/05/617145848/fashion-designer-kate-spade-found-dead-in-apparent-suicide\" target=\"_blank\" rel=\"noopener\">Kate Spade\u003c/a>, who was getting treatment for a long period before killing herself, but that's often not the case.[contextly_sidebar id=\"DJiLLeU2OyVA8kW6VrllWebbJaUGwQhC\"]\u003c/p>\n\u003cp>That means any public health effort to reduce suicides can't solely focus on those who have reached out for help. It has to be paired with measures that would make suicidal people less likely to die even if they never went to see a doctor.\u003c/p>\n\u003cp>The CDC report cites several different approaches that could work, such as working to stabilize housing and teaching coping and problem-solving skills early in life.\u003c/p>\n\u003cp>The report also cites the need to reduce \"access to lethal means,\" but without explicitly mentioning firearms or controversial issues such as gun control legislation. Asked if that was a deliberate omission, because of the political climate surrounding gun control, Stone said that suicide rates have been increasing across all methods.\u003c/p>\n\u003cp>\"So it's not just about firearms, it's also about other methods of suicide such as hanging, suffocation, poisoning and the like,\" she said. \"We are concerned with all aspects of suicide prevention, including access to lethal means, and so we do include that in a comprehensive approach to suicide prevention.\"\u003c/p>\n\u003cp>But Anestis believes that it's important to not beat around the bush when it comes to guns, and to talk about the importance of things like waiting periods for purchase, and storing guns locked and unloaded.\u003c/p>\n\u003cp>\"American suicide is predominantly a firearm issue. Anytime we want to resolve something that involves firearms, we've need to talk about firearms explicitly,\" he says. \"The conversation about firearms and suicide doesn't have to be a debate about the Second Amendment. It could be a debate about where can we find some common ground that doesn't simply involve only talking about people with mental illnesses, because as this paper shows, that's not going to get the job done.\"\u003c/p>\n\u003cp>Research shows that the decision to attempt suicide is often made quickly, in an impulsive way, says \u003ca href=\"https://afsp.org/about-afsp/robert-gebbia/\" target=\"_blank\" rel=\"noopener\">Robert Gebbia\u003c/a>, the head of the American Foundation for Suicide Prevention.\u003c/p>\n\u003cp>\"You may be thinking about it over time, but that moment when you actually make an attempt is a very short window,\" he explains. \"If you could make it harder to make that attempt by not having access to the means, often what happens is the feelings will pass, it gives people time for someone to intervene and get them help, so that is a really important preventative step that can be done. And there's good research to support that.\"\u003c/p>\n\u003cp>Suicide researchers already know a lot of the information in this new report, says Gebbia, \"but the public doesn't. And so a report like this really draws attention to the fact that we need to do a whole lot more to prevent suicide, to save lives.\"\u003c/p>\n\u003cp>He points out, for example, that the nation currently has no federally funded suicide prevention program for adults. \"There are some for youth, but they're very, very tiny,\" says Gebbia. \"We can't expect a major public health problem like this to be addressed unless we see the investment.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC said that people can learn about warning signs of suicide to help people at risk. One resource is the website: \u003ca href=\"http://www.bethe1to.com/\" target=\"_blank\" rel=\"noopener\">www.BeThe1to.com\u003c/a>. To reach the \u003ca href=\"https://suicidepreventionlifeline.org\" target=\"_blank\" rel=\"noopener\">National Suicide Prevention Lifeline\u003c/a>, call 1-800-273-TALK (8255).\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=CDC%3A+U.S.+Suicide+Rates+Have+Climbed+Dramatically&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Guns are the most common method used for suicide, accounting for the deaths of almost half the people who kill themselves, a Centers for Disease Control and Prevention study finds.","status":"publish","parent":0,"modified":1528393846,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1000},"headData":{"title":"CDC Says U.S. Suicide Rates Have Climbed Dramatically | KQED","description":"Guns are the most common method used for suicide, accounting for the deaths of almost half the people who kill themselves, a Centers for Disease Control and Prevention study finds.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"CDC Says U.S. Suicide Rates Have Climbed Dramatically","datePublished":"2018-06-07T17:50:46.000Z","dateModified":"2018-06-07T17:50:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442408 https://ww2.kqed.org/futureofyou/?p=442408","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/07/cdc-says-u-s-suicide-rates-have-climbed-dramatically/","disqusTitle":"CDC Says U.S. Suicide Rates Have Climbed Dramatically","source":"Health","nprByline":"Nell Greenfieldboyce, NPR","nprStoryId":"617897261","nprApiLink":"http://api.npr.org/query?id=617897261&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/07/617897261/cdc-u-s-suicide-rates-have-climbed-dramatically?ft=nprml&f=617897261","nprRetrievedStory":"1","nprPubDate":"Thu, 07 Jun 2018 13:33:00 -0400","nprStoryDate":"Thu, 07 Jun 2018 13:00:00 -0400","nprLastModifiedDate":"Thu, 07 Jun 2018 13:33:35 -0400","path":"/futureofyou/442408/cdc-says-u-s-suicide-rates-have-climbed-dramatically","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Suicide rates have increased in nearly every state over the last two decades, and half of the states have seen suicide rates go up more than 30 percent.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Suicide is a major public health issue, accounting for nearly 45,000 deaths in 2016 alone. That's why the Centers for Disease Control and Prevention in Atlanta decided to take a comprehensive look at suicides from 1999 to 2016.\u003c/p>\n\u003cp>\"Suicide in this country really is a problem that is impacted by so many factors. It's not just a mental health concern,\" says \u003ca href=\"https://www.researchgate.net/profile/Deborah_Stone6\" target=\"_blank\" rel=\"noopener\">Deborah Stone\u003c/a>, a behavioral scientist at the CDC and the lead author of the new study. \"There are many different circumstances and factors that contribute to suicide. And so that's one of the things that this study really shows us. It points to the need for a comprehensive approach to prevention.\"\u003c/p>\n\u003cp>She and her colleagues collected data on suicide deaths from all states. In addition, to better understand the circumstances surrounding suicide, they turned to more detailed information collected by 27 states on suicides that occurred in 2015.\u003c/p>\n\u003cp>The rise in suicide rates was highest in the central, northern region of the U.S., with North Dakota, for example, seeing a 57.6 percent increase since 1999. Nevada was the only state that saw no increase, and Delaware saw the smallest increase which was 5.9 percent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The findings are being published in the CDC's \u003cem>Morbidity and Mortality Weekly Report.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/em>\u003c/p>\n\u003cp>Guns were the most common method used for suicide, accounting for almost half of the people who died.\u003c/p>\n\u003cp>Often, the suicide seemed to happen without warning: 54 percent of the people who killed themselves didn't have a previously known mental health issue. \"Instead, these folks were suffering from other issues, such as relationship problems, substance misuse, physical health problems, job or financial problems, and recent crises or things that were coming up in their lives that they were anticipating,\" says Stone.\u003c/p>\n\u003cp>Researchers and advocacy groups who work to prevent suicide say the report shows that much more needs to be done to tackle this growing problem.\u003c/p>\n\u003cp>\"None of this is surprising information, which is not to trivialize its importance. I think it captures a lot of trends that we've been becoming more and more aware of over recent years,\" says psychologist \u003ca href=\"https://www.usm.edu/clinical-psychology/faculty/michael-anestis-phd\" target=\"_blank\" rel=\"noopener\">Michael Anestis\u003c/a> at the University of Southern Mississippi, who researches suicide and is the author of \u003cem>Guns and Suicide: An American Epidemic\u003c/em>.\u003c/p>\n\u003cp>He thinks the general public commonly pictures someone like fashion designer \u003ca href=\"https://www.npr.org/sections/thetwo-way/2018/06/05/617145848/fashion-designer-kate-spade-found-dead-in-apparent-suicide\" target=\"_blank\" rel=\"noopener\">Kate Spade\u003c/a>, who was getting treatment for a long period before killing herself, but that's often not the case.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>That means any public health effort to reduce suicides can't solely focus on those who have reached out for help. It has to be paired with measures that would make suicidal people less likely to die even if they never went to see a doctor.\u003c/p>\n\u003cp>The CDC report cites several different approaches that could work, such as working to stabilize housing and teaching coping and problem-solving skills early in life.\u003c/p>\n\u003cp>The report also cites the need to reduce \"access to lethal means,\" but without explicitly mentioning firearms or controversial issues such as gun control legislation. Asked if that was a deliberate omission, because of the political climate surrounding gun control, Stone said that suicide rates have been increasing across all methods.\u003c/p>\n\u003cp>\"So it's not just about firearms, it's also about other methods of suicide such as hanging, suffocation, poisoning and the like,\" she said. \"We are concerned with all aspects of suicide prevention, including access to lethal means, and so we do include that in a comprehensive approach to suicide prevention.\"\u003c/p>\n\u003cp>But Anestis believes that it's important to not beat around the bush when it comes to guns, and to talk about the importance of things like waiting periods for purchase, and storing guns locked and unloaded.\u003c/p>\n\u003cp>\"American suicide is predominantly a firearm issue. Anytime we want to resolve something that involves firearms, we've need to talk about firearms explicitly,\" he says. \"The conversation about firearms and suicide doesn't have to be a debate about the Second Amendment. It could be a debate about where can we find some common ground that doesn't simply involve only talking about people with mental illnesses, because as this paper shows, that's not going to get the job done.\"\u003c/p>\n\u003cp>Research shows that the decision to attempt suicide is often made quickly, in an impulsive way, says \u003ca href=\"https://afsp.org/about-afsp/robert-gebbia/\" target=\"_blank\" rel=\"noopener\">Robert Gebbia\u003c/a>, the head of the American Foundation for Suicide Prevention.\u003c/p>\n\u003cp>\"You may be thinking about it over time, but that moment when you actually make an attempt is a very short window,\" he explains. \"If you could make it harder to make that attempt by not having access to the means, often what happens is the feelings will pass, it gives people time for someone to intervene and get them help, so that is a really important preventative step that can be done. And there's good research to support that.\"\u003c/p>\n\u003cp>Suicide researchers already know a lot of the information in this new report, says Gebbia, \"but the public doesn't. And so a report like this really draws attention to the fact that we need to do a whole lot more to prevent suicide, to save lives.\"\u003c/p>\n\u003cp>He points out, for example, that the nation currently has no federally funded suicide prevention program for adults. \"There are some for youth, but they're very, very tiny,\" says Gebbia. \"We can't expect a major public health problem like this to be addressed unless we see the investment.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC said that people can learn about warning signs of suicide to help people at risk. One resource is the website: \u003ca href=\"http://www.bethe1to.com/\" target=\"_blank\" rel=\"noopener\">www.BeThe1to.com\u003c/a>. To reach the \u003ca href=\"https://suicidepreventionlifeline.org\" target=\"_blank\" rel=\"noopener\">National Suicide Prevention Lifeline\u003c/a>, call 1-800-273-TALK (8255).\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=CDC%3A+U.S.+Suicide+Rates+Have+Climbed+Dramatically&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442408/cdc-says-u-s-suicide-rates-have-climbed-dramatically","authors":["byline_futureofyou_442408"],"categories":["futureofyou_1"],"tags":["futureofyou_854","futureofyou_592","futureofyou_851","futureofyou_204","futureofyou_1258"],"featImg":"futureofyou_149565","label":"source_futureofyou_442408"},"futureofyou_439807":{"type":"posts","id":"futureofyou_439807","meta":{"index":"posts_1591205157","site":"futureofyou","id":"439807","score":null,"sort":[1519678900000]},"guestAuthors":[],"slug":"sometimes-you-just-need-a-robot-to-talk-to","title":"Sometimes, You Just Need a Robot to Talk to","publishDate":1519678900,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1096,"site":"futureofyou"},"content":"\u003cp>We spend a lot of time talking to Alexa and Siri. Imagine if such artificial personalities were put inside a cute, adorable robot. That's what Alexander Reben has done. The artist created what he saw as the perfect interview machine to see how much he could get people to reveal to the robot.\u003c/p>\n\u003cp>Reben's experiments with human robot interactions began when he was working on his master's degree in robotics at MIT. He built a robot called \u003ca href=\"http://resenv.media.mit.edu/Boxie/\" target=\"_blank\" rel=\"noopener\">Boxie\u003c/a>. It was made of cardboard, about the size of a microwave oven, and rolled around like a toy tank.[contextly_sidebar id=\"yz0kM6ZG84eg4i4rxTL7lsT0kMn9aLm9\"]\u003c/p>\n\u003cp>If you walked into the lab at MIT, Boxie would approach with its big, round black eyes wide open and ask you for help getting upstairs or going down the hall.\u003c/p>\n\u003cp>Reben wanted to see how many people would help the robot. He wondered, could you build cheaper robots without legs that could get around with help from humans?\u003c/p>\n\u003cp>But, one day, something happened that would change the course of Reben's work.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The robot was just a means to get closer to myself at a really critical moment in my life.'\u003ccite>Judith Helfand\u003c/cite>\u003c/aside>\n\u003cp>It started with a man walking into the lab and Boxie rolling up to greet him. \"I saw him from a distance, laying on the carpet in the middle of the lab talking to this robot on the ground,\" Reben says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The man began to share his troubles with Boxie. He had never been to Boston before and he'd come to take part in the marathon. The man \"just started talking to this thing like it was another person,\" Reben says.\u003c/p>\n\u003cp>The man told the robot that he was supposed to go to Munich, but his flight was canceled because of a volcanic eruption in Iceland.\u003c/p>\n\u003cp>The conversation was a revelation for Reben. He realized that the characteristics that made people want to help Boxie also seduced them into talking with the robot.\u003c/p>\n\u003cp>After all, it was cute and seemed vulnerable.\u003c/p>\n\u003cp>Reben teamed up with another artist and filmmaker, Brent Hoff, to see whether they could design a robot that would make people want to open up. They carved a smile into its face. \"It's the perfect smile. It's kind of a Mona Lisa smile,\" Hoff says. \"It's open and engaging to make sure [it] was as nonjudgmental and nonthreatening as possible.\"[contextly_sidebar id=\"2iIvqmnB8RUBK8Dpjga3ECr8rh8Wtlbk\"]\u003c/p>\n\u003cp>They gave it the sweet voice of Hoff's 8-year-old son. And they taped him asking carefully chosen questions. \"There was some consideration of what are the deepest, most important questions we have as people,\" Hoff says.\u003c/p>\n\u003cp>It asked things like, \"Who do you love most in the world?\" or \"If you could give someone any gift, what would it be?\"\u003c/p>\n\u003cp>And it had a camera and a recorder inside it to catch the answers. They called the new robot \u003ca href=\"http://areben.com/project/blabdroid/\" target=\"_blank\" rel=\"noopener\">BlabDroid\u003c/a>.\u003c/p>\n\u003cp>\"The idea,\" says Hoff, \"is that there is not as much judgment in a robot asking you a question as a journalist\" would.\u003c/p>\n\u003cp>Hoff says he doesn't know for sure whether that's true, but he wanted to find out. And so did I.\u003c/p>\n\u003cp>We set up a loose experiment. I would ask people the same questions as BlabDroid and — like the robot — there wouldn't be any follow-up questions. We tried the experiment a few times: once at an art opening and once at the Exploratorium, a science museum in San Francisco; we also listened to responses BlabDroid had collected at the Tribeca Film Festival in New York City.\u003c/p>\n\u003cp>You can click on the audio below to listen to the two examples. Try to guess whether the person was talking to me or the robot before you read further.\u003cbr>\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/583682556/588054239\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/583682556/588055297\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\nThe first one is Nate Mazur, who was asked, \"Who do you love most in the world?\" He replies, \"My wife.\" Mazur opens up about the wonders of their relationship. He says he loves her most because of his \"ability to be with her, to be present with her. To respond and interact. ... She makes this a better world,\" he says.\u003c/p>\n\u003cp>The second example was Judith Helfand. She was asked, \"If you could give someone any gift, what would it be?\" She broke into tears as she spoke about her dying mother.\u003c/p>\n\u003cp>\"I would give my mother the gift of not worrying about me before she dies,\" Helfand says. \"She wants me to lose a ton of weight and get really, really healthy. And she needs to see that before she dies ... and I wish I could give her that and I'm not positive I can.\"\u003c/p>\n\u003cp>Both the answers are sincere and from the heart. Mazur spoke to me and Helfand was talking to BlabDroid.\u003c/p>\n\u003cp>Helfand found something satisfying about talking to the machine. \"The robot was just a means to get closer to myself at a really critical moment in my life,\" she says.\u003c/p>\n\u003cp>It's been over two years since her mother died. Helfand lost the weight, but she is struggling with her career. She thinks the robot would be helpful. \"Mediation really isn't really working for me,\" Helfand says. \"I can't seem to find the courage to sit and write down what my future plans are so that I can make them really happen.\"[contextly_sidebar id=\"0QqjSUSqTOgQ0iX4yALrApbCEjnw9Xay\"]\u003c/p>\n\u003cp>I asked \u003ca href=\"https://www.npr.org/2012/10/18/163098594/in-constant-digital-contact-we-feel-alone-together\" target=\"_blank\" rel=\"noopener\">Sherry Turkle\u003c/a>, a professor of science and technology at MIT, to listen to the responses. She couldn't tell whether people were talking to BlabDroid or me. Turkle has been studying human-machine relationships for decades.\u003c/p>\n\u003cp>She says it really doesn't take much to get humans to open up to a robot. \"We are kind of cheap dates,\" she says.\u003c/p>\n\u003cp>BlabDroid — with its sweet voice, Mona Lisa smile and probing questions — is \"pushing in us a kind of Darwinian button,\" Turkle says.\u003c/p>\n\u003cp>She says robots don't even have to be cute. In her research she found a child who vented to Apple's Siri on an iPhone. Turkle says the child would vent on the phone about her anger toward her sister and her parents \"because, in person, she tries to always play the good daughter.\"\u003c/p>\n\u003cp>Turkle says over time, the child wasn't happy.\u003c/p>\n\u003cp>\"There was almost a feeling of abandonment,\" Turkle says. \"There's no place they can go after they get the confession.\" She says robots can't offer certain very human things — like care, conversation and empathy. \"And the robot cannot do that because the robot has not had a life,\" she says.\u003c/p>\n\u003cp>The science-fiction author William Gibson once said, \"The future is already here; it's just not very evenly distributed yet.\" In Japan, robots are being used to \u003ca href=\"https://www.economist.com/news/business/21731677-around-5000-nursing-care-homes-across-country-are-testing-robots-japan-embracing\" target=\"_blank\" rel=\"noopener\">care for the elderly\u003c/a>. Men are having relationships with virtual women who exist only in a portable video game — even taking them out on dates. An American company has created \u003ca href=\"http://www.latimes.com/travel/la-tr-vegas-tipsy-robot-bar-20170704-story.html\" target=\"_blank\" rel=\"noopener\">robot bartenders\u003c/a>. In the future, perhaps they will listen to our problems.\u003c/p>\n\u003cp>Reben knows there is a downside to social robots. But he also sees a place for them in the future. He thinks a cute robot might do a better job of getting people to answer survey questions or talk about embarrassing symptoms before seeing a doctor. Reben says \"people tend to be more honest because they don't feel embarrassed telling that to something that's not human.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>As an artist, what Reben hopes to accomplish with BlabDroid is to force us to think about the implications of bringing more robots into our society knowing full well that they are coming.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit\u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\"> http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Sometimes+We+Feel+More+Comfortable+Talking+To+A+Robot&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"An artist created a robot named BlabDroid to see if it could fulfill our deep need for companionship. ","status":"publish","parent":0,"modified":1519750638,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1287},"headData":{"title":"Sometimes, You Just Need a Robot to Talk to | KQED","description":"An artist created a robot named BlabDroid to see if it could fulfill our deep need for companionship. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Sometimes, You Just Need a Robot to Talk to","datePublished":"2018-02-26T21:01:40.000Z","dateModified":"2018-02-27T16:57:18.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"439807 https://ww2.kqed.org/futureofyou/?p=439807","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/02/26/sometimes-you-just-need-a-robot-to-talk-to/","disqusTitle":"Sometimes, You Just Need a Robot to Talk to","nprByline":"Laura Sydell\u003cbr />NPR All Tech Considered","nprImageAgency":"Jenn Liv for NPR","nprStoryId":"583682556","nprApiLink":"http://api.npr.org/query?id=583682556&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/alltechconsidered/2018/02/24/583682556/sometimes-we-feel-more-comfortable-talking-to-a-robot?ft=nprml&f=583682556","nprRetrievedStory":"1","nprPubDate":"Mon, 26 Feb 2018 09:45:00 -0500","nprStoryDate":"Sat, 24 Feb 2018 08:08:02 -0500","nprLastModifiedDate":"Mon, 26 Feb 2018 09:45:52 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/wesat/2018/02/20180224_wesat_sometimes_we_feel_more_comfortable_talking_to_a_robot.mp3?orgId=1&topicId=1019&aggIds=587233380&d=454&p=7&story=583682556&ft=nprml&f=583682556","nprAudioM3u":"http://api.npr.org/m3u/1588500161-678695.m3u?orgId=1&topicId=1019&aggIds=587233380&d=454&p=7&story=583682556&ft=nprml&f=583682556","path":"/futureofyou/439807/sometimes-you-just-need-a-robot-to-talk-to","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/wesat/2018/02/20180224_wesat_sometimes_we_feel_more_comfortable_talking_to_a_robot.mp3?orgId=1&topicId=1019&aggIds=587233380&d=454&p=7&story=583682556&ft=nprml&f=583682556","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>We spend a lot of time talking to Alexa and Siri. Imagine if such artificial personalities were put inside a cute, adorable robot. That's what Alexander Reben has done. The artist created what he saw as the perfect interview machine to see how much he could get people to reveal to the robot.\u003c/p>\n\u003cp>Reben's experiments with human robot interactions began when he was working on his master's degree in robotics at MIT. He built a robot called \u003ca href=\"http://resenv.media.mit.edu/Boxie/\" target=\"_blank\" rel=\"noopener\">Boxie\u003c/a>. It was made of cardboard, about the size of a microwave oven, and rolled around like a toy tank.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>If you walked into the lab at MIT, Boxie would approach with its big, round black eyes wide open and ask you for help getting upstairs or going down the hall.\u003c/p>\n\u003cp>Reben wanted to see how many people would help the robot. He wondered, could you build cheaper robots without legs that could get around with help from humans?\u003c/p>\n\u003cp>But, one day, something happened that would change the course of Reben's work.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The robot was just a means to get closer to myself at a really critical moment in my life.'\u003ccite>Judith Helfand\u003c/cite>\u003c/aside>\n\u003cp>It started with a man walking into the lab and Boxie rolling up to greet him. \"I saw him from a distance, laying on the carpet in the middle of the lab talking to this robot on the ground,\" Reben says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The man began to share his troubles with Boxie. He had never been to Boston before and he'd come to take part in the marathon. The man \"just started talking to this thing like it was another person,\" Reben says.\u003c/p>\n\u003cp>The man told the robot that he was supposed to go to Munich, but his flight was canceled because of a volcanic eruption in Iceland.\u003c/p>\n\u003cp>The conversation was a revelation for Reben. He realized that the characteristics that made people want to help Boxie also seduced them into talking with the robot.\u003c/p>\n\u003cp>After all, it was cute and seemed vulnerable.\u003c/p>\n\u003cp>Reben teamed up with another artist and filmmaker, Brent Hoff, to see whether they could design a robot that would make people want to open up. They carved a smile into its face. \"It's the perfect smile. It's kind of a Mona Lisa smile,\" Hoff says. \"It's open and engaging to make sure [it] was as nonjudgmental and nonthreatening as possible.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>They gave it the sweet voice of Hoff's 8-year-old son. And they taped him asking carefully chosen questions. \"There was some consideration of what are the deepest, most important questions we have as people,\" Hoff says.\u003c/p>\n\u003cp>It asked things like, \"Who do you love most in the world?\" or \"If you could give someone any gift, what would it be?\"\u003c/p>\n\u003cp>And it had a camera and a recorder inside it to catch the answers. They called the new robot \u003ca href=\"http://areben.com/project/blabdroid/\" target=\"_blank\" rel=\"noopener\">BlabDroid\u003c/a>.\u003c/p>\n\u003cp>\"The idea,\" says Hoff, \"is that there is not as much judgment in a robot asking you a question as a journalist\" would.\u003c/p>\n\u003cp>Hoff says he doesn't know for sure whether that's true, but he wanted to find out. And so did I.\u003c/p>\n\u003cp>We set up a loose experiment. I would ask people the same questions as BlabDroid and — like the robot — there wouldn't be any follow-up questions. We tried the experiment a few times: once at an art opening and once at the Exploratorium, a science museum in San Francisco; we also listened to responses BlabDroid had collected at the Tribeca Film Festival in New York City.\u003c/p>\n\u003cp>You can click on the audio below to listen to the two examples. Try to guess whether the person was talking to me or the robot before you read further.\u003cbr>\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/583682556/588054239\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/583682556/588055297\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\nThe first one is Nate Mazur, who was asked, \"Who do you love most in the world?\" He replies, \"My wife.\" Mazur opens up about the wonders of their relationship. He says he loves her most because of his \"ability to be with her, to be present with her. To respond and interact. ... She makes this a better world,\" he says.\u003c/p>\n\u003cp>The second example was Judith Helfand. She was asked, \"If you could give someone any gift, what would it be?\" She broke into tears as she spoke about her dying mother.\u003c/p>\n\u003cp>\"I would give my mother the gift of not worrying about me before she dies,\" Helfand says. \"She wants me to lose a ton of weight and get really, really healthy. And she needs to see that before she dies ... and I wish I could give her that and I'm not positive I can.\"\u003c/p>\n\u003cp>Both the answers are sincere and from the heart. Mazur spoke to me and Helfand was talking to BlabDroid.\u003c/p>\n\u003cp>Helfand found something satisfying about talking to the machine. \"The robot was just a means to get closer to myself at a really critical moment in my life,\" she says.\u003c/p>\n\u003cp>It's been over two years since her mother died. Helfand lost the weight, but she is struggling with her career. She thinks the robot would be helpful. \"Mediation really isn't really working for me,\" Helfand says. \"I can't seem to find the courage to sit and write down what my future plans are so that I can make them really happen.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>I asked \u003ca href=\"https://www.npr.org/2012/10/18/163098594/in-constant-digital-contact-we-feel-alone-together\" target=\"_blank\" rel=\"noopener\">Sherry Turkle\u003c/a>, a professor of science and technology at MIT, to listen to the responses. She couldn't tell whether people were talking to BlabDroid or me. Turkle has been studying human-machine relationships for decades.\u003c/p>\n\u003cp>She says it really doesn't take much to get humans to open up to a robot. \"We are kind of cheap dates,\" she says.\u003c/p>\n\u003cp>BlabDroid — with its sweet voice, Mona Lisa smile and probing questions — is \"pushing in us a kind of Darwinian button,\" Turkle says.\u003c/p>\n\u003cp>She says robots don't even have to be cute. In her research she found a child who vented to Apple's Siri on an iPhone. Turkle says the child would vent on the phone about her anger toward her sister and her parents \"because, in person, she tries to always play the good daughter.\"\u003c/p>\n\u003cp>Turkle says over time, the child wasn't happy.\u003c/p>\n\u003cp>\"There was almost a feeling of abandonment,\" Turkle says. \"There's no place they can go after they get the confession.\" She says robots can't offer certain very human things — like care, conversation and empathy. \"And the robot cannot do that because the robot has not had a life,\" she says.\u003c/p>\n\u003cp>The science-fiction author William Gibson once said, \"The future is already here; it's just not very evenly distributed yet.\" In Japan, robots are being used to \u003ca href=\"https://www.economist.com/news/business/21731677-around-5000-nursing-care-homes-across-country-are-testing-robots-japan-embracing\" target=\"_blank\" rel=\"noopener\">care for the elderly\u003c/a>. Men are having relationships with virtual women who exist only in a portable video game — even taking them out on dates. An American company has created \u003ca href=\"http://www.latimes.com/travel/la-tr-vegas-tipsy-robot-bar-20170704-story.html\" target=\"_blank\" rel=\"noopener\">robot bartenders\u003c/a>. In the future, perhaps they will listen to our problems.\u003c/p>\n\u003cp>Reben knows there is a downside to social robots. But he also sees a place for them in the future. He thinks a cute robot might do a better job of getting people to answer survey questions or talk about embarrassing symptoms before seeing a doctor. Reben says \"people tend to be more honest because they don't feel embarrassed telling that to something that's not human.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As an artist, what Reben hopes to accomplish with BlabDroid is to force us to think about the implications of bringing more robots into our society knowing full well that they are coming.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit\u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\"> http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Sometimes+We+Feel+More+Comfortable+Talking+To+A+Robot&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/439807/sometimes-you-just-need-a-robot-to-talk-to","authors":["byline_futureofyou_439807"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73","futureofyou_1061"],"tags":["futureofyou_592","futureofyou_190","futureofyou_204","futureofyou_722","futureofyou_35"],"collections":["futureofyou_1093","futureofyou_1096"],"featImg":"futureofyou_439831","label":"futureofyou_1096"},"futureofyou_439794":{"type":"posts","id":"futureofyou_439794","meta":{"index":"posts_1591205157","site":"futureofyou","id":"439794","score":null,"sort":[1519675376000]},"guestAuthors":[],"slug":"leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression","title":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression","publishDate":1519675376,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1093,"site":"futureofyou"},"content":"\u003cp>Only about 50 percent of adolescents with depression \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/11430842\" target=\"_blank\" rel=\"noopener\">get diagnosed\u003c/a> before reaching adulthood. And as many as 2 in 3 depressed teens don't get the care that could help them.\u003c/p>\n\u003cp>\"It's a huge problem,\" says \u003ca href=\"https://www.columbiapsychiatry.org/profile/rachel-zuckerbrot-md\" target=\"_blank\" rel=\"noopener\">Dr. Rachel Zuckerbrot\u003c/a>, a board-certified child and adolescent psychiatrist and associate professor at Columbia University.[contextly_sidebar id=\"efpc6ttGwJCppmSgRyb1Z8vZfGFJ86rV\"]\u003c/p>\n\u003cp>To address this divide, the American Academy of Pediatrics has\u003ca href=\"http://pediatrics.aappublications.org/content/pediatrics/120/5/e1299.full.pdf?ck=nck\"> issued\u003c/a> updated guidelines this week that call for universal screening for depression.\u003c/p>\n\u003cp>\"What we're endorsing is that everyone, 12 and up, be screened ... at least once a year,\" Zuckerbrot says. The screening, she says, could be done during a well-visit, a sports' physical or during another office visit.\u003c/p>\n\u003cp>Zuckerbrot helped write the guidelines, which have been in development for a while. The U.S. Preventive Services Task Force also \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-children-and-adolescents-screening1\">recommends\u003c/a> depression screening, and many pediatricians have already woven the screenings into their practices.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Teenagers are often more honest when they're not looking somebody in the face who's asking questions,\" about their emotional health Zuckerbrot says. So, most pediatricians use a self-reported questionnaire that teens fill out themselves, either on an electronic device or on paper.[contextly_sidebar id=\"EqP0dmqjnqMOlo0gJdMgB0IK322g3bSk\"]\u003c/p>\n\u003cp>\"It's an opportunity for the adolescent to answer questions about themselves privately,\" she says.\u003c/p>\n\u003cp>The questionnaires contain a range of questions. For instance, one version, \u003ca href=\"http://www.cqaimh.org/pdf/tool_phq2.pdf\">asks\u003c/a>: 'Over the past two weeks, how often have you been bothered by any of the following problems: feeling down, depressed or hopeless? Or, little interest or pleasure in doing things?' Teens are also asked questions such as, 'Are you having difficulty with sleep, either too much or too little?' 'Any problems with eating?'\u003c/p>\n\u003cp>The new recommendations also call for families with a depressed teen to develop a safety plan to restrict the young person's access to lethal means of harm. Suicide is a leading cause of death for children aged 10 to 17, and \"adolescent suicide risk is strongly associated with firearm availability,\" \u003ca href=\"http://pediatrics.aappublications.org/content/130/5/e1416.full\" target=\"_blank\" rel=\"noopener\">according\u003c/a> to an AAP report.\u003c/p>\n\u003cp>There's growing awareness in the U.S. of the need for young people to have good access to mental health care\u003cstrong>, \u003c/strong>says \u003ca href=\"https://www.linkedin.com/in/douglas-newton-md-mph-99544a109\" target=\"_blank\" rel=\"noopener\">Dr. Doug Newton\u003c/a>, a child psychiatrist at Kaiser Permanente in Colorado. \"As a nation this has become part of the dialogue; it increasing\"\u003c/p>\n\u003cp>\"People are aware of what's happening in our schools and the importance of mental health,\" Newton says. Kaiser Permanente has a stigma-reduction campaign called\u003ca href=\"https://share.kaiserpermanente.org/article/find-your-words-to-fight-stigma-around-depression/\" target=\"_blank\" rel=\"noopener\"> Find Your Words\u003c/a>.\u003c/p>\n\u003cp>\"Stigma is a huge challenge,\" he says, \"specifically for adolescents. Often times they're not coming in to get help because of the stigma attached.\"\u003c/p>\n\u003cp>It's not easy to talk about depression, yet the problem is fairly common. During the teenage years, there's about a 20 percent [chance] of having depression or anxiety, research suggests.\u003c/p>\n\u003cp>\"It's highly prevalent,\" Newton says. The goal of the \"Find Your Words\" campaign is to help make depression easier for everyone to talk about.\u003c/p>\n\u003cp>Another challenge to diagnosis is that families often don't detect depression, or they confuse it for something else.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Sometimes teens are acting out or misbehaving,\" Zuckerbrot says. They're seen as being hostile or bad. \"When, instead, they're really suffering from depression.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pediatricians+Call+For+Universal+Depression+Screening+For+Teens&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"The nation's top group of pediatricians has updated its guidelines for tackling teen mental health.","status":"publish","parent":0,"modified":1519675376,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":549},"headData":{"title":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression | KQED","description":"The nation's top group of pediatricians has updated its guidelines for tackling teen mental health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression","datePublished":"2018-02-26T20:02:56.000Z","dateModified":"2018-02-26T20:02:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"439794 https://ww2.kqed.org/futureofyou/?p=439794","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/02/26/leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression/","disqusTitle":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression","nprImageCredit":"Johner Bildbyra","nprByline":"Allison Aubrey\u003cbr />NPR Shots","nprImageAgency":"Getty Images","nprStoryId":"588334959","nprApiLink":"http://api.npr.org/query?id=588334959&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/02/26/588334959/pediatrians-call-for-universal-depression-screening-for-teens?ft=nprml&f=588334959","nprRetrievedStory":"1","nprPubDate":"Mon, 26 Feb 2018 09:57:00 -0500","nprStoryDate":"Mon, 26 Feb 2018 00:03:00 -0500","nprLastModifiedDate":"Mon, 26 Feb 2018 05:56:42 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/02/20180226_me_pediatricians_call_for_universal_depression_screening_for_teens.mp3?orgId=1&topicId=1128&d=144&p=3&story=588334959&ft=nprml&f=588334959","nprAudioM3u":"http://api.npr.org/m3u/1588776322-f5b332.m3u?orgId=1&topicId=1128&d=144&p=3&story=588334959&ft=nprml&f=588334959","path":"/futureofyou/439794/leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/02/20180226_me_pediatricians_call_for_universal_depression_screening_for_teens.mp3?orgId=1&topicId=1128&d=144&p=3&story=588334959&ft=nprml&f=588334959","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Only about 50 percent of adolescents with depression \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/11430842\" target=\"_blank\" rel=\"noopener\">get diagnosed\u003c/a> before reaching adulthood. And as many as 2 in 3 depressed teens don't get the care that could help them.\u003c/p>\n\u003cp>\"It's a huge problem,\" says \u003ca href=\"https://www.columbiapsychiatry.org/profile/rachel-zuckerbrot-md\" target=\"_blank\" rel=\"noopener\">Dr. Rachel Zuckerbrot\u003c/a>, a board-certified child and adolescent psychiatrist and associate professor at Columbia University.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>To address this divide, the American Academy of Pediatrics has\u003ca href=\"http://pediatrics.aappublications.org/content/pediatrics/120/5/e1299.full.pdf?ck=nck\"> issued\u003c/a> updated guidelines this week that call for universal screening for depression.\u003c/p>\n\u003cp>\"What we're endorsing is that everyone, 12 and up, be screened ... at least once a year,\" Zuckerbrot says. The screening, she says, could be done during a well-visit, a sports' physical or during another office visit.\u003c/p>\n\u003cp>Zuckerbrot helped write the guidelines, which have been in development for a while. The U.S. Preventive Services Task Force also \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-children-and-adolescents-screening1\">recommends\u003c/a> depression screening, and many pediatricians have already woven the screenings into their practices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Teenagers are often more honest when they're not looking somebody in the face who's asking questions,\" about their emotional health Zuckerbrot says. So, most pediatricians use a self-reported questionnaire that teens fill out themselves, either on an electronic device or on paper.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"It's an opportunity for the adolescent to answer questions about themselves privately,\" she says.\u003c/p>\n\u003cp>The questionnaires contain a range of questions. For instance, one version, \u003ca href=\"http://www.cqaimh.org/pdf/tool_phq2.pdf\">asks\u003c/a>: 'Over the past two weeks, how often have you been bothered by any of the following problems: feeling down, depressed or hopeless? Or, little interest or pleasure in doing things?' Teens are also asked questions such as, 'Are you having difficulty with sleep, either too much or too little?' 'Any problems with eating?'\u003c/p>\n\u003cp>The new recommendations also call for families with a depressed teen to develop a safety plan to restrict the young person's access to lethal means of harm. Suicide is a leading cause of death for children aged 10 to 17, and \"adolescent suicide risk is strongly associated with firearm availability,\" \u003ca href=\"http://pediatrics.aappublications.org/content/130/5/e1416.full\" target=\"_blank\" rel=\"noopener\">according\u003c/a> to an AAP report.\u003c/p>\n\u003cp>There's growing awareness in the U.S. of the need for young people to have good access to mental health care\u003cstrong>, \u003c/strong>says \u003ca href=\"https://www.linkedin.com/in/douglas-newton-md-mph-99544a109\" target=\"_blank\" rel=\"noopener\">Dr. Doug Newton\u003c/a>, a child psychiatrist at Kaiser Permanente in Colorado. \"As a nation this has become part of the dialogue; it increasing\"\u003c/p>\n\u003cp>\"People are aware of what's happening in our schools and the importance of mental health,\" Newton says. Kaiser Permanente has a stigma-reduction campaign called\u003ca href=\"https://share.kaiserpermanente.org/article/find-your-words-to-fight-stigma-around-depression/\" target=\"_blank\" rel=\"noopener\"> Find Your Words\u003c/a>.\u003c/p>\n\u003cp>\"Stigma is a huge challenge,\" he says, \"specifically for adolescents. Often times they're not coming in to get help because of the stigma attached.\"\u003c/p>\n\u003cp>It's not easy to talk about depression, yet the problem is fairly common. During the teenage years, there's about a 20 percent [chance] of having depression or anxiety, research suggests.\u003c/p>\n\u003cp>\"It's highly prevalent,\" Newton says. The goal of the \"Find Your Words\" campaign is to help make depression easier for everyone to talk about.\u003c/p>\n\u003cp>Another challenge to diagnosis is that families often don't detect depression, or they confuse it for something else.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Sometimes teens are acting out or misbehaving,\" Zuckerbrot says. They're seen as being hostile or bad. \"When, instead, they're really suffering from depression.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pediatricians+Call+For+Universal+Depression+Screening+For+Teens&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/439794/leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression","authors":["byline_futureofyou_439794"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_592","futureofyou_204","futureofyou_1258","futureofyou_872"],"collections":["futureofyou_1093"],"featImg":"futureofyou_439795","label":"futureofyou_1093"},"futureofyou_438069":{"type":"posts","id":"futureofyou_438069","meta":{"index":"posts_1591205157","site":"futureofyou","id":"438069","score":null,"sort":[1514486358000]},"guestAuthors":[],"slug":"feeling-blue-around-the-holidays-youre-not-alone","title":"Feeling Blue Around the Holidays? You're Not Alone","publishDate":1514486358,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>This time of the year brings a lot of changes to the usual day-to-day life of hundreds of millions of people: The weather is colder, trees are naked, snowy days become plentiful and friendly critters are less visible around the neighborhood. Especially in the Western Hemisphere, this time of the year is also linked to a lot of joyous celebrations and traditions. Most children and many adults have been excited for this time of the year to come for months, and they love the aura of celebrations, with their gatherings, gifts, cookies, emails and cards.\u003c/p>\n\u003caside class=\"pullquote alignright\">While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting.\u003c/aside>\n\u003cp>Alas, there are also millions who have to deal with darker emotions as the world literally darkens around them.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.psychologytoday.com/blog/evidence-based-living/201712/what-we-know-about-the-holiday-blues\" target=\"_blank\" rel=\"noopener\">holiday blues\u003c/a> – that feeling of being in a lower or more anxious mood amid the significant change in our environment and the multitude of stressors that the holidays can bring – is a phenomenon that is yet to be researched thoroughly. However, as academic psychiatrists and neuroscience researchers, we have seen how several factors contribute to this experience.\u003c/p>\n\u003cp>\u003cstrong>Why feel blue in the red and green season?\u003c/strong>\u003c/p>\n\u003cp>There are many reasons to feel stressed or even downright overwhelmed during this time of year, in addition to the expectations set around us.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"2WRTWL17rLowdkqqZ0Ov6Hyxeef7nWVh\"]Memories of holidays past, either fond or sad, can create a sense of loss this time of year. We may find ourselves missing people who are no longer with us, and carrying on the same traditions without them can be a strong reminder of their absence.\u003c/p>\n\u003cp>The sense of burden or obligation, both socially or financially, can be significant. We can get caught up in the commercial aspects of gift giving, wanting to find that perfect item for family and friends. Many set their sights on special gifts, and we often can feel stretched thin trying to find a balance between making our loved ones happy and keeping our bank accounts from being in the black.\u003c/p>\n\u003cp>It’s also a time for gathering with those close to us, which can stir up many emotions, both good and bad. Some may find themselves away from or without close connections and end up isolated and withdrawn, further disconnected from others. On the other hand, many people find themselves feeling overwhelmed by the combination of potlucks and Secret Santas stacking up through multiple invitations, be it at school, work, or from friends and family – leaving us with the difficult position of not wanting to disappoint others, while not getting totally depleted by all the constant socializing.\u003c/p>\n\u003cp>\u003cstrong>Great expectations\u003c/strong>\u003c/p>\n\u003cp>[contextly_sidebar id=\"A4J6sCzzeaq033SaQDb2urG0j3Nl9TdB\"]People often feel disappointed when reality does not meet expectations. The larger the mismatch, the worse the negative feelings. One of us (Arash) often finds himself telling his patients: Childhood fairy tales can set an unrealistic bar in our minds about life. I wish we were told more real stories, taking the bad with the good, as we would get hurt less when faced with difficult realities of life, and learn how to especially appreciate our good fortunes.\u003c/p>\n\u003cp>These days viewers are showered with Christmas and New Year’s Eve movies, almost all of which sound and feel like fairy tales. People get married, get rich, fall in love or reconnect with their loved ones. Even unhappy events within “A Christmas Carol” conclude with a happy ending. These all, besides exposure to only happy moments and beautiful gifts (courtesy of Santa), dazzling Christmas decorations, and picturesque family scenes on social media, often set an unrealistic expectation for how this time of the year “should” feel.\u003c/p>\n\u003cp>Reality is different, though, and at its best is not always as colorful. There may be disagreements about hows, wheres, whats and whos of the celebration, and not all family members, friends and relatives get along well at parties. And as we feel lonelier, we may find ourselves spending more time immersed in TV and social media, leading to more exposure to unrealistic views of the holidays and feeling all the worse about our situation.\u003c/p>\n\u003cp>\u003cstrong>When is blue a red flag?\u003c/strong>\u003c/p>\n\u003cp>While many experience the more transient “holiday blues” this time of year, it is important not to miss more serious conditions like seasonal mood changes, which in its most severe case leads to clinical depression, including \u003ca href=\"https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml\" target=\"_blank\" rel=\"noopener\">Seasonal Affective Disorder\u003c/a>. SAD consists of episodes of depression or a worsening of existing depression during the late fall and early winter. The person may feel depressed and hopeless, or they may find it difficult to focus, sleep, or be motivated – they can even feel suicidal. As our emotions can color our thoughts and memories, a depressed person may remember more negative memories, have a more negative perception and interpretation of the events, and feel upset about the holidays.\u003c/p>\n\u003cp>In such cases, the sadness is “coincident” with the holidays and not caused solely by its circumstances. It is important to seek professional help with SAD, as we have effective treatments available, such as medications and \u003ca href=\"https://www.mayoclinic.org/tests-procedures/light-therapy/about/pac-20384604\" target=\"_blank\" rel=\"noopener\">light therapy\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>What to do to minimize the blues?\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Set realistic expectations: One readily available strategy is simply reframing the beliefs we have about what the holidays “should” be like. Not all parties will go perfectly. Some decorations may break, or kids may wake up grumpy or not be exhilarated by their gifts – but it doesn’t have to stop us from enjoying all the good moments.\u003c/li>\n\u003cli>Set firm boundaries: Too many invitations to social events? Too many financial demands? Set clear limits about what you are able and willing to do, whether that means declining some social events and setting your own limit on spending this year, focusing more on meaningful experiences over expense. This can be spending time with loved ones or getting creative with homemade gifts.\u003c/li>\n\u003cli>Feeling alone? There are many ways to steer clear of isolating this time of year. Reaching out to friends, volunteering at animal shelters, local charities or attending community meetups or religious events can be a great way to stay connected while also bringing happiness to ourselves and others.\u003c/li>\n\u003cli>Making new memories: Starting a new tradition, either solo or with loved ones, can help create fond new memories of the holidays, no longer overshadowed by the past.\u003c/li>\n\u003cli>Take care of yourself: It’s important to remember the value of self-care, including eating and drinking in moderation (as alcohol can worsen a depressed mood), exercising (even a short walk), and treating yourself this holiday season by doing something you enjoy.\u003c/li>\n\u003c/ul>\n\u003cp>While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting. It also impairs daily functioning. For these symptoms it is often helpful and necessary to seek professional help. This can consist of counseling or use of medications, or both, to help treat symptoms.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Linda Saab is an Assistant Professor of Psychiatry at Wayne State University. Arash Javanbakht is an Assistant Professor of Psychiatry at Wayne State University. This article was originally published in \u003ca href=\"http://theconversation.com/\">The Conversation\u003c/a> on Nov. 21, 2017. Read the \u003ca href=\"https://theconversation.com/what-psychiatrists-have-to-say-about-holiday-blues-89210\">original article\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Two psychiatrists explain why people feel blue during this time and share tips for how to take care.","status":"publish","parent":0,"modified":1514585619,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":1234},"headData":{"title":"Feeling Blue Around the Holidays? You're Not Alone | KQED","description":"Two psychiatrists explain why people feel blue during this time and share tips for how to take care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Feeling Blue Around the Holidays? You're Not Alone","datePublished":"2017-12-28T18:39:18.000Z","dateModified":"2017-12-29T22:13:39.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"438069 https://ww2.kqed.org/futureofyou/?p=438069","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/12/28/feeling-blue-around-the-holidays-youre-not-alone/","disqusTitle":"Feeling Blue Around the Holidays? You're Not Alone","nprByline":"Linda Saab\u003c/br>The Conversation","path":"/futureofyou/438069/feeling-blue-around-the-holidays-youre-not-alone","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>This time of the year brings a lot of changes to the usual day-to-day life of hundreds of millions of people: The weather is colder, trees are naked, snowy days become plentiful and friendly critters are less visible around the neighborhood. Especially in the Western Hemisphere, this time of the year is also linked to a lot of joyous celebrations and traditions. Most children and many adults have been excited for this time of the year to come for months, and they love the aura of celebrations, with their gatherings, gifts, cookies, emails and cards.\u003c/p>\n\u003caside class=\"pullquote alignright\">While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting.\u003c/aside>\n\u003cp>Alas, there are also millions who have to deal with darker emotions as the world literally darkens around them.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.psychologytoday.com/blog/evidence-based-living/201712/what-we-know-about-the-holiday-blues\" target=\"_blank\" rel=\"noopener\">holiday blues\u003c/a> – that feeling of being in a lower or more anxious mood amid the significant change in our environment and the multitude of stressors that the holidays can bring – is a phenomenon that is yet to be researched thoroughly. However, as academic psychiatrists and neuroscience researchers, we have seen how several factors contribute to this experience.\u003c/p>\n\u003cp>\u003cstrong>Why feel blue in the red and green season?\u003c/strong>\u003c/p>\n\u003cp>There are many reasons to feel stressed or even downright overwhelmed during this time of year, in addition to the expectations set around us.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Memories of holidays past, either fond or sad, can create a sense of loss this time of year. We may find ourselves missing people who are no longer with us, and carrying on the same traditions without them can be a strong reminder of their absence.\u003c/p>\n\u003cp>The sense of burden or obligation, both socially or financially, can be significant. We can get caught up in the commercial aspects of gift giving, wanting to find that perfect item for family and friends. Many set their sights on special gifts, and we often can feel stretched thin trying to find a balance between making our loved ones happy and keeping our bank accounts from being in the black.\u003c/p>\n\u003cp>It’s also a time for gathering with those close to us, which can stir up many emotions, both good and bad. Some may find themselves away from or without close connections and end up isolated and withdrawn, further disconnected from others. On the other hand, many people find themselves feeling overwhelmed by the combination of potlucks and Secret Santas stacking up through multiple invitations, be it at school, work, or from friends and family – leaving us with the difficult position of not wanting to disappoint others, while not getting totally depleted by all the constant socializing.\u003c/p>\n\u003cp>\u003cstrong>Great expectations\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>People often feel disappointed when reality does not meet expectations. The larger the mismatch, the worse the negative feelings. One of us (Arash) often finds himself telling his patients: Childhood fairy tales can set an unrealistic bar in our minds about life. I wish we were told more real stories, taking the bad with the good, as we would get hurt less when faced with difficult realities of life, and learn how to especially appreciate our good fortunes.\u003c/p>\n\u003cp>These days viewers are showered with Christmas and New Year’s Eve movies, almost all of which sound and feel like fairy tales. People get married, get rich, fall in love or reconnect with their loved ones. Even unhappy events within “A Christmas Carol” conclude with a happy ending. These all, besides exposure to only happy moments and beautiful gifts (courtesy of Santa), dazzling Christmas decorations, and picturesque family scenes on social media, often set an unrealistic expectation for how this time of the year “should” feel.\u003c/p>\n\u003cp>Reality is different, though, and at its best is not always as colorful. There may be disagreements about hows, wheres, whats and whos of the celebration, and not all family members, friends and relatives get along well at parties. And as we feel lonelier, we may find ourselves spending more time immersed in TV and social media, leading to more exposure to unrealistic views of the holidays and feeling all the worse about our situation.\u003c/p>\n\u003cp>\u003cstrong>When is blue a red flag?\u003c/strong>\u003c/p>\n\u003cp>While many experience the more transient “holiday blues” this time of year, it is important not to miss more serious conditions like seasonal mood changes, which in its most severe case leads to clinical depression, including \u003ca href=\"https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml\" target=\"_blank\" rel=\"noopener\">Seasonal Affective Disorder\u003c/a>. SAD consists of episodes of depression or a worsening of existing depression during the late fall and early winter. The person may feel depressed and hopeless, or they may find it difficult to focus, sleep, or be motivated – they can even feel suicidal. As our emotions can color our thoughts and memories, a depressed person may remember more negative memories, have a more negative perception and interpretation of the events, and feel upset about the holidays.\u003c/p>\n\u003cp>In such cases, the sadness is “coincident” with the holidays and not caused solely by its circumstances. It is important to seek professional help with SAD, as we have effective treatments available, such as medications and \u003ca href=\"https://www.mayoclinic.org/tests-procedures/light-therapy/about/pac-20384604\" target=\"_blank\" rel=\"noopener\">light therapy\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>What to do to minimize the blues?\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Set realistic expectations: One readily available strategy is simply reframing the beliefs we have about what the holidays “should” be like. Not all parties will go perfectly. Some decorations may break, or kids may wake up grumpy or not be exhilarated by their gifts – but it doesn’t have to stop us from enjoying all the good moments.\u003c/li>\n\u003cli>Set firm boundaries: Too many invitations to social events? Too many financial demands? Set clear limits about what you are able and willing to do, whether that means declining some social events and setting your own limit on spending this year, focusing more on meaningful experiences over expense. This can be spending time with loved ones or getting creative with homemade gifts.\u003c/li>\n\u003cli>Feeling alone? There are many ways to steer clear of isolating this time of year. Reaching out to friends, volunteering at animal shelters, local charities or attending community meetups or religious events can be a great way to stay connected while also bringing happiness to ourselves and others.\u003c/li>\n\u003cli>Making new memories: Starting a new tradition, either solo or with loved ones, can help create fond new memories of the holidays, no longer overshadowed by the past.\u003c/li>\n\u003cli>Take care of yourself: It’s important to remember the value of self-care, including eating and drinking in moderation (as alcohol can worsen a depressed mood), exercising (even a short walk), and treating yourself this holiday season by doing something you enjoy.\u003c/li>\n\u003c/ul>\n\u003cp>While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting. It also impairs daily functioning. For these symptoms it is often helpful and necessary to seek professional help. This can consist of counseling or use of medications, or both, to help treat symptoms.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Linda Saab is an Assistant Professor of Psychiatry at Wayne State University. Arash Javanbakht is an Assistant Professor of Psychiatry at Wayne State University. This article was originally published in \u003ca href=\"http://theconversation.com/\">The Conversation\u003c/a> on Nov. 21, 2017. Read the \u003ca href=\"https://theconversation.com/what-psychiatrists-have-to-say-about-holiday-blues-89210\">original article\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/438069/feeling-blue-around-the-holidays-youre-not-alone","authors":["byline_futureofyou_438069"],"categories":["futureofyou_1"],"tags":["futureofyou_727","futureofyou_592","futureofyou_743","futureofyou_1275","futureofyou_1437"],"featImg":"futureofyou_438071","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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