Chris J. Tuell, EdD, LPCC-S

Independent Educational Consultants Association

Chris Tuell, EdD, LPCC-S, LICDC, Coordinator of Addiction Services, has been selected to present at the annual IECA Spring Conference held in Boston, May 2-5. Dr. Tuell’s presentation on Internet Addiction titled More than Just Solitaire was selected amongst a group of over 150 proposals from around the country. Dr. Tuell say’s “We would be hard pressed to find any individual in our country not impacted by the Internet in some way; it is a part of our daily lives. Yet, any behavior can become out of control and problematic. Although technology has greatly improved lives, Internet use can become an addiction—a very real compulsive-impulsive use disorder. Dr. Tuell will examine the mental health concerns of the out of control use of the Internet and examine the growing problem of behavioral addictions (i.e., gambling, sex, gaming, social networking, and compulsive shopping).

American Counseling Association National Convention

At the Counseling Association’s 2012 national convention held in San Francisco, March 21-25, Dr. Chris Tuell was chosen to present on Behavioral Addictions: Assessment and Treatment. His 90-minute presentation will cover destructive behavioral addictions which include sex, gambling, shopping, and the Internet. Dr. Tuell will address the clinical assessment process and appropriate treatment strategies. Behavioral addiction is the habitual drive to continue an action even to the detriment of health and happiness. Individuals with behavioral addictions continue to repeat actions that are harmful to their bodies or to the happiness of those around them, often losing relationships, jobs and health in the process.

It’s normal to occasionally become melancholy or to feel “down.” But when feelings of sadness or “emptiness” persist, there is a good chance deeper issues exist.

Depression in its various forms affects roughly one in 10 Americans, according to Center for Disease Control and Prevention (CDC) statistics. The number of people suffering from this sometimes debilitating mental health condition has been on a steady incline in recent years.

Why the Increase?

There are many factors that can be linked to the increase of depression cases in the U.S. These include financial struggles resulting from the recent economic downturn; the burdens on homeowners and their families due to the housing crisis; and the difficulty for many to find work in an extremely tight job market.

Depression Treatment Increasingly Effective

Depression can range from mild to severe. But the good news is that treatment has become more refined and has proven to be successful at every level. After thorough diagnosis, a treatment plan is tailored toward the individual and usually includes a combination of psychotherapy and antidepressant medications.

For milder forms of depression, counseling may be all that is required to get a patient back on their feet. But severe depression may take extensive therapy and a combination of medications to effectively treat. There are also other treatment options for severe depression, such as Transcranial Magnetic Stimulation or “TMS therapy,” which stimulates areas within the brain responsible for regulating moods.

As mental health professionals become more experienced in caring for those with depression, treatment methods continue to evolve. As a result, despite the troubling statistics, the light shines ever brighter at the end of the tunnel for depression sufferers.

Stress is a normal reaction to situations and frustrations that we occasionally experience during the course of our lives. Career concerns, deadlines, financial troubles and kid-related issues can all cause us moments of worry and degrees of anxiety. Normal stress can also be beneficial to us in some ways. For instance, it heightens our awareness in dangerous situations and boosts our ability to perform in an athletic endeavor.

But when feelings of apprehension and distress become perpetual, and there aren’t many moments in a day when we’re not feeling stressed or anxious, it can eventually wear us down and have a negative impact on our health. Stress can affect us both physically and mentally. Some of the physical manifestations of stress are tension, an elevated heartbeat, sweatiness and an upset stomach. Continuous stress can also lead to high blood pressure and heart problems.

The Effects of Chronic Stress on Mental Health

Post-Traumatic Stress Disorder (PTSD) is a well-known condition in which a traumatic event or the circumstances surrounding that event can cause recurring bouts of extreme stress. But constant, long-term stress can also have devastating consequences if not properly addressed.

Many people with chronic stress are unaware that the almost ceaseless worry and anxiety in their everyday lives may be turning into a deeper issue. They may feel that stress is just a part of their daily existence, and that the irritability, forgetfulness, trouble sleeping and fatigue, among other symptoms that can accompany chronic stress, simply come along with it.

However, “nervous breakdowns” or the development of anxiety disorders, eating disorders, sleep disorders, panic attacks and clinical depression that can result from persistent, long-term stress are serious conditions which require proper mental health treatment. This may consist of learning techniques to better manage and alleviate stress, or, depending on the severity of the situation, may involve psychotherapy and medication.

If there are indications that an individual may be experiencing chronic stress and they are beginning to show signs that there may be worse problems on the horizon, it’s time for them to get help. They shouldn’t hesitate to consult with a professional at one of their local mental health centers and begin to learn how to achieve some peace in their lives and get themselves back on track.

Although there are differences between the eating disorders anorexia nervosa and bulimia nervosa, they do share some of the same characteristics. Among other similarities, individuals who suffer with these disorders generally have an unfavorable view of their own bodies.

The fear of becoming overweight or the perception that one is overweight — even if they are not — are major psychological factors behind the development of these and other eating disorders. Individuals with these disorders are driven to engage in one or more of the following practices: self-induced vomiting after eating, purging, excessive exercise, disproportionate use of laxatives and periods of not eating.

It has been well documented that the major demographic of those with eating disorders are teenage girls. However, it is now common knowledge that these disorders do not discriminate. Adult men and women as well as males in their late teens also struggle with eating disorders.

Eating Disorder Treatment: Emphasis on Behavioral Adjustments

In addition to the deep-seeded psychological aspects of eating disorders that can lead to depression and other mood disorders, the physical ramifications can be devastating and even deadly. The bones and teeth may suffer due to the body not absorbing or maintaining a healthy amount of nutrients. A host of other issues such as a loss of muscle, anemia and organ damage may result from the unhealthy habits that those with eating disorders have developed.

Anorexia treatment, bulimia treatment and the treatment of eating disorders often requires a multifaceted approach. Not only must a patient be nurtured back to physical health, but the psychological aspect of these disorders must be addressed through intensive psychotherapy.

One of the most effective modes of psychotherapeutic treatment for eating disorders has proven to be cognitive behavioral therapy (CBT).  In those with eating disorders, CBT focuses on areas such as improving self-esteem and developing a more realistic body image. This therapy works to redirect the “rules” these individuals have established in regard to eating habits.

Some of the nation’s leading eating disorder treatment centers such as Lindner Center of Hope’s Sibcy House near Cincinnati, Ohio incorporate CBT into their treatment plan. It is part of a well-rounded program that has helped many eating disorders patients change destructive habits and develop a healthier outlook on life.