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For many young people today, a huge threat to their safety and wellbeing is hidden in their laptops and cell phones.  Parents are often oblivious to this menace or how they can help.  What is this hidden threat?  It’s the 21st century social media phenomenon of cyber bullying.

The Nature of Cyber Bullying

Cyber bullying is a form of harassment that takes place through electronic technology – in particular, through social media outlets such as Facebook or Twitter, as well as emails and texts.  From posting of embarrassing photos online to spreading rumors on social media sites, cyber bullies seek to humiliate their victims.  Often anonymous, cyber bullying can be more vicious than traditional schoolyard bullying and more difficult to control.  Online distribution creates a wider audience, and attacks can be made 24 hours per day.

A 2011 Pew survey found that only 7% of parents worry about their child being cyber bullied, although approximately one third of teenagers have been victimized at some time.  A Consumer Reports report estimated that one million young people were harassed on the most popular social media site, Facebook, in the past year.

Effects of Social Media Bullying

Young people who are bullied online are more likely to:

  • Skip or drop out of school
  • Have failing grades
  • Use alcohol and other drugs
  • Suffer poor self-esteem
  • Have increased health problems
  • Engage in risky behaviors

In some cases risky behavior can include suicide attempts.  In one 2011 Associated Press/MTV poll, cyber bullied teens reported more thoughts of suicide than their peers.  Media reports have highlighted recent cases in which teens committed suicide after online harassment.

Warning Signs

Warning signs for cyber bullying are similar to those for traditional bullying.  Victimized children and teens may exhibit such symptoms as:

  • Avoidance of social situations
  • Anxiety about school
  • Drops in grades and school performance
  • Changes in mood; e.g., frequent sadness or irritability
  • Obsessive checking of email, texts, and internet

How Parents Can Help

You can play a major role in helping to prevent or end your own children’s cyber bullying.  Start by teaching self-respect and modeling positive relationships, empathy, and impulse control.  The better adjusted your child, the more resilient he or she can be if confronted by bullying.

In this social media age, it’s critical for parents to be aware of online hazards and to teach children how to avoid them.  Have a discussion with your child about responsible online behavior and practice online safety.  Teach your child to block or delete disrespectful friends from social media sites.  Encourage use of the most restrictive online privacy settings.  Speak frankly about the dangers of online bullying.  Teach boundaries by setting limits on daily computer and cell phone usage.  Place computers in common areas only.

Don’t hesitate to exert your parental prerogative and monitor social media and other online usage.  Tell your child or teen that online communications are subject to monitoring.  Periodically check cell phones, Facebook pages, Twitter accounts, etc., to monitor the content of messages and posts.  Discuss any concerns you have as they occur.

Most importantly, be available.  Remind your teen that you’re always willing to listen, then make yourself accessible when you are asked, “Can we talk?” Encourage reporting of concerns to any trusted adult if you are not available.

If you believe that your child has been bullied and is having difficulty coping, don’t be afraid to seek professional help.  A counselor can provide valuable support and teach better coping skills.

In the anti-bullying movement, young people are taught the mantra: “stand up; don’t stand by” to promote reporting of peer bullying.  Likewise, responsible parents should stand up for their children’s welfare and not just stand by, through discomfort or ignorance.  It’s never too late to have that first conversation with your child about responsible online behavior.

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You may have heard the expression: “healthy mind, healthy body.”  But do you know what it really means?  For centuries, a connection has been theorized to exist between physical and mental health.  Modern science has now demonstrated that such a connection really does exist.

The role of a healthy diet, proper sleep, regular exercise, and other lifestyle practices in promoting better mental health is at the core of many behavioral health treatment regimens.  Such practices may also play a role in preventing future mental health problems.

Conversely, physical health is dependent upon one’s state of mind, as the body responds to the ways in which each of us feels, thinks, and acts.  This fact is at the heart of the mind-body connection. Emotional or mental imbalance creates physical symptoms, from aches and pains to elevated blood pressure.  These in turn can lead to chronic health problems and disease.

Ideally, an individual should strive for a state of total wellness, one in which there is a sense of balance in the mental, physical, spiritual, and social elements of his or her life. Following wellness principles can help one achieve increased resiliency, greater longevity, and overall better physical and mental health.

The Role of the Mind upon the Body

Mental or emotional problems are associated with the development of physical disease. An estimated 95% of all illnesses can be caused or aggravated by stress. Individuals with high stress levels are even more likely to catch colds. It is not uncommon for individuals to develop hypertension or an ulcer after particularly stressful life events.

Depression has been linked to a range of disorders, including strokes, heart disease, and diabetes.  Other mood and emotional problems can also take a toll. In one study, people who had difficulty coping with anger were found to have a ten times greater risk for the development of heart arrhythmias.  Anger-prone physicians have been found to have higher risks of heart attacks than even smokers or individuals with high blood pressure.

The right attitude and social supports can affect health in more positive ways, however. The old saying, “Laughter is the best medicine” is true, as it has been found to reduce pain, speed healing, and increase creativity. Being active in a group—even something as simple as a bowling club—can actually increase one’s longevity, regardless of other health habits. Social networks also provide needed support. In one study of women with metastatic breast cancer, participation in support groups doubled survival rates.

Scientists have found that individuals with mental health or substance abuse problems have a life expectancy decades lower than the general population.  Taking care of one’s physical health is a critical part of the recovery process for those with behavioral health problems.

The Role of the Body upon the Mind

Research supports the role of physical activity in helping manage mental disorders. Active people have been found to be less depressed than inactive ones, and people with chronic depression are more like to go into remission with regular exercise.

Due to increased levels of oxygen and endorphins, individuals who exercise regularly feel more alert and have more energy, better memory retention, and a greater sense of wellbeing. As little as 20-30 minutes of vigorous physical activity daily is sufficient to achieve results.

Yoga, meditation, and other relaxation strategies have been found to ease stress, depression, and sleep problems. There is growing evidence that the practice of meditation can even slow cognitive decline in older adults.

Eating healthy foods in moderation can increase emotional well-being and reduce many of the physical problems often associated with mental illness, such as fatigue and obesity.

Getting approximately eight hours sleep per night is a goal few adults achieve, but the benefits are worth the effort.  Adequate sleep improves mood and concentration, as well as decreasing physical health risks.

By following these healthy lifestyle practices, individuals may significantly improve both their mental and physical health.

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One of the leading forms of mental illness today is severe depression.  An estimated 15 million Americans suffer from this disorder, which creates ongoing symptoms of sadness, hopelessness, sleep and appetite disturbance, and even despair.

For many individuals, psychotherapy combined with antidepressant medication can be a literal lifesaver.  However, some people who suffer from severe depression do not respond to conventional treatment approaches.  Recent advances in alternative treatments have led to a new method of managing depression: the use of transcranial magnetic stimulation (TMS).

What is Transcranial Magnetic Stimulation?

Transcranial Magnetic Stimulation treatment is conducted using a device called the NeuroStar® TMS Therapy System.

While treatment is administered, patients remain awake while sitting in a comfortable reclining chair. A treatment coil is applied to the head and the NeuroStar® TMS Therapy System generates highly concentrated magnetic field pulses that turn on and off rapidly.

In clinical trials, patients reported relief from the emotional effects of depression and experienced improvement in anxiety, changes in appetite, body aches and lack of energy – all physical symptoms of depression.

The Nature of Transcranial Magnetic Stimulation Treatment

Transcranial Magnetic Stimulation is based upon the principle that direct electrical stimulation of nerve cells in the brain can affect mood and behavior. Many mental disorders may stem from abnormal behavior of particular regions of the brain or the over- or under-stimulation of nerve cells.

The transcranial magnetic stimulation procedure involves the use of magnetic fields to stimulate nerve cells in the brain.  While sitting in a specially designed treatment chair, a patient has a large electromagnetic coil placed against the scalp.  A magnetic field can then be produced by passing a current through the coil, as a machine generates the precise amount of current necessary. When the coil is activated, its current travels through the skull into the brain, stimulating the prefrontal cortex, a region associated with mood control.

A series of several treatments is usually conducted to achieve maximum effectiveness.

Transcranial Magnetic Stimulation Benefits and Concerns (more…)

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While eating disorders are typically associated with young women, you may be surprised to learn that a growing number of individuals with eating disorders today are young men.

Prevalence of Eating Disorders in Males

Approximately 10% of individuals seeking treatment for eating disorders are male, although a larger number fails to seek treatment.  The National Eating Disorders Association estimates that about 10 million U.S. males  will suffer from an eating disorder at some point in their lives – about one third of the total of 30 million individuals facing this illness.

While males are more reluctant to seek treatment, the number getting help is growing.  One recent estimate: the number of males hospitalized for an eating disorder has risen more than 50% over the past decade. This increase may be due to greater willingness to report a problem, but may also represent a larger number of males who develop eating disorders.

Types of Eating Disorders in Males

Boys and men suffer from the same types of eating disorders as females, as well as one type less common in girls or women.  Disorders include:

  • Binge eating disorder.  Characterized by episodes of compulsive or “binge” eating, this disorder is the most common type of eating disorder among males.
  • Bulimia nervosa.  Characterized by binge eating, followed by one or more purging methods (vomiting, laxatives, excessive exercise, etc.), this disorder represents an attempt to avoid weight gain after over-eating.
  • Anorexia nervosa.  Characterized by a refusal to maintain normal body weight and an intense fear of gaining weight, along with severe body image distortion, this disorder causes individuals to literally starve themselves.
  • Muscle dysmorphia.  Characterized by an extreme desire to become more muscular, this disorder is primarily associated with males.  Some individuals with this disorder want to “bulk up” to gain body mass, while others try to lose weight to reduce their percentage of body fat vs. muscle.  Excessive steroid use is often associated with this disorder.

Treatment Issues for Males

Many treatment issues are similar for all individuals, regardless of gender, such as problems with body image and self-esteem or a need to exert control in one’s life, albeit in a dysfunctional manner.

However, males may also face special issues in treatment, such as:

  • Increased stigma.  Because eating disorders are so closely associated with young women, males may be subject to ridicule by their peers, or may fear discovery of their problem.  Such factors decrease the likelihood of males seeking treatment.
  • Severity of the disorder.  Because young men are less comfortable seeking treatment and less likely to be identified by others as having a problem, their cases may be particularly severe by the time they do finally seek help.
  • Issues with sexuality.  Approximately 42% of males with eating disorders also identify themselves as being gay.  Does the emphasis on physical fitness and lean musculature in parts of the gay culture and media make young gay men more vulnerable to the development of eating disorders? Mental health professionals aren’t certain, but must be prepared to address issues of sexuality with young male patients.

Treatment can as beneficial for males as females, once they seek help in a program that is sensitive to their specific needs.  Common treatments include medication, such as antidepressants, and psychotherapy – often cognitive or behavioral therapies. Treatment is frequently most effective with peers in a group setting, with the level of treatment needed based upon the severity of the condition.

Early identification of eating disorders in males is the key to the best recovery.

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Patients with obsessive-compulsive disorder (OCD) frequently experience problems with disturbing, intrusive thoughts, as well as overwhelming impulses to perform ritualistic behaviors that reduce the anxiety associated with such thoughts. Traditional psychotherapy has not been found to be helpful for most individuals with OCD.  However, one modern form of treatment is particularly successful in overcoming symptoms of the disorder.

The nature of cognitive-behavioral therapy

OCD patients typically become distressed about negative thoughts or obsessions, because they see them as warnings of potentially dangerous events. Cognitive –behavioral therapy (CBT) helps patients identify such unrealistic thoughts and reinterpret them, thereby reducing anxiety.  Fewer anxious thoughts lead to decreased compulsive behavior.

How does CBT work?  Treatment focuses on helping patients examine the relationship between their feelings, thoughts, and behaviors. Using a collaborative and structured approach, therapists guide patients to explore and expose themselves to their fears and anxieties in a controlled and safe environment.  The beliefs surrounding those fears are also identified, challenged, and ultimately changed.

Patients learn to recognize their worries as being obsessions and to see their rituals as compulsions. Treatment includes a variety of structured techniques and strategies.

Homework

Working on assignments between therapy sessions is an important part of the treatment process.  Patients are usually asked to keep a journal or “thought record” of their obsessions, in which they write down each one when it occurs, as well as their interpretation of its meaning.  The therapist reviews the journal with the patient and helps challenge any unrealistic beliefs or “magical thinking” that surrounds the obsessive thoughts.

Behavioral Experiments

Once a patient understands the relationships between thoughts and behaviors, therapy may progress to the use of behavioral “experiments,” in which the patient practices what has been learned.  An individual who believes that touching a doorknob three times will prevent her house from burning down may be asked by her therapist to touch it only once, then leave the house.  She will then see that nothing catastrophic happens.

One effective type of behavioral experiment is the use of exposure and ritual prevention.  This technique involves a patient’s prolonged exposure to a distressing situation or object, along with strict prevention of any associated ritualistic behavior.

First the patient is exposed to a situation or cue that stimulates obsessive thoughts. For example, a patient with a germ obsession may find that touching a faucet in a public restroom triggers thoughts of contracting a fatal disease. These thoughts, in turn, lead to compulsive hand washing. During exposure, the patient may actually touch the restroom faucet, while imagining the possible horrible consequences associated with this action.

Following exposure to the triggering obsessive thought, the patient is asked to abstain from performing the behavior believed to prevent the feared consequence; e.g., ritual hand washing. After several exposures, followed by no performance of the compulsive act, the patient realizes that the feared consequence does not occur if the compulsive act is not performed.  More importantly, the patient realizes that distress and anxiety can lesson even without performance of the ritualized behaviors.

Finally, the patient and therapist process the patient’s experience during or after the experiment and discuss how the experience affects the patient’s beliefs and fears.

CBT is generally successful as a short-term therapy, and it has achieved very positive results with a variety of patients.

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Millions of individuals live each day in fear – not of an actual physical threat, but imaginary dangers, remembered trauma, inanimate objects, or something as simple as walking outside their front door.

The most common psychiatric illnesses today are anxiety disorders.  Estimates place the number of affected Americans at up to 40 million. At least 18% of adults and 13% of children suffer from some type of anxiety disorder in a given year.

The Nature of Anxiety Disorders

We all experience brief moments of anxiety during stress.  In order to be considered an actual disorder, anxiety symptoms must be intense and frequent.

Mental health professionals recognize six different types of anxiety disorders:

  • Obsessive-compulsive disorder – continual disturbing thoughts and/or the need to perform ritualistic behaviors;
  • Generalized anxiety disorder – excessive, unrealistic worry or tension without apparent cause;
  • Post-traumatic stress disorder – frightening thoughts and memories after a traumatic event, often with emotional numbing;
  • Social anxiety disorder – overwhelming self-consciousness or phobia about being in social situations;
  • Panic disorder – sudden feelings of terror, often with incapacitating physical symptoms;
  • Specific phobias – intense fears of specific situations or objects.

Excessive fears or feelings of dread are common to all types of anxiety disorders.

Common Symptoms

While clusters of symptoms vary with the type of anxiety disorder, individuals with severe anxiety may experience:

  • Persistent feelings of panic, fear, or dread;
  • Obsessive thoughts;
  • Ritualistic, compulsive behaviors;
  • Flashbacks to traumatic experiences;
  • Feelings of losing control;
  • Frequent nightmares;
    • Intense fears in public situation;
    • Intense fears of certain objects or activities;
    • Physical symptoms such as shortness of breath, heart palpitations, nausea, muscle tension, dizziness, or dry mouth.

Causes and Risk Factors

Many factors may influence the development of an anxiety disorder.  They include genetic tendencies as well as such environmental factors as repeated exposure to stressful events or one major traumatic event. Even certain medications, including antihistamines, oral contraceptives, and insulin, have been found to trigger anxiety.  As with most mental illnesses, anxiety disorders appear to develop from an interaction of many medical, genetic, psychological, and environmental factors.

Anxiety disorders can affect anyone and often occur in conjunction with other physical and mental illnesses. Women are diagnosed with anxiety disorders more frequently than men.  No differences in prevalence have been noted across races or cultures.

Anxiety Treatment

Treatment of anxiety can greatly reduce or eliminate symptoms in most individuals.  Primary treatments for most anxiety disorders include medication and psychotherapy.  Treatment can usually be provided on an outpatient basis, although brief residential or inpatient treatment is sometimes needed, depending upon the individual’s unique needs.

Medications used to treat anxiety disorders include a variety of antidepressants and anti-anxiety drugs.

Cognitive-behavioral therapy is the preferred type of psychotherapy for severe anxiety.  Through therapy, patients learn to recognize unhealthy thought patterns and behaviors associated with their anxiety and to change both faulty thinking patterns and their reactions to “trigger” situations.

In addition to medication and psychotherapy, treatment may include relaxation therapy, changes in diet and lifestyle, and education on the illness for both patients and their families.

While anxiety disorders cannot be prevented, people can often reduce symptoms by limiting caffeine consumption, avoiding over-stimulating medications or supplements, and seeking immediate support or counseling after a traumatic experience.

Through proper treatment and symptom management, millions of individuals affected by anxiety disorders can lead fulfilling lives again.

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Attention Deficit Hyperactivity Disorder (ADHD) is a condition that can cause disruption in the daily lives of those who are affected by it.  ADHD can impact school performance, interpersonal relationships, and employment, as it affects concentration, activity levels, and impulse control.

An estimated 3 – 5 % of individuals in the U.S. are thought to have ADHD. While it develops in childhood, ADHD can continue throughout life. At least 30% of affected children continue to experience symptoms as adults.

The Nature of ADHD

Attention Deficit Hyperactivity Disorder is characterized by three hallmark symptoms:  inattention, hyperactivity, and/or impulsivity.  While all children demonstrate some degree of these traits due to their immature development, these behaviors are more frequent and severe with ADHD.  To receive a diagnosis, an individual must exhibit symptoms to a greater degree than their peers for at least six months.

Three ADHD subtypes have been identified:

  • Predominantly hyperactive-impulsive — difficulty controlling behavior and over-activity, with few attention problems;
  • Predominantly inattentive – difficulty with inattention, with few problems with hyperactivity or impulse control;
  • Combined hyperactive–impulsive and inattentive – presence of strong symptoms of hyperactivity, impulsivity, and inattention.  Most children are found to have the combined type of ADHD.

While adult symptoms of ADHD may be similar, they may be expressed differently– for example, restlessness rather than hyperactivity.

Causes of ADHD

As with many other disorders, ADHD is the likely result of a combination of factors.  Researchers have found that levels of certain chemicals or neurotransmitters in the brain tend to be lower in individuals with ADHD.  Known or suspected contributing factors include:

  • Genetics. ADHD often runs in families, and scientists are attempting to isolate genes that may contribute to the development of the disorder.
  • Pre–natal problems.  Low birth weight and difficulty pregnancies have been linked to ADHD.
  • Environment.  Studies have found potential links between ADHD and alcohol use or smoking during pregnancy and exposure to high levels of lead and such environmental toxins as PCBs or pesticides.
  • Brain injury.  Head injuries, particularly to the frontal lobe, seem to increase the risk for ADHD.
  • Nutrition.  Much speculation has focused on the possible effects of refined sugar and food additives, but research is inconclusive.

Treatment of ADHD

While there is no known cure, ADHD is a manageable disorder that responds to proper treatment.  Treatments focus on symptom reduction and management.

Medication is the primary treatment mode. Stimulant drugs are often used with children because, unlike with adults, they actually have a calming effect.  A few non-stimulant medications have demonstrated benefits. While parents are understandably cautious about medication, the proper regimen can help a child learn to focus and behave more appropriately.

In addition, treatment may include psychotherapy, education, or specialized training.  For example, behavioral therapy can assist a child in controlling his or her symptoms.  Structured routines can be developed that will assist parents and teachers in managing behaviors.  Social skills training can provide children with tools to interact more appropriately with others.

The good news for many:  most individuals “outgrow” ADHD as they mature into adulthood.  But strides in treatment give hope to all, regardless of age.

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Today, approximately 5.7 million U.S. adults in the U.S. have bipolar disorder, a serious mental illness.  Also known as manic-depressive disorder, the illness is characterized by extreme mood swings.

Bipolar disorder typically develops during an individual’s late teen or early adult years, with half of all cases emerging before age 25.

Symptoms

Bipolar disorder is characterized as one of several types, depending upon the cluster of symptoms:

  • Bipolar I— requires at least one full manic episode, with or without depressive episodes.
  • Bipolar II – features cycles of depression and elevated moods (often referred to as hypomanic episodes) that do not reach the level of a full mania.
  • Bipolar Disorder Not Otherwise Specified (BP-NOS) — does not fully meet criteria for Bipolar I or II or follow a fixed pattern.
  • Cyclothymia – exhibits much milder symptoms of the disorder.

An estimated 10-20% of affected individuals also experience rapid cycling, characterized by at least four episodes in one year.

Manic symptoms include excessive excitement, restlessness, increased energy, racing thoughts, irritability, sleeplessness, and a tendency to engage in reckless and impulsive actions.

Depressive symptoms include sadness, crying episodes, weight loss or gain, feelings of hopelessness or helplessness, decreased energy, loss of interest in daily activities, and thoughts of death or suicide.

Sometimes psychotic symptoms may also be present, such as hallucinations or delusions; e.g., “I am the wealthiest person in the world.”

Causes

While the causes of bipolar disorder are not completely understood, several risk factors may influence its development.

An individual whose parent or sibling has the disorder is up to six times more likely to develop the illness.  Researchers are seeking specific genes that play a causative role.  MRIs have shown structural changes in the brains of affected individuals. Imbalances in neurotransmitters, important brain chemicals, may be another culprit, as well as hormone imbalances.

Trauma or extreme stress may influence the development of the disorder or trigger episodes.

Treatment

Without treatment, bipolar disorder often worsens over time. Treatment is usually a combination of medication and psychotherapy.

Common medications used include:

  • Mood stabilizers, including Lithium and various anticonvulsants.
  • Atypical antipsychotics, such as Zyprexa or Abilify.
  • Antidepressants, usually in combination with a mood stabilizer.
  • Symbyax, FDA-approved specifically for bipolar disorder.
  • Benzodiazepines, such as Klonopin or Ativan for anxiety and sleep disturbance.

Medication may be a lifetime commitment for a person with bipolar disorder.

Psychotherapy can help individuals learn to cope with the effects of the illness and avoid situations which might trigger episodes.  Cognitive behavioral therapy (CBT) teaches individuals to change negative patterns of behavior and thought, while interpersonal and social rhythm therapy focuses on improvement of relationships and more stable daily routines.  Psychoeducational approaches provide information to increase understanding and assist in recognition of warning signs.

Therapists also work with entire families or with groups of individuals with bipolar disorder.  Family-focused therapy helps families with communication, symptom recognition, and more effective coping skills.  Group therapy allows individuals to learn from others with the disorder, while practicing better interpersonal skills.

For individuals who have been resistant to other treatment methods, electroconvulsive therapy (ECT) has offered some benefit.

While there is no permanent cure for bipolar disorder, effective treatment can lead to better illness management and allow individuals to live normal lives.

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Constant hand washing, repetitive touching of doorways, checking ten times to make sure the stove is turned off:  these are all examples of behaviors we frequently associate with obsessive compulsive disorder, or OCD.

The nature of obsessive compulsive disorder

OCD is a type of anxiety disorder, characterized by unwanted, uncontrollable thoughts as well as repetitive or ritualized behaviors.  While the thoughts and actions are irrational and unproductive, the affected individual is unable to resist the urge to express them.

An obsession is a frequent and uncontrollable impulse, thought, or mental image that an individual experiences.  They are often quite disturbing or unpleasant, as well as distracting.

A compulsion is a behavior or ritual that an individual repeatedly completes as a way of trying to make an obsessive thought go away.  Individuals with obsessive thoughts about being unclean may wash their hands until they are raw.  However, compulsive behavior not only does not reduce an obsession; these frustrating and time-consuming acts usually increase anxiety.

Treatment of obsessive compulsive disorder

OCD is a mental disorder that responds successfully to treatment.  The two most effective types of OCD treatment are cognitive-behavioral therapy and medication, often used in combination.

Cognitive-behavioral therapy, or CBT, is a type of psychotherapy that involves retraining one’s thought patterns so that compulsive behaviors no longer feel necessary.

Two CBT components are most effective in treatment of obsessive compulsive disorder:

  1. Exposure and response prevention, or ERP, is a treatment that involves repeated exposure to a source or common cue for an obsession, while the individual refrains from the associated compulsive behavior.  Using the previous example of compulsive hand washing, an individual might be asked to repeatedly touch a public restroom’s door handle and then be prevented from hand washing.   Gradually the individual learns that nothing catastrophic occurs when the behavior is not performed. The more an individual is exposed to an anxiety-provoking trigger without incident, the more the association weakens. ERP is a therapy based upon literally facing one’s fears.
  2. Cognitive therapy focuses on the obsessive thoughts themselves.  Individuals with OCD often think of “worse-case” scenarios or experience an exaggerated sense of personal responsibility for things they cannot really control; e.g., a plane crash. Through “cognitive restructuring,” harmful thought patterns can be challenged and healthier, alternative ways of thinking can be developed. For example, the hand-washing individual may explore the underlying belief prompting this behavior, such as “I am unclean.” Once an unrealistic belief is discovered and challenged, the need to engage in the anxiety-reducing behavior may disappear over time.

Medication has also been found to be effective in obsessive compulsive disorder treatment for many individuals.  Some psychiatric or psychotropic medications help control obsessions and compulsions.  These include antidepressants that increase serotonin levels in the brain, which may be low in individuals with OCD.  Medication, if indicated, is normally used in conjunction with psychotherapy.

Professional treatment for OCD is highly effective, with research findings of long-term recovery rates of up to 75% or more.  With proper intervention, individuals struggling with the anxiety and frustration of obsessive compulsive disorder can resume productive lives.

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Mason, OH – Steven F. Kendell, MD, has joined Lindner Center of HOPE as a staff psychiatrist.

Dr. Kendell is board certified in general psychiatry.  As a staff psychiatrist atDr. Steven J. Kendell Lindner Center of HOPE his principal work is in adult partial hospitalization, adult inpatient care and outpatient services.

Prior to joining the Lindner Center of HOPE, Dr. Kendell served as Director of Research at Blue Horizon International Stem Cell Investigation and Treatment Program in New York, New York. Dr. Kendell’s other clinical positions have included serving as Attending Psychiatrist at Appalachian Behavioral Healthcare, Athens, Ohio; Attending Psychiatrist at Kettering Behavioral Medicine Center in Kettering, Ohio and Attending Psychiatrist at Butte County Department of Behavioral Health in Chico, California.

Dr. Kendell’s academic appointments have included Assistant Professor of Psychiatry at Ohio University College of Osteopathic Medicine in Athens, Ohio; Assistant Professor of Psychiatry at Boonshoft School of Medicine in Dayton, Ohio, and Assistant Professor of Psychiatry at Yale School of Medicine, New Haven, Connecticut.

Dr. Kendell has received a number of awards and honors and has been a member of several professional societies. He also has supervised medical students and has co-authored several original reports, book chapters and scientific abstracts.

Lindner Center of HOPE  provides patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research and voluntary, live-in services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally. Lindner Center of HOPE is affiliated with the University of Cincinnati (UC) College of Medicine.