Category: counseling

Suicide– A Second Look

The World Health Organization estimates that approximately 1 million people die each year from suicide. What drives so many individuals to take their own lives? To those not in the grips of suicidal depression and despair, it’s difficult to understand. But a suicidal person is in so much pain that he or she can see no other option.

Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of self-loathing, hopelessness, and isolation, a suicidal person can’t see any way of finding relief except through death. But despite their desire for the pain to stop, most suicidal people are deeply conflicted about ending their own lives. They wish there was an alternative to committing suicide, but they just can’t see one. 

Suicide is not chosen; it happens
when pain exceeds
resources for coping with pain.

Because of their ambivalence about dying, suicidal individuals usually give warning signs or signals of their intentions. The best way to prevent suicide is to know and watch for these warning signs and to get involved if you spot them. If you believe that a friend or family member is suicidal, you can play a role in suicide prevention by pointing out the alternatives, showing that you care, and getting a doctor or psychologist involved.

Common Misconceptions about Suicide

FALSE: People who talk about suicide won’t really do it.
Almost everyone who commits or attempts suicide has given some clue or warning. Do not ignore suicide threats. Statements like “you’ll be sorry when I’m dead,” “I can’t see any way out,” — no matter how casually or jokingly said may indicate serious suicidal feelings.

FALSE: Anyone who tries to kill him/herself must be crazy.
Most suicidal people are not psychotic or insane. They must be upset, grief-stricken, depressed or despairing, but extreme distress and emotional pain are not necessarily signs of mental illness.

FALSE: If a person is determined to kill him/herself, nothing is going to stop him/her.
Even the most severely depressed person has mixed feelings about death, wavering until the very last moment between wanting to live and wanting to die. Most suicidal people do not want death; they want the pain to stop. The impulse to end it all, however overpowering, does not last forever.

FALSE: People who commit suicide are people who were unwilling to seek help . 
Studies of suicide victims have shown that more then half had sought medical help within six month before their deaths.

FALSE: Talking about suicide may give someone the idea.
You don’t give a suicidal person morbid ideas by talking about suicide. The opposite is true –bringing up the subject of suicide and discussing it openly is one of the most helpful things you can do.

 

Source: SAVE – Suicide Awareness Voices of Education

Excellent site: http://www.metanoia.org/suicide/

More info: http://www.helpguide.org/mental/suicide_prevention.htm

Tourette Syndrome: Know The Basics

“Dropping F Bombs”

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Tourette’s disorder, or Tourette syndrome

(TS) as it is frequently called, is a neurologic syndrome. The essential feature of Tourette’s are multiple tics that are sudden, rapid, recurrent, non-rhythmic, stereotypical, purposeless movements or vocalizations.

 
 What are the symptoms of Tourette syndrome?
 
  • Both multiple motor and one or more vocal tics are present at some time during the illness, although not necessarily simultaneously
  • Occurrence many times a day nearly every day or intermittently throughout a span of more than one year
  • Significant impairment or marked distress in social, occupational, or other important areas of functioning.
  • Onset before the age of 18.

 Symptoms can disappear for weeks or months at a time and severity waxes and wanes.

  

What are the first tics that may be characteristic of Tourette’s syndrome?

Usually, the facial tic, such as rapid blinking of the eyes or twitches of the mouth, may be the first indication a parent has that their child may have Tourette’s syndrome. Involuntary sounds, such as throat clearing and sniffing, or tics of the limbs may be an initial sign in other children.

  

Are any other symptoms associated with Tourette’s syndrome?

Approximately 50 percent of patients meet criteria for attention deficit hyperactivity disorder (ADHD) and this may be the more impairing problem. Approximately one-third of patients meet criteria for obsessive-compulsive disorder (OCD) or have other forms of anxiety. Learning disabilities are common as well as developmental stuttering. Social discomfort, self-consciousness and depressed mood frequently occur, especially as children reach adolescence.

 

Yelling and irrational

What causes these symptoms?

Although the cause has not been definitely established, there is considerable evidence that Tourette’s syndrome arises from abnormal metabolism of dopamine, a neurotransmitter. Other neurotransmitters may be involved.

 

Can Tourette’s syndrome be inherited?

Genetic studies indicate that Tourette’s syndrome is inherited as an autosomal dominant gene but different family members may have dissimilar symptoms. A parent has a 50 percent chance of passing the gene to one of his or her children. The range of symptomatology varies from multiple severe tics to very minor tics with varying degrees of attention deficit-disorder and OCD.

  

Are boys or girls more likely to have Tourette’s syndrome?

The sex of the child can influence the expression of the Tourette’s syndrome gene. Girls with the gene have a 70 percent chance of displaying symptoms, boys with the gene have a 99 percent chance of displaying symptoms. Ratios of boys with Tourette’s syndrome to girls with Tourette’s syndrome are 3:1. 

  

How is Tourette’s syndrome diagnosed?

No blood analysis, x-ray or other medical test exists to identify Tourette’s syndrome. Diagnosis is made by observing the signs or symptoms as described above. A doctor may wish to use a CAT scan, EEG, or other tests to rule out other ailments that could be confused with TS. Some medications cause tics, so it is important to inform the professional doing the assessment of any prescribed, over-the-counter, or street drugs to which the patient may have been exposed.

  

What are the benefits of seeking early treatment of Tourette syndrome symptoms?

When a child’s behavior is viewed as disruptive, frightening, or bizarre by peers, family, teachers, or friends, it provokes ridicule and rejection. Teachers and other children can feel threatened and exclude the child from activities or interpersonal relationships. A child’s socialization difficulties will increase as he reaches adolescence. Therefore, it is very important for the child’s self-esteem and emotional well-being that treatment be sought as early as possible.

  

What treatments are available for Tourette syndrome?

Not everyone is disabled by his or her symptoms, so medication may not be necessary. When symptoms interfere with functioning, medication can effectively improve attention span, decrease impulsivity, hyperactivity, tics, and obsessive-compulsive symptomatology. Relaxation techniques and behavior therapy may also be useful for tics, ADD symptoms, and OCD symptoms. 

  

How does Tourette syndrome affect the education of a child or adolescent with Tourette syndrome?

Tourette syndrome alone does not affect the IQ of a child. Many children who have Tourette syndrome, however, also have learning disabilities or attention deficits. Frequently, therefore, special education may be needed for a child with Tourette syndrome. Teachers should be given factual information about the disorder and, if learning difficulties appear, the child should be referred to the school system for assessment of other learning problems.

  

What is the course of Tourette syndrome?

Some people with Tourette syndrome show a marked improvement in their late teens or early twenties. However, tics as well as ADD and OCD behavior, may wax and wane over the course of the life span.   

  

Reviewed by Charles T. Gordon, III, M.D., 2003

 

For more help go to: http://www.nami.org/   and  http://www.tsa-usa.org/

 

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Understanding Suicide

Getting a Grip on Suicide

"Suicide" by Manet, 1877
"Suicide" by Manet, 1877

 Can a Christian believer attempt suicide?  My own first-hand experience rings out a resounding YES!  We can be so driven by major depression that it effects our relationship with the God who loves us and pushes us into a place of complete hopelessness. Very often, it is an attack by evil upon our lives.

 Suicide is not a mental illness in itself, but a serious potential consequence of many mental disorders, particularly major depression.

Who is most likely to commit suicide? Suicide rates are highest in teens, young adults, and the elderly. People over the age of 65 have the highest rate of suicide. Although women are more likely to attempt suicide, men are more likely to be successful.

 Suicide risk also is higher in the following groups:

•Older people who have lost a spouse through death or divorce  

•People who have attempted suicide in the past

•People with a family history of suicide

•People with a friend or co-worker who committed suicide

•People with a history of physical, emotional, or sexual abuse

•People who are unmarried, unskilled, or unemployed

•People with long-term pain, or a disabling or terminal illness

•People who are prone to violent or impulsive behavior

•People who have recently been released from a psychiatric hospitalization (This often is a very frightening period of transition.)

•People in certain professions, such as police officers and health care providers who work with terminally ill patients

•People with substance abuse problems

What are the warning signs for suicide? Following are some of the possible warning signs that a person may be at risk for suicide:

•Excessive sadness or moodiness — Long-lasting sadness and mood swings can be symptoms of depression, a major risk factor for suicide.

 •Sudden calmness — Suddenly becoming calm after a period of depression or moodiness can be a sign that the person has made a decision to end his or her life.

  •Withdrawal — Choosing to be alone and avoiding friends or social activities also are possible symptoms of depression. This includes the loss of interest or pleasure in activities the person previously enjoyed.

 •Changes in personality and/or appearance — A person who is considering suicide might exhibit a change in attitude or behavior, such as speaking or moving with unusual speed or slowness. In addition, the person might suddenly become less concerned about his or her personal appearance.  

•Dangerous or self-harmful behavior — Potentially dangerous behavior, such as reckless driving, engaging in unsafe sex, and increased use of drugs and/or alcohol might indicate that the person no longer values his or her life.

•Recent trauma or life crisis — A major life crises might trigger a suicide attempt. Crises include the death of a loved one or pet, divorce or break-up of a relationship, diagnosis of a major illness, loss of a job, or serious financial problems.  

•Making preparations — Often, a person considering suicide will begin to put his or her personal business in order. This might include visiting friends and family members, giving away personal possessions, making a will, and cleaning up his or her room or home. Some people will write a note before committing suicide.

 •Threatening suicide — Not everyone who is considering suicide will say so, and not everyone who threatens suicide will follow through with it. However, every threat of suicide should be taken seriously.

Can suicide be prevented? Definitely. In many cases suicide can be averted. Research suggests that the best way to prevent suicide is to know the risk factors, be alert to the signs of depression and other mental disorders, recognize the warning signs for suicide, and intervene before the person can complete the process of self-destruction.

Praying for and listening to the afflicted should be something we practice.  The despair of the suicidal is intense, but it gets dangerous when that despair turns into resignation and calmness (without a resolution).

 

Living as a Sexual Abuse Survivor

The problem of childhood sexual abuse is not new. Millions of adults bear the emotional scars, and continue to secretly carry the emotional burden, of abuse that occurred twenty, thirty, or even forty years ago. It is common for clients in their 40’s to come to counseling and say “I have never told this to anyone before…”.

Children are, by nature, innocent, trusting, and vulnerable. When a child is abused, the abuse is NEVER the child’s fault, but children — in an attempt to use their limited understanding of the world to make sense of what has happened to them — almost always believe that they either caused or deserved the abuse. Many of them carry their misguided sense of shame and guilt into adulthood. Many successful, seemingly well-adjusted adults continue to suffer the far-reaching effects of abuse: low self-esteem or lack of confidence, difficulty trusting others, isolation, or alienation, depression, anxiety, anger, chronic relationship problems, difficulty with emotional or physical intimacy, promiscuity, self-injury, alcohol or drug use, or overeating.

A history of childhood sexual abuse does not automatically mean a life full of suffering, however. The extent to which abuse affects an individual varies significantly, depending on the severity of the abuse, the duration of the abuse, and the relational context of the abuse (who the abuser was). Many people who were abused as children struggle with spiritual isses as well as the psychological and emotional ones. They may question how a loving God could allow something like that to happen to a child, may be angry with God for allowing it to happen, or may even believe that God intentionally inflicted the abuse on them as punishment. Part of the healing journey may include looking at these spiritual questions and finding a deeper spiritual understanding of yourself, God, and the world.

Regardless of how childhood abuse has affected your life, you can experience both healing from your past and growth for your future. If you have been silently suffering the pain or shame of past abuse, a confidential relationship with a caring professional counselor can help you find freedom and relief. If painful memories from the past are robbing you of a life of happiness and meaningful relationships, counseling can help you face the past, find healing in the present, and claim abundant life for your future.

Sexual abuse can effect a marriage is so many ways: emotionally, spiritually and sexually. Sexual abuse is traumatic not only for the survivor but also for the survivor’s spouse if he/she doesn’t understand the impact of sexual abuse. I believe sex is a huge part in healing also. Having a healthy sex life after being sexually abused can happen. Separating the abuser from someone who loves you is a part of healing. Un-training yourself from what your abuser taught you is what it takes to make this happen. Your body is just that “your body” and you have the say in what does or doesn’t happen.

My sexual abuse is only part of me, not my whole life anymore. Victims and survivors have to change the way society deals with and handles sexual abuse. The truth shall set you free, the truth of sexual abuse. Once the truth comes out it sets you free of the bondage you have been in for so many years. Stare your sexual abuse straight in the eyes and let it know “you don’t scare me anymore”. It is such an awesome feeling!!

A question to ask oneself is, “Do you see yourself as God sees you?” God sees you as a child He made for a specific purpose and not one of those purpose’s was for any one of His children to be abused in any way, shape, or form. Reach out to Him and let him replace your pain with joy, your shame with sharing, your anger with forgiveness, your ugliness with beauty and your silence with your voice.

Source- New Reflections Counseling:  http://www.newreflectionscounseling.com/

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