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The British Association for Counselling and Psychotherapy (BACP) Reports on Mental Health Risks to Teenagers

A Report Links Unemployment with Teenage Mental Ill Health

Teenagers may be more at risk of mental ill health because they are staying longer in education after leaving school, a review from the Nuffield Foundation says.

The review, Social Trends and Mental Health, is part of the Foundation’s Changing Adolescence Programme. It found that teenagers in the mid-2000s were twice as likely to frequently feel depressed or anxious than were those growing up in the mid-1980s.

Staying longer in education after leaving school can result in a prolonged period of ‘unstructured adolescence’ that may be linked to depression, the Foundation says. Another possible factor is the greater exposure of young people today to drugs and alcohol. The Foundation also warns that the increases in unemployment and poverty since 2008 may exacerbate the rising rates of anxiety and depression in this age group.

The psychotherapists at The Cavendish Psychotherapy Practice in London’s Harley Street work with sufferers of depression and anxiety in order to help develop an understanding of what lies behind the symptoms and thereby help alleviate the difficult feelings.

Paternal Depression can be Alleviated with Psychotherapy

The Mental Well being of Babies born to Men Suffering from Post Natal Depression can be Adversely Effected, but Psychotherapy can be a Successful Intervention 

Scientists at Oxford University recently undertook some research into the communications of post natally depressed fathers compared with non depressed fathers towards their newborn babies. Sufferers with depression can find communicating difficult and isolation is a common symptom.

The researchers found that those children of depressed fathers were significantly more likely to require medical intervention as babies and were much more likely to develop behavioural problems and peer relationship problems later on. This issue of paternal depression affects one in 30 newborn babies, or approximately 25,000 children every year.

However, despite these shocking figures, paternal depression is largely dismissed and attributed to a sulky self-absorbtion.

Post natal depression is recognised as affecting 10% – 30% of mothers. There is, as yet, no one specific reason for the development of PND in some mothers but not in others, but one suggestion is that it is partly triggered by hormonal changes before, during and after the birth. As men do not experience these changes as such, the argument stands that it cannot be Post Natal Depression. Terms such as ‘depression in the post natal period’ or paternal depression’ or ‘background depression in men’ are prefered by the scientists researching this phenomenon.

However, it is also thought that childhood experiences, life experiences and the expectations and fantasies about the baby and parenthood can also contribute to PND. Men can certainly experience depression after the birth of a child. This is a time of enormous change in life when much of who a person is and what he expects has to be reassessed in the light of this new responsibility. Pre existing depression may be experienced more deeply or the stress of being a father may seem overwhelming.

It is important for men in this situation to recognise that they are struggling and seek help. Researchers continue to point out that the main problem with male depression is that men do not admit to having a problem, thereby exacerbating the issue and potentially leading to self destructive behaviour, loss of employment, illness, suicide and, in the case of this article, knock on harmful effects to the mental well being of their children.

Admitting to feeling depressed after the birth of a child is an important step towards doing something to challenge these feelings. Seeing a psychotherapist or counsellor can be the next step. A psychotherapist can help explore the feelings that lie behind being a father, the worries, hopes and fears. A psychotherapist can also help you understand your own childhood better and how these experiences may be contributing to the depression.

The psychotherapists at The Cavendish Psychotherapy Practice at 121 Harley Street, London, acknowledge that men can struggle with becoming a father and have successfully worked with men suffering from paternal depression.

Living Alone can Increase Risk of Depression. Psychotherapy can Challenge this.

Finnish Study Links Depression to Living alone 

Dr. Laura Pulkki-Rabak from the Finnish Institute of Occupational Health recently conducted a study that seems to demonstrate that adults of a working age who live alone are 80% more likely to resort to taking antidepressants than those living with at least one other person. The study looked at the use of antidepressants by 3500 individuals between 30 and 65 years of age followed over seven years.

The researchers acknowledge that there are some limitations to the study that cast doubt upon the simple premiss that people living alone are at a greater risk of suffering depression. The living status of the participants was not updated during the study, so it is not known whether the status changed over the seven years. It was also not recorded whether any of the participants were taking antidepressants before the start of the study, and therefore it is hard to determine whether living alone may lead to depression, or depression may lead to living alone.

The study did however, highlight a number of factors that may contribute to depression in lone livers:

For men, lack of social support led to an increased use of antidepressants. For women,  a higher probability of financial hardship led to depression and for both, living alone led to a higher level of ‘cynical hostility’.

Although this study does not give unchallengeable evidence of the link between lone living and depression, it would seem to be a logical step to suggest that a vicious cycle can be established when a person feels depressed, isolates themselves, looses confidence and thereby feels even more depressed and unable to reengage with society. With 30% of people living alone in the UK, and this set to rise to 40% by 2020, this is an issue that could potentially escalate.

Feeling isolated and isolating oneself is a recognised part of depression. It can be hard to escape this pattern of behaviour and rebuild confidence.

Psychotherapy and counselling can be a first step in breaking this cycle. Through a course of psychotherapy, the reasons for the isolation can be explored and during the psychotherapy process a greater understanding of the fears that hinder you from having a healthy social life can be uncovered and challenged.

The Cavendish Psychotherapy Practice comprises three female psychotherapists who have extensive experience working successfully with depression. The Cavendish Psychotherapy Practice can be found at 121, Harley Street, London.

Overtime Linked to Depression

Working Long Hours can Affect Mental Health

A study by researchers from Queen Mary’s College and University College of The University of London, Bristol University, McGill University in Canada and The Finnish Institute of Occupational Health examined the working habits of over 2000 UK civil servants to see whether these contributed to the development of depressive conditions. The subjects were follwed for six years.

The focus was on whether overtime significantly affected the mental health of the subjects that were followed. It was found that those who worked on average an 11 hour day as opposed to colleagues who stuck to a standard 7-8 hour day were associated with a 2.5 times increase of probability of suffering a major depressive episode.

However, although this study demonstrates a link between increased work hours and the chance of suffering a major depressive episode, it had not yet been demonstrated whether the overtime alone causes depression. There are still other factors to be investigated.

The current ecconomic climate and fears asociated with loosing ones job can force people to put in longer and longer work hours, apparently to the detriment of their mental, as well as physical health.

Pursuing a course of psychotherapy can help explore these work related fears and how they may have knock on effects in other areas, such as relationships and family life. Challenging anxieties can lead to a healthier way of being and thereby ward off potential depression.

The psychotherapists at The Cavendish Psychotherapy Practice on London’s Harley Street have worked with people suffering from anxiety and depression for many years, offering a safe, confidential and professional space in which to explore your difficulties.

Online Psychotherapy and Counselling

Online Psychotherapy is Thought to be Effective for Some Issues, but not a Replacement for Traditional Therapy

The use of modern technologies as part of the therapeutic process is on the increase and to mixed views.

Phone counselling has been around for many years and had been a very useful way for vulnerable people to reach out for help when it feels too difficult, either practically or emotionally, to meet someone face to face. Samaritans, for example is primarily a phone based mental health support network and has played an important part in offering support through a listening ear.

More recently, the use of computer technology has come to the fore as a way to achieve a therapeutic relationship outside the therapy room and has gained some supporters. Some research suggests that online, real-time therapy is more effective because the patient is in a familiar environment and therefore feels more at ease and less intimidated than they otherwise may feel in the therapy room.

Practically, online therapy is also useful in the international world in which we live. Expats may wish to see a therapist from their own country and culture who speaks their language or feels more familiar. For disabled people or those living in remote parts of the country, or those who have to be away for business, all who may struggle to get to a therapist, can also benefit.

Research by G.S. Stofle (2001) suggests that those patients functioning at a moderate to high level would benefit from online therapy. However, those with more severe mental health issues such as suicidal ideation, self harming or psychotic episodes would be better off seeing someone face to face.

A study produced by Kerr and Cohen (2011) found that students who sought therapeutic treatment for anxiety disorders online benefited equally with those who pursued face to face therapy.

However, although many of those within the ‘therapy world’ have embraced modern technologies as a way of reaching their patients, it seems to be the providers of psychotherapy who are more critical of them.

Some practitioners have claimed that online therapy cannot be considered psychotherapy. They feel that something is lost in the interaction between therapist and patient when the medium of technology is used. Although with systems such as Skype, some of the patients body language can been seen, which a therapist often observes in order to help understand what is going on for the patient, the underlying feelings and subtle messages that pass between people when they meet are gone.  An awareness of this human connection is invaluable to a therapist trying to help a patient  understand difficult, painful and sometimes unconscious emotions.

It would appear, therefore that within the therapeutic community, there is support for the use of technologies as a tool to reach inaccessible patients and for very cognitive therapies such as CBT. However, for more long term, in depth therapy, the support is still for traditional face to face psychotherapy where the proximity of the people involved and the subtle communications that pass between them are felt to be necessary for deeper understanding and development.

The Cavendish Psychotherapy Practice at 121 Harley Street, London, supports the use of modern technology as a way of maintaining contact with patients when it is not possible to meet in the consulting room. They use both Skype and phone for this end. However, this is a suppliment to the therapy they offer, not a replacement.

Alcohol Dependency Linked to Mental Health Disorders

Psychotherapy Support for Alcohol Dependency

Research performed in Australia and published in the British Journal of Psychiatry showed that people diagnosed with mental health issues such as depression, bipolar or anxiety disorders are more likely to become dependent upon alcohol.

Data taken from the 2007 Australian Mental Health and Well Being Survey that looked at 8841 participants illuminated some worrying trends. Those participants diagnosed with depression within the last five years were five times more likely to develop alcohol dependency than the general population. Those diagnosed with bipolar were seven times more likely to become dependent and those with anxiety disorders were three times more likely.

Lead researcher, Dr. Wenbin Liang said, “Our study shows that patients with a pre-existing diagnosis of affective and anxiety disorders are at higher risk of alcohol use problems. It shows that we should view mental health disorders as a risk factor for future alcohol misuse and alcohol dependence”.

The therapists at The Harley Street Cavendish Psychotherapy Practice have experience working with alcohol dependency issues as a part of other mental health problems. They work with you to help understand why alcohol has become an important but worrying part of life.

The Cavendish Psychotherapy Practice is found at 121, Harley Street, London.

NICE Recommends Psychotherapy for Postnatal Mothers

According to NICE Guidelines, Mothers Suffering from Postnatal Depression Should Be Referred for Psychotherapy

A survey recently completed by 4Children found that mothers with postnatal depression are being failed by the NHS by not taking into account the international guidelines concerned with the condition.

1 in 10 new mothers suffer from postnatal depression and of those surveyed it was found that, if the condition was diagnosed at all, the greater majority were prescribed antidepressants. This contradicts the NICE guidelines that recommend counselling and psychotherapy for mild and moderate cases of postnatal depression.

The report also demonstrated the inconsistency of record keeping as far as the amount of cases of postnatal depression is concerned. Whereas some health authorities reported 1350 cases, others reported just 1.

Chief Executive of 4Children, Anne Longfield said, “It just reveals so much in terms of lack of empathy and sympathy for these people. It’s a complete disregard for their health and wellbeing…It’s seen as an everyday little personal issue. At the end of the day, no one is taking it seriously…This report shows a massive default towards antidepressants when proper care is within the gift of health professionals”.

The therapists at London’s Cavendish Psychotherapy Practice have worked with mothers suffering from postnatal depression. They provide a safe, non judgemental space for mothers struggling with all the emotions that can come with motherhood in order to explore and understand these feelings better.

The Cavendish Psychotherapy Practice can be found at 121 Harley Street, London.

Depression Amongst Sportsmen Suggests More Recourse to Psychotherapy

A Growing Awareness of Sportsmen Struggling with Depression Suggests a Greater Need for Psychotherapy

In a documentary on the BBC last week, ‘The Hidden Side of Sport’, England cricketer Freddie Flintoff explored the depression suffered by high performing sportsmen and why, until recently, little was knows as to the extent of depression suffered amongst this demographic.

We were told that statistically, 1 in 10 sportsmen suffer depression whilst there are more suicides amongst cricketers than in any other sport.

Flintoff described experiencing “unbelievable highs and dramatic lows” during his cricketing career but often asked himself, “What’s wrong with me”, when everything seemed to be going so well, and yet he still felt low. He was winning and yet he still felt depressed.

He put on a show and gave a front of confidence that he did not feel, so that everyone on the outside thought everything was alright, until things started unravelling in 2006-2007.

“I didn’t want anyone thinking there was anything to be got at. I didn’t want people knowing I wasn’t that confident person”, “I was seen as this character who was unflappable”, so he hid behind a “happy go lucky” character.

However, he simply could not escape his feelings and drank in order to find another way of coping with how he felt, but this just exacerbated things. He said he was, “drinking to escape, change how I felt”, but depression was still there and the come down from the drinking and the behaviour during it caused him embarassment and shame; he mentioned how he felt the “disapointment people had in me”.

His fellow team player, Steve Harmison described how he felt that playing sport, throwing himself into it was an escape from his feelings, however eventually this way of avoiding what was going on for him ceased to work as he experienced hyperventiltion and panic attacks. He also mentioned that he didn’t know why he felt that way.

Boxers Barry McGuigan and Ricky Hatton also suffered from depression. They both described how all boxers doubt their ability in the ring and yet they are unable to express their fears. “Never show fear. Never show intimidation” said McGuigan.

Hatton descrided how he thought his depression was triggered by boxing. He had such a pride in boxing and in himself as a boxer, then he started to loose and he had to come to terms with that and the end of his career. The loss of his itentity as a boxer seems to have contributed to his depression.

Hatton too, as with Flintoff, turned to drink to try and resolve his feelings with similar results. He said, “Suffering from depression then add drink to it, its like a  runaway train”. Hatton tried to deal with his problems by himself, in secret, however, Barry McGuigan had a close family to whom he turned. He said that other boxers did not have this and did not wish to seek help from a counsellor or psychotherapist. Hatton backed this up by stating, it is “very very hard for a man to go to someone and say “I need help”. It’s tough”.

Vinnie Jones, another man seen to have been successful in life, described how he came very close to suicide with depression. He said, “You feel so degraded in yourself. Every bit of pride was taken out of me. Why are these people putting up with me?”. He went on to say that there was no one to turn to within sport and that depression was ignored as it was, “taken as a weakness”. Jones was fearful of how admitting to depression would affect those around him and their opinions of him.

In an interview with Piers Morgan, the ex editor described his feelings at the time towards the depression suffered by sportsmen. He thought that a person could not be depressed if they have wealth and fame. It was impossible and, “You know what, get over it…”.

It seems that his attitude was that lucky and talented people have no entitlement to depression. Fortunately, Morgan’s attitude has since changed. Matthew Syed backed this up by saying that in his opinion people assume that if you have money and fame etc then you are in a “psychological nirvna”.  However, it is the fear of this attitude in others that often stops men seeking help for depression in the form of talking therapy, such as psychotherapy or counselling. Dr. Steve Bull, a cricket team psychologist said that attitudes to depression amongst sportsmen are changing but he acknowledged that, as 10% of the population in any given year are liable to experience some form of anxiety and depression, more attention should be given to the mind as well as the body.

He too seems to support Hatton’s feelings that sportsmen are obsessed with what they do, that there is a personal identity with their sport and that it is alright when things are going well but terrible when not. However, he did not think that sport caused depression, seeming to imply that it is more the feelings about the sport and the level of participation in that activity. This could be applied to many activities.

Dr. Bull also thought that there is a greater awareness of depression in sport because of the publicity, not that this is a new phenomenon.

The above experiences of high functioning sportsmen can be applied to the experiences of many men in every walk of life. Even if life seems to tick all the positive boxes, there may still be inexplicable feelings of depression.

Identifying with one’s work so that failure is not an option can be similar to how sportmen identify with their sport. Pressure to succeed in work or private life  can add to a sense of being unable to cope. Fear of others attitudes towards depression may prevent men seeking help, such as committing to a course of psychotherapy. Fears of weakness, of social exclusion or feelings of shame may all contribute to not seeking help and support but suffering alone and ultimately may lead to self destructive behaviour, such as drinking (as with Hatton and Flintoff) or drugs. However, as Flintoff said, to “talk about my feelings was good to do”.

“Disappointments as a player I’ve tried to forget, bury my head in the sand a bit. But confronting some things, I think has helped me tackle some of my insecurities head on”.

“I think moving forward I can let go a little bit. I don’t want to have to pretend to be what I’m not. Nor do I want to play up to what everyone wants from me. I think its just time to be myself”.

The therapists at The London Cavendish Psychotherapy Practice provide a confidential therapeutic environment in which to discuss and explore difficult feeings. They provide non judgemental, open minded, professional support.

The Cavendish Psychotherapy Practice is based at 121 Harley Street, London.

BBC Interviews Psychotherapist Regarding Hidden Depression in Sport

As More Depression Suffered by Sports People Comes to Light, Psychotherapy Can Be Used to Help Alleviate it

In an interview with the BBC Breakfast team this morning, Philip Hodson, a British psychotherapist spoke of the difficulties sports men have suffering from depression. He talked of the highs and lows experienced within the sporting industry and the pressure to succeed and the devastation of not reaching expectations.

Particularly with male sportsmen he mentioned the ‘machismo’ that prevents them discussing their depression and mental health issues with others, including mental health professionals such as psychotherapists or counsellors. He also mentioned that women are twice as likely to talk about and seek help for depression than men, whereas men were three times more likely to kill themselves as a result of suffering mental health difficulties.

Feelings of shame or being unusual or weak for feeling depressed often stops men from seeking support but Hodson wished to make the point that, aside from the depression experienced by sufferers of bi-polar, everyone will suffer a depression at some point in their lives which could be related to any event experienced, for example, bereavement.

This interview took place in advance of Freddie Flinfoff’s documentary on the BBC tonight (Freddie Flintoff: Hidden Side of Sport) concerned with depression amongst leading sports people.

The psychotherapists at The Cavendish Psychotherapy Practice in London will support and work with you to look into what lies behind your depression and thereby help you gain a clarity and understanding of confusing thoughts and feelings.

Social Networking – A good way of making friends or a new addiction?

Social networking – twitter, facebook, blogs etc. are a phenomenon that allow people to connect, relatively anonymously, to friends and strangers. While this new way of communicating can be valuable in remaining in contact with friends, and building new relationships, it can also lead to a state of ‘immersion’ and addiction. The individual, comfortable in the relative anonymity of the social networking arena, can get lost in it. Addicted to the highs of making new contacts and  finding  a new ‘confidence’ in expressing feelings or thoughts, in the safety of a ‘virtual’ relationship, the individual may avoid real intimacy and meaning with those who are closest to them.  The individual might become immersed in social networking because it offers an audience who can affirm and make him or her feel acknowledged and valued. Social networking sites allow people to invent new identities for themselves. Someone who is shy can hide their lack of confidence behind a new more confident persona.  The individual can become dependent on the highs that the affirmation social networks offer and moods may rise and fall in accordance to what’s going on on Facebook or Twitter. Overuse or immersion in the social networking world can lead to a sense of alienation, emptiness and shallowness and a loss of connection to the real relationships with family and friends. When the individual is distracted by the ‘twitter feed’ or facebook status, he or she is not fully present for him or herself, or those around them. Tweeting or updating a social networking site is often a compulsion – something funny happens in the street and rather than enjoy that moment, be present in that moment, the pre-occupation is to Tweet that moment. This puts a distance between the individual and the event and stops the individual from connecting to the event and experiencing it – this is what leads to a loss of connection to the self. Losing connection to your own reality can lead to real difficulty, including depression and anxiety.

If you are struggling with social networking addiction or a lack of connection to those closest to you, psychotherapy and counselling can help. By talking your difficulties through with a psychotherapist or counsellor, you will experience relief, clarity and find a healthy way forward. The Cavendish Psychotherapy Practice offers psychotherapy and counselling in Central London. The Cavendish Psychotherapy Practice is at 121 Harley Street, Central London.