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	<title>Psychiatrists-Psychologists-Therapists-Mental Health and Psychological Services - Novi, Rochester Hills and Shelby Township, MI - Abaris Behavioral Health</title>
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	<link>http://abarishealth.com</link>
	<description>Abaris Behavioral Health serves the behavioral health needs of Southeastern Michigan.</description>
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		<title>Sober Living Family Education Program</title>
		<link>http://abarishealth.com/sober-living-family-educational-program/</link>
		<comments>http://abarishealth.com/sober-living-family-educational-program/#comments</comments>
		<pubDate>Thu, 21 Jul 2011 03:27:11 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Mental Health News/Blog]]></category>
		<category><![CDATA[Sober Living]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=598</guid>
		<description><![CDATA[Every Wednesday at the Rochester Community House 4 Week Series: Codependency &#38; Enabling What is Recovery? Supporting Someone with Addiction Addiction and Grief Wednesdays 7:00pm – 8:30pm $15.00 single $25.00 per couple To Register: Call Ann at Abaris Behavioral Health at 248-650-8383 Location: Rochester Community House 816 Ludlow Rochester, Michigan 48307]]></description>
			<content:encoded><![CDATA[<p>Every Wednesday at the Rochester Community House</p>
<p><strong>  4 Week Series:</strong>
</p>
<ol>
<li>Codependency &amp; Enabling</li>
<li>What is Recovery?</li>
<li>Supporting Someone with Addiction</li>
<li>Addiction and Grief</li>
</ol>
<p><b>Wednesdays 7:00pm – 8:30pm</b><br />
  $15.00 single<br />
  $25.00 per couple</p>
<p>  <b>To Register:</b><br />
Call Ann at Abaris Behavioral Health at 248-650-8383</p>
<p><b>Location:</b><br />
  Rochester Community House<br />
  816 Ludlow<br />
Rochester, Michigan 48307</p>
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		<title>Now Open! Abaris Behavioral Health &#8211; Ann Arbor, MI</title>
		<link>http://abarishealth.com/opening-soon-abaris-behavioral-health-ann-arbor-mi/</link>
		<comments>http://abarishealth.com/opening-soon-abaris-behavioral-health-ann-arbor-mi/#comments</comments>
		<pubDate>Thu, 21 Jul 2011 02:57:13 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=586</guid>
		<description><![CDATA[Located in downtown Ann Arbor above the Princeton Review at the corner of S. University and S. Forest. There is a public parking structure behind the building. 1220 South University, Suite 215 Ann Arbor, MI 48104 Effective 8/1/11 Phone: 734-327-7050 Fax:  734-327-7055]]></description>
			<content:encoded><![CDATA[<p>Located in downtown Ann Arbor above the Princeton Review at the corner of S. University and S. Forest. There is a public parking structure behind the building.</p>
<p><strong>1220 South University, Suite 215</strong><br />
<strong> Ann Arbor, MI 48104</strong></p>
<p><span style="color: #ff0000;"><strong>Effective 8/1/11</strong></span><br />
<strong> Phone: </strong>734-327-7050<br />
<strong>Fax:  </strong>734-327-7055</p>
]]></content:encoded>
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		<item>
		<title>Surviving the Party Season: A Guide for Parents and Teens</title>
		<link>http://abarishealth.com/surviving-party-season-guide-parents-teens/</link>
		<comments>http://abarishealth.com/surviving-party-season-guide-parents-teens/#comments</comments>
		<pubDate>Fri, 10 Jun 2011 02:10:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Mental Health News/Blog]]></category>
		<category><![CDATA[Sober Living]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=557</guid>
		<description><![CDATA[Studies show accidents and deaths peak at this time of year, when celebrating graduates and other teens can get carried away. Here&#8217;s a three-day guide to navigating the party season safely. By Megan Swoyer High school parties — from casual get-togethers to graduation open-house affairs — are kicking into high gear, and the celebration season ...]]></description>
			<content:encoded><![CDATA[<p>Studies show accidents and deaths peak at this time of year, when celebrating graduates and other teens can get carried away. Here&#8217;s a three-day guide to navigating the party season safely.</p>
<p><a href="http://birmingham.patch.com/"><img class="alignleft size-full wp-image-493" title="Birmingtonpatch" src="http://abarishealth.com/wp-content/uploads/2011/03/Birmingtonpatch1.png" alt="" width="183" height="21" /></a></p>
<p>By <a href="http://www.patch.com" target="_blank">Megan Swoyer</a></p>
<div>
<p>High school parties — from casual get-togethers to graduation open-house affairs — are kicking into high gear, and the celebration season likely will be around through midsummer.</p>
<p>The temptation and opportunity for under-age drinking and drug use increases tremendously during this time, say area community leaders, parents and students themselves.</p>
<p>“High school graduation is a rite of passage, a transition, a step forward from childhood to young adulthood,” says Dr. Paul Smith, owner and president of Rochester Hills-based Abaris Behavioral Health “The graduation season is a time for celebration, when many teenagers have high spirits, are full of excitement, but also have low inhibitions and are more likely to engage in risky or life-threatening behavior involving alcohol and or drugs.”</p>
<p>Add to the inclination to celebrate that parents often don’t know or turn a blind eye to what goes on at parties and among teens, and the results can be – and have been – tragic.</p>
<p>&#8220;I very much worry about young adults at this time of year because that celebratory mood, that feeling of freedom can lead to some very bad decisions,&#8221; said Bloomfield Township Police Chief Kirt Bowden.</p>
<p>Experts suggest parents face the realities, take steps to prevent such behaviors, and deal swiftly and clearly with situations that put their teens or others in danger.</p>
<p>Over the next three days, Patch will explore some of the tactics parents and teens can take to minimize risks during this time of graduations, celebrations and parties.</p>
<p><strong>Today:</strong> What studies show, what parents don&#8217;t know and <a href="http://bloomfield-mi.patch.com/articles/surviving-the-party-season-10-tips-for-parents">10 tips to help them</a></p>
<p><strong>Friday:</strong> Communication is the key and community resources</p>
<p><strong>Saturday:</strong> Teens say it&#8217;s all about choices</p>
<p>&nbsp;</p>
</div>
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		<title>Talk, Ask for Help to Cope with Suicide or At-Risk Friends</title>
		<link>http://abarishealth.com/talk-cope-suicide-at-risk-friends/</link>
		<comments>http://abarishealth.com/talk-cope-suicide-at-risk-friends/#comments</comments>
		<pubDate>Sat, 05 Mar 2011 18:37:04 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Depression]]></category>
		<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=489</guid>
		<description><![CDATA[From paying attention to any personality changes to simply asking if there&#8217;s problem, doctors contend there are ways to confront rising rate of teen suicide and plenty of resources to help. By Megan Swoyer The tragic death of a 17-year-old Cranbrook-Kingswood Upper School student in downtown Birmingham early Monday forced the communities to deal with ...]]></description>
			<content:encoded><![CDATA[<p>From paying attention to any personality changes to simply asking if  there&#8217;s problem, doctors contend there are ways to confront rising rate  of teen suicide and plenty of resources to help.</p>
<p><a href="http://birmingham.patch.com/"><img class="alignleft size-full wp-image-493" title="Birmingtonpatch" src="http://abarishealth.com/wp-content/uploads/2011/03/Birmingtonpatch1.png" alt="" width="183" height="21" /></a></p>
<p>By <a href="http://www.patch.com" target="_blank">Megan Swoyer</a></p>
<div>
<p><a rel="nofollow" href="http://birmingham.patch.com/articles/body-found-near-woodward-avenue-this-morning">The tragic death of a 17-year-old Cranbrook-Kingswood Upper School student</a> in downtown Birmingham early Monday forced the communities to deal with a difficult, uncomfortable subject: teenage suicide.</p>
<p>Yet, suicide — and the depression or other mental illness that often  precedes it — is an issue that touches thousands of lives daily.</p>
<p>Suicide is the third leading cause of death in adolescents, behind  accidents and homicides, said Dr. David Rosenberg, chief of psychiatry  and psychology at <a rel="nofollow" href="http://www.childrensdmc.org/">Children&#8217;s Hospital of Michigan</a> in Detroit. According to the <a rel="nofollow" href="http://www.sprc.org/index.asp">Suicide Prevention Resource Center</a>,  suicide was the 10th ranking cause of death in Michigan from 1995-2005,  with an average of 1,049 residents taking their lives each year. Of  those, 7.9 percent were people age 15-19.  Meanwhile 76.7 percent of all  Michigan suicide attempts during that time were in that teenage age  bracket, according to the center.</p>
<p>Fortunately, there are plenty of tips and programs to help parents,  teachers, friends and others in the community trying to cope with  suicide or someone they believe is at risk.</p>
<h2>An escalating problem</h2>
<p><a rel="nofollow" href="http://mindsprogram.org/default.aspx">MINDS: Shining Light on Mental Health</a> is a Southfield-based educational nonprofit that has been going into  area classrooms for 13 years educating young people on mental illnesses  and the early warning signs of suicide.</p>
<p>&#8220;We educate and refute stigma,&#8221; MINDS founder Heather Irish said. &#8220;We  don&#8217;t diagnose. We teach kids about how the brain works, letting them  know if your brain isn&#8217;t working the right way, it might be a mental  illness.&#8221;</p>
<p>Every year, the organization speaks to roughly 20,000 students at  schools around Metro Detroit. However, Irish said the number of suicidal  kids approaching them after their presentations during the past two  years has risen dramatically — so much so that it reminds her of the  weeks following the Sept. 11 attacks on the United States.</p>
<p>Much of this spike in young people considering suicide can be  attributed to increased stress, pressure and even the tough economy, she  said.</p>
<p>Rosenberg agreed, but also noted that part of the spike in suicides  can also be attributed to the lessening stigma of mental illness.  Whereas tragedies were once hushed up 10-20 years ago, he said now  families are more comfortable be honest when suicide happens.</p>
<p>Young people clearly face more stress than in the past, he said, and  the dramatic spike in suicide rates can’t be attributed simply by fewer  families hiding their depression.</p>
<h2>Confronting survivor’s guilt</h2>
<p>“When someone dies, it’s tough. But when someone dies from committing  suicide, it’s complicated,” said Dr. Paul Smith, owner and president of  the Rochester Hills-based <a rel="nofollow" href="../">Abaris Behaviorial Health</a> clinic.</p>
<p>Chad Oyer, associate pastor of student ministries at the <a rel="nofollow" href="http://birmingham.patch.com/listings/first-united-methodist-church-of-birmingham">First United Methodist Church of Birmingham</a>,  agreed. “What makes a student suicide so difficult is that it’s not  uncommon for the living to never blame the dead; rather they blame  themselves,” Oyer said. “Consequently, suicide plants seeds of  destruction in the lives of those around him or her — parents, siblings,  friends and classmates.&#8221;</p>
<p>Recovering from a friend’s suicide can be especially traumatic,  especially if you were close with the victim. According to  Birmingham-based mental health therapist Marilyn Rusche, teens tend to  dwell on one thing when a friend kills himself: Why didn&#8217;t I see this  coming?</p>
<p>“When you’re a teen, you’re not thinking about death,” Rusche said.  “Teens think they are literally immortal, so suicide can be a shock.”</p>
<p>Smith agreed. “When a friend or peer commits suicide, you may  experience powerful emotions,” including shock, emotional numbness,  anger, guilt, self-blaming, depression, hopelessness and despair,” Smith  said. “Your grief reaction may continue for weeks or months after the  suicide.&#8221;</p>
<p>Survivors should not grieve alone, Smith said. “Surround yourself  with family and friends for comfort and understanding, for someone to  listen and a shoulder to lean on when you need it,” he said.</p>
<p>“That’s why it’s imperative for adults to listen to, to empathize  with, affirm and, if there’s any doubt, direct students to professionals  who can help,&#8221; Oyer said.</p>
<p>The student who killed himself Monday was staying in Cranbrook dorms  while his family was living in Texas, though they did maintain a second  residence at Birmingham Place in downtown Birmingham, where the boy&#8217;s  suicide took place.</p>
<p>At Cranbrook, students are being provided with guidance from school  staff during this difficult time, Communications Director Clayton  Matthews said. “Cranbrook schools have longstanding mentoring and  counseling programs, particularly for boarding students,” he  said. Monday, Cranbrook released a statement noting that “a grief  counseling team comprised of school counselors, deans, nurses, and the  school’s chaplain are on hand to talk with students.” Parents were also  notified the services are available.</p>
<h2>Identifying the signs</h2>
<p>A friend&#8217;s or family member&#8217;s suicide isn&#8217;t anyone&#8217;s &#8220;fault,&#8221;  but  there is always room to pay closer attention, Rosenberg said. Though he  wouldn’t comment specifically on the Cranbrook student&#8217;s case, he said  more than 80 percent of suicide victims alert someone before they commit  the act.</p>
<p>Determining if your child, student or friend is at risk for suicide  may be the first step toward helping them, though area doctors say  untangling the signs can be incredibly difficult.</p>
<p>“There are no cookie-cutter descriptions or signs of behavior that  convey someone’s going to commit suicide,” said Peter Wolf, a Bloomfield  Hills-based mental health therapist who works with youths and teens.  “Suicide is insidious and affects everybody.”</p>
<p>According to Wolf and Irish, these warning signs include:</p>
<ul>
<li>Changes in mood</li>
<li>Changes in relationships with friends</li>
<li>Changes in behavior, such as dropping grades or quitting the football team</li>
<li>Talking about not wanting to be around</li>
<li>Giving away his or her prized possessions</li>
<li>Thinking or talking about his or her own death and funeral</li>
<li>Cryptic social messaging, such as on Facebook or in text messages.</li>
</ul>
<p>Above all, Rosenberg said, if you’re concerned that someone you know  is at risk for suicide, ask them about it. Asking will not drive them to  commit the act, he said, but rather let them know someone cares.“You  may just save a life if you ask the question,” he said.</p>
</div>
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		<title>Groups Offer Help as Community Copes With Suicide</title>
		<link>http://abarishealth.com/groups-offer-community-copes-suicide/</link>
		<comments>http://abarishealth.com/groups-offer-community-copes-suicide/#comments</comments>
		<pubDate>Fri, 18 Feb 2011 04:27:03 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Depression]]></category>
		<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=481</guid>
		<description><![CDATA[By Jen Anesi and Brendan McGaughey While Rochester High School students, parents and staff are still reeling from the suicide death of a student early Friday, some may also be searching for more information or just someone to talk to. “It is a horrific tragedy for the family and for the school community, but it ...]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.patch.com/"><img title="rochester-standard" src="../wp-content/uploads/2010/12/rochester-standard-300x17.png" alt="" width="300" height="17" /></a><br />
By <a href="http://rochester.patch.com/users/jen-anesi-2">Jen Anesi</a> and <a href="http://rochester.patch.com/users/brendan-mcgaughey">Brendan McGaughey</a></p>
<div>
<div>
<p>While <a rel="nofollow" href="http://rochester.patch.com/listings/rochester-high-school-2">Rochester High School</a> students, parents and staff are still reeling from the <a rel="nofollow" href="http://rochester.patch.com/articles/rochester-high-school-student-commits-suicide">suicide death of a student</a> early Friday, some may also be searching for more information or just someone to talk to.</p>
<p>“It is a horrific tragedy for the family and for the school  community,  but it can be used to open up awareness about what teens are  feeling,” said Michelle Lynch of <a href="http://abarishealth.com/">Abaris Behavior Health in Rochester  Hills</a>. “My hope is that by raising awareness, we will avoid  tragedies  like this in the future.”</p>
<p>&#8220;Being around a lot of people helps a lot,&#8221; said Melani Mihailovski  of Shelby Township, whose friend was killed in a dirt bike accident when  she was in school. Mihailovski said they made wristbands with his lucky  number on them to pay their  respects.</p>
<p>&#8220;You have to really be careful what you say – not to be a bully, not  to  be hurtful to other human beings – because there&#8217;s a terrible price  to be  paid,&#8221; said Leslie Friedman, owner of Jackie Oh! in  downtown  Rochester.</p>
<p>The death Friday is the second teenage suicide in four months in Rochester Hills; 19-year-old Corey Jackson <a rel="nofollow" href="http://rochester.patch.com/articles/fallen-friend">committed suicide</a> near his Oakland University dorm in late October.</p>
<p>In the Rochester area, several local organizations are dedicated to  helping individuals in crisis, educating the public about depression and  suicide and removing the stigma attached to depression. Several  national organizations also strive to do the same, and there are  numerous suicide and crisis hotlines available.</p>
<p><a rel="nofollow" href="http://www.commongroundhelps.org/">Common Ground</a>,  a crisis resource center devoted to helping youth, adults and families  in crisis in southeast Michigan, operates a 24-hour crisis and resource  hotline.</p>
<p>“Anybody who calls is going to get to speak to a person that they can  talk to about what they’re going through with their feelings,” said  Donna Schulert, Common Ground crisis screening unit manager. “Somebody  that can help them with their emotions, help them with their thoughts at  that moment and sort of assess that person to see if they are also  having suicidal thoughts or feelings.”</p>
<p>Schulert said telephone crisis workers are available until about 11  p.m. every day, and then &#8220;a professional staff of screening people&#8221;  takes over until morning.  &#8221;We&#8217;ve all been trained in crisis and crisis  intervention,&#8221; she said.</p>
<p>Following is a compilation of local and national suicide-related resources and hotlines:</p>
<h2>Suicide crisis lines</h2>
<ul>
<li><a rel="nofollow" href="http://www.commongroundhelps.org/">Common Ground</a>: 24-hour crisis hotline 800-231-1127</li>
<li><a rel="nofollow" href="http://www.occmha.org/">Oakland County Community Mental Health Authority Crisis Hotline</a>: 248-456-1991</li>
<li><a rel="nofollow" href="http://www.sprc.org/">Suicide Prevention Resource Center</a>: 800-273-TALK (800-273-8255)</li>
</ul>
<ul>
<li><a rel="nofollow" href="http://www.jasonfoundation.com/">Jason Foundation</a>: 800-SUICIDE (800-784-2433)</li>
</ul>
<h2>Suicide prevention, education and treatment</h2>
<ul>
<li><a rel="nofollow" href="http://mindsprogram.org/">MINDS</a> mental health awareness and education program 248-644-8003</li>
<li><a rel="nofollow" href="http://depressioncenter.org/">University of Michigan Depression Center</a>: 800-475-MICH (800-475-6424)</li>
<li><a rel="nofollow" href="http://www.jjlmf.com/">Joseph J. Laurencelle Memorial Foundation</a>:  248-258-6693</li>
<li><a rel="nofollow" href="http://www.oakland.k12.mi.us/">Oakland Schools</a>: 248-209-2000</li>
<li><a rel="nofollow" href="http://mi.easterseals.com/">Easter Seals</a>: 800-75-SEALS (800-757-3257)</li>
<li><a rel="nofollow" href="http://www.havenwyckhospital.com/">Havenwyck Hospital</a>: 800-401-2727</li>
<li><a rel="nofollow" href="http://www.cnsmi.org/">Community Network Services</a>: 800-273-0258 or 866-493-6797</li>
<li><a rel="nofollow" href="http://www.ttiinc.org/">Training &amp; Treatment Innovations</a>: 800-741-1682</li>
<li><a rel="nofollow" href="http://www.ocspc.org/">Oakland County Suicide Prevention Coalition</a>: e-mail <a rel="nofollow" href="mailto:administrator@ocspc.org">administrator@ocspc.org</a>.</li>
</ul>
<p>Rochester High School&#8217;s Critical Incidence Team, which includes  teachers, counselors and  administrators, spent Friday at the school  helping students. Counselors will be available again Monday to talk to  students.</p>
</div>
</div>
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		<title>Community Volunteering Shapes Responsible Kids</title>
		<link>http://abarishealth.com/community-volunteering-shapes-responsible-kids/</link>
		<comments>http://abarishealth.com/community-volunteering-shapes-responsible-kids/#comments</comments>
		<pubDate>Thu, 10 Feb 2011 17:08:24 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=475</guid>
		<description><![CDATA[Residents and local leaders in Clawson and surrounding areas share the keys to raising kids with good character and responsibility. By Megan Swoyer Wednesday, Clawson Patch kicks off a new feature called Whiz Kid. Whiz Kids are all around the community, and we want to hear about them and honor them for their accomplishments. This ...]]></description>
			<content:encoded><![CDATA[<p>Residents and local leaders in Clawson and surrounding areas share the  keys to raising kids with good character and responsibility.</p>
<p><a href="http://clawson.patch.com"><img class="size-medium wp-image-429 alignnone" title="rochester-standard" src="http://abarishealth.com/wp-content/uploads/2011/02/clawsonpatch.png" alt="" width="108" height="17" /></a><br />
By <a href="http://www.patch.com" target="_blank">Megan Swoyer</a></p>
<div>
<p>Wednesday, Clawson Patch kicks off a new  feature called  Whiz Kid. Whiz Kids are all around the community, and we  want to hear  about them and honor them for their accomplishments.</p>
<p>This article  explores ways to help your own child become a Whiz Kid  in one way:  giving to the community. Do you know a Whiz Kid?<em><br />
</em></p>
<p>Colin just got a scholarship for his volunteer work. Justin is  getting a  presidential service award for his community service. Robin  wants to  skip presents at her birthday party and just have the guests  bring money  for a cause.</p>
<p>Are those your kids? On the other end of the spectrum, one area mom  says  she can’t get her son to initiate any volunteer work unless it’s  with  friends and only if required. One dad said his son told him  joining  clubs is for geeks. For many children, the favorite day of the  year is  their birthday because of “all those gifts.”</p>
<p>Wherever  your child is on the “sense-of-purpose” scale, raising  empathetic and  motivated children requires a lot of parental guidance,  say area  counselors, teachers and community activists.</p>
<p>Although it may  seem tougher than asking your child to give up  television and Facebook,  turning out dedicated community supporters is  one of the most  worthwhile things parents can do for their children.  It’s challenging  but doable, experts say, and will help you create  responsible kids and  good character.</p>
<h2>Young Givers</h2>
<p>“To get your kids involved in community projects, start at a young  age,”  said Carol Mastroianni, executive director of the Birmingham  Bloomfield  Community Coalition, which is based in the <a rel="nofollow" href="http://birmingham.patch.com/listings/birmingham-covington-districtwide-school">Birmingham Covington School</a> in Bloomfield  Hills. “Find things your kids are interested in, things you can do together as a family.”</p>
<p>Mastroianni cites simple projects such as a neighborhood cleanup or   helping at a community or school garden as a few easy ways to get   involved.</p>
<p>“If your child is shy, bring them to a food bank and let them sort   cans,”  she said. And keep in mind community theater groups. “I used to   take my children to <a rel="nofollow" href="http://royaloak.patch.com/listings/stagecrafters-baldwin-theater">Stagecrafters</a> (the Baldwin Theatre) in  Royal Oak when they were very young and they’d help quite a bit.”</p>
<p>For the very young, talk to them about how they can help the less   fortunate, said Sara Chase, a clinical psychologist at Rochester   Hills-based Abaris Behavioral Health. Chase works with children and   adolescents and often suggests that her clients get involved in   community activities.</p>
<p>“Consider smaller tasks,” Chase said, “like cleaning their rooms and  donating things they don’t need.”</p>
<h2>Do as we do</h2>
<p>Ideally, said Chase, parents teach values, compassion, and a sense of   community through their example and by doing things with their  children  from an early age on as part of what families do.</p>
<p>Grandmother, parent and retired Detroit art teacher Linda Logan says  role modeling is essential.</p>
<p>“Young kids are hard-wired to learn the ways of the world, which  means  copying adults,” said Logan, a Huntington Woods resident who  volunteers  at the <a rel="nofollow" href="http://ferndale.patch.com/listings/lawrence-street-gallery">Lawrence Street Gallery</a> in  Ferndale.  “Older kids, say 8-12, need companionship. They&#8217;re learning  that they  can do things wrong, so &#8216;fear of failure&#8217; sets in.”</p>
<p>Chad Oyer, associate pastor of student ministries at the <a rel="nofollow" href="http://birmingham.patch.com/search/listings?keywords=First+United+Methodist+Church&amp;x=0&amp;y=0">First United Methodist Church</a> of   Birmingham notes that research shows parents matter most when it   comes to their child’s character formation. “Consequently, children are  heavily shaped by seeing their parents’  commitment to and involvement  in serving others,” he said. “The best is  when parents and students are  serving others together.”</p>
<p>Bob and Tenchi Wayner of Royal Oak were excellent role models for their  children, Lauren and Paul, now 29 and 28 years old.</p>
<p>“When they were young we took them along with us as we volunteered,”  Bob Wayner recalled. The family would go to the South Oakland Shelter in   Royal Oak, or they were volunteer cooks for a weekend youth retreat   with St. Anne’s Church in Detroit. “I took my son with me when   volunteering to put up new bleachers for a football field,” Wayner   added.</p>
<p>The parents’ guidance paid off — their adult kids now  organize family  sponsorships during the holidays and volunteer to  coach youth soccer in  southeast Detroit.</p>
<p>Like the  Wayners, Cornelia Pokrzywa also has instilled in her three  daughters  ages 9, 11 and 13 compassion and community awareness.  “Often, parents  believe that children are ‘too young’ or shouldn&#8217;t get  involved in  adult affairs,” Pokrzywa said. “I have always fostered  involvement in  nonprofits,” she said.</p>
<p>The Rochester Hills mother inspires awareness in different ways,   including at her children’s birthday parties. “In lieu of a gift, we  sometimes ask guests to bring an item to donate  for a selected  charity,” Pokrzywa explained. One year, it was dog and  cat food for an  animal shelter; another year it was Teddy bears for the  Oakland  County’s  Bears on Patrol. One time, the family rented a dunk  tank and  raised money for CureSearch National Childhood Cancer  Foundation.</p>
<p>“Children can participate in walk-a-thons, too,” said Pokrzywa, a   lecturer in the department of writing and rhetoric at Oakland   University.</p>
<p>Her kids (all musicians) also often provide music at charitable   fundraisers. Recently, her daughters performed with the Oakland Youth   Orchestra at the Mercy Bellbrook retirement home in Rochester Hills. The   family also is involved in helping the Save Our Symphony group to   preserve the Detroit Symphony Orchestra.</p>
<h2>It’s Never Too Late</h2>
<p>Unfortunately, parents don’t always have the time to orchestrate such   family interests and outings when their children are young. It’s all   they can do to hold jobs, shuttle their kids to school activities and   ensure there’s a healthy meal on the table at night. Many busy moms and   dads admit they did not make community work a priority  when their  children were in grade school.</p>
<p>No worries, the experts sayd.  It’s never too late to get kids involved and teenagers are a perfect age  group for volunteer service. It’s how  you go about motivating them  that will determine if they’re up for  jumping in.</p>
<p>“Adolescents  are at a stage where their interests shift to friends, fun,   competition, and belonging,” Chase said. At this age, she suggests   considering something like a fundraising car wash or bottle drive where   the money is used to improve a local park or purchase items for those   less fortunate. This way they can have fun with friends (always a   teenage priority) and increase their sense of belonging.</p>
<p>“The  result is a compassionate effort, a better sense of connectedness,  and  belonging to something greater than yourself,” Chase explained.</p>
<p>Associate Pastor Oyer suggests a good way to engage students to  serve  others and to participate in community service is to inspire them,  “by  sharing a story of an organization or person(s) in need that grips   their hearts.”</p>
<p>Longtime teacher Logan says to always remember  that teens need to be  respected.  “Whatever you plan,” said Logan,  “tell them up front, and let them have  some say in it.”</p>
<p>Clawson Mayor Penny Luebs concurs with Logan. “Listening to the kids’   ideas on what would make the group/event a success is key,” Luebs said.   “Ask open-ended questions (those that begin with what/why, not  questions  that simply require a yes or no answer).” Also, she suggests  access to  food (what teen’s not interested in pizza?).</p>
<p>Logan also suggests taking an interest in the cause yourself —   contribute something to show your interest. And always, “let them invite   a friend or two.”</p>
<h2><strong>Check  Out Community Clubs</strong></h2>
<p>Another way to get involved is to look into local Optimists clubs,   suggests Rocco Romano, president of the Clawson/Troy Optimist Club and a   resident of Clawson.</p>
<p>“The optimists clubs are a great way to do help achieve positive   qualities in kids,” said Romano, an architect with TMP Associates in   Bloomfield Hills.<br />
There are four clubs in Clawson — one each at the two elementary schools  and one each in the middle school and high school.</p>
<p>Romano’s sister, Bonnie Homrich of Royal Oak, is working on a college  paper for Destiny Christian University in  Roseville, MI, about the role  of Optimists clubs in a child’s life.</p>
<p>“The Junior Optimists help children get a sense of belonging,”  Homrich  said. “My brother, Rocco, was initially part of the adult  optimist club  and then got involved with the kids (junior optimists  range in age from 6-18) because he wanted to help them feel better about  themselves.”</p>
<p>The Optimist creed includes “being so strong that nothing can disturb   your peace of mind,” she explained. “And they want to bring health,   happiness and prosperity to all they meet. When you help someone else in   the community, you feel good about yourself.”</p>
</div>
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		<title>How to Rear a Child To Care About Community</title>
		<link>http://abarishealth.com/rear-child-care-community/</link>
		<comments>http://abarishealth.com/rear-child-care-community/#comments</comments>
		<pubDate>Thu, 10 Feb 2011 16:54:45 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=471</guid>
		<description><![CDATA[Turn off their Play Stations, shut down Facebook, and help your child feel a sense of purpose by volunteering time with community causes. By Megan Swoyer On Wednesday, Rochester Patch kicks off a new feature called &#8220;Whiz Kid.&#8221;  Whiz Kids are all around the community, and we want to hear about them and honor them ...]]></description>
			<content:encoded><![CDATA[<p>Turn off their Play Stations, shut down Facebook, and help your child feel a sense of purpose by volunteering time with community causes.<br />
<a href="http://www.patch.com"><img class="size-medium wp-image-429 alignnone" title="rochester-standard" src="http://abarishealth.com/wp-content/uploads/2010/12/rochester-standard-300x17.png" alt="" width="300" height="17" /></a><br />
By <a href="http://www.patch.com" target="_blank">Megan Swoyer</a></p>
<div>
<p><em>On Wednesday, Rochester Patch kicks off  a new feature called &#8220;Whiz Kid.&#8221;  Whiz Kids are all around the  community, and we want to hear about them and honor them for their  accomplishments. This article explores ways to help your own child  become a Whiz Kid in one way: giving to the community.<br />
</em></p>
<p>Colin just got a scholarship for his volunteer work. Justin is  getting a presidential service award for his community service. Robin  wants to skip presents at her birthday party and just have the guests  bring money for a cause.</p>
<p>Are those your kids? On the other end of the spectrum … one area mom  says she can’t get her son to initiate any volunteer work unless it’s  with friends and only if required. One dad said his son told him joining  clubs is for geeks. And for many children, the favorite day of the year  is their birthday because of “all those gifts.”</p>
<p>Wherever your  child is on the “sense-of-purpose” scale,  raising empathetic and  motivated children requires a lot of parental guidance, say area  counselors, teachers and community activists.</p>
<p>And although it  may seem tougher than asking your child to give up television and  Facebook, turning out dedicated community supporters is one of the most  worthwhile things parents can do for their children. It’s challenging  but doable, say experts, and will help you create responsible kids and  good character.</p>
<h2>Young Givers</h2>
<p>“To get your kids involved in community projects, start at a young  age,” said Carol Mastroianni, executive director of the Birmingham  Bloomfield Community Coalition, which is based in the <a rel="nofollow" href="http://birmingham.patch.com/listings/birmingham-covington-districtwide-school">Birmingham Covington School</a> in Bloomfield Hills. “Find things your kids are interested in,” Mastroianni added, “things you can do together as a family.”</p>
<p>Mastroianni cites simple projects such as a neighborhood cleanup or  helping at a community or school garden as a few easy ways to get  involved.</p>
<p>For the very young, talk to them about how they can help the less  fortunate, said  Sara Chase, a clinical psychologist at Rochester  Hills-based <a  href="http://abarishealth.com">Abaris Behavioral Health</a>. Chase works with children and adolescents and often suggests that her clients get involved in community activities.</p>
<p>“Consider smaller tasks,” Chase said, “like cleaning their rooms and donating things they don’t need.”</p>
<h2>Do As We Do</h2>
<p>Ideally, said Chase, parents teach values, compassion, and a sense of  community through their example and by doing things with their children  from an early age on as part of what families do.</p>
<p>Grandmother, parent and retired Detroit art teacher Linda Logan says role modeling is essential.</p>
<p>“Young kids are hardwired to learn the ways of the world, which means  copying adults,” said Logan, a Huntington Woods resident who is a  member of the <a rel="nofollow" href="http://ferndale.patch.com/listings/lawrence-street-gallery">Lawrence Street Gallery</a> in Ferndale. “Older kids, say 8 to 12, need companionship. They&#8217;re  learning that they can do things wrong, so &#8216;fear of failure&#8217; sets in.”</p>
<p>Chad Oyer, associate pastor of student ministries at the <a rel="nofollow" href="http://birmingham.patch.com/search/listings?keywords=First+United+Methodist+Church&amp;x=0&amp;y=0">First United Methodist Church</a> of Birmingham notes that research shows that parents matter most when it comes to their child’s character formation.</p>
<p>“Consequently,  children are heavily shaped by seeing their parents’ commitment to and  involvement in serving others,” he said. “The best is when parents and  students are serving others together.”</p>
<p>Rochester Hills mom  Cornelia Pokrzywa has instilled in her three daughters (ages 9, 11 and  13) compassion and community awareness.</p>
<p>“Often, parents believe  that children are ‘too young’ or shouldn&#8217;t get involved in adult  affairs,” Pokrzywa said. “I have always fostered involvement in  nonprofits.&#8221;</p>
<p>She tries to inspire awareness in different ways, including at her children’s birthday parties.</p>
<p>“In lieu of a gift, we sometimes ask guests to bring an item to donate for a selected charity,” Pokrzywa explained.</p>
<p>One year, it was dog and cat food for an animal shelter; another year  it was Teddy bears for the Oakland County’s  Bears on Patrol. One time,  the family rented a dunk tank and raised money for CureSearch National  Childhood Cancer Foundation.</p>
<p>“Children can participate in walk-a-thons, too,” said Pokrzywa, a lecturer in the department of writing and rhetoric at <a rel="nofollow" href="http://rochester.patch.com/listings/oakland-university">Oakland University</a>.</p>
<p>Her kids (all musicians) also often provide music at charitable  fundraisers. Recently, her daughters performed with the Oakland Youth  Orchestra at the Mercy Bellbrook retirement home in Rochester Hills. The  family also is involved in helping the Save Our Symphony group to  preserve the Detroit Symphony Orchestra.</p>
<h2>It’s Never Too Late</h2>
<p>Unfortunately, parents don’t always have the time to orchestrate such  family interests and outings when their children are young. It’s all  they can do to hold jobs, shuttle their kids to school activities and  ensure there’s a healthy meal on the table at night. Many busy moms and  dads admit that they flat-out did not make community work a priority  when their children were in grade school.</p>
<p>No worries, say the  experts. It’s never too late to get kids involved, and teenagers are a  perfect age group for volunteer service. It’s how you go about  motivating them that will determine if they’re up for jumping in.</p>
<p>“Adolescents  are at a stage where their interests shift to friends, fun,  competition, and belonging,” Chase said. At this age, she suggests  considering something like a fundraising car wash or bottle drive where  the money is used to improve a local park or purchase items for those  less fortunate. This way they can have fun with friends (always a  teenage priority) and increase their sense of belonging.</p>
<p>“The  result is a compassionate effort, a better sense of connectedness, and  belonging to something greater than yourself,” Chase explained.</p>
<p>Longtime teacher Logan says to always remember that teens need to be respected.</p>
<p>“Whatever you plan,” said Logan, “tell them up front, and let them have some say in it.”</p>
<p>Logan  also suggests taking an interest in the cause yourself — contribute  something to show your interest. And always, “let them invite a friend  or two.”</p>
<h2>Peers and Pals</h2>
<p>Craig Kaplan of Bloomfield Hills relishes the camaraderie that goes  along with volunteer service. He combined his passion for leadership and  the arts and his desire to help the community by starting RAD, which  stands for Reinstituting the Arts into Detroit.</p>
<p>Every month,  Kaplan, a 17-year-old senior at Lahser High School in Bloomfield Hills,  works with other area high schools to organize visits to O.W. Holmes  Elementary-Middle School  in Detroit. There hasn’t been an art program  at the school for about 10 years.</p>
<p>The teens orchestrate craft-making sessions and read books to the kids.</p>
<p>“I  think the kids’ favorite craft was when we made butterflies out of  coffee filters,” said Kaplan, who first would visit  the school as an  independent study project with  his grandmother and a friend or two.  Then the idea grew and he wanted to get his classmates involved.</p>
<p>“Over  the summer, I made RAD official and got fieldtrip permission forms,  etc. from the  high schools,” Kaplan said. He also is assured that the  program will continue once he graduates.  “It can maintain itself now  that it’s official,” he said.</p>
<p>The December RAD session drew a  record-number of volunteers — 128 high school students from Lahser and  Andover high schools working with 14 classes/300 students, all making  bird ornaments out of acorns.</p>
<p>“I wanted kids to see that art can be created out of anything,” Kaplan said.</p>
<p>The  industrious — and entrepreneurial — teen says one of the best parts of  heading up a small program is that he has the ability to run it himself.</p>
<p>“I wanted the autonomy to create something myself. Even though  it’s a small program, it’s personal and I care about it and I connect  with the kids. I made a connection.”</p>
<h2>What’s Your Passion?</h2>
<p>Stuck on what cause to get involved with?</p>
<p>“Parents should help their kids find a cause,” said Pokrzywa. “Think  about the causes you support and let your child know why you take your  own time and money to give to this cause.”</p>
<p>Pokrzywa suggests finding causes that your kids are interested in.  “We are music lovers —  my daughters are all budding musicians,” she  said. Therefore, her family likes to support musical causes.</p>
<p>Oftentimes,  kids want to help other kids who are their same age. The Kids Helping  Kids One Step at a Time Walk event, co-chaired by Connie Beckett of Troy  and Kelly Shuert of Bloomfield Hills, is a perfect way to get kids  involved.</p>
<p>Hosted by The Children&#8217;s Charities Coalition   (comprised of  four nonprofit organizations based in Oakland County:  CARE House, The Community House, Orchards  Children’s Services and  Variety The Children’s Charity), the event requests that each walker  raise at least $75, which benefits kids of the coalition.</p>
<p>“We  have found that the kids who participate in the walk are members of  their school band, swim team, choral group, etc.,” said Gigi Nichols,  communications director for The Community House.</p>
<p>“They love  volunteering with their friends, and peer recruitment works well.” The  walk is May 1 (registration begins at 9 a.m. and starts and ends in  Birmingham’s Shain Park).</p>
<p>“With schools and families working hard to instill positive character  traits in children, this is a perfect way to teach children the  importance of giving back to the community,  Nichols said of the walk,  now in its fourth year.</p>
<p>Churches also offer great ways to get involved with the community.</p>
<p>“Many  youth today have a passion and a desire to make a difference in the  world,” said The Rev. John Harnish of the First United Methodist Church  in Birmingham. “They see the news, they know what’s going on and they  want to have an impact,” he added. “If we can offer them opportunities  that touch their hearts, they will respond.”</p>
</div>
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		<title>Beat Winter Depression!</title>
		<link>http://abarishealth.com/beat-winter-depression/</link>
		<comments>http://abarishealth.com/beat-winter-depression/#comments</comments>
		<pubDate>Fri, 28 Jan 2011 01:55:22 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Depression]]></category>
		<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=453</guid>
		<description><![CDATA[by Bob Schuman A lot of people actually become depressed during our long, gray, cold winters here in Michigan. Dr. Robert Kender, a Clinical Psychologist at Abaris Behavioral Health has some helpful tips for beating the winter blues. Many folks wind up in a funk during this time of the year. We’re in the dead ...]]></description>
			<content:encoded><![CDATA[<p>by <a href="http://womc.radio.com/author/bobschuman/" target="_blank">Bob Schuman</a><br />
A lot of people actually become depressed during our long, gray, cold winters here in Michigan.  Dr. Robert Kender, a Clinical Psychologist at Abaris Behavioral Health has some helpful tips for beating the winter blues.</p>
<p>Many folks wind up in a funk during this time of the year.  We’re in the dead of winter, the sun is scarce, and some are downright depressed.</p>
<p>As daylight hours become more limited, our bodies have a limited ability to absorb certain wave lengths of light.  This can trigger what the experts call seasonal depression.  Some unlucky folks start feeling lousy with the arrival of fall and stay that way until spring.  Interestingly, young adults are at higher risk for seasonal depression and up to 90% who suffer are women.  So what to do about it?  That’s where Dr. Robert Kender comes in.  He is a Clinical Psychologist at Abaris Behavioral Health and he has been treating people for this disorder for 9 years.</p>
<p>Dr. Kender offers these tips:</p>
<p>DON’T ISOLATE.  Make sure to get out of the house as much as you can, especially during the day when your body can absorbe the available light.  If you’re alone, stay active or get lost in a good book or movie.</p>
<p>SOCIALIZE MORE.  Getting out with friends and family can help keep your mind busy on other things.</p>
<p>EXERCISE.  A 20 minute brisk walk can change your mood for up to an hour.  A 30 minute stroll or longer will prolong the positive effects.  But be careful not to slip on the icy walkways and roads!</p>
<p>Also keep this in mind.  Depression tends to hit harder at night.  This is really the perfect time to exercise, socialize or read a good book.</p>
<p>If you or someone you know is experiencing severe depression, professional support may be necessary.</p>
<p>Abaris Behavioral Health serves the behavioral health needs of individuals at clinics in Novi, Rochester Hills and Shelby Township.</p>
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		<title>Obsessive-Compulsive Disorder (OCD): What it is and how it’s treated.</title>
		<link>http://abarishealth.com/obsessive-compulsive-disorder-ocd-it%e2%80%99s-treated/</link>
		<comments>http://abarishealth.com/obsessive-compulsive-disorder-ocd-it%e2%80%99s-treated/#comments</comments>
		<pubDate>Tue, 18 Jan 2011 19:33:32 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Mental Health News/Blog]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=436</guid>
		<description><![CDATA[By: Michael Butkus, PhD Obsessive-compulsive disorder (OCD) afflicts about 2-3% of the adult population and about 0.5 to 1% of children and adolescents. If one includes those who do not have a diagnosable condition (i.e., subclinical condition), then these figures are much higher. Many individuals may have OCD and still function quite normally but many ...]]></description>
			<content:encoded><![CDATA[<p>By: Michael Butkus, PhD</p>
<p>Obsessive-compulsive disorder (OCD) afflicts about 2-3% of the adult population and about 0.5 to 1% of children and adolescents. If one includes those who do not have a diagnosable condition (i.e., subclinical condition), then these figures are much higher. Many individuals may have OCD and still function quite normally but many experience negative quality of life changes because of it.</p>
<p>OCD is considered an anxiety disorder and characterized by <em>obsessions</em> or intrusive, unwanted thoughts and <em>compulsions</em>, ritualistic behavior that must be performed. The compulsions serve to diminish the anxiety caused most often by the obsessions. If the individual did not become anxious by the obsessions, there would not be much ritualizing.</p>
<p>There are generally several classes of obsessions and compulsions such as: responsibility obsessions, checking rituals, contamination obsessions and decontamination rituals, symmetry (“just right”) obsessions and ordering/arranging rituals, violent, sexual, and religious obsessions and reassurance-seeking. Interestingly, studies have shown that on average we have about 4000 thoughts per day and some of them are similar to those that plague people with OCD. It’s just that the individual with OCD can’t stop thinking about them, is made anxious by them, and tries to make them go away with rituals. OCD sufferers have tried to stop their obsessions and are often told by others to “just stop thinking about them.” But as has been shown in research, trying not to think about something (e.g., pink elephant) makes one think about it more.</p>
<p>Researchers have investigated the cause of OCD. While there is not one good causal theory there are believed to be many contributing factors that explain why someone gets OCD and another does not such as: genetics, brain structure and chemical differences, proneness to anxiety, and tendency to over interpret the significance of one’s thoughts. What has been shown in research is that OCD is not caused by early childhood trauma, fixations, or conflicts although it is not unusual for OCD to begin in childhood. <em>A sufferer does not cause their OCD.</em> But fortunately there are medical and behavioral treatments that can relieve or reduce OCD symptom frequency and intensity.</p>
<p>Research shows that those with OCD benefit from well-conducted <em>Cognitive Behavioral Therapy</em> (CBT). In this form of therapy, the individual learns that there is a reliable relationship between certain thoughts and consequent feelings and actions. Via <em>cognitive restructuring</em>, where irrational or error-based thoughts are challenged and replaced, the individual learns a better way to think about their obsessions. In OCD treatment the individual learns about the nature of anxiety, what OCD is, and how it is treated. Then a hierarchy of least to most anxiety provoking OCD symptoms is generated. The most important treatment component is called <em>Exposure and Response Prevention</em> (E/RP), where the individual with OCD faces the dreaded thought and purposefully does not engage in the corresponding ritual. E/RP is based on the well known phenomenon that facing a fear repeatedly will make the fear decrease in intensity and avoiding the fear will prolong or make it worse. Using E/RP and cognitive restructuring, each item on the hierarchy is attacked until it no longer generates much tension or urge or anxiety. OCD treatment, particularly E/RP, can produce tension and uncomfortable feelings at times but a good therapist will not move faster than the individual can handle.</p>
<p>Medication, e.g., citalopram (Celexa©) or paroxetine (Paxil©) can be a useful adjunct to therapy for OCD. Some individuals with OCD respond better to behavioral treatment if they are also taking medication.</p>
<p>Is everyone with OCD helped by the kinds of treatments described above? The short answer is no. But many are, in varying degrees, depending on a number of factors such as therapist skill, motivation to fight the OCD, frequency of E/RP, to name a few. For many, unfortunately, the length of time between symptom onset and treatment is long-in some cases 10 years or more. An individual with OCD, especially if the quality of their life is impacted negatively, can be helped if they get the right treatment. Finding a therapist skilled in treating OCD can be a challenge but therapists are out there. There is no good reason to delay treatment and prolong suffering.</p>
<p>There are support groups for those with OCD and organizations, such as The International OCD Foundation.</p>
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		<title>Anxiety Disorders: Panic Disorder</title>
		<link>http://abarishealth.com/anxiety-disorders-panic-disorder/</link>
		<comments>http://abarishealth.com/anxiety-disorders-panic-disorder/#comments</comments>
		<pubDate>Mon, 10 Jan 2011 06:56:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Mental Health News/Blog]]></category>
		<category><![CDATA[agoraphobia]]></category>
		<category><![CDATA[Anxiety Disorders]]></category>
		<category><![CDATA[Obsessive-Compulsive Disorder]]></category>
		<category><![CDATA[panic attack]]></category>
		<category><![CDATA[Panic Disorder]]></category>
		<category><![CDATA[social phobia]]></category>
		<category><![CDATA[Traumatic Stress Disorder]]></category>

		<guid isPermaLink="false">http://abarishealth.com/?p=411</guid>
		<description><![CDATA[Dr. Lisa Elrom, Ph.D. Anxiety Disorders are very common. Almost twenty percent of the United State’s adult population suffers from some form of Anxiety Disorder within any given year. The Diagnostic and Statistical Manual (currently DSM-IV and IV-TR), the mental health code book, defines various types of Anxiety Disorders. They include Generalized Anxiety Disorder, Panic ...]]></description>
			<content:encoded><![CDATA[<p><strong>Dr. Lisa Elrom, Ph.D</strong>.</p>
<p>Anxiety Disorders are very common. Almost twenty percent of the United State’s adult population suffers from some form of Anxiety Disorder within any given year. The Diagnostic and Statistical Manual (currently DSM-IV and IV-TR), the mental health code book, defines various types of Anxiety Disorders. They include Generalized Anxiety Disorder, Panic Disorder (with and without agoraphobia), Social Phobia (Social Anxiety Disorder), Post Traumatic Stress Disorder, Obsessive-Compulsive Disorder, and Specific Phobia.</p>
<p>This article addresses one particular Anxiety Disorder: <strong>Panic Disorder</strong>.  Many individuals have experienced some form of a <strong>panic attack</strong> in their lifetime.  You may be considered to have a Panic “Disorder” when you have had a series of ongoing panic attacks. The symptoms I hear most individuals complain about are shortness or constriction of breath, rapid heartbeat, faintness or dizziness, tightness in chest. However, individuals, especially at extreme levels of panic, may also experience nausea, numbness or tingling in the hands and/or feet, a feeling of “unreality” or disconnect a fear of loss of control. When someone experiences a panic attack, they often see their doctor or may even go to the emergency room because they think they are having a heart attack.</p>
<p>The majority of individuals can live with panic attacks. However, there are many that find them highly debilitating. Panic attacks come on suddenly and unexpectedly. They can show up either during the day or during sleep. It is not atypical for someone to start avoiding places or situations where they think they will have a panic attack. The tendency to avoid situations where escape may be difficult is called <strong>Agoraphobia</strong>.  Individuals commonly avoid places where there are crowds. They may also avoid driving on a freeway and/or in rush hour traffic, because they are afraid they will have a panic attack during that time. At the extreme range individuals become homebound.</p>
<h2>Treatment</h2>
<p>If you are experiencing panic attacks, it is likely you will seek out the assistance of a skilled therapist, such as a psychologist, social worker, or licensed professional counselor. You may even need to be on medication to help manage the symptom. There are a variety of medications that your primary care physician or a psychiatrist can administer. If one does not work there is usually another that will.<br />
The decision to take medication is between you and your doctor. However, medication is not the primary choice in the management of any Anxiety Disorder. Research has shown that Anxiety Disorders, and that includes Panic Disorder, must be managed through therapeutic techniques described below. First of all, it is important to understand that although panic attacks are scary, you will not die from them. Secondly, avoiding situations you fear having an attack will only reinforce having them in those situations and sustain the disorder. Therefore, it is vital that you work on learning to confront those situations.<br />
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<p><strong>A skilled therapist should work with you on the following:</strong></p>
<ol>
<li>Relaxation techniques to help you learn to calm your body.</li>
<li>Breath retraining—rapid breathing happens during panic attacks and it can lead to hyperventilation when panic attacks are intense. By learning deep breathing or training your breath to be more from the diaphragm or “belly” region (as opposed to the chest region during a panic attack) you might learn to slow your breathing down.</li>
<li>Something called “interoceptive feedback” will help you learn to get used to your panic symptoms. This involves doing certain exercises that mimic the symptoms; e.g. spinning around to recreate the experience of dizziness.</li>
<li><strong>Cognitive behavior therapy (CBT)</strong> is key to managing anxiety disorders in general. It is important that you develop and maintain a realistic perspective of your anxiety and the situation you may fear. Anxiety has an uncanny way of telling us to worry!</li>
<li><strong>In vivo exposure</strong>, which is part of CBT, will help you learn to confront those avoided situations. Your therapist will help you identify a “hierarchy” of situations that you avoid. Not every situation will elicit the same level of anxiety or panic. By exposing yourself to each situation you avoid in a gradual manner, you will have better success than starting with situations that are highly anxiety producing.</li>
</ol>
<p>While these techniques are the basis for managing panic attacks, there are others that a creative therapist can offer as well.</p>
<p><strong>We welcome questions in the comment area about panic disorder, and  a professional will respond.</strong></p>
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