Dr. Henry Paul, MD

Psychiatrist, Author and Educator

FIGHTING THE STIGMA OF MENTAL HEALTH

February 19th, 2016

39018469_sThere is a stigma surrounding mental health issues, not just here in the United States, but around the world. There always has been! Today the Huffington Post began their “Young Minds Matter” campaign to raise awareness about mental health in children, and the Dutchess of Cambridge is leading the charge. The former Kate Middleton said in the Huffington Post Wednesday that “she and Prince William wouldn’t hesitate to seek help if they thought their children, George and Charlotte, needed it.”

As a guest editor for the Huffington Post, the Dutchess of Cambridge said in her first blog post for the new series “Young Minds Matter” that she wants to “celebrate the amazing work being done to improve and understand the mental health of young children”. She discussed her charity work and how it led her to realize that unresolved issues in childhood were leading to addiction and mental health problems for many adults. She writes, “What I did not expect was to see that time and time again, the issues that led people to addiction and destructive decision making seemed to almost always stem from unresolved childhood challenges. It became clear to me that many children – even those younger than five – have to deal with complex problems without the emotional resilience, language or confidence to ask for help. And it was also clear that with mental health problems still being such a taboo, many adults are often too afraid to ask for help for the children in their care.”

The new series will explore the issues and work on the mental health of the young child.

I applaud the Huffington Post and the Dutchess of Cambridge for starting this dialogue, and I encourage you to follow and join the discussion. The mental health crisis in the UK mirrors the American crisis, and there is a lot to learn from this ongoing dialogue.

LINKS
Let’s Make a Real Difference for an Entire Generation of Young Children
Duchess of Cambridge raises mental health issues in HuffPost

THRIVENYC EXPECTED TO TRANSFORM A CITY

December 3rd, 2015

New York City Mayor Bill de Blasio has announced new mental health initiatives for New York City. On November 25, the Mayor and his wife, First Lady Chirlane McCray, appeared on NPR’s Morning Edition to discuss ThriveNYC and how they hope it will transform their city.

De Blasio told host Linda Wertheimer, “We have a fundamental health problem in our city, in our nation, in New York City, as one-in-five New Yorkers are affected by some form of mental illness. And this requires a very comprehensive response, and it begins with making sure people can get access to mental health services.”

An $850 million program, ThriveNYC aims to hire 400 mental health clinicians for high-need communities and provide mental health training to a quarter-million New Yorkers.

18498229_sThe initiative will launch with mental health screenings for postpartum depression. “Despite the great benefit it provides, screening for postpartum depression has not been part of a woman’s routine care,” said McCray in an interview with the Huffington Post last week.

According to the Mayor’s office, the city’s Health and Hospitals, which runs 11 hospitals and Maimonides Medical Center — which together handle a quarter of the city’s births — have pledged to make the depression checks universal for pregnant women and new mothers within two years. It is estimated that one in ten new mothers, meaning 12,000 to 15,000 cases a year in the city, suffers from some sort of post-partum depression. The city’s eventual goal is universal screening.

20018847_sHomelessness is a big part of this program. “The key is to make sure that people who are suffering – people who have a mental illness – don’t go on the street to begin with – that they are treated.” McCray told Wertheimer.

This is a step in the right direction for New York. I’m sure there will be details to work out as the initiatives unfolds but you have to start somewhere. I think that Mayor de Blasio and his wife are making a great start. Let’s support them.

Get a full copy of the ThriveNYC report (PDF). Understanding New York City’s Mental Health Challenge here. For more details on the initiative visit https://thrivenyc.cityofnewyork.us/.

LINKS

Huffington Post The Important Thing Hospitals Have Pledged To Do For New Moms

NPR NYC Mayor Unveils Ambitious Plan To Combat Mental Health Illnesses

 

DISCLAIMER
Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.

WHO IS THAT EXPERT ANYWAY?

October 15th, 2014

Over the years, parents have come into my practice questioning whether-or-not medication is necessary, and safe, for their child. They listen to the radio, see an expert on television, or find a website or blog online, and all of a sudden they are not sure what to believe. Parents have become frightened about medicating their child. Here are some comments that I received from parents worried about medication:

“These drugs are harmful – we don’t even know how they work.”
“There is nothing really wrong with my child; it’s just a bit of extreme behavior, certainly not a disorder.”
“My neighbor’s daughter died from that medication.”
“I heard these medications are addictive.”
“I just want to use natural remedies.”
“I don’t want my son to be a zombie all day.”
“I’m afraid the side effects will be worse than the disorder.”

 From years of practice and education, I have become familiar with the arguments about the use, and possible misuse, of psychotropic medication for young people. While good healthy debate helps us all, this subject has also attracted many who distort, exaggerate, and even make up stories.

Having been interviewed myself on many radio and television programs to discuss this medication and more, I have seen the dangers of relying on sound-bite newscasts or talk show drama when it comes to terribly important topics. I have learned that many of the experts have had little or no experience working in the trenches with children. The problem is that the “experts” on television and radio, or who have a blog, are assumed to be knowledgeable.

One interview I did was for a national talk show viewed by millions of parents. I was talking about the medication used for ADHD with another doctor who had written a popular book against the use of any medication for this disorder. During a commercial break, I asked the author how he had become so convinced that medications are dangerous, as I had never seen many of the problems he was describing. He told me that he was not a child psychiatrist, but a family medicine practitioner for adults and he had never even treated a child or teenager with ADHD. He said he had written his book based on a literature search he had done on his computer. His book was doing well, and the audience warmed to his comments, as he tapped into the great anxieties that most people have about giving their children medication. I was concerned that parents listening to him might withdraw life-saving, school-saving, family-saving, abuse-saving medication treatments because of his biased arguments – arguments not based on facts or experience.

As a licensed psychiatrist specializing in children and adolescents, I have spent over thirty years treating children in the trenches. I have seen children in nearly all settings, including hospitals, outpatient public clinics, residences, foster agencies, and in private practice. I have evaluated, treated and prescribed medication for thousands of children and teenagers and have followed the progress of many of them over the course of many years. That is why I wrote, “When Kids Need Meds; Everything a Parent Needs to Know about Psychiatric Medication and Youngsters.” While I certainly don’t believe that all children with mental disorders need medication, I strongly feel that some do. To withhold these important therapeutic agents can be harmful and, in some cases, tragic. I have a deep sympathy for the children who suffer from mental problems and equal compassion for their parents. I respect the need for sound information, informed reassurance, and ongoing guidance during the time a child is being treated.

DISCLAIMER

Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.

MENTAL HEALTH – AFTER TRAGEDY VIRGINIA TAKES THE LEAD!

July 24th, 2014

“At the end of the day, I want Virginia to come up with a model for treatment of mental illness,” Sen. R. Creigh Deeds, D-Bath.

By now many of you have heard the tragic story of Virginia Senator Creigh Deeds, who last fall was stabbed by his son, that same son who then took his own life. Gus Deeds, 24, had been released 13 hours earlier from an emergency custody order after local mental health workers failed to find a hospital psychiatric bed before the involuntary detention order expired.

In a statement to newsadvance.com, “His tragedy really gives voice to all of the families we hear from,” said John Snook, deputy director for governmental affairs at the Treatment Advocacy Center, a national organization based in Arlington.

“Those are families that struggle repeatedly to get help for people they love who are deteriorating in front of them — refusing to bathe and hearing voices. They say, ‘I know what is going to happen, but no one will listen,'” Snook said.

As a psychiatrist here in New York City, I see this same situation. I have met many family members throughout my career who have struggled with the same situation. Where do you go when you need mental health support for a loved one? Who will help the mentally ill if they don’t want to (or can’t) help themselves?

It’s evident that not just the state of Virginia has a fragmented and failing mental health system. Just one example is the clarion call from parents, victims and survivors of mass shootings across this country to make mental health a priority. Something I agree we desperately need to do. Let’s hope that the Joint Subcommittee to Study Mental Health Services in the Commonwealth in the 21st Century will be a leader in finding solutions that other states across the nation can model.

In the meantime, it is important that you let your elected officials know that you too want to see mental health changes in your state. The last thing we want to be doing is cutting services!

Here are some other things you can do if you’re worried about your loved one:

  • Seek out resources – doctors, support groups, mental health clinics, mental health hotlines, etc. The National Alliance on Mental Illness (NAMI) is a great resource in helping to support families and educate them on mental illness.
  • If your loved one has a diagnosis – educate yourself about their illness.
  • If you already have a treatment team in place, work close with them.
  • Make sure to take care of yourself. Find a support group or friends to talk to.
  • Click here to read more on the mental health panel in Virginia that began work this week.

#drpaul #drhenrypaul #henrypaulmd #whenkidsneedmeds #mentalhealthteens

DISCLAIMER
Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.