Maybe the Grinch Was Depressed... ?

Merry late Christmas everyone! Better late than never, right? :) I have been so busy and wish I could have posted sooner, but again... better late than never!!

Even though this post has to do with the holidays, and Christmas is now 364 days away, I think that we are still on the heels of the holiday season. We still have to make it through that awkward week after Christmas/week before New Years- a time that is often used to reflect on the past year while pondering the new one. While we all have things to be thankful for, sometimes the holidays can be overwhelming and the thought of a new year can be daunting.

For this reason, and many others (family stress, financial stress, eating disorder/body image stress), the holidays are not an uncommon time for people to feel sad, grumpy, irritable, ... depressed! I came across an article about depression in which psychologist Cynthia Bulik uses the Grinch as an example of one who exhibits symptoms of depression. In this article (which is titled, Grinch Likely Depressed, Suffers From Lack of Love, Joy) she says, "Everybody's always down on the Grinch. But one of the things I've always asked myself is whether the Grinch himself might be feeling kind of down." She uses him as an example (and it's so cute) which helps to illustrate the different forms that depression can take. What is important to realize is that while often we associate depression with people who are sad, people that are depressed may exhibit little sadness and more irritability, general feelings of misery, and/or social withdrawal.

To read this article, and to find out more about depression, follow this link. And to read a great blog post on assessing depression written by one of my favorite therapist friends,Whitney, follow this link.

A Wake-Up Call

One of my all-time favorite movies is Clueless. Say what you want about it, but everything about it makes me laugh. My best friend gave me that movie for my birthday shortly after it came out years ago, and I probably know all of the words by heart. When I heard Sunday that Brittany Murphy, the actress who played Tai in this movie, was found unconscious and died of cardiac arrest, I could not believe it. She was only 32 years old- so tragic.

There is a lot of speculation surrounding her death- she has been plagued with rumors of drug use, as well as an eating disorder. At this point, it is all speculation, but what is clear is that the most recent pictures published of her show her looking extremely emaciated. I was not planning on blogging about her, but I have had quite a few conversations about her death in the last two days with my clients that have really been making me think. A lot of the girls and women that I work with have eating disorders, and Brittany Murphy's death has possibly serious implications for those with anorexia, and eating disorders. As I mentioned before, no one really knows what caused her death. But what statistics tell us is that anorexia nervosa has the highest mortality rate of any mental illness. In fact, according to the National Eating Disorders Association (NEDA), females between the ages of 15 and 24 who suffer from anorexia nervosa experience a death rate that is 12 times higher than the death rate of all other causes of death. Just to be clear, this statistic only applies to those suffering with anorexia-- this does not mean that the leading cause of death among females who are between 15 and 24 is anorexia.

This week as I have heard clients question and ponder what ultimately killed Brittany Murphy (investigators said it was 'natural causes' but what is natural about dying at 32?), I have been struck by something else. Regardless of which self-destructive behavior (eating disorder, drugs, etc) may have contributed to her death, I think there is an important lesson that can be learned from this whole situation. It appears that Brittany's friends and fellow actors were not as shocked to hear about her death as the rest of us- apparently, she had been exhibiting erratic behavior as of late, and they were all very concerned about her shrinking frame. I think her death is a wake-up call. No matter what ultimately caused her death, her tragic exit from this world demonstrates that we are fragile. So many people with eating disorders think that they are immune from the dire health consequences that result from eating disorders, especially death; likewise, often those with drug dependencies and addictions often think that nothing bad will happen to them as a result of their drug use, including death. But death can happen and it does happen. And it is so important to take mental illness and self-destructive behaviors seriously! If you know someone who is practicing self-destructive habits, or is engaging in harmful behaviors, or you yourself are engaging in these behaviors, please seek help. This is such a serious issue. Hopefully Brittany Murphy's death will not be in vain- and will serve as a warning for others who are walking this fine line of danger.

If you or someone that you know is interested in finding out about receiving help to deal with an eating disorder, follow this link. To find out more about receiving help for a drug related issue, click here.

Brothers

I have been wanting to see the movie Brothers, so I finally went and saw it the other night! It's a powerful movie starring Jake Gyllenhaal, Natalie Portman and Tobey Maguire that examines the effects (mostly psychological) of war on one's family and its impact on familial relationships. Because this is not Rotten Tomatoes, the movie review website :), I will refrain from giving you a play by play on the movie - but if you are interested, follow this link to read some reviews. The reason I bring up this movie is not because I just want to talk about the movie... Rather, I had an interesting observation as I watched it that got me thinking more about the way that men and women are portrayed in the media, specifically as it relates to body image.

In this movie, Toby Maguire plays a Marine who is held as a prisoner of war. He is tortured and starved. For the role, he had to lose a considerable amount of weight. I noticed that he looked significantly underweight throughout the movie, and my friend who I was with noticed this too. Well, when I got home, I wanted to read some reviews about the movie because 1) i'm kind of a nerd, but 2) it had a pretty powerful message and I was curious how other people had interpreted its meaning. In the process, I came across some interviews done by Maguire where he discussed how he was required to lose a substantial amount of weight for the role. He mentioned that he only had a couple of weeks to drop the weight, and while he did consult a nutritionist one time before he began his weight loss, he admitted that he used very unhealthy means to reach his goal.

I guess what struck me about this is the fact that a majority of Hollywood actresses are significantly underweight all the time, and for the most part, the media views this as 'normal.' While magazines may write stories about which actress used which diet to lose weight fast, you typically hear stories about women being praised for losing drastic amounts of weight, even if it is unhealthy. I think what this illustration demonstrates is that when a woman is underweight, it is not really newsworthy because it is sort of an expectation as the ideal standard of beauty, whereas when a man loses too much weight, it is recognized as unhealthy-- it is assumed that he will return to his normal, healthy weight once the filming for his movie has reached completion. Why is it that we can recognize unhealthy weight and disordered behaviors in men and fail to do so with women? Being silent communicates acceptance, so when an actress is too thin, is cast in movies and people rave about her beauty, it sends a message that she is beautiful and okay. This message is a dangerous one.

I guess the culmination of my thoughts on Tobey Maguire amounted to more confirmation of my desire to increase awareness of the ways in which the media can be confusing and tricky with their double standards and messages. I think it is important to be aware of these mixed messages so as to avoid buying into the values and deceptions in them. I have mentioned the organization About-Face before in another post (click here to read it). It's main goal is to promote health by helping women to resist damaging messages from the media about their bodies and self-esteem. I recommend checking it out! To access their website, follow this link. In the mean time, be discerning as you interact with culture and media, and do not be afraid to be critical about what you see and observe...

GoodSearch: Raise Money for Eating Disorder Non-Profits With a Click of Your Mouse

An acquaintance of mine who works at a non-profit organization recently pointed out something amazing to me- GoodSearch. It is a search engine powered by Yahoo that can be used to search for anything online. What makes this search engine unique is that you can select a non-profit organization of your choice each time that you perform a search and money is donated to that non-profit! Each time you perform a search! Pretty incredible! The only minor catch is that GoodSearch has a pre-approved list of non-profits (86,389 to be exact) from which you can choose, which means your particular cause may not be listed; however, if you have a non-profit that you wish to add, you can submit it for approval. It might sound a little too easy... perform a search online, raise money! But it's not! :) A portion of the money that is generated from advertising is sent to the non-profit that you have selected. GoodSearch's mission is to help people support their favorite causes, charities and/or non-profits by doing a simple, everyday task.

If you would like to raise money to fund eating disorder research, or to support eating disorder/body image non-profit organizations, here are some of the non-profits already approved:

• National Association of Anorexia Nervosa and Associated Eating Disorders (ANAD)
• National Eating Disorders Association (NEDA)
• National Association for Males with Eating Disorders (NAMED)
• The Body Positive
• The Joy Project (MN)

To read more about this site, click HERE. And to use the search engine, follow THIS LINK.

Kids, Mental Health and Hope

I like to think that I am a 'glass half full' kind of person. Generally, I try to see the good in people and situations, and am hopeful about change- if I weren't, I'm not so sure that counseling would be the best field for me! All that to say... I noticed the other day that while I was reading an article about young people and mental health, I found myself taking a 'glass half empty' mentality. Why??

Well, according to a survey funded by the National Institute of Mental Health (NIMH) which will soon be published in the journal Pediatrics, 13 percent of all children and young teens have at least one 'mental health disorder.' And of that 13 percent, only half have been evaluated and treated by a mental health professional. These facts indicate that while one half of young people are being treated, one half are not. This is a staggering number when considering that half of all youth with mental illness are receiving no treatment or help at all.

This survey sampled 3, 042 children between the ages of 8 and 15, and the findings were based on assessments of these children for six common mental disorders--anxiety disorder, panic disorder, eating disorders (anorexia and bulimia), depression, ADHD (attention-deficit/hyperactivity disorder) and conduct disorder. For a bit of perspective, imagine if half of young people who deal with diabetes or asthma were living without medical treatment. To think about the number of children and teens who are suffering from untreated mental health issues is alarming. And sad! Research indicates that when mental health issues are not treated, they typically persist and become more severe with age. (I wrote a blog awhile back on teens and depression that addressed this issue- follow this link to read it and to learn some of the symptoms of childhood/teenage depression.) This is concerning because young children and teens who suffer from eating disorders, for example, and are not being treated are at serious risk for many physical and psychological problems. This is a serious issue!

The article suggested that part of this problem is due to the fact that there is a shortage of mental health workers that specialize in treating children, specifically psychiatrists. So what is a parent to do?? Perhaps we need to focus on educating more parents and teachers about the symptoms of anxiety, depression, eating disorders, ADHD, etc.. in children and teens so that they are able to notice the warning signs and advocate for their treatment. While mental health professionals have the tools and knowledge to diagnose and treat, parents and teachers are able to notice patterns of behavior in children over time that a professional is not necessarily capable of seeing when sitting with them for 30 minutes. To read this article in its entirety, follow this link, as well as this one for more info!