Amelia R. Hall, Psy.D., holds a Doctor of Psychology degree in clinical psychology, with a special concentration in diversity and multicultural related issues.

Understanding your Risk!

American Foundation for Suicide Prevention, 2017 states the following facts.

• Each year 44,193 Americans die by suicide
• Suicide is the 10th leading cause of death in the US
• For every suicide there are 25 attempts
• Suicide costs the US $51 Billion annually

Did you know that mood (e.g., depression) and substance use (e.g., cannabis) disorders are known risk factors for suicide?

Here are some stats:

• Racial or ethnic minority (e.g., Black and Latino) individuals have lower lifetime prevalence rates of mood and substance use disorders
• In contrast, Black and Latino LGB youth have higher prevalence rates of suicide attempts than White youth
• According to O’Donnell, Meyer, and Schwartz (2011), most suicide attempts in the LGB community occur by or before the age 24-years-old
• Lifetime suicide attempt rates in the LGB community range from 10% to 40%, compared to 0.4% to 5.1% in the heterosexual population.

The Minority Stress Model (Meyer, 2003) suggests that excess prejudice, stigma, and discrimination (e.g., family rejection, and self- and other labeling) encountered by LGB individuals may typically lead to increased mental health problems (e.g., mood and substance use disorders) and a result in increased risk of suicide. Black and Latino LGB individuals may be at elevated risk for suicide attempts, even in the absence of these traditional markers.

Behavioral health intervention can protect against further emotional distress and aid LGB individuals in navigating through the shame and stigma associated with non-heterosexual behavior, racial and ethnic differences in the coming-out process, experiences of negative life events (e.g., violence and homelessness), and other factors that may contribute to an increased risk for suicide attempts.

This article is courtesy of The Hózhó Institute, LLC.

For more information, please contact Hillcrest Center at (202) 232-6100 or email us at info@hillcrest-dc.org.

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Relax, Relate, Release!

Are you struggling in school, overwhelmed with deadlines at work, or frustrated with family responsibilities?

No worries; stress is a normal physical and/or emotional reaction to balancing the ever-increasing demands of life that may leave one feeling stretched to the limit.  For example, both negative (e.g., job, relationship problems, and/or financial difficulties) and positive events (e.g., buying a house, starting a new job, and/or getting married) could potentially contribute to high levels of stress.  However, the American Psychological Association suggests that women, younger Americans, and parents, in particular, consistently endure levels of stress that may be detrimental to their overall health (APA, 2014).

Relax:  Understanding Your Stress Response

All stress is not bad stress.  Some may find that they perform “best” under time constraints.  On the other hand, the brain and body was not designed to remain on high alert for extended periods of time.

The brain is hard-wired with an alarm system that was set in place for protection.  For example, if the brain were to perceive a threat, it would notify the body and decide whether the potential life-threatening situation required a “fight-or-flight” stress response.  But once the threat, either real or imagined, has been resolved, the body is meant to return to its normal relaxed state.

Relate:  Identifying Your Stressors

What triggered your stress?  What time of day did it occur?  What were your thoughts?  Did you have a behavioral, emotional, and/or physical response?

Identifying the source(s) of one’s stress may seem like an obvious step in the resolution process.  Nevertheless, it is one that is often overlooked, thus causing one to develop a negative stress cycle.

Mayo Clinic, 2013

Release:  Managing Your Stress

Incessantly high levels of stress may lead to the development of serious health problems (e.g., high blood pressure, diabetes, heart disease, depression, and anxiety) later in life.

Creating a Wellness Toolbox is a healthy way to reset the brain’s alarm system to manage current or impending stress.  For example, one’s toolbox may include the following self-care activities:

• Proper rest – the National Sleep Foundation (NSF) recommends that adults aged 18-64 years get between 7-9 hours of sleep each night.
• Proper nourishment – WebMD recommends 3 nutritious meals plus 3 healthy snacks per day.
• Physical activity – the Department of Health and Human Services (DHHS) recommends at least 20 minutes of moderate aerobic activity (e.g., brisk walking or swimming), 10 minutes of vigorous aerobic activity (e.g., running or Zumba), and strength training (e.g., light weight lifting and yoga) as needed on a daily basis.
• Therapy – to assess one’s current level of stress and recommend further successful interventions, such as:
  • Keeping a stress journal to track and monitor one’s current stress cycle as well as clarify one’s needs.
  • Practicing meditation/relaxation techniques (e.g., counting, deep breathing, and art/music therapy) to help one instantly achieve a calm state in highly stressful situations.
  • Practicing positive self-talk to replace negative thoughts regarding one’s situation with more positive and constructive thoughts.
  • Developing a support system (e.g., close family and friends) to assist in times of high stress.

For more information, please contact Hillcrest Center at (202) 232-6100 or email us at info@hillcrest-dc.org.

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Amelia R. Hall, M.A. is a clinical psychology doctoral student, with a special concentration in diversity and multicultural related issues.

• Have you ever felt the need to Cut down on your drinking or drug use?
• Have you ever felt Annoyed by criticism of your drinking or drug use?
• Have you ever felt Guilty about your drinking or drug use?
• Have you ever taken a morning Eye-opener of alcohol or drugs to steady your nerves or get rid of a hangover?

Research suggests that if you answered ‘YES’ to at least one of the aforementioned questions, there is an 80% chance that you may have an addiction.

Anything in Excess can be Harmful to your Health

• Did you know that alcoholism is the 3rd leading preventable lifestyle-related cause of death in the nation?
  • Nearly 88,000 people die annually from alcohol-related causes (e.g., alcohol poisoning, driving fatalities, drowning, fetal alcohol spectrum disorders, risky sexual behavior, and violence) (CDC, 2014)
• Did you know that youth initiation of substance use is highest in December, January, April, May, June, and July?
  • Despite 21 being the minimum legal drinking age, approximately 8.7 million (22.7%) persons aged 12-20 years old had consumed alcohol (NSDUH, 2013)
  • In 2014, 6.5% of 8th graders, 16.6% of 10th graders, and 21.2% of 12th graders reported daily use of marijuana (NIDA, 2014)

Substance use among youth is a public health problem, as it increases the risk for physical problems, poor mental health outcomes, social difficulties, and even death.

Take Action Today

Research has shown that effective treatment can improve one’s chances of overcoming addiction.  Some positive preventive actions include:

• Assessing Risk (e.g., C.A.G.E. Substance Abuse Assessment)
  • Focus:  To access whether one’s substance use has a negative impact on their daily functioning

• Targeting Prevention Services(e.g., outpatient treatment clinics)
  • Focus:  To identify and utilize protective factors (e.g., parent and other support) as well as provide one with appropriate coping skills to help support a healthy and balanced lifestyle change

For more information, please contact Hillcrest Center at (202) 232-6100 or email us at info@hillcrest-dc.org.

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Amelia R. Hall, M.A. is a clinical psychology doctoral student, with a special concentration in diversity and multicultural related issues.

We’ve all seen it on the news – public displays of violence caused by negative thoughts and behaviors. But do you realize that the violence may be a distractor from underlying behavioral health concerns and/or unbearable social conditions?

The recent Baltimore Riots give insight into how experiences of anxiety (e.g., fear, panic, and uneasiness) and depression (e.g., anger, helplessness, hopelessness, and irritability) may lead to episodes of aggressive, antagonistic, defiant, and reckless behavior within communities across the globe. Some known social conditions that may also contribute to these episodes include:

• Crime-stricken neighborhoods;
• Low-income housing;
• Rampant substance abuse; and
• Increased unemployment rates

Dr. Martin Luther King, Jr. once stated, “Injustice anywhere is a threat to injustice everywhere.” So, take a deep breath for one moment. Let your mind drift. Imagine how it might feel to have your cries for help fall onto deaf ears. Focus on how your body might feel. Consider how you might respond.

One’s belief that their circumstances will never change may cause them to develop and utilize dysfunctional methods of getting their needs met. However, how effective are these methods? Studies have shown that although rioting may be thought of as a way of garnering unity within the community regarding a common concern, it may actually be counterproductive to the overall goal.

However, behavioral health interventions can protect against future emotional distress and reckless behavior by:

1. Supporting the development of healthy coping skills to manage daily life stress;
2. Replacing unhelpful patterns of thinking with more effective patterns of thinking; and
3. Encouraging a more appropriate and effective communication style

For more information, please contact Hillcrest Center at (202) 232-6100 or email us at info@hillcrest-dc.org.

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Amelia R. Hall, M.A. is a clinical psychology doctoral student, with a special concentration in diversity and multicultural related issues.