• Part IV • Understanding Depression, Hope Through Treatment (The Mary Hanson Show)


[opening theme music] ♪ ♪ >>HELLO, WELCOME TO UNDERSTANDING DEPRESSION: HOPE THOUGH TREATMENT. I’M MARY HANSON, I’M A SOCIAL WORKER AND HOST OF A LONG-RUNNING CABLE AND PUBLIC TELEVISION SHOW THAT HAS FOCUSED FOR YEARS ON SOCIAL AND HEALTH ISSUES. MY COHOST TODAY IS DR. JAMES JORDAN. JIM IS A WELL-KNOWN
PSYCHIATRIST IN MINNESOTA AND THE MIDWEST, HE’S THE PAST PRESIDENT OF THE MINNESOTA PSYCHIATRIC SOCIETY, AND HE IS THE MAN WHO IS AT
THE HELM OF THE HAMM PSYCHIATRIC COMMUNITY HEALTH CLINIC IN MINNESOTA IN ST. PAUL FOR 25 YEARS. >>WELCOME, AND WE WANT TO
TALK TO YOU ABOUT A COMMON AND IMPORTANT AND SERIOUS PUBLIC HEALTH PROBLEM: DEPRESSION. OUR GUESTS ARE GOING TO TALK
TO YOU ABOUT THIS IN TERMS OF HOW IT IMPACTED THEIR LIFE. AND WE WANT YOU TO LEARN FROM THESE DISCUSSIONS WITH OUR GUESTS ABOUT HOW YOU CAN HELP YOURSELF AND YOUR FAMILY IN
THE FUTURE WHEN AND IF THIS COMMON PROBLEM COMES INTO YOUR LIFE. >>IN THIS NEXT SEGMENT,
YOU’RE GOING TO MEET A MINNESOTA
STATE SENATOR WHO TALKS VERY OPENLY WITH DR. JORDAN ABOUT HIS SERIOUS AND MAJOR DEPRESSION. STAY WITH US, WE’LL BE BACK IN JUST A MINUTE. >>HELLO, I’M DR. JIM JORDAN. I’M A PSYCHIATRIST. MY GUEST TODAY IS SENATOR JOHN HOTTINGER. SENATOR HOTTINGER WAS A STATE SENATOR FOR 16 YEARS AND ALSO OUR MAJORITY LEADER. HE’S HERE TO HAVE A
CONVERSATION WITH ME ABOUT THE TOPIC OF DEPRESSION AND HIS EXPERIENCE WITH DEPRESSION. SENATOR HOTTINGER, THANK YOU FOR COMING. CAN YOU TELL ME ABOUT YOUR EXPERIENCE WITH
DEPRESSION? >>WELL, CERTAINLY I’D BE
HAPPY TO, AND THANK YOU FOR INVITING ME. I APPRECIATE IT. I’D ALWAYS HAD SOME CHALLENGES WITH ANXIETY, BUT I DEALT WITH IT. OR AT LEAST I THOUGHT I DID. IN 2003, THERE WAS A
CONJUNCTION OF A LOT OF PRESSURE IN MY LEGISLATIVE ROLE AS MAJORITY LEADERWE HAD THE FIRST OF THE BIG BUDGETS. AND IN ADDITION, THERE WERE SOME THINGS GOING ON IN MY PERSONAL LIFE. THAT TRIGGERED A REALLY ACTIVE EVENT. I OFTEN TALK ABOUT IT, AND I TALK ABOUT IT IN THE CONTEXT OF BEING ON THE BRIDGE NEXT TO REGIONS HOSPITAL
GETTING READY TO JUMP IN JUNE OF 2003. AND HAVING AT LEAST THE FINAL GOOD SENSE OF CALLING A
FRIEND; HAVING SOME FRIENDS INTERVENE AND GETTING ME HOSPITALIZED. IT REALLY WOKE ME UP. I WAS TREATED FOR ANXIETY AND EXTENSIVE TREATMENT FOR THE DEPRESSION. AND IN RETROSPECT, IT WAS ONE
OF THE BEST THINGS THAT EVER HAPPENED TO ME. >>CAN YOU SAY MORE ABOUT THAT IN TERMS OF WHAT THAT REALLY MEANT AND IN TERMS OF YOUR
LIFE AND HOW IT AFFECTED YOU AT THE MOMENT THAT YOU BEGAN TO HAVE THOSE KINDS OF EXPERIENCES? >>WELL, IT WAS CERTAINLY DRAMATIC. AND I WOULD HAVE BEEN ONE OF THOSE PEOPLE THAT NO ONE WOULD HAVE UNDERSTOOD THAT I HAD
DONE IT BECAUSE I HADN’T SHARED MY ANXIETY WITH ANYONE. BUT STANDING ON THAT BRIDGE
WAS AN EERIE FEELING, BECAUSE I
WAS THERE BECAUSE I WANTED TO
JUMP. I’D BEEN UP ABOUT 40 STRAIGHT HOURS. I COULDN’T SLEEP. I COULDN’T DO ANYTHING. COULDN’T EAT. AND JUST IT DIDN’T SEEM LIKE THERE WAS ANYTHING THAT WAS POSITIVE. IAT LEAST AS I AT LEAST HAD ENOUGH LEFT TO CONTACT A FRIEND, AND THAT’S WHAT SAVED ME IN RETROSPECT. >>SO YOU LOST ALL HOPE AT THAT POINT? >>I REALLY DID AT THAT POINT. AND I DON’T LIKE TO GET BLOOD
TESTS BECAUSE THEY HURT TOO MUCH, SO IT WAS QUITE A PROFOUND RECOGNITION BY ME LATER TO
THINK I WAS WILLING TO DO THAT WHEN THE PAIN OF A BLOOD TEST BOTHERS ME. BUT IT WAS DRAMATIC, AND IT
WAS SOMETHING I THINK ABOUT, OF COURSE, A LOT BECAUSE I
REALIZE HOW BAD I HAD GOTTEN, HOW BAD THE SITUATION HAD GOTTEN. >>SO A MARKER, REALLY, OF HOW SERIOUS YOUR CONDITION WAS AT THE TIME, HAVING THESE FEELINGS. >>RIGHT, THAT’S WHY I TALK ABOUT IT RIGHT AT THE
BEGINNING OF ANY TIME I TALK ABOUT MY EXPERIENCE IS BECAUSE IT WAS
THE MARKER, IT WAS THE IDENTIFIER, THAT FINALLY GOT ME TO GET THE HELP I NEEDED. AND THE HELPING PERSONNEL I
HAD AT ALL POINTS THE HOSPITAL, THE TREATMENT I RECEIVEDTHEY WERE JUST GREAT. I CAN’T SAY ENOUGH ABOUT THEM. BUT STANDING ON THE BRIDGE WAS THE FATEFUL MOMENT FOR ME COULD HAVE BEEN A VERY FATEFUL MOMENT, BUT IT’S THE ONE I GO BACK AND THINK ABOUT AND SAY,
“I DON’T WANT TO BE THERE AGAIN.” >>NOW TAKE ME TO THE POINT WHERE YOU BEGAN TO GET SOME
HELP FOR THIS. HOW DID THAT TRANSPIRE? WHO HELPED YOU? >>WELL, AS I SAID, I CALLED SOME FRIENDS WHO I’D WORK WITH IN ST. PAUL OVER THE YEARS. I WAS IN LEGISLATOR 16 YEARS, I HAD BEEN FOR 13 AT THAT
POINT, AND I CALLED SOME FRIENDS INCLUDING A STAFF MEMBER WHO WORKED FOR ME. THERE WAS AN IRONY INVOLVED IN THAT. SHE PICKED ME UP AND, FOR SOME REASON, WE WENT TO A COFFEE
SHOP TO TALK ABOUT IT WHICH WAS
GOOD EXCEPT WE RAN INTO FRIENDS. AND IT WAS A LITTLE
CHALLENGING DEALING WITH, “I’M SORRY, I’M ABOUT TO COMMIT SUICIDE. WE WON’T TALK WON’T TALK WITH YOU RIGHT NOW.” BUT WE DID TALK WITH THEM. AND THEN SHE TOOK ME TO THE HOSPITAL, I GOT CHECKED IN,
AND ENDED UP HAVING A ROOM I WAS IN A LOCKED WARD AND ENDED UP HAVING A ROOMMATE FROM A VERY DIFFERENT BACKGROUND, AND WE HELPED EACH OTHER. THAT’S WHAT WAS SO AMAZING TO ME. I GOT SOME MEDICATION, OF COURSE, RIGHT AWAY FOR THE ANXIETY. BUT THE GUY I ENDED UP BEING
IN THE SAME ROOM WITH, ALTHOUGH WE WERE FROM TOTALLY DIFFERENT BACKGROUNDS, WE TALKED TO EACH OTHER ABOUT OUR PROBLEMS. AND I WAS AMAZED HOW MUCH EVEN THAT WAS IMPORTANT,
BECAUSE SOMEBODY WAS LISTENING TO ME. >>BEGINNING TO TALK ABOUT… >>YEAH. >>HOW THINGS WERE FOR YOU. >>YES. >>HOW THINGS HAD BUILT UP TO YOUR ROOMMATE. >>YUP. >>AND SOME MEDICATION. WHAT WAS THAT LIKE? HOW DID THE MEDICATIONS AFFECT YOU? >>WELL, THE MEDICATION, I THINK WASIT WAS FOR BOTH THE DEPRESSION AND THE ANXIETY,
BUT IT WAS REALLY DIRECTED AT THE ANXIETY, WHICH WAS DRIVING ME CRAZY. AND IT WASBAD USE OF TERMS. IT HELPED CALM, I GUESS, IS THE EASIEST WAY. AND THEN THERE WAS
INTERVENTION FROM A PSYCHIATRIST WHO TALKED TO ME, AND HE WAS JUST GREAT. I WAS THERE FOR THREE DAYS, AND UNFORTUNATELY HE WAS
MOVING TO BOSTON. BUT IT WAS FINALLY TALKING IT OUT AND ADMITTING IT, ACKNOWLEDGING IT. THAT WAS A VERY IMPORTANT PART OF IT. >>SO YOU WERE ABLE TO ACKNOWLEDGE THE DEPTH OF THIS, THE PAIN OF THIS. AND THE ANXIETY WAS THE MAJOR SYMPTOM YOU WERE HAVING? >>THAT’S CORRECT. >>THEY GAVE YOU MEDICATION FOR THAT. THE DIAGNOSIS OF DEPRESSION WAS MADE AT THAT POINT? >>YES, IT WAS. AND THAT WAS PART OF THOSE PRETTY INTENSIVE FIRST THREE DAYS. AND WE WORKED OUT A TREATMENT PLAN, AND IT WAS A LENGTHY ONE ULTIMATELY. SIX MONTHS, THREE TIMES A
WEEK, THREE HOURS A DAY IN A GROUP SITUATION; SOMETHING I WOULD HAVE NEVER ENVISIONED THAT I WOULD BE COMFORTABLE WITH. >>GROUP THERAPY? >>CORRECT. AND IT WAS… AS I SAID, A REALLY GOOD EXPERIENCE, PARTLY BECAUSE, YOU KNOW, YOU’RE WITH OTHER PEOPLE WHO ARE HAVING THE SAME STRUGGLES AS YOU ARE SOME EVEN MORE INTENSE AND YOU TALKED ABOUT IT AND YOU SHARED YOUR THERE WAS SOME, YOU KNOW, WE WERE ANONYMOUS TO EACH OTHER
IN TERMS OF OUR NAMES AND
SPECIFIC BACKGROUNDS. BUT IT WAS AN OPPORTUNITY WITH A FACILITATOR, A MENTAL HEALTH FACILITATOR OF COURSE, WHO HELPED LEAD US THAT WAY. AND YOU COULD PARTICIPATE OR
YOU DIDN’T HAVE TO PARTICIPATE. IT WAS JUST A GREAT
OPPORTUNITY TO ADDRESS MY OWN FEELINGS AND RECOGNIZE THE CHALLENGES I HAD AND ACCEPT THEM. >>AND THESE WERE ALL THE
STRESS THAT BUILT UP IN THE CONTEXT OF YOUR WORK AT THE TIME? >>WELL, THAT WAS CERTAINLY A LARGE PART OF IT. AS I SAID, I WAS THE MAJORITY LEADER AT THE TIME IN THE
STATE SENATE, AND IT WAS THE FIRST
ONE OF THESE BIG BUDGET DEFICITS THAT WE DEALT WITH. >>I SEE. >>IT WAS GOVERNOR PAWLENTY’S FIRST YEAR AND MY FIRST YEAR
AS MAJORITY LEADER, AND IT WAS
VERY STRESSFUL FOR ALL OF US. I JUST REACTED A LITTLE MORE INTENSELY. >>SO THE STRESS COULD BE THE PRECIPITANT HERE OF THIS DEPRESSION? >>CERTAINLY. I’D ACTUALLY BEENI DON’T THINK I’VE EVERY DISCLOSED THISI’D BEEN IN THE HOSPITAL A WEEK EARLIER FOR AN AFTERNOON, BECAUSE MY STAFF SENT ME OVER BECAUSE I WAS HAVE PHYSICAL MANIFESTATIONS… >>I SEE. >>OF THE STRESS. AND I WENT OVERTHE DOCTORS TOLD ME TO GO HOME AND REST. AND OF COURSE I WENT BACK TO
THE CAPITOL, BUT I DIDN’T FOLLOW MY DOCTOR’S DIRECTIONS VERY WELL. SO IT WAS COMING ON EVEN IN
THE PHYSICAL MANIFESTATION
EARLIER. >>NOT AN UNCOMMON THING FOR DOCTORS TO SEE THEIR PATIENTS COME INTO THE OFFICE WITH A PHYSICAL COMPLAINT. IT’S A MANIFESTATION OF
ANXIETY OR STRESS BUILDING UP. >>I CAN BELIEVE IT. I WAS HAVING A CHEST PAINS,
AND SO MY STAFF WAS APPROPRIATELY CONCERNED THAT I WAS HAVING SOME SORT OF HEART ACTION. BUT THAT’S WHAT THEY TESTED FIRST AND THEY SAID, “NO, HEART’S FINE.” SO… >>OKAY, ALL RIGHT. >>IT WAS A WARNING SIGN. >>UH-HUH. WAS THE MEDICATION CONTINUED THROUGH THIS PERIOD OF TIME THAT YOU WERE IN THE THERAPY, THE GROUP THERAPY? AND YOU WERE GETTING BETTER. YOU WERE FEELING BETTER. YOU’RE OPENING UP AND SO
FORTH. HOW DID THE MEDICATION PROGRAM WORK FOR YOU? >>THE MEDICATION PROGRAM FOR ME, WE TRIED A VARIETY OF THINGS. WELL, WE DIDN’T TRY A VARIETY OF THINGS. WE TRIED A FEW THINGS AND FINALLY FOUND SOMETHING THAT HELPED. YOU KNOW, WE WERE ALSOI WAS ALSO LEARNING A NUMBER OF
TOOLS TO DEAL WITH THE DEPRESSION IN A WAY THAT I COULD HANDLE IT MYSELF, BUT I ALSO NEEDED THE HELP OF THE MEDICATION. AND WE TRIED A FEW THINGS. WE FOUND SOMETHING THAT WORKED THAT MADE ME CALMER. DIDN’T STOP ME FROM FEELINGS. I MEAN, I STILL HAD GOOD DAYS, BAD DAYS LIKE WE ALL DO, BUT
AT LEAST IT GAVE ME A MEDICAL
BASE IN TERMS OF THE PHYSICAL CHANGES. >>WAS THAT AN ANTIDEPRESSANT MEDICATION? >>IT WAS AN ANTIDEPRESSANT, AND I STILL TAKE IT. I DON’T SEE A PSYCHIATRIST EXCEPT ONE EVERY SIX MONTHS JUST TO CHECK IN. BUT THE MEDICATION I STILL
TAKE. LOWER DOSAGE THAN I DID BACK THEN. >>SO IT’S BEEN TAPERED DOWN
AS YOU FELT BETTER, AND NOW YOU HAVE A DOSE THAT FITS MAINTENANCE DOSE THEY SAY,
HUH? >>YUP, YUP. IT’S A MAINTENANCE DOSE, AND I’M VERY COMFORTABLE WITH IT. AND I’VE BEEN FORTUNATE,
BECAUSE SOME OF THE PEOPLE I WAS THERE WITH REALLY HAD A STRUGGLE IN FINDING THE RIGHT MESSAGE AND RIGHT MEDICINE AND THE RIGHT DOSAGES. >>THAT CAN BE A VERY PAINFUL THING AND DIFFICULT IF
SOMEONE’S FEELING DEPRESSED AND THEN THE TRIALS OF MEDICATION. BUT YOU GOT TO ONE THAT WAS HELPFUL AND NOW, OVER TIME, STILL PART OF THE ONGOING MAINTENANCE TREATMENT THAT YOU HAVE. >>THAT’S RIGHT. AND I WAS FORTUNATE BECAUSE
THE FOLKS WHO HAD MORE DIFFICULTY
IN FINDING THE RIGHT MATCH WERE VERY ANXIOUS ABOUT IT. >>NOW IF YOU LOOK OVER YOUR SHOULDER AT THIS, YOUR EXPERIENCE, AND WE’VE COVERED A LOT OF GROUND HERE IN A VERY, VERY SHORT TIME. BUT THINKING ABOUT INDIVIDUALS THAT ARE OUT THERE TODAY, THE IDEA TODAY IS THAT COMBINATION OF MEDICATION AND THERAPY IS REALLY GOING TO
GIVE YOU THE BEST OUTCOMES, FOR THE MOST PART, WITH
DEPRESSION. >>RIGHT. >>WHEN YOU THINK ABOUT THE THERAPY AND YOU SAID UNDERSTANDING, CAN YOU SAY A LITTLE BIT MORE ABOUT WHAT ARE THE THINGS NOW THAT YOU SEE
THAT ARE PART OF THE INSIGHT YOU HAVE FROM GOING THROUGH SOMETHING AS PAINFUL AS A DEPRESSION? >>WELL, ITHERE A VARIETY OF THINGS, TOOLS, THAT WE GOT DURING THE THERAPY. AND SO WHEN I’M STARTING TO
FEEL ANXIOUS, I EXAMINE ITI GUESS IS THE WAY OF PUTTING IT MORE THAN I USED TO. AND I PUT IT INTO PERSPECTIVE AND I HAVE LEARNED TOOLS. IT SOUNDS SIMPLE, BUT I THINK ABOUT OTHER THINGS OTHER THAN WHAT’S DISTRESSING ME. IT WASN’T SIMPLE BEFORE I STARTED THIS. AND NOW I CAN DO THAT MORE EFFECTIVELY, BECAUSE I KNOW
WHAT I’M DOING, AND I KNOW WHY I’M DOING IT. SO THERE ARE TOOLS. THERE ARE WAYS OF LOOKING AT THINGS AND APPROACHING LIFE
AND APPROACHING STRESSES THAT HAVE BEEN VERY USEFUL AS PART OF THE THERAPY. >>JOHN, I WANT TO THANK YOU VERY MUCH FOR COMING AND TALKING TO US ABOUT THIS PART OF YOUR LIFE, WHAT’S TRANSPIRED, WHERE YOU ARE NOW. AND I WANT TO WISH YOU THE
BEST OF LUCK IN THE FUTURE. >>WELL, THANK YOU. AND IT’S LIKE I TELL WHEN I
GIVE SPEECHES: I’VE LEARNED MENTAL ILLNESS IS AN ILLNESS, NOT A CHARACTER DEFECT. >>THANK YOU. >>THANKS. >>THAT CONCLUDES OUR
INTERVIEW WITH SENATOR JOHN HOTTINGER. THANK YOU ALL VERY MUCH FOR TUNING IN AND WE’LL LOOK
FORWARD TO OUR NEXT CONVERSATION. >>THE CONVERSATION THAT YOU
HAD WITH JOHN CERTAINLY GIVES US THE INSIGHT THAT DEPRESSION
AND SUICIDE DO OFTEN GO TOGETHER. I READ THAT 15% OF PEOPLE WITH MAJOR DEPRESSION DO END UP
DYING FROM SUICIDE. DOES THAT SEEM ABOUT RIGHT TO YOU NUMBERWISE? >>UNFORTUNATELY, THAT’S THE CORRECT FIGURE, YEAH. >>THAT’S SHOCKING. >>MM-HMM. >>HIS VERY OPEN TALK ABOUT SUICIDE WAS RIVETING. I THINK WE WERE ALL LISTENING AND SO THANKFUL THAT HE FOUND A FRIENDOR A FRIEND FOUND HIM AT THE RIGHT TIME. IF A FAMILY MEMBER, JIM, IS DEALING WITH A PERSON IN THEIR FAMILY OR THEIR WORLD THAT HAS DEPRESSION AND IS TALKING
ABOUT SUICIDE, WHAT DO YOU ADVISE THEY DO? >>WELL, FIRST OF ALL, TAKE
THIS VERY, VERY SERIOUSLY. ALWAYS ASK FOR MORE DISCUSSION ABOUT IT. AND THEN AS REASONABLY SOON AS POSSIBLE TO, GET TO SOME PROFESSIONAL HELP A FAMILY DOCTOR, A MENTAL HEALTH PROFESSIONAL, SOMEONE THAT CAN HELP YOU ASSESS THE SITUATION AS FAR AS WHAT IS THE RISK OF SUICIDE WHEN SOMEONE IS TALKING ABOUT THIS. IT’S SOMETHING TO BE TAKEN VERY SERIOUSLY. >>I THINK THE HUMAN TENDENCY FOR A LOT OF FOLKS IS TO BACK AWAY AND SAY, “OH, YOU
WOULDN’T DO THAT. DON’T EVEN TALK ABOUT IT.” AND TO KIND SHUT THE PERSON UP WHO’S VERBALIZING THAT POSSIBILITY. BUT WE SHOULDN’T DO THAT,
RIGHT? >>ABSOLUTELY. IN FACT, THIS PARTICULAR SYMPTOM, THE THOUGHTS OF
TAKING ONE’S LIFE, DOESN’T
NECESSARILY MEAN THAT ONE IS GOING TO GO
OUT AND ACT ON IT. HOWEVER, IT’S NOT BE DISMISSED EITHER. YOU WANT TO EXPLORE THAT JUST THE WAY A PSYCHIATRIST WOULD. YOU ASK SOMEONE ABOUT HOW
LONG, HOW OFTEN THEY’RE HAVING THESE THOUGHTS. ARE THEY THINKING ABOUT
SPECIFIC THINGS THAT THEY MIGHT DO? AND THEN AS QUICKLY AND REASONABLY AS YOU CAN, GET
THEM TO SOME CONSULTATION AND SOME HELP TO ASSESS IT. >>I REMEMBER YEARS AGO WHEN I WAS WORKING IN CLINICAL
SETTING, LEARNINGAND I’M NOT SURE THIS IS STILL WHAT YOU WOULD ADVISE BUT LEARNING THAT WE SHOULD ACTUALLY ASK THE PERSON, “HOW
DO YOU INTEND TO COMMIT SUICIDE
IF YOU ARE TALKING ABOUT IT?” IS THAT STILL SOMETHING YOU WOULD ADVISE FAMILY MEMBERS TO POSE? >>I THINK SO YOU COULD AT
LEAST INQUIRE, YOU KNOW, HOW FAR IF THEY’VE HAD THOUGHTS LIKE
THIS. HAVE THEY MADE PLANS? THAT TAKES IT TO ANOTHER LEVEL OF SERIOUSNESS IF SOMEONE HAS A PLAN. BUT JUST THE GENERAL SENSE OF THIS BEING AN ASPECT OF PREOCCUPATION IN SOMEONE YOUNG OR WITH ASSOCIATIVE FACTORS
LIKE SUBSTANCE ABUSE OR ALCOHOLISM THAT MIGHT RELEASE OR CAUSE SOMEONE TO BE MORE IMPULSIVE. THESE ARE THE KINDS OF THINGS YOU WANT TO TAKE VERY, VERY SERIOUSLY AND GET PROFESSIONAL HELP, GET CONSULTATION, EVALUATE WHAT IS AT RISK HERE AND NOT TO DISMISS IT OR ASK SOMEONE TO KEEP IT TO THEM
SELF. THAT CERTAINLY WOULDN’T BE A WISE THING TO DO. >>DON’T POOH-POOH IT. LET’S SAY A CHILD COMES TO A PARENT AND EXPRESSES THAT HORRIBLE WISH, AND LET’S SAY IT’S A WEEKEND, WHAT DOES A PARENT DO? WHAT DOES A FRIEND DO? WHAT DO YOU DO TO KEEP THAT PERSON SAFE WHEN THEY HAVE EXPRESSED THAT VERY SERIOUS THREAT? >>WELL, CERTAINLY, YOU DON’T WANT TO LEAVE THEM ALONE. YOU WANT TO SIT DOWN AND TALK WITH THEM. BE SURE THAT YOU STAY CLOSE TO THEM. AND THEN IF THIS IS SOMETHING THAT SIMPLY IS NOT GOING TO BE ABLE TO BE MANAGED IN SOME
OTHER FASHION, YOU REALLY NEED TO
GET THEM TO SOME KIND OF
ASSESSMENT AND SOME KIND OF CONSULTATION. YOU CAN GO TO AN EMERGENCY
ROOM. YOU CAN CALL FIRST CALL FOR
HELP AND GET SOME ASSISTANCE IN
TERMS OF WHAT PRACTICAL STEPS TO
TAKE TO EVALUATE THAT. >>I DID READ JUST RECENTLY
THAT FOR PEOPLE WHO ARE USING DRUGS OR ARE ADDICTED TO ALCOHOL, THE RISK FOR SUICIDE GOES UP. THOSE ARE TWO OF THE RISKS OR RISK FACTORS. ARE THERE OTHERS THAT YOU KNOW ABOUT? >>WELL, SOMEONE THAT’S MADE A PREVIOUS ATTEMPT, THAT IS SOMETHING TO WORRY ABOUT. OLDER MEN, AS A GROUP, TEND TO BE SOME OF THE MOST LETHAL INDIVIDUALS AS FAR AS WHEN
THEY HAVE SUICIDAL THOUGHTS, SUICIDAL FEELINGS. THIS GROUP CAN BE THE ONES
THAT ACTUALLY WILL EXECUTE THIS AND >>I’VE HEARD THAT BEFORE. WHY DO YOU THINK THAT’S TRUE? >>WELL, THEY ARE IN A
SITUATION WHERE OFTEN THEY ARE ISOLATED. THEY HAVE PATTERNS OF KEEPING THEIR FEELINGS TO THEMSELVES. THIS IS THE STYLE OF MEN, SELF-RELIANT. IF THEY HAVE SOME ASSOCIATIVE ILLNESS THAT THEY’RE IN
DESPAIR ABOUTOR MAYBE CORRELATIVE OF DEPRESSIONHEART DISEASE OR CANCER. THESE TYPES OF HEALTH
PROBLEMS, THESE CAN ALL PUT SOMEONE IN A SITUATION WHERE THEY’RE
GOING TO BE MORE AT RISK. IF THEY HAVETHEY’VE BEEN DRINKING, AS WE TALKED ABOUT, THIS CAN RELEASE, CAUSING THEM TO BE MORE IMPULSIVE. AND THIS IS A GROUP TO KEEP AN EYE ON FOR SURE. ALSO, YOUNG MALES WHO ARE
USING DRUGS OR DRINKING AND SO
FORTH, THEY CAN ALSO BE A HIGH-RISK GROUP. >>ANOTHER HIGH-RISK GROUP. >>AND KEEP A CLOSE EYE ON
THEM. >>JOHN WAS TALKING WITH YOU ABOUT HOW MUCH HE ENJOYED, IN A SENSE, OR VALUED THE
GROUP THERAPY SESSIONS THAT HE WAS PART OF FOR A LONG TIME. WE HAVEN’T TALKED A LOT IN
THIS SERIES TO DATE ABOUT THERAPY WHAT IT’S LIKE, THE BENEFITS OF INDIVIDUAL VERSUS GROUP THERAPY BUT JOHN CERTAINLY FELT
POSITIVE ABOUT HOW THERAPY GAVE HIM
SOME INSIGHTS; I THINK HE USED THE WORD “OPPORTUNITY” TO LOOK INWARD. >>THAT’S RIGHT. >>TELL THE VIEWERS, IF YOU WOULD AND REVIEW FOR ME, TOO, SOME OF THE BASICS ABOUT WHAT THERAPY CAN DO, JIM. >>WELL, FIRST OF ALL, WHEN
YOU THINK ABOUT THE HUMAN MIND, IT REALLY IS AN UNDERSTANDING MACHINE; IT’S BUILT FOR UNDERSTANDING. IT’S BUILT FOR THINKING
THROUGH PROBLEMS, SOLVING PROBLEMS. SO THERAPY, AT A VERY BASIC LEVEL, IS ABOUT USING YOUR CAPACITY TO UNDERSTAND
YOURSELF BETTER IN THE CONTEXT OF YOUR LIFE. SO THE IDEA OFIN THE CASE THAT JOHN MENTIONEDOF THE SUPPORT OF A GROUP, FOR MEN, THIS IS PARTICULARLY IMPORTANT AND HELPFUL FOR THEM. THEY ARE ABLE TO GET BEYOND THEIR SELF-RELIANCE, TALK TO OTHERS, SHOW THAT WITH THEIR STRENGTHS THEY HAVE VULNERABILITIES, LEARN THINGS ABOUT THEIR PAST THAT BEAR ON THE PRESENT, AND ALSO MAKE SOME PLANS IN TERMS OF SOME BEHAVIORVARIOUS THINGS THAT THEY NEED TO ATTEND TO THAT COULD BE COMPLICATING THEIR LIFE. IF THEY HAVE AN ALCOHOL PROBLEM, THEY MAY NEED TO GET SOME SPECIFIC HELP TO ADDRESS THAT AS PART OF DIFFICULTIES THAT THEY’RE HAVING. >>TWO REAL SPECIFIC QUESTIONS ABOUT THERAPY: HOW LONG DO YOU THINK PEOPLE SHOULD EXPECT TO BE IN THERAPY IF THEY’RE DEALING WITH DEPRESSION OR, IN THE CASES WE’RE TALKING ABOUT NOW, MAJOR DEPRESSION? HOW LONG SHOULD YOU WORK WITH A THERAPIST? >>WELL, I THINK THE BEST RESEARCH THAT WE HAVE IN TERMS OF THE EFFECTIVENESS OF
THERAPY IS THAT IF IT’S A GOOD FITYOU HAVE A GOOD WORKING ALLIANCE WITH YOUR THERAPIST, YOU’RE SEEING HIM WEEKLY DURING THE FIRST MONTHS OF TREATMENT USUALLY YOU EXPECT TO BE IN IT FOR MONTHS. I WOULD SAY FOR A MAJOR DEPRESSIVE EPISODE, YOU’RE THINKING ABOUT A GOOD PART OF A YEAR IN THERAPY. AND ALSO TAKING ADVANTAGE OF WHAT THIS CAN BE FOR YOUR
LIFE. I MEAN, THIS CAN BE AN OPPORTUNITY TO REALLY GROW AND MAKE SOME CHANGES, ALTERATIONS IN YOUR LIFE THAT REALLY HELP YOU FOR THE FUTURE SO YOU
DON’T HAVE A RECURRENCE OF THE DEPRESSION. SO IT’S UNDERSTANDING THIS ASPECT OF YOUR HEALTH AND THEN USING THATTHE EMOTIONAL SUPPORT YOU NEEDTO BE ABLE TO CHANGE PATTERNS. FOR MEN, LEARN TO TALK ABOUT YOUR FEELINGS. SO THESE THINGSAND TO ANSWER YOUR QUESTION, I WOULD SAY MONTHS USUALLY TO GET A SUSTAINED BENEFIT AND THEN
IT SHOULD BE REASSESSED. >>I THINK THAT, FOR MANY PEOPLE, THAT WOULD SOUND INVITING, FOR OTHERS IT MIGHT SOUND A LITTLE DAUNTING, BUT I’M THINKING OF THE COST. RIGHT NOW, MOST HEALTH
INSURANCE WOULD NOT COVER A YEAR’S WORTH OF THERAPY. WHAT DO YOU SAY TO PEOPLE WHO MIGHT NEED A LONG-TERM THERAPEUTIC RELATIONSHIP BUT EITHER CAN’T AFFORD IT OR JUST DON’T FEEL IT’S IN THE BUDGET? >>WELL, IN TERMS OF ACCESS TO CARE, THE CLINIC I WORKED AT, COMMUNITY MENTAL HEALTH
CLINICS HAVE SLIDING FEE ARRANGEMENT
FOR INDIVIDUALS THAT NEED AND CAN MAKE THE BEST USE OF
INDIVIDUAL AND LONGER-TERM TREATMENT. SOMETIMES AFTER SEVERAL MONTHS OF BEING SEEN FREQUENTLY,
WHICH IS COVERED UNDER A LOT OFAND MOST INSURANCE THAT PROVIDES PARITY OR THE COMPARABLE CARE FOR MENTAL HEALTHTHEN YOU CAN GO TO EVERY OTHER WEEK OR ONCE A MONTH, DEPENDING ON THE SITUATION AND ALSO THE DISCUSSION THAT YOU HAVE WITH YOUR THERAPIST SO THAT YOU’RE ABLE TO MANAGE AND GET A TREATMENT PLAN THAT’S WORKING FOR YOU. BUT I REALLY THINK WE HAVE SOME IMPROVEMENT TO MAKE IN TERMS OF THEI GUESS SHOULD SAY INSURANCE SUPPORT FOR THIS COMPONENT OF CARE. IT REALLY SHOULD BE ON PAR, ON BALANCE WITH MEDICATION
THERAPY, BECAUSE THE COMBINATION OF THE TWO ASSURES YOU THE BEST OUTCOME, THE MOST SUSTAINED OUTCOME. >>IT ALSO, LISTENING TO YOU NOW, MAKES ME THINK THAT WHILE
A PERSON NEEDS TO FIND A
THERAPIST THAT YOU CLICK WITH, YOU WOULDN’T WANT TO SPEND
THAT MUCH TIME AND WORK, THAT HARD, UNLESS YOU WERE REALLY IN A RELATIONSHIP WITH SOMEONE THAT YOU FELT WAS YOUR KIND OF THERAPIST. SO THAT MIGHT MEAN SHOPPING AROUND A LITTLE BIT TOO,
RIGHT? >>THAT’S RIGHT. THAT’S RIGHT. AND YOU SHOULD FEEL
COMFORTABLE WITH TAKING AN ASSESSMENT OF HOW THINGS ARE GOING. TALK WITH YOUR THERAPIST ABOUT THAT, AND IF IT ISN’T WORKING, THEN CONSIDER ANOTHER OPINION, GET A CONSULTATION. >>WELL, WE ARE OUT OF TIME
FOR THIS PARTICULAR SHOW. WE’LL BE BACK AGAIN NEXT WEEK, THOUGH. I WANT TO THANK YOU FOR WATCHING. WE WANT TO THANK JOHN, OUR
GUEST FOR SHARING HIS FEELINGS. WE ARE GOING TO ALSO RUN A
LIST OF CREDITS AT THE END OF THE SHOW NOW IN TERMS OF WHERE YOU CAN FIND HELP IF YOU ARE
FEELING DESPERATE, IF YOU FEEL YOU
JUST NEED A GOOD ASSESSMENT TO
START TREATMENT. SO LOOK FOR THAT. THANK YOU. WE’LL BE BACK NEXT WEEK. Captioning by CaptionMax www.captionmax.com

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