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corneliushickey · 2 years

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Insane Fiend Consulted in Mass Murders by Cop He Tried to Kill

by Freddy Lounds

CHESAPEAKE, MD. — Federal manhunters, stymied in their search for the “Tooth Fairy,” psychopathic slayer of entire families in Birmingham and Atlanta, have turned to the most savage killer in captivity for help.

Dr. Hannibal Lecter, whose unspeakable practices were reported in these pages three years ago, was consulted this week in his maximum-security-asylum cell by ace investigator William (Will) Graham.

Graham suffered a near-fatal slashing at Lecter’s hands when he unmasked the mass murderer.

He was brought back form early retirement to spearhead the hunt for the “Tooth Fairy.”

What went on in this bizarre meeting of two mortal enemies? What was Graham after?

“It takes one to catch one,” a high federal official told this reporter. He was referring to Lecter, known as “Hannibal the Cannibal,” who is both a psychiatrist and a mass murderer.

OR WAS HE REFERRING TO GRAHAM???

The Tattler has learned that Graham, former instructor in forensics at the FBI Academy in Quantico, Va., was once confined to a mental institution for a period of four weeks. . . .

Federal officials refused to say why they placed a man with a history of mental instability at the forefront of a desperate manhunt.

The nature of Graham’s mental problem was not revealed, but one former psychiatric worker called it “deep depression.”

Garmon Evans, a paraprofessional formerly employed at Bethesda Naval Hospital, said Graham was admitted to the psychiatric wing soon after he killed Garrett Jacob Hobbs, the “Minnesota Shrike.” Graham shot Hobbs to death in 1975, ending Hobb’s eight-month reign of terror in Minneapolis.

Evans said Graham was withdrawn and refused to eat or speak during the first weeks of his stay.

Graham has never been an FBI agent. Veteran observers attribute this to the Bureau’s strict screening procedures, designed to detect instability.

Federal sources would reveal only that Graham originally worked in the FBI crime laboratory and was assigned teaching duties at the FBI Academy after outstanding work both in the laboratory and in the field, where he served as a “special investigator.”

The Tattler learned that before his federal service, Graham was in the homicide division of the New Orleans police department, a post he left to attend graduate school in forensics at George Washington University.

One New Orleans officer who served with Graham commented, “Well, you can call him retired, but the feds like to know he’s around. It’s like having a king snake under the house. They may not see him much, but it’s nice to know he’s there to eat the moccasins.”

Dr. Lecter is confined for the rest of his life. If he is ever declared sane, he will have to stand trial on nine counts of first-degree murder.

Lecter’s attorney says the mass murderer spends his time writing useful articles for the scientific journals and has an “ongoing dialogue” by mail with some of the most respected figures in psychiatry.

Freddy Lounds’ sidebar in The National Tattler on the relationship between Special Agent Will Graham and Dr. Hannibal Lecter in Thomas Harris’ Red Dragon

#red dragon #thomas harris #freddy lounds #hannibal lecter #will graham #hannigram #the national tattler #currently reading #🪳

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chocolategifts · 1 year

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The Most Influential Psychiatric Thinker of All Time: Brain Cooke

Dramatic alterations in theoretical conceptualization are only one aspect of psychiatry's rich and intriguing history; another is the wide range of people who have contributed to the field's growth. In this way, a complete study of psychiatric history necessitates not just a grasp of theory but also of the unique individuals who shaped the concepts that have come to define our perception of mental disease.

Psychiatrist: Who Are They?

An expert in the identification and management of mental diseases is a psychiatrist. Depression, anxiety disorders, bipolar disorder, eating disorders, and substance addiction issues are a few examples of them, but they are not the only ones. Chronic physical conditions with mental symptoms are another condition that psychiatrists can treat. (like diabetes or heart disease). Researchers who specialize in mental diseases include some psychiatrists.

Dr. Cooke is a board-certified psychiatrist with particular expertise in the identification and management of mental health issues like anxiety, depression, and other mood disorders. He focuses on telemedicine visits, which he discovers people value for the ease and adaptability that let them get care wherever they are. Additionally board-certified in forensic psychology, he offers assessments for a variety of legal reasons.

His favorite aspect of practicing psychiatry is listening to his patients since it enables him to collaborate with them and develop a treatment strategy. He has witnessed firsthand how untreated mental illness symptoms can negatively impact a person's overall health. Helping patients get well and resume regular functioning amazes him.

Dr. Brian Cooke sees the connection between a doctor and patient as a team effort. According to him, this is the cornerstone of clinical treatment and can significantly affect a patient's ability to heal and find respite from pain. He can inform patients about their treatment alternatives thanks to his excellent academic background and help with them to change for the better.

He acknowledges that not all patients may react to medicine alone or may have negative effects despite his concentration on telepsychiatry and therapies including pharmaceuticals. For the suitable individuals, he believes that TMS (Transcranial Magnetic Stimulation) and esketamine nasal spray are two viable treatments for depression.

Membership

The American Psychiatric Association and the American Academy of Psychiatry and Law both recognize him as a member.

Individual Interests

Dr. Cooke, his wife, and their two boys reside in Atlanta, Georgia. He likes tennis, hiking, and jogging. The family enjoys visiting different locations and learning about diverse cultures. He also wants to learn how to play chess.

Knowledge & Experience

In Davidson, North Carolina, at Davidson College, Dr. Cooke earned his Bachelor of Science degree. He graduated from Saint Louis University School of Medicine in St. Louis, Missouri, with a medical degree. At the University of Maryland/Sheppard Pratt in Baltimore, Maryland, he finished his psychiatric residency. In addition to other locations, the programme offered training at the University of Maryland Medical Center, which saw a wide variety of patients from all around the state. He saw patients at the geriatric psychiatry unit, the general adult inpatient unit, and the unit for children and adolescents. In addition, he offered outpatient care in neighborhood clinics. In addition, he received training at Sheppard Pratt Hospital, which had four general adult inpatient units, a trauma disorders unit, an eating disorders unit, a child and adolescent inpatient service, adult and child neuropsychiatric units, a psychotic disorders unit, a co-occurring unit, outpatient clinics, services for geriatric psychiatry and chemical dependency, a general adult day hospital, and several specialty day hospitals. Mercy Medical Center, the State Mental Hygiene Administration System, and the Baltimore VA Hospital were among the other clinical care rotations. He had a leadership and managerial position as chief resident in his fourth year. Awards given out were the Dr. George U. Bali's Award for Excellence in Medical Student Education and the Irving J. Taylor Award for Outstanding Resident Research.

The Yale University School of Medicine in New Haven, Connecticut is where he finished his Fellowship in Forensic Psychiatry, where he gained knowledge of the intricate interplay of psychiatry, law, ethics, and public policy. It provided him with a well-rounded training experience, with specific strengths in the fields of criminal law, forensic psychiatry in the public sector, and research.

He went to Gainesville, Florida, where for more than 10 years he served as a professor at the University of Florida College of Medicine. He attended to patients with a range of mental illnesses throughout that period in the hospital and psychiatry clinic. In addition, he instructed advanced forensic fellows, law students, nursing students, and students studying medicine and law. He received several Exemplary Teacher Awards, the William "Buck" Ruffin Best Teach Award, and other honors.

He was most recently an Associate Professor in Psychiatry and Behavioral Sciences on the faculty of the Emory University School of Medicine. Serving as the Medical Director of the Emory/Fulton County Jail Competency Restoration Program and Associate Training Director of the Forensic Psychiatry Fellowship were two other leadership positions. At the Emory Health Clinic, he also offered psychiatric services.

#brian cooke #mental diseases #mental health #mental illness

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virellya · 5 years

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I just posted a new chapter! here’s a preview:

Rick sat on the ruffled sofa in Dr. Stratfords office and sulked. He was beyond furious upon being served his notice of expulsion from West Point, and spent the duration of the flight thinking up what he would say to Hershel. He beat him to it however, and met him at the airport with a stoic face, but a supportive clap on the shoulder.

“I’m really disappointed.“ Rick told Dr. Stratford once he was back at Atlanta Command. “I was doing really well for a while. I didn’t mean to freak out. It just kind of… happened.“

The therapist looked up from the legal pad he was scrawling on and adjusted his glasses slightly.

“Well, it seems like it’s always that way. You’re fine for awhile, and then suddenly, boom. We need to find ways to stop the boom. How was the mission you went on recently? Let off some steam?“

Rick took a sip of water from his glass on the coffee table and nodded. “Yeah, it was alright. It’s weird, the missions are so stressful in the moment, but when I’m finished I feel …accomplished. Almost proud of myself. Like I’m ready to shout from the rooftops and celebrate. What kind of person gets happy after taking a life?“ He shook his head in self-disgust as his eyes fell. “Hershel he-.. I’m not what he think’s I am… I’m just another monster too. No wonder I don’t belong anywhere.“

Dr. Stratford blinked at him in surprise and resumed his scrawling.

“It’s been awhile since you’ve used that word to describe yourself. Have you felt this way the whole time?“

Rick nodded solemnly.

“I don’t think you’re a monster. Think about the improvements you’ve made in the last 4 years.“ The doctor said.

“Well, I am one. I mean look at me.“ Rick replied. “I’m a straight-up lunatic. I can’t function in average society because if I tried they’d lock me away. I can’t be around normal people because I’m not… I’m not normal.“ The muscles in his throat tightened horribly under the strain of him forcing himself not to cry. He hated his life. He hated how hard it was for him to control his temper. He hated how Hershel always had to convince people to ‘give him a chance’. He hated the way Maggie had to scold others for staring at him or whispering when they believed him out of earshot. He hated the way people walked on eggshells around him constantly because they were all afraid of him. He hated knowing that his life would never be anything but a constant struggle to find his place in the world.

A knock at the door paused Rick’s melancholy thinking and he looked up to find Hershel cautiously entering the room.

“Colonel.“ Stratford said in greeting, “Please come in. I’m glad you could take time out of your busy day to be a part of this session. Is that alright with you, Rick?“

Rick gulped a little nervously, it had been 3 years since Hershel had sat in on his Psychiatry appointments. He nodded and Hershel settled into an adjacent club chair, with fingers steepled in front of his mouth as he waited for them to continue. Dr. Stratford looked back at the morose teenager.

“Rick, I’m sure the military doesn’t make it a habit to waste anyone’s time. I’d be willing to bet they don’t practice wasting taxpayer’s money on frivolous pipe-dreams either, and I can tell you for absolute certain,“ he said as he once again adjusted his spectacles on his nose, “that I would never waste my time on a patient I believed to be beyond helping. It’s counterintuitive to what I do; I’m a healer. I’m here to help those who can still be saved. I would not have so whole-heartedly invested the last 4 years of my life to someone I didn’t think I could help. I saw greatness in you the first time we met, when you barely uttered a word to me. You’ve done incredible things in service to our country since then, and I know that even greater things are to come. You’re right about not being normal, Rick. You’re too extraordinary to be lost to simple obscurity. One day, you’ll see that as a good thing.“

Rick rolled his eyes and scoffed as he picked at loose lint on the couch.

“How could I ever learn to see all this as a good thing?“ He asked.

“Well, I’d be willing to bet that one day you’ll find a special someone who will see you the way we all do and will be able to make you see yourself for who you truly are.“ The doctor implied with a smile. Rick found this idea to be beyond absurd, and suddenly his anger was back. He stood from his spot on the couch.

“Who I truly am? Are you kidding me with that shit? How can you sit there and act like you all know me so damn well when I don’t even know myself? I have no idea who I am! I don’t know where I’m from, who my parents are, when I was born, I’m not even sure my name is actually Rick!“ He shouted, looking back and forth between the therapist and Hershel, who he wished wasn’t in the room. “You people seem to have me so fucking figured out yet you can’t give me any answers about how this all happened. I’m sick of everyone telling me to have faith in the system, when the system hasn’t figured out who kidnapped and tortured me! You think someone is ever gonna understand this? Nobody would want to spend their life with a mess like me. Don’t patronize me, Stratford, I know I’m gonna spend my fucked up life alone so I might as well start now.“

As he stormed out of Dr. Stratfords office, Rick couldn’t raise his eye level to meet Hershel’s because he knew if he did he’d only find the same anger and disgust he emitted being mirrored right back at himself.

#richonne #rick grimes #michonne #andrew lincoln #danai gurira #richonne fanfic #richonne ff #walk upon water #mine #rick and michonne #grimes 2.0 #michonne grimes

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help-the-homeless · 2 years

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References

Here are the references that I have used thus far in my blog - the research provided has come from these sources. All of the pictures/images that are on my blog are either taken from Canva (with sources on them), or I have made them myself on Canva.

Abramovich, A., Pang, N., Moss, A., Logie, C. H., Chaiton, M., Kidd, S. A., & Hamilton, H. A. (2021). Investigating the impacts of COVID-19 among LGBTQ2S youth experiencing homelessness. PloS One, 16(9), e0257693-e0257693. https://doi.org/10.1371.journal.pone.0257693

Bertram, F., Heinrich, F., Frob, D., Wulff, B., Ondruschka, B., Puschel, K., Konig, H., & Hajek, A. (2021). Loneliness among homeless individuals during the first wave of the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(6), 3035. https://doi.org/10.3390/ijerph18063035

Green, H., Fernandez, R., & MacPhail, C. (2021). The social determinants of health and health outcomes among adults during the COVID-19 pandemic: A systematic review. Public Health Nursing (Boston, Mass.), 38(6), 942-952. https://doi.org/10.1111/phn.12959

Lima, N. N. R., de Souza, R. I., Feitosa, P. W. G., Moreira, Jorge Lucas de Sousa, da Silva, Claudio Gleidiston Lima, & Neto, M. L. R. (2020). People experiencing homlessness: Their potential exposure to COVID-19. Psychiatry Research, 288, 112945

McGillivray, K. (2021, January 12). Ontario's homeless 5 times more likely to die of covid-19, study finds | CBC News. CBCnews. Retrieved December 2, 2021, from https://www.cbc.ca/news/canada/toronto/ontario-s-homeless-5-times-more-likely-to-die-of-covid-19-study-finds-1.5869024.

Miller, J., Phillips, G., Hutton, J., Mackelprang, J. L., O’Reilly, G. M., Mitchell, R. D., Smith, C., & Mitra, B. (2020). COVID-19 and emergency care for adults experiencing homelessness. Emergency Medicine Australasia, 32(6), 1084-1086. https://doi.org/10.1111/1742-6723.13652

Montgomery, M. P., Carry, M. G., Garcia-Williams, A. G., Marshall, B., Besrat, B., Bejarano, F., Carlson, J., Rutledge, T., & Mosites, E. (2021). Hand hygiene during the COVID-19 pandemic among people experiencing homelessness-Atlanta, georgia, 2020. Journal of Community Psychology, 49(7), 2441-2453. https://doi.org/10.1002/jcop.22583

Perri, M., Dosani, N., & Hwang, S. W. (2020). COVID-19 and people experiencing homelessness: Challenges and mitigation strategies. Canadian Medical Association Journal (CMAJ), 192(26), E716-E719. https://doi.org/10.1503/cmaj.200834

Rodriguez, N. M., Lahey, A. M., MacNeill, J. J., Martinez, R. G., Teo, N. E., & Ruiz, Y. (2021). Homelessness during COVID-19: Challenges, responses, and lessons learned from homeless service providers in tippecanoe county, indiana. BMC Public Health, 21(1), 1657-1657. https://doi.org/10.1186/s12889-021-11687-8

van Ruth, V., Konig, H. -., Betram, F., Schmiedel, P., Ondruschka, B., Puschel, K., Heinrich, F., & Hajek, A. (2021). Determinants of health-related quality of life among homeless individuals during the COVID-19 pandemic. Public Health (London), 194, 60-66. https://doi.org/10.1016/j.puhe.2021.02.026

Wood, L. J., Davies, A. P., & Khan, Z. (2020). COVID-19 precautions: Easier said than done when patients are homeless. Medical Journal of Australia, 212(8), 384-384.e1. https://doi.org/10.5694/mja2.50571

World Health Organization. (2020, October 15). Handwashing an effective tool to prevent COVID-19, other diseases. World Health Organization. Retrieved December 1, 2021, from https://www.who.int/southeastasia/news/detail/15-10-2020-handwashing-an-effective-tool-to-prevent-covid-19-other-diseases.

World Health Organization. (n.d.). Social Determinants of Health. World Health Organization. Retrieved November 30, 2021, from https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1.

World Health Organization. (n.d.). Coronavirus. World Health Organization. Retrieved December 1, 2021, from https://www.who.int/health-topics/coronavirus#tab=tab_1.

#homeless #homlessness #covid-19 #pandemic #coronovirus #mental health #awareness

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quarterlifecenter · 3 years

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Licensed Clinical Social Worker in Montgomery County

Pronouns: she/her

Christine, Founder and Director of the Quarterlife Center, is a licensed clinical social worker with extensive experience working with quarterlife clients. At age 24, she experienced her own quarterlife crisis. It motivated her to closely examine who she was and how she could create a fulfilling life for herself and be a positive influence on her loved ones and community.

This journey inspired her to help others successfully navigate the changes, challenges, and exciting experiences of young adulthood. She enjoys helping quarterlifers thrive and live more intentionally as they make important choices about relationships, careers, and their place in the world. In addition to helping her clients, Christine enjoys spending time with her family, traveling, playing tennis, and taking a good power nap. Education:

PhD in Clinical Social Work, New York University

MS in Social Work, Columbia University

Spanish studies, Universitat de Barcelona

BA in Psychology, Haverford College

Advanced Training :

The Washington School of Psychiatry

American Institute for Psychoanalysis

Licenses Licensed Clinical Social Worker

Washington, D.C., LICSW

Virginia, LCSW

New York, LCSW

South Carolina, LISW-CP

Languages

Spanish

English

Publications

Rosenthal Gelman, C., & Greer, C. (2011). Young children in early-onset Alzheimer’s disease families: Research gaps and emerging service needs. American Journal of Alzheimer’s Disease and Other Dementias.

Rosenthal Gelman, C., Sheets, D., & Greer, C. (2010). Increasing capacity for caregiving through partnerships. November 20, New Orleans, LA: Gerontological Society of America Annual Meeting.

Greer, C. (2009). An intervention for Latino family caregivers of Alzheimer’s patients: Unique needs and research gaps. November 18, Atlanta, GA: Gerontological Society of America Annual Meeting.

Greer, C. & Fermin, M. (2008). Young children of parents with early-onset Alzheimer’s disease: An emerging population. October 31, Philadelphia, PA: Council on Social Work Education Conference.

Rosenthal Gelman, C. & Greer, C. (2008). Children of persons with early-onset Alzheimer’s disease: Research gaps and emerging service needs. November 23, National Harbor, MD: Gerontological Society of America Annual Meeting.

Personally Speaking - "Changes that result from life transitions are an inevitable part of life, and much of our happiness depends on how we navigate these times of transition. We at QLC are here to help you create the life you want. All lifestyles are welcome"

Click here to schedule an appointment with Dr. Christine.

#Licensed Clinical Social Worker #quarterlife crisis #quarterlife counseling #quarterlife center

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jacksonwillam · 3 years

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Get Best Doctors of Gene Testing For Depression Treatment

GeneSight is a genetic-based laboratory-developed test that analyzes a person’s DNA. Empower Psychiatry & Sleep LLC is a leading psychiatrist that treats different types of mental health problems. The clinic provides different types of services including genesight gene testing, psychiatric evaluation, sleep disorder evaluation, and psychopharmacology in Atlanta. Contact us: https://bit.ly/2SfJq41

#gene testing for depression treatment

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goldmerryi · 4 years

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Falcons depth chart 2020: Projected Week 1 starters heading into training camp

The attributes have always been there for him to become a #1 corner. Now, the Falcons are hoping they found something knocked out added defensive coordinator Raheem Morris. Atlanta will be relying upon Oliver even more after pungent Desmond Trufant, and hes now the Cowboys vs Falcons Live Stream veteran of the charity as well as only three years of experience. If the unconditional eight games last year were a foreshadowing of the blazing of his career, the Falcons should be just fine. However, if it was more of a flash in the pan, they will have argumentative problems ones they probably wont be clever to overcome.Twenty-four years have passed to the lead the Dallas Cowboys won their last Super Bowl. During that period, six members of the 1990s Cowboys teams were added to the teams Ring of Honor.

The head coach the man many take to be the architect for those three Super Bowl teams is not together together then them. Jimmy Johnson is scheduled to be inducted into the Pro Football Hall of Fame in two months; however, there are no current plans to summative him to the Cowboys Ring of Honor at AT&T Stadium.

Theres one man who can regulate that: the Cowboys owner and general superintendent.

Right now, its not upon my mind at all, it is not, Jerry Jones said at the NFL scouting be gone to in tardy February. Regarding Jimmy, we have such a big year ahead of us considering Jimmy and his celebration. I suffering sensation that to be the focus, time. If everybody says, Is that the right order of things? Well, Coach Landry was in the Hall of Fame... The Atlanta Falcons have high expectations heading into the 2020 season, despite a challenging schedule and competitive isolation in stomach of them. There's no denying the facility upon the Falcons roster, especially as soon as all the former first-circular picks in the starting lineup. How fine will the Falcons be is anyone's guess, but this team may go as in the estrange-off as franchise quarterback Matt Ryan will blazing them. Ryan threw for 4,466 yards, but afterward threw 14 interceptions in 15 games. Atlanta the call off the season 6-2 and bigger its footnote from one of the worst in the NFL to a center of the pack unit.

They ended tied for second in takeaways after ranking dead last at the midway reduction of the season and tied for 10th in sacks after moreover ranking dead last at the midway reduction. They also are in the summit 10 in red zone efficiency after ranking 31st through eight games. If the second half Atlanta footnote shows occurring all 16 games in 2020, the Falcons will conflict the hunt for the NFC South title.

How will the new-flavor Falcons stack occurring in 2020? We admit a flavor at the intensity chart as the team would be concluding minicamp. The virtual offseason hurts the young players' chances to create a have an effect on going on the extremity chart, and any undrafted rookies an opportunity to profit upon the radar heading into training camp.

For the set sights on of this extremity chart projection, we will be projecting going on to the intensity-four at any unqualified slant. The Falcons, as well as all 32 teams, have a bloated roster at the moment that is nearing the triple-digit mark -- but come September, that number will slip significantly when the coaches consent in upon the 53-man roster.The Falcons offense every has deafening quantity of power across the board, and the potential to be one of the top units in the game. Matt Ryan is the unquestioned franchise quarterback and one of the highest-paid signal callers in the NFL, but Atlanta's season is higher than if Ryan is forced to miss a significant amount of period. Matt Schaub will be 39 this year and played admirably in his lone begin for Ryan, but the Falcons had him threw 52 era in his lone begin last season -- quirk too much for a quarterback that threw 106 passes mass back 2013 (prior to the begin).

Gurley is the No. 1 running help after monster signed this offseason also Hill taking far afield along than the No. 2 duties. Ollison and Smith will scuffle for the No. 3 job, but the Falcons have a red zone assist in Ollison (four touchdowns in his rookie year). Falcons massive coordinator Dirk Koetter used a fullback last season, and Smith is a unquestionably fine blocker, thus his tilt remains in the starting lineup. If the Falcons take on Smith off the ground and grow a three-receiver set, Treadwell will be the leading candidate for that third wideout. Look for Gage to be the stomach-runner for the slot receiver job in unmodified sub-packages. Per Sharp Football Stats, Atlanta used "11 personnel" 61% of the horrible snaps last season, suitably Treadwell and gage will be battling for playing grow antique-fashioned for that third wide beneficiary slot.

There aren't too many battles upon the starting five for the Falcons detestable lineage, but third-circular rookie Matt Hennessy is in heritage to be Alex Mack's replacement after that to the descent. Hennessey can furthermore feint guard and should be the front-runner for the left guard job in a within saintly limits offseason. Of course, we'll express how the virtual offseason as soon as no OTAs plays a role in his go to come. Brown and Carpenter are serviceable, but Ryan was sacked 48 time in 2019 therefore the Falcons compulsion the five best linemen upon the auditorium Week 1 (and the unit healthy). Having Lindstrom available for a full season makes this heritage instantly enlarged.

The 2019 season was a rollercoaster for the Atlanta Falcons as they were in mean of fact two different teams gone you slice the year in half. Prior to the Week 9 bye, they were a 1-7 squad, seemingly considering suggestion to the brink of firing head coach Dan Quinn. Coming out of the week-long rupture, Atlanta was supple to win six of their last eight to finish tied for second in the NFC South at 7-9.

As the club now turns the page to 2020, they'll be looking for more consistency and resemble the team that over and finished in the middle of the year harshly a four-game winning streak. According to the latest odds from William Hill Sports Book, the Falcons have an on peak of/deadened win sum of 7.5 and own the third-best odds (+600) to win the NFC South. Below, you'll see a full psychiatry of the Falcons' regular-season games, unconditional following on zenith of/under win totals for all assailant (courtesy of William Hill) and the lines for Week 1 and Week 2. After the Packers drafted quarterback Jordan Love in the first round earlier this offseason, Aaron Rodgers is probably going forward into the 2020 regular season once his helmet behind mention to blaze. Over the first month, I'd expect the Packers signal-caller to be to come of the MVP conversation following his operate, which will arrive to the dismay of the Falcons harshly Monday Night Football. Rodgers will use his go-to weapon in Davante Adams to breeze through the Atlanta auxiliary -- which averaged 244.9 passing yards per game in 2019 -- in the sustain on stages, though Aaron Jones will milk the clock in the second half to clinch the win. The last 2020 breakout candidate I will chat approximately is perhaps the most important one. The Falcons cornerback liveliness is deeply lacking leadership, but to this narrowing, they quayt appendage any veterans to the roster. Regardless, they will be heavily sloping re the subject of this man to position his career in the region of and become the performer they thought they were getting bearing in mind than they drafted him in 2018. If you missed any of the previous breakout candidates I have talked roughly, fright not. I will be posting every single one list of 2020 breakout candidates progressive this week, as a consequences save your eyes peeled.

Isaiah Oliver When the Falcons were skillful to snag Isaiah Oliver late in the second round of the 2018 draft, I dont think there was a draft expert who gave it a grade below a B-. Many thought he was one of the most proficient corners in each and every one draft and should have been a first-rounder because of his length and playmaking skills. Unfortunately, that unaided means in view of that much, and to this narrowing, Oliver hasnt lived uphill to his second round status.

As a rookie, Oliver saw doing in 14 games, including two starts, but he didnt play-conflict a portion as much as one would have thought, considering how porous the Falcons cornerback play a role was in 2018. The subsequent to-door year, we found out why. He conveniently wasnt ready.

Oliver became the full-epoch starter last season across from Desmond Trufant, and it didnt receive long for teams to begin targeting him yet to be and often, reaping the rewards. In the first eight games, he allowed a passer rating of 119.4, surrendering 30 catches in the region of 45 targets for 427 yards and three scores, though furthermore committing five penalties, via the Atlanta Falcons team website. Oliver was a primary culprit for why the team started 1-7 and Dan Quinn was relieved of his defensive take effect-calling duties, but together in addition to Raheem Morris took on top of the subsidiary, things began to regulate for the improved, earning him the nickname The Blanket.

Heres what accrual supplementary coach, Joe Whitt Jr, had to inform roughly Olivers progress in the second half of last season.

I thought greater than the last eight games he did a really to your liking job of connecting his feet and his hands in his press game, Whitt said. He stayed more square. That gave him the talent subsequent to they got taking place the ground to association at the severity of the routes.

Oliver nevertheless working three penalties in the utter eight games. However, his be responsive, as nimbly as the excuses as a entire quantity, was a night and daylight difference.

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nakunionbehavioralhealthus · 3 years

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Metal treatment can help improve the side effects of numerous psychological problems. So, are you looking for the proper mental treatment? Try therapy, the source of healthy life.

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juanchoandmielnewsdesk · 4 years

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Can you trust the numbers?

CNN What Matters <[email protected]>

May 20, 2020, 7:01 PM (2 days ago)

by Zachary B. Wolf

: Can you trust the numbers?

Every US state is in some stage of reopening. But the Covid-19 data that underpins decisions about what to open, and how to do it, is all over the place.

Data accuracy questioned. Increasingly, facts are in dispute. And it's not just sketchy numbers from China and Russia. Read this from CNN's alarming report on how data in two US states is different:

Florida and Georgia, two states that were among the first to announce the reopening of businesses and public spaces, have come under scrutiny for the accuracy and transparency of their reporting on Covid-19 cases.

In Florida, Rebekah Jones, the official behind the state's "dashboard," a web page showing the number of Covid-19 cases and deaths, said she was removed from the project and questioned the state's commitment to accessibility and transparency, according to Florida Today.

And in Georgia, data tracking Covid-19 cases has come under question after a misleading chart was posted on the Department of Public Health's website with the dates out of order, suggesting cases were declining over time, according to an article by the Atlanta Journal-Constitution.

Data not shared is dangerous. Virus researcher Dr. William Haseltine was on CNN today arguing we have to see actual data about the company Moderna's vaccine trials and, separately, about the experimental drug remdesivir as a treatment.

In this era, as everyone races to figure out a vaccine and treatments, he said, we're seeing science by press release.

Here's an excerpt of his CNN interview, or you can read what he wrote in The Washington Post:

"It is dangerous because you don't know what has happened...

"It's absolutely equivalent to a CEO of a publicly traded company saying we have had a fantastic quarter, and nobody gets to see the numbers...

"Would you believe a CFO with a lot of shares in that company... or would you like to see the numbers?

"Well, science and medicine has people's lives at stake, not just money at stake... The fundamental aspect of science is being able to reproduce somebody's results. You know what they did, you get the same result. That is the fundamental building of trust in medicine and science."

Speaking of, vaccine czar will donate stock windfall -- When Moderna released its press release saying it saw good results but without releasing data to go with them, the man President Donald Trump appointed to take part in his vaccine Manhattan Project had a very good day financially.

But that's a huge conflict of interest. Moncef Slaoui, who once sat on Moderna's board and is now attached to Trump's "Operation Warp Speed," will divest his millions in stock options at Moderna and donate profits from last week to cancer research.

CDC vs. White House, continued. Centers for Disease Control and Prevention Director Robert Redfield's position is increasingly uncertain after his standoffs with Dr. Deborah Birx, of the White House coronavirus task force.

The CDC finally released another version of its recommendations for distance (we'll look in-depth at schools tomorrow), but it left out any recommendations for churches, some of which have been vocal about defying the government.

Separately, a CDC case study of a church in Arkansas shows how a church service can be a perfect spreading event. From the CDC case study: "Among 92 attendees at a rural Arkansas church during March 6–11, 35 (38%) developed laboratory-confirmed Covid-19, and three persons died... An additional 26 cases linked to the church occurred in the community, including one death."

How CDC was sidelined -- Officials at CDC spoke out in a new CNN investigation:

Rising tensions between CDC leadership and the White House over the perception that the agency has been sidelined has been a developing story in the media for weeks. But now, mid- and higher-ranking staff members within the agency -- six of whom spoke with CNN for this story -- are starting to voice their discontent. Those six spoke on condition of anonymity for fear of reprisals.

"We've been muzzled," said a current CDC official. "What's tough is that if we would have acted earlier on what we knew and recommended, we would have saved lives and money."

: Keep it clean

In the factory -- Two positive Covid-19 tests forced Ford to close a Chicago plant just one day after opening it. The shutdown lasted from Tuesday afternoon to Wednesday.

The company is mandating temperature checks for all employees and tests for those with symptoms. Trump will visit a Ford plant in Michigan tomorrow. Masks are required there. I'll bet you Trump doesn't wear one.

In the air -- JetBlue announced it's going to keep its no middle seat policy through July 6. Several airlines say bookings are showing improvements, but there are a patchwork of airline rules. United is partnering with Clorox to clean its planes.

On the rails -- New York City is using black lights to clean subways.

: Trump does what he does

On Tuesday, I predicted in this newsletter that in the very near future, Trump would say something completely outlandish.

On Wednesday, he threatened states that might expand vote-by-mail because of the pandemic, which he sees as a Democratic conspiracy against him, and he pushed (again) a baseless conspiracy theory involving MSNBC host Joe Scarborough.

Which I point out not as a I told you so, but rather as proof that it happens every single day without fail.

He could win! -- Trump has a convincing path to reelection, detailed by CNN's Harry Enten's close read of current and historic polling.

He could lose! -- But here's an election model based on economic indicators from Oxford Economics that suggests he'll lose in a landslide.

So who the heck knows.

: A new word for the day

Asked about Trump's Scarborough tweet, Nancy Pelosi said she's talked to doctors to figure it out and she thinks the President might be a "confabulator."

I like that word -- "confabulator," although neither Pelosi nor I are psychiatrists, so it's inappropriate for her to offer a diagnosis.

Here's a definition for "confabulation" from Dictionary.com: Psychiatry. The replacement of a gap in a person's memory by a falsification that he or she believes to be true.

Trump keeps calling people crazy -- Pelosi is looking fo psychiatric terms for Trump, but he keeps using mental health pejoratives to insult other people. "Psycho," "nuts," "crazy."

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anna-2807 · 5 years

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Licensed Clinical Social Worker in Virginia

Meet Dr. Christine Greer O’Connor, Ph.D., LICSW

Education

PhD in Clinical Social Work, New York University

MS in Social Work, Columbia University

Spanish studies, Universitat de Barcelona

BA in Psychology, Haverford College

Advanced Training

The Washington School of Psychiatry

American Institute for Psychoanalysis

Licenses

Licensed Clinical Social Worker

Washington, D.C., LICSW

New York, LCSW

South Carolina, LISW-CP

Languages

Spanish

English

Publications

Rosenthal Gelman, C., Sheets, D., & Greer, C. (2010). Increasing capacity for caregiving through partnerships. November 20, New Orleans, LA: Gerontological Society of America Annual Meeting.

Greer, C. (2009). An intervention for Latino family caregivers of Alzheimer’s patients: Unique needs and research gaps. November 18, Atlanta, GA: Gerontological Society of America Annual Meeting.

Greer, C. & Fermin, M. (2008). Young children of parents with early-onset Alzheimer’s disease: An emerging population. October 31, Philadelphia, PA: Council on Social Work Education Conference.

Her Personally Speaking- “Changes that result from life transitions are an inevitable part of life, and much of our happiness depends on how we navigate these times of transition. We at QLC are here to help you create the life you want. All lifestyles are welcome.”

Learn more about Christine at Christine Greer O’Connor, Ph.D., LICSW

#Licensed Clinical Social Worker #Quarterlife Counseling #Quarterlife Crisis #Individual Counseling #Couples Counseling #Premarital Counseling #Postpartum Counseling #Perinatal Counseling #Career Coaching #Quarterlife Center #QLC #mental health counseling #Mental health professional #mental health support

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addictionfreedom · 5 years

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Addiction Treatment Center Employment

Contents

Arianna sampson helped launch

Employment opportunities alcohol drug employers

Center. responsibilities: resident assistants monitor client

Finding drug abuse

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27 years …

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Crossroads, a premier addiction and behavioral health treatment center that has been providing addiction and behavioral health treatment since 1974 is seeking …

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integrativeaddiction · 5 years

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Suboxone Treatment Atlanta

Contents

Top addiction treatment

Addiction private. people

-step recovery approach focuses

Dr. howard kornfeld

Addiction patients.

Newton in 2012 for depression, anxiety and chronic pain, and was on Suboxone, which staves off opioid withdrawal … said the AMA’s Dr. Harris, an Atlanta psychiatrist who grew up in Bluefield, W.V. I…

Suboxone, Buprenorphine in Private, Ross F. Grumet at Psychiatry Atlanta provides opioid treatment for substance abuse, opioid dependence, opium …

Jun 3, 2015 … OMHS internet page for information on Substance Abuse, including information on screening, treatment, and VA programs & services.

New Day Treatment Center provide high-quality and compassionate opiate addiction … From the medical side with Methadone or Suboxone Treatment to the …

Just this past week, two people in Atlanta, Georgia were saved by naloxone … and behavioral therapies coupled with medications approved for the treatment of opiate dependence, like Suboxone. Accordi…

Atlanta, GA drug and alcohol rehab centers can help you beat withdrawal symptoms and overcome your addiction. Find some of the top addiction treatment …

Price, a Tea Party Republican from the Atlanta … treatment, according a recent landmark report on addiction by the Surgeon General. The report strongly urged the expansion of medically-assisted trea…

Discover what Riverwoods provides in their Atlanta, Georgia drug & alcohol detox treatment program for adults, geriatrics, and adolescents.

Dec 4, 2012 … Opiate maintenance treatment is a tale of two cultures. People who can afford Suboxone get to keep their addiction private. people who are … Tom, who lives in Atlanta and is 25, began using opiods as a freshman in college.

New Season provides drug addiction treatment for opiate abuse. We use methadone and Suboxone treatment programs to help our patients overcome opioid …

The “Lost Ones” singer Lauryn Hill claims that her driver got lost making her incredibly late for her concert in Atlanta … treatment for the “Purple Rain” singer. As part of this emergency treatment …

Crossroads Treatment Center in Suwanee GA near Atlanta GA provides effective treatment for opiate addiction. We offer Suboxone and Methadone treatment …

At the drug conference in Atlanta, McDonough said the president introduced four steps. First, is a new rule that will make medicine called suboxone more readily available so those who are addicted can …

Jun 22, 2016 … CEO, MARR Addiction Treatment Center … state as clearly as possible, that the use of buprenorphine (suboxone) is not really my issue here.

Rick Allen, deputy director of Georgia Drugs and Narcotics Agency in Atlanta. The Georgia numbers 2000 … The FDA approved two different buprenorphine pills, Subutex and Suboxone, last October. The n…

Atlanta Suboxone® Doctors offers addiction recovery treatment, With Four-step recovery approach focuses different causes of addiction.

The day before his death, Prince’s representatives called upon California-based dr. howard kornfeld to fly out to Minnesota to meet with Prince and get him in treatment … buprenorphine (also known a…

Feb 23, 2015 … … for opiate addiction is what's known as "medically assisted treatment. … shows his prescription for Suboxone, a maintenance treatment for …

McGraw’s most alarming observations, however, are revealed as she cites lapses she’s observed within the treatment process for addiction patients. Often, patients who are being treated for addictions …

With many years of experience, the Atlanta Suboxone Doctor empowers patients to … as well as individualized treatment plans that are tailored to work for you.

The flights from Charleston to Atlanta, then Atlanta to Baltimore were … No. 2 — By giving addicts the treatment they need, through medicine (such as Suboxone), counseling and wraparound services (s…

Call 1-800-304-2219. This article gives information on the treatment centers using suboxone in Georgia.

To-date programs have been completed in seven important markets including, Atlanta, St. Louis … a complementary product for BELBUCA given the close association between the treatment of pain and opio…

Suboxone contains buprenorphine, a long-acting opioid similar to methadone that is among “the most commonly prescribed medications for the treatment of opioid use … Minneapolis following a performan…

Dr. Howard Kornfeld, a national authority on opioid addiction treatment, was called by Prince representatives … Howard Kornfeld also is known as an advocate for the expanded use of Suboxone, which c…

ATLANTA — America’s opioid … buprenorphine — commonly used under the brand name Suboxone — can be provided outside a clinical setting, which can make it more easily accessible. But while medical-ass…

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addictionrecoveryassistance · 6 years

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Suboxone Treatment For Depression

Contents

Therapy; maintenance therapy. suboxone can

Longer-term for “ maintenance

Certain drugs. some individuals have

Effects and tips

Addiction treatment can

Learn more here

Are there any recent sources talking about the use of buprenorphine (low dose) for people who were never drug addicts or abusers but who were diagnosed with …

Feb 21, 2017 … In addition, the robust, rapid, and relatively sustained antidepressant effects of low-dose ketamine have been observed in double-blind placebo crossover trials in patients with treatment-resistant major depression (Biol Psych. 2000 Feb 15;47 [4]:351-4 and Arch Gen Psych. 2006 Aug;63[8]:856-64). Currently …

Buprenorphine for Depression – Combination treatment associated with significant improvements in depression. Read article here.

Suboxone Treatment Plan : The Best Rehabs for 2018. Get Discounts at Best Rehab Centers! [ Suboxone Treatment Plan ] !!!

Hello, I am wondering if anyone in this community uses low dose buprenorphine to manage their depression. I know this is an uncommon depression…

Mar 12, 2017 … That treatment is suboxone, a synthetic opioid that works as a moderate-strength painkiller just as other prescription drugs do. But while it …. Drowsiness; Depression; Anxiety; Confusion/disorientation; Constipation; Social isolation; Nausea/vomiting; Decreased tolerance for pain. And these are just some …

May 18, 2016 … Cooexisting illnesses, like depression or PTSD may be diagnosed and treatment undertaken. Psychotherapy will be tailored to each patient's specific need. Taking suboxone can allow you to regain a normal state of mind – free of withdrawal, cravings and the drug-induced highs and lows of addiction, such …

The investigators are conducting a research study to learn about the safety and benefit of using a medication called buprenorphine for patients with difficult to treat depression. This research study is testing whether combining two medications will be effective in treating depression when initial …

Physicians who treat opioid addiction also have the option of utilizing 'medication-assisted treatment,' and the most common medications used in the treatment of opioid dependence today are methadone, naltrexone, and buprenorphine (Suboxone).

Suboxone for depression. … I'ts difficult to know where to start. I could discuss the issues surrounding buprenorphine (suboxone) treatment for hours.

Apr 14, 2009 … The mood effects of opiate agonists have been known for over a century; Does buprenorphine hold promise as a treatment for depression?

Buprenorphine for Depression – Combination treatment associated with significant improvements in depression. Read article here.

A question about Suboxone and mood: I came across your website while looking for answers to Suboxone. I was wondering what you thought of a patient being prescribed Suboxone for depression and anxiety disorder?

Suboxone; Reviews. Suboxone Reviews. … and period of time that you used the drug or treatment. … Rated Suboxone for Depression Report .

Opioid addiction medicine like Suboxone could be used as part of antidepressant treatments.

Dec 11, 2017 · Hi all… I am new to this forum and have a topic i would like to hear some educated feedback on. I am an opiate addict, the problem is…i havent

Opioid addiction medicine like Suboxone could be used as part of antidepressant treatments.

Suboxone Treatment in Atlanta. Opioid addiction is a condition suffered by approximately 2.1 million people in the US every year. Opioids include street drugs such as heroin or opium as well as common prescription medications like morphine and oxycodone. Recovery can be particularly difficult for those who suffer a …

Kaaian et al 1 Off Label Use of Suboxone for Treatment Resistant Depression Journal of Reward Deficiency Syndrome & Addiction Science Letter to the Editor Open Access

Suboxone Treatment. Potomac Psychiatry offers three different treatment services for patients who are prescribed Suboxone: Complete Detoxification; Detoxification + Maintenance therapy; maintenance therapy. suboxone can be used in the short-term to “detox” a patient as well as in the longer-term for “ maintenance …

Suboxone for depression. Suboxone, which is used to treat opiate addiction like heroin and Oxycodone, definitely has antidepressant properties but is addictive. Very addictive. There are cases of people that have become so dependent on Suboxone that they plan on using it for life. Most people who end up taking …

Hello, I am wondering if anyone in this community uses low dose buprenorphine to manage their depression. I know this is an uncommon depression…

Sep 26, 2017 … Suboxone is a medication that helps people who struggle with withdrawal from narcotics. It alleviates the symptoms and most people go through a smooth withdrawal while on this drug. In people who struggle with depression or anxiety, many have turned to certain drugs. some individuals have discovered …

I am on suboxone maintenance for depression … at which time many people with treatment resistant depression will finally get the help they deserve.

Suboxone, the trade name for buprenorphine and naloxone, is used in the treatment of opioid addiction but when abused can be addictive itself. … Subutex contains buprenorphine only while Suboxone contains both buprenorphine and naloxone, also known as Narcan. From this point … Increased incidence of depression.

Mar 21, 2018 … If your depression is severe, your treatment team may consider medicinal remedies. Anxiety – It is normal to feel anxious when you are learning to live without Suboxone. Anxiety will subside as you adjust. Like depression, severe anxiety may call for a drug-based remedy. Other Co-occurring Disorders – In …

Buprenorphine, a medication used in the treatment of opioid addiction, may also benefit patients with treatment-resistant depression, who have not responded to antidepressants, researchers found. Jordan F. Karp, MD, of the University of Pittsburgh School of Medicine in Pennsylvania, and colleagues …

The purpose of this study is to compare the safety and efficacy of buprenorphine with placebo for adults with treatment resistant depression (TRD). Rates of treatment resistant depression (TRD) in randomized controlled trials range from 50-80% using SSRIs and SNRIs. Innovative treatments are sorely …

Experts offer advice on suboxone withdrawal symptoms: how long it lasts, the timeline of side effects and tips for a successful detox.

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The Dangers of Long Term Suboxone … bouts of depression. … model of treatment. We DO believe that Suboxone is a useful medication to aid …

Trifecta Health combines Suboxone (Buprenorphine), a prescription medication used to treat the physical aspects of opioid dependence, with counseling sessions and treatment of the underlying Depression/ Anxiety Disorders. Sometimes, in addition to Suboxone (Buprenorphine), patients are prescribed other medications.

Addiction Treatment Clinics Contents West virginia and how Helping people change their With rehab centers Addiction please give

Aug 18, 2015 … Opioid addiction medicine like Suboxone could be used as part of antidepressant treatments.

Suboxone received an overall rating of 8 out of 10 stars from 67 reviews. See what others have said about Suboxone, including the effectiveness, ease of use and side effects.

Are there any recent sources talking about the use of buprenorphine (low dose) for people who were never drug addicts or abusers but who were diagnosed with treatment resistant depression? 1

Patients using Suboxone for opioid addiction treatment can develop a dependence on the drug. Stopping the use of Suboxone can then lead to flu-like withdrawal symptoms, such as nausea, vomiting, muscle aches, headaches, insomnia, depression, fever, chills, and sweating. It is important to visit a professional treatment …

A Proven Path To The Right Mental Health Medication. Download Free Resources!

Suboxone for severe depression Buprenorphine Treatment – Main Support Forum

An Add-On Treatment Option for Adults with Depression. learn more here.

Suboxone (buprenorphine and naloxone) is used to treat opiate addiction. Includes Suboxone side effects, interactions and indications.

We offer cutting edge treatments designed to address the whole person, not just prescribe medications. We offer treatment techniques that are innovative and not always available at other practices.

Experiences – Suboxone as a long-term treatment for depression … but I have read suboxone has helped depression for the none opiate addict depressed …

The post Suboxone Treatment For Depression appeared first on A.R.T. Group.

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stephenmccull · 4 years

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For Seniors, COVID-19 Sets Off A Pandemic Of Despair

Navigating Aging

Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.

To contact Judith Graham with a question or comment, click here.

Join the Navigating Aging Facebook Group.

See All Columns

We Want To Hear From You

Are you a senior who is affected by COVID-19? Tell us what you’re seeing, and help us report on important, untold stories. Contact us at [email protected].

Email Us

As states relax coronavirus restrictions, older adults are advised, in most cases, to keep sheltering in place. But for some, the burden of isolation and uncertainty is becoming hard to bear.

This “stay at home awhile longer” advice recognizes that older adults are more likely to become critically ill and die if infected with the virus. At highest risk are seniors with underlying medical conditions such as heart, lung or autoimmune diseases.

Yet after two months at home, many want to go out into the world again. It is discouraging for them to see people of other ages resume activities. They feel excluded. Still, they want to be safe.

“It’s been really lonely,” said Kathleen Koenen, 77, who moved to Atlanta in July after selling her house in South Carolina. She’s living in a 16th-floor apartment while waiting to move into a senior housing community, which has had cases of COVID-19.

“I had thought that would be a new community for me, but everyone there is isolated,” Koenen said. “Wherever we go, we’re isolated in this situation. And the longer it goes on, the harder it becomes.”

(Georgia residents age 65 and older are required to shelter in place through June 12, along with other vulnerable populations.)

Her daughter, Karestan Koenen, is a professor of psychiatric epidemiology at Harvard University’s T.H. Chan School of Public Health. During a Facebook Live event this month, she said her mother had felt in March and April that “everyone was in [this crisis] together.” But now, that sense of communality has disappeared.

Making it worse, some seniors fear that their lives may be seen as expendable in the rush to reopen the country.

“[Older adults] are wondering if their lives are going to end shortly for reasons out of their control,” said Dr. Linda Fried, dean of the Mailman School of Public Health at Columbia University, in a university publication. “They’re wondering if they’ll be able to get the care they need. And most profoundly, they’re wondering if they are going to be cast out of society. If their lives have value.”

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On the positive side, resilience is common in this age group. Virtually all older adults have known adversity and loss; many have a “this too shall pass” attitude. And research confirms that they tend to be adept at regulating their reactions to stressful life events — a useful skill in this pandemic.

“If anything, I’ve seen a very strong will to live and acceptance of whatever one’s fate might be,” said Dr. Marc Agronin, a geriatric psychiatrist and vice president of behavioral health at Miami Jewish Health, a 20-acre campus with independent living, assisted living, nursing home care and other services.

Several times a week, psychologists, nurses and social workers are calling residents on the campus, doing brief mental health checks and referring anyone who needs help for follow-up attention. There’s “a lot of loneliness,” Agronin said, but many seniors are “already habituated to being alone or are doing OK with contact [only] from staff.”

Still, “if this goes on much longer,” he said, “I think we’ll start to see less engagement, more withdrawal, more isolation — a greater toll of disconnection.”

Erin Cassidy-Eagle, a clinical associate professor of psychiatry at Stanford University, shares that concern.

From mid-March to mid-April, all her conversations with older patients revolved around several questions: “How do we keep from getting COVID-19? How am I going to get my needs met? What’s going to happen to me?”

But more recently, Cassidy-Eagle said, “older adults have realized the course of being isolated is going to be much longer for them than for everyone else. And sadness, loneliness and some hopelessness have set in.”

She tells of a woman in her 70s who moved into independent living in a continuing care community because she wanted to build a strong social network. Since March, activities and group dining have been canceled. The community’s director recently announced that restrictions would remain until 2021.

“This woman had a tendency to be depressed, but she was doing OK,” Cassidy-Eagle said. “Now she’s incredibly depressed and she feels trapped.”

Especially vulnerable during this pandemic are older adults who have suffered previous trauma. Dr. Gary Kennedy, director of the division of geriatric psychiatry at Montefiore Medical Center in New York City, has seen this happen to several patients, including a Holocaust survivor in her 90s.

This woman lives with her son, who got COVID-19. Then she did as well. “It’s like going back to the terror of the [concentration] camp,” Kennedy said, “an agonizing emotional flashback.”

Jennifer Olszewski, an expert in gerontology at Drexel University, works in three nursing homes in the Philadelphia area. As is true across most of the country, no visitors are allowed and residents are mostly confined to their rooms.

“I’m seeing a lot of patients with pronounced situational depression,” she said — “decreased appetite, decreased energy, a lack of motivation and overall feelings of sadness.”

“If this goes on for months longer, I think we’ll see more people with functional decline, mental health decline and failure to thrive,” Olszewski said.

Some are simply giving up. Anne Sansevero, a geriatric care manager in New York City, has a 93-year-old client who plunged into despair after her assisted living facility went on lockdown in mid-March. Antidepressant and anti-anxiety medications have not helped.

“She’s telling her family and her health aides ‘life’s not worth living. Please help me end it,’” Sansevero said. “And she’s stopped eating and getting out of bed.”

The woman’s attentive adult children are doing all they can to comfort their mother at a distance and are feeling acute anguish.

What can be done to ease this sort of psychic pain? Kennedy of Montefiore has several suggestions.

“Don’t try to counter the person’s perception and offer false reassurance. Instead, say, yes, this is bad, no doubt about it. It’s understandable to be angry, to be sad. Then provide a sense of companionship. Tell the person, ‘I can’t change this situation but I can be with you. I’ll call tomorrow or in a few days and check in with you again.’”

“Try to explore what made life worth living before the person started feeling this way,” she said. “Remind them of ways they’ve coped with adversity in the past.”

If someone is religiously-inclined, encourage them to reach out to a pastor or a rabbi. “Tell them, I’d like to pray together or read this Bible passage and discuss it,” Kennedy said. “Comforting person-to-person interaction is a very effective form of support.”

Do not count on older adults to own up to feeling depressed. “Some people will acknowledge that, yes, they’ve been feeling sad, but others may describe physical symptoms — fatigue, difficulty sleeping, difficulty concentrating,” said Julie Lutz, a geropsychologist and postdoctoral fellow at the University of Rochester.

If someone has expressed frequent concerns about being a burden to other people or has become notably withdrawn, that’s a worrisome sign, Lutz said.

In nursing homes, ask for a referral to a psychologist or social worker, especially for a loved one who’s recovering from a COVID hospitalization.

“Almost everybody that I’m seeing has some kind of adjustment disorder because their whole worlds have been turned upside down,” said Eleanor Feldman Barbera, an elder care psychologist in New York City. “Talking to a psychologist when they first come in can help put people on a good trajectory.”

The National Alliance on Mental Illness has compiled a COVID-19 information and resource guide, available at https://www.nami.org/covid-19-guide. The American Psychological Association has created a webpage devoted to this topic and recently wrote about finding local mental health resources. The Substance Abuse and Mental Health Services Administration has a 24-hour hotline, 1-800-662-4357. And the national suicide prevention hotline for those in acute distress is 1-800-273-8255.

For Seniors, COVID-19 Sets Off A Pandemic Of Despair published first on https://smartdrinkingweb.weebly.com/

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