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Barwon Health Mental Health and Drugs & Alcohol Services Family & Friends Newsletter November Carers, Family and Friends Support Groups November Wednesday 5th November – Family Drug Support – in the Green Room at the Swanston Centre Annex from 7.00 – 9.00 Thursday 6th November – Mental Health Carer Peer Support in the activities room at Barwon Health Community Health Services 104 – 108 Bellarine Hwy Newcomb from 1.00 – 3.00 By popular demand psych registrar Jossy Antony returns to share ideas and respond to questions about mental health options and treatments. This is a great opportunity to meet with a clinician in a safe and supportive environment Thursday 13th November – Creative Carers – in the activities room at Newcomb from 1.00 – 3.00 – for those NOT attending the Yoga session at Waurn Ponds – bring your current craft work and share a cuppa and a laugh or two Wednesday 19th November – Family Drug Support – in the Green Room at the Swanston Centre Annex from 7.00 – 9.00 Thursday 20th November – Drop-In to the Green Room at the Swanston Centre Annex for peer support from 2.30 – 4.00 – Note changed time We have purchased some new books for our carers’ library. You may like to join us for an afternoon covering them in protective film or just sit and watch. Advance notice: We are planning a ‘Christmas lunch’ at CATS for Wednesday 10th December – depending on interest. Please let us know if you would like to attend. Ring Pamela or Jennifer. This would be a free event and take the place of our usual break-up afternoon teas. Our ‘Caring for the carer’ day at Suma Park was delightful. An hour-long physio chi session was followed by lunch in the conservatory of the beautiful mansion house. During the afternoon, while waiting for massage and bush flower essence treatments, participants made individual dreamcatchers – a lovely reminder of a perfect day. We thank Jennifer for her creative inspiration and patient instruction. Coping With Mental Illness Mental illness may bring feelings of frustration and other negative feelings. Recovering from mental health can be as stressful as the original factors that caused the anguish and to make matters worse the initial recovery can often be plagued by set-backs while you and your medical team discover which treatment methods work best for you. So try not to get despondent, this is not an unusual occurrence, it is best to be patient. Discovering what is best for your own unique recovery is therefore a challenge. While many of us cope well with normal life experiences, few of us know much about what to do when faced with varying degrees of mental dysfunction. After all, it's not like the flu or breaking an arm! ‘Mental Illness Explained’ Mental Health Foundation of Australia (Vic) Website http://mentalhealthvic.org.au/index.php?id=132 Medications Mental health medications are the primary treatment for many mental illnesses. Different medications are used for different illnesses. Drugs come with risks as well as benefits and they should only ever be taken under a doctor's supervision. Depression medications Taking medications for depression is not a sign of personal weakness - there is good evidence that they do help. Whether antidepressant medication is the best treatment option depends on how severe the person's depression is and their history of the illness and also their age. For adults depression there is strong evidence that antidepressants are more effective than any other treatment. If depression is mild or moderate, psychotherapy alone may be sufficient, though even in this case, shortterm antidepressant drug treatment can help people get to the point where they can engage in therapy. How Antidepressants Work Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters (such as serotonin and norepinephrine). Neurotransmitters are needed for normal brain function and are involved in the control of mood and in other responses and functions, such as eating, sleep, pain, and thinking. Antidepressants help people with depression by making these natural chemicals more available to the brain. By restoring the brain's chemical balance, antidepressants help relieve the symptoms of depression. Specifically, antidepressant drugs help reduce the extreme sadness, hopelessness, and lack of interest in life that are typical in people with depression. These drugs also may be used to treat other conditions, such as obsessive compulsive disorder, premenstrual syndrome, chronic pain, and eating disorders. Typically, antidepressants are taken for 4 to 6 months. In some cases, however, patients and their doctors may decide that antidepressants are needed for a longer time. Types of Antidepressants SSRIs Selective Serotonin Reuptake Inhibitors (SSRIs) are members of a group of antidepressants that includes drugs such as citalopram (brand name of Celexa), fluoxetine (brand name of Prozac), paroxetine (brand name of Paxil) and sertraline (brand name of Zoloft). Monoamine oxidase inhibitors (MAOIs) Monoamine oxidase inhibitors (MAOIs), which were some of the first antidepressants to be developed, may be helpful for people with so-called 'atypical' depression, where a person's mood may brighten up with positive events but there may be other symptoms such as oversleeping, sensitivity to rejection, and intense fatigue. The MAOIs are also used to treat so-called "major" depression. MAOIs used in Australia are phenelzine (brand name Nardil) and tranylcypromine (brand name Parnate). Other Disorders Treated by Antidepressant Medications The SSRIs may be an effective treatment for other disorders besides depression. Some have been approved for treating various anxiety disorders including panic attacks, obsessive-compulsive disorder, post- traumatic stress disorder and social anxiety disorder. Some are used to treat eating disorders and chronic pain. Antipsychotic Medications Antipsychotic medications may reduce or eliminate symptoms of psychosis. They are not a "cure" for mental illnesses, but can be an effective part of treatment. Psychosis can be caused by any one of a number of illnesses that affect the brain and cause the person to lose contact with reality. Some examples include schizophrenia or bipolar mood disorder. During a psychotic episode, the person may experience delusions, hallucinations and thought disturbances. Antipsychotic medications work to minimize these symptoms. Medical research has shown that symptoms of psychosis are associated with changes in brain chemistry. Antipsychotic medications help to restore the brain's natural chemical balance, thereby reducing or getting rid of the psychotic symptoms. It can take some weeks before the medication starts to work. Although antipsychotic medications cannot cure mental illnesses, they are effective in eliminating or reducing psychotic symptoms such as delusions, hallucinations and thought disorders. Types of antipsychotic medications There are two types of antipsychotic medications. These are known as: Typical – this refers to the older type of medications Atypical – this refers to the newer type of medications. While both are effective, in general the newer medications have several advantages over the older ones. These advantages include: Fewer side effects such as trembling or stiffening of muscles Less risk of developing "tardive dyskinesia" - movement of the mouth, tongue and sometimes other parts of the body over which the person has no control. Some evidence suggests that the atypical medications may be effective in improving overall mood, thinking and motivation. While these newer antipsychotic medications are more commonly used than the older ones, some people find that the older medications suit them better. It is important to discuss with your doctor the different treatment options that are available and which might be the best for you. ‘Medicines Explained’ Mental Health Foundation of Australia (Vic) Website. http://mentalhealthvic.org.au/index.php?id=130 Exercising outdoors can increase wellbeing …19.05.2010 Just five minutes of exercise a day in the great outdoors can improve mental health. Researchers from the University of Essex found that as little as five minutes of a "green activity" such as walking, gardening, cycling or farming can boost mood and self -esteem. "We believe that there would be a large potential benefit to individuals, society and to the costs of the health service if all groups of people were to self-medicate more with green exercise," says co-author Dr. Barton. The study appears in the journal Environmental Science & Technology. Many studies have shown that outdoor exercise can reduce the risk of mental illness and improve a sense of well-being. But Barton and colleague Professor Jules Pretty say that until now no one knew how much time needed to be spent on green exercise for the benefits to show. Barton and Pretty looked at data from 1252 people of different ages, genders and mental health status taken from 10 existing studies in Britain. They analyzed activities such as walking, gardening, cycling, fishing, boating, horseriding and farming. They found that the greatest health changes occurred in the young and the mentally ill, although people of all ages and social groups benefited. The largest positive effect on self-esteem came from a five-minute dose of "green exercise". All natural environments were beneficial, including parks in towns or cities, they say, but green areas with water appeared to have a more positive effect. In a commentary appearing in the same issue of the journal, researchers point out that none of the studies in the analysis were randomized trials. But William Sullivan of the University of Illinois at Urbana-Champaign says it will be valuable to those advocating the building of green spaces. "Planners and consultants can put this in front of policy makers and say this is serious research that's been published in the scientific literature." Monday, 3 May 2010 Kate Kelland Reuters 4 Easy ways with AVOCADO Creamy avocado dip - Combine mashed ripe avocado, low-fat natural yoghurt, ground cumin and chopped coriander. Spicy Mexican salad – Mix corn kernels, kidney beans, tomato and diced avocado. Add finely chopped red chilli, fresh coriander leaves and lime juice for tantalising taste. Eggy brekkie avos – Cut a small ripe avocado in half, remove the seed and scoop out 2 tablespoons of the flesh. Crack an egg into each avocado half and bake for 15 to 20 mins or until egg just sets. Use the scooped out avocado on toast while waiting for the eggs to set. Avo bruschetta – Combine diced ripe avocados, chopped tomato, red onion and shredded basil with olive oil and balsamic vinegar. Serve on sourdough toast. STOP FOR ONE MINUTE You don’t have to do a 90-minute yoga class to feel Zen. One of the easiest ways to stop the stress from mounting is to pause for a minute (or even a few seconds) between tasks. “Let your attention rest on your breath, feeling it enter and leave the body,” Dr Craig Hassed, a mindfulness consultant at Monash University, says. “It helps our brain’s executive functions – such as information processing, decision-making and remembering things – work a lot better. Otherwise stress builds up in the day until we get tense and agitated.” Sun/Herald Body & Soul July 27th 2014 Cup of calmness View simple moments as an opportunity for relaxation and contemplation, like your morning cup of tea. The Zen monks of Japan believed that tea was sacred – something to be savoured, not gulped down between bites of your toast! Take inspiration from them and try this tomorrow morning when you’re having your cuppa. Close your eyes and take a deep breath. If you’re into positive affirmations, silently repeat one to yourself or set an intention for your day, such as being productive and happy in whatever you do. Then really pay attention to each sip. You could also up the Zen-factor by ditching the English breakfast in favour of a calming, caffeine-free sip. “Herbal teas have amazing properties to send you into a state of relaxation,” confirms nutritionist, naturopath and herbalist Cassie Mendoza-Jones. They’re perfect in the evenings too, so keep your pantry stocked with her top five balancing herbal teas, which come with bonus benefits. Peppermint tea: “This is beautiful for digestive support. It also detoxifies the body and helps calm nerves.” Rooibos tea: “A great caffeine-free antioxidant hit, rooibos improves vitality and eases tension in the body. It can also assist with colds, flu and headaches.” Calendula tea: “A wonderful liver tonic that also helps to relieve indigestion and flush toxins from the body.” Nettle tea: A cup of nettle tea is like a multi-mineral boost. It helps with fluid retention, urinary infections and aching joints. It can also ease nasty hay fever symptoms and allergies.” Lavender tea: “Soothing and stress-busting, lavender tea improves sleep and can ease tension headaches.” Women’s Fitness, May 2014 (You may like to visit the Leaf tea shop at 124 Ryrie Street or their new shop at 108 Pakington St Geelong West and ask to try some of the huge range of herbal teas – or simply try peppermint, rooibos or nettle teas available from supermarkets) My current favourite from Leaf tea is Buddha’s tears – this white tea has an exquisite jasmine flavour – 2-3 balls in a cup or glass and re-infuse all day. Surf the urge The next time you’re overwhelmed by a negative emotion, don’t ignore it. Instead, close your eyes, take some slow, measured and calm breaths, and allow the emotion to completely wash over you like a wave. Sit with it, until, like a wave, it tumbles and spins, but then slowly dissipates and becomes calm again. Women’s Fitness May 2014 “Creativity is intelligence having fun.” Albert Einstein A great read: ‘The Unlikely Pilgrimage of Harold Fry’ Written by Rachel Joyce Published by Black Swan $13.00 – or look for it in your library When Harold Fry leaves home one morning to post a letter, with his wife hovering upstairs, he has no idea that he is about to walk from one end of the country to the other. He has no hiking boots or map, let alone a compass, waterproof (jacket) or mobile phone. All he knows is that he must keep walking…to save someone’s life. For carer support & information about mental health services Ring Pamela – 421 52418 or mob 0437 663 845 Jennifer – 421 52419 or mob 0490 346 694 Note land line numbers – recently all Barwon Health telephone numbers changed and the prefix to the land lines is 421 We both work part time so leave a message & we will call you as soon as possible For respite services Ring the intake worker – FREECALL 1800 052 222 National Family Drug Support Available 7 days a week 24 hours a day – phone 1300 368 186 Lifeline 131114 This is a 24-hour telephone crisis service available every day of the year to anyone, anytime and from anywhere in Australia for just the cost of a local call Beyond Blue Talk it through day or night 1300 224 636 SANE Helpline Information and advice 9 – 5 weekdays Suicide Helpline 1300 651 251