Behavioral Health
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How your primary care doctor can improve your mental health
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Most of us wouldn’t think twice about seeing our doctor for stomach pain, a sports injury or the flu. But many people don’t get help for mental health concerns. Sometimes it’s the fear of a label, cultural stigma or worry over not getting the right treatment. Whatever the hesitation, it’s important to see a doctor who will treat both your physical and mental healthcare needs.
According to Raymond Hoffman, MD, medical director of the Division of Mental Health and Substance Use, your first call for mental health concerns can be to your primary care provider. “A primary care doctor can prescribe medications for many common mental health issues,” says Dr. Hoffman. He or she may also act as the point person for additional care, such as referring you to a therapist.
Regardless of who ultimately treats you, Dr. Hoffman notes that addressing mental health concerns involves entering into a trusting relationship with your healthcare provider, who supports healing and recovery.
Many of us think of mental healthcare as treating psychiatric illnesses such as bipolar disorder, major depression and psychosis. But it’s just as important to give attention to everyday concerns such as stress, seasonal depression and anxiety. Medical conditions such as diabetes, multiple sclerosis, Parkinson’s and heart disease can worsen depression or anxiety — and vice versa. That’s why it’s so important to seek treatment that takes your whole health into consideration.
Erasing the Mental Health Stigma
MYTH: Mental health conditions are uncommon.
FACT: Mental illness is more common than most think. According to the National Alliance on Mental Illness, one in five Americans will experience mental illness in their lifetime, and one in 25 will experience a serious mental illness that interferes with their life.
MYTH: Mental health conditions are untreatable.
FACT: Many mental health conditions are not lifelong challenges and might only require treatment for a short time. With advances in modern care, you can successfully manage even chronic mental health conditions.
MYTH: Mental health conditions aren’t real medical conditions.
FACT: Just like heart disease and diabetes, mental illnesses are medical conditions. Primary care doctors and specialists can effectively treat them.
Where to start with mental health help
You don’t need to suffer through a mental health condition alone. Unless you’re dealing with a severe mental health issue, a good place to start is your primary care doctor. Your doctor will review your medical records, talk with you about new symptoms or concerns, and work with you to create a treatment plan.
If you already have a good relationship with your doctor, you may feel most comfortable talking to him or her. Your doctor may also better understand what stressors you’re dealing with at home and work, and how they affect your physical health.
In many primary care offices, a medical assistant screens patients for depression as part of the yearly well visit using a standardized screening tool. This two-question tool can provide information for a doctor to follow up. Doctors can use a more in-depth tool if the initial screening points to depression.
The good news for mental health
The good news is that mental health conditions are treatable. If your doctor identifies a mental health condition, he or she may provide brief counseling in the office, prescribe medication or refer you to a specialist. Your doctor may also suggest individual or group therapy. According to Dr. Hoffman, “The evidence shows that if most people who are suffering because of symptoms from mental health problems or substance abuse get help, they can be in less distress and function better.”
Mental Health and Substance Abuse Services at AAMC
AAMC offers a range of services, such as:
The J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults, is opening in March.
Pathways, AAMC’s substance use and co-occurring mental health treatment facility
Partnerships with the Department of Health and local mental health and substance use providers to connect patients to resources
Anne Arundel Medical Group Mental Health Specialists, an outpatient mental health clinic for ages 3 and up
AAMC Psychiatric Day Hospital, a partial hospitalization program
The Recovery Navigator Program, which provides screenings and referrals in the primary care setting
Introduction of mental health consultations in primary care offices
Learn more about AAMC’s range of mental health and substance use services, from outpatient group therapy to partial hospitalization.
Author
Raymond Hoffman, MD, is the medical director of the Division of Mental Health and Substance Use.
Originally published Dec. 5, 2016. Last updated Feb. 10, 2020.
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Mind and body: What you eat can affect your mental health
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The brain is the body’s control center that is working day and night. As a result, it requires fuel to keep functioning. By eating higher quality foods — containing a lot of vitamins, minerals and antioxidants — your brain can better protect itself from oxidative stress, or the waste products produced by your metabolism. On the flip side, eating a lot of processed or refined foods can displace other nutrients and be harmful to your brain.
High-sugar, high-fat and high-salt foods cause inflammation. For example, eating a lot of sugar and refined carbohydrates worsens your body’s regulation of insulin. Multiple studies found a link between a diet high in refined sugars and impaired brain function. This included a worsening of mood disorders, such as depression.
Here are some of the most studied problems caused by a poor diet that researchers have linked to mental health issues:
Chronic low-grade inflammation. This is caused by lifestyle factors, including poor diet, smoking, lack of sleep and psychological stress. And it has been observed in people with depression, bipolar disorder and schizophrenia.
Elevated oxidative stress. Patients with depression experience this. Many people with a mental illness have lower levels of antioxidants in their system compared to control groups.
Brain plasticity. Some research shows healthy dietary patterns improve brain plasticity, or the capacity of the brain to change with learning throughout life.
Gastrointestinal microbiota. There is a link between mental illness and “gut flora,” or the microbe population living in our digestive tracts. When inflammation starts in the gut, paired with a poor combination of nutrients that affect the ‘good’ and ‘bad’ bacteria ratio, it can in turn cause brain inflammation. Ultimately, this causes our brain cells to die. Studies have shown that people taking probiotics have improved their anxiety levels, perception of stress and mental outlook.
Mental illness is a top cause of global disability, and the problem continues to grow. Mental health is complex, and if you’re experiencing a problem you should work with a professional on a well-rounded solution.
Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March.
Nutritional psychiatry supports the role of diet in mental health, and its potential role as a modifiable risk factor for mental illness. Some of the nutrients identified – such as magnesium, vitamin D, zinc, omega 3, b-vitamins and probiotics – are prevalent in a Mediterranean diet. The Mediterranean diet is high in vegetables, fruits, unprocessed grains, fish and seafood, with modest amounts of lean meats and dairy. They are also void of processed foods, which are staples of the Western diet.
If you’re interested in seeing how food affects your mood, start keeping a food record. Jot down how eating different foods make you feel, not just in the moment, but the next day. Make positive changes and compare how you feel . Your body — and brain — will benefit.
Authors
Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.
Originally published Dec. 3, 2018. Last updated Feb. 10, 2020.
Behavioral Health, Men's Health, Women's Health
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Depression is not… everything you think it is
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It’s not a disease. It’s not a sign of a weak personality. And it’s not something to be ashamed of.
Sure. Depression drains your energy. Depression makes you sad. Depression makes you feel powerless, tired, less hungry, more anxious. But depression is not always a “bad thing.” And it’s not “incurable.”
Everyone goes through some sort of depression. In fact, depression is just part of being human. Of course, everyone experiences it differently, depending on the person, situation and circumstance. For some people, it’s clinical. But there shouldn’t be stigma associated with it.
“Do I think it’s derogatory? Absolutely not,” says Donna Phillips, clinical director at Anne Arundel Medical Center’s (AAMC) Psychiatric Day Hospital. “I think you can build strength from it. You can enjoy life and grow from it. Everyone experiences it and we all go through some form of it. You can learn from it. The key in getting better is to know what it is and how you can overcome it.”
Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March.
What is depression?
Depression is a common but serious mood disorder, according to the National Institute of Mental Health. It can cause severe symptoms that affect how you feel, think and handle daily activities, such as sleeping, eating or working. Some forms of depression are slightly different or can develop under certain circumstances, like it happened to Kathy.
After battling three cancers for seven years, including one that required a hip replacement after she developed a tumor in her pelvis, and going through a divorce amidst all of it, Kathy closed this chapter in 2015 after completing her leukemia treatment. But in August 2016, she got shingles – an event she says that pushed her over the edge.
“I was really sad,” says Kathy, a 65-year-old retiree. “When I was five months into my shingles, the pain was relentless and it was really difficult to deal with.”
Kathy wasn’t taking care of herself, only ate two meals a day and slept until noon. One day, she started to feel sick while driving on her way to meet with her sons for lunch. “I only had a tea for breakfast and felt really bad, so I pulled over,” she recalls.
After calling one of her sons, she decided to go back home to meet them there. Noticing their mother wasn’t well, they encouraged her to go to the emergency room. “I admitted I wasn’t well and that I was very depressed,” she says. “I couldn’t turn it around myself, I needed help.”
Seeking help is not a sign of weakness
After an eight-day visit to Sheppard Pratt, followed by a hospital visit where she discovered she suffered from pneumonia, Kathy continued her mental health care at AAMC’s Psychiatric Day Hospital, an intensive day treatment program.
“Seeking help is a good thing,” she says. “Sometimes you have circumstances, like I did, that push you into a depression where you need help to get out of it. I was ignoring the signs, not really accepting what has happening.”
Kathy spent two weeks in AAMC’s program, which offers several mental health services. The program seeks to provide individuals with the necessary skills so they can continue to manage once they’re done, says Phillips.
“A person who suffers from depression feels isolated, but they’re not alone,” she says. “There are a lot of support groups that can help individuals talk about their situation. Our program helps people develop what we call a wellness toolbox. We talk to our patients about the importance of staying active, socially and physically, having a schedule to adhere to, having good sleep hygiene, eating healthy, and being aware of one’s automatic negative thought patterns (cognitive distortions) that provoke depression.”
Although it might seem like a simple approach, Phillips says she’s seen many patients overcome their depression and move on in life. “There are a lot of steps people can take to overcome depression,” she says. “But it’s important to note that seeking help when you can no longer cope by yourself is one of the first steps.”
Lessons learned during depression apply to life in general
Kathy says she since left treatment, things have changed for the better. “They taught me coping strategies that are helpful and now I set up an alarm to get up at 8 am or earlier,” she says. “I make breakfast for myself, I have lunch dates with my friends and now I’m looking to volunteer.”
Kathy says the biggest change is that she feels better about herself and her future. “I feel good about my life,” she says. “I have a grandson that just turned one and I realize that I have so much to look forward to.”
Although it was a challenging time for her, Kathy credits her faith and treatment for helping her look at things differently. Today, she hopes her experience can help others. She says no one should be embarrassed or afraid to seek help because there are a lot of places and organizations that are willing to help. “Depression is not an end, you can turn things around,” she says. “There is hope and life after depression.”
MENTAL HEALTH RESOURCES:
National Alliance on Mental Illness (NAMI): A nationwide grassroots advocacy group, NAMI represents people affected by mental illness and offers several support services, including education programs and a HelpLine.
On Our Own: A statewide behavioral health consumer education and advocacy group, On Our Own of Maryland promotes equality in all aspects of society for people who receive behavioral health services and develops alternative, recovery-based behavioral health initiatives.
National Suicide Prevention Lifeline: Help is always available. Don’t hesitate to reach out if you need help. Call 1-800-273-8255.
AAMC: If you think AAMC’s Psychiatric Day Hospital can help you or a loved one, talk to your doctor. Your doctor must refer you before you can enroll. If you are looking for a doctor who specializes in mental health, call AAMG Mental Health Specialists at 410-573-9000.
Originally published Dec. 31, 2018. Last updated Feb. 10, 2020.
News & Press Releases
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Anne Arundel Medical Center Partners with Sheppard Pratt Health System to Provide Mental Health and Addiction Services
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Anne Arundel Medical Center (AAMC) has partnered with Sheppard Pratt Health System to lead the expansion of AAMC’s behavioral health services and address the growing need for accessible, high-quality mental health and addiction services in Anne Arundel County and its surrounding communities. Sheppard Pratt and AAMC have selected Rod L. Kornrumpf, FACHE, to serve as vice president of behavioral health at AAMC to help lead the management of the new 16-bed mental health hospital, partial hospitalization program, and Pathways business operations. Kornrumpf will also help oversee the associated clinics, facilities, and staff. He previously served as the regional executive director for behavioral health for the University of Maryland Upper Chesapeake Health/Union Hospital joint partnership.
“The partnership with Sheppard Pratt reflects our commitment to bringing the best resources to our community,” said Sherry B. Perkins, PhD, RN, FAAN, president of AAMC. “Sheppard Pratt has been a trusted resource of ours for many years, and we look forward to partnering with them to meet the growing behavioral health needs in our community.”
“The mental health needs in our communities continue to grow with each passing year. Ensuring greater access to mental health and addiction services is a priority for our health system,” said Harsh K. Trivedi, MD, MBA, president and CEO of Sheppard Pratt Health System. “We are pleased to collaborate with Anne Arundel Medical Center to oversee the expansion of their behavioral health services and provide the necessary expertise and resources to meet the unique needs of those in the community and deliver quality care.”
“Few health care needs are more misunderstood than those involving mental health,” said Kornrumpf. “Through the J. Kent McNew Family Medical Center, we are not only increasing critically needed mental health services in the region, but we are signaling a new era in which mental health is recognized as essential to overall health and is a true health care priority. I’m honored to be a part of this legacy.”
The behavioral health services offered in the new mental health hospital will include: inpatient mental health care, a psychiatric partial hospitalization program, intensive outpatient programs, residential and outpatient substance use services, and referral and care coordination to community-based treatment and support services.
Weight Loss
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Are all processed foods bad?
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In today’s era of the increasingly health-conscious consumer, you may view processed foods with fear and disgust. They are often associated with the obesity epidemic, high blood pressure and the rise of Type 2 diabetes. But processed foods are more than boxed macaroni and cheese, or chips. In fact, most foods in your standard grocery store have been processed in some way.
When people refer to processed foods, they’re usually talking about heavily modified products that contain a long list of ingredients, such as snack foods, sweets, frozen-prepared foods, packaged meats and boxed items. These foods often have little to no nutritional value. We encourage limiting these foods in your diet.
Not all processed foods are bad for you
The key is to distinguish between foods that have been lightly processed versus heavily processed. Here’s a quick guide to help you:
Minimally processed foods, such as bagged spinach, cut vegetables and roasted nuts, are often pre-prepped for convenience. They are fine to include on your menu when you want to prepare homemade meals, but need a little extra help to make cooking dinner realistic for your busy schedule.
Foods processed at their peak to lock in nutritional quality and freshness include canned beans, canned tomatoes, frozen fruit and vegetables, and canned tuna. These are better alternatives to eating out and help make meal prep convenient.
Some ingredients like sweeteners, spices, oils, colors and preservatives are added to foods for flavor and texture. These foods include jarred pasta sauce, salad dressing, yogurt and cereals. While they’re helpful in recipes, many of them have long lists of ingredients. So, comparison shop and look for foods with simple and few ingredients.
Ready-to-eat foods, such as crackers, granola, deli meat, TV dinners, chicken nuggets, fish sticks, frozen pizzas and desserts, are the most heavily processed. It’s a good idea to limit these foods in your diet.
Processed foods can be beneficial to your diet. For instance, milk and some juices are fortified with calcium and vitamin D, and breakfast cereals may have added fiber. Canned fruit (packed in water or its own juice) is a good option when fresh fruit is not available, or grocery trips are irregular.
In efforts to make nutritious food readily available and more convenient for you, minimally processed foods offer shortcuts to avoid the alternative of eating out, or last minute fixes. Generally, you should avoid foods that you cannot recognize in their original form, like potato chips, muffins, or foods that are not naturally occurring, such as sodas, donuts, cookies and candy. These foods are major contributors of added sugars, salt and fat in our diets.
To keep processed foods to a minimum, be sure to look at the nutrition facts and ingredient list before purchasing. Do more cooking and food prep from home to maximize control over what you put in your body.
Authors
By Ann Caldwell and Maureen Shackelford, nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them call 443-481-5555.
Originally published May 8, 2017. Last updated Jan. 27, 2020.