How to Meet Yours and Your Children

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How to Meet Yours and Your Childrens Emotional
Needs ???????????????

• By
• Sherry (Qinyue) Liu, MD, Ph.D

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???? Mental Health

• ?? ?? ??
  Health Physical and
  Mental health.
• ????????????,????????????????
  Mental problems can be manifested as
  physically ill, such as headache, mildly elevated
  BP or numbness and so on.
• ??????????, ????????????????
  Mental health is also named
  behavioral health. Mental illnesses manifest
  behavioral problems.
• ????????????????????????Mental illness means that
  your functioning is impaired.

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???? Mental Health

• ???????????,???????????????????????????
  Mental illness is like other physical
  illness, it is influenced by family genetics,
  chemical reactions, insult to the brain and other
  factors.
• ???????????,????????????????
  Mental illness is different from
  physical illness since it has constant
  interaction with the environment we are in at the
  time.
• ???????????????? Mental states change
  every minute.

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???????????,?????????Different levels of mental
illness, different treatment

• ??-???????????????????????,???????
  Mildly
  impaired, such as distress from job and family
  life. You need to talk to someone and it can be
  over in a short period of time.
• ??-?????????????????????????????,?????????????Mode
  rately stressed out, such as family death,
  finance difficulties and children are in
  troubles. May need to talk to someone or seeking
  professional help .
• ??-???????????,?????????? ???????
  Severely impaired
  chemicals are not in places, such as Bipolar
  Disorder or Major Depressive Disorder. Need
  professional help.

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?? Goals

• ???????????????? Identify the distress
  yourself and your loved ones have.
• ????????????? Understand the
  environments of you and your loved ones.
• ??????????????????? Determine the need for
  professional help or not.
• ????????????? Look for the
  resources you can get help from.

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??? ? ????Psychology vs. Psychiatry

• ??? ?????????? ?????????,??????????????????Psych
  ology Physiology of the mental states.
  Psychologists are Ph.Ds, who provide
  counseling and psychotherapies for mild pathology
  of the mind.
• ?????????????? ??????????,????????????????????Ps
  ychiatry Pathology of the mental states.
  Psychiatrists are MDs, providing
  medication management psychotherapies.

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??????????????,????????????????? Pathology of
the mind is a biological illness, like other
illnesses, such as hypertension, diabetes and
cancers.
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Erik Erikson's 8 Stages of Psychosocial
Development

• 1). Trust vs. Mistrust The infant must form a
  first loving, trusting relationship with the
  caregiver, or develop a sense of mistrust.
• 2). Autonomy vs. Shame/Doubt The child's energies
  are directed toward the development of physical
  skills,including walking, grasping, and rectal
  sphincter control. The child learns control but
  may develop shame and doubt if not handled well
• 3). Initiative vs. Guilt The child continues to
  become more assertive and to take more
  initiative, but may be too forceful, leading to
  guilt feelings.
• 4). Industry vs. Inferiority The child must deal
  with demands to learn new skills or risk a sense
  of inferiority ,failure and incompetence.
• 5). Identity vs. Role Confusion The teenager
  must achieve a sense of identity in occupation,
  sex roles, politics, and religion.
• 6). Intimacy vs. Isolation The young adult must
  develop intimate relationships or suffer feelings
  of isolation
• 7). Generativity vs. Stagnation Each adult must
  find some way to satisfy and support the next
  generation.
• 8). Ego Integrity vs. Despair The culmination is
  a sense of oneself as one is and of feeling
  fulfilled.

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How to manage your teens

• Understand your child what/who s/he is. What s/he
  is good at and not good at, expend to the best of
  their ability to something they are good at.
• Hearing them, not just listen to them. Work with
  them. More respect, trust and support
• Give more space to have themselves to manage
  their own affairs, help them handling peer
  pressures, peer pressure can be positive and
  negative. It helps define who we are and how we
  feel about subjects in our lives. It is how we
  chose to react to peer pressure that defines who
  we are as an individual.
• Set limits. A process of interacting, adjust the
  expectations
• A little winding road or failure in early life
  can be a positive experience.

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?? /??? Depression

• ???Depression?
• ??????????????????????????????Sadness natural
  reactions for the ending a relationship, a
  disappointment for a job failure or a conflict
  that cannot be resolved.
• ??????????,???????????????? Clinical
  depression Constellation of symptoms and signs,
  these symptoms in general impair the functional
  level of your daily life.
• ???????/???
• ???????????????-??????????? Depression has
  different faces at different ages.
  

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?????????Signs and Symptoms of Depression

• ???? /???? Feeling depressed/anhendonic
• ???????? Altered sleep and appetite
• ???????? Decreased energy and concentration
• ??????????? Tense, angry, anxious, isolative
• ?????????????? Excessive guilt
  feelings and frequent suicidal thoughts
• ????? Seeing ghost or hearing voices

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Teen depression

• Problems at school , Running away
• Substance abuse self-medicate
• Low self-esteem
• Eating disorders Anorexia, bulimia, binge eating,
  and yo-yo dieting are often signs of unrecognized
  depression.
• Internet addiction Teens may go online to escape
  from their problems. But excessive computer use
  only increases their isolation and makes them
  more depressed.
• Self-injury Cutting, burning, and other kinds of
  self-mutilation.
• Reckless behavior engage in dangerous or
  high-risk behaviors, such as reckless driving,
  out-of-control drinking, and unsafe sex.
• Violence Some depressed teens (usually boys who
  are the victims of bullying) become violent.
• Suicide

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Teen depression

• Irritable or angry mood As noted above,
  irritability, rather than sadness, is often the
  predominant mood in depressed teens. A depressed
  teenager may be grumpy, hostile, easily
  frustrated, or prone to angry outbursts.
• Unexplained aches and pains - Depressed teens
  frequently complain about physical ailments such
  as headaches or stomachaches. If a thorough
  physical exam does not reveal a medical cause,
  these aches and pains may indicate depression.
• Extreme sensitivity to criticism - Depressed
  teens are plagued by feelings of worthlessness,
  making them extremely vulnerable to criticism,
  rejection, and failure. This is a particular
  problem for over-achievers.
• Withdrawing from some, but not all people - While
  adults tend to isolate themselves when depressed,
  teenagers usually keep up at least some
  friendships.

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Teen depression and causes

• CONFUSION Teenagers are often left to wonder
  whether or not he or she is accepted. With the
  distinct of our heritages, many of our children
  got confused as who are we and where we belong?
• LOW-SELF ESTEEM Many times a persons permanent
  self-esteem, which lasts through adulthood, is
  formed in the teenage years. A teenager is in a
  very critical environment and can be emotionally
  affected in a major way. Peer pressure, parental
  pressure, pressure from teachers, pressure from
  coaches, pressure from boyfriends or girlfriends
  can all contribute to a whirlwind of stress that
  can create clinical teen depression.
• VOLUNABLE Teen depression can be the result of
  bad grades, failure to be accepted into a
  University, being broken up with, being
  ostracized by peers, or something as simple as
  having a bad hair day. While some of these
  examples may seem trivial to more mature
  individuals they can add up to a real case of
  clinical depression. Feelings of depression can
  be serious no matter how silly the origin may
  seem.

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?? Treatment

• ???? Psychotherapies
• ???? Psychopharmacology ANTIDEPRESSANTS
  SSRI prozac, zoloft, luvox, paxil, celexa,
  lexapro
• TCAs Nortriptyline, clomipramine,
  amitriptyline Others Wellbutrin, Effexor,
  Serozone, Remeron MOOD STABLIZERS Lithium
  Carbonate, Depakote, Tegretol, Trileptal and so
  on.

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