Category: <span>Psychotherapy</span>

Rise in anti-depressant prescribing for teenagers

 

Increased prescribing of anti-depressants for children and young people
Increased prescribing of anti-depressants for children and young people. It’s time to consider counselling alternatives.

What is disturbing is that the mental health of children appears to be so depressingly poor and prescribing of anti-depressants to children has significantly increased by GP’s. Research by Dr Ann John at Swansea University shows a 28% increase in prescribing of anti-depressants to children in Wales aged from six to 18, with girls being three times more likely to be prescribed than boys. Furthermore, some of this prescribing is being done beyond the limits of prescribing guidance and using anti-depressant medication that is not suitable for children, due to their toxic side effects. Research would no doubt reveal a similar prescribing pattern in England.

The question is however, whether this prescribing trend reflects an actual decline in children’s mental health with increased incidence of depression, or whether it is due to over-prescribing by GP’s creating medicalisation of normal teenage emotional development. Whatever the cause, training for GP’s and primary care workers is essential because future generations of children are at risk of growing up with a dependency, albeit psychological, on a host of toxic mood lifting drugs.

Counselling support for children and young people can easily prevent the use of potentially harmful drug therapies and normalise emotional turmoil, which is often a natural progression of childhood and teenage development.

Children’s counsellors who are qualified, experienced and trained specifically to counsel children and young people are able to provide specialist support for children in their emotional development. Children’s Counsellors at charities like Place2Be, deliver professional counselling in schools to children from primary age up to 18. They work closely with teachers and other professionals to provide essential support to children and young people. Any concerns about the welfare or mental health of a young person or child may be referred to a GP, who may in turn refer a child or young person to a children’s counsellor.

The use of anti-depressant therapies however, should be administered in the event of counselling therapies being ineffective, and only then with extreme caution and certainly within prescribing guidelines.

The National Institute for Health and Care Excellence (NICE) can issue guidelines about the use of anti-depressant therapies.

Are you obsessed with food and weight?

2% of mainly females will develop anorexia nervosa between the ages of 15 and 20, of whom approximately 25% will develop an entrenched anorexia. The signs to look out for, whether you are male or female, are that you spend hours exercising excessively, you are taking in few calories, you are feverishly trying to maintain control of your body,  and you experience intense, obsessional thoughts about food and weight. If this matches you, then it is very likely that you are becoming entrenched in an eating disorder. Anorexia nervosa is largely about control and it can be life-threatening. The more you focus on food and weight, the less rational your thoughts are.

Severe and enduring anorexia nervosa can become a challenging condition and treatment, including the talking therapies, are not always very effective. As a psychiatric condition, it is most successfully treated during the first few years of its course before patterns become entrenched, fixed and habitual. Ultimately if left untreated, hospitalisation may be necessary. In-patient treatment of this nature sometimes results in painfully slow weight gain, agonising hours spent in the dining room, desperately trying to cope with compulsive anorexic thoughts and emotions, (including suicidal ones), and frequently deeply-rooted ambivalence towards treatment.

The potential effects of starvation on the brain may be key in new innovative treatment methods. Recent research using neuro-imaging reveals clues that parts of the brain may be stimulated to bring about recovery, such as the limbic system, which is linked with reward processing and other areas of the brain dealing with body image perception and also which determine the way that we sense internal body states, like hunger or pain. Transcranial Magnetic Stimulation (TMS), using an electrical stimulation technique is in use experimentally and is undergoing trial in the UK. This may be helpful in resetting the brain areas that control eating patterns and decision making processes, resulting in a greater chance of being able to access a psychological therapy. This treatment could potentially be lifesaving and prevent early deaths.

If you are suffering from anorexia or a similar eating disorder such as bulimia, or are worried that you, a friend or relative may have an irregular eating pattern or may be developing an eating disorder, don’t hesitate to seek some professional help and advice before the problem progresses further. You can hear women share their experiences about binge eating problems by clicking here.

For further information follow the links or contact me.

www.anorexiabulimiacare.org.uk

www.eating-disorders.org.uk

www.b-eat.co.uk

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