Thursday, January 25, 2007

Teachers: Do You Know the Basics of Children's Mental Health?

one basic mental health category called conduct disorders (C.D.s), the child at highest risk of extreme violence, and emphasized how you must work differently with C.D.s compared to any other kids. Hopefully, I successfully conveyed how critical it is to thoroughly understand what makes this kid "tick," and to work with them differently than everyone else, or you may find yourself or others in dangerous situations. In that piece, I devoted extensive time to teaching you "all" the in's and out's of working with this complex, potentially dangerous youth.

I want to move past the youngster at highest risk of violence so I can now address the next two groups of high risk students in this article.(Our web site has some additional information on conduct disorders if you need more info on that group now. But, remember that these pointers will be no substitute for thoroughly updating your skills on such a challenging kid.

Now that you know a bit about C.D.s, the youth at top risk of violence, let me tell you about the
students who follow next in risk. That is the focus of this article.

** Youth at 2nd and 3rd Risk of Extreme Violence:

These youth are not nearly at as great a risk as the conduct disorder.We will cover each of these 2 types of youth separately, but must stress that the risk for both of these 2 groups drops off dramatically from that posed by conduct disorders. Remember that when any child appears to be potentially violent, you take that concern seriously,regardless of whether the child was on our list. This list is meant only to guide you when you lack any specific events or circumstances that show you how to apportion your time, supervision and other resources.

** Thought Disorders: The risk posed by thought disordered

children is probably far less than that of the conduct disordered youth. Although #2 on this list, it is a rather distant second choice.

Part of the explanation is that there are probably a lot more

conduct disordered kids than thought disordered ones. The other reason that explains the omewhat distant #2 status is that the thought disordered child may be well-intentioned, kind, and loving at times. The conduct disorder child really never is able to care about anyone else. Another reason to explain the distant #2 status is that often the thought disordered child will act in rather than act out.
They often will pose a harm to self rather than others.

Unless you work in a treatment setting, just a very small fraction of the children you work with, may have what mental health professionals call a thought disorder. While the thinking of the conduct disorder is clear and lucid, that assumption is not always true for the thought-disordered child. The child who has been diagnosed with this type of problem by a mental health worker, has very serious problems with their thinking. The child may hear voices or see visions that no one else can, for example. The child may believe demons or devils are governing them. If the voices, for instance, tell the child to hurt someone, then the child may feel compelled to do it. This is where potential danger could lie.

The thrust of working with a diagnosed thought disorder is often on proper medication, although focusing on skill building and structure are also very important. Perhaps the single most important concern will be that the child takes any prescribed medication regularly and properly, because when properly medicated, this child may function almost normally in many ways. When not correctly medicated,this child is at the mercy of any demons, visions, voices or upsetting thoughts that pop into their head.

** Severely Agitated, Depressed Kids: The occurrence of extreme

violence by severely depressed, agitated children probably also greatly lags behind the risk posed by conduct disorders. This term refers to a child who has experienced extremely severe problems with depression, and also struggles mightily at least once with agitation. Many kids, especially teens, struggle with depression,but this group endures some of the most prolonged, profound,deep depression; this should not be confused with typical adolescent ups and downs. When the severely depressed and agitated child also abuses substances, the problem can be
magnified greatly depending on the interplay of the substance and the existing emotional concerns. Crisis, sudden changes and the usual adolescent successes and failures can quickly
de-stabilize this child who is already seriously struggling;these events can have the effect of the straw that broke the camel's back.

Any emotion that a c hild has trouble managing may get acted out or acted in. Depression is generally acted in. Many view it as anger turned inward: the child withdraws, reduces their activities,may eat less, etc. But, depression can also be acted out. Feeling cornered, unable to endure any more pain, some children will act out, sometimes lashing out in very severe ways. All things in nature strive to come to a conclusion. Storms eventually dissipate, the rain ultimately gives way to sun, and even the snow will eventually end. Humans, as part of nature, also tend to move towards resolution.

For some children, extreme violence can be the flash point that offers that resolution. When there appears to be no hope, perhaps the child believes that there is nothing left to lose. Depression can be tough on adults, but couple the depression with a child's lack of time concept, lack of perspective, their impulsiveness, immaturity, and resistance to understanding the link of actions to final outcomes,extreme violence can be grabbed as perhaps a solution. If this ulnerable child becomes involved with a conduct disordered peer, you can see how under certain circumstances, that could become a deadly combination as the depressed, agitated child may join in the acting-out.To help this child, alleviating some of the torment will be critical.
Help to manage anger in socially acceptable ways, tempering the depression, and alleviating some of the agitation can keep this child from remaining at the level of extreme discomfort they
currently experience. If this child receives useful aid to vent the agitation and give some light to the depression, any risk of extreme violence can be significantly impacted. Of the three risk categories, this group's concerns are potentially the most amenable to intervention by you, and is of the three, the most hopeful diagnosis. You can have much lasting impact on this child.

**Appraising the Risk: Now you can look at your class or group

and not just wonder where the where the potential, serious danger would come from. Now that you have more refined guesses about which youth potentially pose potential danger,here is a way to better rank that risk in your mind. A juvenile court judge in Springfield, Oregon, said after the shooting there, that so many kids are like "little match sticks waiting to be lit." To adapt that image a bit, here is how you can apply that thinking to the three at-risk groups listed here.

You can imagine that the conduct disorder is already lit;

a flame is burning. Whether that flame becomes smaller, flares larger, or creates an inferno, is anyone's guess, but the flame is burning always, the potential for disaster is always there.

The thought-disordered child may be like a pilot light,a tiny flame that is always lit, but is fairly unlikely to inexplicably get massively bigger or out of control. Properly shepherded and assisted, this light may stay forever just a benign flicker. Unshepherded or inadequately assisted,
however, this flame can get bigger, even flare out of control.

The extremely agitated depressed child may be the unlit match stick that the judge visualized. Outside factors will likely come into play to incite any flare-up.Outside forces could include peer pressure, crises, substance abuse, family woes, or just mounting problems that fuel the
agitation and create a profound, all-encompassing sense of desperation that leads the child to "spontaneously" combust.

Like the thought-disordered child, the severely agitated depressed youth can often be so readily aided if the community can identify them, then consistently care and effectively intervene.

** In Summary: If you work with kids, but you are not

a mental health professional, maybe it's time to at least

learn some of the basics about children's mental health. And, no matter what your role with children, please consider it your obligation to train your kids to be peaceful. That may be the most important contribution you could make in a world that so thoroughly ensures that every child knows so much about extreme violence, and so little about anything peaceful.

Hopefully, you now have more mental health basics for working with juveniles who pose extreme classroom management problems. Remember, if you wish to get more thorough information, click over to our site for free magazines, strategies, articles and much more-- all designed to assist educators to better manage and instruct problem and difficult students.

Preseli Venture Helps Companies Take Positive Action on Mental Health

Mental health is a huge issue for companies and it has a direct impact on the bottom line, so Preseli Venture is keen to encourage clients to give their team a ‘mental health boost’ and give them time, away from the office, to think about coping with this important topic.

Nearly three in 10 employees will have a mental health problem in any year, and more than £4bn is lost annually to stress-related absences from work, according to the Mental Health Foundation.

Improving physical health may sound surprising but the Mental Health Foundation is running a year-long campaign to raise awareness of the benefits of exercise in treating mild to moderate depression. Also, exercising for half an hour at least twice a week during midlife significantly reduces a person’s risk of dementia in later life.*

Furthermore, researchers from the University of Hull have suggested that drawing ideas from sports psychology, where participants in outdoor activities showed improved mental toughness and also less stress when exposed to demanding tasks, can help people cope with the ever-demanding pressures of working life.

Preseli Venture aims to give companies an unbeatable cocktail for great mental health – and even better business performance. Combining the recognised benefits of exercise and fresh air with the theory that being in and connecting to nature can itself provide mental health benefits is a sure winner. People find there are real mental health benefits after spending a few days in the spectacular Pembrokeshire Coast National Park, enjoying the glow of achievement and sense of well-being that can only come from sharing fun, refreshing adventure activities.

Sunday, January 21, 2007

Safe Touch - A Key to Good Mental Health and Relationships

I believe any educated and sensitive massage therapist will tell you that they tend to meet people who are more authentic in expressing themselves than perhaps one would just meet in an office setting. Even the same person is more authentic and gentle in a safe touch massage setting. Minimal clothing, lulling fountain sounds, the scent of lavendar, orange, sandalwood or other essential oils and music that doesn't destroy your soul just seems to do that. Everyone needs safe touch to be comforted and to feel free to be themselves without judgement.

From my own experience, we live in a touch deprived culture. Touch someone in the workplace, even as an encouraging "good for you" pat on the back, and you might find yourself judged some kind of office pervert. Rub a back in gesture of comforting or hold a hand to say "I care about how you're feeling," and well, off to prison you go!! Touch in our culture is suspect and often threatening. I'm not encouraging anyone to just accept the touch of anyone they meet as well intentioned or harmless. But for the most part, out went the baby with the bathwater as usual.

I used to lay hands on people as a pastor in compliance with and hope that James 5:14-16 would bring about the desired and promised results. "Is any one of you sick? He should call the elders of the church to pray over him and anoint him with oil in the name of the Lord. 15 And the prayer offered in faith will make the sick person well; the Lord will raise him up. If he has sinned, he will be forgiven. 16 Therefore confess your sins to each other and pray for each other so that you may be healed. The prayer of a righteous man is powerful and effective."

I did this thousands of times and respectfully observe that it is not the cure for anything significant, from my perspective. I am sure however, that at times and because of the reaction of some, the touch itself was deeply appreciated and meaningful. A church or pastor that relies ONLY on this because "it's in the Bible, God said it, I believe it, that does it for me," is a fool and delaying help a genuinely sick person might need to receive from professionals. I've seen that in my past career and it's difficult to speak of, though I was not of the anoint only perspective.

Kind, intentioned and educated touch seems to release a person from the masks we all wear. Everyone wears masks. It's how we survive dealing with topics that we can not speak of or will receive no understanding for even thinking about. In massage, people become more openly genuine and some want to talk, at times, about what they really are thinking. Some few might wish to vent about the office envirnoment, the company or the boss, but when sharing, most simply talk about touch and why humans are so fearful of their own thoughts and needs.

"Needs", now there is a word for you. Our Christian culture has all but beat the idea that what one needs having any validity out of the needy. Sermon after sermon over decades has made that equal with being selfish and carnal or unconverted and "of the world." Just say "I need" to a pastor and often his own repressions will bubble up and you will receive a lecture on how the Bible tells us this or that mainly along the lines of "doing nothing through faction or through vainglory, but in lowliness of mind each counting other better than himself;" Phil. 2:3 (ASV) I always wondered if we are to count all others better than ourselves and all that implies about our own selfworth, what are others supposed to do?

Everyone needs to be safely touched. One client, long ago, was very quiet as I worked on them and then suddenly said, "don't you think it's funny my dad never hugged me?" We chatted a bit about that but I knew that me, a stranger, touching him set off that thought in contrast to his dad, who knew him well, never hugging him. After a few minutes he said, "I don't think I am gay." That was also a no brainer. Here is how it worked in his mind. "I like this touch." "Dad never hugged me." "Yikes, I like this and this is a guy!" "I better tell him I don't think I'm gay so he doesn't think I am." Interesting huh? To him, touch was needed yet had conotations that weren't really there, but needed to be referenced. I'm not gay by the way either.

One of the things people need to practice more is the phrase "I need." It is not selfish or crass. It is human and is the stuff that makes relationships function at a more real and authentic level. How many relationships would be better or even saved if we learned to say, "I need you not to speak to me that way." "I need you to be around more often." "I need you to touch me in a way that feels caring of ME." "I need you to listen to what I think for a change." "I need you to give me some space." "I need variety in my life." "I need you to take better care of yourself." "I need you to leave the people you don't like, the crazy relatives, the stupid boss and the damn church out of our conversations." "I need..." Try it sometime and you might see that others also need the same. They just didn't know you knew anything about needs.

Others talk about what they don't need in the way of touch in their lives. They don't need to be grabbed, or pushed. They don't need to be slapped or pinched crudely. They don't need to feel used and not loved. I guess this is another whole topic.

The mask that covers topics of sexuality is a biggie for ALL people. All massage is sensual even when therapeutic as touch just is that by nature. In a safe and compassionate envirnoment, many think about the place that sex has or does not have in their lives. Human sexuality and the need to express it and experience it never goes away. I always got a chuckle about how the Bible tells us that when Moses died at 110 (maybe yes, maybe no), and that " that Moses was one hundred and ten years of age when he died—that his eye was not dim, nor his natural force abated; ..." This is a coded way of saying he noticed everything and could still get excited. How they knew this, I am not sure. I guess he bragged about it. But it is an old way to affirm that the man was not dead and that he was really really alive right up until he was dead. Many people I meet feel dead because they have no touch or sexual expression in their lives.

While many fundamentally religious types will deny this aspect of human need as being merely selfish and carnal, it is very normal and very necessary for a healthy life. The most extreme sexual religious ignorance I have heard to date is of one who always prayed to God they would not experience, shall we say, the unabated force, and have to have sex with a partner just for the sake of sex. Argh... no further comment. I'd say the partner is looking elsewhere in some way.

On the other hand, those that, while very religious and faithful to their church politely listen to those in authority represent "God's view" on these topics to them every week, are very able to say that they don't care what the minister says and their sexuality is really none of the church's business, which it isn't. I find so many devote believers who sturggle against what they are taught or in many cases not taught by a church. Much of that which has to do with human sexuality in the Bible is wrong and harmful to humans. It's archaic, middle Eastern in perspective and It does control them nicely though which is perhaps it's intent. It also promotes much anxiety and depression which are functions of an shame, guilt, fear and anger unexpressed. I have yet to meet an anxious or depressed client that is not fearful or angry about something they feel they have no right to or is too risky to express. Think about it.

I love my gay clients. There are probably no more honest, open and compassionate types of human being. They have a nature that lends itself to that and often the experience to reinforce the benefit of that way of being and thinking. They have also dealt with a lot of rejection and had to face issues of authenticity that, again, most never face, openly. Not one I know is gay by choice but rather by nature. Not one is trying to be ungay, nor should they. Everyone is a genuine human being who knows more about themselves than most will ever dare explore. I think of the one who was "outed" by a friend at Church and was given a video tape to watch on how to not be gay. If they could not change and the video did not convince them, then they were not welcome at church. Needless to say the video just didn't work. I asked a lesbian client once why she came to me as I was, well...a man! I knew the history of abuse and was just wondering. She said the nicest thing I have ever had said to me. "Because I love what you do, I feel safe, and you are the only man that is ever going to touch me again." Wow..but she wouldn't let me use that in my advertising.

Everyone needs safe touch. Touch tends to send it's message subtley but loud and clear. A client knows if I am not present in the massage by the way touch feels. One client said he'd tell me later in the session if he wanted to go for 90 minutes instead of just an hour. From my perspective, I'd like to know now as it determines what and how I do the massage, but I just said ok. I put my hands on him and made half a pass down the back when he said, "let's do 90." He said when I touched him, he knew he wanted to go longer. Nice compliment. It was the touch.

On occasions there might be a person who is so stressed and so angry, that they just feel that way without saying so. It is more sensing than feeling. I can feel a bad intention and it makes for a very long hour. Sometimes you just can't put your "finger" on it but you know that all is not well. That's how touch works too. Just the energy people give out can inform you long before they ever get near enough to touch you. It's why we can feel great or bad when some people walk in the room. Even without touching us, they are getting to us.

So think about how you touch and why. The mantra for many is sadly "don't touch me," and that also needs to be respected. I believe much obesity is a subconscious message to "stay away form me." Research tells us that 80% of all obese females have experienced sexual abuse. Sounds high to me, but might be close. Even untouch or ungentled, as the term is used, RATS, die sooner and don't survive surgeries as well as those who are oft gentled or touched. How much more so our partners, family members, children and even ourselves. Watch even how others soothe and touch themselves to see that even unconsciously our brain tells our hands to comfort us in time of need.

Long Term Space Exploration; Physical and Mental Health Limitations

Long-term space flight will take its toll on astronauts including entropy, bone loss, radiation and a feeling of loneliness. For us to send people into long-term space flights, which could take years if not decades we will need to consider modification concepts to our space craft.

There are a number of things we can do. I propose that the water we will need for these space missions be stored along the outer shells of the astronauts quarters thus protect them from radiation. I also propose that the astronaut’s quarters spin at a rate to provide centripetal force simulating gravity. I also propose that the resonance of all equipment leave a near Earth frequency of 7.89 Hz to help keep the immune system synchronized with what the human body is use to.

One thing we can do it allow astronauts to receive emails, although they will be hours or days in delay, they can read them and reply to Earthlings and students with questions. Also we will need artificial intelligent robotic companions, with down loadable information for studying, entertainment and someone to shoot the breeze with. The companion robot will need to be much better than the current artificial intelligent robots available. Consider these few modifications and I am ready to go.