In the next few weeks I will be making the transition to teaching young people Taekwondo, which I took up in 2011 at the age of 39 years. This morning I went on a one hour training session to consider how I would teach students correctly, everything I know. Maybe martial arts teachers should transfer their martial arts awesomeness to their students. I have had great teachers in the martial arts and I had been particularly inspired by Master Derek Sumner of UK and more recently by Master Jeong In-Choul of South Korea.
Alfred Perera's blog
Relationships are very important.
In our work in treating young people with depression it is important to form a therapeutic relationship with them.
During the interview the young people tell us their story in which they often describe what had happened and what had one wrong in relationships especially if there has been trauma, abuse, betrayal, shame and bullying.
When anyone shares such details about their life, they are putting alot of trust in us. Trust between young people and the therapist, psychologist and doctor is vital.
After a close game of cricket at Lord's the scores were tied at 241 after England just ran out of batsman chasing the target set by New Zealand. The tie was resolved by the Super Over in which each team had one over to score more runs. As it turned out both teams scored 15 runs and England were awarded the win on the basis of more boundaries scored in the super over.
Even if you don't understand ticket it was a hard fought game won by the smallest of margins. It was exciting and I hope it will inspire many children and young people to take up sport.
Two years ago I gave a talk in London to esteemed colleagues and friends on this subject.
In cases where young people are using Class A drugs there are clear safeguarding issues because young people in these contexts are exploited the same of these drugs through their participation in the illegal economy, in organised crime.gang culture and sex working.
Suicide is not a rare event if the World Health Organisation (WHO) estimates that 800 000 - 1 000 000 people die by suicide in the world each year. There is regional variation in suicide rates across the world. In 2016 just over 222 000 young people aged 10-29 years were recorded as having committed suicide. According to WHO Global Health Estimates 2016, in the 15-29 year old group, suicide accounted for about 200 000 deaths compared to 400 000 deaths by road traffic accidents. Of these statistics about 125 000 young men had died by sucide, compared to 170 000 by interpersonal violence.
If we can understand this issue then parents and teachers can learn from us and apply the positive messages in their interactions with their children. About 10% of children under the age of 10 years in the UK have one or more diagnosable mental illnesses which impair their progress in education and the social world. About 10% of all children are subject to maltreatment in the UK.
THE HEALTH SYSTEM IS NOT STAFFED WITH ENOUGH PEOPLE TO MEET DEMANDS AND THE NEEDS OF THESE CHILDREN.
Teenagers with Autistic Spectrum Disorder ASD often threaten suicide which is very stressful for parents. Each family is unique in its structure and quality of relationships and functioning. Parents and carers in this siutation when a child is threatening suicide and self harming are subject to very significant levels of stress. Their natural preoccupation with the idea that their child could die by suicide can become intolerable.
At present I see many teenagers with a diagnosis of Autistic Spectrum Disorder (ASD) who are stuck. Many live at home and do not go to school. Some have struggled to meet the combined academic and social demands and feel unmotivated and are difficult to engage.
Severe Depression may affect at least 3 % of young people under the age of 18 years.
About 2% of all people have ASD.
Depression is common in teenagers with ASD, affecting as much as 30-70%, impairing them in their progress at school.
Over the last 19 years as a psychiatrist I have made referrals to specialist centres for young people who present with depression with suicidal thinking and transgender identity.
In the last five years there has been an increase in the number of these types of cases referred by doctors to the Tavistock and Portman Clinic in London , where young people have to wait for over one year before they are seen.
I have been thinking about the relationship between depression and eating disorders for over a year. There is a range of eating disorders, although today I will consider Anorexia Nervosa. In the UK the NICE Guidance 2017 on the subject of treatment of depression in eating disorders has confirmed that there is a need for further research in this field.