Alfred Perera's blog

Exam Stress

I should have written this blog over one months ago, but it got held up. Well at least it is in time for next year! Exams are like football matches in the sense that there is always a young person engaged in an exam or a big match somewhere. Many students in the world have to deal the stress of exams and the expectations they place on themselves, the pressure for parents, teachers and their sense of society's expectations on them.

THRIVE

In 2015 prior to May there were many promises in the media of support for mental health services in the UK. In the last year there had been wishes for parity of funding and staffing resources to emerge between physical and mental health. The previous Coalition Government had even enabled the publication of Future in Mind (see attachment) in which one can begin to see how better mental health service for children and young people can be realized.

Where are all the therapists?

In the UK Child and Adolescent Mental Health Services (CAMHS) have to try to offer comprehensive treatments for young people with understaffed teams. This will mean that many depressed teenagers awaiting therapy will be waiting for months to be seen for basic cognitive behaviour therapy for depression. Therefore one would think that there needs to be a development of good online resources that young people can access. It is a good practice to learn how to make links between how we are feeling, what we are doing and what we are thinking.

Easter

Easter is a time of year when many Christians in the world celebrate the Resurrection of Jesus Christ. Over two billion people in the world have a Christian faith. In the last few weeks we have learned about the persecution of Christians to death in the Middle East and Kenya. Our faith can be a resource in the fight against depression. The life of Christ has illuminated all history and he can walk with us all the days of our lives. I am a Christian and by daily practice and observance of faith I draw closer in understanding of the life of Christ.

Exercise

Today I was thinking again about the importance of exercise in staying well. We all have a responsibility to look after our body and mind.

When we take exercise the blood flow to our brain increases. Therefore the blood flow can deliver more oxygen to our brain cells/ nerve cells which help then work better.

Has depression almost made the main news this week?

This week we learned that Zayn Malik had left One Direction (famous boy band) with stress. We also discovered that Andreas Lubitz, a co-pilot who had died with 149 other people in the plane crash in the French Alps, had a past history of depression. We may never really know what exactly happened but how has depression affected the life course of these individuals? If they had been more able to talk about their feelings earlier or receive support around their key relationships then maybe their life paths would have changed.

Depression in the context of exploitation

There are many cases of depression in which we see a young teenage girl who has suffered emotional, physical and sexual abuse. This could happen to boys, young adults and people with learning disabilities and the elderly. The most vulnerable people in our society are at risk from sexual exploitation. Although these people may experience severe depression, how can we treat them effectively if they are still in danger and their lives are at risk? 

Depression and Alcohol / Drug Misuse

Depression, low mood and sadness are feelings that most people have each day. However, 3% of all young people aged 13-25 years experience severe depression for most of the time. There are 2 million teenagers in the UK who have one or more parents who are addicted to alcohol. If your parents are depressed and/or using alcohol or drugs, then how will it affect you as a young person? You are not alone. Alateen is a part of Alcoholics Anonymous which offers help to young people with parents who have problems with drinking.

NICE Guidelines there 2005, 2013, 2015

In the UK the National Institute for Health and Care Excellence (NICE) had published guidelines in 2005 for the treatment of depression in young people. These guidelines were updated in 2013 and 2015. After an assessment, if a young person is diagnosed with depression they should be offered therapy. This would usually consist of Cognitive Behaviour Therapy (CBT), Family Therapy or Interpersonal Therapy (IPT). In practise, there is usually a delay of several months for most young people before they can access therapy.

Brain Derived Neurotropic Factor

The brain is even more than a veritable soup of chemicals mixed with a spaghetti junction of endless combinations of nerve connections. How do our nerves remain healthy? They need Brain Derived Neurotropic Factor (BDNF) to grow and maintain their function. However, in stressful situations there is a reduction in BDNF in key brain areas, especially the hippocampus.

The hippocampus of the rat has been studied by John O'Keefe who won the Nobel Prize for Medicine last year. We now know that this region of the brain possesses its own stem cells which can be made into new nerve cells.

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