Rich and Famous

I have come to the conclusion that, despite recent opportunities of notoriety, I will never be rich and famous - that is by society standards.

Let me elaborate.  To the very few followers that I am indeed grateful to, you must be aware of the humiliation of my first book signing.  My experience had taught me that, to sell books, you have to spill a little of morning OJ on your manuscript to make it more "juicy."  (Oh, Elaine, that was too weak!)
Who cares?  My next book was to be entitled, My Life as a House.  I intend to add a subtitle - Without Curtains.


Now back to my lament.  My book signing at Barnes and Noble promised to be more successful.  There had been plenty of advertisement through the company.  Earlier that week I was asked to be an expert commentator on the nightly news regarding the Dark Knight Rises tragedy.  And the very day I was to sign my book, my picture appeared in Cleveland Magazine.  (Oh, Elaine, you're smokin'!)

Despite a hurricane-like storm that began minutes before my timed appearance, several people staggered, rather ran in.  Wow!  Could this be for me?  Why are they waiting in the vestibule?  Are there that many bargain books lined up out there?  Oh no.  They are soaked.  They are waiting for the storm to pass.  Hey people.  My motto is, "Don't wait for the storm to pass, learn to dance in the rain".  Can anybody hear me?  I wave to them.  Some acknowledge me with a nod.  Others just stare at the rain as it crescendos and beats against the beautiful flowers now bent to the ground.

In the midst of this water fest, I see a beautiful woman struggling with a large golf umbrella in one hand and a beautiful child in her arm already challenged by a diaper bag.  The child sees me, smiles, and extends his arms toward my table.  It is my grandson, Andrew, and my beautiful daughter, Molly.  Shortly following them is a man, dressed in my favorite color orange and drenched, holding a potted sunflower. It was my son-in-law, Jeremy.  Only my family knew that my Mom called my 3 sisters and I her flowers.  I was the sunflower, Eloise, the rose, Elyse, the daisy, and Ellen, the violet.  The flower was dripping but happy and was set to my side on the table.

Then my son, Peter, and his beautiful wife, Shirin, entered the store.  He had been so proud of this scheduled event that he put an announcement on his Facebook page.   And sure enough, in between his bringing me drinks from the Starbucks counter in the store, his friends made their appearance as promised.

And let us not forget "plumber Jim".  My husband wanted to rent a sign to wear so that he could walk up and down the boulevard announcing my presence inside.

I sold 7 books that evening.  Rich and Famous?  You bet!  God has given me more blessings than I could ever imagine.  If I never sell another, I will be forever grateful for my fame and fortune - as a woman, as a mother, and as a Ya-Ya.

50 Shades of Red

As I reflect back on my life, I recall times when I felt a warm sensation that  highlighted my cheek area, for which I could claim too much blush, or a flaming red invasion that shamelessly knew no boundaries, encompassing my entire face and neck.  Embarrassment vs. Humiliation.  We have all experienced the body's autonomic reaction to a perceived moment of shyness or shame.

May I share my latest experience of embarrassment?  I am turning a red hue as I type.

I was delighted when asked to do a book signing at a quaint, locally owned book shop. It has managed to withstand the economy and the convenience of on-line shopping and savings of powerful chains.  Every passerby is drawn to the store, if just to smell the aroma of parchment or to have the wooden floor creak melodiously under foot.  It's a reminder of the old shops back in my hometown and, without reading a book, I am transported to a time of penny candy.  My pink Shwinn bike can sit on the sidewalk without a chain or body guard.  Sorry - I digressed.

The day of the event came with no fanfare.  A bright yellow paper was taped to the window announcing my presence and a discussion about the book between the hours of one and three.  On entering the shop, 2 copies of my book were displayed on a table with, again, the same bright yellow paper, only this time encased in a plastic cover.  I was directed to the back room.  Now for those unfamiliar with the layout of the store, the back room has a small alcove leading into it with lots of jig-saw puzzles on the wall.  The room is about the size of an average sized dining room.  As I stepped into the very organized room I was greeted by a small plate of cookies, an assortment of folding chairs, and a table, again displaying my book.  A worn, but very distinguished wooden chair, fit for a professor emeritus, waited for me.  Behind me, literally 18 inches behind me, was the NY Times best-selling books.  A pathway between the chairs and my table led to the locked staff bathroom.

I sat done with waited abandon.  I dug out the special pens that I just bought across the street at a darling card and gift shop.  The lady at the gift shop wanted to match the color of the pen to my book cover.  How sweet.  But the darn pen would not write.  Another pen stopped writing after 2 words.  A helper came over and they both determined that the whole batch of pens were unsuitable.  But they worked diligently to find two pens that at least were salvageable. They gave them to me without charge.

The day was hot - I mean 90 degrees hot.  That morning had brought a gentle rain which would have been perfect had it continued.  What a perfect invitation to browse.  But it cleared and left the pavement a bit steamy.  OK.  The shop was air-conditioned.  Would they know about the free cookies?

People began to trickle in the room.  Two patrons were mothers of small children that were permitted to use the staff bathroom.  One mother made eye contact with me and I smiled.  When her son finally came out of the bathroom, given several warnings by the shop owner not to stuff too much paper in the toilet, he had the good manners to approach me and ask about my book.  He was more impressed by the cover and asked if I "colored it" myself.  The child was so enamored that the mother actually bought a book.  Yeah!  My first sale.

The first hour went by slowly. I mean, it dragged.  My beautiful daughter, Molly, stopped by to give me support.  Now mind you, she possesses several copies of the book.  I was so devious.  I slipped her a twenty and said, "Go buy my book".  Pathetic.  Just pathetic.

Then the pace picked up.  Several people entered the room and walked straight toward me.  I would rise and extend my hand.  They would awkwardly accept my welcome to the NY Times best-selling section and then reach directly behind me for this popular book in trilogy form.  I endured this humiliation for the remainder of the second hour.  I was dressed in hot pink but, as you guessed, my face was wearing red.

At the end of my time - well, actually I had 8 minutes remaining but the stop owner was kind enough to rescue me - I picked up this "book of the hour" along with its 2 other sequels and proceeded to checkout.

I commented on the title and felt that it implied some spiritual theme.  He laughed at me and announced that he calls it Smut One, Two, and Three.  "Go ahead", he said.  Turn to any page and read.  Stupid me.  I did.  And as the shop owner stared at me to confirm that he was right, I magically turned more red.  "See"? he said.  So all afternoon, my book on feeling good about yourself was competing with REALLY feeling good.  I packed up my belongings and headed home.

As I thought about my experience I had to smile.  I am working on a series of books, too.  My Life as a...  The next book is about a house, with each room devoted to topics of health and wellness.  My master bedroom section was to deal with insomnia, erectile dysfunction, and peri-menopausal issues to name of few.  Now should I edit my work in progress?  Hmm...

Missing Andy - The Grief Process

Today is Andy's Birthday. He would have been 28 years old.  I am missing him so much.  He died at the age of 19, eight years ago. I used to grabbed my locket with Andy's picture in it. It had a lock of his hair tied with an orange ribbon - his favorite color. That was stolen from our home among many other items.  I mourned the loss of that locket.  It was a tangible connection to my son.  I have since realized that as I go to grab that part of my chest where the picture of Andy rested, my hand is now closer to my heart.  And that is where my son truly resides.  

I feel guilty having a life span that has tripled his. This earth would be such a better place with him being here, sharing his smile and saving animals. Sometimes I can get through the day, smiling when I think of him, and at other times, I can't catch my breath, like today. But I recover. That is part of the grieving process.

Grief is experienced differently by every one of us.  I never thought that I would survive the loss of a child.  It has changed my life forever.  The worst part of this journey was immediately after.  My husband and two older children huddled together in the family room and attempted to sleep that night.  I would doze off into a dreamland that still recognized my son as a beautiful, living, vibrant young man, saving animals and smiling to brighten my day.  When I awoke, the reality of his death came crushing down on me and I couldn't bear the pain.  I looked around at my family.  I knew that they, too, were suffering just as much.


Something unexplainable happened.  I felt a sense of strength that pulled me from that tear-stained couch.  I grabbed a piece of paper and pen and wrote his eulogy.  As I sat in the living room the next day, I sent up a prayer and thanked God for the "Footsteps in the Sand" experience that he was providing for me.  I promised Andy that we would go on.  I wanted to make my family whole again - just not my husband, Peter, and Molly, but my beautiful sisters and their families.  I would help his friends adjust to this tragedy and I would pledge my God-given talents to fighting drug and alcohol abuse among teens and young adults.


This journey has not been an easy one.  But I am writing this article to address grief during this month of Mental Health Awareness.


Allow your self to feel the shock, the pain, the grief, the anger, and the guilt.   Avoid the desire to withdrawal.  Know that these feeling and behaviors are more intense initially.  Accept support from others.  You might feel that no one understands what you are going through.  My sister-in-law lost her son to SIDS.  She organized the relatives that weekend into scrubbing down my kitchen.  It was a source of embarrassment for me as I was not the most immaculate housekeeper but it was also a source of catharsis. I had to laugh as I entered the kitchen and saw her recruits glance at me with a look of "save me".  


I found that my spirituality was heightened that day and it, along with family support, has given me the strength to carry on.  However, I know that others are not as fortunate.  


If grief evolves into a depression (see previous post devoted to this) please seek out a professional who can best provide you with the treatment you deserve.


I no longer look up at the sky and see dark clouds.  They always part for me to reveal the rainbow.  I know that its my Andy smiling down from heaven.  I miss you so much.  I will love you always.  Peace, my dear son.  Love, Mom

Am I Depressed?

May is Mental Health Awareness Month.  Therefore, the topics I will be posting this month are related to different mental health issues.  I will begin this month's topic with Depression -  an illness several of you may have experienced during your lifetime.  

What is depression? If you were to ask your friends or family, or be brave enough to conduct a survey of passing strangers on a street corner, I guarantee you would get a variety of different responses. That is because depression has become an umbrella term used by many individuals to describe a number of different moods ranging from "the blues" to a severe, debilitating state where nothing but suicide could end their pain. There is quite a gap between these two ends of the spectrum. So, let's begin by defining depression more clearly.

First of all, I am very grateful to have a person who is feeling "depressed" actually sitting in my office. Most of my patients who are depressed may be referred by their primary care provider (and may not follow through). Some are brought by a family member or friend, not necessarily willing to provide details to a complete stranger. Very few individuals come on their on volition. So, when I am given this opportunity, I better be able to diagnose my client correctly. 

As a psychiatrist, I rely on specific criteria to diagnosis an individual with a major depressive episode. The interview is critical in gathering the objective data. I rely on an acronym to obtain the necessary information - SIGECAPSS. This represents the following symptoms: (S) Sadness or depression; (I) lack of interest or anhedonia; (G) guilt, poor self-esteem, worthlessness; (E) loss of energy; (C) poor concentration; (A) changes in appetite, either increased or decreased; (P) psychomotor retardation or agitation - most likely observed by others ("All you do is sit around" or "You seem more edgy than usual"); (S) changes in sleep pattern, either increased or decreased; and, most importantly, (S) suicidal thoughts, plans, or intent. The DSM-IV manual (the psychiatrist's bible for establishing diagnoses) requires that at least five (or more) of the above symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) (S) depressed mood or (2) (I) loss of interest or pleasure. If the symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning such as family relationships then it becomes a major depressive disorder. I have also been required to rule out any medical condition that could contribute to depression (e.g. hypothyroidism), any concurrent use of alcohol or drugs that can influence or mimic some of the above symptoms, or bereavement symptoms that have not become more debilitating after a two month interval. I am not at all dismissing the depression that can be attributed to other general medical conditions, substance abuse, or pathological bereavement. These individuals are just diagnosed under  different terminologies. In addition, individuals with other mental illness, including bipolar disorder, schizoaffective disorder, or adjustment disorder with depressed mood can also experience the same symptoms. It is beyond the intention of this posting to address these other conditions but will be discussed at another time.

When I wrote above that I am "grateful" to be able to assess a person face to face, I truly meant this. Depression is treatable. Statistics claim that women are twice as likely to develop depression than are men. Based on the gender of my clients, I suspect that this statistic is true. However, men are also less likely to admit that they might be suffering from depression. Woman are more likely to attempt suicide but men are more successful.

PLEASE!!!!! Even if you are feeling "a little blue", or if a friend, a colleague, a family member gives you some feedback about a change in your behavior, promise me that you will at least talk to your primary care physician. If you do not have one, turn your insurance card over and call the number for behavior health services for a referral. If you do not have insurance, there are community mental health services in your county that can offer you services. MOST IMPORTANT - if you have thoughts of suicide, please go to the nearest Emergency Room for an evaluation. Please promise me that. I may not know you or the extent of your grief or your stressors. But I do know that everyone on this earth is precious. Life is precious. Please have faith and know that you are loved.

May is Mental Health Month

May is a very special month to me.  I am able to celebrate the birthdays of my Grandson, Andrew, my niece, Gretchen, and my nephew, Billy.  I am able to reflect on the beautiful memories of my youngest son, Andy.  I am honored by family on Mother's Day.  And, very importantly, I am able to discuss mental health issues.  Tomorrow designates the beginning of Mental Health Awareness Month.  I believe that knowledge is power.  Join me during the month of May for topics and discussions on mental health issues.    

My Final Journey

I was recently asked to be an Inspirational Luminary on www.Inspiremetoday.com.  The request was to write a 500 word essay in response to the following question. "If today were your last day and you only had 500 words to share, what wisdom would you want to pass on to humanity? What have you learned that matters, and what doesn't?"

Since my use of car metaphors has been successful in helping others prepare their own “chasses” for life’s journeys, it is not at all surprising that I turned once again to my own car interior to find needed inspiration.  So, here are my words of wisdom.

If my journey were to end tomorrow, I would take comfort in knowing that, despite the impending storm outside, I had full control of my steering wheel and my control panel.  Why would this be reassuring?  Well despite the hazardous driving conditions, a fate certainly out of my hands, peace of mind would come with the knowledge that I am the pilot or driver of my soul.  A winding road and skidding tires would not dictate my final hours.   My navigation skills would serve as my guide.

My safety belt is on.  I am not going to throw caution to the wind and become disinhibited.  I will remain true to my beliefs.

My rearview mirror is playing a movie of my life.  Yes, there were some unhappy memories, but far fewer than my joys so I take pride in having used each road block as a detour to follow a better path.

I’m certainly not going to pull over to the next gas station and get tanked.  I want my final memories of my life to be vivid.  I want to cherish every friend, family, and acquaintance that crossed my path.

My gear is in drive, not reverse and my foot is going a bit below the speed limit.   After all, I will never pass this way again and I want to remember each cloud, each flower, each red barn.  A calf sucking on its mother is a thing of beauty.  Why did I never see that before?  A tear of joy forms in the corner of my eye.

The air conditioner and heater are off.  The windows are open.  I feel gentle rain and smell a clover-scented wind as it tosses my hair.

My glove compartment is basically holding the contents that were included since the assembly of this old, or should I say classic, model.  All that were necessary was a birth certificate or registration to validate my existence and my owner’s manual that assisted me in reaching out to my fellow man.  Whether it was a smile or a wave to a stranger, or a kind gesture to give up my right of way, the manual defined my essence.

And then there is the roadside assistance button.  Oh, come on.  We all have one.  When the going gets too rough and none of our car features are providing comfort in our final hours, then just push the button and say a prayer.  This particular device can bring immediate relief.

As I reach my final destination, I apply the break and reach for the ignition.  However, my navigator’s voice instructs me to look up to the sky and peer through the clouds.  As I turn off the ignition, I see a rainbow.

Adult Autism

Were you aware that today is Adult Autism Awareness Day? I have often paid attention to certain days of the year, designated to honor certain individuals or celebrating food. Before I became vegan I could recall National Ice Cream Day. Did I honestly feel that it was imperative to eat my way through a quart of Ben and Jerry"s? Well of course I did. The next day should have been devoted to National Guilt Awareness because I was certainly embracing that one. However, when it comes to our mental and physical well-being, there are certain days I feel compelled to pay homage to. And today is no exception. When I was in elementary school, none of my peers were ever evaluated for ADHD. They were referred to as underachievers or classroom disrupters and they suffered the consequences of this ignorance among educators and parents. And then there were children who stood apart from the crowd. They may have been spotted in the playground, standing alone with an inability to relate, an inability to look you in the eye. They may have been labelled as "odd" because of ritualistic or repetitive behaviors. What if these special individuals were suffering from undiagnosed autism? Today there is a plethora of information on autism. Pediatricians and parenting books have improved the diagnosis of autism in children. But diagnosing adult autism is more challenging. These individuals have been living with this disorder and have developed their own coping mechanisms to try to "fit in" and, unfortunately, mask symptoms. Adults may not be able to provide a complete physical or developmental history of childhood years, complicating matters further. The purpose of today's post is to provide information to those individual's wondering if they, or a loved, has autism. Common symptoms are listed below. Please note that having one or two symptoms does not indicate a disorder. But an adult having several symptoms may be a cause for concern. - Difficulty forming friendships or relationships: When one is afflicted with language limitations and idiosyncratic behaviors, it is difficult to develop meaningful relationships. And when an autistic adult has inability to understand nonverbal cues, how can they ever hope to be successful in pursuing a romance - a relationship very dependent on reading the nonverbal behaviors in another. - Verbal communication difficulties: 40% of individuals diagnosed with autism may nay never be able to speak and are completely nonverbal. Those adults that can converse often have difficulty in processing thoughts into spoken language. It is difficult for them to make their needs known or to maintain a conversation. - Non-verbal communication difficulties: As noted above, relationships are hampered by the impairment in interpreting facial expressions and gestures. - Lack of empathy: Many autistic adults have the inability to understand what other people might be thinking or feeling. This lack of appreciating another's perspective again interferes with developing relationships. - Preoccupations: Adults with autism are likely to have very limited interests and may be extremely knowledgeable about certain subjects such as history, word-origins, etc. This hyper-focus presents many challenges. - Sensory processing difficulties: This over-sensitivity or under-sensitivity to sensations such as smells, sounds, sights, and other input can cause an autistic adult to avoid social situations. - Repetitive behaviors: Some autistic individuals repeat words, phrases or behaviors which provides a sense of comfort. It is predictable and under the control of the individual but does not serve a purpose. - Need for routine: Examples of this behavior include a refusal to try new foods, following the same schedule day after day and having increased anxiety and discomfort when this cannot be accomplished, inability to change plans, and obsessive/compulsive type tendencies. - Savant tendencies: I always remember the movie "Rainman" when Dustin Hoffman demonstrated the skill seen in approximately 10% of autistic individuals. - Insomnia: As many as 70% of autistic people have problems with sleep secondary to sensory issues. Though this symptom is not diagnostic of autism, the disorder is more likely if other symptoms are present. - Anxiety: A common problem in adults with autism, it can present as temper tantrums, depression, obsessive/compulsive tendencies and poor concentration. The above individual symptoms can be common in the general population, but if you are able to identify several characteristics in yourself or a family member, then please consider consulting a professional such as your family doctor or a psychiatrist for further assessment. Please be reassured that you do not have to suffer needlessly. Treatment is available and can improve the quality of your life.

Keep Your Inner Engine Running Smoothly

Keep Your Inner Engine Running Smoothly
By Elaine Campbell, M.D.

I’m going to jump into this article full throttle and make a rather bold statement. I am willing to bet that the majority of us take better care of our cars than we do ourselves.

Are there any doubters out there? Well, consider this. Do you respect the gas gauge as a courteous reminder to refuel the tank or do you play Russian Roulette with the dipping arrow and hold out as long as possible? Hey, maybe you have a 2-gallon gas container in the trunk for such emergencies and don’t mind the endless miles of walking, often down a poorly lit road in some God-forsaken country.

What about oil changes? Some autos give a countdown in miles to the next required service check. For the majority of us, math classes in high school did serve a purpose and we can manually figure out the recommended visits to the mechanic. We call and make an appointment or hop into Jiffy Lube to save some time and money.

So, here’s my point. How many of us had a nutritious breakfast to start our day’s journey? Although most individuals admit that breakfast is the most important meal of the day, about 25% of adults will skip it. They missed an opportunity to refuel, to break the fast, to prepare their mind and body for whatever lies ahead. The result? Mid-morning we find that we are not running on all cylinders, both mentally and physically. Come lunchtime we may be tempted to overeat or choose a high carb or fat entrée to satisfy the empty tank.

Be prepared for the midday slump. The insulin surge needed to provide glucose to your body has now plummeted, taking your energy level with it. I no longer have my English-born grandmother to provide a cup of caffeinated tea at 4PM but she sure knew how to revive my engine.

I must confess that becoming a grandmother caused me to re-examine my eating habits. It also did not hurt that Dr. Caldwell Esselstyn, world-renowned surgeon and spokesperson for a plant-based diet, lives in my hometown. I have embraced this healthy lifestyle and, in addition to my mental wellness coaching, have become Director of Food and Nutrition at the Lu-Jean Feng Clinic in Pepper Pike, Ohio. I have developed a lifestyle program that essentially follows the warning; Genetics loads the gun but your lifestyle pulls the trigger.

Has my new way of eating changed the way my inner engine runs? Absolutely! My devotion to eating a well balanced diet of vegetables, fruits, grains, and beans has revitalized me. If anyone told me that I would feel younger at age 62 than I did at age 26, I would have laughed and continued with my poorly established habits. Afterall, little research was devoted to how one’s diet could reduce the risk of developing cancer, heart disease and diabetes. Now, with all the evidence in place, especially with Dr. T. Colin Campbell’s findings in The China Study, I have a duty to inform my patients of the ability to reverse risk factors of several disease states just by changing the way they eat.

So, will eating plant-based foods rev your engine? Well, that’s part of the maintenance plan. Here are some more tips.

Don’t just idle your life away. Exercise on a regular basis can promote physical as well as emotional well-being. Just as a healthy, whole foods, plant-based diet can reverse certain risk factors such as cardiovascular disease, diabetes, and certain forms of cancer, an exercise routine has been scientifically proven to improve mild to moderate depression.

Although I am a psychiatrist and am capable of getting out the old prescription pad, I have come to believe in the benefits of certain holistic approaches. Exercise can improve mental clarity and energy levels. And when combined with a healthy diet such as the one I follow, weight loss and improved self-esteem are sure to be added benefits.

Do you wait for the yellow warning lights on your dashboard to move you into action? Well, if you waited too long and the cost of repair is more than trading her in for a newer model, you elect to buy a new chassis, right?

Sorry! We don’t have the luxury of trading ourselves in, do we? So why wait until the warning signs of poor lifestyle habits such as obesity, fatigue, poor concentration, depression, high cholesterol, development of high blood sugar, and a family history of cardiovascular disease and cancer force you in to action? Ignoring these warning signs and signals may accelerate certain disease states, or worse, end our journey prematurely.

Give yourself a lifetime guarantee to improve your physical and mental health by following these four lifestyle changes:

1. Eat healthy. For me, a diet based on vegetables, fruits, grains and beans has made this old model-T a revitalized auto. I feel like a Bentley.
2. Incorporate exercise into your day. Don’t idle or sit in the garage. Get out and enjoy life. I get more miles to the gallon now.
3. Pay attention to the warning lights. Never let symptoms of impending road breakdowns catch you off guard. Keep up with maintenance. If problems become overwhelming, seek roadside assistance from your doctor.
4. Remain optimistic. Keep stressors at a minimum if possible. Happy motoring promises to bring joy to your life.

By incorporating these suggestions into your lifestyle, you will soon be able to appreciate your own Blue Book value.

And so, my friends, I leave you with this travel wish. May all of your journeys be blessed with purring engines and smooth roads. And may back seat drivers be kept to a minimum!




About the author:
Dr. Elaine Campbell awaits the release of her first book, My Life as a Car – a Mental Wellness Guide in your Glove Compartment. Inspired by the lack of a preventative and holistic approach to mental health, she uses car metaphors to describe the development of common disorders including depression, anxiety, and substance abuse. Her hope is to diminish the stigma associated with mental illness and to encourage us to examine our own GPS system (genetics, psychological defenses, and social stressors). Having lost her 19-year-old son to an accidental drug overdose, she is also dedicated to fighting drug and alcohol abuse in teens and young adults. She is a Mental Wellness and Lifestyle Coach at The Lu-Jean Feng Clinic (www.fengclinic.com). She has two adult children, Peter and Molly, a wonderful daughter-in-law, Shirin, and a son-in-law, Jeremy. The love of her life is her soon to be one year old grandson, Andrew. She resides in Gates Mills, Ohio with her husband and two Labs.

I'm Back Baby! (Boomers)

I apologize for the long absence. It has been exactly one year since I have established this blog. And 10 months since the last entry which was devoted to Andy. These past months have been filled with so many wonderful changes in my life. My daughter Molly and her husband Jeremy blessed us with a beautiful grandson, Andrew James Duchon, born on 5/5/11. And my son Peter married the love of his life and best friend Shirin on 6/10/11.

But those blessed events don't account for the time away from the blog. I decided to put my philosophy, No Regrets, into action. The first thing was to re-evaluate my career goals. I determined that the only way I could be the Psychiatrist I truly wanted to be - you know - backing out of the current in and out 15 minute, assembly line of patients -was to create a better way of meeting individuals with mental health issues.

There is a Clinic just 10 minutes away from my home devoted to health and wellness. It is called The Lu-Jean Feng Clinic. Dr. Feng is an internationally known plastic surgeon with cutting edge technology like the painless tummy tuck. The Director of Operations, Linda Haas, is just as brilliant with her business savvy. Both Dr. Feng and Linda have created a successful medical facility not only dedicated to state of the art medical care, but also employing providers such as Dr. Gaylee McCracken who is responsible for preventative and anti-aging medicine. Alternative medicine such as acupuncture is provided by Dr. Mao, a man so dear that being near him brings me peace.

So I decided to approach Dr. Feng and Linda with my resume and my idea of providing the "missing piece" to their clinic. I wanted to provide Mental Wellness and introduce the concept of preventative psychiatry. This wonderful clinic that offered health and wellness could truly be revolutionary by including both mental and physical well-being. How can one separate the mental from the physical? Have you ever had a medical illness that affected your mood? Has your state of mind had an affect on your health? I was so devoted to this idea of preventative psychiatry and the interplay between the mind and body that I began to write a book addressing this concept.

The wonderful outcome? They hired me as the Mental Wellness Coach for their clinic and I am currently in the process of publishing my book. NO REGRETS!!

And another life changing occurrance took place on 2/28/11 when I attended a lecture on nutrition given by Dr. Feng. She discussed the book, The China Study. She spoke of the health hazards of eating too much protein and how the right foods can actually reverse certain illnesses such as heart disease, cancer and diabetes. I am now 61 years old, 7 years younger than my mother when she died of breast cancer. The lecture so transformed my way of eating that I am now eating a plant-based diet. I have not only lost weight, gained more energy to play with my new grandson, but also have lost my fixation with food. I only eat when hungry - a lesson so many diets out there tried to reinforce in me - and now you can say that I eat to live, not vise versa.

Because of this significant change in my body, my energy, and my mental clarity, I have accepted the position of Director of Food and Nutrition and have created a 12 week Ultimate weight loss plan for my clients. If this works for me - a person who has yo-yoed for most of their life, than it can certainly work for anyone. I am so enthusiastic. Tonight I meet with my first group of clients for an orientation. NO REGRETS!!

So, I have been busy but keeping true to my belief that we should have no regrets. I still have a few to conquer but for now, this Baby Boomer is back and promises to keep posting to my fellow boomers. Life is too short. Do you have any regrets that may be achieveable? I hope to hear from you. Peace, Dr. Campbell

Missing Andy

Hello Baby Boomers,
I can't believe it is now September - my birthday month. I will be turning 61 and I am missing my son Andy who died at the age of 19, six years ago. I grabbed my locket with Andy's picture in it to wear today. It has a lock of his hair tied with an orange ribbon - his favorite color. I have been missing him so much. I feel guilty having a life span that has tripled his. This earth would be such a better place with him being here, sharing his smile and saving animals. Sometimes I can get through the day, smiling when I think of him, and at other times, I can't catch my breath. I wanted to post a beautiful tribute sent to me by his friend, Gavin. It took place at Gavin's home on his 6th birthday party in 1990. Please click below on "Andy and Friends" to view. It is always painful to see my beautiful son laugh and enjoy life without a care in the world. At the ending shot, he is standing next to his good friend Andy Gathers who died a few years ago as well. Even though this blog is for my generation, I will continue to devote my time and energy fighting drug and alcohol abuse among teens and young adults. You can access Andy's Foundation at www.andysfoundation.com. Peace, Andy's Mom, Elaine

Andy and Friends

Elaine's Oprah Baby Boomer Video

NO REGRETS

Hello to all my darling Baby Boomers,

I know you are out there. But blogging was not in our vocab growing up - nor twitting nor YouTube nor Facebook. My daughter signed me up for the new age way of communicating (note daughter signed me up as I couldn't get it) but I still don't use it properly. I have several friends and family on Facebook and actually send them my posting every Sunday. My sister Eloise hoots and toots on in and she is only 18 months younger than I am. How can I reach a generation that doesn't use this form of communication?

You know this whole Baby Boomer obsession of mine was born from an idea for a talk show. Oprah had offered this opportunity to anyone who had a dream of hosting their own show. I will be honest - that was not my dream at the time. But I submitted a video that voiced my concerns about my generation. I plan to attach that video to this posting - that is if my son or daughter are available to help me today. When you view it, you will pretty much understand the motivation for this blog. The more I listened to my own words, the more I appreciated the need to continue my quest. I was not selected, obviously, but now it has become a dream, a passion. TV shows are what many of my generation are quite comfortable with. I could have reached so many more boomers had I been selected to compete. So what did I do? I decided to blog my thoughts, my concerns. Thus, We Are Booming was created. Not the best means of communicating, but it will do for now. I would have regretted not following through with the desire to talk to my generation. And if a handful are able to enjoy it - YEAH!!! It's a handful of folks I never reached before.

One of my regrets in the video was the lack of emphasis on the "No Regrets" segment of that talk show. Here we are between the ages of 46 and 64. Who does that include? New empty nesters? Grandparents? If you are fortunate to have a job, you may be facing retirement next year. You may be overwhelmed with stressors and be required to dig down deep to cope with things that you never thought would happen - loss of a job, a failed marriage. I have a dear friend who's divorce was just finalized after 30 years of marriage. Sad but true. But today's posting is not to address the stressors or the current state we find ourselves in. But it is to ask you to go to that place inside - maybe deep in your heart or in the private recesses of your beautiful mind and ask yourself, "What would make me happy today? " Or, "What did I want to do that I never got a chance to do?" I want you to put your needs first. This may not feel natural. And may I stress that this isn't being selfish. Don't you ever think that for a moment. Remember the stewardess always warning us to put our oxygen masks on first before placing it on our child? Did you ever think to yourself, "Absolutely not. My child's safety matters the most!" Of course we think that way but the important lesson is that, unless you are OK, no one else will be.

Well - I am asking all of you to do something for yourselves. It could be something so simple as to connect with an old friend or family member. May I suggest Facebook (that is if you have someone around to help)? You may have envisioned yourself in better shape at this age. No regrets mind you. Look in the mirror, appreciate your inner beauty, and set out to tweak yourself. I joined Weight Watchers last Tuesday and I bought these new age sneakers that promised to tone as I walked. I set out yesterday with my St. Bernard, Sampson. Unfortunately, his idea of walking was a slow lumber and our mile walk ended up in my worrying all afternoon over his panting and recovery from such exercise. Want to take a trip? Mine would be to visit Italy where I could feast upon the art and the pasta. I received a Rosetta Stone Italian set from Santa. I am taking baby steps towards a few goals.

I have no regrets when it comes to my spirituality. God has become so important in my life. Letting go and letting God has been a lifesaver for me. Certain events have happened in my life recently that I believe He has had a hand in. I had the good fortune to reconnect with my med school colleague, Dr. David Parajon, who, along with his wife Dr. Laura, reside in Nicaragua and meet the needs of so many less fortunate. So, I have added a larger goal to my life - to actually be a medical missionary to Nicaragua. I hope to set aside 2 weeks a year to visit them and do what is necessary to help.

What are your dreams? What is standing in your way? Life is too short, my friends, to not take a chance. Call up your local community college for a brochure. Take a walk. Put daisies on your table. Enjoy the simplicities and make your day a better one.

I have the privilege of calling Gai Russo a friend. Just being with her elevates me to a better place. She makes the air I breath sweeter. Her kind soul is reflected in her eyes. She also happens to be a brilliant jewelry designer. (https://www.gairusso.com/)
She has been very supportive of me throughout the years. After my son, Andy, died, she made Peace jewelry as she knew that that was his favorite thing to say, "Peace". The other day I received a package in the mail. She sent me a "NO REGRETS" bracelet. I will never take it off, Gai. Thank you for believing in me and my dreams.

So, my dear Baby Boomers. What are you plans for today? Are you looking ahead to the holidays? Are you hoping to accomplish something this month? This year? Please let me hear from you. I am sending you "NO REGRETS" karma through my blog.

Next week I will put a new widget on my Blog. Know what that is? I don't either but I am looking forward to learning something new and to enhance my blog at the same time.

Love and Peace to you all. Dr. Elaine

P.S. I could not add the video by myself. Surprise, Surprise. I will wait for Peter or Molly to help.

P.P.S. I did it. See my video on the post above.

HEALTH AND WELLNESS -Depression - Part 4 - Community Resources and Individual Supports

To my dear Baby Boomers,

Whether you have been one of the few who follow my blogsite or our just discovering it now, I do hope that you take the time to visit the past postings. This month has been devoted to depression, treatment options, suicide, and listing some community resources and individual supports. The decision to veer away from more fun topics like "four boobies" was based on two important facts. For the past two years, baby boomers between 46 and 54 years of age had the highest suicide completion rate. I am a psychiatrist and feel very competent in addressing underlying causes that might be responsible for this statistic. I love my generation. As a result, this blogsite was born and the topic of depression was the first I chose to tackle. In later blogs we will discuss substance abuse which is also a contributor to our generation making irrational and, at times, fatal decisions.

NAMI, the National Alliance of Mental Illness is an organization at the local, state, and national levels. It's missions statement is the following:

About NAMI: Support, Education, Advocacy, and Research

From its inception in 1979, NAMI has been dedicated to improving the lives of individuals and families affected by mental illness.

NAMI's support and public education efforts are focused on educating America about mental illness, offering resources to those in need, and insisting that mental illness become a high national priority. Mental illness is a serious medical illness that affects one in four families. No one is to blame. Treatment works, but only half of people living with mental illness receive treatment. NAMI has engaged in a variety of activities to create awareness about mental illness and promote the promise of recovery.

Find out more about NAMI advocacy efforts: It can be reached through the following web address: http://www.nami.org/template.cfm?section=your_local_nami.

NAMI also has a blog: http://blog.nami.org/

For individuals wanting a psychiatric assessment of their current problems and our fortunate to have insurance, either private or Medicare/Medicaid, the back of your insurance card or your county mental health department can assist you. For those who do not have insurance, again, the county mental health department can refer you to agencies able to meet your needs.

For emergency situations, call 911, If you are wanting to be connected to a suicide hotline, please call Call 1-800- SUICIDE / 1-800-784-2433; Call 1-800-273-TALK / 1-800-273-8255 .

How about individual support? That it another matter, my friends. It is a shame that baby boomers who have lived to our terrific ages may have limited friends, families or spouses who could prevent situations from snowballing.

Communication is key to any relationship, especially marriage. And trust is one of the most important elements of communication. It is so important to learn to listen. It says, "I value you". "You are important". Being available to one another shows your love, your caring. And your need to ventilate or discuss something that is painful may come at an inconvenient time. Believe me, I have learned that there are acceptable times and unacceptable times to communicate with my spouse. The problem is, I don't think we will be able to communicate about certain topics no matter what the ideal time or setting.

Any topic should be respected, especially if it is important to you. A patent answer of, "I won't go there" is painful to hear. It always causes myself a re-examination of my need to ventilate. This self-exam helps me determine if am "looking for an arguement" which I have been often accused of, or being some lunatic who can't let past problems go. After self-examination I often conclude that I am not so bad, may be justified, and might be dealing with someone feeling superior, or who places themselves on a higher spiritual plane. Well, that won't help, will it? So I have found a better solution that works for me and allows me to remain in my marriage.

This article is devoted to community support but the greatest support I have found is through my church and my ministers, Martin and Stephanie. I love my minister who once met with me during a state of suicidal thoughts and reassured my that the painful feelings I was experiencing were important enough to be acknowledged by my spouse. Because my spouse disagreed and choose to continue the "no visit this topic" attitude, I have been required to release myself from this pain in other ways.

First of all, forgiveness is an important action to release yourself from pain. There are no strings attached. It does not give the other person any authority over you. It actually allows you to recognize them as human beings that have similar flaws as yourself. My only wish is for reconciliation. This would require a recognition by the other party to understand the pain caused, an examination of their faults as well as your own, and a promise to try to continue to work on those concerns as a couple. Ah - we could actually achieve trust. Impossible when your pain and the topic associated with it is off-limits. So forgiveness has actually been enough for me. I am able to enjoy my family with no unrealistic expectations.

In addition to forgiveness, I have the support of a Stephen Minister and a wonderful therapist who used to serve as our marital therapist but has worked miracles with me on an individual basis. I have self-confidence and will never accept "I won't go there". The difference is, I pick my battles now, and realize a trusting relationship is not a possibility at this time.

It has come as a great discovery to me that the greatest support I have is ME thanks to all of the wonderful and caring people I have in my life. I hope that that rediscovery, that rebirth occurs to others in my generation. It is a beautiful think and makes life every day a gift - that's why they call it the Present.

Support of every kind is out there for you. And we never touched on substance abuse that can certainly add to the fire. You do not need to be an alcoholic or drug addict to visit a 12 step program. The import thing is the desire to stop drinking or, as they say, drugging. I have visited these programs and have met wonderful people and received invaluable information and support. Your mind will be clear to make the necessary decisions needed to move forward in a positive direction.

Do you have support in your life? Define it and appreciate it. If not, please contact the above agencies.

Next week I plan to address "No Regrets". Until then, Good Mental Health and Peace to you all. Dr. Elaine

HEALTH AND WELLNESS -Depression - Part 3 - Suicide

To my dear Baby Boomers,
It is Sunday afternoon and I just arrived home from a beautiful weekend in Chicago. My son Peter's best friend was married and, of course, it was a joyous occasion. We were also able to connect with my husband's relatives, joining them in Greektown for absolute gluttony. Not to mention that our hotel was steps away from Michigan Avenue - a mecca of shops and boutiques that I could never afford to step into but, boy, was window shopping dreamy. So, as we loaded the car this morning and headed toward Ohio, I thought about my blog article and how I needed to refocus my thoughts.

NOT A PROBLEM!! The streets of Cleveland were so desolate. I recall happier times several years ago when Higbee's and May Company were typical downtown department stores and Christmas instilled a sense of magic in all of us. Wow - what a difference. Then we turned into our driveway to see the "For Sale" sign still there. The latest showing was a few days ago in 90 degree heat - just to help emphasize the "no A/C" feature in our massive money pit of a home. We were also notified of an attempt to deliver a certified letter - never a good thing. So, I dragged my suitcase and my bag of cherished caramel popcorn, (where I stood in a line extending out the door for over a block because it was "worth the wait") now stale from humidity, into our roasting home. The one redeeming moment is that my family is in the next room, viewing the recorded Cleveland Brown's preseason game. We won! And though I miss my dog's, they are in good hands at the kennel and I can sleep in an extra 10 minutes tomorrow.

So life has it's ups and downs and I, for one, have had plenty of roller coaster rides. I confessed that I had suffered from depression in the past. I will also be honest about today's topic. I am one of the 24% of individuals who have considered it as a means of ending some extreme emotional pain. And as you are aware from my previous posts, Baby Boomers are more successful than any other generation at attempts and completion. So, let's discuss suicide.

I can throw out all sorts of statistics to you. Over 34,000 people die of suicide a year - translating to one person dying every 15 minutes. Although women are more likely to try, men are more successful because of the more violent means they choose - firearms or hanging. 90% of adults and 60% of adolescents who commit suicide have a diagnosed mental illness, especially depression or substance abuse. And, sadly, 70% of older individuals visited their PCP within the month of their suicide.

The above statistics are important as it underscores this very important consideration - that suicide might be preventable.

Again, I always consider the Biopsychosocial characteristics of an individual when considering signs of suicide as well as risks of suicide. And why? Because there is no poster person that represents the face of suicide. Although statistics are an important consideration, it is the individual we are truly analyzing.

The following are WARNING SIGNS listed by a Suicide Prevention Program called Yellow Ribbon. Please visit them at www.yellowribbon.org:

WARNING SIGNS

Abrupt changes in personality
Giving away possessions
Previous suicide attempt
Use of drugs and/or alcohol
Change in eating pattern - significant weight change
Change in sleeping pattern - insomnia/oversleeping
Unwillingness or inability to communicate
Depression
Extreme or extended boredom
Accident prone (carelessness)
Unusual sadness, discouragement and loneliness.
Talk of wanting to die
Neglect of academic work and/or personal appearance
Family disruptions - divorce, trauma, losing loved one.
Running away from home or truancy from school.
Rebelliousness - reckless behavior.
Withdrawal from people/activities they love.
Confusion - Inability to concentrate
Chronic Pain, Panic or Anxiety
Perfectionism
Restlessness

Many of the above warning signs refer to the biological and psychological factors I discussed in previous posts. Yellow Ribbon also emphasizes the need to consider the RISK FACTORS. Many of those listed here refer to the sociological factors. Coupling the two gives a clearer suicidal risk. I agree entirely.

RISK FACTORS

Problems with school or the law
Breakup of a romance
Unexpected pregnancy
A stressful family life. (having parents
who are depressed or are substance
abusers, or a family history of suicide
Loss of security...fear of authority, peers,
group or gang members
Stress due to new situations; college
or relocating to a new community
Failing in school or failing to pass
an important test
A serious illness or injury to oneself
Seriously injuring another person or
causing another person's death
(example: automobile accident)
Major loss...of a loved one,
a home, divorce in the family,
a trauma, a relationship

Yellow Ribbon stresses the following:
Suicide victims are not trying to end their life - they are trying to end the pain!

How can we help?
First of all, don't be afraid to be direct. Talk openly and matter-of-factly about suicide.
You have to be willing to listen. Allow the person to express their feelings.
Do not be judgmental. Don't debate whether suicide is right or wrong, or feelings are good or bad. Don't lecture on the value of life.
Don't be afraid to get involved, to be available, to show interest and support
Don't act shocked. You want to maintain their trust in you,
Don't be sworn to secrecy.
Offer hope that alternatives are available but do not offer glib reassurance.
Ask if they have a plan. Take action. Remove any means, such as guns or stockpiled pills.
Get help from persons or agencies specializing in crisis intervention and suicide prevention.

If you are experiencing thoughts of suicide, or have even developed a plan or have the intent, please contact someone you know, visit the closest ER or call the number listed below.

If you are worried about someone and see some warning signs and/or identify risks, please consider getting involved.

The National Hopeline Network 1-800-SUICIDE provides access to trained telephone counselors, 24 hours a day, 7 days a week.

When I lost my son, Andy, at age 19, to an accidental drug overdose, I started a foundation modeled after Jason's Foundation which is dedicated to the silent epidemic of teen suicide. Please visit www.jasonfoundation.com if you are concerned about our younger generation.

I wish you all brighter days and good mental health. Peace, Dr. Elaine

HEALTH AND WELLNESS -Depression - Part 2 - Treatment options

As I promised, I wanted to devote four of my postings to depression. Today's topic is dedicated to treatment options.

I suspect that the growing percentage of suicide attempts in baby boomers may be influenced by the increasing amount of stressors facing our generation and the reluctance to seek treatment for depressive symptoms. Of course medication cannot magically remove the threat of foreclosure or stop a partner from their emotional or physical abuse. But there is hope for those suffering from the symptoms of depression and we will discuss a number of possible treatments in today's article.

Have you ever heard of the term BIOPSYCHOSOCIAL? It is a combination of the words biological, psychological and sociological. And it is these important aspects of our lives that should be taken into consideration when treating depression.

Biological concerns address not only family history of mental illness, medical illnesses that could contribute to depression, but also to substance abuse problems. This information can contribute to treatment recommendations that might include follow up for current medical symptoms and referrals to substance abuse programs.

Psychological considerations are paramount in considering treatment options. How do you cope with sadness, with stressors, with unexpected changes in your workplace or daily routine? Are you one to "cry over spilled milk" or do you pride yourself in making "lemonade from lemons"? Our defense mechanisms come to play when things go wrong emotionally. I have clients who claim that "this too shall pass" and never need any significant interventions. Others may collapse on my desk with the same mild symptoms, demanding that I find immediate relief. No two individuals experience similar episodes in exactly the same way. Some turn to substances to self-medicate or stop taking medication the minute they experience a side effect that might be transitory or if relief of symptoms does not come within a short period of time. They can perceive their situation quite differently which effects the way they feel and, ultimately, the way they behave.

Social concerns have more recently been at the core of my clients depression. Job losses and financial concerns, foreclosures, broken marriages that occur after years of celebrating anniversaries are just a few of my client's stressors. In addition, a strong support system is an essential element of the care plan. Are family members invested in the welfare of this person? Does the client live alone? Are there caring neighbors? Do they have a spiritual base and is a church family present?

All of the above considerations need to be a part of the initial assessment. Will the client need medication only? If a family member has a history of depression as well, did they respond to a certain medication? Are other medical problems under control or contributing to the situation? Are the client's defense mechanisms inadequate to deal with their current situation? Would a referral to a counselor such as a social worker or psychologist be necessary at this time? Is a case manager needed to address the financial situation, living arrangements or unexplored entitlements that the clients may desperately require?

Without team management, my task is made more difficult because medication alone may not solve the problem. However, I am a psychiatrist and it is my function to treat the symptoms with medication and to refer to the wonderful social workers, psychologists and case managers if needed. God Bless them all. I feel that these important individuals are so overworked and underpaid. They are truly devoted caretakers. And I am proud to claim that my daughter, Molly, is one of those dedicated LISW's.

Now about medication. For client's presenting with mild symptoms, medication may not be necessary. If the symptoms are more moderate or severe, and I am referring to the number of symptoms that they are experiencing, then medication is advised. If the patient has physiological complications, with poor sleep, loss of weight, dramatic change in functioning, or suicidal thoughts, plan or intent, then hospitalization is usually recommended at that time.

The selection of medication depends on the symptoms that are described by the client. And certain neurotransmitters in our brain are utilized to help target and relieve symptoms. I am referring to serotonin, norepinephrine, and dopamine.

If anxiety, obsessive compulsive traits, or ruminations are present(those thoughts that show up at bedtime or tend to act like a broken record), then my first choice is a serotonin agent. They are classified as SSRI's or Selected Serotonin Reuptake Inhibitors (lexapro, zoloft, celexa, paxil, prozac, luvox) and can be very efficacious in targeting symptoms that include anxiety, ruminations, guilty conscious, and obsessive compulsive traits that predominate one's depression. Concerns that often leads to non-compliance are side effects - transient stomach or abdominal discomfort, headache, or more importantly, sexual dysfunction, specifically the inability to experience an orgasm. This needs to be discussed with patients prior to treatment.

Medications that include both serotonin and norepinephine also supply benefit for concentration and anxiety. If focus is a problem, often times a combined drug can offer benefits. SNRI's (Serotonin Norepinephrine Reuptake Inhibitors) include effexor, pristiq, cymbalta, and remeron. Remeron is benefical if the client is unable to sleep as it has sedative properties and causes no sexual side effects. Cymbalta is used in clients that have some of the physiological symptoms of depression. Effexor and pristiq provide not only serotonin and norepinephrine, but some affinity for dopamine which is addressed below.

Dopamine, to me, is the "feel better" neurotransmitter, providing energy, motivation and concentration. If the symptoms are more consistent with a "couch potato", or a withdrawn nature, than a dopamine agent like wellbutrin may be indicated. Although it also has no sexual side effects, it is limited in client's who have no history of seizure disorder or eating disorders.

Education is an important aspect of the initial assessment. Medication needs to be taken consistently and the client needs to be aware that responses to medication may require at least 2 to 3 weeks. Any concerns regarding side effects or thoughts of discontinuation of the medication need to be discussed with the doctor. Follow-up appointments are critical in determining the response to the medication, whether dosage needs to be adjusted or whether other agents need to be considered for adjunctive benefits.

There it is - my philosophy of medication management in a nutshell (actually "blogshell").

In summary, discuss your full spectrum of symptoms with your doctor so that the right medication can be prescribed. Do not leave the office without a full understanding of the side effects and benefits of the medication. Do not change your dosage or stop treatment unless discussing this with your physician first Should suicidal thoughts develop during the inital part of the treatment (often seen in children, adolescents, and young adults), notify your doctor immediately or present to the Emergency Room for a risk assessment.

Next week we will discuss the topic of suicide.

Until then, I wish you Peace and Good Mental Health. Dr.Elaine

HEALTH AND WELLNESS -Depression - Part 1

What is depression? If you were to ask your friends or family, or be brave enough to conduct a survey of passing strangers on a street corner, I guarantee you would get a variety of different responses. That is because depression has become an umbrella term used by many individuals to describe a number of different moods ranging from "the blues" to a severe, debilitating state where nothing but suicide could end their pain. There is quite a gap between these two ends of the spectrum. So, let's begin by defining depression more clearly.

First of all, I am very grateful to have a person who is feeling "depressed" actually sitting in my office. Most of my patients who are depressed may be referred by their primary care provider (and may not follow through). Some are brought by a family member or friend, not necessarily willing to provide details to a complete stranger. Very few individuals come on their on volition. So, when I am given this opportunity, I better be able to diagnose my client correctly.

As a psychiatrist, I rely on specific criteria to diagnosis an individual with a major depressive episode. The interview is critical in gathering the objective data. I rely on an acronym to obtain the necessary information - SIGECAPSS. This represents the following symptoms: (S) Sadness or depression; (I) lack of interest or anhedonia; (G) guilt, poor self-esteem, worthlessness; (E) loss of energy; (C) poor concentration; (A) changes in appetite, either increased or decreased; (P) psychomotor retardation or agitation - most likely observed by others ("All you do is sit around" or "You seem more edgy than usual"); (S) changes in sleep pattern, either increased or decreased; and, most importantly, (S) suicidal thoughts, plans, or intent. The DSM-IV manual (the psychiatrist's bible for establishing diagnoses) requires that at least five (or more) of the above symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) (S) depressed mood or (2) (I) loss of interest or pleasure. If the symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning such as family relationships then it becomes a major depressive disorder. I have also been required to rule out any medical condition that could contribute to depression (e.g. hypothyroidism), any concurrent use of alcohol or drugs that can influence or mimic some of the above symptoms, or bereavement symptoms that have not become more debilitating after a two month interval. I am not at all dismissing the depression that can be attributed to other general medical conditions, substance abuse, or pathological bereavement. These individuals are just diagnosed under a different terminologies. In addition, individuals with other mental illness, including bipolar disorder, schizoaffective disorder, or adjustment disorder with depressed mood can also experience the same symptoms. It is beyond the intention of this posting to address these other conditions but will be discussed at another time.

When I wrote above that I am "grateful" to be able to assess a person face to face, I truly meant this. Depression is treatable. Statistics claim that women are twice as likely to develop depression than are men. Based on the gender of my clients, I suspect that this statistic is true. However, men are also less likely to admit that they might be suffering from depression. Considering the other statistic that woman are more likely to attempt suicide but that men are more successful, I am concerned that this younger segment of my generation (the 46 to 54 year olds) are experiencing more stressors.

PLEASE!!!!! Even if you are feeling "a little blue", or if a friend, a colleague, a family member gives you some feedback about a change in your behavior, promise me that you will at least talk to your primary care physician. If you do not have one, turn your insurance card over and call the number for behavior health services for a referral. If you do not have insurance, there are community mental health services in your county that can offer you services. MOST IMPORTANT - if you have thoughts of suicide, please go to the nearest Emergency Room for an evaluation. Please promise me that. I may not know you or the extent of your grief or your stressors. But I do know that everyone on this earth is precious. Life is precious. Please have faith and know that you are loved.

With Blessing and Peace to all, Dr. Elaine