Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com Please click the link above to SUBSCRIBE and click the bell to be notified of new videos.
#depression #holistichabits #counselingskills #integrative
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Depression
• Depression represents a cluster of symptoms
• Diagnosis with depression only requires people to have a few of the symptoms
• A variety of different things can cause and be caused by depression
• Emotions: Anger, anxiety, grief, guilt, shame
• Thoughts: Cognitive distortions
• Relationships: Poor self-esteem, unhealthy/unsupportive relationships, need for extremal validation
• Physical: Neurochemical imbalances, poor nutrition, exhaustion, insufficient sleep, medication side effects
• Environmental: High stress environments that prevent relaxation/rest and increase hopelessness/helplessness
Strengths-Based Assessment
• What does this mean to you? (apathy, sadness, mood swings)
• Which symptoms are most bothersome for you and why?
• For each symptom
• What makes depression worse?
• What makes depression better?
• How was life more pleasurable prior to getting depressed?
• What is different during times when you are NOT depressed?
• How do you expect life to be different when your depression is gone?
Neurotransmitter Imbalances
• Ability to feel pleasure/Apathy/Emotional Flatness
• Memory issues
• Difficulty concentrating
• Sleep issues
• Lack of motivation
• Fatigue
• Pain
• Irritability/Agitation
• Fight or flight stress symptoms
Neurotransmitters
• Get quality sleep
• Create a routine
• Address pain and apnea
• Improve the sleep environment
• Other factors: Shift work, time zones, daylight savings time
• Relaxation
• Biofeedback
• Progressive muscular relaxation
• Address medication side effects
• Psychotropics
• Opioids
Neurotransmitters
• Improve Nutrition
• Address addictive behaviors
• Address chronic or extreme stress
• Refresher
• Both of these increase the amount of neurotransmitters flooding the synapses.
• To protect the body from overload, the brain shuts down some of the receptors so the body does not overload (tolerance/desensitization)
• When the neurotransmitters return to a normal level, the receptors are still shut down, so not enough neurotransmitter gets sent out.
• Things that normally caused a reaction, no longer are strong enough to cause a reaction
Hormones
• Thyroid
• Are altered in response to chronic stress
• Impacts mood, libido and energy levels
• Estrogen
• Boosts neurotransmitters that affect sleep, mood, memory, libido, pain perception, learning and attention span.
• Increased estrogen may increase the availability of serotonin
• Testosterone
• Low testosterone may be implicated in reducing the availability of serotonin
• Testosterone is manufactured by the adrenal glands,
• Enhances libido, improves stamina and sleep, assists brain function, and is associated with assertive behavior and a sense of well-being.
Hormones
• Cortisol
• Cortisol is made by the adrenal glands.
• Helps the body adapt to stress by increasing heart rate, respiration, and blood pressure.
• Cortisol levels increase early in the morning to prepare to meet the demands of the day, and gradually decrease throughout the day (“circadian rhythm”).
• Insufficient cortisol (glucocorticoid resistance) can lead to HR and BP reductions as well as reductions in energy and motivation
• DHEA
• DHEA levels decrease as we age
• DHEA can increase libido and sexual arousal. It improves motivation, engenders a sense of well-being, decreases pain, facilitates the rapid eye movement (REM) phase of sleep, enhances memory and enhances immune system function
AllCEUs provides multimedia #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.
AllCEUs courses are accepted in most states because we are approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions, the Australian Counselling Association, Canadian Counselling and Psychotherapy Association and more.
DrDawnEliseSnipes provides Counseling CEUs and training through allceus
11 июл 2024
