Suicide Awareness/Anxiety & OCD

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Do’s:

• died by suicide

• ended their life

• killed themself

Don't’s:

• committed suicide

• failed or successful attempt

Do’s and Dont’s when talking about suicide

Yes, it is part of our responsibility as an OT if you think someone is in jeopardy or at risk of suicide to speak up and tell someone.

Can suicide be prevented?

• not much research on suicide

• takes more lives than homicide, war, and natural disasters combined

importance of suicide awareness

yes

Are the brains of those who die by suicide different than the average person?

40

Someone dies by suicide every __ seconds worldwide.

immediately get the person to stop thinking about suicide for 30 seconds

How can you stop the cycle?

• crisis point has been reached (unbearable)

• desperate to escape pain

• thinking becomes limited (struggle to see alternatives, solutions)

• time and distance (lose perspective on the future, lose reasons to keep going)

thought process of a suicidal person

self care

What can strengthen mental health?

• CO sensors in cars

• blister packaging for medication

• barriers on bridges

• secure firearms

How can we limit access to means?

• have a conversation

• watch for warning signs

• reach out

• seek help

What can you do as a community member?

• talk (the world would be better of without me)

• behavior (could be angry)

• mood (change in it, could be quieter, more depressed)

suicide warning signs

• use your education in mental health

• know the warning signs

• consider how occupation is affected by suicide or thoughts of suicide

• work on problem solving and conflict resolution skills

• know the population you are working with

• educate clients and families

• educate yourself with post professional continuing education

What can you do as an OT?

anxiety

an adaptive response resulting in a feeling of apprehensiveness or anticipation of future danger or misfortune

Fear: emotional response to a threat, fight or flight response

Anxiety: future-oriented, anticipation of a future threat, bodily tension, vigilance, and caution

difference between fear and anxiety

Generalized Anxiety Disorder

Excessive anxiety or worry about multiple situations or everyday life circumstance

• 6 months for diagnosis

• common with depression

panic disorder

an experience of recurrent and unexpected panic attacks

panic attack

a very intense mental and physical experience; abrupt feelings of extreme fear or discomfort that can rise in minutes

panic disorder

what are these symptoms of?

• Palpitations

● Racing heart

● Sweating

● Trembling

● Shortness of breath

● Feeling of choking

● Chest pain/discomfort

● Nausea

● Feeling dizzy or faint

● Numbness or tingling feeling

● Feeling “unreal” or detached from oneself

● Fear of losing control, going crazy, or dying

social anxiety

typically developed in adolescence that involves fear of being scrutinized, negatively evaluated, embarrassed, or humiliated

• genetics

• having a parent with GAD

• Adverse Childhood Experiences (ACEs)

• triggering event

• temperament

Why does anxiety develop?

specific phobia

Marked fear or anxiety about a specific object or situation; Typically lasting for 6 months or more

obsessions

Recurrent and persistent thoughts, urges, or images that are experiences, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress

compulsions

Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly

body dysmorphic disorder

Repetitive behaviors such as mirror checking, excessive grooming, skin picking, reassurance seeking

Hoarding disorder

Persistent difficulty discarding or parting with possessions, regardless of their value

Trichotillomania (Hair-Pulling Disorder)

recurrent pulling out of one’ hair

Excoriation (skin-picking) disorder

Recurrent skin picking resulting in skin lesions

Body Dysmorphic Disorder

Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to other.

• acceptance and committment therapy

• CBT

• building routines and time us

• mindfulness

• exercise and lifestyle

• sensory approaches

interventions for anxiety disorders

• Benzodiazepines (target GABA receptors)

• SSRIs and SNRIs

medications for anxiety

• cognitive remediation

• cognitive adaptation

• CBT

• acceptance and commitment

• mindfulness meditation

• healthy routines and habits

• exercise

• motivational interviewing

intervention of OCD

• SSRIs

• Electroconvulsive therapy

• CBT

• rTMS (repetitive transcranial electromagnetic stimulation)

• deep TMS

• deep brain stimulation

medications for OCD