Showing posts with label psychology. Show all posts
Showing posts with label psychology. Show all posts

Friday, September 5, 2025

Setting Healthy Boundaries, Protect Your Energy #Mentalhealth #Boundaries #Personalgrowth

 




Setting Healthy Boundaries, Protect Your Energy #Mentalhealth #Boundaries #Personalgrowth

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Saturday, February 26, 2022

5 Ways to Control Racing Thoughts (Anxiety) and Reduce Their Occurrence

By: Kimberly Swanson, PsyM, LPC
                                                  Photo by Joice Kelly on Unsplash 

Do you often find yourself bombarded by racing thoughts? If so, you're not alone. Racing thoughts can be incredibly intrusive and overwhelming, but fortunately, there are various ways to control them. This blog post will discuss 5 of the best techniques for managing racing thoughts. If you put some of these strategies into practice, you should start to see a significant reduction in their occurrence. 

1. Focusing on the present and not too far ahead or what happened a long time ago. Individuals with racing thoughts are often based on an idea or notion that has not occurred and may never occur. Some people are hyper-focused on circumstances that have transpired or can't be changed. Individuals experiencing racing thoughts should be focusing on the here and now. These people should Affirm that "I won't be anxious about what has transpired, or will take place in the future; I'll fixate on things I can change," which is an excellent place to start. Mindfulness meditation is a great way to practice in the here and now. 

 2. Breathing Exercise - To reduce the panic responses (increased heart and breathing rates), inhale and take deep breaths. Panic Responses usually occur when the mind begins to race. According to Mental Health America (MHA) (2022) [1], it is recommended to slow down; taking deep breaths can lower stress and promotes calmness. The following strategy might help. Try: breathing in slowly while counting to five holding the breath for a few seconds, breathing out while counting to five. A person can practice deep breathing anytime, without any specialized training. 

 3. Positive Thinking and Rationalization - Think about positive things and rationalize your thoughts. Unfortunately, racing thoughts can lead you to a rabbit hole of anxiety and negative thinking. A person can break the perpetual cycle of pessimism by changing their behavior and mindset through a more positive outlook. Instead of thinking of the worse outcome, think of the brighter side of things. For instance, you were about to go to the store, and your car would not crank. You start to become anxious and think the worse, like what if it cost a fortune to get your car fixed even though, more than likely, you left your light on your car by accident. Instead, think positive and be thankful that you were at home, not out somewhere when your car did not crank. Then you will start to realize how fortunate you were that things are not as bad as they may seem. 

4. Mantras and Affirmation - Use mantras According to an older article in the International Journal of Behavioral Consultation and Therapy, mantras, or positive self-statements, are simple words or phrases that a person can repeat to calm their mind. Some people find them useful in times of panic and racing thoughts. Repeating phrases such as, "I can get through this," or "It will be okay," might help. Mantras allow the mind to focus on one simple positive or encouraging thought. This turns the mind away from its racing thoughts. 

5. Meditation - Studies have shed more light on understanding the process and outcomes of applied meditation. Doing meditative exercises are linked to changes in the brain's makeup [2–5], as well as mental health [6–10], and improves focus [11, 12], Increase balanced emotions [13–15], slows down aging [16–18], enhance "academic performance" [19, 20], and other results. Substantial proven data supports that meditation has popularized the practice of various forms of meditational exercises.

                       Chakra Balance Quiz - Spirituality
                                               Photo by Uday Mittal on Unsplash 

The following is how meditation is being utilized within modern-day society: 
  • Psychological practices (eg. mental health facilities or clinics) [21–23]. 
  • Educational programs [24]. 
  • Businesses [24]. 
  • Prison system [24], 
  • Military [24], 
  • Substance abuse rehab centers [24], 
  • Medical clinics (health and wellness) [24]. 

Conclusion 

Sometimes people have racing thoughts symptoms due to traumatic circumstances, and it can also to a sign of a possible medical issue. Multiple health issues can cause racing thoughts and anxiety, requiring a medical doctor or mental health professional advice. If a person is experiencing racing thoughts (worry/stress) without a cause for the symptoms for more than two weeks, they may seek medical attention [25]. 


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Reference
 
1. Mental Health America (2022). My Mind is Racing! Retrieved from https://screening.mhanational.org/content/my-mind-racing/. 

2. Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychol Bull. 2006;132(2):180. DOI: 10.1037/0033-2909.132.2.180. [PubMed] [CrossRef] [Google Scholar] 

3. Hölzel BK, Ott U, Gard T, Hempel H, Weygandt M, Morgen K, Vaitl D. Investigation of mindfulness meditation practitioners with voxel-based morphometry. Soc Cogn Affect Neurosci. 2008;3(1):55–61. DOI: 10.1093/scan/nsm038. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

4. Lazar SW, Kerr CE, Wasserman RH, Gray JR, Greve DN, Treadway MT, McGarvey M, Quinn BT, Dusek JA, Benson H, Rauch SL. Meditation experience is associated with increased cortical thickness. Neuroreport. 2005;16(17):1893–1897. DOI: 10.1097/01.wnr.0000186598.66243.19. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

5. Luders E, Clark K, Narr KL, Toga AW. Enhanced brain connectivity in long-term meditation practitioners. NeuroImage. 2011;57(4):1308–1316. DOI: 10.1016/j.neuroimage.2011.05.075. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

6. Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med. 2009;15(5):593–600. DOI: 10.1089/acm.2008.0495. [PubMed] [CrossRef] [Google Scholar] 

7. Creswell JD, Pacilio LE, Lindsay EK, Brown KW. Brief mindfulness meditation training alters psychological and neuroendocrine responses to social evaluative stress. Psychoneuroendocrinology. 2014;44:1–2. DOI: 10.1016/j.psyneuen.2014.02.007. [PubMed] [CrossRef] [Google Scholar] 

8. Goyal M, Singh S, Sibinga EM, Gould NF, Rowland-Seymour A, Sharma R, Berger Z, Sleicher D, Maron DD, Shihab HM, Ranasinghe PD. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357–368. DOI: 10.1001/jamainternmed.2013.13018. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

9. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Review. 2011;31(6):1041–1056. DOI: 10.1016/j.cpr.2011.04.006. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 10. Rubia K. The neurobiology of meditation and its clinical effectiveness in psychiatric disorders. Biol Psychol. 2009;82(1):1–11. DOI: 

10.1016/j.biopsycho.2009.04.003. [PubMed] [CrossRef] [Google Scholar] 

11. Jha AP, Krompinger J, Baime MJ. Mindfulness training modifies subsystems of attention. Cogn Affect Behav Neurosci. 2007;7(2):109–119. DOI: 10.3758/CABN.7.2.109. [PubMed] [CrossRef] [Google Scholar] 

12. MacLean KA, Ferrer E, Aichele SR, Bridwell DA, Zanesco AP, Jacobs TL, King BG, Rosenberg EL, Sandra BK, Shaver PR, Wallace BA. Intensive meditation training improves perceptual discrimination and sustained attention. Psychol Sci. 2010;21(6):829–839. DOI: 10.1177/0956797610371339. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

13. Goldin PR, Gross JJ. Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion. 2010;10(1):83. DOI: 10.1037/a0018441. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

14. Lutz A, Brefczynski-Lewis J, Johnstone T, Davidson RJ. Regulation of the neural circuitry of emotion by compassion meditation: effects of meditative expertise. PLoS One. 2008;3(3) DOI: 10.1371/journal.pone.0001897. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

15. Robins CJ, Keng SL, Ekblad AG, Brantley JG. Effects of mindfulness-based stress reduction on emotional experience and expression: a randomized controlled trial. J Clin Psychol. 2012;68(1):117–131. DOI: 10.1002/jclp.20857. [PubMed] [CrossRef] [Google Scholar] 

16. Jacobs TL, Epel ES, Lin J, Blackburn EH, Wolkowitz OM, Bridwell DA, Zanesco AP, Aichele SR, Sandra BK, MacLean KA, King BG. Intensive meditation training, immune cell telomerase activity, and psychological mediators. Psychoneuroendocrinology. 2011;36(5):664–681. DOI: 10.1016/j.psyneuen.2010.09.010. [PubMed] [CrossRef] [Google Scholar] 

17. Kurth F, Cherbuin N, Luders E. Reduced age-related degeneration of the hippocampal subiculum in long-term meditators. Psychiatry Res. 2015;232(3):214–218. DOI: 10.1016/j.pscychresns.2015.03.008. [PubMed] [CrossRef] [Google Scholar] 

18. Pagnoni G, Cekic M. Age effects on gray matter volume and attentional performance in Zen meditation. Neurobiol Aging. 2007;28(10):1623–1627. DOI: 10.1016/j.neurobiolaging.2007.06.008. [PubMed] [CrossRef] [Google Scholar] 

19. Nidich S, Mjasiri S, Nidich R, Rainforth M, Grant J, Valasek L, Chang W, Zigler RL. Academic achievement and transcendental meditation: a study with at-risk urban middle school students. Education. 2011;131(3):556. [Google Scholar] 

20. Tang YY, Tang R, Jiang C, Posner MI. Short-term meditation intervention improves self-regulation and academic performance. J Child Adolesc Behav. 2014;2:154. DOI: 10.4172/2375-4494.1000154. [CrossRef] [Google Scholar] 

21. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to relapse prevention. New York: Guilford Press; 2002. [Google Scholar] 

22. Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomized controlled trials. PLoS One. 2014;9(4) DOI: 10.1371/journal.pone.0096110. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 

23. Wanden-Berghe RG, Sanz-Valero J, Wanden-Berghe C. The application of mindfulness to eating disorders treatment: a systematic review. Eat Disord. 2010;19(1):34–48. DOI: 10.1080/10640266.2011.533604. [PubMed] [CrossRef] [Google Scholar] 

24. Burke, A., Lam, C. N., Stussman, B., & Yang, H. (2017). Prevalence and patterns of use of mantra, mindfulness, and spiritual meditation among adults in the United States. BMC complementary and alternative medicine, 17(1), 316. https://doi.org/10.1186/s12906-017-1827-8 

25. Berry, J. (2020). Racing thoughts: 7 tips to stop them. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/320658#takeaway

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Wednesday, October 16, 2019

American Psychology Credentials & Abbreviations

The therapists and other professionals within the field of psychology are listed in this listing have a wide array of credentials (academic degrees, licenses, certifications, etc.) which are abbreviated or acronyms following the therapist's name. The list below is some of the most common credential abbreviations and their definitions.

Academic Degrees

MD

ND

DDiv
Doctor of Medicine (e.g. Psychiatrist)

Doctor of Naturopathy

Doctor of Divinity
DMinDoctor of Ministry
DODoctor of Osteopathy ( e.g. Psychiatrist)
DrPHDoctor of Public Health
DSWDoctor of Social Work
EdDDoctor of Education
EdMMaster of Education
PsyM

MA
Master of Psychology

Master of Arts
MAHSMaster of Arts in Human Services
MAOPMaster of Arts in Organizational Psychology
MCMaster of Counseling
MDDoctor of Medicine
MDivMasters in Divinity
MEdMaster of Education
MHDLMaster of Human Development & Learning
MPHMaster of Public Health
MPSMaster of Professional Studies
MSMaster of Science
MScMaster of Science
MSEdMaster of Science in Education
MSNMaster of Science in Nursing
MSSMaster of Social Science
MSSWMaster of Science in Social Work
MSWMaster of Social Work
PhDDoctor of Philosophy
PsyaDDoctor of Psychoanalysis
PsyDDoctor of Psychology

Mc.D

Mpsy.D

Msc.D

D.MT

ScD

Doctor of Metaphysical Counseling

Doctor of Metaphysical Psychology

Doctor of Metaphysical Science

Doctor of Metaphysical Theology

Doctor of Science




Licenses and Certifications

ABECSWAmerican Board of Examiners in Clinical Social Work
ABFamPAmerican Board of Family Psychology
ABPNAmerican Board of Professional Neuropsychology
ABPPAmerican Board of Professional Psychology
ACSWAcademy of Clinical Social Workers
ADTRAcademy of Dance Therapists Registered
APRNAdvanced Practice Registered Nurse
ATRRegistered Art Therapist
ATR-BCRegistered Art Therapist - Board Certified
BCBA

BCBT
Board Certified Behavior Analyst®

Board Certification in Bereavement Trauma
BCDBoard Certified Diplomate in Clinical Social Work
BCDTBoard Certification in Disability Trauma
BCDVBoard Certification in Domestic Violence
BCETSBoard Certified Expert in Traumatic Stress
BCFTBoard Certification in Forensic Traumatology
BCITBoard Certification in Illness Trauma
BCMVTBoard Certification in Motor Vehicle Trauma
BCPMBoard Certification in Pain Management
BCRTBoard Certification in Rape Trauma
BCSABoard Certification in Sexual Abuse
BCSCRBoard Certification in School Crisis Response
BCSMBoard Certification in Stress Management
BCUCRBoard Certification in University Crisis Response
CACCertified Addictions Counselor -or- Certified Alcoholism Counselor
CADACCertified Alcohol and Drug Abuse Counselor
CADCCertified Alcohol and Drug Counselor
CAGSCertificate of Advanced Graduate Study
CAMF

CAMS
Certified Anger Management Facilitator

Certified Anger Management Specialist
CAPCertified Addictions Professional
CARTCertified Anger Resolution Therapist
CASCertified Addiction Specialist
CASACCertified Alcohol and Substance Abuse Counselor
CBTCertified Bioenergetic Therapist
CCADCCertified Clinical Alcohol and Drug Counselor
CCDPCertified Chemical Dependency Professional
CCHTCertified Clinical Hypnotherapist
CCPTCertified Clinical Pastoral Therapist
CCMHClinical Counselor in Mental Health
CCMHCCertified Clinical Mental Health Counselor
CCSWCertified Clinical Social Worker
CEAPCertified Employee Assistance Professional
CEDSCertified Eating Disorders Specialist
CFLECertified Family Life Educator
CGPCertified Group Psychotherapist
CHTCertified Hypnotherapist
CICSWCertified Independent Clinical Social Worker
CISWCertified Independent Social Worker
CMFTCertified Marriage and Family Therapist
CPCertified Psychologist -or- Clinical Psychologist
CpastCCertified Pastoral Counselor
CPCCertified Professional Counselor
CRADCCertified Reciprocal Alcohol and Drug Counselor
CRCCertified Rehabilitation Counselor
CSACCertified Substance Abuse Counselor
CSWCertified Social Worker -or- Clinical Social Worker
CSW-CCertified Social Worker - Clinical
DAPADiplomate, American Psychotherapy Association
DCSWDiplomate in Clinical Social Work
DOT SAPDepartment of Transportation Substance Abuse Professional
DTRDance Therapist Registered
LACLicensed Associate Counselor
LADACLicensed Alcohol and Drug Abuse Counselor
LADCLicensed Alcohol and Drug Counselor
LAMFTLicensed Associate Marriage and Family Therapist
LAPCLicensed Associate Professional Counselor
LASACLicensed Associate Substance Abuse Counselor
LCADCLicensed Clinical Alcohol and Drug Counselor
LCASLicensed Clinical Addictions Specialist
LCATLicensed Creative Arts Therapist
LCDCLicensed Chemical Dependency Counselor
LCDPLicensed Chemical Dependency Professional
LCMFTLicensed Clinical Marriage and Family Therapist
LCMHCLicensed Clinical Mental Health Counselor
LCPLicensed Clinical Psychologist -or- Licensed Counseling Professional
LCPCLicensed Clinical Professional Counselor
LCSWLicensed Clinical Social Worker
LCSW-CLicensed Certified Social Worker-Clinical
LGSWLicensed Graduate Social Worker
LICSWLicensed Independent Clinical Social Worker
LIMFTLicensed Independent Marriage and Family Therapist
LISWLicensed Independent Social Worker
LISW-CPLicensed Independent Social Worker - Clinical Practice
LLPLimited Licensed Psychologist
LMFTLicensed Marriage and Family Therapist
LMHCLicensed Mental Health Counselor
LMHPLicensed Mental Health Practitioner
LMSWLicensed Master Social Worker
LMSW-ACPLicensed Master Social Worker - Advanced Clinical Practitioner
LPLicensed Psychoanalyst -or- Licensed Psychologist
LPALicensed Psychological Associate
LpastCLicensed Pastoral Counselor
LPCLicensed Professional Counselor
LPCCLicensed Professional Clinical Counselor
LPCMHLicensed Professional Counselor of Mental Health
LPELicensed Psychological Examiner
LPPLicensed Pastoral Psychotherapist
LSATPLicensed Substance Abuse Treatment Practitioner
LSCSWLicensed Specialist Clinical Social Worker
LSPLicensed School Psychologist
LSWLicensed Social Worker
MACMaster Addiction Counselor - also offered by NAADAC
MFCCMarriage, Family and Child Counselor
MFTMarriage and Family Therapist
MT-BCMusic Therapist - Board Certified
NBCCHNational Board Certified Clinical Hypnotherapist
NBCDCHNational Board Certified Diplomate in Clinical Hypnotherapy
NCCNational Certified Counselor
NCPsyANationally Certified Psychoanalyst
NCSCNational Certified School Counselor
NCSPNationally Certified School Psychologist
PAPsychological Associate
PLMHPProvisionally Licensed Mental Health Practitioner
PLPCProvisional Licensed Professional Counselor
PMHNPPsychiatric Mental Health Nurse Practitioner
RASRegistered Addiction Specialist
RBT

RDT
Registered Behavior Technician

Registered Drama Therapist
REATRegistered Expressive Arts Therapist
RNRegistered Nurse
RPCRegistered Professional Counselor
RPTRegistered Play Therapist
RPT-SRegistered Play Therapist-Supervisor
SAPSubstance Abuse Professional
SWSocial Worker
TLLPTemporary Limited License Psychologist
                   Education - Lifecoach/ NLP Practioner

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Last Updated 02/27/2022

Tuesday, August 30, 2016

Alfred Adler's Theory of Psychological Birth Order (Family Constellation)


By:  Kimberly Swanson, MS-Psy, CNA
According to Adler, the sequence in a person’s life is developed by the age of five (Murdock, 2013).  This is due to genetics and a person’s upbringing and surroundings, personal outlook and lifestyle is molded during the earlier years of life and it is very hard to alter (Adler, 1929/1965).  In early life, children are very vulnerable; this was observed by Adler and he speculated that humans at the beginning of life feel inferior or insignificant (Ansbacher & Ansbacher, 1956).
Family constellations occurs when the family has determines the critical developmental stages of their offspring (Murdock, 2013); this is when the birth order theory comes into play with individual psychology (Murdock, 2013).  The biological order is the order in which a child is born among their siblings and the psychological birth order is how the biological order affects the child’s outlook, behaviors and outcomes in life.

According to Murdock (2013), the first child is usually the ones who get the most parental attention and usually they interact well with adults.  But when the second child is born, the first usually feel that they have lost some of the attention (dethroned) (Adler, 1927/1969). Often times, the oldest are held responsible or have to look after the younger siblings. When the oldest child becomes an adult, they tend to like authoritative roles in jobs or in positions. The middle child often times feel like they are sandwiched or squeezed in the middle, whereas the youngest child gets the center of attention (Murdock, 2013).

References
Adler, A.  (1969). The science of living (H.L. Ansbacher & R.R. Ansbacher, eds. & Trans).  New York:  Doubleday.  (Original work published 1929). 
Ansbacher, H. & Ansbacher, R.  (Eds).   (1956). The individual psychology of Alfred Adler.  New York:  Basic Books.
Murdock, N.L.  (2013). Theories of counseling & psychotherapy (3rd ed.).  Upper Saddle River, NJ:  Pearson.
Copyright in 2016 by ©Messenger Publishing, Inc.

Saturday, April 30, 2016

Introduction to Freud's Psychoanalysis

By:  Kimberly Swanson, M.S. - PSY, CNA

Sigmund Freud
During the 17th and majority of the 18th century, publications were geared with a “neoclassicist” view in which human behavior is based on religion and it was considered a sin if thought to think  otherwise (Summers, 2011).   They believed that “order and reason” was needed to control human thoughts especially when it came to science and the birth of, psychology, the science of the mind (Summers, 2011).   

In 1879, Wilhelm Wundt opened the first psychology lab at the University of Leipzig in Germany. Psychology as is relatively new science that is growing and is constantly evolving.   During psychology’s evolution, it produced many branches of studies and approaches to the field such as Wundtian Psychology, Titchenerian structuralism, and functional psychology.  Then the it changed into Gestalt Psychology which was for those who opposed Wundtian Psychology.   Right around the same time of Gestalt psychology, a new approach was being developed and that was psychoanalysis.  Psychoanalysis was developed by Sigmund Freud from Freiberg, Moravia which is now Pribor, Czech Republic.

Psychoanalysis was founded by Sigmund Freud in 1895 which was marked by the publishing of his first book, Studies in Hysteria.  Freud’s psychoanalysis is based on his personality traits and theories, concept of analyzing/interpreting dreams to explain what is going on in the conscious and subconscious mind, and his system of psychotherapy.  His concept of psychoanalysis was what paved his legendary mark into psychological history. Freud’s name is more popular and famous than any other psychological scientist in the past due to his style and approach to analyzing the mind.   His face and name embraces the cover of modern day publications such as Newsweek (2006) and feature stories in The Wall Street Journal (Schultz & Schultz, 2012).

References

Schultz, D.P., & Schultz, S.E. (2012). Philosophical influences on psychology (10th Eds.), A History of Modern Psychology (pp. 65-86) Belmont, CA: Wadsworth Press.

Summers, F., (2011).  Psychoanalysis: Romantic, not wild.  Psychoanalytic Psychology, 28(1), p. 13-32. 

Copyright in 2016 by ©Messenger Publishing, Inc.

Wednesday, August 12, 2015

Cultural Issues in Psychopathology

Cultural Issues in Psychopathology 
By:  Kimberly Swanson, M.S. - Psychology, CNA

In todays’ society, there is stigma or negative connotation when it comes to seeking and receiving mental or psychological services.  Often times, these negative point of views towards mental health stems from cultural beliefs.  It is apparent that cultural issues are attributed to depression and cultural issues and is also a major factor to the treatment of depression.

Understanding Culture and Mental Illness
The beginning stages of incorporating culture into clinical psychological research started with Kleinman (1977). Kleinman (1977) believed that culture is the basis of human behavior especially when it comes to “mood disorders”.  Fields (2010) states that, clinicians need to be understanding and mindful of patients’ culture while treating them.  There are two points of views, when it comes to culture and depression (Fields, 2010).  The two points of views are:   1. “universal views” – It applies to all cultural lines and can be measured with proven evidence;    2.   “cultural-bound” views - is based on a specific culture and cannot be measure (Field, 2010).
In Field’s (2010) research, it shows the current views on “multicultural competence, the American Psychological Association (APA) Multicultural Guidelines” which points out the different cultural views on mental health and the “cross-cultural validation of depression”.  According to Fields (2010), cultural definition and “interaction” is constantly changing and evolving.
Identifying culture as an intricate part of in the care of mental patients is a new phenomenon that is taking place within psychological research (Fields, 2010).  The purpose of incorporating culture into psychological research is to address the complex issues that are often found when working with a diverse population (Fields, 2010).

Examples of Culture Issues & Depression

Asian Pacific Views on Depression
In the MyPsychLab (2013), “Martha: Major Depressive Disorder” video, it discusses how depression is viewed from an Asian Pacific patient name Martha.  Martha suffered from depression due to a failed marriage.  At first, Martha did not seek treatment because of her cultural issues.    Nira Singh (Director of children youth and family outpatient services of RAMS Mental Health Agency) mentions that, “there is a stigma for most Asian Pacific clients who utilize the services”.  Getting medical help is seen as more important than getting psychological assistance (MyPsychLab, 2013).  Traditional families of Asian Pacific Islanders may see treatments as shameful depending on their view on mental health (MyPsychLab, 2013).
Nira Singh mentions that, “often times that patients do not know that these services are available to them and is available in their native language” (MyPsychLab, 2013).  In the video, Singh also states that: “as model minorities, you are not suppose to have mental problems…There is a feeling of shame when acknowledging a weakness” (MyPsychLab, 2013).  More outreach is needed in educating the public on depression and how it affects people’s lives.

Bosnian Views on Depression
In Fields’ (2010) research, there were many examples on how different cultures view depression.  One example is a case, “The Case of G,” about a Bosnian refugee who suffered from the posttraumatic stress disorder (PTSD).  The patients’ PTSD was triggered by war and “the tragic losses” that he had to face in “his home country”. G did not have to a psychologist or therapist in Bosnia because of negative cultural views.  The patient views himself as a “traditional man” and in his country, seeing a therapist often times means that you are “crazy” (Fields, 2010).   He was concerned about being viewed as crazy by others.  For the Bosnian refugee, not being able to speak English was also a perceived barrier.  Having this perceived language barrier makes the patient of a different culture feel “inadequate” (Fields, 2010).
In G’s case, there was a need for social interactions.  According to Fields (2010), the patient’s plan of care was mostly geared for “cultural dynamics” instead of starting an initial “treatment plan”.  Once G received the support of getting more social interactions with peers with similar cultures and backgrounds, G’s condition greatly improved (Fields, 2010).

How Cultural Issues Affects Treatments for Depression
The American health care system is fragmented.  These fragmentations makes is extremely difficult for patients to receive the proper treatment for depression.  Doctors, mental “health professionals”, “patients”, and “families” face the dilemma of a divisive system that separates the “medical and mental health” in its treatment options and line of care (Heinrich, 2000).  By bridging and incorporating the medical with the psychological, there would be a more balanced and improved system of care for mental health patients, especially those who are suffering from depression (Heinrich, 2000). 
Overcoming perceived cultural differences in patients when it comes to their line of care is also extremely important.  Clinicians must be able to understand their client’s culture in order to provide the patients with the best treatment options for depression.  Each case for depression is different and must be treated as so.   Getting into the mind of the patient and seeing from their point of view enables the mental health professional to better serve their clients.  Clinical research and case studies like Fielding, (2010) and Heinrich (2000) has shown  that understanding a patient’s culture means getting to the root  of the problem.  This ideology of culture is paving the way for a more positive solution for patient care and for improving their overall mental health. 

References
Fields, A.J. (2010).  Multicultural research and practice:  Theoretical issues and maximizing cultural
Exchange.  Professional Psychology:  Research and Practice, 41(3).  196-201.  Doi:10.1037/a0017938.
Heinrich, R.L. (2000).  Improving depression care:  Disseminating skills or changing organizational
structure and culture?  Families, Systems, & Health.  18(4). 
Kleinman, A.M. (1977).  Depression, somatization and the “new cross-cultural psychiatry.”
MyPsychLab, Pearson Video Series .  (2013).  Speaking Out: The DSM in Context: Martha:
Major Depressive Disorder [on-line video].  Available from
www.pearsonmylabandmastering.com.


Copyright in 2015 by ©Messenger Publishing, Inc.