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Why are anxiety and depression on the rise?



The mental health treatment in America has a lot of room for improvement. In particular, depression is underdiagnosed and subtracted.

The American Academy of Pediatrics has taken a big step in February to remedy a deficiency – the early detection of depression in adolescents. The group asked to find every child over the age of 12 years for depression.

You could get more symptomatic children and catch them earlier. But once you have a diagnosis in your hand – what then?

Then teenagers and their parents will have a new problem: getting treatment. It is not an easy task to find a provider who will take out your insurance, have availability, that is not too far away, have the follow-up time, and click with your child.

Kate ̵

1; a Washington State mother who, like other parents in this column, insisted on being identified by her first name only to protect the privacy of her family – grateful that her family's family doctor prescribed antidepressants than hers 16-year-old daughter asked for help.

She also knew child, who was diagnosed with severe depression and suicidal thoughts, should consult a specialist. In her town there were two adolescent psychiatrists who could insure themselves privately; however, they had waiting lists of 10 and 12 months.

A Chicago mother had difficulty finding a therapist who took Medicaid for her depressed and self-cutting child.

"We spent a lot of time with random therapists who allowed us to pay out of pocket," she wrote in an e-mail. "These people were good, but nobody was a psychiatrist, [so they] could not prescribe medication."

Becky in Connecticut adds another layer to the challenge: "Attempt to select a therapist from a website that provides minimal information on" Teens "," Depression "and" LGBTQ "in the list of specialties and hope that's enough to make a good game. "

These examples represent too frequent a plot established by a 2017 study . Harvard researchers gave birth to 601 paediatricians and 312 child psychiatrists in five cities as parents of a 12-year-old child with depression

Appointments were planned with 40 percent of paediatricians and 17 percent of child psychiatrists. Long waiting times were the good results. Most psychiatric practices did not accept new patients or listed telephone numbers incorrectly.

"Mental health care is not valued highly," says Paul Gionfriddo, president and CEO of Mental Health America, an advocacy group for patients. Psychiatrists are paid less than most other specialists, and psychologist rates have dropped in the last two decades.

Many therapists have social degrees; They are reimbursed at even lower rates than psychiatrists and psychologists. (These comparisons come from Medicare data, which private insurers often use as a benchmark to set their own rates.) "We do not pay enough to providers, so there are not enough suppliers," says Gionfriddo.

The latest news from his group report, The State of Mental Health in America, says that 63 percent of adolescents with major depression do not receive mental health treatment.

The reports say, "This means that 6 out of 10 young people who have depression and who are most at risk, have suicidal thoughts, difficulties in school and difficulties in relationships with others not getting the treatment that is needed to support them. "

There are other obstacles to getting from diagnosis to treatment. Parents may not want to believe that their child is depressed. Teens themselves do not always want to take the recommended steps.

Radovic and Gionfriddo say that entertaining teens with other teenagers, such as in group therapy sessions, can be very helpful. Radovic has also developed a website, SOVA (Supporting Our Valued Adolescents), which is a moderated online chat forum for teenagers with depression and / or anxiety.

"Teens who have gone through treatment want to help others," Radovic says. Your team is now exploring results, including questions such as "Will the site interact with kids earlier?"

Radovic says she wants people to know that it's normal to resist anxiety and depression relief. Resources and social support can be valuable, she says. "Do not be afraid to ask," Could that be a problem? "It's better to be wrong than to be late."


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