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Depression after failure


SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

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    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

Alcohol, Tobacco, and Other Drugs

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Misusing alcohol, tobacco, and other drugs can have both immediate and long-term health effects.

The misuse and abuse of alcohol, tobacco, illicit drugs, and prescription medications affect the health and well-being of millions of Americans. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present estimates from the 2021 National Survey on Drug Use and Health (NSDUH).

Alcohol

Data:

  • Among the 133.1 million current alcohol users aged 12 or older in 2021, 60.0 million people (or 45.1%) were past month binge drinkers. The percentage of people who were past month binge drinkers was highest among young adults aged 18 to 25 (29.2% or 9.8 million people), followed by adults aged 26 or older (22.4% or 49.3 million people), then by adolescents aged 12 to 17 (3.8% or 995,000 people). (2021 NSDUH)
  • Among people aged 12 to 20 in 2021, 15.1% (or 5.9 million people) were past month alcohol users. Estimates of binge alcohol use and heavy alcohol use in the past month among underage people were 8.3% (or 3.2 million people) and 1.6% (or 613,000 people), respectively. (2021 NSDUH)
  • In 2020, 50.0% of people aged 12 or older (or 138.5 million people) used alcohol in the past month (i.e., current alcohol users) (2020 NSDUH)
  • Among the 138.5 million people who were current alcohol users, 61.6 million people (or 44. 4%) were classified as binge drinkers and 17.7 million people (28.8% of current binge drinkers and 12.8% of current alcohol users) were classified as heavy drinkers (2020 NSDUH)
  • The percentage of people who were past month binge alcohol users was highest among young adults aged 18 to 25 (31.4%) compared with 22.9% of adults aged 26 or older and 4.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Excessive alcohol use can increase a person’s risk of stroke, liver cirrhosis, alcoholic hepatitis, cancer, and other serious health conditions
  • Excessive alcohol use can also lead to risk-taking behavior, including driving while impaired. The Centers for Disease Control and Prevention reports that 29 people in the United States die in motor vehicle crashes that involve an alcohol-impaired driver daily

Programs/Initiatives:

  • STOP Underage Drinking interagency portal - Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Talk. They Hear You.
  • Underage Drinking: Myths vs. Facts
  • Talking with your College-Bound Young Adult About Alcohol

Relevant links:

  • National Association of State Alcohol and Drug Abuse Directors
  • Department of Transportation Office of Drug & Alcohol Policy & Compliance
  • Alcohol Policy Information Systems Database (APIS)
  • National Institute on Alcohol Abuse and Alcoholism

Tobacco

Data:

  • In 2020, 20.7% of people aged 12 or older (or 57.3 million people) used nicotine products (i.e., used tobacco products or vaped nicotine) in the past month (2020 NSDUH)
  • Among past month users of nicotine products, nearly two thirds of adolescents aged 12 to 17 (63.1%) vaped nicotine but did not use tobacco products. In contrast, 88.9% of past month nicotine product users aged 26 or older used only tobacco products (2020 NSDUH)
  • Tobacco use is the leading cause of preventable death, often leading to lung cancer, respiratory disorders, heart disease, stroke, and other serious illnesses. The CDC reports that cigarette smoking causes more than 480,000 deaths each year in the United States
  • The CDC’s Office on Smoking and Health reports that more than 16 million Americans are living with a disease caused by smoking cigarettes

Electronic cigarette (e-cigarette) use data:

  • In 2021, 13.2 million people aged 12 or older (or 4.7%) used an e-cigarette or other vaping device to vape nicotine in the past month. The percentage of people who vaped nicotine was highest among young adults aged 18 to 25 (14.1% or 4.7 million people), followed by adolescents aged 12 to 17 (5.2% or 1.4 million people), then by adults aged 26 or older (3.2% or 7.1 million people).
  • Among people aged 12 to 20 in 2021, 11.0% (or 4.3 million people) used tobacco products or used an e-cigarette or other vaping device to vape nicotine in the past month. Among people in this age group, 8.1% (or 3.1 million people) vaped nicotine, 5.4% (or 2.1 million people) used tobacco products, and 3. 4% (or 1.3 million people) smoked cigarettes in the past month. (2021 NSDUH)
  • Data from the Centers for Disease Control and Prevention’s 2020 National Youth Tobacco Survey. Among both middle and high school students, current use of e-cigarettes declined from 2019 to 2020, reversing previous trends and returning current e-cigarette use to levels similar to those observed in 2018
  • E-cigarettes are not safe for youth, young adults, or pregnant women, especially because they contain nicotine and other chemicals

Resources:

  • Tips for Teens: Tobacco
  • Tips for Teens: E-cigarettes
  • Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings
  • Synar Amendment Program

Links:

  • Truth Initiative
  • FDA Center for Tobacco Products
  • CDC Office on Smoking and Health
  • National Institute on Drug Abuse: Tobacco, Nicotine, and E-Cigarettes
  • National Institute on Drug Abuse: E-Cigarettes

Opioids

Data:

  • Among people aged 12 or older in 2021, 3. 3% (or 9.2 million people) misused opioids (heroin or prescription pain relievers) in the past year. Among the 9.2 million people who misused opioids in the past year, 8.7 million people misused prescription pain relievers compared with 1.1 million people who used heroin. These numbers include 574,000 people who both misused prescription pain relievers and used heroin in the past year. (2021 NSDUH)
  • Among people aged 12 or older in 2020, 3.4% (or 9.5 million people) misused opioids in the past year. Among the 9.5 million people who misused opioids in the past year, 9.3 million people misused prescription pain relievers and 902,000 people used heroin (2020 NSDUH)
  • According to the Centers for Disease Control and Prevention’s Understanding the Epidemic, an average of 128 Americans die every day from an opioid overdose

Resources:

  • Medication-Assisted Treatment
  • Opioid Overdose Prevention Toolkit
  • TIP 63: Medications for Opioid Use Disorder
  • Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings
  • Opioid Use Disorder and Pregnancy
  • Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants
  • The Facts about Buprenorphine for Treatment of Opioid Addiction
  • Pregnancy Planning for Women Being Treated for Opioid Use Disorder
  • Tips for Teens: Opioids
  • Rural Opioid Technical Assistance Grants
  • Tribal Opioid Response Grants
  • Provider’s Clinical Support System - Medication Assisted Treatment Grant Program

Links:

  • National Institute on Drug Abuse: Opioids
  • National Institute on Drug Abuse: Heroin
  • HHS Prevent Opioid Abuse
  • Community Anti-Drug Coalitions of America
  • Addiction Technology Transfer Center (ATTC) Network
  • Prevention Technology Transfer Center (PTTC) Network

Marijuana

Data:

  • In 2021, marijuana was the most commonly used illicit drug, with 18. 7% of people aged 12 or older (or 52.5 million people) using it in the past year. The percentage was highest among young adults aged 18 to 25 (35.4% or 11.8 million people), followed by adults aged 26 or older (17.2% or 37.9 million people), then by adolescents aged 12 to 17 (10.5% or 2.7 million people).
  • The percentage of people who used marijuana in the past year was highest among young adults aged 18 to 25 (34.5%) compared with 16.3% of adults aged 26 or older and 10.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Marijuana can impair judgment and distort perception in the short term and can lead to memory impairment in the long term
  • Marijuana can have significant health effects on youth and pregnant women.

Resources:

  • Know the Risks of Marijuana
  • Marijuana and Pregnancy
  • Tips for Teens: Marijuana

Relevant links:

  • National Institute on Drug Abuse: Marijuana
  • Addiction Technology Transfer Centers on Marijuana
  • CDC Marijuana and Public Health

Emerging Trends in Substance Misuse:

  • Methamphetamine—In 2019, NSDUH data show that approximately 2 million people used methamphetamine in the past year. Approximately 1 million people had a methamphetamine use disorder, which was higher than the percentage in 2016, but similar to the percentages in 2015 and 2018. The National Institute on Drug Abuse Data shows that overdose death rates involving methamphetamine have quadrupled from 2011 to 2017. Frequent meth use is associated with mood disturbances, hallucinations, and paranoia.
  • Cocaine—In 2019, NSDUH data show an estimated 5.5 million people aged 12 or older were past users of cocaine, including about 778,000 users of crack. The CDC reports that overdose deaths involving have increased by one-third from 2016 to 2017. In the short term, cocaine use can result in increased blood pressure, restlessness, and irritability. In the long term, severe medical complications of cocaine use include heart attacks, seizures, and abdominal pain.
  • Kratom—In 2019, NSDUH data show that about 825,000 people had used Kratom in the past month. Kratom is a tropical plant that grows naturally in Southeast Asia with leaves that can have psychotropic effects by affecting opioid brain receptors. It is currently unregulated and has risk of abuse and dependence. The National Institute on Drug Abuse reports that health effects of Kratom can include nausea, itching, seizures, and hallucinations.

Resources:

  • Tips for Teens: Methamphetamine
  • Tips for Teens: Cocaine
  • National Institute on Drug Abuse

More SAMHSA publications on substance use prevention and treatment.

Last Updated: 01/05/2023

Depression after unsuccessful IVF | How to cope with it, recovery

In vitro fertilization makes it possible to have a child for those couples who are powerless to help other methods of treatment. Unfortunately, even this method is not a 100% guarantee of a successful outcome. According to statistics, from 30 to 50% of IVF attempts the first time end in a long-awaited pregnancy.

It is important for families planning IVF to be aware of these numbers and prepare themselves in advance for the fact that the first time may fail. But this, of course, is not a sentence; you just need time to recover from unsuccessful IVF and prepare for the second time.

A failed in vitro fertilization is a heavy blow for a married couple, but the main thing at this moment is not to get depressed after an unsuccessful IVF and not to give up trying, because more often than not the second and third attempts turn out to be successful.

Causes of unsuccessful IVF

Statistics show that approximately half of in vitro fertilization attempts fail. There can be many reasons for this, but most often they are:

  • Various hormonal failures
  • Increased blood clotting
  • Unsatisfactory condition of the endometrium
  • Sperm and egg quality
  • Immune factor - cases when the immune system perceives the implanted egg as a foreign body and rejects it.

In addition, a woman who is already 40 years of age or older also has a low probability of successful IVF. In Russia, the age limit after which IVF is no longer done is not officially defined - however, in some countries, for women over 40 years old, this procedure is prohibited by law.

What happens after an unsuccessful IVF

Most of all, not even the physical, but the mental health of a woman suffers from an unsuccessful fertilization attempt. Often, hopes are pinned on IVF, the collapse of which seems simply impossible to survive. But IVF is only a method of treating infertility, not a panacea, and this must be remembered.

Quite a natural consequence is depression after unsuccessful IVF. This reaction is completely expected - it is not at all easy to survive such a loss, and not everyone can cope with it on their own.

It is expected that a woman cannot quickly overcome depression after an unsuccessful IVF - this state can drag on for quite a long period. This state can be characterized as follows: apathy, depression, unwillingness to do anything, constant weakness and absent-mindedness, does not leave a feeling of anxiety and anxiety. Appetite often disappears, or vice versa, a woman gains weight very quickly. Unfortunately, often these conditions lead to strained relationships in the family - although neither of the spouses is to blame for the unfortunate outcome; in sexual life, too, there can be a serious discord.

Recovery after unsuccessful IVF

It is necessary to try to pull yourself together: one unsuccessful attempt is not a sentence, but a signal for further action. A whole range of measures is needed to recover from an unsuccessful IVF, as it is necessary to put in order the physical health and, importantly, the emotional and mental state.

The first thing to answer the question: "How to recover after an unsuccessful IVF?" - to advise to address to the psychologist. It is very important at this moment to speak out, to open up to another person. Unfortunately, after an unsuccessful IVF, many women wake up with a deep distrust of doctors - they do not believe that they will be able to provide them with any help; in addition, the topic of infertility and related problems is so personal and painful that a woman cannot talk about it even with her closest people.

At this moment, the Internet and various specialized sites and forums often come to the rescue, where you can discuss the problems of recovery after unsuccessful IVF. Sometimes a woman just needs to understand that she is not alone in her trouble, that her tragedy is shared by hundreds of others; in addition, it is much easier to “talk” online, and for many such anonymous communication turns out to be a real salvation. It is there that you can get much-needed advice or find out how other women were able to recover from unsuccessful IVF.

You need to try to get distracted - the classic "work with your head" can really help. Trying to spend more time outside the home, communicate with loved ones, start a new hobby, play sports are standard recommendations for depression after an unsuccessful IVF, but they work, and this is the most important thing. Sports and your health are also important because they can increase the chance of a successful IVF attempt in the future.

As already mentioned, depression after an unsuccessful IVF often results in strained relationships between spouses. Often a woman is so absorbed in her tragedy that she completely forgets that her husband is often experiencing no less. A man also has no idea how to recover from an unsuccessful IVF for his wife and himself - it is very important to maintain a trusting and close relationship, support each other and hope for the best together.

In the event that the couple is planning another IVF attempt, it is recommended to carefully consider when they are ready for this, has enough time elapsed since the first attempt, has the recovery been successful after a failed IVF? Decide if they will see other doctors, what treatments are appropriate, how long it will take, and what financial costs await them.

The main thing at this moment for a married couple is not to give up hope, not to fall into despair and support each other. One unsuccessful attempt is not a reason to put an end to your dream, because now doctors have learned to cope with almost all diseases that can interfere with IVF, with very rare exceptions. For someone, the second attempt is successful, for someone - the third, but everyone says that faith in a successful outcome, perseverance and support of loved ones helps to achieve the long-awaited result.

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Five rules for experiencing failure

It happens: in the morning you come to work, and the general calls you right away and meets you with the words “We will have to part with you!”. The first reaction is shock. The second is anger. The third is fear. And only later the thought comes to mind: “Why did this all happen right now and specifically with me? I am a loser!..".

The rarest case where this algorithm fails. One can only envy people who can, without a shadow of embarrassment, respond to the CEO’s statement, “I dreamed about this for so long!”, one can only envy. Most of us experience any failure more or less painfully. And this, as psychologists say, is completely normal. It is not normal when a person does not notice his failures at all - it means that he simply does not realize what is happening to him. Or so used to these failures that he stopped seeing them - this is the other extreme. Both of them are a reason for the intervention, if not of a psychiatrist, then of a psychologist.

And what about those who see their failures and seriously worry about them? There is only one answer: you need to learn to experience them properly! Sitting and shedding tears over a suddenly cut short career or a failed project is useless. But what is useful?

Rule one. Not to be ashamed of failure


The reasons why we tend to feel bad about our failures are most often to be found in our childhood. A small child is not used to mourning for a long time if something does not work out for him. In extreme cases, he will cry for a short time - and then he will find another occupation for himself. Or he will repeat the action that led to a negative result, again and again, until he succeeds - or is not convinced of the futility.

The experience begins when the child realizes failure, usually as a result of parental evaluation. "Well, you failed! I told you! .. ”- this phrase becomes familiar. And with it, shame becomes habitual. I failed - what will my parents say about me! Classmates! Colleagues! Wife!..

Don't be ashamed of your failure! Start seeing it as you did in early childhood: just as an unexpected negative outcome. There is nothing to be ashamed of: failures happen to everyone. Shame is the first cause of fear. Fear is the main reason for repeating failure. Are you sure you want to repeat them?

Rule two. Talk about failure


This rule is also based on our childhood experience - only positive this time. What does a child need if he has failed? So that mom or dad listened to him, regretted and said that everything would be fine!

An adult needs it no less. Well, perhaps in other forms, but the essence of something from this does not change. If you have failed, do not try to experience it alone. You need a listener, you need someone to whom you can tell everything. The more and more detailed, the better. And do not be ashamed of your desire to receive sympathy - it is really needed now! It is better for men to forget about their “male complexes” for a while: at this moment it is more important to help yourself than to break yourself.

If it is difficult to reach out to friends or relatives, you can look for a listener among unfamiliar or completely unfamiliar people. Up to the point of telling about your problem on some forum. There are even special communities designed specifically for such situations. You just have to remember that talking about failure turns it from your personal disaster into something you don't have to deal with on your own. And from such an angle, any failure somehow shrinks and turns pale.

Rule three. Understand failure


In addition to moral relief, talking about failure will help you understand why it happened to you. Indeed, by sharing your problems, you willy-nilly begin to choose words and formulations, which means you will begin to analyze what happened. This will be the fulfillment of the third rule. To make failure easier to survive, it really needs to be understood. After all, understanding what exactly happened leads to understanding why it happened. And knowing the reasons for the failure, you can, if not avoid it in the future, then at least prepare for a possible repetition.

Why is it important to understand the origins of one's failure? First of all, because every failure has two types of reasons: objective and subjective. Without analysis, we will not be able to figure out what was more in our failure - our mistakes or external circumstances. As a rule, we indiscriminately blame everything either on ourselves or on the fate of the villain - and we are wrong in both the first and the second. Is it worth it to blame everything on yourself and brand yourself a loser? Is it worth blaming life for everything and cursing it for disliking us? The answer to both questions is no!

Rule four. Accept failure


So, you calmed down, shared your problems with a friend or stranger and tried to figure out why this all happened to you. What's next? The most important thing at this stage is to understand that any success, like any failure, falls to our lot because we deserve it.

Not in the sense of “failure is a punishment for what I did or didn't do”, no! But in the sense that any failure is a consequence of the chain of our actions and decisions. Some of them were right, some were wrong, but these were our actions and decisions, and not someone else's!

But it would be strange to punish yourself for being who you are. And if we accept ourselves, then we must accept our failures. In the end, every failure will certainly, sooner or later, but will be compensated by good luck. And this success will also be, figuratively speaking, our handiwork.

Rule five. Overestimate failure


Let's go back to the beginning of our conversation. So, in the morning your boss called you and said that you were fired. Catastrophe? More likely no than yes! Indeed, with the money received upon dismissal, for example, you can take and go on an extraordinary vacation! Or at least go to a restaurant in the evening and throw a small banquet on the occasion of your release from the work routine. But more importantly, if you can look at failure as a "hint" from fate. Perhaps the story of the dismissal, she tells you that you are not doing your job? Or maybe now, having taken up the job search, you will receive the offer of your dreams, which would not have been discussed until you looked up from your desk.

In a word, any failure is, first of all, a reason to stop, to step back, so to speak, to the margins of everyday life.

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