Existential depression treatment


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.

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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

EXISTENTIAL DEPRESSION

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Depression is an extremely large, complex, insidious and difficult health problem. To stop this development, we must first find out why depression exists. Having found the answer to this question, it is likely that one day you will be able to completely get rid of it. nine0003

Part of my job is to help a person who is depressed so that he can find the light again. My job is to find out why people are depressed, what makes it worse, and what can be done to start healing. Over the years, I have come to realize that there are many different types of depression. One example is existential depression - at least that's how I described it myself.

Depression can be caused by hormonal problems, trauma, toxic beliefs, people who make the problem worse, or bad eating habits, for example, or it can be seasonal depression. Its initiators are different. One of the types of depression that I am discussing with you today is existential depression, or depression caused by a lack of understanding of the meaning of one's life and existence. nine0003

Main symptoms of existential depression:

Lack of understanding of the meaning of life.

Lack of understanding of what to do in this life and who to be.

A doubter in her profession, not understanding her talent.

Feeling that only others understand why they exist and what they were created for.

The feeling that others like what they do.

Doubting oneself.

The feeling that you have not been given any powers and that you are not special.

All other symptoms are similar to other types of depression. For example, fatigue, mood swings, weakness, apathy and, for example, loss of sexuality. Depression is an insidious disease that will allow you to breathe freely one day and turn your day around the next day. Only when you wake up in the morning do you realize what day is ahead of you today. It's hard and you need to help yourself 24/7 and not hope for better days. nine0003

Existential depression can be helped primarily through spiritual means. This means that conventional treatments may not work. That's why I bring this question up here to help you if you have one. In my session room, I run into people with this problem all the time that I help out there, but I really want my helping hand to go further. One way to understand who you are and what your purpose is is to join my personal session where I can help you better understand your life's challenges. nine0003

People who are naturally excellent analysts are very sensitive to existential depression, they are used to delving into various topics, and their thinking is broad and deep. This is because these people are used to thinking about everything, going deep and creating discussions on their own. They are simply more sensitive to the issue and may become depressed due to stress or other reasons.

This kind of depression is accompanied by a vicious circle in which thoughts are constantly spinning in your head: why is life the way it is? What will happen to me after death? What happens if I don't make it to the end? The feeling that time is slipping out of my hands and I myself do nothing for it. Feeling numb and asking why can't I express love and be happy? This man has constant questions. nine0003

Existential depression makes you feel like no one understands you and no one can give you support or help. Sometimes you even feel that everything in this life is meaningless, and at the same time, on the contrary, you feel that you want to enjoy life, and you have a crazy dream to feel better. These feelings go by turns.

Existential depression cannot be treated by conventional means because it is not a physical depression. This is a spiritual depression and therefore it is necessary to use spiritual methods of healing. nine0014

This type of depression can be treated with Ayurveda, crystals, meditation and explanation of the purpose of life through a clairvoyant. All these points must be observed in order to achieve a good result.

Ayurveda

- Rhodiola and Bacopa Monnieri promote your mental health so that you can heal yourself without getting nervous. Rhodiola helps bring more good days, giving you a chance to get well. Bacopa Monnieri promotes analysis that leads not to sadness, but to solutions. Both are Ayurvedic antidepressants and improve brain function. nine0003

Crystals - There are certain crystals that support your Aura field in case of existential depression and help you find meaning in your life. Wearing them will help you come to the conclusions and truth you need. Fuchsite and Que Sera are two crystals that help you understand the meaning of your life. Also, Opal which may open your eyes to this. Wear them until you get out of depression.

Meditation is designed to calm oneself and restore spiritual energies. Use incense in meditation to help you heal. For example, here is a very useful incense from stress relief , namaste , reiki and devotion . Meditate for at least five minutes at least once a day.

Getting an answer from a clairvoyant. Part of my job is to read the "book of fate", during which I see the talent(s), life goals of the person who came to me, I indicate how to move on. The stage on which you exist helps to get out of depression and answers the question: “Why do you exist and what is the meaning of your life!” nine0003

In addition, monthly energy cleansing at home will help you. When you're depressed, your home is full of negative energy and it's not the best place to recover if you don't take care of your home energy. Sage and Juniper Ritual Torch helps clear energies that cause sadness and stress. Use it when you are in a state of depression, stress. Sage removes all the bad energy that is stuck between the walls of your home, while Juniper helps to get rid of those energies that are not easy to get rid of. nine0109

You can get rid of existential depression by taking steps to help explain the meaning of your life. Follow these four steps!

In search of meaning. Existential causes of depression

Unlike most other living beings, the high mental organization of a person determines his continuous search for meaning in everything he does. Our daily existence seems whole and full only if it is subordinated to some goal or accompanied by emotions that make it meaningful, and each subsequent moment is long-awaited (love, friendship, caring for loved ones, excitement for new experiences, the desire to take place as a professional). etc.). nine0003

In psychology, there is a whole trend that comprehensively considers this feature of the human psyche. One of its most prominent representatives, the Austrian psychotherapist Viktor Frankl, who during the Second World War spent several years in the Theresienstadt concentration camp, argued following Nietzsche that " he who knows why to live can overcome anything like " - and Apparently he knew what he was talking about.

Frankl is the founder of logotherapy, a type of psychotherapy based on the idea of ​​finding and realizing the meaning of life. Lack of meaning in life is a hallmark of depression, as often described by patients themselves. The meaning of our actions, efforts, emotional experiences rarely remains static: it changes its content, direction, significance. nine0003

Paradoxically, the search for new goals and meanings can also be part of our daily lives - and not at all in a depressing way. But sometimes this process can be painful or be caused by mental disorders that affect our worldview and emotional state. Today's achievements in cognitive-behavioral and logotherapy allow many patients with clinical depression to find a way out of the existential impasse in which they find themselves. nine0003

What we have designated as existential impasse , among other things, can also be expressed as a feeling of alienation from one's environment and society as a whole. Man is a social being, the state of isolation (real or imaginary) is detrimental to his psyche. And for belonging and feeling one's fullness as a member of society, self-realization is first of all important - the ability to be sincere, to show one's true desires, emotions without the need to create, let's say, an alternative personality for comfortable communication with others. nine0003

A person who is not accepted or misunderstood by his environment, according to the famous psychiatrist Ronald Laing, splits the self into a real, internal one, with which a person identifies himself, but for one reason or another rejected by society, and an external one, which he uses for comfortable coexistence with him. The greater the gap between these two manifestations of personality, the deeper and more painful the depression.

The task of existential psychotherapy is to bring these two essences of the patient closer, or rather, to relieve him of the need to maintain the existence of an "alternative personality" for the possibility of self-realization.


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