When to check into a hospital for depression


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

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Depression. Symptoms and manifestations | SKKSPB No. 1

The World Health Organization estimates that more than 300 million people in the world are living with depression. Due to fear of stigma and lack of support from society and loved ones, people do not go to a psychiatrist and delay treatment, which affects the quality of life and overall health of a person.

Children and adults are susceptible to depression. WHO has identified a link between it and various disorders and diseases. So depression increases the risk of developing diabetes and heart disease, the emergence of addictions. According to the WHO, depression is a risk factor for suicide - including because of this condition, people decide to end their lives.

Depression is curable, but not everyone is ready to seek professional help. One of the reasons is that people ignore the symptoms of depression, do not attach importance to them or explain their state of fatigue. But you can't ignore them.

Contact the specialists of the Stavropol Regional Clinical Specialized Psychiatric Hospital No. 1 if you or your loved ones experience the following symptoms:

  1. Depression. It is characterized by irritability, despondency, sadness, lethargy, tearfulness. The future seems gloomy and unpromising, in the present nothing pleases.
  2. Chronic fatigue. In a depressed state, there is a feeling that there is no strength to do small things. There is a constant feeling of fatigue, initiative and inertia in the performance of work and home tasks will disappear.
  3. Loss of pleasure. Joy disappears from life and indifference appears. Those things that used to bring positive emotions and cheer up, no longer interest and do not bring pleasure.
  4. Disappears self-respect and self-confidence. An inner conviction appears in one's uselessness and worthlessness, faith in one's own success, strength, talent and capabilities disappears.
  5. Thoughts of death and suicide appear. When depressed, a person may attempt suicide.
  6. The concentration of attention decreases and there is a feeling of indecision. Unable to focus on solving a task and complete it with ease.
  7. Psychomotor agitation or lethargy appears. In this state, a person can be either hyperactive or numb in his actions.
  8. Sleep is disturbed. Difficulty falling asleep and waking up. Sleep may be shallow, intermittent with early awakening. There is increased drowsiness, fatigue and a desire to sleep immediately after waking up.
  9. Appetite and weight change. Appetite may increase or disappear altogether, which affects body weight and general condition of the body.

The symptoms of depression may vary from person to person and may be partially manifested. This condition may be accompanied by poor health and physical pain. Depression is not always easy to identify and diagnose. This is also explained by the fact that it is difficult for a person to describe his condition to himself, relatives or doctors. Often he explains his problems at work, financial difficulties and other reasons.

Important!

If you notice symptoms of depression and signs of a mental disorder in yourself or your family, we urge you to seek help from a psychologist or psychiatrist in a timely manner. Timely detection of a mental illness at the first stages of its development makes it possible to stop or significantly slow down its progressive course.

In SKKSPB No. 1, hotline works around the clock 8 (8652) 99-17-86. The hospital specialists will provide you with anonymous and free psychological help.

You can make an appointment with a psychiatrist by phone: 8(8652) 99-17-81. Record to the children's specialist: 8(8652) 99-17-83.

Prepared by Stavropol Psychiatric Hospital based on information from the National Mental Health Center ( http://www.psychiatry.ru )

Along with anxiety disorders, depression is one of the most common mental disorders. Depressive episodes can develop as an independent disease, or accompany bipolar affective and recurrent depressive disorders, often occur with organic diseases of the brain (epilepsy, psychoorganic syndrome, mental pathology of late age, consequences of traumatic brain injury).

In everyday life it is not uncommon to hear: “I am depressed”. At the same time, depression means a bad mood that arose for a variety of reasons: an umbrella forgotten at home in rainy weather, the absence of a bonus expected at the end of the year, a conflict with a teenage son, etc. However, a bad mood does not mean the presence of depression. Depression is a complex of symptoms.

Symptoms of depression

One of its signs is a prolonged lack of mood (more than 2 weeks). Moreover, no external circumstances (a joke, a pleasant meeting, joyful and long-awaited events) can change it. In some cases, a person may experience unreasonable anxiety, concern for loved ones and their own health. Depression is always accompanied by a decrease in working capacity, fatigue, and difficulty concentrating. The most familiar, everyday things seem complicated and difficult to accomplish. Irritability appears, often for the most insignificant reasons. Interest in the environment disappears: work, favorite activities, the feeling of pleasure disappears. Food seems tasteless, your favorite show is boring, a party with friends is a waste of time. The future is seen in gloomy colors, unpromising and bleak.

Another manifestation of depressive disorders is sleep disturbance. Night sleep becomes superficial, intermittent, with early (2-3 hours earlier than usual) awakenings. Reduced appetite, which leads to rapid weight loss.

The most dangerous symptom of depression is thoughts of suicide, which in the most severe cases of the disease can lead to concrete actions. It is important for others to understand that the patient cannot control his condition and get rid of the disease by willpower. We can deal with bad moods. Good music, delicious food, a funny anecdote - and life is getting better. But depression is a disease that requires special, often medicinal, treatment. It is impossible to cure it by mere persuasion or self-hypnosis.

So, the main symptoms of depression:

  • loss or disturbance of appetite.

Types of depression:

  • depressive reactions
  • psychogenic depression
  • reactive depression
  • seasonal depressive disorder

Long-term depression can exacerbate the course of somatic diseases such as hypertension, angina pectoris, bronchial asthma, complicating their treatment and worsening the prognosis. If symptoms of depression persist for more than 2 weeks consult a psychiatrist.

EMC Clinic of Psychiatry and Psychotherapy diagnoses and treats all types of depression, including chronic and severe depression, anxious depression, and chronic depression. Hospitalization is possible in a comfortable hospital of the EMC hospital on the street. Shchepkin.

Diagnosis and treatment of depression

The main method of examination to establish the diagnosis is a consultation with a psychiatrist. Undoubtedly, a therapist, neurologist, psychologist can assume the presence of depression and refer to a psychiatrist, but the final diagnosis and choice of treatment strategy (drugs, psychotherapy, etc.) should be left to a specialist in the treatment of mental disorders.

The patient's complaints of low mood or anxiety alone are not sufficient to indicate a depressive disorder. For a reliable diagnosis, a psychiatrist must identify at least four symptoms of depression, assess the time of their onset, severity, severity, etc. Specially designed questionnaires, for example, the Beck Depression Inventory, MMPI (Minnesota Multidimensional Personality Inventory), etc., can serve as auxiliary methods of examination. may also suggest the need to consult a specialist.

The diagnosis of depression includes testing to rule out other disorders with similar symptoms. For this purpose, magnetic resonance imaging of the brain (MRI diagnostics), laboratory studies of the level of thyroid hormones are carried out. Psychiatrists diagnose depression during a clinical interview using specially developed questionnaires, tests and scales.

EMC Private Clinic's most effective treatment for depression combines medication and psychotherapy. Comprehensive rehabilitation programs for depressive disorders have now been developed, which include massage, reflexology, special gymnastics, and work with patients' families.

Treatment of a depressive disorder is carried out taking into account the severity of the condition and usually includes three stages:
  • Stabilizing therapy - allows you to remove the residual manifestations of depression and is aimed at combating relapses.
  • Prevention of future recurrent episodes of depression.
  • Quite often the first stage of treatment for depression takes place in a round-the-clock inpatient department of the European Medical Center in Moscow. The second and third are carried out within the framework of a day hospital or on an outpatient basis. The most justified and clinically effective in the treatment of depression is a program of psychotherapy (mainly cognitive-behavioral therapy) with a course of psychopharmacotherapy.

    Benefits of treatment at EMC