• General Information about Depression
  MGH Psychiatry – Understanding Depression
• Seasonal Affective Disorder (SAD) 
  MGH Psychiatry – Understanding Seasonal Affective Disorder
• Postpartum Depression
  US. Dept of HHS – Office on Women’s Health -Understanding Postpartum Depression
  Postpartum.net
• Depression in Children
  Kids Health – Depression in Children
  Teenlineonline.org – Teen Crisis Line – Talknow
  1-800-852-8336
  

The topic of suicide is often not discussed or stigmatized.  Having feelings of being suicidal or interacting with someone who is struggling with this can seem intimidating or scary. However, most people who have suicidal ideation (thoughts of suicide) can be helped and go on to recover and thrive. An important step is understanding suicide and how to get or provide help. We offer some general resources below. If you have concerns, contact the EAP or one of the hotlines listed. In an emergency, always call 911.

General Resources

• Stop a Suicide Today – Understanding Suicide
• AFSP – Suicide Risk, Protective Factors, and Warning Signs
• Stop a Suicide Today – How at Risk are you or a Loved One?
• AFSP -What to do when Someone is a Risk for Suicide
• 988 Lifeline – How to Help Someone who is Struggling
• 988 Lifeline – Suicide Support on Social Media

Hotlines & Assistance

• 988 – Suicide & Crisis Lifeline
  – Dial or Chat
• Samaritans – Suicide Prevention 
  – 877-870-4673 or Text
• The Trevor Project – Suicide & LGBTQ+ Youth
  1-866-488-7386 & Chat
  Text “START” to 678-678

Resources for at-risk Populations

There are certain groups which have higher risk for and prevalence of suicide. Below are some resources for these populations:

• Teens & Young Adults
• LGBTQ+
• Veterans

• MGH Psychiatry – Understanding Bipolar Disorder

• General Information about Anxiety
  NIH – Understanding Anxiety Disorders
• Specific Disorders
  Understanding Specific Anxiety Disorders – MGH Psychiatry
• Anxiety in Children
  Kids Health – Anxiety Disorders in Children

• Trauma Informed Care – Understanding Trauma
• MGH Psychiatry – Post Traumatic Stress Disorder

• MGH Psychiatry – Understanding Schizophrenia

• NAMI – Understanding Borderline Personality Disorder

• MGH Psychiatry – ADHD in Children
• MGH Clay Center – All About ADHD: Behavior, Medication & CBT

• Kids Health – Eating Disorders and Teens
• Understanding Eating Disorders
  Courtesy of McLean Hospital

Eating disorders happen as a result of severe disturbances in eating behavior, such as unhealthy reduction of food intake or extreme overeating. These patterns can be caused by feelings of distress or concern about body shape or weight, and they harm normal body composition and function. A person with an eating disorder may have started out just eating smaller or larger amounts of food than usual, but at some point, the urge to eat less or more spirals out of control.

Eating disorders are very complex, and despite scientific research to understand them, the biological, behavioral, and social underpinnings of these illnesses remain elusive. Eating disorders frequently develop during adolescence or early adulthood, but some reports indicate their onset can occur during childhood or later in adulthood. Many adolescents are able to hide these behaviors from their family for months or years. Eating disorders are not due to a failure of will or behavior; rather, they are real, treatable medical illnesses in which certain abnormal patterns of eating take on a life of their own.

Anorexia nervosa, a form of self-starvation, is characterized by a distorted body image that leads to restricted eating and other behavior that prevents a person from gaining weight. The majority of those affected are females (90-95%), although these statistics are changing as males are now more frequently affected. Initially identified in upper- and middle-class families, anorexia is now known to be found in all socioeconomic groups and a variety of ethnic and racial groups.

Bulimia is characterized by uncontrolled episodes of overeating, called bingeing, followed by purging with methods such as vomiting or misuse of laxatives. Bingeing is eating much larger amounts of food than you would normally eat in a short period of time, usually less than 2 hours. The binge-purge cycles can happen from many times a day to several times a week. Bulimia most often affects females and starts during the teenage years, but it can also affect males. Other illnesses, such as substance misuse, anxiety disorders, and mood disorders are common in people with bulimia.

Binge eating disorder is an illness that involves overeating in a specific, defined period of time. More food is eaten than others eat in the same amount of time, under the same circumstances. It differs from bulimia as individuals do not purge their bodies of the excess food via vomiting, laxative misuse, or diuretic misuse. Binge eating disorder is found in about 1% to 2% of the general population and is seen more often in women than men.

An estimated .5-3.7% of females struggle with anorexia in their lifetime, while an estimated 1.1-4.2% of females have bulimia in their lifetime. Community surveys have estimated that between 2% and 5% of Americans experience binge eating disorder in a six-month period.

Helpful Eating Disorders Resources

• Multi-Service Eating Disorder Association
• National Association of Anorexia Nervosa and Associated Disorders
• National Eating Disorders Association
• National Institute of Mental Health – Eating Disorders

• Help Guide – Understanding Anger Management

• American Psychiatric Association – Understanding Psychotherapy
• Psychotherapy Techniques
• Psychodynamic Therapy
• Psychoanalysis

• Healthline – Understanding Medication Management
• NIMH – Information on Psychotropic Medications

SilverCloud iCBT Program for MGB Employees
For some, online CBT (iCBT) can be helpful and convenient. SilverCloud is a free online, self-directed course CBT course, which includes some added well-being activities, for individuals with low to moderate levels of depression or anxiety. SilverCloud can help clients to manage their symptoms using modules in:

• Depression
• Anxiety
• Stress
• Insomnia
• Resilience
• COVID-19.Employees, IHP students and household members (over the age of 18) can access this program via a mobile device or desktop computer. Referrals can be done via your PCP, the EAP or self-referral.

• American Psychiatric Association – What is Electroconvulsive Therapy (ECT)

Whether you seek a mental health provider through the EAP or another source, you will want to identify how to best meet your needs. You may not get to “tick every box” if you want a referral more quickly. Like many relationships, the therapeutic one should be a good fit for you. Try to be open-minded and avoid immediate judgment. It may take a few sessions to know if you have a reasonable match. Some factors to consider:

• Therapist characteristics – specialty, gender
• Type of intervention needed
• Visit frequency
• Office/clinic type – hospital-based, agency, private practice
• Timing – do you need help immediately, what accommodates your schedule?
• Setting/Platform – in-person, virtual (video, online program, phone)

All employees and family household members who want to discuss needs around a mental health issue can contact the EAP for an assessment or assistance with a referral.  You can request an appointment at866-724-4327 or via our online form for confidential assistance. Here are some things you can expect from an appointment:

• One or more sessions with an EAP counselor to provide an assessment of the problem and to identify options for assistance and/or a referral.
• The EAP counselor will work within your insurance coverage and preferences (location, time, clinician characteristics) to identify a suitable therapist.
• Please note that requests for evening or weekend appointments and in-person therapy tend to represent longer wait times.
• The EAP is a free service but referrals outside the EAP typically have costs (some covered by insurance and some not, for example, co-pays).

Lyra Health offers immediate access to a care navigator and individualized mental health care, including self-guided programs, coaching, therapy, and medication management. Lyra is available to Mass General Brigham employees with AllWays Health Partners Select or Plus plans and their families. Learn more at allways.lyrahealth.com  or call AHP customer service at 844-451-3520.

Please note that the EAP does not vet or specifically endorse the  providers listed in these platforms.

• Insurance providers
  – Aetna
  – AllWays
  – Blue Cross Blue Shield
  – Cigna
  – Harvard Pilgrim
  – MassHealth
  – Tufts
•  Psychology Today
• William James Interface Referral Service
• A variety of new online platforms which are still being vetted
  – MGB AllWays Health members have access to Talkspace  via their behavioral health insurance (Optum).  Please note that MGB EAP does not authorize Talkspace access codes.