• 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
  

Understanding Suicide
Courtesy of McLean Hospital

Suicidal behavior is defined as a preoccupation or act that is focused on causing one’s own death voluntarily. Suicidal ideation refers to thoughts of suicide or wanting to take one’s own life. Suicidal behavior refers to actions taken by one who is considering or preparing to cause his or her own death. Suicide attempt usually refers to an act focused on causing one’s own death that is unsuccessful in causing death. Suicide refers to having intentionally caused one’s own death. Talking about suicide is the best way to prevent it. Although it is not possible to predict suicide with any certainty, our best tool is recognition of the signs that many people exhibit when contemplating suicide. These three behaviors should prompt you to seek immediate help for you or a loved one: talking about wanting to die or to kill oneself; looking for a way to kill oneself, such as searching online or obtaining a gun; talking about feeling hopeless or having no reason to live. See the Resources section below for actions to take if you or someone you know needs help.

Helpful Suicide Prevention Resources

• American Foundation for Suicide Prevention
• Samaritans – Massachusetts 24-Hour Crisis Hotline
• Stop a Suicide Today
• Suicide Prevention Resource Center

• 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

• NIMH – Using Medications to Treat Mental Health Disorders

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)

• 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 COMING SOON – Lyra offers immediate access to a care navigator and individualized mental health care, including self-guided programs, coaching, therapy, and medication management. Lyra will be available in June 2022 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.