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When Parents Read to Kids, Everyone Wins

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from Psychology Today

It’s no surprise that when parents read to their kids, it helps them succeed in school.

Three separate systematic reviews of what educators call dialogic reading—essentially engaging in a conversation with young children as you read to them—found positive effects including improved language skills, literacy, and school readiness.

Now a new body of research is finding even more benefits of reading to children—for both the kids and the parents. A systematic review published last month in the journal Pediatrics looks at broader benefits of intervention programs designed to encourage parents to read to their children.

Researchers looked at how reading interventions affected both kids’ and parents’ psychosocial functioning – essentially their physical and mental wellness and ability to interact in society. (Psychosocial functioning is typically measured by indicators of depression and stress, behavior problems, quality of life and personal skills.)

The reviewers found 18 studies of interventions that included more than 3,200 families. The interventions provided structured training to show parents the best ways to read with their children, and then followed up with the children and parents. The shortest duration was one month and the longest was 48 months.

Eleven of the interventions focused on parents with low levels of educationand 13 focused on families with a low socioeconomic status.

The reviewers found, on the whole, that these reading intervention programs had a significant positive impact on both child and parent psychosocial functioning. Specifically, children showed improvements in social-emotional skills and their interest in reading and reported improve quality of life. And parents experienced better attitudes toward reading, improved relationships with their children and improved parenting skills.

The benefits extend to babies and toddlers, as well as children up to age 6 and apply equally to boys and girls.

While it’s clear that reading is great for kids, the evidence also shows that some parents need guidance in engaging with kids and books. The Reading Rockets project, sponsored by the U.S. Department of Education, provides some practical tips. Among them, use fun voices for different characters, ask your child questions about the story as you go, and connect what you are reading to real-life experiences whenever possible.

If there are any small children in your life, sit down with them for a regular story time. The evidence shows it’s great for kids, and might just benefit you as well!

For more information on our work solving human problems, please visit Cornell University’s Bronfenbrenner Center for Translational Research’swebsite.

References

Xie, Q., Chan, C. H., Ji, Q., & Chan, C. L. (2018). Psychosocial Effects of Parent-Child Book Reading Interventions: A Meta-analysis. Pediatrics,141(4). doi:10.1542/peds.2017-2675

https://www.psychologytoday.com/us/blog/evidence-based-living/201804/when-parents-read-kids-everyone-wins

Do Violent Video Games Make Kids More Violent?

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from Psychology Today

If you know a tween, teenager or avid gamer, you have probably heard about the latest video game phenomenon: Fortnite. In the game’s Battle Royale mode, up to 100 players parachute into a small island, scavenge for armor and weapons, and then kill or hide from other players in an attempt to be the lone survivor. The game’s cartoonish violence and quirky features–including costumes and custom dance moves–have attracted more than 125 million players across all the globe since its release last September.

While not overly gory, the premise for Fortnite is inherently violent; the primary goal is to kill other players. The popularity of these types of games, and this one in particular, raises clear questions about the effects of violent gaming. Specifically, do violent video games lead to real-life violence?

The research on this question is mixed. For decades, researchers have conducted studies to find out whether violent video games lead to problems such as aggression, lack of empathy and poor performance in school. Many studies have found that people who play violent video games are more likely to engage in aggressive behavior. In fact, there was enough researchleading to this conclusion that the American Psychiatric Association (APA) published a policy statement in 2015 concluding that playing violent video games leads to more aggressive moods and behaviors and detracts from the players’ feeling of empathy and sensitivity to aggression.

But a large contingent of researchers focused on pediatric and adolescencehealth disagree. In fact, a group of 230 scholars from universities across the globe published an open letter in 2013 calling the APA’s stance of violent video games “misleading and alarmist.” And many of those same scholars spoke out after the 2015 policy statement.

Last summer, a division within the APA focused on the media published their own statement advising government officials and the news media to avoid attributing acts of violence to video games or other violent media. Here’s why:

  • Large analyses of violent crime and video violent game use find no evidence that increased sales of violent video games leads to a spike in violent crimes. Researchers make the case that if violent games directly led to violent behavior, the data would show increases in violent crime on a large-scale as more people played violent games. In fact, there is some evidence that as more youth play video games, rates of youth violence have decreased.
  • A recent analysis finds that research on video games is prone to false positives and false negatives, which leads to faulty conclusions.
  • Another review finds that much of the research on violence and video games is affected by publication bias; essentially, studies that concluded that video games lead to aggression and violence are more likely to be published than studies that find violent video games don’t have an effect on violence. As a result, large reviews of the data conclude violent video games lead to aggression without considering research to the contrary.
  • There is emerging research that finds no link between violent games and negative outcomes, such as reduced empathy, aggression and depression.

That’s a lot of conflicting perspectives, so what’s the take-home message here?  First, there is not solid, irrefutable evidence that violent video games lead to aggressive behavior. That does not mean that every game is for every child. Certainly, many violent video games are scary and inappropriate for some kids. Understanding each child’s needs and creating a plan that sets out rules for media use and monitors kids’ activities on screens is a sensible way to approach video games.

Please visit Cornell University’s Bronfenbrenner Center for Translational Research’s website for more information on our work solving human problems.

 

https://www.psychologytoday.com/us/blog/evidence-based-living/201807/do-violent-video-games-make-kids-more-violent

Spreading Hope Through Peer Support

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What does it mean to be a peer support specialist?

To me, it means providing a voice for people when they struggle in finding their own. It means advocating for people, encouraging their recoveries and even sometimes standing in courtrooms as a show of support. And it often means educating community members and outside providers about First Episode Psychosis (FEP) programs like the Early Assessment and Support Alliance (EASA)—a program where I transformed from a participant to a peer support specialist.

For many, psychosis is a scary experience, and it can be easy to lose hope. When I received my diagnosis, I felt like all hope was lost. I thought my life was over. I thought I was doomed to serve a life sentence, confined to the four walls that enclosed my bedroom in my mother’s basement. That’s a tough pill to swallow at 20 years old. Due to my fear and paranoia, I often found it difficult to leave not only my house, but even my room. I felt completely alone, hurtling in a downward spiral of despair.

This is typical for a person whose experiencing psychosis—to withdraw from those around them. For that reason, psychosis breeds isolation and loneliness. But what made a huge impact for me during this period of isolation was being able to talk with others who understood what I was experiencing. What I needed at that time is exactly what I work to provide for people now: messages of hope. At its core, I view peer support as the strategic use of telling one’s own lived experience as a tool to work with others through their experience.

What Does A Peer Support Specialist Do?

As a peer support specialist, I can meet people where they are comfortable. If they decide they don’t want to meet in the office, I can travel to them. I’ve met people all throughout my community. Often, we even interact via text message to coordinate meetings or just be in contact. Everyone engages in their own way, and I work hard to build rapport and trust with participants and their families.

As a peer support specialist, I work with program participants to help reduce their social isolation. We may look at a participant’s hobbies and interests and use those passions to help reconnect them to their community. The social support that can be gained through hobbies is an important coping strategy for those experiencing psychosis. I work with participants to create organic social supports, so when they move on from our program they have a natural support system in place.

As a peer support specialist, I act as a model for recovery. In the past year, I met a psychiatrist who didn’t even know recovery from psychosis was possible. After sharing my journey with him and combating the idea that a diagnosis is the end-all for patients, it’s my hope that he has changed his message to the patients he works with, potentially creating a dramatic difference in their recovery process.

As a peer support specialist, I work to help people to see diagnoses for what they are: words. A diagnosis is not a definition. See, a word by itself doesn’t have power—it’s merely a series of letters mashed together. The negative connotations associated with the words “psychosis” and “schizophrenia” are learned, taught to us through sources such as the media. And it’s all too easy to take what the media tells us about these diagnoses and use that information to form beliefs about yourself—but a diagnosis says nothing more about you than the color of your hair. What defines each person is theirs to create and own.

As a peer support specialist, I work with people who need me to hold onto their hope for them until they’re ready to hold it for themselves, just as I once needed.

Ensuring Your Child Is Supported At School

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At least 1 in 5 school-aged children is affected by a mental health condition. The two most common conditions among children and adolescents are anxiety followed by depression, but children can have other difficulties that affect their ability to fully take part in and benefit from their classroom experiences. These include attention deficit-hyperactivity, autism spectrum disorder and eating disorders.

Many children can also suffer from emotional reactions to the strain of learning issues, medical illness, family financial struggles, personal problems or other stressors. While not all mental health problems directly affect students’ academic or school functioning, many do, and schools can help.

If your child’s mental health condition is affecting their functioning at school, your first step should be to identify their condition with either a mental health professional or pediatrician and present this diagnostic information to the school.

With younger children (grades K-5), it may make sense to start with your child’s classroom teacher, while with middle or high school students, it’s usually best to start with the school’s health and wellness specialist. Virtually all public and private schools have at least one person who handles student mental health concerns—generally a guidance counselor, social worker, nurse or psychologist. And keep in mind that by law, schools are required to offer some level of accommodation to students with mental health needs; the nature and extent of that support will depend on your child’s particular condition and the resources at the school’s disposal. Your child’s school may have more resources than you might imagine, depending, of course, on your child’s age, condition and particular school setting.

Your next step will be to call a meeting with that designated specialist—or, if the issues have risen to a significant level, with a broader team that includes teachers and other school personnel.

Most parents get nervous meeting with school officials when their child is having behavioral or emotional problems. To support your best state of mind, consider having your child’s other parent or another close relative accompany you to the meeting. If your child is working with a mental health professional, see whether it’s possible to invite this person to the meeting as well. It can be extremely helpful to have an objective observer/expert/advocate with you!

Your partnership with the school is a key ingredient in ensuring that your child receives the support he or she needs. So, here are some tips for forging an effective alliance:

    1. Be honest, direct and specific. Most school personnel will respond with compassion and eagerness to help if they understand what is happening with your child and feel you are leveling with them. If you are vague, or appear to be holding back information, it will be harder for them to understand, and they may be less sympathetic.

 

    1. Ask questions about what teachers are seeing at school. Don’t assume they’re seeing what you see at home. Some children hold it together all day and then melt down as soon as they get home. Conversely, some children seem fine at home but can be disruptive, distracted or unhappy in classroom environments. Ask your child’s teachers about how your child presents at school. Don’t assume you know the whole story any more than you would assume they know the whole story.

 

    1. If you’re not sure where the best resources are within your child’s school, request to attend a staff meeting. Talking in-person with the group of players who can support your child is often more effective than sending long, detailed email messages or chatting over the phone with a single faculty or staff member.

 

  1. Know the law regarding special education support. If your child’s teachers, counselor and other staff are not able to accommodate your child in a supportive way (or if you want to make sure the school system will continue to do so from year-to-year), request an evaluation to see whether your child qualifies for special education services. Under the Americans with Disabilities Education Act, or IDEA, mental illness is grounds for “special education” needs in public schools systems provided they interfere with your child’s ability to make expected academic progress. Even students whose mental health needs do not meet the criteria for IDEA may be entitled to more modest accommodations under Section 504 of the Rehabilitation Act.

There are few parenting experiences more difficult than seeing your child in emotional distress. It can be hard to think straight, and hard to believe that other adults will understand, care enough or know what to do. But your child’s teacher, guidance counselor or principal has likely encountered other students with similar issues and most educators would be naturally inclined to accommodate, include and support your child. And it’s their job to do so. Your job is to enlist their help.

 

Deborah Offner is a clinical psychologist, school consultant, and former dean of students at a Boston, Massachusetts high school. In her adolescent psychology practice in Newton, Massachusetts, she works directly with students and their parents. She also consults to school and college counselors as well as faculty, school leadership, and parent groups about student wellness and emotional health. Learn more about Dr. Offner at www.deborahoffnerphd.com.

https://www.nami.org/Blogs/NAMI-Blog/May-2018/Ensuring-Your-Child-is-Supported-at-School

Record Numbers of College Students Are Seeking Treatment for Depression and Anxiety — But Schools Can’t Keep Up

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Not long after Nelly Spigner arrived at the University of Richmond in 2014 as a Division I soccer player and aspiring surgeon, college began to feel like a pressure cooker. Overwhelmed by her busy soccer schedule and heavy course load, she found herself fixating on how each grade would bring her closer to medical school. “I was running myself so thin trying to be the best college student,” she says. “It almost seems like they’re setting you up to fail because of the sheer amount of work and amount of classes you have to take at the same time, and how you’re also expected to do so much.”

At first, Spigner hesitated to seek help at the university’s counseling center, which was conspicuously located in the psychology building, separate from the health center. “No one wanted to be seen going up to that office,” she says. But she began to experience intense mood swings. At times, she found herself crying uncontrollably, unable to leave her room, only to feel normal again in 30 minutes. She started skipping classes and meals, avoiding friends and professors, and holing up in her dorm. In the spring of her freshman year, she saw a psychiatrist on campus, who diagnosed her with bipolar disorder, and her symptoms worsened. The soccer team wouldn’t allow her to play after she missed too many practices, so she left the team. In October of her sophomore year, she withdrew from school on medical leave, feeling defeated. “When you’re going through that and you’re looking around on campus, it doesn’t seem like anyone else is going through what you’re going through,” she says. “It was probably the loneliest experience.”

Spigner is one of a rapidly growing number of college students seeking mental health treatment on campuses facing an unprecedented demand for counseling services. Between 2009 and 2015, the number of students visiting counseling centers increased by about 30% on average, while enrollment grew by less than 6%, the Center for Collegiate Mental Health found in a 2015 report. Students seeking help are increasingly likely to have attempted suicide or engaged in self-harm, the center found. In spring 2017, nearly 40% of college students said they had felt so depressed in the prior year that it was difficult for them to function, and 61% of students said they had “felt overwhelming anxiety” in the same time period, according to an American College Health Association survey of more than 63,000 students at 92 schools.

As midterms begin in March, students’ workload intensifies, the wait time for treatment at counseling centers grows longer, and students who are still struggling to adjust to college consider not returning after the spring or summer breaks. To prevent students from burning out and dropping out, colleges across the country — where health centers might once have left meaningful care to outside providers — are experimenting with new measures. For the first time last fall, UCLA offered all incoming students a free online screening for depression. More than 2,700 students have opted in, and counselors have followed up with more than 250 who were identified as being at risk for severe depression, exhibiting manic behavior or having suicidal thoughts.

Virginia Tech University has opened several satellite counseling clinics to reach students where they already spend time, stationing one above a local Starbucks and embedding others in the athletic department and graduate student center. Ohio State University added a dozen mental health clinicians during the 2016-17 academic year and has also launched a counseling mobile app that allows students to make an appointment, access breathing exercises, listen to a playlist designed to cheer them up, and contact the clinic in case of an emergency. Pennsylvania State University allocated roughly $700,000 in additional funding for counseling and psychological services in 2017, citing a “dramatic increase” in the demand for care over the past 10 years. And student government leaders at several schools have enacted new student fees that direct more funding to counseling centers.

But most counseling centers are working with limited resources. The average university has one professional counselor for every 1,737 students — fewer than the minimum of one therapist for every 1,000 to 1,500 students recommended by the International Association of Counseling Services. Some counselors say they are experiencing “battle fatigue” and are overwhelmed by the increase in students asking for help. “It’s a very different job than it was 10 years ago,” says Lisa Adams Somerlot, president of the American College Counseling Association and director of counseling at the University of West Georgia.

As colleges try to meet the growing demand, some students are slipping through the cracks due to long waits for treatment and a lasting stigma associated with mental health issues. Even if students ask for and receive help, not all cases can be treated on campus. Many private-sector treatment programs are stepping in to fill that gap, at least for families who can afford steep fees that may rise above $10,000 and may not be covered by health insurance. But especially in rural areas, where options for off-campus care are limited, universities are feeling pressure to do more.

‘I needed something the university wasn’t offering’

At the start of every school year, Anne Marie Albano, director of the Columbia University Clinic for Anxiety and Related Disorders (CUCARD), says she’s inundated with texts and phone calls from students who struggle with the transition to college life. “Elementary and high school is so much about right or wrong,” she says. “You get the right answer or you don’t, and there’s lots of rules and lots of structure. Now that [life is] more free-floating, there’s anxiety.”

That’s perhaps why, for many students, mental health issues creep up for the first time when they start college. (The average age of onset for many mental health issues, including depression and bipolar disorder, is the early 20s.)

Dana Hashmonay was a freshman at Rensselaer Polytechnic Institute in Troy, New York in 2014 when she began having anxiety attacks before every class and crew practice, focusing on uncertainties about the future and comparing herself to seemingly well-adjusted classmates. “At that point, I didn’t even know I had anxiety. I didn’t have a name for it. It was just me freaking out about everything, big or small,” she says. When she tried to make an appointment with the counseling center, she was put on a two-week waitlist. When she finally met with a therapist, she wasn’t able to set up a consistent weekly appointment because the center was overbooked. “I felt like they were more concerned with, ‘Let’s get you better and out of here,’” she says, “instead of listening to me. It wasn’t what I was looking for at all.”

During her freshman year, Hashmonay sought out help on campus after she started having anxiety attacks before her classes and crew practices.
Eva O’Leary for TIME

Instead, she started meeting weekly with an off-campus therapist, who her parents helped find and pay for. She later took a leave of absence midway through her sophomore year to get additional help. Hashmonay thinks the university could have done more, but she notes that the school seemed to be facing a lack of resources as more students sought help. “I think I needed something that the university just wasn’t offering,” she says.

A spokesperson for Rensselaer says the university’s counseling center launched a triage model last year in an effort to eliminate long wait times caused by rising demand, assigning a clinician to provide same-day care to students presenting signs of distress and coordinate appropriate follow-up treatment based on the student’s needs.

Some students delay seeing a counselor because they question whether their situation is serious enough to warrant it. Emmanuel Mennesson says he was initially too proud to get help when he started to experience symptoms of anxiety and depression after arriving at McGill University in Montreal in 2013 with plans to study engineering. He became overwhelmed by the workload and felt lost in classes where he was one student out of hundreds, and began ignoring assignments and skipping classes. “I was totally ashamed of what happened. I didn’t want to let my parents down, so I retreated inward,” he says. During his second semester, he didn’t attend a single class, and he withdrew from school that April.

For many students, mental health struggles predated college, but are exacerbated by the pressures of college life. Albano says some of her patients assume their problems were specific to high school. Optimistic that they can leave their issues behind, they stop seeing a therapist or taking antidepressants. “They think that this high school was too big or too competitive and college is going to be different,” Albano says. But that’s often not the case. “If anxiety was there,” she says, “nothing changes with a high school diploma.”

Counselors point out that college students tend to have better access to mental health care than the average adult because counseling centers are close to where they live, and appointments are available at little to no cost. But without enough funding to meet the rising demand, many students are still left without the treatment they need, says Ben Locke, Penn State’s counseling director and head of the Center for Collegiate Mental Health.

The center’s 2016 report found that, on average, universities have increased resources devoted to rapid-access services — including walk-in appointments and crisis treatment for students demonstrating signs of distress — since 2010 in response to rising demand from students. But long-term treatment services, including recurring appointments and specialized counseling, decreased on average during that time period.

“That means that students will be able to get that first appointment when they’re in high distress, but they may not be able to get ongoing treatment after the fact,” Locke says. “And that is a problem.”

‘We’re busier than we’ve ever been’

In response to a growing demand for mental health help, some colleges have allocated more money for counseling programs and are experimenting with new ways of monitoring and treating students. More than 40% of college counseling centers hired more staff members during the 2015-16 school year, according to the most recent annual survey by the Association for University and College Counseling Center Directors.

“A lot of schools charge $68,000 a year,” says Dori Hutchinson, director of services at Boston University’s Center for Psychiatric Rehabilitation, referring to the cost of tuition and room and board at some of the most expensive private schools in the country. “We should be able to figure out how to attend to their whole personhood for that kind of money.”

At the University of Iowa, Counseling Director Barry Schreier increased his staff by nearly 50% during the 2017-18 academic year. Still, he says, even with the increase in counseling service offerings, they can’t keep up with the number of students coming in for help. There is typically a weeklong wait for appointments, which can reach two weeks by mid-semester. “We just added seven full-time staff and we’re busier than we’ve ever been. We’re seeing more students,” Schreier says. “But is there less wait for service? No.”

The university has embedded two counselors in dorms since 2016 and is considering adding more after freshmen said it was a helpful service they would not have sought out on their own. Schreier also added six questions about mental health to a freshman survey that the university sends out several weeks into the fall semester. The counseling center follows up with students who might need help based on their responses to questions about how they’d rate their stress level, whether they’ve previously struggled with mental health symptoms that negatively impacted their academics, and whether they’ve ever had symptoms of depression or anxiety. He says early intervention is a priority because mental health is the number one reason why students take formal leave from the university.

As colleges scramble to meet this demand, off-campus clinics are developing innovative, if expensive, treatment programs that offer a personalized support system and teach students to prioritize mental wellbeing in high-pressure academic settings. Dozens of programs now specialize in preparing high school students for college and college students for adulthood, pairing mental health treatment with life skills classes — offering a hint at the treatments that could be used on campus in the future.

When Spigner took a medical leave from the University of Richmond, she enrolled in College Re-Entry, a 14-week program in New York that costs $10,000 and aims to provide a bridge back to college for students who have withdrawn due to mental health issues. She learned note-taking and time management skills in between classes on healthy cooking and fitness, as well as sessions of yoga and meditation.

Mennesson, the former McGill engineering student, is now studying at Westchester Community College in New York with the goal of becoming a math teacher. During his leave from school, he enrolled in a program called Onward Transitions in Portland, Maine that promises to “get 18- to 20-somethings unstuck and living independently” at a cost of over $20,000 for three months, where he learned to manage his anxiety and depression.

Another treatment model can be found at CUCARD in Manhattan, where patients in their teens and early 20s can slip on a virtual reality headset and come face-to-face with a variety of anxiety-inducing simulations — from a professor unwilling to budge on a deadline to a roommate who has littered their dorm room with stacks of empty pizza boxes and piles of dirty clothes. Virtual reality takes the common treatment of exposure therapy a step further by allowing patients to interact with realistic situations and overcome their anxiety. The center charges $150 per group-therapy session for students who enroll in the four-to-six-week college readiness program but hopes to make the virtual reality simulations available in campus counseling centers or on students’ cell phones in the future.

This virtual reality program — developed by Headset Health in partnership with the Columbia University Clinic for Anxiety and Related Disorders — allows students to confront their anxiety in a simulated college scenario.
Courtesy The Headset Health

 

Hashmonay, who has used the virtual reality software at the center, says the scenarios can be challenging to confront, “but the minute it’s over, it’s like, ‘Wow, OK, I can handle this.’ She still goes weekly to therapy at CUCARD, and she briefly enrolled in a Spanish course at Montclair State University in New Jersey in January. But she withdrew after a few classes, deciding to get a job and focus on her health instead of forcing a return to school before she is ready. “I’m trying to live life right now and see where it takes me,” she says.

Back at the University of Richmond for her senior year, Spigner says the attitude toward mental health on campus seems to have changed dramatically since she was a freshman. Back then, she knew no one else in therapy, but most of her friends now regularly visit the counseling center, which has boosted outreach efforts, started offering group therapy and mindfulness sessions, and moved into a more private space. “It’s not weird to hear someone say, ‘I’m going to a counseling appointment,’ anymore,” she says.

She attended an open mic event on Richmond’s campus earlier this semester, where students publicly shared stories and advice about their struggles with mental health. Spigner, who meets weekly with a counselor on campus, has become a resource to many of her friends because she openly discusses her own mental health, encouraging others not to be ashamed to get help.

“I’m kind of the go-to now for it, to be honest,” she says. “They’ll ask me, ‘Do you think I should go see counseling?’” Her answer is always yes.

By Katie Reilly

http://time.com/5190291/anxiety-depression-college-university-students/

Experiencing A Psychotic Break Doesn’t Mean You’re Broken

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Each year, about 100,000 youth and young adults experience psychosis for the first time. They might see or hear things that aren’t there. They may believe things that aren’t true. It’s like “having a nightmare while you’re awake,” describes Elyn Saks, a legal scholar and mental health-policy advocate.

Unfortunately, when someone starts having these frightening experiences, doctors and medical professionals often tell them that their life won’t ever be the same. That they may never get better. That the best-case scenario is a sub-par existence where every goal they have is limited by their mental state.

Saks, for example, was diagnosed with schizophrenia as a young woman after multiple visits to a psychiatric hospital. “My doctors gave me a prognosis of ‘grave.’ That is, at best, I was expected to live in a boarding house and work at menial jobs.”

This narrative is not only exaggerated, but it’s also inaccurate. It’s akin to telling someone who recently went into diabetic shock that their life is pretty much over. Having diabetes does require proper treatment and lifestyle adjustments. It isn’t an easy health condition—nor is any illness—but you can still live a productive life. The same goes for psychosis and the mental health conditions it accompanies.

Understanding Recovery

There are two categories of recovery for mental health conditions that involve psychosis: clinical recovery, which refers to decreasing/eliminating symptoms and the time spent in the hospital, and personal recovery, which is “a unique process rather an end point with key recovery themes including hope, rebuilding self and rebuilding life.” This form of recovery involves personal goals and values that make life fulfilling.

Personal recovery has received more attention in recent research to help combat the myth that you can’t lead a good, fulfilling life with psychosis. Even if a person hasn’t achieved a complete clinical recovery (yet), they can still work towards personal recovery. According to a 2017 study, “We should make efforts to scientifically characterize the conceptual framework of personal recovery, so that users, family members, caregivers, and professionals can understand and contribute to the users’ personal recovery and subjective well-being.”

Clinical recovery takes time. And during that time, life shouldn’t be on hold. While a person is in treatment, they can still work towards theirs goals and do things that make them feel fulfilled. That way, once they leave a treatment program or a hospital visit, they have a foundation to continue building the life they want.

Setting Goals Leads To Better Outcomes

Clinical recovery and personal recovery work together and complement each other. According to NIMH’s research project, Recovery After Initial Schizophrenia Episode, it is essential for people experiencing psychosis to have personal goals that drive their treatment. For example, getting a degree for the career they want or getting involved with a specific cause. Working towards clinical recovery is incredibly hard, and having aspirations for the future helps individuals stay motivated and engaged in their recovery process.

This is why giving someone a “grave prognosis” can be harmful and counter-intuitive: Because people experiencing psychosis have better outcomes when they are focused on achieving future aspirations. That’s hard to do when you’re feeling hopeless about your future.

“Fortunately, I did not actually enact that grave prognosis” states Saks, who refused to accept that the psychosis associated with schizophrenia would define her life. “Instead, I’m a chair professor of law, psychology and psychiatry at the USC Gold School of Law; I have many close friends; and I have a beloved husband.” Saks isn’t an exception to the rule. In fact, many medical experts today believe there is potential for all individuals to recover from psychosis, to some extent.

Experiencing psychosis may feel like a nightmare, but being told your life is over after having your first episode is just as scary. Both personal recovery and clinical recovery are possible—that’s the message we should be spreading to the thousands of young people experiencing episodes of psychosis.

By Laura Greenstein

https://www.nami.org/Blogs/NAMI-Blog/March-2018/Experiencing-a-Psychotic-Break-Doesn-t-Mean-You-re