Question by MacCheese: How to help a HSP in depression?
hi, my gf is a Highly Sensitive Person (HSP). She is going through i believe a deep depression now after she’s undergone the removal of a growth. Since the operation she has been feeling that she is at the junction of her life where she’s lost and not knowing what she wants. Family matters and work are also causing her plenty of stress, and relationship has become a luxury that she couldn’t afford or handle..she often tells me that she’s at the edge of breaking down, and feels that she has got no more energy to put any effort into our relationship. I keep telling her it’s ok, i’m here to support her and i’m not expecting anything from her. Being a HSP, she needs a lot of solutitude time and she hasn’t been getting enough of that..She is feeling not right about her body and the fear of going through the operation is affecting her tremendously…she loves me yet touching her has become a torture for her as if i’m just some guys out there..those are her words..I’ve tried supporting h

Best answer:

Answer by Sacha R
It’s a fairly common effect of depression, in females. My standard post follows: See depression treatments, at http://www.ezy-build.net.nz/~shaneris in section 2, and consult a doctor, to eliminate thyroid problems, etc. as possible contributing factors: also seek a referral to a therapist using Cognitive Behavioural Therapy, or Rational Emotive Behavioural Therapy. It is your decision, and yours alone, as to whether to take any antidepressants offered, but, before you do, read section 1, and check medications out at www.drugs.com so you will be on the lookout for side effects, like sexual dysfunction. My strong recommendation, however, is to follow the advice of my doctor, his partner, and also Marcelle Pick, OB/GYN NP, and Dr. Mercola, as well, at http://www.mercola.com and avoid antidepressants (page 2V refers, & antidepressant websites: page 2). All of their advice, (except prayer, because many people are not religious) I have incorporated into the “core treatments”, including others as options, such as herbal remedies. If you are diagnosed with clinical (major) depression, antidepressants may be necessary for a while, which will give the treatments time to become effective. The antidepressants themselves need at least several days, or even many weeks to become effective. It’s a good idea to taper off them slowly, with medical advice, after several months, say, to a couple of years, at most, because they are only effective in the long term for about 30% of people. Because of this, you would be well advised to begin the treatments immediately, and maintain them. I’d just thank your mental health care provider, and pocket the prescription, trying the treatments for a few months, to see if they are sufficient for you, before considering filling it (unless clinically depressed, and having great difficulty functioning, in which case I’d take them). Stress is addressed on page 42. Print/refer her. Talk to her family, telling them that she really needs their support right now, or big problems lie ahead for both her, and them. Can you contact her workplace, and ask that they ease off with her for a several weeks, if they value her, and want to keep her, as she recovers, or would she not want that, and consider it inappropriate?

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Question by Evan: I NEED TO KNOW THE MONEY SPENT ON ALCOHOL REHABS YEARLY. RECENT AND RELIABLE PLZ.?
RECENT AND RELIABLE PLZ.

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Answer by raysny
The most recent I could find for the US has the figures for 1997:

“A study shows that the U.S. spent a combined $ 11.9 billion on alcohol and drug abuse treatment, while the total social costs were more than $ 294 billion. The results were part of the National Estimates of Expenditures for Substance Abuse Treatment, 1997, which was released at the end of April by the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment.

The report, prepared by the MEDSTAT Group for SAMHSA, examines how much is spent in the U.S. to treat alcohol and drug abuse, how that spending has changed between 1987 and 1997, how much of the spending is done by the private and public sectors, and how substance abuse expenditures compare to spending for mental health and other health conditions in the U.S.”
http://www.usmedicine.com/newsDetails.cfm?dailyID=54

In NY:
“States report spending $ 2.5 billion a year on treatment. States did not distinguish whether the treatment was for alcohol, illicit drug abuse or nicotine addiction. Of the $ 2.5 billion total, $ 695 million is spent through the departments of health and $ 633 million through the state substance abuse agencies. We believe that virtually all of these funds are spent on alcohol and illegal drug treatment.”
Source: National Center on Addiction and Substance Abuse at Columbia University, Shoveling Up: The Impact of Substance Abuse on State Budgets (New York, NY: CASA, Jan. 2001), p. 24.

States Waste Billions Dealing with Consequences of Addiction, CASA Study Says
May 28, 2009

The vast majority of the estimated $ 467.7 billion in substance-abuse related spending by governments on substance-abuse problems went to deal with the consequences of alcohol, tobacco and other drug use, not treatment and prevention, according to a new report from the National Center on Addiction and Substance Abuse (CASA) at Columbia University.

The report, titled, “Shoveling Up II: The Impact of Substance Abuse on Federal, State and Local Budgets,” found that 95 percent of the $ 373.9 billion spent by the federal government and states went to paying for the societal and personal damage caused by alcohol and other drug use; the calculation included crime, health care costs, child abuse, domestic violence, homelessness and other consequences of tobacco, alcohol and illegal and prescription drug abuse and addiction.

Just 1.9 percent went to treatment and prevention, while 0.4 percent was spent on research, 1.4 percent went towards taxation and regulation, and 0.7 percent went to interdiction.

“Such upside-down-cake public policy is unconscionable,” said Joseph A. Califano, Jr., CASA’s founder and chairman. “It’s past time for this fiscal and human waste to end.”

CASA estimated that the federal government spent $ 238.2 billion on substance-abuse related issues in 2005, while states spent $ 135.8 billion and local governments spent $ 93.8 billion. The report said that 58 percent of spending was for health care and 13.1 percent on justice systems.

Researchers estimated that 11.2 percent of all federal and state government spending went towards alcohol, tobacco and other drug abuse and addictions and its consequences. The report said that Connecticut spent the most proportionately on prevention, treatment and research — $ 10.39 of every $ 100 spent on addiction issues — while New Hampshire spent the least — 22 cents.
http://www.jointogether.org/news/headlines/inthenews/2009/states-waste-billions-dealing.html

Key Findings

Of the $ 3.3 trillion total federal and state government spending, $ 373.9 billion –11.2 percent, more than one of every ten dollars– was spent on tobacco, alcohol and illegal and prescription drug abuse and addiction and its consequences.

The federal government spent $ 238.2 billion (9.6 percent of its budget) on substance abuse and addiction. If substance abuse and addiction were its own budget category at the federal level, it would rank sixth, behind social security, national defense, income security, Medicare and other health programs including the federal share of Medicaid.

State governments spent $ 135.8 billion (15.7 percent of their budgets) to deal with substance abuse and addiction, up from 13.3 percent in 1998. If substance abuse and addiction were its own state budget category, it would rank second behind spending on elementary and secondary education.

Local governments spent $ 93.8 billion on substance abuse and addiction (9 percent of their budgets), outstripping local spending for transportation and public welfare.¹

For every $ 100 spent by state governments on substance abuse and addiction, the average spent on prevention, treatment and research was $ 2.38; Connecticut spent the most, $ 10.39; New Hampshire spent the least, $ 0.22.

For every dollar the federal and state governments spent on prevention and treatment, they spent $ 59.83 shoveling up the consequences, despite a growing

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