The Sentinel: Depression

When it happens, mothers in Illinois have quality options to address postpartum disorder

by Terri Dee
Illinois News Connection

CHICAGO - A new baby should bring a time of happiness for a family but what is frequently dismissed as the "baby blues" is a mental health condition called postpartum depression.

Uncontrollable crying, an inability to complete daily tasks, insomnia, oversleeping and low energy are common symptoms mothers experience and can last for weeks. In severe cases, thoughts of harming themselves, other people or their newborn may occur.

Dr. Robin Drake OB/GYN at Rush University Medical Center in Chicago, said a strong support system can help but in some cases, it is ineffective.

"Asking for people to maybe help care for the baby so they have more time for a little bit of self-care," Drake recommended. "Having more time for rest, even showering, just getting a good meal in afterwards, are things that can be really helpful for mood but for many people, that's just not enough."

Drake suggested reaching out to a health care provider or psychotherapist for an assessment to rule out the existence of any other major health conditions or undiagnosed mental health concerns such as bipolar disorder. In 2019, House Bill 3511 was enacted to require the Illinois Department of Public Health to partner with the state's American Academy of Pediatrics to urge physicians to conduct postpartum mental health screenings at well-baby visits.

Extreme cases of postpartum depression lasting for weeks or even months may need medication to alleviate the symptoms. In 2019, the first medicines were formed but one drawback was a required brief hospital stay to help the treatment take effect.

Dr. Donna O'Shea, OB/GYN and chief medical officer for population health at UnitedHealthcare, described one drug which has produced better results in less time.

"This year, Xerove is an option that is in pill form that's taken daily for two weeks and can make a difference in three days," O'Shea explained. "There are many available treatments and paths a woman can go, depending on the severity of her symptoms."

O'Shea added most employers, with guidance from their health care providers, have an employee assistance program, which permits a worker to speak privately with a trained health professional at no cost. Other options include virtual behavioral health coaching or joining a women's postpartum discussion group.

The Illinois Department of Public Health reported in 2019, one in 10 women reported feelings of depression before, during and after her pregnancy.

The National Maternal Mental Health Hotline is available 24/7 at 1-833-TLC-MAMA (1-833-652-6262).

Keywords: Postpartum depression symptoms, Postpartum mental health treatment, Postpartum depression support resources Illinois postpartum depression screenings, Xerove postpartum depression medication, National Maternal Mental Health Hotline

ADHD in adults, online quizzes may spread misconceptions and mis-self-diagnosis

by Matt Sheehan
OSF Healthcare

We see depression leads to difficulty with concentration

PEORIA - If you spend time on social media, chances are you’ve seen an ad asking, “Do you have ADHD?”

The ads lead to a self-diagnosing quiz and often provides viewers with misconceptions about attention deficit hyperactivity disorder (ADHD), before they ever see a medical provider.

That’s where Kyle Boerke, PsyD, director of Behavioral Health Outpatient Services for OSF HealthCare, hopes to provide clarity.

ADHD starts in childhood, not in adulthood

“Are adults being diagnosed with ADHD? Absolutely, yes. Is it that they are developing ADHD in adulthood, that’s a no. We know enough about the research, that in order to receive a diagnosis of ADHD, we have to have symptoms starting in childhood. Somewhere near 7 years of age,” Dr. Boerke says.

If you’re having symptoms as an adult that appear to be ADHD, such as lack of focus, inability to sit still, fidgeting, or excessive talking, but you didn’t have these symptoms as a child, Dr. Boerke says you may be experiencing something else.

“We see depression leads to difficulty with concentration,” Dr. Boerke says. “Something inside of them will ring true (if they have ADHD), like if they always struggled with paying attention to their teacher in elementary school.”

What to do about an ADHD diagnosis?

“The easy answer is, we need to seek treatment from a professional,” Dr. Boerke says. “If you have thoughts that you’ve had ADHD symptoms for a long time and you take one of those online quizzes, that’s fine, that can be a starting point.” But he stresses, “I wouldn’t take that quiz and all of a sudden say ‘I have ADHD.’ A great place to start is with your primary care physician.”

Dr. Boerke adds that there’s no official test for ADHD. It’s a whole set of symptoms that include how it’s impacting your daily functioning and for how long.

There are three types of ADHD

1: Predominantly Inattentive

“They’re not going to be jumping all over the place, moving from activity to activity,” Dr. Boerke says. “It’s just going to be some hard times focusing, concentrating or finishing a task because your mind gets switched over to a different task all of a sudden.”

2: Predominantly Impulsive/Hyperactive

“These are the kids that just can’t sit still. They’re up out of their seats in the classroom, and this is really where ADHD in children to adults’ changes,” Dr. Boerke explains. “As we age, we do a better job managing the motoric end of things. It’s not uncommon to see kids have a hard time sitting still, it’s more uncommon to see somebody in a business meeting get up and walk around the room.”

3: Combined Presentation

Dr. Boerke describes the third type this way: “You have inattention, plus you have hyperactivity and impulsivity,” Dr. Boerke says.

Do I need to take medicine if I have ADHD?

Dr. Boerke says medicine alone isn’t the answer.

“The analogy I’ll use is Bear Grylls from Man vs. Wild. He’s an adventurer on a TV show where he goes out into the wild and he has to survive for a number of days,” Dr. Boerke says. “I liken ADHD to being on a Bear Grylls survivor show. He can do it. ADHD management without medication is like Bear gets dropped in the middle of the Florida Everglades and he has to trudge through the swamps, battle the alligators, get past the snakes and manage to get out. Can he do it? Yes, he does. Is it easy? It sure isn’t.”

Dr. Boerke says ADHD medication is as if Bear Grylls was in the Florida Everglades and producers drop him a rescue boat.

“But the reality is, he still has to get himself into the airboat. He has to start it, steer it, and do the work. It’s just easier to do the work,” Dr. Boerke adds. “Medication is not the fix. It can help, but if you don’t change your lifestyle, put in some organizational tools and do the things necessary, we’re still not going to get better and you’re going to rely on the medication.”

If you’re an adult and think you have ADHD, Dr. Boerke says seeking medical attention by a professional is the best first step. Then, your medical provider will help map out a plan moving forward. This can include ADHD medication and working to keep a strict routine to help you manage any ADHD symptoms.

Sing your way to better health

Some research has shown that singing can boost immunity. Other research has found singing can help stave off moderate dementia. OSF doctor Alina Paul suggests it is possible to sing your way to better health.

Bernd Everding/Pixabay

by Tim Ditman
OSF Healthcare

CHAMPAIGN - Alina Paul, MD, has been singing for as long as she can remember. She added guitar while in boarding school in India.

Alina Paul, MD

Fast forward to 2023, and the family medicine physician at OSF HealthCare finds herself singing for patients who request it to brighten their day.

“It has changed the way I treat patients,” Dr. Paul says with conviction. “Singing and playing guitar is medicine. It’s medicine for the soul.”

Hearing those tunes is not just a temporary respite for the person in for a checkup. Dr. Paul says research has shown singing can have long-term health benefits.

The benefits

· Pain levels, physical and mental, can decrease. For people suffering from anxiety and depression, singing can increase the level of endorphins, the “feel-good hormone,” as Dr. Paul puts it. This brings them out of a dreary mood.

· Some research has shown that singing can boost immunity by increasing the level of the antibody immunoglobulin A. This antibody helps fight respiratory and other infections, Dr. Paul says.

· It helps your lungs perform better.

“We’re using our lungs to sing. We take deep breaths. Certain movements of the chest wall help with lung function,” says Dr. Paul.

· Other research has found singing can help stave off moderate dementia, Dr. Paul says.

“That’s amazing,” she says.

“We see a lot of patients with dementia. When you incorporate singing or even sing to them, their memory seems to improve. They’re happier,” Dr. Paul adds.

· Dr. Paul says singing can increase oxytocin, the so-called “love hormone.” This can help with social bonding and a sense of belonging.

· Singing can also improve public speaking skills, especially if you sing in front of others. Simply put, the more you use your voice, the more comfortable you are with it.

Keep your well-being in mind

Dr. Paul says there are some obvious, but important health matters to keep in mind if you pick up singing.

· If singing causes your lungs or throat to hurt, take a break. If minor symptoms persist, go to an urgent care. For things like difficulty breathing, chest pain or loss of consciousness, call 9-1-1.

· If you are sick, don’t sing – or do much else – around others. When we say words, our mouth spews microparticles that can carry diseases. And when you’re sick, you should be resting and recovering.

· Be kind to your neighbors, like in an apartment building. Don’t sing loudly at all hours.

How do I start?

Don’t feel like you have to run out and join a choir, Dr. Paul says. And don’t worry if your vocal skills aren’t Grammy worthy.

“Don’t take it as an exercise. Don’t do it because you have to. Do it because you want to do it,” Dr. Paul advises.

Try singing while in the car or shower. Do karaoke with friends. You don’t even need music. Try belting out your favorite song acapella while cleaning the house. Dr. Paul says closing your eyes can help focus the activity.

“Anybody can sing. Make a point to sing. It’s like meditation. It’s very beneficial,” Dr. Paul says.

Guest Commentary: Give the gift of mercy and forgiveness this Christmas

by Glenn Mollette, Guest Commentator

This Christmas give somebody the gift of mercy and forgiveness. Be broad with your giving and generous. We all need a lot of both. For such a joyful holiday of cheer, giving and yuletide merriment there is much to be stressed about.

Typically, people have been stressed about all the holiday parties, gatherings and Christmas scheduling. This year there is more stress related to sickness, masks, vaccinations, Omicron, natural disasters, filled hospitals, massive numbers of funerals and inflation. The last couple of Christmases have not been life as usual for most of us.

You may have watched Chevy Chase in National Lampoon's Christmas Vacation. He becomes over the top stressed out when his Christmas lights won’t work and he literally kicks, stomps and curses a blue streak across his yard. It's a funny scene. Mostly because in some way we've all been there a time or two.

Most of us enjoy giving if we can. We enjoy giving to the people we love. Christmas trees, decorating, eating and gatherings are all a part of the season. However, we become frustrated when we lose sight of the big picture. The big picture includes looking around and beyond our Christmas pain.

Millions of people would simply be thrilled to have the problems that some of us have. Many people are in the nursing home and will never go to the mall again. Some have a terminal disease and this may be their last Christmas. Depression will weigh heavy on many who have lost their homes, buried loved ones or experienced financial devastation from medical care or natural disasters. Most of these people would love to have a house to decorate or gifts to buy for a loved one.

Celebrate Christmas this year. Give away some special gifts. Give gifts that money can't buy or time cannot fade. Give love, give forgiveness and give some mercy. Extend these generously to yourself. If you can't give them to yourself it's impossible to give them to others.

The little baby that Christmas celebrates became a man and taught people that we should love God and love others as we love ourselves. Herein is part of the rub. Too often people stop loving themselves. Life becomes imperfect, we fail, get hurt or mad and we kick Santa or the reindeer across the yard. Unfortunately, we don’t stop there. We go into Ebenezer Scrooge bah humbug mode. We don't get our groove back and miss out on some of Christmas' most wonderful characteristics- mercy and forgiveness.

The Christmas story is about a child who came to show us the way. He showed us how to love, forgive and be merciful. Some of the people in your life probably need it more than you know. Give generously and start with yourself.

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Dr. Glenn Mollette is a syndicated American columnist and author of American Issues, Every American Has An Opinion and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.

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This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.

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Guest Commentary: Keep away the Christmas Blues

By Glenn Mollette, Guest Commentator

I love Elvis' song Blue Christmas, but I don't want to have one. In the best of times holiday blues strike most people. Now is the time to develop your plan for avoiding a blue holiday season and having a merry holiday one.

If you are missing a significant person in your life the blues are inevitable. You miss them sitting at your table. You miss them coming in your home. You are reminded of how much that person meant to you. Holiday shows don't often help. While some are festive, they often remind us of the voids we have in our lives. We don't always enjoy songs like I'll be home for Christmas because we know that often home is a past memory. Being reminded of the past is not always warm and fuzzy.

Social isolation will only make this year tougher. The best in life are the friends, family and positive relationships we have. Talking on the telephone, video chats, and good human relationship connections are important for your spirit.

Churches, groups, fraternal organizations and et cetera need to think about reaching out to people this season. Real, actual communication is the key. People don't need more Robocalls, more Facebook videos or mail to read. People need real human interaction and this may be the toughest December in our modern history to have this.

Sunday school classes, senior adult organizations, school organizations, classes, teams, should coordinate efforts to reach out to each other and to others. Letting others know you are thinking about them with positive reinforcement will be critical this holiday season.

Suicides occurs much too often during the holiday season. With Covid-19, unemployment and so many issues facing our planet, the environment for an upsurge of suicide is ripe. People can be saved from this by us all helping each other.

Make a holiday telephone list of people you are going to call often between now and January 1. You may call them every week. Or, it may be someone who needs a call every two or three days. Keep the calls brief. Often five or ten minutes will be a boost to someone. If you text message or video chat then commit to connecting with others with occasional chats and brief hellos.

One of the ways to boost your spirit is to be helpful. Who can you help this holiday? How can you help your local school? How can you help someone who is hurting more than you? How can you help a local human aid group or senior citizen's group?

You may know people who have lost loved ones. If you do, it helps to talk to others and say, "I know how you feel and what you are going through." There are people all around who may not be suffering as much as you. When you take your mind off yourself to help someone else, then you will find your load will be a little lighter and your spirit brighter.

The blues may sneak up on us this season. However, begin making your game plan now for overcoming and moving beyond them.

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This article is the sole opinions of the author and does not necessarily reflect the views of PhotoNews Media. We welcome comments and views from our readers.

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