Multi-modal options for mental health support

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

College students can experience a broad variety of mental health concerns impacted by a variety of factors.

As a result, it is important for students to keep in mind that there are a variety of solutions and supports available.

While individual counseling, group counseling, psychiatry at our agency are good options, it is important for students to consider all of the resources available to them based on their situation/need, timeliness, and availability.

What if I need immediate assistance or if I am in crisis?

If you are in crisis, go here: https://ccs.osu.edu/about-us-and-our-services/need-immediate-assistance/

  • The link above includes info on Crisis text and call options.

What if I need to talk to someone after hours?

Go here: https://ccs.osu.edu/after-hours-services/

What are some other options for mental health support on campus? 

  • OSU SMART LAB. Uses biofeedback to help you identify sources of stress, problem solve ways to reduce stress, and practice relaxation techniques with our biofeedback software
  • Community Provider Database through OSU Counseling and consultation Service.  You can screen and find providers based problem area, specialty, insurance accepted, distance from campus.
  • Call the number on your insurance card, and they can refer you to a mental health provider in network in your area.
  • OSU Wellness coaching:
    • They aim to help you create the life you want to live, both now and in the future by help you create strategies that leverage your strengths to create and achieve meaningful goals.
  • Nutrition coaching They help you optimize your well-being by creating strategies and addressing barriers to holistic wellness.
  • Relationship education. Strategies on how to practice healthy relationships and prevent sexual violence
  • Alcohol and other drug prevention services. Uses a multi-modal approach to help you address these concerns.

What about self help resources?

What if I am not sure of what I need for mental health support?

  • Consider scheduling a phone screening service through OSU Student Life Counseling and Consultation Service. This phone appointment with our providers can help you figure out services that may be best for your needs, either with us or with one of our partner offices on or off campus.

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

Study: Light therapy for S.A.D. may also help with sleep, alertness

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

S.A.D. or Seasonal Affective Disorder, is depression that occurs in a seasonal pattern, most commonly in the winter months, and sometimes it is called “winter depression” (1).

Additional symptoms may include fatigue, weight gain, increased appetite, oversleeping (1) occurring in a seasonal pattern.

SAD may often co-occur with a variety of other mental health conditions.

It can often occur as part of other mood disorders such as depressive disorders, bipolar disorder, etc (2).

What are some Treatment options for S.A.D.? (3)

  • Counseling
  • Medication
  • Vitamin D (5)
  • Light therapy
  • Other helpful strategies for improving depression may include :  nutrition (6 ), exercise (7 ), and being socially active.

A recent study looked at the impact of light therapy on sleep and circadian rhythm.

What was the study?

The study authors (8) identified and reviewed 40 available studies on the subject.

What were the results?

  • The study authors (8) found that while both bright light and SSRi’s helped mood, bright light therapy also helped with sleep wake cycle.
  • Separately (9), an analysis of 3 randomized trials found that dawn simulation ( a type of light therapy delivered in the mornings) helped with mood and reduced difficulty awakening and reduced morning drowsiness (9).

What are some caveats?

While the treatments are beneficial:

  • Light therapy can have side effects (10) such as mania, hyperactivity, irritability, headaches, etc.
  • Other treatment options mentioned above can also have side effects.

For this reason, if you are experiencing a seasonal pattern of depression, please seek the help of a mental health professional to determine IF and how much and what type of treatment may be best for you.

What are some of OSU’s campus resources for S.A.D. ?
•  OSU Office of Student Life- Counseling and Consultation Service
OSU Wilce Student health center

• OSU Student Wellness center (Wellness coaching, nutrition)
• Exercise at the RPAC

Are there any other helpful resources?

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References

  1. http://www.nlm.nih.gov/medlineplus/seasonalaffectivedisorder.html
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association, Arlington, VA 2013.
  3. Lam RW, Levitt AJ (editors). Canadian Consensus Guidelines for the Treatment of Seasonal Affective Disorder. Vancouver, British Columbia, Clinical & Academic Publishing, 1999. http://www.ubcsad.ca/.
  4. American Psychiatric Association. Practice Guideline for the Treatment of Patients with Major Depressive Disorder, Third Edition. October, 2010. http://psychiatryonline.org/guidelines
  5. https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml
  6. http://u.osu.edu/emotionalfitness/2018/06/28/food-choices-to-improve-depression/
  7. http://u.osu.edu/emotionalfitness/2017/10/20/weight-lifting-exercise-and-mental-health/
  8. Menculini G, Verdolini N, Murru A, et. al. Depressive mood and circadian rhythms disturbances as outcomes of seasonal affective disorder treatment: A systematic review. J Affect Disord. 2018 Dec 1;241:608-626. doi: 10.1016/j.jad.2018.08.071. Epub 2018 Aug 15.
  9. Avery DH, Kouri ME, Monaghan K, Bolte MA, Hellekson C, Eder D. Is dawn simulation effective in ameliorating the difficulty awakening in seasonal affective disorder associated with hypersomnia? J Affect Disord. 2002 May;69(1-3):231-6.
  10. https://www.mayoclinic.org/tests-procedures/light-therapy/about/pac-20384604