Perimenopause

Perimenopause is the transitional period before menopause. During this time, a woman’s body is preparing to stop having periods.   

During this transition, the number of hormones a woman’s ovaries produce varies. Perimenopause can last two to eight years. The average is about four years. The hormone changes can cause symptoms that include: 

  • Irregular periods 
  • Vaginal dryness 
  • Hot flashes 
  • Night sweats 
  • Sleep problems 
  • Mood changes 
  • Trouble finding words and remembering, also known as brain fog 
  • Dry skin, dry eyes, dry mouth 
  • Worsening premenstrual syndrome (PMS) 
  • Breast tenderness 
  • Decreasing fertility 
  • Changes in sexual function 
  • Loss of bone 
  • Changing cholesterol levels 

Perimenopause is caused by changes in two key female hormones: estrogen and progesterone. As a woman goes through perimenopause, these hormones fluctuate, and many of the changes they have during perimenopause are caused by lower estrogen. 

Menopause can happen earlier in some women than in others, like before the age of 40, or between the ages of 40 and 45. Certain factors may make it more likely for perimenopause to start at an earlier age, such as: 

  • Smoking 
  • Family history 
  • Cancer treatment 
  • Hysterectomy 

Some health conditions may make early menopause more likely, such as: 

  • Thyroid disease 
  • Rheumatoid arthritis 
  • Other autoimmune diseases 

Perimenopause is a gradual change, and there is no single test or symptom that tells it has started. A healthcare provider looks at many things to diagnose perimenopause, including: 

  • Age 
  • Menstrual history 
  • Noticeable symptoms or body changes  

Some healthcare providers may order tests to check hormone levels. However, other than checking the thyroid, which affects hormone levels, hormone testing isn’t usually helpful to know if a woman is in perimenopause. That is because hormone levels in perimenopause change unpredictably.  

The treatment for perimenopause usually consists of medicines that treat perimenopausal symptoms, such as: 

  • Hormone therapy 
  • Vaginal estrogen 
  • Antidepressants 
  • Gabapentin 
  • Fezolinetant 
  • Oxybutynin 
  • Birth control pills 

If you are experiencing symptoms of perimenopause, call  (718) 670 8994 for more information about gynecological services at FHMC’s Center for Obstetrics and Gynecology. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

High-Functioning Depression

Depression is a common mental health condition that causes a persistent feeling of sadness and loss of interest, and changes how you think, sleep, eat, and act.

There are several types of depression, including:

  • Clinical depression (major depressive disorder)
  • Persistent depressive disorder (PDD)
  • Disruptive mood dysregulation disorder (DMDD)
  • Premenstrual dysphoric disorder (PMDD)

There are also specific forms of major depressive disorder, including:

  • Seasonal affective disorder (seasonal depression)
  • Prenatal depression and postpartum depression
  • Atypical depression

People with depression often can’t always keep up with the demands of day-to-day life, whether it is keeping a steady job, having significant relationships and friendships, or keeping the house tidy. Their depression can make every task feel daunting.

However, that isn’t always the case. Some people can experience depression in a way that doesn’t appear disruptive from the outside, but it still causes a major disruption inside. This is called high-functioning depression.

Although it isn’t a formal medical diagnosis, high-functioning depression is a helpful way to describe how some people who are living with the symptoms of depression manage to keep up a moderately stable life.

A person with high-functioning depression may have the same symptoms as a person with clinical or major depressive disorder. These symptoms include:

  • Feeling sad, helpless, or hopeless
  • Becoming disinterested in things that used to bring them joy
  • Changes in eating habits, like eating too much or too little
  • Trouble sleeping or sleeping too much
  • Difficulty concentrating
  • Negative thoughts about themselves and others

Unfortunately, some people may feel that they need to hide these depressive symptoms from others because:

  • They might have come from a family or culture that teaches people not to talk about mental illness
  • They think they will feel better by powering through on their own
  • They’re trying to avoid any impact on their job and relationships, hoping the depression lifts
  • They are someone who isn’t comfortable showing vulnerability or perceived weakness
  • They think having depression is something to be ashamed of
  • They feel that their life will fall apart and people will abandon them if they find out about their depression

More women than men are diagnosed with depression, but this may be because women are more likely to seek treatment.

A healthcare provider may determine a diagnosis of depression based on:

  • A physical exam
  • Lab tests
  • A psychiatric evaluation
  • DSM-5

Unfortunately, high-functioning depression can be difficult to recognize. Even though a person may appear to be high functioning, they still should get treatment for their depression. Treatments for depression may include:

  • Therapies such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques
  • Medications
  • Support groups

To learn more about the mental health services at Flushing Hospital Medical Center, or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Exercising Outdoors

Spring has arrived, and the weather is starting to warm up. This means we can spend more time exercising outdoors rather than at the gym or at home.  

Outdoor exercise is a great way to work out. It offers many benefits to our physical and mental health, such as: 

  • Reducing stress and anxiety 
  • Improving sleep 
  • Boosting vitamin D levels 
  • Boosting self-esteem 
  • Improving memory 
  • Lowering chronic disease risk 

Here are tips that can keep you safe while exercising outdoors: 

  • Drink plenty of water and avoid caffeine and alcohol 
  • Wear clothes that let the air circulate and moisture evaporate 
  • Stay sun safe by wearing sunscreen, sunglasses, and a hat 
  • Know the signs of heat-related illnesses 
  • Wear proper footwear for the activity you are engaging in 

If you experience medical problems while exercising, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Alcohol Awareness Month

April is Alcohol Awareness Month. It is an opportunity to raise awareness and understanding of alcohol use and misuse, and its impact on health. 

Alcohol-related problems continue to take a heavy toll on individuals, families, and communities. Researchers estimate that each year there are more than 178,000 alcohol-related deaths, making alcohol a leading preventable cause of death in the United States. In addition, more than 200 diseases and injury-related conditions are associated with alcohol misuse. 

The National Council on Alcoholism and Drug Dependence (NCADD) started the Alcohol Awareness Month program in 1987. The program targets teenagers and college-aged youth, aiming to educate them on the dangers of heavy drinking and other harmful behaviors that can be common during these years. 

Binge drinking and heavy drinking are two patterns of excessive alcohol use. The Centers for Disease Control and Prevention (CDC) defines binge drinking as consuming four or more drinks for women and five or more for men on a single occasion. Heavy drinking is defined as consuming eight or more drinks per week for women and 15 or more drinks per week for men. 

There are several ways to support Alcohol Awareness Month, including: 

  • Wear a red ribbon 
  • Participate in an alcohol-free 72 hours 
  • Host dry parties 
  • Talk with kids and teens about alcohol 
  • Talk with friends and family about alcohol 
  • Reflect on your relationship with alcohol 

Alcohol Awareness Month’s primary goal is to increase public awareness and education about alcohol and alcohol use disorder (AUD), formerly known as “alcoholism”. 

If you or a loved one needs expert detox services, you can take the first step toward recovery by calling Flushing Hospital Medical Center’s Addiction Services at 718-670-5693.  

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

A.I. Therapy

During the COVID-19 pandemic, access to healthcare services through telehealth and telemedicine was implemented to help limit the spread of the virus. It was also used for those who were using mental health services, as that time was very lonely and isolated for many people.  

A 2020 review published in BMC Public Health concluded that telehealth improved the delivery of healthcare during the pandemic, minimizing COVID-19 transmission and potentially reducing morbidity and deaths. 

Telehealth is a way to receive healthcare services remotely through electronic devices such as a computer, tablet, or smartphone. These telehealth services can come in various forms, including: 

  • Live video or audio appointments 
  • Secured text messaging with a healthcare provider 
  • Remote devices that allow a healthcare provider to track blood sugar 

Today, many people use telehealth to get support for any mental health challenges they may be experiencing. Unfortunately, obtaining professional mental health support can be challenging as there is a shortage of mental healthcare providers. There is also the daunting task of searching for and finding the right one. This has caused many people to turn to A.I. therapy.  

A.I. therapy uses artificial intelligence to support mental health through chatbots, digital therapy apps, and A.I.-driven counseling tools.  

Many American adults, 22% in fact, have found some relief by using mental health chatbots as a therapeutic tool.  

There are many possible reasons why people are turning to A.I. therapy as a viable option to address their mental health, including: 

  • Accessibility 
  • Affordability 
  • Anonymity 

There are many A.I. therapy platforms. They include: 

  • CBT-focused chatbots that use meditation and cognitive behavioral therapy (CBT) techniques that offer personalized recommendations and crisis support 
  • Skill-building apps that teach CBT skills, provide personalized recommendations, and collect user data to improve the experience 
  • Self-guided wellness platforms that combine A.I. chatbots with emotion tracking, journaling, and self-directed therapeutic exercises 
  • Mood tracking apps that allow users to track their moods and symptoms, while sometimes receiving self-care recommendations 
  • Conversational A.I. companions that provide daily support through advanced A.I. and adapt to the user’s needs. It is typically aimed at mild anxiety or overthinking, with CBT-focused conversations 

A.I. can be a promising tool for enhancing mental healthcare, but it can’t replace personalized mental healthcare.  

Although A.I. therapy can’t replace human therapists, it could be a helpful supplement for those who may need additional support, along with therapy.  

There are several reasons why A.I. therapy might be helpful, including: 

  • 24/7 availability due to A.I. chatbots being able to provide additional support outside of therapy sessions and holidays 
  • Affordability of A.I. therapy provides a low-cost way to get support outside of sessions 
  • Discretion of A.I. therapy helping people explore mental health support in a low- pressure, judgment-free way 

While A.I. therapy may have some benefits for those seeking support with their mental health, it also poses several potential risks, including: 

  • It can cause A.I.-induced psychosis 
  • It can give unsafe advice and misinformation 
  • It engages in sycophantic behavior by validating a user’s emotions, which can be dangerous if they have suicidal ideation, delusions, mania, or hallucinations 
  • There is a lack of human connection and empathy: A user might take a self-assessment without human input that can lead to false reassurance or dangerous delays in getting help. A.I. can miss nonverbal cues, and a user may take its output as definitive 

A.I. therapy can offer those who are seeking support with their mental health a convenient way to do so. However, effective mental healthcare should be safe and provided by trained, human mental health professionals.  

If you or a loved one needs the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Blood Test for Alzheimer’s Disease

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. 

In May of 2025, the U.S. Food and Drug Administration (FDA) approved the Lumipulse test, the first blood test to help diagnose Alzheimer’s disease.  

The Lumipulse test utilizes a blood sample to measure specific proteins, including a particular form of the tau protein. The tau protein is a protein found in neurons that stabilizes hollow rods called microtubules, which guide the transport of nutrients, signals, and other essential molecules throughout the cell. The tau protein can indicate the presence of amyloid plaques in the brain. An amyloid plaque is a buildup of protein that is considered a hallmark sign of Alzheimer’s disease.  

The Lumipulse test, along with other diagnostic tools such as a PET scan, can aid in the diagnosis of Alzheimer’s disease.  

Although this blood test can detect changes before any memory issues occur, it is recommended that it be used clinically in those who are showing symptoms of Alzheimer’s disease.  

The test is approved for adults 50 years of age and older who are having early memory or thinking problems, such as repeating questions, forgetting names, or misplacing things.  

The test is not recommended for those with no symptoms of Alzheimer’s disease. 

It is important to note that if you can take the Lumipulse test and receive a positive result, it means that there are changes in your brain that may suggest you have Alzheimer’s. However, these results by themselves do not mean that you have Alzheimer’s disease.  

You should consult with your healthcare provider to help further determine if you have Alzheimer’s disease. They may: 

  • Recommend more tests, such as imaging tests or cognitive tests 
  • Suggest lifestyle changes that help support your brain health 
  • Help you plan next steps, such as treatment options or clinical trials 

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Seasonal Affective Disorder

Seasonal affective disorder (SAD), also known as seasonal depression, is a type of depression that is triggered by the change of seasons. It usually starts in late fall or early winter and goes away in spring and summer. This is called winter-pattern SAD or winter depression. 

Seasonal affective disorder affects about 5% of adults in the U.S. It tends to start in young adulthood (usually between the ages of 18 and 30).

The American Psychiatric Association classifies SAD as major depressive disorder with seasonal patterns and can cause a person to experience mood changes and symptoms of depression. Symptoms of depression can include: 

  • A persistent mood of sadness, anxiousness, or emptiness most of the day, nearly every day for at least weeks 
  • Feelings of hopelessness or negativity 
  • Feelings of irritability, frustration, or restlessness 
  • Feelings of guilt, worthlessness, or helplessness 
  • A loss of interest or pleasure in favorite hobbies and activities 
  • Fatigue, decreased energy, or a slowed down feeling 
  • Difficulty concentrating, remembering, or making decisions 
  • Changes in sleep, appetite, or unplanned weigh changes 
  • Physical aches or pains, headaches, cramps, or digestive problems that have an unknown cause and don’t go away with treatment 
  • Thoughts of death, suicide, or suicide attempts 

Winter-pattern seasonal affective disorder can cause additional symptoms, including: 

  • Oversleeping 
  • Overeating, with cravings for carbohydrates, which can lead to weight gain 
  • Social withdrawal 

Although it is rare, people can experience summer-pattern SAD, or summer depression, which starts in the late spring or early summer and ends in the fall. Symptoms for summer-pattern SAD include: 

  • Insomnia 
  • Anxiety 
  • A poor appetite that leads to weight loss 
  • Restlessness and agitation 
  • Aggressive or violent behavior 

Unfortunately, researchers are unsure of what causes seasonal affective disorder. However, studies indicate that people with SAD, especially winter-pattern SAD, have reduced levels of serotonin, the brain chemical that helps regulate mood. According to the National Institute of Mental Health, there is research that also suggests that sunlight affects levels of molecules that help maintain normal serotonin levels. Shorter daylight hours may prevent these molecules from functioning properly, which can contribute to a decrease in serotonin levels in the winter.  

A vitamin D deficiency may worsen problems associated with winter-pattern SAD because vitamin D is believed to promote serotonin activity. Vitamin D can be consumed in food and can also be produced by the body when the skin is exposed to sunlight. With less daylight in the winter, people with SAD may have lower levels of vitamin D, which further reduces serotonin activity.  

In addition to lower vitamin D levels, there are other studies that suggest that both forms of SAD relate to altered levels of melatonin, the hormone that is key for maintaining the normal sleep/wake cycle. People who have winter-pattern SAD can produce too much melatonin, which can increase sleepiness and lead to oversleeping. 

It is important to note that you shouldn’t try to diagnose yourself if you are experiencing symptoms of SAD. See a healthcare provider to be properly evaluated as you may be suffering from depression for another reason. A healthcare provider may refer you to a psychiatrist or psychologist who will assess your pattern of symptoms and determine if you have seasonal depression or another mood disorder. 

Although there isn’t a blood test or scan to diagnose seasonal depression, a healthcare provider may recommend testing to rule out other conditions that cause similar symptoms, including testing your thyroid to make sure that it is functioning properly.  

There are several treatment options for SAD, including: 

  • Light therapy 
  • Cognitive behavioral therapy (CBT) 
  • Antidepressant medication 
  • Spending time outdoors 
  • Vitamin D supplements 

If you or someone you know is struggling or having thoughts of suicide, call or text the 988 Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org. In life-threatening situations, call 911 

To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Dry January?

New Year’s has come and gone, and we are all trying to stick to the resolutions we made. For some, a common resolution is giving up alcohol.  

Heavy social drinking can often be considered binge drinking. Binge drinking is when a man drinks five or more drinks and a woman drinks four or more drinks in one sitting.  

This is why many people commit to Dry January, which is when a person gives up drinking alcohol for the entire month.  

Dry January has become a very popular New Year’s resolution over the past few years. Recent research indicates that younger Americans are generally drinking less than previous generations. According to a poll released last summer, conducted by the analytics company Gallup, the percentage of Americans who said they drink fell to a record low of 54%. This is one percentage point lower than the previous record low in 1958. 

There are several health benefits to participating in Dry January, including: 

  • Increased energy levels 
  • Lower blood pressure and heart rate 
  • A decrease in liver inflammation 
  • Clearer skin and decreased facial puffiness and bloating 
  • A decrease in calorie consumption 
  • It helps shift your perspective and understanding of your relationship with alcohol 

There are many tips to help you succeed during Dry January, including: 

  • Reduce your alcohol consumption by half before you start 
  • Write down the goals you want to achieve and document your progress 
  • Abstain from drinking alcohol longer if you can  
  • Ease back into drinking alcohol if you choose to go back to drinking, and drink in moderation 
  • Surround yourself with supportive friends and family 
  • Be mindful of withdrawal symptoms. Symptoms of withdrawal include: 
    • Abdominal cramping 
    • Anxiety 
    • Dizziness 
    • Headaches 
    • Nausea 
    • Shaking 
    • Sweating  
    • Vomiting  
  • Avoid any situations that may tempt you to drink 
  • Participate in hobbies and other interests that don’t involve drinking alcohol 
  • Seek out extra help and resources if you need them 

At Flushing Hospital Medical Center, our Psychiatry Department features a Division of Addiction Services where you or your loved one can receive comprehensive assessments and treatment for alcohol and chemical dependency. For more details about our unit, contact us at (718) 670-5693 or (718) 670-5540, or for additional information about our Reflections treatment program, please get in touch with us at (718) 670-5078. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Marijuana Addiction

Marijuana addiction, or cannabis use disorder (CUD), is a complex mental health condition that involves a problematic pattern of cannabis use.   

Cannabis refers to all products that come from the Cannabis sativa plant. This includes its dried flowers, leaves, stems, and seeds. The plant itself contains over 500 chemical substances. 

Cannabis use disorder mainly involves THC-containing substances, such as marijuana.  

Marijuana is part of, or products from, the Cannabis sativa plant that contain substantial amounts of tetrahydrocannabinol (THC), which is the chemical that creates the “high” feeling.  

CUD is a spectrum, which can be mild, moderate, or severe, typically involving an overpowering desire to use cannabis, increased tolerance to cannabis, and/or withdrawal symptoms when it is stopped being taken.  

CUD can significantly impact a person’s health, relationships, and overall quality of life.  

Cannabis use disorder can be mild or moderate, with the most severe form being marijuana addiction. This is due to continued marijuana use despite negative consequences. Marijuana addiction occurs when the reward system in the brain takes over, increasing compulsive marijuana-seeking.  

CUD is common. Researchers in 2021 estimated that 5.8%, or about 16.3 million people, in the U.S. 12 years or older have a cannabis use disorder in the previous 12 months.  

According to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the signs of cannabis use disorder include: 

  • Taking cannabis in larger amounts and for a longer period than you intended 
  • Having a strong desire or urge to use cannabis 
  • Having unsuccessful efforts to cut down on or control cannabis use 
  • Spending a lot of time getting or using cannabis or recovering from its effects 
  • Having issues fulfilling responsibilities at work, school, or home due to cannabis use 
  • Continuing to use cannabis even when it causes problems in relationships 
  • Giving up social, occupational, or recreational activities because of cannabis use 
  • Using cannabis repeatedly, even when it puts you in danger 
  • Continuing cannabis use despite an ongoing physical or psychological problem that cannabis is likely causing or making worse 
  • Developing tolerance, which is the need for increased amounts of cannabis to get the same effect 
  • Experiencing cannabis withdrawal symptoms, which you can relieve by taking more of it 

It is essential to seek medical care as soon as you have signs of cannabis use disorder. 

There are other symptoms and behaviors of cannabis use disorder. They include: 

  • Memory issues, such as confusion 
  • Difficulty learning 
  • Hallucinations and/or delusions 
  • Sudden changes in your mood and behavior, such as withdrawing from friends and family 
  • Hostility or denial when someone confronts you about your excessive cannabis use 
  • No longer caring about your physical appearance as much as you used to 
  • Secretive behavior, such as hiding your cannabis use 

There is a progression to cannabis use disorder that often follows a pattern that includes: 

  • Experimental use 
  • Occasional use 
  • Heavy use 
  • Substance use disorder 

The progression of cannabis use disorder is complex, and several factors can contribute to the development of substance use disorder, including: 

  • THC’s effect on brain chemistry: marijuana sends massive surges of dopamine, the neurotransmitter and “feel good” hormone, through the brain, causing the user to seek out experiences that reward them with good feelings 
  • Genetics: studies show that genetic factors are responsible for 40%-60% of the vulnerability to any substance use disorder 
  • Mental health conditions: about half of people who experience a mental health condition will also experience a substance use disorder, such as CUD, and vice versa, which is known as a dual diagnosis. Substance use disorders and other mental health conditions happen because of overlapping factors such as: 
  • Genetic vulnerabilities 
  • Issues with similar areas of the brain 
  • Environmental influence 
  • Access and exposure to cannabis: having access to cannabis is a major environmental factor that can increase the extent of exposure and the opportunity. Other factors can include: 
  • Use of cannabis by a member of your household 
  • Use of cannabis by your peers 
  • Having a medical marijuana certificate in states where it is legal 

Certain factors may increase your risk of developing CUD, including: 

  • Age: People who begin using cannabis before the age of 18 are four to seven times more likely to develop CUD than adults 
  • The potency of marijuana: Using marijuana with a higher potency may increase your risk for CUD. In addition, some methods of using marijuana, such as dabbing or vaping concentrates, may deliver very high levels of THC to your body 
  • Frequency of use: In one study, 17% of people who used cannabis weekly and 18.8% of people who used cannabis daily met the criteria for cannabis dependence  
  • Depression: Having depression may increase your risk of developing CUD 
  • Sex: males are more likely to develop CUD 
  • Other substance use: using or misusing other substances such as alcohol, nicotine, or hallucinogens may increase your risk of CUD 

Cannabis use disorder can’t be diagnosed with a single test. Healthcare providers instead rely on a thorough evaluation of your medical history and behaviors surrounding cannabis use. They may also order drug tests.  

A healthcare provider will also ask about your mental health history, as it is common to have CUD and some type of mental health condition.  

Treatment for cannabis use disorder depends on the severity of the disorder and is highly individualized, and you may need different types of treatment at different times.  

Treatment for CUD often requires continuing care to be effective because it is a chronic condition with the potential for both recovery and relapse. 

People with CUD often have co-occurring mental health conditions, and it is generally better to treat them together rather than separately.  

There are two main forms of treatment for CUD. They include: 

  • Detoxification 
  • Cognitive and behavioral therapies 

To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Dealing with Depression During the Holiday Season

The holidays are a time when we spend joyous and happy moments with friends and family. However, for some, the holidays can bring a lot of sadness, loneliness, and even depression. This is called holiday depression.  

Holiday depression can feel a lot like regular depression; however, it is triggered by the onset of the holidays, large family gatherings, and attending or hosting social events. Holiday depression is like the “winter blues”, but it may come and go in quick bursts as one event ends and another begins, or it can linger for days or weeks leading up to and beyond the holiday season.  

Holiday depression can disrupt relationships, mental health, and the ability to manage everything that comes with the holiday season.  

Holiday depression can affect anyone at any time, and it can be hard on a person’s mental health, as it can be triggered by various things, including: 

  • Stressful schedules 
  • Putting pressure on yourself 
  • Separation from loved ones 
  • Loneliness 
  • Family dynamics 
  • Seasonal depression 
  • Social anxiety 
  • Holiday trauma 

There are several signs of holiday depression. They can include: 

  • Feeling depressed and hopeless for more days than not 
  • Loss of interest in things you used to enjoy 
  • Constantly feeling anxious, nervous, or on edge 
  • Trouble sleeping over an extended time 
  • Intrusive thoughts that are difficult to manage on your own 
  • Thoughts of self-harm or suicide 

Holiday depression can feel daunting as you navigate the season. However, there are many ways to cope with and find support and emotional stability that can help you get through this difficult time of year. They include: 

  • Remembering a loved one 
  • Setting boundaries 
  • Staying connected with friends and family 
  • Limiting social media use 
  • Sharing happy memories 
  • Setting realistic expectations for the holidays 
  • Taking care of yourself 
  • Seeking support and help 

If you are having harmful thoughts, such as thoughts about suicide, or believe you are experiencing a mental health or emotional crisis, you can contact the 988 Suicide & Crisis Lifeline 24/7 through phone, chat, or text, go to the hospital, or call your local 911 hotline and your doctor right away to get the help you need. 

No one should face their mental health challenges alone. To learn more about our outpatient mental health services at Flushing Hospital Medical Center or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.