Our Mental Health Facilities
Constellation Behavioral Health is proud to be a leader and innovator of mental health services. Our integrated, shared system of care ensures quality of care across all of our facilities, with a distinct focus on providing a robust differential diagnosis, cultivating personal agency, and working closely with families and healthcare providers to ensure the best chance for lasting recovery. Coordination and collaboration of staff across our different facilities contribute to consistency of quality and shared treatment philosophies.
Personal Consequences Of Untreated Mental Illness
The cost of untreated mental illness to society and public health are significant and important. Individuals who suffer these consequences feel them much more personally. Re-hospitalization and the financial costs of emergency care are important to consider, but the impact of not getting adequate treatment reach much farther:
Begin Your Recovery Journey Today!
Does Depression Look The Same In Everyone
Depression can affect people differently, depending on their age.
Children with depression may be anxious, cranky, pretend to be sick, refuse to go to school, cling to a parent, or worry that a parent may die.
Older children and teens with depression may get into trouble at school, sulk, be easily frustrated feel restless, or have low self-esteem. They also may have other disorders, such as anxiety and eating disorders, attention-deficit hyperactivity disorder, or substance use disorder. Older children and teens are more likely to experience excessive sleepiness and increased appetite . In adolescence, females begin to experience depression more often than males, likely due to the biological, life cycle, and hormonal factors unique to women.
Younger adults with depression are more likely to be irritable, complain of weight gain and hypersomnia, and have a negative view of life and the future. They often have other disorders, such as generalized anxiety disorder, social phobia, panic disorder, and substance use disorders.
Middle-aged adults with depression may have more depressive episodes, decreased libido, middle-of-the-night insomnia, or early morning awakening. They also may more frequently report having gastrointestinal symptoms such as diarrhea or constipation.
Read Also: Community Resources For Postpartum Depression
Who Should Consider Therapy
While seeking therapy is a personal decision, certain factors may indicate that you need help. For instance, if your issues or thoughts are negatively affecting relationships, work or school, or are leading to unhealthy coping behaviors, you should consider therapy, says Sanam Hafeez, a neuropsychologist and director of Comprehensive Consultation Psychological Services, P.C. in New York City.
Therapy is also helpful to those who feel persistently hopeless, distressed around others, frozen with apathy or loss of interest in life in general, or have intrusive or anxious thoughts, says Hafeez. Therapy may help reduce the effects of the above feelings or emotions. Its important to consider going to therapy if you feel controlled by symptoms or if emotions could cause harm to yourself or others.
Facts About Untreated Mental Illness In America
The cost of untreated mental illness is high. Those costs are varied, too, including financial, public health, individual health, and social costs:
- Patients hospitalized with serious mental illness are much more likely to be readmitted in the next 30 days if they do not receive follow-up treatment.
- The average hospital cost for a patient readmitted for a mood disorder is $7,100.
- Mental illness and substance abuse often co-occur, increasing the risk of death from overdose. There were 70,237 drug overdose deaths in the U.S. in 2017.
- The National Alliance on Mental Health estimates that untreated mental illness costs the country up to $300 billion every year due to losses in productivity.
- As many as 90 percent of cases of suicide are attributed to mental illness.
Read Also: How Do You Know If Your Depression Is Coming Back
Prevalence Severity Employment And Treatment Rates
Between 2010 and 2018, the total number of US adults with MDD increased by 12.9%, from 15.5 to 17.5 million. This change was driven by the 7.7% growth in the US adult population from 228.5 million to 246.0 million as well as the rise in the prevalence rate of MDD from 6.8 to 7.1% .
Table 1 Prevalence, employment, and treatment rates of MDD
The Economic Cost Of Depression Is Increasing Direct Costs Are Only A Small Part
- Depression, Patients and Families
Depression is one of the most common mental disorders and can cause tremendous challenge and burden for individuals and families. It also carries a large economic cost. The economic burden of major depressive disorder among U.S. adults was an estimated $236 billion in 2018, an increase of more than 35% since 2010 , according to research published in early May in the journal Pharmacoeconomics.
The increase has been greater among younger adults. Young adults, 18 to 34 years, accounted for nearly half of adults with depression in 2018, up from 35% in 2010. Young adults have also been especially impacted by the COVID-19 pandemic. Throughout the pandemic, young adults have experienced higher levels of depression and anxiety compared to older adults. An estimated 36% of 18-29-year-olds were experiencing symptoms of depression in early May 2021, compared to 22% of those 40-49 and 15% of those age 50-59, according to the Centers for Disease Control and Preventions Household Pulse Survey.
The depression costs study, led by Paul E. Greenburg, M.S., with the Analysis Group, Inc., used de-identified data from a large U.S. insurance claims database with information on more than 19 million beneficiaries from a broad range of industries across the U.S. The researchers looked at three categories of economic costs:
- Direct costs, including medical services and medications.
- Workplace costs, including absenteeism and presenteeism .
- Suicide-related costs.
Don’t Miss: Stages Of Depression And Symptoms
How Depression Is Diagnosed According To The Dsm
Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
The Diagnostic and Statistical Manual of Mental Disorders is a handbook that provides guidelines for clinicians who diagnose psychiatric illnesses. Each condition is categorized and given a clear set of criteria that must be met for a diagnosis to be made.
The latest edition, commonly known as the DSM-5, was released by the American Psychiatric Association on May 18, 2013. It replaced the DSM-IV, which had been in use since 1994.
As is the case with each new edition of the DSM, there were some changes made to the diagnostic criteria for certain disorders from the DSM-IV to DSM-5, including depression. Some disorders have been removed, while others have been modified or added.
The following is a look at how depression is diagnosed including an overview of the changes that came with the DSM-5 and what those changes mean for healthcare providers and patients.
Where Can I Find Clinical Trials For Depression
Clinical trials are research studies that look at new ways to prevent, detect, or treat diseases and conditions. Although individuals may benefit from being part of a clinical trial, participants should be aware that the primary purpose of a clinical trial is to gain new scientific knowledge so others may receive better help in the future.
Researchers at the National Institute of Mental Health and around the country conduct many studies with patients and healthy volunteers. Talk to your health care provider about clinical trials, their benefits and risks, and whether one is right for you. For more information, visit NIMH’s clinical trials information.
Don’t Miss: How To Help Someone With Mild Depression
New Tools For Assessing Suicide Risk
The DSM-5 does include new scales for assessing suicide risk: one for adults and one for adolescents. These scales are intended to help clinicians identify suicide risk in patients as they are developing treatment plans.
If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.
For more mental health resources, see our National Helpline Database.
The tools are included in the new Section III of the DSM-5 and are intended to better support clinicians in identifying risk factors for suicide as well as scales for assessing suicidal behaviors .
Depression Statistics Everyone Should Know
Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She’s also a psychotherapist, the author of the bestselling book “13 Things Mentally Strong People Don’t Do,” and the host of The Verywell Mind Podcast.
For media or public speaking inquiries, contact Amy .
Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
Depression affects people from all walks of life, no matter their background. It can affect people of all ages as well. Unfortunately, theres still a stigma that surrounds mental health issues, and some people view disorders like depression as a weakness. But, similar to the way anyone can develop certain physical health issues, mental health issues arent always preventable.
Understanding the latest depression statistics could increase awareness about mental health, and recognizing how widespread it is could also help reduce the stigmawhich might encourage more people to seek treatment.
You May Like: Is Anxiety Worse Than Depression
How Is Depression Treated
Depression treatment typically involves medication, psychotherapy, or both. If these treatments do not reduce symptoms, brain stimulation therapy may be another treatment option. In milder cases of depression, treatment might begin with psychotherapy alone, and medication added if the individual continues to experience symptoms. For moderate or severe depression, many mental health professionals recommend a combination of medication and therapy at the start of treatment.
Choosing the right treatment plan should be based on a persons individual needs and medical situation under a providers care. It may take some trial and error to find the treatment that works best for you. You can learn more about the different types of treatment, including psychotherapy, medication, and brain stimulation therapies on the NIMH’s depression webpage. For information on finding a mental health professional and questions to ask when considering therapy, visit NIMHs psychotherapies webpage.
How Much Do Antidepressants Cost With And Without Insurance
Antidepressants are a type of medication that many people rely on to manage symptoms of depression as well as other conditions such as generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and social anxiety disorder.
While some antidepressants may be covered by insurance, people without insurance or with high-deductible plans may worry about the cost of these medications.
In this article, well break down common costs for antidepressants, including generics, brand names, and with and without health insurance coverage. Well also discuss whether antidepressants are available without a prescription, how they work, and other related costs.
Don’t Miss: I Think I Need Depression Medication
Three Percent Of People Age 12 Or Older Reported Illicit Drug Dependence Or Abuse In The Past Year
The 2015 NSDUH found that 2.9% of the population age 12 and older had illicit drug dependence or abuse in 2015. The prevalence of illicit drug dependence or abuse is higher among males compared to females , higher among Black people than among White and Asian people , and highest among those aged 18 to 25 relative to other age groups.
How Much Do Antidepressants Cost
The many types of antidepressants differ in how they work, active ingredients, brand name vs generic, and more. All of these factors together influence cost. Medication costs also depend on your location and insurance coverage, and each individual pharmacys relationship with the drug manufacturer.
The following charts break down the average prices of antidepressants. However, always check with pharmacies in your area for more precise costs. Local pharmacies and grocery store pharmacies are often more affordable than large chain pharmacies.
Also Check: Is Not Being Able To Cry A Sign Of Depression
Resource Utilisation And Costs Of Depressive Patients In Germany: Results From The Primary Care Monitoring For Depressive Patients Trial
Jona T. StahmeyerAcademic Editor: Received
Abstract
Background. Depression is the most common type of mental disorder in Germany. It is associated with a high level of suffering for individuals and imposes a significant burden on society. The aim of this study was to estimate the depression related costs in Germany taking a societal perspective. Materials and Methods. Data were collected from the primary care monitoring for depressive patients trial of patients with major depressive disorder who were treated in a primary care setting. Resource utilisation and days of sick leave were observed and analysed over a 1-year period. Results. Average depression related costs of 3813 were calculated. Significant differences in total costs due to sex were demonstrated. Male patients had considerable higher total costs than female patients, whereas single cost categories did not differ significantly. Further, differences in costs according to severity of disease and age were observed. The economic burden to society was estimated at 15.6 billion per year. The study results show that depression poses a significant economic burden to society. There is a high potential for prevention, treatment, and patient management innovations to identify and treat patients at an early stage.
1. Background
2. Materials and Methods
2.1. Cost of Illness Studies
2.2. Data Source
2.3. Cost Analysis
2.4. Subgroups
2.5. Statistical Analyses
3. Results
3.1. Study Population and Resource Utilisation
In The Early 2000s Over Half Of Those Incarcerated In State And Local Prisons Had A Mental Health Problem Within The Year
The most recent available data regarding the mental health of U.S. comes from surveys conducted by the Department of Justice in 2002 and 2004, which found high prevalence of mental health problems among inmates in the U.S.: 56% of inmates in state prisons, 45% of inmates in federal prisons, and 64% in local jails reported any mental health problem within the year. The Bureau of Justice Statistics further reported that of those inmates with a mental health problem, about 74% of state prison inmates and 76% of local jail inmates had a substance use problem.
Read Also: Can T Pull Myself Out Of Depression
Changes To Depression In The Dsm
While the DSM-5 doesn’t introduce any new diagnostic tests for depression, it does promote a new integrated approach for clinicians to diagnose mental health disorders.
Clinicians who were used to using the older methods for diagnosing depression didn’t have to completely change how they approached the process with the DSM-5, as the new integrated approach is compatible with previous assessment tools.
Tests And Scales For Depression
Medical and mental health professionals use established, research-backed guidelines, screening tools, checklists, and other criteria to help them make a diagnosis of depression.
A provider can use these tools to guide them through observing and talking to a person who might be experiencing symptoms of depression. For example, taking note of whether a person is showered and appropriately dressed, the tone and speed of their speech, and other aspects of their appearance and demeanor can provide clues.
Asking direct questions about a person’s day-to-day life and their feelings can also provide valuable insight into the cause of a person’s depressive symptoms. In some cases, a person may have symptoms of depression but not have a major depressive disorder.
Providers also use these guidelines to go through a list of other possible causes for a person’s symptoms that might be easily overlooked. Certain medical conditions and medications can cause symptoms of depression that will generally improve once the underlying cause is addressed.
In these cases, the guidelines may suggest that a provider refers the person to a colleague for additional testing or examinations. For example, if a doctor thinks a person’s symptoms could be stemming from a brain lesion, they may want them to see a neurologist or have an MRI scan.
Also Check: How To Get Up When Depressed
Are Antidepressants Available Over The Counter
All antidepressants require a prescription from a medical provider, so you cannot purchase them over the counter. However, that does not mean that you have to go into a medical office to obtain a prescription. You can use telemedicine to see a mental health professional and even have medication shipped to you.
Who Should Take Antidepressants
âAntidepressants are used to treat various conditions such as depression, anxiety disorders, bipolar disorder, and obsessive-compulsive disorder, among others. Patients must be screened and diagnosed by a physician or licensed health care provider before receiving a prescription for antidepressants. If you think antidepressants might be right for you, reach out to your doctor or pharmacist to learn more.â
You May Like: How To Take Saffron For Depression
Relative To Comparable Countries The Us Has Higher Rates Of Death From Accidental Poisonings Such As Drug Overdoses
External causes are the fourth leading cause of death in the U.S., and are more common than in comparable countries. According to data from the Centers for Disease Control and Prevention, unintentional poisonings are the leading cause of accidental death in the United States.
The U.S. had a higher than average mortality rate from accidental poisoning in 2000. Over time, the U.S. has become an outlier, now with far higher death rates from accidental poisoning than any comparable country. According to the CDC, in 2014, opioid pain killers were involved in 40% of drug poisoning deaths.
Accidental poisonings also lead to more than twice the years of disability in the U.S. than in comparable countries.
Pregnant And Postpartum Women
The prevalence of depression in the postpartum period has been estimated at 10%.26,27 The onset of postpartum depression occurs during the prenatal and antepartum periods in approximately 50% of pregnancies.28 For cases that begin after delivery, roughly 90% occur in the first four months.29
Postpartum depression has significant effects on the entire family. It is associated with abnormal development, cognitive impairment, and psychopathology in children.30 It can interfere with breastfeeding, maternal-infant bonding, and the mother’s relationship with her partner.26 It is often overlooked and may be mistaken for normal behavioral changes that occur during this period, known as the postpartum blues. Postpartum depression is not listed as its own diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. , but rather as a qualifier to the diagnosis of major depressive disorder.31
The USPSTF, American Academy of Family Physicians, and American College of Obstetricians and Gynecologists recommend screening all postpartum women for depression.16,17,23,32,33 Patients should be screened for depression at least once during the perinatal period. Evidence supports the use of the PHQ-2, PHQ-9, or Edinburgh Postnatal Depression Scale .33 The Postpartum Depression Screening Scale is a more in-depth tool however, it requires additional time to administer with more than 20 questions, limiting its use during routine outpatient office visits.
Don’t Miss: What Should I Do If I Think Im Depressed