Thomas Buonomo, LMHC, MCAP
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New Research on ADHD

12/13/2022

 
Researchers at Yale University have uncovered neurological differences between MRI scans of children with ADHD and those without. Current screening and diagnostic methods are subjective: they rely on the opinion of evaluators (e.g. clinicians, teachers, parents).  Neuromarkers such as those identified in this study would create an objective means of screening and diagnosing the condition.

This research relies on data from the Adolescent Brain Cognitive Development (ABCD) study which consists of brain scans of 7,805 children aged 9-10 years old in the U.S.. Differences in neurology were found in the areas of: the frontal cortex, networks associated with memory processing, alertness, auditory processing and white matter. The frontal cortex serves to regulate impulse control, attention ad working memory. All of which are highly associated with ADHD. Objective screening methods lead to more accurate diagnosis and improved treatment.

For further reading, please go here: https://news.yale.edu/2022/11/23/neuromarker-adhd-could-improve-diagnosis-disorder

National Suicide Prevention Lifeline: call or text 988

7/19/2022

 
This month, the Substance Abuse and Mental Health Services Administration (SAMHSA) launched the National Suicide Prevention Lifeline. The service provides 24/7, free and confidential support to people in suicidal crisis or emotional distress. Mental health professionals can be reached by calling or texting 988.

In 2020, the National Suicide Hotline Designation Act was passed by Congress and  became law. It requires the FCC to designate 988 as the universal number for a national suicide prevention and mental health crisis hotline. The Lifeline is operated by around 200 independent contractors around the country.  According to SAMHSA, in the year 2020 the U.S. had one death by suicide every 11 minutes and suicide is the leading cause of death for people aged 10-34 years old.

For more information, please click here: www.samhsa.gov/find-help/988


Autism and the Amygdala

4/12/2022

 
Previous research has shown a connection between autism and an enlarged amygdala in children. New research, published in the American Journal of Psychiatry, has identified the time frame in which these changes occur. This study reports that the amygdala of infants who later went on to develop Autism Spectrum Disorder (ASD) was at a normal size at 6 months of age but grew abnormally between 6-24 months of age for a significant number of the children studied. This abnormality can be measured before behavioral symptoms are evident.

This information can be very useful for families and health care providers. If an infant is identified to be at risk for ASD and scans reveal an enlargement of the amygdala during the 6-24 month time period, then important services can be provided such as assistance with sensory processing and social development.

For further reading, please go here:
​ ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.21090896

Decreasing amount of stigma towards mental health problems

1/17/2022

 
A recent study reports that there is a decreasing amount of social stigma towards mental health problems. The study analyzed data collected over a 22 year period wherein people were asked about their attitudes and social behaviors regarding those with mental health problems. Findings show a downward trend of negativity towards those with mental health problems and an increased understanding and acceptance of those who struggle with them. Interestingly, it is the pre-WWII and millennial generations who showed the biggest positive change.

Over time, we have seen more and more public figures coming forward with their disclosure of mental health problems they face. This can only help to raise compassion towards and knowledge of those who suffer. Stigma has been and still is an often cited barrier for those who struggle to get help. Hopefully these findings can translate into a reduction of that barrier.

For further reading, click here:
​jamanetwork.com/journals/jamanetworkopen/fullarticle/2787280

Cannabis Update

6/22/2021

 
Here are the current (as of May, 2021) cannabis programs for the various states and territories. This is from the National Conference of State Legislatures.
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On June 17, 2021, the Florida Supreme Court ruled against a ballot initiative arguing for the regulation of cannabis in a manner similar to alcohol. The sponsor, Sensible Florida, Inc., filed the petition in 2019. It was the courts opinion that the word "use" was inadequately defined and therefore did not meet the criteria to be added as a ballot amendment.

Florida Legislative Update on Transgender  Bills

5/3/2021

 
The Florida legislature has recently taken votes on bills that address transgender high school students and their ability to participate in sports. House Bill 1475 and Senate Bill 2012 were both put forward specifying that students could participate in sports based upon their biological gender assigned at birth. As to be expected, there was significant debate from both side. Proponents claimed the bills afforded protection to athletes from physical /athletic advantages that some transgender athletes would have. Opponents claimed the bills are discriminatory and perpetuate exclusion from mainstream social activities for the transgender community.

Regardless, the points may be moot as both bills have died in their respective chambers with both the House and Senate Bill stalling in Rules on 4/30/21. While there were sufficient votes amongst members, the stalling is something that can be revisited at a later time.

For more details, please go here:
www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=72710
www.flsenate.gov/Session/Bill/2021/2012

May is Mental Health Awareness Month!

4/30/2021

 
Here are some resources:

Mental Health America
www.mhanational.org/

NAMI
www.nami.org/Get-Involved/Awareness-Events/Mental-Health-Awareness-Month

ADAA
adaa.org/mental-health-awareness-month

AACAP
www.aacap.org/Mental_Health_Awareness_Month

Let's take this time to be our best selves!

Police Reform in the City of St. Petersburg

8/4/2020

 
Beginning October 1, 2o20, the Police Department of the City of St. Petersburg will implement a new division called the Community Assistance Liason (CAL). The CAL is designed to respond to non-violent calls with a member of a contracted social service agency instead of a uniformed police officer.  The responding individual of the CAL will be someone with a social work and mental health background. The types of calls the CAL worker will respond to are as follows:

  • Disorderly intoxication
  • Drug overdose
  • Intoxicated person
  • Mental health crisis
  • Suicide crisis
  • Mental Health Transport
  • Disorderly juvenile/truancy
  • Disorderly Juvenile at Elementary Schools
  • Panhandling
  • Homeless complaints
  • Neighborhood dispute

The Police Department reported a total of 259,800 total calls in 2019. Out of these, 12,700 would meet the criteria on the above issues. It is hoped that this will provide the community with a more appropriate response to situations that do not require a uniformed officer and to assist uniformed officers in becoming involved in calls that are better suited to their training and experience. The Police Department has developed this innovative program as a response to recent social upheaval which has been often centered on the need for police reform.

For more information, please go here: police.stpete.org/2020/july/09/significantChangeInPoliceResponse.html

Mental health timeline of the COVID-19 pandemic

7/7/2020

 
The following is written and re-posted, with permission, by Dwight Bain, NCC, LMHC.

1. Active Disaster Phase: (March 2020 – June 2020)


  • Continuous critical incident / life threatening situation
  • Critical need for safety and preserving life by preventing exposure to virus, (for self, coworkers, family, and extended family)
  • Surge of mental health challenges, panic, addictions, abuse, anxiety
  • Lock down stress intensifies as people shelter in place for weeks. 
  • Isolation and intense loneliness grow during extended lock down
  • Survival level of managing basic needs, (water, food, medical, safe housing, toilet paper, disinfectant, hand sanitizer, face masks, gloves, utilities, medication)
  • Financial fears intensify as more businesses and industries are shut down to prevent the spread
  • Community organizations and volunteers find new ways to connect to serve the most vulnerable
  • Adjusting to school / work schedules using technology
  • Learning how to function beyond the risk of infection
  • Survival decisions flow out of flight, fight or freeze mindset. Some run into addictive behavior, others turn to aggression and some are too mentally drained to do anything. They feel numb from continual exposure to traumatic levels of stress
  • Fear is intensified as more of 'normal life' changes into the unknown
  • "Oh no, what next?"
2. Recovery Phase: (July 2020 – December 2020)
  • Society begins to reopen with required face masks, physical distancing and limitations in populated areas like theme parks or malls
  • Facing emotional pressure of complicated grief and loss from continual change
  • Psychological surge of emotion as new losses are experienced
  • Adapting to the 'new normal' by finding and building supports
  • Researching and gathering available resources to manage the mental health stress on self and family 
  • Decision making through filter of exposure risk about returning to school, college, work or recreational activities
  • Seeking connection through relationships without risk of infection
  • Structure returns as former life patterns, routines & schedules are implemented during the summer months
  • Community recovery flows out of community compassion and connected relationships
  • Many choose to change careers seeking greater meaning in life
  • New holiday traditions are created around use of protective gear
  • Family and connected relationships will grow in importance over large group experiences with strangers
  • Activities to experience life, (biking or walking) become preferred over activities to watch life, (movies and TV)
  • Meaning as a source of motivation drives many decisions during the recovery period, (relationships, career, finances, health)
  • "Life may end tomorrow - I'm going to do what matters today"
3. Rebuilding Phase: (January 2021 – January 2022)
  • Evolving process of responsible choice to flow into 'new reality'
  • Face masks become a regular part of daily life beyond the pandemic
  • Larger family traditions begin to return
  • Security involves protection from exposure to virus at work/school
  • Medical checkpoints become as common as TSA security checkpoints for travel and access to large group experiences
  • Organizations adapt and adjust to safety protocols that allow for large group experiences (sports, entertainment, Super Bowl)
  • Healthy lifestyle to boost immunity adapted to protect against disease (physical-emotional-spiritual-relational-financial) 
  • New appreciation for meaning in life
  • Wellness and health are motivations beyond immediate gratification
  • Deeper relationships lead to deeper conversations about creating a better world together
  • Mentally resilient individuals who have walked through the same disaster openly think of creative ways to solve major problems
  • Community values of compassion, kindness and connection expand 
  • Desire for a life that matters in relationships and career
  • Change to a better life is the driving force for decisions
  • "We survived this together and will build a better future together" 

Supreme Court decides to protect rights of LGBTQ+ employees

6/17/2020

 

On June 15, 2020 the U.S. Supreme court decided that the 1964 Civil Rights Act protects LGBTQ+ employees from discrimination in the workplace. In one case,  a gay male was fired from his position as a county child welfare coordinator after his employer learned he was gay.  In another case, a gay male was fired from his position as a skydiving instructor. In a third case, a male funeral director was fired after telling their employer that they were transgender and would be coming to work as a woman.

Justice Neil Gorsuch write the majority opinion stating: "It is impossible to discriminate against a person for being homosexual or transgender without discriminating ... based on sex. If the employer fires the male employee for no reason other than the fact that he is attracted to men, but not the woman who is attracted to men, that is clearly a firing based on sex".

Before the decision, nearly half of all states had no legal protection against discrimination in the workplace for LGBTQ+ employees.

To see the courts opinion, please go here:  www.supremecourt.gov/opinions/slipopinion/19

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