Expanding Use of Technology for Mental Health

More than half of people with mental illness are not receiving the care they need, but technology is offering those in need more ways to access mental health help.  While using technology is not new, it is rapidly changing and expanding.  A June 2015 World Health Organization report notes that 6 six percent of all mobile health apps relate to mental health.

A look at a few examples of the ways technology is improving mental health care:

Assess/ Track Symptoms
Technology is being used to help individuals and their physicians track depression symptoms. For example, one app helps monitor mental health by tracking in real time responses to depression screening questions. Many emergency rooms are now using remote access to psychiatrists to provide psychiatric services  that would not otherwise have been available.

Access to Therapy Remotely
Cognitive behavior therapy (CBT) and other talk therapies are increasingly being provided remotely.  A recent study looking at computer and Internet based CBT found it to be a promising treatment for youth with depression and anxiety.

Connect
Technology allows people to connect to others for sharing, understanding, support and community.  For example, the Love is Louder campaign, a collaboration of The Jed Foundation, MTV and Brittany Snow, has hundreds of thousands of participants in its efforts to address issues such as bullying, discrimination, loneliness and depression. The National Alliance on Mental Illness (NAMI) has developed a support app, NAMIAir (Anonymous, Inspiring, and Relatable), for people looking to connect and talk about mental health. It is designed for use by individuals with mental illines and their families and allows people to share experiences and receive encouragement.



Communicate
Numerous apps are available to help people who have difficulty with communication, such as many people with autism, to express themselves.  The apps are changing the lives of many children and adults with autism.

But experts offer a word of caution when considering using technology to aid in mental health. One recent review of smartphone uses for mental health concluded that “mobile apps for mental health have the potential to be effective in reducing depression, anxiety, stress and possibly substance use.” However, the authors caution that few have been tested and found effective and they call for further research and possibly regulation.(1) Another group of researchers looking at smartphone apps for anxiety concluded that the apps can be useful for self-help and can complement existing treatment. However, they also cautioned that patients should be wary about security, privacy, and effectiveness.(2)


References
(1) Donker T, Petrie K, Proudfoot J, et al. Smartphones for Smarter Delivery of Mental Health Programs: A Systematic Review
(2) Chan S, Torous J, Misra S, et al. Smartphone apps for anxiety: A Review of Commercially Available Apps Using a Heuristic Review Framework. Poster presentation at Annual Meeting of the American Psychiatric Association, 2015.


By Deborah Cohen, Senior Writer, APA

When recovery from depression seems hopeless, are there other options? A patient's perspective

By Andy Behrman, Guest Blogger

My experience with electroconvulsive therapy (ECT) began in 1995, when I opted for ECT as a last resort for treating my bipolar disorder. For so many people who were termed medication resistant and suffering with depression or bipolar disorder, ECT was the “last stop” when it came to treatment. But the variety of medications and other treatments now available to patients suffering from depression has expanded dramatically over the last 17 years.

I recently became extremely curious about a treatment for depression called TMS (transcranial magnetic stimulation). I was surprised to discover that even though TMS is a non-invasive outpatient procedure with few side effects, does not require anesthesia, and was approved by the FDA as far back as 2008, it is still very much “under the radar” and is a treatment which many patients are not very familiar.

According to Kira Stein, M.D., psychiatrist and medical director of Los Angeles-based West Coast TMS Institute, “In a recently published multicenter naturalistic study, 58% of patients significantly responded to TMS treatment, with 37% undergoing complete remission."

Today, TMS is primarily being used to treat those of us suffering with depression. The statistics for depression are alarming: 1 in 6 people experience it in their lifetime, which means that more than 50 million Americans are likely to struggle with clinical depression. Unfortunately, of this population, only 1 in 4 people get adequate treatment. One of the biggest concerns is the risk of suicide, as more than 36,000 people in the United States take their lives every year. Untreated depression, which causes disability at work and disrupted family and interpersonal relationships, can also lead to self-medication with drugs and alcohol. Depression has reached epidemic proportions and has become a silent killer.

When I speak to audiences about mental illness, I always encourage people who suffer from depression to seek advice from a mental health professional. Sometimes, getting people to overcome the stigma of suffering from depression is one of the hardest jobs I have to do. It is often the patient who resists seeking help, often because of the stigma, who really ends up at risk. But today, there are more treatment options than when I was ill. Technology is giving doctors more tools, and patients much more hope, for recovery.

Andy Behrman is the author of “Electroboy: A Memoir of Mania,” a personal story about his bipolar disorder, his experience electroconvulsive therapy (ECT), and his recovery from drug and alcohol addiction. Behrman advocates for mental health awareness and suicide prevention. He speaks to college audiences, health care professionals, and local and national mental health support groups working to stop stigma surrounding mental illness.

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