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Understanding Mental Health Conditions

Depression, anxiety, schizophrenia, and bipolar disorder are serious mental health conditions that can affect how people think, feel, and act. Learning about these conditions can help you understand what you or someone you know may be going through and how to best support them.

Depression

Major Depressive Disorder

Major depressive disorder, also known as “clinical depression” or simply “depression," is a mood disorder that causes a persistent feeling of sadness and a loss of interest in day-to-day activities.

Symptoms

  • Emotional
    • Feelings of sadness, emptiness, or hopelessness
    • Feelings of guilt, worthlessness, or helplessness
    • Loss of interest or pleasure in activities once enjoyed
  • Physical
    • Changes in appetite or weight
    • Trouble sleeping or sleeping too much
    • Fatigue or low energy
  • Cognitive
    • Difficulty concentrating or making decisions
    • Slowed thinking or speaking
  • Behavioral
    • Withdrawal from friends and family
    • Decreased motivation or activity levels
    • Thoughts of death or suicide

Managing Depression

  • Medication
    • Antidepressants
    • Mood stabilizers (in some cases)
  • Therapy
    • Cognitive Behavioral Therapy (CBT), which helps people identify and change negative thought patterns
    • Interpersonal Therapy (IPT), which focuses on improving relationships and communication
    • Other forms of talk therapy
  • Other Treatments
    • Transcranial Magnetic Stimulation (TMS), outpatient procedure used for those who have not responded to medication
    • Electroconvulsive Therapy (ECT) for severe cases
  • Lifestyle and support
    • Regular physical activity
    • Healthy sleep habits
    • Stress management techniques
    • Support from family, friends, or support groups
Anxiety

Anxiety is a normal emotion that helps us respond to threats and challenges. However, when it becomes constant or disrupts daily life—like work, school, or relationships—it may indicate an anxiety disorder, where persistent worry or fear makes everyday tasks difficult. Examples of anxiety disorders include General Anxiety Disorder (GAD), Panic Disorder, Social Anxiety Disorder, and OCD.

 Symptoms

  • Emotional
    • Persistent worry or fear
    • Feeling restless or on edge
    • Irritability
    • A sense of impending danger or panic

  • Physical
    • Rapid heartbeat
    • Shortness of breath
    • Sweating
    • Trembling
    • Dizziness
    • Stomach discomfort

  • Cognitive
    • Difficulty concentrating
    • Racing thoughts
    • Trouble controlling worry

  • Behavioral
    • Avoiding certain situations or activities
    • Withdrawing from social interactions
    • Difficulty completing daily tasks due to anxiety

Managing Anxiety

  • Medication
    • Anti-anxiety medications
    • Antidepressants
    • Beta-blockers to help manage physical symptoms
  • Therapy
    • Cognitive Behavioral Therapy (CBT), which helps individuals identify and change patterns of thinking that contribute to anxiety
    • Exposure therapy to gradually reduce fear responses
    • Forms of talk therapy
  • Lifestyle and support
    • Regular physical activity
    • Relaxation techniques such as deep breathing or mindfulness
    • Maintaining healthy sleep habits
    • Reduce caffeine intake
    • Seeking support from family, friends, or support groups
Schizophrenia

Schizophrenia is a chronic mental health condition that affects thoughts, emotions, and behavior.

Symptoms

  • Added behaviors
    • Hallucinations
    • Delusions
    • Disorganized speech
    • Erratic behavior
  • Loss of normal functions
    • Social withdrawal
    • Lack of motivation
    • Reduced emotional expression
    • Difficulty experiencing pleasure
  • Thinking difficulties
    • Trouble recalling information
    • Difficulty concentrating
    • Poor decision-making

Managing Schizophrenia

  • Medication
    • Antipsychotics
  • Therapy
    • Cognitive Behavioral Therapy (CBT), which is a type of talk therapy that helps people understand their thoughts, feelings, and actions
    • Social skills training
    • Family therapy
  • Additional Support
    • Community programs for reintegration and daily living
Bipolar Disorder

Bipolar Disorder

Bipolar disorder involves extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). It is a lifelong condition that can be managed with the right care.

Symptoms

  • Manic Phase
    • Intense happiness, excitement, or irritability
    • Restlessness and rapid speech
    • Poor judgment and concentration
    • Increased energy and reduced need for sleep
    • Risk-taking behavior
  • Depressive Phase
    • Persistent sadness or hopelessness
    • Loss of interest in activities
    • Fatigue and difficulty concentrating
    • Changes in appetite and sleep
    • Suicidal thoughts

Managing Bipolar Disorder

  • Medication
    • Mood stabilizers
    • Antipsychotic medications
    • Antidepressants
    • Anti-anxiety medications
  • Therapy
    • Cognitive Behavioral Therapy (CBT)
    • Interpersonal Therapy
    • Family-Focused Therapy
  • Other Treatments
    • Electroconvulsive Therapy (ECT) for severe or treatment-resistant cases

Bipolar II Disorder

Bipolar II disorder includes episodes of depression and hypomania, which is a milder form of mania that does not reach full manic intensity.

Symptoms

  • Hypomanic Episodes
    • Elevated mood or irritability
    • Increased energy and activity
    • Racing thoughts and rapid speech
    • Reduced need for sleep
    • Impulsivity and risk-taking
  • Depressive Episodes
    • Persistent sadness or hopelessness
    • Loss of interest in activities
    • Fatigue and difficulty concentrating
    • Changes in appetite and sleep
    • Suicidal thoughts

Managing Bipolar II Disorder

  • Medication
    • Mood stabilizers
    • Antidepressants (used cautiously)
    • Antipsychotic medications
  • Therapy
    • Cognitive Behavioral Therapy (CBT)
    • Interpersonal and Social Rhythm Therapy (IPSRT)
    • Family-Focused Therapy (FFT)
  • Other Treatments
    • Electroconvulsive Therapy (ECT) for severe or treatment-resistant cases

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Medications and Common Side Effects

Your provider may prescribe behavioral and mental health medications and will talk to you about their risks and benefits. Remember: It is important to talk to your provider before starting and/or stopping any medications.

  •  Medication Assisted Therapy (MAT) Pharmacy Guide 
    MAT may be used to treat opioid use disorders. MAT is safe and effective for reducing opioid cravings and preventing withdrawal symptoms.

  • Attention Deficit/Hyperactivity Disorder (ADHD) Pharmacy Guide
    ADHD medications may be used to treat conditions related to difficulty with concentration, hyperactivity, and impulsiveness. 

  • Antipsychotics Medication Pharmacy Guide
    Antipsychotic medications may be used in the treatment of these conditions (and others that are not listed): Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Psychosis, Tourette’s Syndrome, and Mania.

  • Antidepressants Medication Pharmacy Guide
    Antidepressants are a wide class of medications that can be effective intreating depression as well as other behavioral health conditions, such as anxiety-related disorders.

  • Mood Stabilizers
    Mood stabilizers are medicines that help address both manic and depressive mood swings, such as trouble sleeping, racing thoughts, and risky behavior. They can also help lower the chance of needing hospital care.

Additional Resources 

If you feel you need additional help or guidance, below are organizations and resources you can refer to.


Additional Resources

Additional Resources

Online Resources for Locating Support Groups

Substance Use Disorder Resources
  • Al-Anon is a mutual support program for families and friends of individuals with alcoholism.
  • Alateen is a support group for young people whose lives have been impacted by a family member’s struggle with alcohol use.
  • Alcoholics Anonymous is a self-help program for individuals with alcoholism.
  • Gamblers Anonymous is a self-help program for individuals with gambling problems.
  • Narcotics Anonymous is a self-help program for recovering and active drug users.
  • SMART Recovery is an evidence-based peer-led program focused on addressing addictive substances and negative behaviors to live a balanced life.


Alternative Services (In Lieu of Services) for Medicaid Managed Care and HealthierLife (HARP)

First Episode Psychosis (FEP) Resources
  • NYS Office of Mental Health (OMH) provides information on services to help identify emotional needs and to provide treatment or support.
  • OnTrackNY is a network of programs for teens and young adults who recently had unusual thoughts or behaviors.

Youth Transition Services Resources

Mental Illness & Addiction Resources

New York City and New York State Behavioral Health Resources