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Holiday 2014 Healthy Directions 10 S adly, people battling addiction, whether it's substance or alcohol abuse, also often suffer with depression. These common, comorbid diseases also put people at an increased risk of committing suicide. According to the National Institute of Mental Health (NIMH), major depression is one of the most common mental disorders in the United States, affecting tens of millions of people each year, and only a fraction of those affected receive treatment. Depression along with addiction can alter a person's entire existence. There are no boundaries—these diseases can strike a child, teen, senior and even the rich and famous. Following the untimely death of comedian and actor Robin Williams, the connection between depression and addiction has become all too evident. Moustafa Shafey, MD, board-certified psychiatrist and medical director of the mental health department at CentraState Medical Center, explains that "depression and addiction are diseases of the brain that endanger nerve cells, disrupt brain functioning, and damage the heart and blood vessels and other vital organs, but they also alter personal perspective and judgment and interfere with schooling, parenting, family and just about every aspect of one's life." Dr. Shafey says it is critical to be aware of someone who is suffering from addiction or depression or both, and recommends we recognize the following warning signs: SIGNS OF DEPRESSION • Changes in sleep • Changes in appetite • Poor concentration • Loss of energy • Lack of interest • Low self-esteem • Hopelessness or guilt SIGNS OF ADDICTION • Change in appetite or sleep patterns. • Sudden weight loss or weight gain • Tremors, slurred speech, or impaired coordination • Drop in attendance and performance at work or school • Unexplained need for money or financial problems; may borrow or steal to get it • Sudden mood swings, irritability, or angry outbursts • Periods of unusual hyperactivity or agitation • Lack of motivation; appears lethargic or "spaced out" • Feelings of hopelessness or guilt Defeating the Demons of Depression, Addiction and Suicide Moustafa Shafey, MD board-certified psychiatrist If you suspect that a loved one may be suffering with an addiction or from depression, discuss their situation with them, and persuade them to consult their physician. Treatment options such as medications, support groups and intensive therapy are available to help those struggling regain their lives. To find a CentraState physician, visit www.centrastate.com/physicians or call 866-CENTRA7 (866-236-8727). HD

