‘Anxiety and depression are increasing’: Alberta doctor sees spike in mental health visits - Global News | Canada News Media
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‘Anxiety and depression are increasing’: Alberta doctor sees spike in mental health visits – Global News

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An Alberta family doctor says he is seeing as many as 12 patients a day suffering with mental health challenges when he used to see just one or two a day in 2019.

Dr. Mukarram A. Zaidi, a family physician in Calgary, says a number of factors, including the pandemic, are contributing to a huge spike in anxiety, depression and suicidal tendencies.

“I don’t have concrete numbers but I’m seeing more and more patients with depression,” he told Global News.

READ MORE: Kenney pledges $53M in mental health funding as Alberta sees no new COVID-19 deaths

Zaidi said many people have lost their jobs and most of those who haven’t are working from home.

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We used to socialize after work, go out and about on the weekend, go out for dinner, workout and catch up with family and friends.

“That has all gone. A: we don’t have work, B: we are working from home, C: we don’t go out.”

Read more:
Shortage of last-resort antidepressant creating ‘scary situation’ for patients: pharmacists

Additionally, many Albertans live in housing that doesn’t have a dedicated space either for work or for working out and staying active.

“A lot of people are working from their basement,” Zaidi said. “Many of patients live in apartments and can’t work out.

“It builds on each other… Everyone’s on edge,” he said.

“Not socializing with one another is a huge deal. Not being allowed to have family visit you… it’s skyrocketed depression in younger patients that I see.”

The big increase in the number of patients suffering from severe depression is what led Zaidi to share a message on Twitter earlier this week.

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Zaidi believes in addition to the economy and the pandemic, political rhetoric is exacerbating the stress Albertans — both patients and physicians — are feeling.

Read more:
Alberta health minister blames feds for scarce details on Phase 2 COVID-19 vaccine plan

“They don’t see ways the economy will improve. They don’t see hope.”

“The government has no clear message,” he said.






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Confusion and disappointment over vaccine timelines is also increasing worry among Albertans, Zaidi said.

“Their anxiety and depression is increasing on a daily basis.”

Read more:
Albertans report greatest increase of stress as Canadians’ mental health plummets

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Last spring, the Calgary Distress Centre saw a 21 per cent increase in suicide-related calls between January and May. Also over that time period, the centre received more than 5,500 crisis contacts related to the COVID-19 pandemic.

[ Sign up for our Health IQ newsletter for the latest coronavirus updates ]

The centre’s director of communication, Diane Jones Konihowski, said the majority of calls the organization has received are mainly related to isolation, anxiety and depression amid the ongoing pandemic.

Read more:
City sees spike in crisis calls amid COVID-19 pandemic: Calgary Distress Centre

While provincial data from the chief medical examiner for 2020 and 2019 is still considered preliminary and may change as cases are finalized, the suicide rate for Alberta actually appears to be trending downward.

In 2020, there were an estimated 468 deaths by suicide, the highest number occurring in the 30-34 age group. The previous year, there were an estimated 601 deaths by suicide, with the highest number reported in the 55-59 age group.

In both years, these occurrences were three times more common in men than women.

The two years before that — 2018 and 2017 — recorded similar rates of suicide: 630 and 647, respectively.






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There are a number of virtual and remote addiction and mental health supports and services available to Albertans at this time, including:

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The Mental Health Helpline

  • Provides confidential, anonymous service, including crisis intervention, information on mental health programs, and referrals to other agencies if needed.
  • The Mental Health Helpline is available at 1-877-303-2642.

Alberta Health Services’ Help in Tough Times

  • Provides links to supports and services, including addiction and mental health, available to Albertans.

AHS’ Text4Hope program

  • Free service providing three months of daily Cognitive Behavioural Therapy (CBT)-based text messages written by mental health therapists.

Togetherall

  • Clinically moderated, online peer-to-peer mental health community that empowers individuals to anonymously seek and provide support 24/7.
  • Togetherall is free to all Albertans aged 16+.

AHS’ virtual addiction and mental health services

  • Services and supports free to Albertans.

Alberta 211

  • Provides information, including support via phone, text, chat and website referrals and resources addiction and mental health referrals and resources.
  • Professionally trained specialists are available by texting INFO to 211, live chat through the website, ab.211.ca or calling 2-1-1.

The Crisis Services Canada Suicide Prevention Service

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  • Offers a 24/7 helpline for people thinking about or affected by suicide via phone, text or chat (1-833-456-4566).

Kids Help Phone (expanded) 

  • Provides free, confidential 24/7 services for children, youth, and young adults.
  • Services include professional counselling by phone, and volunteer-led information and crisis support via phone, text, or chat.

Wellness Together Canada

  • Provides free online resources, tools, apps and connections to trained volunteers and qualified mental health professionals when needed.

The Crisis Text Line Alberta

  • Available 24-7
  • Offers information, referrals and volunteer-led, text based support for Albertans of all ages, by texting CONNECT to 741741.





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The Edmonton Police Service reported a slight increase in this type of call for service from 2019 to 2020.

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In 2019, there were 4,941 calls for service related to attempted suicide or suicide. In 2020, there were 4,953.

The number of people who lost their lives to suicide (reported to EPS) rose from 39 in 2019 to 61 in 2020.

Read more:
New technology focuses on mental wellness for Albertans during COVID-19 pandemic

“Check on Welfare” calls also rose, from 970 in 2019 to 1,194 in 2020.


Dr. Mukarram A. Zaidi, a family physician in Calgary.


Global News

Zaidi said the increase in mental health-related cases is also taking a toll on physicians, especially when there are multiple patients with complex needs.

“It takes a lot out of you,” he said.

Many of the patients he sees for severe depression come to him because they have no where else to go, Zaidi said.

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“People can’t afford to go to counselling, so while the patient came in for ‘not feeling well for some time’… after looking, bloodwork, asking them questions… It turns out they have severe depression and severe anxiety.”

Read more:
Two family doctors explain why they’re leaving Alberta: ‘Physicians are just feeling powerless’

Zaidi said he then talks with the patient about the diagnosis, discusses possible causes, symptoms and treatment options.

“Seeing 12 in a day? It’s a lot on our mental health as well.

“For my colleagues — family doctors and emergency doctors are under huge pressure.”

The sour relationship between the UCP government and doctors isn’t helping, he said.

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“We don’t have an agreement with the province about how we will be paid.”

Read more:
Alberta government ends master agreement with doctors; new rules coming April 1

On the election trail, Jason Kenney was focused on trimming Alberta’s health-care costs (42 per cent of the province’s operating costs) and often targeted physician pay.

Once elected, the United Conservatives passed Bill 21, which allowed the health minister to terminate the province’s physician compensation agreement with the Alberta Medical Association.

In February 2020, the master agreement was cancelled and Minister Tyler Shandro announced a number of changes to physicians’ pay. In July, the AMA released a survey showing 42 per cent of doctors who responded are thinking about leaving Alberta.

Read more:
Alberta doctors ‘beyond frustrated’ with virtual care app amid coronavirus crisis

“The stress that we are under since COVID started… we are in a negative balance,” Zaidi said. “But not even knowing what’s coming up next is a huge stress for family physicians.

“Not knowing if we can pay the bills and take care of patients.”

Where to get help

If you or someone you know is in crisis and needs help, resources are available. In case of an emergency, please call 911 for immediate help.

The Canadian Association for Suicide PreventionDepression Hurts and Kids Help Phone 1-800-668-6868  all offer ways of getting help if you, or someone you know, may be suffering from mental health issues.

© 2021 Global News, a division of Corus Entertainment Inc.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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