Adelphi Psych Medicine Clinic

Adelphi Psych Medicine Clinic’s psychiatrists and psychologists specialise in women and children mental health, recovery from trauma, healing and grief. The treatment often includes both pharmacological and psychotherapeutic care. Visit us at https://adelphipsych.sg/about-us/

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Kids go through phases and every parent knows just how fickle their preferences can be, especially when it comes to food. They fall in love with certain things quickly and they fall out of love just as fast. Their favourite meal today could be something that they’ll vehemently refuse eating the next time around.

Just about every parent under the sun has faced issues like fussy eating but most will not pay attention to such behaviours when it comes to their kids. Some parents will either forcibly push their kids to eat things that they do not like or go to the other extreme by giving in and cook solely foods that they demand for.

Which one of these strategies works well? What is the right approach and can parental mistakes lead to serious problems down the line?

These are just some of the questions that principal consultant psychologist at Adelphi Psych Medicine Clinic Sue Anne Nummela answers in an extensive commentary piece for Channel News Asia.

The article entitled “When Is Your Child’s Fussy Eating a Serious Medical Problem” examines a mental disorder that doesn’t get spoken of very often – avoidant/restrictive food intake disorder. It explores the relationship between early childhood experiences and food aversions that individuals can internalise later on in life.

Additionally, the article provides guidance and useful suggestions parents can implement to overcome fussy eating in the most productive way that will benefit the child. Undertaking such steps early on is imperative to reduce the risk of major food-related mental health problems down the line.

To learn more about avoidant/restrictive food intake disorder and the parental action required to reduce the risk of that mental health disorder, check out the commentary in Channel News Asia below

Here is the Straits Times article that reported on this case:

When is your child’s fussy eating a serious medical problem?

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The Covid-19 lockdowns introduced as a counter-measure to the pandemic in many parts of the world have had a massive effect on our lifestyles. Things that we previously took for granted are now taken away, regardless of the fact that the suspension is temporary.

Having to spend most of your time at home cut off from society can affect mental health in more ways than one. Research on the topic of quarantines and mental health has already been carried out. Here are some of the most important findings.

Is Quarantine Ruining Your Mental Health?

The Covid-19 pandemic is still a new occurrence. This is why research on its effects is still largely limited. Previous studies on quarantines and mental health shed a lot of insight into the current situation.

On March 14, 2020, a research team presented its findings in the reputable Lancet journal. The clinicians examined 24 mental health studies that looked at the connection between quarantines and psychological problems. These were conducted during previous pandemics with SARS, the H1N1 flu and others.

Unsurprisingly, quarantined individuals experienced both short-term and long-term mental health effects.

Some of the most common mental health issues that quarantined individuals had to deal with included stress, insomnia and sleep disturbances, anxiety, emotional exhaustion and even substance abuse.

In one of the studies examined, 34 percent of quarantined individuals (or 938 people) reported high levels of psychological stress in comparison to only 12 percent of people who were not subjected to a quarantine.

Another study that was conducted during the SARS outbreak and it examined the mental health of hospital workers in Beijing who had to be quarantined. Almost half of all hospital workers enrolled in the study reported alcohol abuse for a period that was three years longer than the period of alcohol abuse for healthcare workers who didn’t work in high risk settings.

Isolation Does Not Have to Affect Mental Health

Although isolation and social distancing can be very unpleasant, negative effects on mental health leading to more serious problems can be avoided.

In the current settings when the Circuit Breaker period has just been extended, there’s some probability for social distancing to turn into a long-term occurrence. Thus, mental health professionals are considering strategies that can mitigate some of the most common risks and help the vast majority of people emerge stronger from the isolation.

Quarantine does seem to produce timeframe-dependent negative effects if not managed properly. The longer a person is kept in isolation, the more anxiety and stress they seem to go through. Such negative effects start becoming profound and all-encompassing after a few weeks of social distancing.

The elderly and people who live on their own are at an especially high risk of suffering from extreme loneliness and anxiety. These can easily contribute to the development of unhealthy mental states.

In addition, older people already live in a world that is characterised by high levels of social distancing. US reports suggest that a quarter of Americans aged 65 or older are already isolated in their day-to-day life. Elderly people are less capable of socialising with new people and they’re also less likely to master the digital technologies that allow for the effortless maintenance of long-distance relationships.

Families and friends can counter such occurrences by coming closer together with the means available to them, even if they are not staying in the same household.

In Singapore, individuals are allowed to take care of older family members as long as the circuit breaker measures are fully-embraced. Family and friends not living in the same household having started checking in with each other frequently via phone and other means of communication like video calls when lockdowns are introduced. Here are some methods to manage your mental well-being during this period of social distancing.

New technologies also simplify the process of remote psychological and medical assistance. What matters in such instances is for the person dealing with some kind of distress to reach out after acknowledging they need help.

Take Good Care of Your Mental Health

Chances are that you’re currently worried more than usual because of the risks presented by the Covid-19 pandemic. It’s also possible to experience loneliness, regardless of your living arrangements.

The current moment makes it very important to pay attention to your feelings and the way these are impacting your everyday life.

Some mental health problems can have a debilitating effect.

If you find it difficult to get out of bed, to perform simple everyday tasks or maintain focus, you should get in touch with a mental health professional. The same applies to a sudden loss of interest in activities that you used to enjoy. Apathy and listlessness could be indicative of depression. Don’t ignore such feelings and don’t wait for things to get better on their own. Depression starts a downward spiral and once the descend starts, many people find it impossible to get back up on their own.

Seek Help!

While the Singapore circuit breaker measures make it harder to get a person-to-person consultation with a psychologist, you can still get assistance.

Remote therapy and consultancy sessions are still taking place at Adelphi Psych Medicine Clinic. Make use of such opportunities if you feel that something has gone really wrong with your inner peace and emotional balance.

The Adelphi Psych Medicine team of experienced psychiatrists and psychologists in Singapore is ready to help you, albeit remotely.

Do not hesitate to reach out. Use the form on the Contact Us page and let us know what issue you’re dealing with. One of our team members will get back to you as soon as possible. Depending on the specifics of the situation, we’ll either consult you remotely or we’ll be capable of scheduling a person-to-person session that adheres to all circuit breaker guidelines.

Social distancing is pushing us all really hard but the situation will get resolved. Until that happens, remember to take good care of yourself, engage in enjoyable activities like frequent exercise if you can, rest and spend time with loved ones even if the goal can solely be accomplished remotely.

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Psychologists in Singapore and other mental health professionals are troubled by the label that psychological treatments have received under the government’s Covid-19 Circuit Breaker Measures.

Psychological treatment and therapies have been labelled non-essential services, which means that the practitioners will not be exempt from workplace closures. These became effective on April 7 in an attempt to slow down the spread of the coronavirus pandemic.

A Chronology of Events

Psychological treatment was initially included among the essential services but upon revision of the document, therapy was taken out of the list.

Community mental health services also had their status modified. Providers of such assistance have been asked to work with their patients remotely as much as possible.

On April 5, the Singapore Psychological Society (PSP) negotiated successfully the provision of person-to-person assistance whenever remote work with patients was not possible. On April 6, the Ministry of Health confirmed that although remote work with patients was to be prioritised, person-to-person consultations would be allowed under the Circuit Breaker Measures but only for the most difficult cases.

Exceptions were to be made for high risk, unstable individuals in need of urgent assistance from an experienced psychiatrist.

While an exception is valid, psychologists in Singapore are not satisfied with the way that mental health services are labelled. This is especially indicative at a time when social distancing and quarantine measures are bound to contribute to higher rates of depression and anxiety among susceptible individuals.

Getting Mental Health Assistance during the Circuit Breaker Period

According to nominated MP Anthea Ong, the omission of mental health assistance from the essential services list shows the fact that mental health is still not a national priority. The decision can be explained by a “medicalised” view of psychological and psychiatric treatments that’s not in line with contemporary realities.

According to SPS President Cherie Chan, the labelling of therapy suggests that mental health services are considered less important than other kinds of medical assistance.

Just to put things in perspective, getting a haircut is included in the list of essential services.

Anyone who needs to seek therapy right now should first and foremost attempt to get a tele-consult. Depending on the specifics of the situation and the individual risk, a psychologist may decide to employ the exception and schedule a person-to-person consultation (following all of the required social distancing and hygienic measures, of course).

Singaporeans who are getting treatment for a mental health problem took it to Reddit to complain about their inability to get therapy while the circuit breaker period is in effect.

One person reported that one of their scheduled appointments was cancelled and there was no information about when re-scheduling would be possible.

There have also been some concerns about national facilities and treatment centres not offering online consultation options to their patients at all.

Obviously, professionals worry about the lockdown period triggering anxiety episodes, stress and depression. Thus, if you’re feeling isolated, lonely, apathetic, depressed or suicidal, you should get in touch with a mental health professional immediately.

Focus on Your Mental Health While the Lockdown Lasts

Regardless of the way mental health assistance is being labelled right now, you should prioritise your psychological wellbeing.

The World Economic Forum has called the Covid-19 lockdown “the world’s biggest psychological experiment.”  Nearly 2.6 billion people across the globe are experiencing some kind of lockdown.  Psychologists warn that the social distancing will lead to a boom of burnouts and even stress-related absenteeism once people go back to work.

In February 2020, the reputable Lancet journal published a review of 24 studies showing what the psychological effect of the quarantine is. Unsurprisingly, the results of the review show that people who have to endure a lengthy quarantine are likely to develop a range of psychological symptoms – from low mood to insomnia, anger, irritability and even post-traumatic stress symptoms.

Stoically enduring right now is not an option, especially if you’re experiencing significant distress. The mental health toll will increase the more you wait.

There are ways to introduce some normality in your life. Maintain a daily routine, learn something new, exercise, find ways to keep yourself busy and spend time with the people you love remotely. Live video streaming and messaging apps will be particularly beneficial in the situation.

If these measures don’t seem to work, however, you should acknowledge the feelings and get in touch with your psychologist or therapist as soon as possible.

We’re Here to Help

Your mental health should not suffer just because authorities have labelled therapy a non-essential service.

The Adelphi Psych Medicine Clinic team is here for you.

While we may not be capable of meeting right now, we’re still ready to listen to you, offer assistance and consult you amid the circuit breaker period.

Use the Contact form on our website to let us know what’s going on and we’ll get back to you as soon as possible. Depending on the specifics of the situation, we’ll decide whether to do a remote consultation or if doing a person-to-person meeting would fall under the circuit breaker exceptions.

In the meantime, stay home and take good care of yourself and the people that you love. Having this opportunity can contribute to a lot of self-discovery and awareness. And don’t forget that we’re here to guide you through those difficult moments and minimise the burden, the uncertainty and fear you could be experiencing.

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Life in isolation isn’t that much fun. And while some people are coping with the current circumstances and the social distancing imposed as a result of the Covid-19 measures, others are having a real hard time.

Regardless of contemporary technologies, social distancing can lead to loneliness and sadness. Combined with worries about the current state of affairs and the infection rate, this loneliness could result in a higher risk of depression.

Though social distancing in Singapore isn’t as severe as it has gotten to be in other parts of the world, there are still some concerns about the long-term mental health impact from the situation caused by the pandemic.

The Toll of Social Distancing and Loneliness

Regardless of the circumstances, there will always be people experiencing feelings of loneliness. In a world that’s being forced to embrace social distancing, however, the sentiment is imposed on a much larger segment of the population than ever before.

Coronavirus is affecting the world at a time when more people than ever before are living on their own.

In the absence of a significant other or a family to share everyday life with, the isolation can get to be way too much.

While the social distancing measures in Singapore aren’t as severe as they are in other parts of the world, normal life and interactions between people have undoubtedly been affected. And as per the latest data, 30.9 per cent of the adult population is single. In the 25 to 29 age group alone, this figure is 68.1 per cent.

Some of these people live with parents but others live on their own. These individuals are susceptible to loneliness, especially if they’re currently working from home. Studies suggest that loneliness is a major health risk especially for the elderly. Prolonged loneliness has a health effect similar to smoking 15 cigarettes per day, some studies suggest. It can increase the risk of cardiovascular problems, strokes and even premature death.

Loneliness also brings up the risk of clinical depression. The symptoms include apathy, the lack of interest in activities that a person previously enjoyed, poor concentration, low energy, appetite changes and sleep problems among others.

The human brain can process all types of information and handle situations better in the presence of other people. Simply holding hands with a loved one leads to lower anxiety levels and quicker resolution of issues, mental health studies suggest.

Touch regulates emotions, calms the brain down and can even have an anti-pain (analgesic) effect. In the absence of physical contact, our brains can easily go into overdrive mode that contributes to excessive worry, high levels of stress and anxiety.

Overcoming Social Distancing Isolation, Loneliness and Sadness

If you live on your own and you feel that the Covid-19 measures are getting you down, it’s time to seek proactive change in your life. There are things you can do to feel more connected to others and to manage your stress/anxiety more effectively.

Digital technologies are your best ally. You can carry out video chats with people that you love and appreciate, regardless of their location. Turn that into a weekly ritual, sharing a glass of friend or a cup of coffee with friends, even if you cannot physically be with each other like using the apps Zoom or HouseParty

Reduce the amount of time you spend on social media and news websites. Constantly reading about Covid-19 and being informed of negative developments isn’t helping your mental health. Instead, dedicate that time to some positive experiences – watch a favourite movie or listen to uplifting music.

Finding a community to join is another nice way to stay connected.

Online communities and forums are based on interests and things that the members have in common. Connecting with such similar-minded individuals will help you discover your “tribe” and feel more included in a community that interests and excites you.

To overcome loneliness, you can either deepen your current relationships or try establishing new ones.

If you’re single, now’s the time to give online dating a try, even if its going to be fully virtual with no physical meetups. If you already fancy someone you know, try to get into a more deeper relationship with them. You can carry out deep and meaningful conversations online, helping you discover points of similarity and lovely possibilities for the future.

There are many other things you can do to stay connected or feel good. Do you have elderly neighbours? Offer some assistance in getting them supplies and medicines. Such assistance and other kinds of volunteering projects give you the feel-good vibes in the middle of a global crisis that could potentially last for months.

Finally, don’t ignore or underestimate your feelings.

When the loneliness becomes overbearing, seek out assistance. Chances are that you’ll be capable of handling the issue on your own. Clinical depression, however, is not a condition to take lightly. It can ruin or even end your life if you don’t take it seriously and get professional help as soon as possible.

There are many hotlines you can use to get more information about depression and other common mental health problems that stem from loneliness and the high levels of stress stemming from the coronavirus pandemic.

Adelphi Psych Medicine Clinic is fully operational and our mental health professionals that includes our principal psychiatrist and psychologists are ready to answer your questions. We believe in holistic treatments, which is why we have developed a comprehensive depression treatment plan that’s tailored to the specific needs of the individual as well as other mental health services.

Reach us by phone or use the Contact Us page to let us know what’s going on or to schedule an appointment. We have extensive experience in the treatment of depression and mood disorders, which makes the team confident in our ability to assist you in the best way possible.

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The social distancing stemming from the anti-Covid-19 measures has challenged us all. Humans are social beings. We crave communication, affection and positive interactions with others. In the absence of enjoyable contact, our mental health could start to suffer.

Psychologists in Singapore have noted a pronounced tendency for mental health decline among some individuals as a result of the isolation. Are you one of these people and do you wonder about the effects of social distancing? Are you thinking about strategies to ensure your mental health while the quarantine lasts? Let’s check out what’s going on right now and what are some of the best ways to handle the current situation.

The Link Between Social Distancing and Mental Health Problems

Singapore psychiatrists and mental health professionals in other parts of the world believe that the forced social distancing resulting from the coronavirus situation can have a negative mental health effect on some individuals.

Any kind of isolation, whether self-imposed or determined by medical reasons, can contribute to high levels of stress. Hence, both adults and children can be anticipated to go through somewhat of a traumatic experience.

The Covid-19 situation has forced many governments across the globe shut down schools and introduce distance learning, get people working from home and limiting their walks outside. In some of the cases, a nearly full lockdown mode has been initiated.

Being quarantined this way contributes to a loss of autonomy that will undoubtedly affect mental health. People feel out of control and out of touch with the rest of the world. As a result, individuals going through quarantine or another type of isolation have been known to develop issues like insomnia, PTSD (especially among children), trauma experiences and even depression.

The situation is especially difficult for those who live alone. Cut off from their co-workers, relatives and friends, such individuals are likely to succumb to extreme loneliness and depression in the event of a prolonged isolation period.

Ways to Take Care of Your Mental Health During Social Distancing

If you feel that social distancing is already taking a toll on you, there are several things to do in an attempt to restore the sense of normalcy.

Maintaining a routine, even if you’re spending all of your time at home, is one of the biggest essentials.

Get up in the morning and get dressed. Don’t spend your entire day in your pyjamas. Allocate a certain number of hours to work but do not forget to enjoy a lunch break. When you’re done with work, engage in something empowering or enriching. You can exercise at home, read a good book, watch the movie you’ve long wanted to see or even learn a new skill. If you have a good schedule that gives you positive experiences, chances are that you’ll feel less lonely and helpless.

Another good strategy would be to stop reading the news.

Learning about the new death cases and the ongoing infection rate isn’t going to benefit you, especially if you feel vulnerable already. Hence, turn off the notifications for the news websites you follow and unplug from social media for a day or two. If you’re not being bombarded with negative news and stressful messages, you will potentially feel a lot more at ease.

While these are the two biggest essentials, you can improve your mental health during social distancing in a couple of additional ways.

You can stay socially engaged and contemporary technology allows you to keep in touch with the people you live. Scheduling a quick video chat with relatives or a wine evening with your girlfriends will bring down the distance and help you experience the sense of connection that you so crave.

There are also numerous concerts, theatre plays and other cultural events you can watch online to retain a degree of normalcy while you cannot go out.

A final thing that you need to address is the anxiety linked to the risk of getting sick.

Keeping yourself distracted and having your mind constantly occupied is one of the best ways to keep yourself from fixating on your health. Mindfulness and meditation are two other essentials to try if you’re constantly worrying about succumbing to a viral infection.

It’s ok to feel sad and lonely. It’s also ok to feel scared. After all, your entire life has been turned around. It’s not possible to interact with others like before, it’s not possible to travel and accumulate new real-world experiences. In a sense, we are all grieving for the things that we’re missing from our lives. A certain amount of time will be required for adaptation so don’t push yourself too hard.

If the worry and anxiety persist and they’re having a very profound effect on your quality of life, you will need to get in touch with your doctor or your therapist. A quick session over the phone can help you address some of the biggest issues that aren’t letting you experience peace and comfort at the time being.

This is especially important for people already diagnosed with a mental health problem or who are at a risk of developing depression. Don’t be afraid to check in with your therapist as often as you need to. The importance of self-care should not be underestimated at a time like this.

All of the Adelphi Psych Medicine Clinic professionals are available to help you and guide you through the social distancing process. Negative emotions that continue for long periods of time or that intensify shouldn’t be ignored. Contact us right now to let us know what you’re struggling with and to seek professional assistance.

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Our world is changing rapidly due to the Covid-19 social distancing measures. If you aren’t employed a sector that necessitates your presence at a business facility, you have probably gone into work from home mode. While the measure is essential for protecting everyone’s health, it can impact one’s mental wellbeing.

Working from home and social isolation can contribute to loneliness, stress and even depression. Here’s what to expect when you start working from home and some of the best strategies for countering the negative emotional consequences.

Working from Home: Its Effect on Your Mental Health

Mental health professionals observe that work from home arrangements that aren’t voluntary can have a negative effect on mental health. There’s a simple reason why – we are social creatures and many of our daily contacts with others occur at the office.

Mandated remote work is mainly linked to feelings of isolation and loneliness. In addition, many people have no idea how to separate their personal from their professional life when working from home. As a result, the risk of burnout increases exponentially. Burnout has been recognised as a mental health problem of its own but it also increases the risk of other issues like clinical depression.

Remote work is a common trend in many fields – for example – web development and consulting. In these situations, however, professionals consciously choose the remote work model. They have time to adapt, develop new habits and coping mechanisms.

When a person is ordered to work from home for a period of time that’s still unspecified, they haven’t had the time to get used to the idea and make a transition.

Covid-19 social distancing comes with another problem and that’s comprehensive isolation from others. Even people who work from home go out to meet others and experience positive social interactions. These are eliminated in the current situation, contributing to an even more profound sense of isolation and loneliness.

Ways to Address the Emotional Consequences of Working from Home

If you’ve been affected by mandated remote work as a result of the coronavirus situation, you’ll need to come up with various strategies for making the most of the current situation. While you will have to adjust to something completely new and out of your comfort zone, there are still positives linked to staying home and being your own boss.

For a start, maintain regular work hours.

The fact that your workplace is in your flat doesn’t mean you have to work from 9am to 10pm. Determine what your working hours are going to be. Once your “work day” ends, close the laptop and spend some quality time with your family or with your favourite hobby.

The next issue to address is the social isolation.

Schedule regular video conference calls with your co-workers to touch base and to maintain that feeling of a professional connection. Technology today makes it possible for you to remain in touch with others, even if you’re not physically present at the same location.

A quick morning call is a great way to start the day, to hear someone’s voice and to remind yourself that you’re not alone in this situation.

To maintain your mental health when working from home and engaging in active social distancing, you will also need to take good care of your physical health. This means eating well, sleeping well and doing something fun each day.

Prepare healthy meals – this is easy when you’re not leaving home as often as you used to in the past. You can either do some online grocery shopping for the week or you can order food in to make sure your nutritional needs are being met.

Exercise is another vital essential and you can easily do an indoor routine. A bit of yoga, some dancing, a quick cardio session or some aerobics give you an amazing way to deal with stress and to experience that feel-good sensation resulting from a sweaty workout.

Just do some research – there are dozens of exercise live streams and home video subscriptions you can try out. There’s also no need for gym equipment although if you have some at your home, you should definitely make the most of it.

Adapting to the New Work Mode

Take some time to adapt to the new work mode because nobody knows just how long social distancing is going to last.

Find the best work strategy for the day – get rid of distractions, stay in touch with your co-workers and take frequent breaks (go out on the balcony or in front of your building) to maintain your focus.

This is also a great time for doing the things you’ve always postponed due to the absence of time. Starting an online course to further your professional qualifications is a definite good idea at this time. You can also take up a favourite hobby that you have long forgotten about or you can clean up/renovate your home.

If the feeling of being lonely and isolated gets too overwhelming and you feel depressed a lot of the time, get in touch with someone who can offer assistance.

Feeling bad most of the time, having obsessive pessimistic thoughts about the future and professional burnout should never be underestimated as these can have profound, long-lasting consequences.

Mental health clinics like Adelphi Psych Medicine Clinic are ready to offer assistance in this challenging moment. The Adelphi Singapore psychiatrist and psychologists have extensive experience in the realm of depression treatment. Get in touch with us if you’re way too overwhelmed or saddened by the current situation. While such feelings are normal at a time when your life is changing so profoundly, they shouldn’t be taking over. You can still find happiness in a challenging moment if you take good care of yourself and you’re open to the possibilities.

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Regardless of your employment area and your position, you have probably interacted with co-workers who seem anxious, disconnected or even depressed. Workplace depression is a real thing and it’s starting to have a tangible impact on the office environment.

Depression impacts work productivity negatively because even though they’re fully present at work, depressed individuals cannot function 100 per cent. This phenomenon is called presenteeism. The productivity loss, combined with sick days, makes depression the costliest condition for employers to deal with.

US statistics suggest that depression costs approximately one billion dollars in absenteeism and 26 billion dollars in treatment costs.

Stress in the workplace is one of the most powerful factors that contribute to mental health problems. Thus, effective depression management strategies should aim to reduce stress levels and provide employees with the right tools to cope with the extensive workload, the potential burnout and all of their responsibilities.

Multiple approaches have proven to be effective for the management of workplace depression. Here are a few of the techniques and work environment changes bound to deliver the best results.

Good Working Conditions

The first change and probably the simplest one that mental health professionals recommend is an enhancement in the workplace conditions.

What exactly does that mean when it comes to depression management?

Good working conditions start with an adequate workspace. Sufficient light, bright colours, comfortable furniture and a chance for every single person to personalise their little corner will make employees feel more at ease.

In addition, good working conditions focus on relaxation and taking a break when the going gets tough. A chill-out area or a small café where people can enjoy a warm beverage can do the trick. So can an office gym – exercise has been known to elevate one’s mood and reduce stress levels.

Next, a good workplace could feature live plants, a nursery so that employees don’t have to worry about day care and high quality snacks in the kitchen. These are all simple things that can result in higher employee engagement and reduced burnout.

Scheduling Flexibility

It has long been established that making people spend a certain amount of time at the office doesn’t work. Instead, focus on schedule flexibility – this is one of the best approaches to boost productivity and keep employees happy.

Research suggests that flexible work hours and even reduced work time do not impact productivity negatively. On the contrary – when people have the freedom to work in a comfortable way, they’re likely to do a much better job than in the case of being forced to remain in the office from 9am to 5pm.

Remote working arrangements that allow people to work from home every once in a while also boost employee morale and reduce the risk of workplace depression.

Provide Resources and Awareness

Depression is a sneaky mental health problem. Often, it can go unnoticed for prolonged periods of time until it becomes too late to act.

To be a good and responsible employer, you should take proactive measures to educate workers about depression and to provide them with the right resources for addressing the mental health problem.

Having a psychologist visit the office and carry out a workshop focused on mental health is a great idea, especially if you feel concerned about the current stress level. All people in the company need to understand the issue, not just managers. Anyone could spot the symptoms in a colleague and prompt positive change.

As an employer, you may also consider making anti-depression resources readily available.

There are depression screening possibilities and potential referrals. Just being available to talk to those who seem to be struggling the most can also be quite beneficial.

In the event of actual clinical depression, it’s essential to act fast.

You can schedule an appointment with a psychologist in Singapore and take an employee to these sessions, covering the expenses of the endeavour.

In more serious cases, it would be imperative to seek a qualified psychiatrist in Singapore. Psychiatrists have the training and the certification to prescribe medications upon necessity. Read up about the difference between Psychiatrists and Psychologists in Singapore here.

Do Not Ignore Workplace Depression!

Ignoring the signs of depression in someone and hoping that the problem will go away on its own doesn’t work.

A failure to introduce some of the measures mentioned above is actually going to cost your company a lot in the long run, especially if you work in a high stress industry.

It’s time to increase awareness about the most common mental health problems.

The Singapore Mental Health Study suggests that 5.8 per cent of the adult population in Singapore has suffered from major depressive disorder. The figure is higher than the worldwide average of 4.4 per cent.

These figures paint a grim picture, suggesting that at least a couple of the people that you interact with on a daily basis could be suffering in silence. Adequate treatment options do exist and the sooner you seek assistance, the better the outcome for everyone involved.

When you create a workplace culture of tolerance and awareness, you increase the likelihood of people speaking up and taking good care of each other. Once an issue is identified, it’s only a matter of time for it to be addressed in the best possible manner.

Singapore mental health facilities like Adelphi Psych Medicine Clinic offer personalised, holistic and comprehensive depression treatment options. Our team of psychologists and psychiatrists in Singapore, ensures our optimal potential to address the wide array of mental health problems.

If you’re worried that someone at the office is struggling with depression, you should contact us today and schedule an Adelphi appointment immediately.

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Is there job application discrimination in Singapore?

Fair employment practices are recognised and adhered to in Singapore – a place characterised by its meritocratic system and pretty diverse workforce. There is one occupational aspect, however, that hasn’t been accepted in the way that it should.

There have been instances in which applicants for specific jobs have been asked to declare their mental health status. In the vast majority of cases, such declarations had very little to do with the specifics of the job and the requirements for suitable candidates.

Luckily, Singaporean authorities have undertaken the right steps to end such discriminatory practices.

Time for an End to Mental Health Discrimination

In January 2020, the Tripartite Alliance for Fair and Progressive Employment Practices (TAFEP) updated its guidelines and is advising employers to refrain from asking applicants to declare personal information like their mental health status (unless this is a specific job-related requirement that will affect the execution of professional duties).

TAFEP has also declared that companies need to remove all mental health condition forms from job application documentation.

On January 20, President Halimah Yacob affirmed the change in the TAFEP guidelines via a social media post. As per the statement, there have long been ongoing campaigns to end the requirement for mental health condition declaration. According to Yacob, this requirement is discriminatory and needed to end.

The statement also concludes that the requirement for mental health declaration has been linked to people not seeking treatment for their conditions in the past (more on that later in the guide).

Professional Requirements: What’s Discriminatory and What Isn’t?

Awareness about one’s mental health status will make a difference in terms of doing one’s job in a very limited number of specific cases.

As per the new TAFEP guidelines, employers have to clearly and effectively communicate to applicants why a mental health status document is required as a part of the job application process.

This is an important anti-discrimination victory. As per TAFEP guidelines, companies are also not allowed to include age, gender, ethnicity, marital status, disability and family responsibilities requirements that applicants have to meet.

Many politicians and public figures in Singapore have been calling mental health professional requirements archaic. They’ve also claimed that such requirements often lead to applicants having to lie on employment forms or forge their records in an attempt to conceal such vastly personal information.

Multinational and international companies have long ago abandoned such requirements for the sake of employment fairness. It is time for their Singaporean counterparts to also embrace the change and start creating a culture of tolerance and a focus on mental wellbeing.

What an Employer Can and Cannot Ask

All employment questions have to be related to the specific position and the skills that the applicant has to perform their professional duties.

Thus, it is acceptable to ask an applicant about their education or the additional qualification courses they have undergone in order to enhance their skills. Companies can also inquire about past work experience and projects completed in a similar field.

Personal questions and questions about one’s mental health, however, have no place in the job application, TAFEP has concluded.

There’s more information about the acceptable and unacceptable questions on the TAFEP official website.

The Mental Health Landscape in Singapore

A mental health problem does not reduce the abilities of a job applicant or make a person less capable of becoming a valuable member of a team.

In addition, mental health problems are pretty nuanced and they also happen to be widespread in today’s day and age.

The latest Singapore mental health study was carried out in 2018 and it suggests that one in seven people has experienced a mental disorder in their lifetime! The study involved face-to-face interviews with 6,126 Singaporeans who were randomly selected out of a pool of 15,900 people.

There is a noted change in the prevalence of mental health conditions. These have gone up from affecting 12 per cent of the Singaporean population in 2010 to 13.9 per cent in 2016. Almost all conditions showed an increase in incidence, as well.

Major depressive disorders (also called clinical depression) rank as the most prevalent mental health issue in Singapore, affecting 6.3 per cent of the population. The other most prominent mental health problems include bipolar disorder, generalised anxiety disorder, obsessive compulsive disorder (OCD), alcohol abuse and alcohol dependence.

The good news is that the amount of time people need to seek help for their condition has gone down significantly since 2010. While in 2010 people suffering from depression waited four years before seeking a psychologist or a psychiatrist in Singapore, now the waiting time has gone down to just one year. The wait for people suffering from bipolar disorder has gone down from nine to four years.

Anti-discriminatory steps like those introduced by TAFEP will potentially contribute to an even higher reduction in the waiting periods. As awareness increases and mental health diseases become de-stigmatised, people will be more eager to seek professional assistance and get the problem under control.

If you believe that you’re overpowered by a mental health problem or you see a loved one struggle, do not hesitate to seek assistance. Facilities like Adelphi Psych Medicine Clinic have the professionals and the resources to offer a comprehensive, sustainable, long-term solution.

Please check out our depression treatment approach and other mental health services or get in touch with us to schedule an appointment. We welcome patients every day from Monday to Saturday and we can also meet you on a Sunday after an appointment has been set.

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Smiling depression or high-functioning depression is one of the trickiest mental health conditions to identify and diagnose. As such, it’s a silent killer that can have a profound effect because assistance may never be sought.

Many people have gotten good enough at hiding their depression for personal or professional reasons. Research shows these individuals are at a particularly high risk of suicide because they’re dealing with the effects of depression on their own.

What Is Smiling Depression?

Smiling depression isn’t a clinical diagnosis but rather a term used to describe people who mask the symptoms of their condition for one reason or another.

As a result, loved ones and close individual may believe that someone with depression is perfectly happy and healthy (hence the name).

Typically, depression is linked to lethargy, sadness and feelings of despair. When these remain on the inside, however, the depression will unfold and present itself without alarming anyone. People like Jim Carrey, Ellen DeGeneres and even Dwayne “The Rock” Johnson have battled depression without anyone knowing what’s going on.

According to research, nearly 40 per cent of all depression sufferers are exhibit smiling depression. They quickly brush concerns away with a smile, telling everyone they’re fine. Eventually, the family will be convinced enough to give up and even start believing they were wrong to feel worried.

Does It Have at Least Some Symptoms?

While smiling depression is tricky and secretive, there are still some tell-tale signs. If you know someone very well, you’ll be capable of spotting subtle changes that may be indicative of a mental health problem that’s serious in nature.

Changes in appetite are very common among people with depression and they’re easy to spot. Some depression sufferers will overeat habitually. Others will lose their appetite and even stop consuming favourite foods.

Altered sleep patterns and insomnia are also typical.

Depression sufferers also feel drained just from their own everyday existence. They have to mobilise themselves and work really hard to keep up with responsibilities and function normally regardless of the condition. They may have to put serious effort in getting out of bed in the morning and “play” a role of happiness. Because of these exhaustion, self-care and personal hygiene may go out the window simply because participating in such routines becomes way too taxing.

People who have smiling depression could also indicate no distress about eventually passing away. This is known as passive suicidal ideation. They’re not actively planning to commit suicide but they don’t feel bad about eventually losing their lives in an event like a car accident, for example.

In people with smiling depression, these symptoms are going to be very subtle and difficult to spot. With time, a person may become even better at hiding the wreckage and the devastating manner in which depression is affecting their everyday existence.

Smiling depression sufferers are high functioning. They will not abandon their responsibilities, no matter what it takes to reach a favourable outcome. High-functioning depression sufferers will hold a job and they’ll often engage in social activities with family and friends. They may be funny, even appearing optimistic. The impact of the depression is more likely to be felt behind closed doors when these people may eventually let their guard down.

Who’s at Risk?

The answer is simple – everyone.

Smiling depression can be triggered by a situation, a life event or genetic predisposition.

Smiling depression, however, tends to be more common among people belonging to families or societies that stigmatise mental illness. Because of their upbringing or background, these people probably experience shame and embarrassment. They prefer to hide what’s going on instead of seeking treatment.

In essence, people who feel they’re going to be judged instead of helped will do their best to manage on their own.

Smiling Depression: Diagnosis and Treatment

Individuals with smiling depression often go untreated until the condition progresses. In that instance, they’ll either stop functioning effectively or they’ll start contemplating suicide. Diagnosis before this point is reached may be possible if the high-functioning depression sufferer comes to terms with their condition.

Obviously, overcoming the fear of embarrassment and stigma is essential to seek treatment. Loved ones who act in a non-judgmental way will play a vital role in this process.

Smiling depression is diagnosed just like any other mental health problem – by seeing an experienced psychiatrist in Singapore.

A mental healthcare professional will ask some important questions that will point at trends and the hidden expressions of the condition.

Eventually, a person with smiling depression may be diagnosed with clinical depression that has atypical expression. Receiving the diagnosis is a good thing because clinical depression, whether high-functioning or not, can be treated.

If you think someone may be dealing with smiling depression or you’re concerned about your own wellbeing, go and see a mental health professional. Emotional support and having a strong social network both play a vital role in beating the condition. A warm environment, combined with the right therapeutic approach, will contribute to steady and sustained improvements.

A loved one who refuses to see a therapist will be a challenge. In such instances, go and talk to a professional yourself. You will get a better idea about what’s going on and how you could offer assistance.

Adelphi Psych Medicine Clinic specialises in the treatment of depression. Don’t hesitate to get in touch with us and schedule an appointment to explore the possible therapeutic approaches and the ways in which smiling depression can be combatted.

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The link between depression and other mental health issues has been well-established.

Clinical depression is more prevalent in people who suffer from other mental health problems like anxiety disorders, panic disorders, generalised anxiety disorders and social phobias.

A new study establishes a link between depression and yet another mental health problem – schizophrenia.

Depression – Prevalent Among First-Episode Schizophrenia Sufferers

Meta-analysis published in the Psychological Medicine journal in November 2019 suggests there’s a link between first-episode schizophrenia (FES) and depression.

Researchers from University of Melbourne in Australia went through extensive literature about first-episode schizophrenia – a stage characterised by the development of frank psychotic symptoms. To perform the analysis, the researchers ranked depressive symptoms among those experiencing FES.

The final cohort consisted of 40 studies that examined the condition of 401 participants. In seven of the studies, the prevalence of depressive disorders among FES patients was26 per cent. In 11 studies, the prevalence went up to 43.9 per cent.

It’s also interesting to point out that the meta-analysis suggests a greater severity of the depressive symptoms in patients who experienced a greater severity of schizophrenia symptoms.

Schizophrenia and Depression: A Well-Established Link

This extensive meta-analysis isn’t the first one to highlight the link between schizophrenia and depression.

People who are genetically at a higher risk of schizophrenia are also predisposed to experiencing depressive episodes, prior studies have established.

Researchers from University of Edinburgh tried to establish the link due to the fact that currently, there are no tests for the diagnosis of depression. At the same time, the condition is estimated to affect about one in five people. establishing a link between depression and other mental health conditions could provide for better assistance and adequate treatment.

Schizophrenia is already known to share some factors with depression. Two of those include neuroticism and low mood/apathy. Upon examination of genetic samples, researchers from the University of Edinburgh concluded that people with schizophrenia have genetic factors linked to depression and vice versa.

According to lead researcher Heather Whalley, clinical depression is a seriously debilitating condition that we still know very little about. Her team concluded there seems to be a distinct type of depression that is genetically based on the risk of schizophrenia.

Knowing more about the causes of different forms of depression is essential for the development of tailored, effective treatment solutions. More precise diagnostic methods could also be developed on the basis of such research.

In 2015, Harvard Medical Health clinicians went a step further in their attempts to establish a link between clinical depression and other mental health problems.

According to them, five distinct mental health conditions happen to be a lot more alike than we perceive them to be. These conditions include schizophrenia, clinical depression, bipolar disorder, attention deficit hyperactivity disorder and autism.

A handful of genes are shared between the people predisposed to such disorders. The findings resulted from the work of the Psychiatric Genomics Consortium – an expert group formed by researchers from 19 countries. Over the years, the Psychiatric Genomics Consortium studied the DNA of 33,000 people who suffer from one or more of the mental health issues mentioned above.

A control group of 28,000 people who do not suffer from a mental health issue was also examined.

It’s interesting to point out that two of the genes identified in people suffering from the five conditions are responsible for the transportation of calcium in and out of the brain cells. This is an essential process that ensures the error-free “communication” between the cells and the proper functioning of the brain.

Problems with calcium transportation could lead to issues that can be exasperated by other genetic factors and environmental contributors. Depending on the specific circumstances, such a minor issue could even contribute to a full-blown mental health problem.

Better Diagnosis = Earlier and More Effective Treatment

Understanding the risk factors and knowing how to diagnose clinical depression simplifies the process of assisting individuals in need.

According to the Singapore Mental Health Study that was conducted in 2010, 5.8 per cent of the Singaporean adult population suffers from major depressive disorder.

In 2015, Singapore had the highest depression rates out of all Asian countries included in a mental health survey.

It’s difficult to come up with exact numbers since many people are described as high functioning depression sufferers. These individuals are capable of moving on with their life and being active participants in society. Their inner thoughts and feelings, however, are heavily affected by depression.

While depression isn’t always easy to diagnose, an experienced psychiatrist in Singapore will know what to look for when interacting with a patient. A conglomeration of symptoms like persistent sadness, apathy, loss of interest in previously favourite activities, weight loss, tiredness, suicidal thoughts and sleep problems could be highly indicative of clinical depression.

If you are dealing with depressive episodes or you believe that a loved one is struggling, you don’t have to suffer through the condition and hope for things to get better. Clinical depression can be debilitating but the condition can be addressed by an experienced mental health professional.

Adelphi Psych Medicine Clinic delivers a comprehensive, holistic depression treatment. We rely on psychotherapy, medications and social help to enable patients to restore productivity, health and happiness in their lives.

Contact us today to schedule an appointment  or give us a call at 62509833 to have your questions answered.

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Early onset eating disorders are those affecting children. Unfortunately, we’ve been witnessing a troublesome tendency in the past years. The rate of such disorders among the youngest and most vulnerable is increasing.

Most people think about teenagers and young adults when eating disorders (EDs) are being mentioned. Problems like anorexia and bulimia, however, have been diagnosed in children as young as seven or eight.

What are the risk factors and how can parents recognise early onset eating disorders? There are several tell-tale signs to remain vigilant about.

The Research

Eating disorders can affect children under the age of 12. One of the most important things to understand about early onset EDs is that these conditions tend to affect equal numbers of boys and girls.

According to research published in the JAMA Pediatrics journal, there are no gender-based difference when EDs are diagnosed at such an early age. These findings come in stark contrast with EDs diagnosed among teens and young adults. When the diagnosis occurs after one’s childhood years, ED tends to affect a disproportionate number of women.

The prevalence of early onset EDs has also grown over the past few decades.

According to the study quoted above, eating disorders affect 0.3 per cent of the girls in the eight to 15 age range and 0.1 per cent of the boys. Researchers based their findings on the examination of 4,524 children. The clinical trial continued over the course of two years and the scientists classified eating disorders into five clinical sub-types: anorexia, bulimia, binge eating disorders, other specified feeding and eating disorders.

This study isn’t the only one painting a bleak picture.

According to analysis by the Agency for Healthcare Research and Quality, eating disorder hospitalisation in children under the age of 12 has gone up 119 per cent from 1996 to 2006. The researchers also found out that early onset eating disorders have started spreading to countries and parts of the world that weren’t characterised by such conditions in the past.

Research also suggests that people under the age of 13 who have already been diagnosed with an eating disorder are also likely to suffer from other mental health issues. Some of the most common accompanying diagnoses include anxiety, depression and obsessive compulsive disorder (OCD).

Risk Factors

Children are at high risk of EDs in today’s day and age but which factors are contributing to the increased prevalence of such conditions?

Researchers have not been capable of pinpointing one reason or trend that is leading to higher numbers of children suffering from eating disorders. There’s some evidence that mothers who often diet, have negative body image and are too concerned with their weight could affect the development of their children and increase the risk of disordered behaviours linked to food and healthy eating.

There is also some evidence that eating disorders can be heritable.

If a family member has an eating disorder, children are seven to 12 times more likely to develop the same condition than children who do not have ED cases in the family.

A British study also suggests that nearly 44 per cent of the children who develop an eating disorder before the age of 13 have a family member who suffers from a mental health problem like anxiety or depression.

These factors, however, aren’t the only ones that make children prone to early onset eating disorders.

Behavioural and social factors also play a role. Singapore psychologists believe this is where the big difference has occurred.

Young people are heavily influenced by the images they see online and their idols. A new generation is growing up with Instagram, Snapchat and smartphone filters. All of these contribute to a distorted perception of beauty and reality.

Many children that have an eating disorder struggle with at least one of the following: very low self-esteem, poor body image, excessive fear of becoming overweight and even feelings of helplessness. It’s easy to see how these can be fuelled by society, peers and media.

Signs of Early Onset EDs: When to Seek Help

Many parents find it difficult to recognise the symptoms of early onset eating disorders. These could be mistaken for fussy eating or simply going through a “phase.”

Still, there are warning signs that an observant parent will detect. With time, these will become more pronounced and the range of symptoms will increase.

Young children who have an eating disorder can demonstrate an aversion to specific tastes and textures. Other warning signs include extreme shyness and anxiety, worries about one’s body, a pronounced fear of stomach aches, tantrums around meal time and even frequent bowel movements.

As the ED progresses, the symptoms could start including a refusal to eat, constant efforts to bring down portion sizes, digestive problems like constipation/diarrhoea, hair thinning, apathy, mood swings, puberty onset delays, noticeable weight loss, hiding food or hoarding food.

Treating early onset EDs can be a challenging process so the sooner parents seek help, the better. There will be many components that a psychologist will need to address in order to get a young patient on the journey to recovery.

Family-based interventions and treatment plans could also be developed. Parents and guardians play a massive role in the life of children. If a parent is exhibiting unhealthy behaviours, children will be likely to act in similar ways. Thus, the problem that the adult has will have to be addressed to create the right kind of environment for a young person recovering from an ED.

Behavioural interventions are another possible approach. It’s often used with children who refrain from consuming certain types of foods, who fear food or have highly pronounced aversions.

A holistic approach towards the treatment of an eating disorder is incredibly important. Adelphi Psych Medicine Clinic can offer such assistance. Our team has the experience and the tea, to work with young patients and their parents, delivering significant improvement over time. Contact us today if you suspect that your child could be suffering from an eating disorder.

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Depression and insomnia are linked to each other.

It’s a well-known fact that people who do not get sufficient sleep are more predisposed to clinical depression than those who get enough rest during the night.

A new study, however, shows that a very simple adjustment in one’s sleeping schedule could contribute to massive mental health improvements.

Some people may think that switching a sleep/awake schedule is very difficult or even impossible. Researchers, however, managed to prove that just three weeks are required to produce a sustainable and highly beneficial adjustment.

If you happen to be a night owl, here’s what you need to do in order to make some adjustments to your sleep schedule for better mental health.

Sleeping Schedule Adjustments Lead to Massive Improvements

University of Birmingham researchers presented a new study according to which small adjustments in the sleeping schedules of night owls can contribute to a reduction in the risk of depression.

Night owls are those people who remain awake when the rest of the world is sleeping. These people have a circadian rhythm that’s altered. They’re more productive during the night and they tend to have extreme sleeping and waking up habits.

According to researchers, night owls can shift their circadian rhythm over the course of three weeks. No medications or other interventions are required to accomplish the goal.

The study was presented in Sleep Medicine journal and it showed that participants in the experiment were capable of bringing forward their sleep/wake timing by two hours. This switch did not have a negative effect on sleep duration or quality. The so-called night owls also reported decreased feelings of depression and stress and a reduction in daytime sleepiness.

Study participants had an average bedtime of 2:30am and their average wake up time was 10:15am.

How did the researchers help these people change?

Participants in the experiment were asked several things over the course of three weeks. For a start, they had to start waking up two to three hours before their usual wake up time. They were also asked to start going to bed two to three hours before their usual end of the day.

Sleeping and wake times were kept fixed over the course of the three weeks. In addition, the volunteers were asked to have breakfast as soon as they woke up. They also needed to eat lunch at the same time each day and to refrain from having the final meal of the day after 7pm.

These simple steps proved to be effective in switching circadian rhythms over the course of three weeks. The term circadian rhythm refers to a 24-hour internal clock we all have. This clock makes us feel alert at certain times and sleepy at others. Sometimes called the sleep/wake cycle, the circadian rhythm has an impact on nearly every aspect of life.

The aim of the study we’ve talked about in this section was to see just how difficult it was to achieve a circadian rhythm adjustment. At the same time, the researchers were happy to find out that the work they did with the night owl volunteers also helped to reduce depression and stress.

The Importance of Sleep for Better Mental Health

Sleep and mental health share a close connection.

In today’s hectic world, many adults are sleep deprived. The number has grown significantly over the past few decades and mental health professionals like psychiatrists and psychologists in Singapore believe that insomnia and poor sleep quality are two factors contributing to the growing prominence of mental health problems.

Originally, insomnia was seen as a symptom of mental health disorders. Eventually, psychiatrists started seeing as one of the root causes of various problems, including serious issues like clinical depression.

Studies show that the different types of sleep (light sleep, deep sleep, REM) all play a role in restoring mental health.

Deep sleep is so powerful that it alters brain function and it can even strengthen the functioning of the immune system. REM sleep, the part of the sleep cycle during which we dream, enhances learning and memory.

Scientists are still uncertain of all the mechanisms in which sleep improves mental health. They have found out, however, that sleep disturbances affect levels of neurotransmitters and stress hormones. Thus, they can impair brain function and even affect emotional regulation.

There are more than 70 types of recognised sleep disorders. Insomnia, sleep apnoea and narcolepsy are the most common ones. All of these sleep issues increase the risk of various mental health problems, including depression.

According to studies, anywhere between 65 and 90 per cent of the adults diagnosed with depression experience some kind of sleeping disorder. The same applies to 90 per cent of the children diagnosed with clinical depression, a Harvard report suggests.

While insomnia and other sleep disorders increase the risk of developing depression they also affect patient outcomes when treatment is initiated. Depressed patients who continue experiencing insomnia after the initiation of treatment are less likely to respond positively to the therapeutic approach than those who get enough sleep.

Sleep disorders have been linked to a higher risk of various other mental health problems like bipolar disorder, anxiety disorders and ADHD.

As you can see, lifestyle changes could establish the foundation of a successful depression treatment program.

Seeking professional assistance is going to be as important as sufficient sleep.

Clinical depression is a very serious problem that requires a thorough, holistic therapeutic approach. Adelphi Psych Medicine Clinic offers such opportunities to help those going through depression.

Our depression treatment targets all of the factors that could be contributing to the problem. We employ psychotherapy, pharmacological therapy and social help to reduce the stress burden and offer holistic depression management.

If you believe that you’re exhibiting the most common depression symptoms or you worry about a person you love, contact Adelphi’s team of experienced mental health professionals today.

Our contact information:

Telephone: [phone] / Fax: [phone]

Address: Adelphi Psych Medicine Clinic, 1 Coleman Street, The Adelphi #04-32, Singapore 179803

Monday-Saturday: 10am to 7pm Sun & PH: By Appointment

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Do you know how your mood and your overall mental health are being affected by the everyday decisions you make?

It’s easy to see how certain aspects of life can have an impact. Having a very busy job or negative interactions with people, for example, could leave you feeling anxious and exhausted at the end of the day. If you don’t address such issues in the long run, they could even contribute to depression.

Other aspects of life, however, are less obvious in their effect on mental health.

Did you know that the foods you eat could either protect you from depression or contribute to it? Research into food suggests that certain foods and the natural compounds found in them affect the brain.

The good news is that a few of the tastiest options out there seem to have protective qualities. Today, we’ll talk about two of these foods: dark chocolate and red wine. Could these actually be incorporated in a happiness diet? Science says yes.

Dark Chocolate Has Anti-Depression Qualities

Chocolate lovers can rejoice in the fact that the latest research proves the ability of this delicious sweet treat to offer protection against depression.

Researchers have found out that dark chocolate contains mood enhancement compounds. In fact, people who eat a small amount of dark chocolate on a regular basis are 70 per cent less likely than their peers to experience depressive symptoms.

The team from University College London’s Institute of Epidemiology and Health Care studied data from trials involving over 13,600 adults in the US. One of the most interesting findings was that the 25 per cent of participants who ate the most chocolate (regardless of the type) reported the least amount of depressive symptoms.

Scientists still cannot tell exactly how chocolate functions to prevent depressive symptoms.

There are several possible explanations.

Dark chocolate contains a lot more cocoa than milk chocolate. Cocoa, just like coffee, is a stimulant. It can produce feelings of happiness and even euphoria. Some people may feel more energised after eating chocolate, which will perk them up and prevent them from feeling sad or empty.

In addition, dark chocolate contains phenylethylamine – a neuromodulator that seems to have a positive impact on mood stabilisation.

One other very important aspect of the study, however, suggests that the anti-depression benefits are solely experienced by those who enjoy consuming the chocolate and fund it delicious. People who don’t enjoy dark chocolate seem to be experiencing minimal to no effects.

Thus, the please derived from consuming such a food could also play a role in warding off depression.

Chocolate and Wine: A Winning Combination

Red one is another favourite that’s been studied for its anti-depression properties.

Red wine is made of grapes and grapes are a powerful source of resveratrol. An antioxidant and a beneficial phenol, resveratrol has sometimes been called “the fountain of youth” due to its protective and anti-aging properties.

Resveratrol is also considered the reason behind the anti-depression properties of red wine.

There is some evidence that resveratrol could be acting as an anti-depressant. The exact mechanism in which it works, however, still remains unknown.

In a recent animal study, it was found out that the resveratrol found in red wine has an effect on some important chemicals playing a role in the functioning of the nervous system. Resveratrol lowers the production of a stress-response hormone called corticosterone.

Some researchers are optimistic that this mechanism could help for the creation of new natural anti-depression medications based on resveratrol. The medical and research communities still have a long journey to travel until they get there. For the time being, enjoying a quality glass of red wine every once in a while could be a good option for giving your body some of the natural resveratrol it needs.

Food for Depression Control

The psychiatrists and psychologists at Adelphi Psych Medicine clinic agree that there’s a strong link between physical health and mental health. A happy, strong body can help for a happy, strong mind. To be healthy, a body needs to be nurtured property.

In addition, certain foods contain mood stabilising compounds just like dark chocolate and red wine.

Antioxidants, for example, play a crucial role in preventing cell damage. Studies show that the brain is particularly at risk when exposed to high levels of free radicals – compounds that cause damage on a cellular level and speed up the aging process. Antioxidants provide the building blocks that the body needs to “repair” its affected cells and to prevent future damage.

Some of the best natural sources of antioxidants include berries, broccoli and other cruciferous vegetables, green leafy vegetables, peppers, tomatoes, nuts, seeds and vegetable oils.

Slow carbohydrates like whole-grains are another excellent choice. These complex carbs enhance the production of serotonin, which is a mood boosting brain chemicals. Slow carbs help for the release of energy over time. As a result, they don’t cause an energy peak and a crash soon after. To ensure mood stability, avoid quick carbs like sugary treats, cakes, pastries and carbonated beverages.

Finally, go for selenium-rich foods. There have been multiple studies that establish a link between selenium deficiency and bad mood. Taking a supplement can be a good choice to overcome a deficiency. Once you get to a healthy level, you can begin consuming more selenium-rich foods like beans, legumes, dairy products, nuts, seeds, all kinds of seafood, lean meat and whole-grains.

Diet isn’t everything when it comes to fighting depression but it can certainly have an impact.

The right foods can be used as a form of supportive therapy, especially if a person is already getting professional assistance.

In Singapore, you can address depressive symptoms in many ways. Some of the best depression treatment approaches include psychotherapy, the selection of the right medications and social help. A tailored, holistic approach will be very important to understand the specific cause of depression in an individual and to address that reason in the best possible way.

Adelphi Psych Medicine Clinic has the reputation and the team to offer depression sufferers in Singapore holistic and sustainable treatment options. Contact us today to learn more about our approach and to begin your healing journey.

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Singapore considers suicide a very serious issue due to the very nature of the problem and the fact that rates have been increasing over the past few years. The latest statistics paint a troublesome picture, showing that the negative trend isn’t over yet.

In recent years, suicide rates have been increasing for all demographics. This is the leading cause of death in the 10 to 29 age group. In addition, suicide is still considered a taboo issue. Such social attitudes contribute to stigma and prevent many people experiencing mental health anguish from seeking therapy.

The Latest Suicide Statistics

The latest suicide rate report for Singapore is quite bleak.

Samaritans of Singapore reported that the number of suicides has increased 10 per cent on an annual basis.

In 2018, there were 397 reported suicides in comparison to 361 suicides in 2017. An increase was noted in all age groups apart from the 60+ demographic.

Samaritans of Singapore (SOS) is a suicide prevention agency that focuses predominantly on offering emotional support to individuals in crisis who may be thinking about ending their lives. SOS also keeps track of statistics and alerts the society of the latest suicide-related trends.

According to the latest report, the facts surrounding suicide among young people is exceptionally alarming. The suicide rate among boys has reached an all-time high. In 2018, 94 people in the 10 to 29 age range ended their lives. There were 19 suicides among boys aged 10 to 19 – the highest number since the organisation started keeping track in 1991.

Young People Missing Support

Many young people feel that they’re missing support at a time of massive need. Ending their lives seems like the only option for overcoming the pain and the anguish, SOS reported.

The only positive development noted by the organisation is the willingness of young people to reach out and seek help.

Of all people who got in touch with SOS for emotional support, over 78 per cent belonged to the 10 to 29 age group. This number represents an increase of over 56 per cent on an annual basis.

Young people in Singapore seem to have a high level of awareness about mental health problems. They also recognise the need for therapy and guidance in over to overcome their darkest moments. Young people today explore an array of support venues like online resources, peers and even professional therapy/support services.

At the same time, Singaporean society puts emphasis on toughness and being stoic. Thus, Singaporeans lack tolerance for behaviours that have traditionally been perceived as signs of weakness. Such outdated views on mental wellbeing and the work with a psychiatrist in Singapore, for example, still prevent many people from getting the assistance that could save their lives.

It’s important for those experiencing mental health problems to learn that it’s ok to be less than perfect and to reach out in such moments. Many mental health professionals and non-governmental organisations in Singapore are working to ensure this shift and to contribute to more readily accessible assistance.

Does Therapy Reduce the Suicide Risk?

Psychotherapy can play a massive role in reducing the suicide risk across all age groups, especially among the most vulnerable members of society (very young or marginalised individuals).

It’s essential for psychologists/psychotherapists in Singapore to work with their patients on how to understand and regulate their emotions. Skills deficiency in this department could lead a person to seek a way out through ending their life. Such deficits can be corrected when the right “skills” and coping mechanisms are highlighted and internalised.

Cognitive behavioural therapy (CBT) is another approach that has been delivering good results.

2016 meta-analysis published in the Psychology Research and Behavior Management journal suggests that CBT has a good success rate in helping patients overcome suicidal thoughts.

The research shows that mental health conditions are implicated in 91 per cent of the global suicide cases. Thus, addressing the underlying mental health problem that’s linked to the suicidal thoughts reduces the risk for patients. Depression is one example of a condition that increases the risk of suicide and that could be addressed by CBT.

Another study shows that approximately nine hours of personalised CBT for suicide prevention has been reported to reduce the likelihood of repeat suicide attempts by 50 per cent in patients. Published in the Current Psychiatry journal, the study suggests that therapist and patient can exchange information to develop a collaborative plan for suicide prevention. In addition, the patient is provided with a safety plan that features the therapist’s contact information. Such information enables a suicidal individual to reach out and get assistance when they’re feeling down and they could be prone to self-harm.

Recovery Is Possible

If you know someone who may be suicidal, please understand the fact that recovery is possible through the the right therapy. For this purpose, you will need to reach out and help your loved one acquire the skills needed to manage negative emotions and overcome mental health problems.

Numerous effective psychological and psychiatric approaches can be tailored to the needs of the specific individual. New discoveries, paired with traditional therapies and enhanced outreach opportunities in Singapore can increase the survival rate for people dealing with suicidal thoughts.

It is quite often that a suicidal person is ambivalent about ending their life. Very few are firmly set on accomplishing the goal. Thus, a mental heal professional can move a patient in the right direction through personalised therapy.

Adelphi Psych Medicine Clinic features a team comprised of experienced psychiatrists and therapists who are caring, passionate and willing to pinpoint the right approach for every single patient.

Specialised services are available, once patients undergo assessment. The clinic offers psychotherapy, art therapy, CBT, clinical hypnosis, MBCT, clinical psychiatry and other approaches that can be used to address an array of mental health problems.

Please contact Adelphi Psych Medicine Clinic today if you know someone who are showing signs of depression or have expressed the desire to end their life. The sooner you seek assistance, the higher the likelihood of turning their life around.

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We live in a world that puts a ton of pressure on people to look a certain way. Magazines, television and even social media like Instagram are crafting an alternate reality that many people do not belong to. Those who fail looking a certain way are marginalised and this is particularly true for overweight people.

Body image issues and obesity have long been linked to anxiety and social isolation. A new study also suggests that even people who simply perceive themselves as being overweight are vulnerable to serious psychological disorders like depression.

Perceiving Oneself as Overweight Can Cause Depression

The study has found out that it doesn’t really matter whether a person is really overweight or if they perceive their body as being less than ideal. Perceived overweight increases the risk of depressive symptoms and suicidality beyond objective weight status, researchers concluded and published their findings in Clinical Psychology Review.

Analysis was carried out among different subgroups of individuals and the results were always consistent.

It’s easy to understand why perceiving oneself as overweight contributes to mental health problem.

Being overweight has long been stigmatised in society.

Weight stigmatisation starts at an early age in the educational system. Studies suggest that even pre-school children have negative attitudes towards their overweight peers.

Overweight students are more likely to become the victims of bullying and college acceptance rates among them are lower than among the students who are perceived to have a normal weight.

From that point forward, stigmatisation continues in nearly every aspect of life. Overweight individuals are even being judged by their medical care providers. Negative attitudes towards overweight patients have been reported among both physicians and nurses. Dieticians and psychologists seem to share the same biases.

The stigma predominantly stems from social perceptions about the causes of obesity. Many people think that overweight individuals are lazy and lacking in motivation. Research shows that many think self-control is sufficient to lose weight and get to an ideal body shape. Most people do not factor in psychological conditions that lead to overeating, medical problems and the fact that overweight individuals are frowned upon even when they attempt to lose weight (for example, by going to the gym).

Thus, weight stigma perpetuates the obesity epidemic. It contributes to social isolation, many overweight individuals being unwilling to seek medical assistance or to attempt working out. All of these factors come together to have a profound negative effect on the mental health of these people.

An Impossible Ideal, a High Risk of Failure

Image editing and celebrities with perfectly sculpted bodies contribute to an even more serious problem than the obesity epidemic itself.

Psychiatrists and psychologists in Singapore are dealing more often than ever with teenagers and young adults who find themselves incapable of overcoming body image issues and eating disorders.

Studies show that many women believe that their body is two third bigger than it actually is. Women are more sensitive to the appearance of their bodies, hence the effect is much more pronounced among them.

Men aren’t immune to self-perception distortion either.

According to the US National Centre for Health Statistics, 25.3 per cent of the men who have a healthy weight think that they’re overweight. The same is true for 47.9 per cent of women. Those in the 40 to 59 age group are most vulnerable – 27.6 per cent of the men and 56.5 per cent of the women perceive themselves as overweight. In the 20 to 39 age group, the distribution is 24.8 per cent for men and 49.5 per cent for women.

Thus, being overweight is not a prerequisite for experiencing anguish. It looks like half of all women who have normal bodies perceive themselves as being too heavy, which makes them vulnerable to the stigmatisation that overweight individuals experience.

Negative Talk about Weight = Body Image Issues and Depression

According to research published in the Journal of Applied Communication Research, negative talk about weight is one of the primary contributors to body image issues and depression.

Engaging in frequent conversations about one’s own body or what an ideal body is can result in very low self-esteem and high levels of depression. The findings in the study were irrelevant of the gender of participants or their body mass index (BMI). The more they were exposed to talks about diet, exercise and concerns about somebody being overweight, the more psychologically vulnerable they became.

In addition, researchers found out that engaging in such conversations contributed to a vicious cycle.

The more dissatisfied a person is with their appurtenance, the more they’re likely to engage in negative talk about weight. Such conversations bring down self-esteem even further, making it impossible for a person to get out of the loop.

Over time, depression levels increased as people perceived themselves to be seriously pressured to become thin.

Society connects thinness to attractiveness and attractiveness is linked to success. Thus, it’s easy to see why people who don’t belong to the category (or who simply think that they don’t belong to the category) could start feeling dissatisfied, isolated and even depressed.

Nearly 90 per cent of media and publications feature articles about unhealthy weight loss, US studies suggest. At the same time, 98 per cent of celebrity or model images published in print media or online are photoshopped. These messages are false and damaging, making even “normal” people feel inadequate and contributing to body image issues.

If you’re feeling unhappy about your appearance, anxious or depressed, you need to speak to a professional as soon as possible. Getting therapy in Singapore can help you regain your life and understand how you’ve become the victim of media manipulation.

The Adelphi Psych Medicine Clinic mental health professionals have the experience and the background to help people from all ages and walks of life. We adopt a holistic approach towards depression treatment to give you the coping tools and ensure long term recovery. Contact us today to schedule an appointment or have your most pressing questions about body image answered.

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Women are two times more likely than men to experience depression, research suggests. This gender gap has often been attributed to hormonal differences between men and women but are these the only ones to blame?

A new study attempts to shed some light on why depression is more common in women. According to the researchers, a much more serious reason is behind the phenomenon and it has to do with brain chemistry.

Brain Differences – A Cause of Depression?

The study involving 115 participants relied on brain scans to examine chemistry and pinpoint specific differences between men and women.

University of California researchers looked at inflammation and how depression manifests itself in the human brain. The results were quite staggering – inflammation produced very different brain responses in men and in women.

The results of the study were presented in the journal of Biological Psychiatry: Cognitive Neuroscience and Neuroimaging. They focused predominantly on anhedonia – the inability to derive pleasure from activities that previously used to be enjoyable. Anhedonia is one of the hallmarks of depression.

Participants in the study were assigned either to a placebo group or an endotoxin group. The endotoxin was administered to cause an inflammatory response. After the administration, the participants were asked to perform a task and they were promised a monetary reward for its completion. Brain scans were carried out to see how brain chemistry changed during and after the completion of the task.

Endotoxin administration caused anhedonia in the female study participants but it did not have the same effect on the men. In addition, the women participating in the experiment experienced higher levels of inflammation.

As a result of the experiment, researchers concluded that women suffering from inflammatory conditions are much more likely to experience depression than men. The research team recommends the close monitoring of women being treated for chronic inflammation, as these patients could potentially start exhibiting signs of depression.

Other Reasons for the Depression Gender Gap

Many label the new study revolutionary because it takes a much deeper look at brain chemistry than ever before.

Psychiatrists in Singapore have long recognised the differences between men and women when it comes to depressive disorders. Certain groups of women are even more vulnerable than the general population – pregnant ladies, women going through menopause and even teenagers who are going through puberty.

There’s also some evidence that in comparison to men, women have a stronger genetic predisposition towards the development of depression.

On top of these physiological reasons, however, there could also be some psychological differences that contribute to the vulnerability of women.

Mental health professionals have found out that women tend to be much more introspective than men. Women tend to think more about things and analyse situations, whether these are good or bad. This tendency increases the likelihood of depression. In contrast, men are more likely to respond with angry outbursts or substance abuse when faced with harsh circumstances and difficult situations.

It’s also been established that women tend to be more invested in intra-personal relationships. This tendency goes beyond romantic involvement to affect most interactions women have with family, loved ones, co-workers and friends.

As a result of this emotional investment, women are much more likely to suffer in the event of relationship problems. They can be impacted in a very severe way, which will eventually contribute to the onset of depression.

Social Factors and Female Depression

If these differences weren’t enough, it’s also been established that societal pressures men and women face are quite distinctive. This is the final contributing factor that could shed more light on the gender depression gap.

Generally speaking, women are subjected to higher levels of stress than men. In today’s society, both men and women in the family have to work in order to contribute to the household budget. Ladies, however, tend to have a range of additional responsibilities.

Women are still the primary carers when it comes to children and elderly family members. They are responsible for maintaining the home, addressing issues their children may be facing and coping with societal expectations that can sometimes be unfair.

Women also tend to live longer than men in most parts of the world, Singapore included. Singapore’s average life expectancy is 85.2 years for women and 80.7 years for men.  Old age is associated to higher incidence rate of depression due to loneliness or bereavement.

A final societal difference focuses on the ways in which women and men address depression.

Multiple studies from across the world show that women are more likely than men to seek treatment for problems like depression and anxiety. Thus, some analysts believe that statistics for men aren’t exact due to the fact that many men facing depression attempt to handle the issue on their own rather than through therapy.

Recognise Depression and Seek Help!

Whether you’re a man or a woman, it’s crucially important to recognise the sign of depression onset and to seek professional assistance as soon as possible.

Some of the common symptoms of depression include a feeling of sadness that doesn’t go away, hopelessness, apathy and loss of interest in previously favourite activities, insomnia, concentration problems, weight loss and a sense that life is no longer worth living.

If a person you love is experiencing some of the above-mentioned symptoms, you’ll need to get in touch with a mental health clinic in Singapore as soon as possible.

Depression can be controlled when the right approach is chosen.

Adelphi Psych Medicine Clinic focuses on a holistic approach towards the treatment of depression. Psychotherapy, medicine-based therapy, behavioural therapy and social help may all be employed to ensure the holistic management of the condition.

We recognise the fact that depression expresses itself differently for different people. This is why our therapeutic approach involves extensive communication to pinpoint the causes, the symptoms and the behavioural changes that mark the onset of depression.

Contact Adelphi Psych Medicine Clinic today if you’re feeling depressed or if you worry about a loved one. We’ll do our best to answer your questions and offer a tailored therapeutic approach bound to deliver the best results.

Our clinic can be found here:

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Treating dementia is possible in a number of ways. Social interventions, medicinal therapies and art therapy are some of the common approaches. These have been employed successfully by mental health professionals in Singapore, allowing elderly patients to express their grief and socialise more effectively.

Over the years, numerous studies have confirmed the benefits of art therapy in the treatment of dementia.

Dementia: A Growing Problem Across the World

Dementia has become a major cause of disability across the world. According to the World Health Organization (WHO), 50 million people globally live with dementia. There are 10 million cases being diagnosed every single year.

Alzheimer’s disease is the most common cause of dementia. It contributes to anywhere between 60 and 70 per cent of the cases.

Dementia is a chronic and progressive syndrome. It is characterised by the loss of cognitive function beyond what’s considered a normal consequence of aging. Dementia affects predominantly memory, orientation, critical thinking, comprehension, one’s learning capacity and judgment without having an impact on consciousness.

Currently, dementia affects approximately five to eight per cent of the worldwide population aged 60 and over. What’s most troubling is the rapid increase in new dementia cases. Forecasts suggest that the number of people diagnosed worldwide will reach 82 million by 2030 and 152 million people by 2050.

These worldwide statistics are valid for Singapore, as well.

Dementia has been on the rise in Singapore according to the Wellbeing of the Singapore Elderly (WISE) study. Conducted by the Institute of Mental Health, the study suggests that one in 10 people aged 60 or older is affected by dementia.

In 2012, 28,000 Singaporeans aged 60 or older lived with dementia. The number is anticipated to go up to 80,000 by 2030.

Creative Art Therapy for Dementia Treatment

Various types of art can have therapeutic benefits for the treatment of dementia.

Every single type of art therapy engages the imagination and encourages self-expression, regardless of the patient’s state of mind.

It’s not necessary for people to be particularly artistic in order to enjoy the benefits of this kind of dementia therapy. Paint, clay and paper allow for better self-awareness and the creation of imagery for self-expression purposes.

These, however, aren’t the only kinds of art that dementia patients can benefit from.

Research suggest that drama and theatre are also excellent choices. Role play and improvisation allow for the creation of new memories and they encourage problem-solving skills. In addition, theatre-based therapy usually takes place in group settings. This way, it encourages social interactions between the participants.

Dance, movement and music therapy have also been employed to treat dementia patients and give them a creative outlet. Through dance, dementia patients can engage in a very specific way of non-verbal communication. Music is an excellent choice for the treatment of anxiety and even the depression linked to dementia.

How Does Art Therapy Help with Dementia?

As you’ve seen already, art therapy can produce an array of self-expression, communication and cognitive awareness benefits for the elderly individuals that are struggling with dementia.

Coming together to create art is another very important component of the art therapy. It reduces the risk of social withdrawal and the linked depression – two very common consequences of dementia among the elderly.

Studies show that theatre-based therapy specifically can improve the quality of life by awakening memories and helping the patients remember troubling past moments and work through those. Drama is also very beneficial for overcoming grief, cognitive and even age-related physical decline.

Research about visual art therapy suggests that it improves both the mood and the cognitive abilities of elderly patients. These are long-lasting and extend to the period following the therapy.

These are the reasons why art therapy can benefit a wide array of patients apart from dementia sufferers. It’s ideal for those dealing with anxiety, depression or chronic stress, it helps people on a crossroad looking for a deeper level of self-awareness, survivors of trauma/abuse, couples facing relationship problems and children with emotional/developmental/behavioural issues.

Flashes of Joy Amid Darkness

Those who suffer from dementia eventually develop difficulties recognising their loved ones, they experience behavioural changes, language and communication problems, serious memory disturbances and they become entirely dependent on assisted self-care.

The process of losing one’s cognitive abilities and memories can be confusing and frightening. Art therapy produces feelings of joy amid this troubling time.

Even if the positive moments produced by art therapy are small and fleeting, they can have a lasting impact on the condition and the mood of dementia patients.

Art therapy originated as a sub-niche of psychotherapy in the 1940s. It’s not new, high-tech, expensive or difficult to implement. The selection of the specific intervention depends on the needs of the patient and the choices that a qualified art therapy facilitator, who is usually a psychologist or psychotherapist, makes to tailor the treatment to the condition.

This kind of therapy provides an alternative channel of communication, especially when dementia patients experience diminished language abilities. It stabilises mood, alleviates the burden on caregivers and deepens the relationship between the patient and the therapist.

The simplicity of art therapy, as well as the ease of implementation and the positive results all justify the pursuit of art therapy for the slowdown of cognitive decline in dementia patients.

If a person you love is struggling with dementia, you should consider a consultation at a mental health clinic in Singapore, be it a psychiatrist, psychologist or a psychotherapist with a specialty in art therapy and most often, experienced professionals will suggest a multi-disciplinary approach

Adelphi Psych Medicine Clinic offers art therapy that facilitates communication and allows dementia sufferers to reach a part of themselves that may be difficult to access otherwise. In our experience, patients consider art therapy much less threatening than other kinds of psychotherapy and psychiatric interventions.

To learn more about what happens in an Adelphi Psych Medicine Clinic art therapy session, contact us today or give us a call at 62509833.