Six Tools to Help Fight College Freshman Depression

The U-M Health Blog has published a post about tools for college freshmen to fight depression. Below is an excerpt.


The start of college comes with expectation and excitement, but it also can trigger depression. A Michigan Medicine psychiatrist offers advice to ease the transition.

By Kevin Joy

Making the leap from high school to college is a big deal, no matter how far from home a soon-to-be freshman is headed.

“People really need to know it’s OK to ask for help.”

But the positive (yet often hectic) milestone can shake a student’s well-being, with unintended effects such as depression.

“It’s a huge transition for everyone, whether you have a history of depression or not,” says Dayna LePlatte, M.D., a clinical instructor in psychiatry at the University of Michigan Medical School. “You’re living on your own, taking on more responsibility and academic demands.

“It can be tough.”

And it marks a key time for signs of trouble to surface: 75 percent of mental health conditions begin before age 24, according to the National Alliance on Mental Illness.

Nor is the scenario uncommon. A 2016 UCLA survey found that 12 percent of college freshmen say they are frequently depressed. Likewise, the number of students seeking mental health services rose nearly 30 percent between 2009 and 2014, a Penn State University survey found.

Although some self-help steps can offer an emotional boost — see a list of tips below — a student showing symptoms of depression shouldn’t struggle alone.

Says LePlatte, a former psychiatrist for U-M student-athletes: “People really need to know it’s OK to ask for help.”

She offered advice for freshmen and their families.


Read the rest of the blog post.

ESPNW: After former Penn State kicker Joey Julius hit bottom, asking for help was the thing that saved him

ESPNW dives into the story of former Penn State football kicker Joey Julius and his struggle with depression, disordered eating and suicide ideation, as well as how Julius has sought help to get better. Below is an excerpt.


By Emily Caron

On Monday, March 27, 2017, the day after his 22nd birthday, Penn State kicker Joey Julius walked into the Louis and Mildred Lasch Football Building, just minutes from the famed Beaver Stadium, where he had gained national notoriety for his bone-crunching hit on a Kent State kick returner in 2016. He had an 8:00 a.m. monitored workout scheduled in the training room.

Medically monitored workouts weren’t abnormal for Julius, who had openly struggled with binge eating since October 2016. In May of that year, a then-21-year-old Julius said a temporary goodbye to his home in State College, Pennsylvania, to seek solace in St. Louis — home of McCallum Place, an eating-disorder treatment center with male- and athlete-specific programs. He stayed for two months.

“If you let me go home, I’m going to kill myself.”

At the facility, Julius was told he had an eating disorder, a diagnosis he had never before received. The 5-foot-10, 258-pound kicker had dealt with erratic eating for most of his life, but after gaining 50 pounds within months of graduating high school — where he was a four-time football letterman and soccer star — in the spring of 2014, his erratic eating rapidly escalated and became an increasingly consuming disease. He left McCallum in 2016 finally understanding what was going on with his health.

But after his workout that March morning — an abnormal weather day, he remembers, warm for a town known for its snowy winters and bone-chilling cold — he was about to leave when instead he stepped on the scale. He weighed nearly 300 pounds, the heaviest he’d ever been. He then walked into the office of Tim Bream, the head football athletic trainer.

“If you let me go home, I’m going to kill myself,” Julius says he told Bream.

***

Julius came back from his time at McCallum for the 2016 Penn State football season seemingly better than ever. He started speaking openly about his struggles with binge eating, restricting and purging, and returned with a vengeance on the field, continuing his tear as one of the hardest hitters in football.

But with each big hit on unsuspecting opposing kick returners, the media and the public reinforced what often fueled part of Julius’ self-consciousness about his body: Kickers just aren’t supposed to weigh in at 260 pounds.

“Body image is my biggest struggle,” Julius says. “I think it’s one of the hardest things we deal with as human beings. I was a kicker on a football team, and you’d always hear, ‘He doesn’t have the typical kicker’s body.’ But I really did not have the typical kicker’s body. I was not built like a kicker. I literally looked nothing like I was ‘supposed’ to be.”

While Happy Valley supported his success on the field and heralded his hits, they unknowingly and unintentionally contributed to the narrative that had defined Julius’ entire athletic career. He didn’t look like an athlete. His self-consciousness and self-loathing amplified by the day.

Throughout the fall of 2016, Julius remained under the watchful eye of the Penn State football staff and medical personnel. He says they all wanted what was best for him; his teammates, trainers, coaches, the fans — all of Nittany Nation had his back. They were a family in that sense, close-knit enough that Julius could fall back on their support when needed.

By March 2017, he needed it. Binge eating was only part of the problem for Julius, who had also long struggled with depression. The depression led to unhealthy eating, which led to a lack of sleep and placed an extra toll on his organs. As his physical health declined, so too did his mental state, and vice versa. It’s a toxic cycle and the reason eating disorders are so dangerous. This spring, his sickness had taken hold again.


Read the rest of the story on ESPNW.

Athletes Connected Launches Quarterly Newsletter

Earlier this week, Athletes Connected excitedly distributed its first quarterly newsletter to supporters, donors, student-athletes, coaches, staff and key stakeholders to the student-athlete mental health initiative.

The newsletter brings the latest news, updates, events and coverage of mental health from around campus and the country directly to the reader’s inbox. Our team will maintain a one-stop shop for all newsletter content moving forward.

Be sure to subscribe to future emails and if you have any submissions or suggestions on how to improve the newsletter going forward, please let us know.

(Photo: Darron Cummings, AP, File)

USA Today: Few student-athletes with mental illness seek help

Athletes Connected was featured on USA Today College in a story that studies how few student-athletes seek help with their mental illness. U-M athletic counselor Emily Klueh was quoted to provide context on how different approaches are needed to work with student-athletes. Below is an excerpt from the story, which is the second piece in a two-part series.


By Haley Velasco (Photo: Darron Cummings, AP, File)

As a high school student in Rhode Island, Katie Morin swam the 500- and 1000-meter freestyle alongside elite athletes, including three-time Olympian Elizabeth Beisel. As she became more serious about swimming, she met with a sports psychologist, a general psychologist and a psychiatrist, and began taking anxiety medicine.

“It is pretty common in an individual sport where you compete against yourself, or the clock, to put immense amounts of pressure on yourself,” Morin said.

During college recruitment, she evaluated mental health resources at prospective schools along with the caliber of academics and the strength of their swim programs. Upon choosing Cornell University, she immediately made an appointment with a counselor at the general health center, who helped her schedule sessions all four years.

“The ease and anonymity of the entire process made me want to [seek] services,” Morin said.

“It’s a benefit to have people who understand that population and who work with them in a different way,”
— Emily Klueh

Unlike Morin, most college athletes who have mental health do not seek help, according to Daniel Eisenberg, an associate professor at the University of Michigan School of Public Health, who surveyed student-athletes before and after they participated in educational presentations to all 31 athletic teams at the university. He says that 33% of all college students experience significant symptoms of depression, anxiety or other mental health conditions. Among that group, 30% seek help. But of college athletes with mental health conditions, only 10% do.

“They are student-athletes, and they come with the same baggage that other students have,” says Christopher Miles, assistant professor of family and community medicine and biomedical engineering at Wake Forest University. “They just have a lot more stressors because of their expectations, their time commitments.”

Margot Putukian, director of athletic medicine and assistant director of medical services at Princeton University, said non-athletes are “not under the microscope” in the same way.

“They might not have as many stressors,” Putukian said. “They may not have performance issues and those stressors that athletes do.”

Some student-athletes hide their mental health issues and don’t appear to their loved ones to be at risk of suicide, like 19-year-old Jordan Hankins, a basketball player at Northwestern University, who hanged herself in her dorm room in January. Others, like Madison Holleran, display warning signs: On Jan. 17, 2014, Holleran, a University of Pennsylvania freshman and a member of the track and field team, jumped off the top of a parking garage to her death. After her death, friends and family said she had seemed to be struggling.

Overall, out of about 500,000 student-athletes who compete annually in NCAA sports, 477 died from suicide between 2003-2013, according to a University of Washington study analyzing athlete deaths.

Providing mental health services to student-athletes

Many student-athletes who find it difficult to ask for help or access services are more inclined to seek support in the comfortable setting of athletic training facilities, according to Emily B. Klueh, athletic counselor at the University of Michigan.

“It’s a benefit to have people who understand that population and who work with them in a different way,” said Klueh, who is program coordinator of Athletes Connected, a university program to bring awareness to and support student-athlete mental health.


Read the rest of the story on USA Today College.

SwimSwam: Athletes Connected Creating Change and Constantly Evolving

Athletes Connected was featured on SwimSwam.com in a story that explains how the program is breaking through barriers of stigma and raising awareness of mental wellness.


By Jeff Grace

Have you ever struggled to find the motivation to do the things you love? Have you ever found yourself withdrawing from social contact? Worrying excessively?

Many of us have. These are some of the signs and symptoms that signal you may need to talk to someone that can provide you with support.

When you feel shoulder pain during a training session most often you will seek treatment from a doctor or a physiotherapist. When people, especially athletes, experience the feelings described above many are reluctant to seek out treatment for their mental wellness in the same way they would their physical health.

In a research study conducted in 2014 it was found that intercollegiate athletes who suffered from depression and anxiety are far less likely to utilize mental health services compared to the general student population.

Athletes Connected, a mental wellness program at the University of Michigan, was created to provide athletes with support, coping skills and breakdown stigma surrounding mental health so that athletes would be more likely to address their mental wellness.

Athletes Connected was created in 2014 and is a collaborative, multi-faceted program developed by the U-M School of Public Health, Depression Center, and Athletic Department to increase awareness of mental health issues, reduce stigma, and promote coping skills among student athletes. The program features four key elements:

  • Brief, engaging videos to reduce stigma, encourage help-seeking and promote coping skills;
  • Informational presentations for all coaches and athletes;
  • Informal, drop-in support groups offered on a bi-weekly basis, designed to specifically address the unique concerns of student athletes.
  • Conducts research to better understand the student athlete population and mental health as well as sport performance.

*Program information taken from the 2014 NCAA Innovations Grant Final Report University of Michigan Developing and Evaluating a Model Program for Supporting the Mental Health of Student Athletes.

As a swimmer Emily Klueh won the 1650 at the 2008 NCAA Championships, took a bronze in the 10 km at the 2010 Pan Pacific Championships and in 2013 was the overall winner of the FINA Open Water World Cup. Klueh is now a clinical athletic counselor and the program coordinator of Athletes Connected.

One of the main reasons Klueh became so involved in the area of mental health is because her own challenges, “I think a lot of people struggle with mental health,” says Klueh. “I know that was a driving factor for me getting into the field.”

“I think that there are a lot of people who have experienced things in their life where coping skills have been beneficial. For me, I know have the education, training, and license in order to accurately work with student athletes wherever they fall on the continuum of wellbeing. ”


Read the rest of the story on SwimSwam.