Marijuana: Legal Doesn’t Mean Safe

Twenty-three
states and the District of Columbia have laws legalizing some form of marijuana
use, and recreational use of marijuana is legal in four states and D.C.

Does
this growing trend to legalize marijuana mean we don’t need to worry about it?  About
one in 10 people who try marijuana will become addicted to it which means that
they most likely will use it in increasing quantities, develop tolerance (less
effect from it as time goes on), will have withdrawal symptoms if they try to
stop, and will find that the marijuana use is causing them to neglect other
important areas of their life like work, relationships and leisure
activities. 

Even
occasional use of marijuana can have negative effects.  hen someone has marijuana in his/her system,
short term memory is impaired, reflexes are impaired and judgment is
impaired.  These impairments can last 24
hours or longer after the use of the marijuana so it is certainly not safe to
drive after using marijuana. Most people will not be able to perform other
demanding tasks (work-related activities, childcare) at the level they are
accustomed to after using marijuana. 

All the
evidence that we now have indicates that marijuana is possibly permanently damaging
to the developing adolescent brain. All
children should be strongly discouraged from using it at all until they are at
least 21 years of age. If marijuana is
smoked there are also potential physical health risks, such as damage to the
lungs or cardiovascular system.

For more information, see American Psychiatric Association’s  Resource
Document on Marijuana as Medicine.

By Andrew Saxon, MD

Professor and Director, Addiction
Psychiatry Residency Program

University of Washington

Director, Center of
Excellence in Substance Abuse Treatment and Education

VA Puget Sound Health
Care System

Seattle, WA

Nutrition and Mental Health: Dr. Ramsey’s 5 Rules for Eating for Happiness

Dr. Drew Ramsey

A growing body of research is confirming the relationship between a good, quality diet and better mental health outcomes. Poor diet (generally defined as greater consumption of saturated fats and refined and processed foods and lower consumption of fruits, vegetables, fish and nutrient-dense foods) has been associated with depression, anxiety and ADHD. A recent review of studies focused on children and adolescents found a consistent trend in the relationship between a healthy diet and better mental health.(1)


So how do you go about improving your diet and your mental health without overly complicated or restrictive regimes? Drew Ramsey, M.D., psychiatrist, assistant clinical professor of psychiatry at Columbia University, and author, has identified a simple set of 5 rules to eat for happiness—advice he gives to patients and others who want to simplify meal choices and maximize brain health.



1. Skip the processed foods. Processed foods are filled with empty calories; whole grains, lentils, nuts, leafy greens, and seafood contain brain-healthy nutrients.



2. Don’t fear fats. “Good fats,” omega-3 fats DHA and EPA found in whole foods like fish, , dairy products and pasture-raised eggs, are great for your brain. Trans fats, however, are among the unhealthiest substances and are still found in many packaged baked goods.



3. Mind your meat. While a plant-based diet is important, the right meat is an important source of protein, zinc and vitamin B12. “Grass-fed” or “pasture-raised” beef and chicken and “farm fresh” eggs are more nutritionally beneficial.

4. Go organic. Organic choices, increasingly available at most supermarkets, avoid the potential risks of insecticides and pesticides. And summer is great time to check out your local farmers’ market.



5. Make friends with farmers. Shopping at your local farmers’ market can give you added motivation to stay away from a pre-packaged processed-food diet. Getting to know the people who grow your food also offers you the opportunity to gain a better understanding of what you’re eating.



As Dr. Ramsey notes: “The goal is not to become a food snob, but to make that vital connection between your fork and your feelings and choose foods that support your emotional well-being and enhance your sense of vitality.”




Follow Dr. Ramsey @DrewRamseyMD.





By Deborah Cohen, senior writer, American Psychiatric Association


(1) O’Neil A, Quirk S, Housden S, et al. 2014. Relationship between Diet and Mental Health in Children and Adolescents: A Systematic Review. American Journal of Public Health, 104:10, e31-41. www.ncbi.nlm.nih.gov/pmc/articles/PMC4167107/

Don’t Over-Tax Yourself Over Tax Season!

With the April 15 tax deadline looming, it’s an anxious time
for many people. Try these tips to keep your financial stress under
control at tax time ­— and all year round.

Break It Up. A mountain of paperwork for your tax
return or for any other financial responsibility, like applying for a college
loan or mortgage, can seem overwhelming. Break up the process into smaller
chunks, such as gathering pay stubs, finding your home mortgage interest
statements, or organizing your receipts. Then tackle each task one by one. But
before you do so…

Make a Plan. This is even more important when you’re
on a tight deadline (like being just a few days away from April 15). Once
you’ve broken down what you need to accomplish into pieces, put those steps in
order and write down how and when you’re going to make each one happen. This
will help you feel like you have control over the process. Being out of control
is very stressful!

Keep Mentally Fit. Eat well, get a full night’s
sleep, find a way to exercise every day, and connect with friends and loved
ones. Financial deadlines may have you feeling like you need to lock yourself
away and pull an all-nighter with a bag of potato chips and your 1040, but
you’ll just raise your stress level, and you probably won’t accomplish your
goal anyway.

Resist Unhealthy Temptations. When stress arises,
it’s tempting to cope in unhealthy ways such as binge eating, smoking, or drinking
alcohol. Avoid these negative coping strategies. Instead of a cigarette or a
glass of wine, take a walk or call a friend to vent.

Don’t Go It Alone. It’s not too late to get help. Ask
for help from a spouse, a trusted friend, or ideally, a financial professional
like a certified public accountant. Some tax professionals will even save you
the step of visiting their office and will review your documents and
calculations online. Having too much on your shoulders and no help is a recipe
for anxiety.

Request an Extension. If you’re utterly overwhelmed
and you feel like there’s no way you’ll have it all together by April 15, talk
to a tax professional about how to request an extension on filing. You’ll still
have to pay your estimated taxes on time (or pay interest), but you’ll have an
extra six months to get your paperwork in order.

Plan Ahead for Next Year. If you’ve procrastinated
about your taxes this year, use the stress you’re experiencing now as you try
to get everything together at the last minute for a good cause: Keeping you on
track to plan ahead for tax time 2016. Set a realistic budget and stick to it,
and keep track of your finances as you go along. Having a plan and living
within your means makes your life much less stressful.

by David Ginsberg,
M.D., clinical associate professor and vice chair for clinical affairs,
Department of Psychiatry, and chief of the Psychiatry Service, NYU Langone
Medical Center in New York City.

Giving Kids a "Sip" of Alcohol Can Send the Wrong Message About Drinking

That little sip of wine or beer that some parents offer
their kids at a wedding or on New Year’s Eve may muddle messages about alcohol,
according to a new study by researchers at the Center for Alcohol and Addiction
Studies at Brown University. The scientists surveyed middle school students for
three years to learn whether even a taste in early childhood was a predictor of
risky behavior in high school.

The Internet-based study, published in the April 1^st
issue of the Journal
of Studies on Alcohol and Drugs, included more than 500 Rhode Island school
students. More than one-third of the kids surveyed reported trying their first
sip of alcohol by the sixth grade, and most said that their first taste took
place at home. Wine and beer were the most commonly tried beverages, usually at
a special occasion, such as a wedding or a holiday, and adults were the primary source of the alcohol. Nearly three-quarters
of the children were offered sips by their own mom or dad.

The study also showed that
kids who sipped alcohol by the sixth grade were five times more likely to down
a full alcoholic beverage by the time they reached 9^th grade—26% of
sippers consumed a full drink versus 5.5% of non-sippers. The earlier sippers
were also four times more likely to get drunk or binge drink by early high
school, and trying alcoholic beverages earlier in life also raised a child’s
risk for trying other substances.

Even when the researchers
controlled for other factors, such as risk-taking behavior, the drinking habits
of parents, and a history of alcoholism in a parent, kids who’d sipped before
sixth grade had higher odds of alcohol use by their freshman year of high
school.

The take-home message:
Offering a child a sip of your beverage may send the wrong message, says study
author Kristina Jackson, Ph.D., associate professor in the Department of
Behavioral and Social Sciences at Brown School of Public Health.

"Parents should provide
clear, consistent messages about the unacceptability of alcohol consumption for
youth,” Jackson advises. “Younger teens and tweens may be unable to understand
the difference between drinking a sip and drinking one or more drinks.
Certainly there are exceptions, such as religious occasions,
so the most important thing is to make sure that children know when drinking
alcohol is acceptable and when it is not.”

The context of alcohol use is important, says Oscar G. Bukstein, M.D., M.P.H., medical director at DePelchin
Children’s Center and a clinical professor of psychiatry at Baylor College of
Medicine and the University of Texas Health Science Center-Houston, who was not
involved in the research. “Often, by allowing children to sip or try alcohol on
‘special occasions’, the message delivered may be one of ‘this is how we
celebrate’, we drink,” Buckstein says.

He says that sipping may be associated with increased access to
alcohol, too, or more lax parent attitudes and that undermines any anti-drinking
messages kids hear.

April 21^st is the national day to talk with your kids
about alcohol. Visit Mothers
Against Drunk Driving’s (MADD) Power of Parents
page to learn more.

by Mary Brophy Marcus, health writer, APA