6^th International Conference on Depression, Anxiety and Stress Management April 25-26, 2019 | Park Inn by Radisson Hotel & Conference Centre London Heathrow | London, UK

Ekaterina Fairand is a Paris-based Certified Integrative Health Coach. She has a Degree in Medicine from I.M.Sechenov First Moscow State Medical University. After 20 years of the corporate carrier in the international companies. She made the decision to pursue her passion in lifestyle medicine and preventive health. She attended Institute for Integrative Nutrition (NYC, USA) where she studied over 100 dietary theories, studied a variety of practical lifestyle management techniques and innovative coaching methods with some of the world’s top health and wellness experts. Her teachers included Dr. Andrew Weil, Director of the Arizona Center for Integrative Medicine; Dr. Deepak Chopra, Leader in the field of mind-body medicine; Dr. David Katz, Director of Yale University’s Prevention Research Center; and others.

Recently, I was a marketing professional with 20 year portfolio of success driving strategic and business development efforts for international organizations across diverse industries. I made the way from the assistant at the healthcare department at the market research agency till marketing director at well-known companies. I personally experienced work stress, symptoms and all related problems. In my presentation I show the logic of the work stress segmentation: when we can/should change the situation at work or when we need to change our attitude towards the situation and change our psychological condition. The first main problem is that people don' realize that they are in a chronic stress and don't understand the level of their stress and second they are unaware of the whole damage of chronic stress to their health. Based on my carrier history of serving in progressively larger scoped managerial roles, as the more people mount carrier ladders the more chronic stress they experience (due to more political problems, psychological issues with colleagues and bosses, managerial issues with subordinators, more responsibilities on the plate). I give clear and practical tips how to adept at multi-tasking fast-paced work environments to manage work stress. When the carrier coach or psychological help or some training of skills that are needed to apply in order to avoid or reduce work stress. Currently as a health coach, I see a great value how to help people to overcome work stress with understating the causes of stress, recommendations how to improve the situation and to motivate people practicing essential techniques to reduce stress: sleep cure and eating behaviour and stress-busting food selection, incorporating mindfulness based practices like meditation, yoga, breathing exercises, body scanning, loving kindness exercises and some others.

Zizi Sabra is an Assistant Professor of Clinical Psychology at the University of Al-fayoum in Egypt. She is an accredited therapist from the Egyptian Ministry of Health and Consultant of Clinical Psychology from Saudi commission for Health Specialist. She is delivering and teaching cognitive behavior therapy (CBT) for more than 20 years. She graduated from the Psychology department, Cairo University. She is a Visiting Scholar at University of Pennsylvania (2000- 2002). She was lucky to learn (CBT) under the supervision of Professor R. J. DeRubies. She is accredited trainer of (CBT) in Egyptian Psychological Association (EPA- RANM) and Psychological Research Center at Cairo University. Her book of “Cognitive Behaviour therapy for depression” theoretical basis and practice published in 2007 is recommended reading for CBT students and therapists. Her current interest is to help psychologists to learn and apply CBT in an accurate scientific manner and establish a standard course of training for license seeker therapists.

Statement of problem: This paper addresses the question that a brief cognitive behaviour therapy (CBT) training program enhances psychologist's skills as reflected in helping students with emotional and social problems. 35 school psychologists (20 Female and 15 male) have received intensive CBT training for six days during two weeks followed by one to one supervision in school sittings for three months. Participants completed CBT skill scale (Arabic form of CTS (Young & beck, 1980)) before and after training. Individual and group counselling sessions delivered to male and female (age mean = 13.7 years) students known of emotional and social problems during the current school year. Supervisors wrote a report in the end of three months practice, students and parent's feedback had collected.

Results: They show that differences between pre and post scores on CBT skills scale are statistically significant (t= 2.9), supervisors reports and students feedback indicate improving therapeutic skills by the end of three months

practice.

Conclusion: CBT training program has positive influence in enhancing CBT skills in school psychologists that reflected in providing effective counselling for students with emotional and social problems. Supervision helped in optimizing the therapeutic outcome in both individual and group therapy sessions.

Sangeetha is a 24 year old insurance professional from the IT hub of India, Bangalore. She is a survivor and a fighter. She was diagnosed with depression having bipolar disorder and borderline personality disorder in November 2014. Since then, she has been undergoing regerous therapy and had been taking medication for the same. She is an author and poet and published 2 books in 2017 and 2018 respectively. Today she stands strong and tells the world her story of survival and how she overcomes her depression.

A TEDx speaker, an author, a poet, a cancer advocate' 4 taglines that seem great to have. At the age of 24, having these 4 suffixes after my name seems lucky but it is not as rosy as it seems. The reason for these taglines are 2 main ones which include, A Bipolar with borderline personality disorder. I got diagnosed with these 2 mental illnesses in November 2014 when I was attempted suicide. Surprisingly, I breathed a sigh of relief on the diagnosed because I finally had a logical, rational reason for my behavior and it was not my fault but the chemicals in my brain failed to perform their duty. Post diagnoses I began therapy with medication. I was put on 11 medicines for every symptom I complained about. Paranoia, anxiety, mood swings and what not. As therapy began I started talking about my baggage. I began with my childhood which included being subjected to bullying at the age of 7. It brought about insecurities in me of not being good enough and being worthless. At 11, my father was diagnosed with blood cancer. The reason it affected me was the innocence of a child was taken away when responsibilities of the household was entrusted upon me. I had to be the pillar of our house as my father battled with death with my mother on his side, 300 kilometers away from us. I had to take care of my 8 year old sister, a schizophrenic grand mother with the help of my grandfather. Thankfully, my father won his battle, kept up his promise and came back to us. At the age of 12, due to peer pressure in school and various other insecurities I resorted to self harm for solace. Teenage blues struck and self harm became an addition. I was subjected to sexual abuse by a family member and I did not know how to cope. I made a lot of mistakes and I lost a lot of friends. Things were not going well. One morning in 2014, when I was 20 years old I walked out of my house hoping to come back lifeless. I reached the end line but I did not cross it. I sought for help as I needed it as I was heading nowhere. Its 4 years now, and I am doing considerably well. In July 2015, the cancer NGO my father was associated with called for an essay competition for caregivers which I wrote and won. Since then, I knew I had a passion for writing and I started jotting down my feelings and emotions. My writing is not motivational nor positive, instead it is empathetic. I published 2 books, 'Key to Acceptance' and 'Echoes in my Attic' in 2017 and 2018 respectively. Sometime, in June 2018, I had a Eureka moment when I realized I need to start spreading awareness on mental health. I started giving talks. I began sharing my story publicly hoping to inspire people to seek help at the right time. I put out my weakness and fears to the society to talk about with just one intention of having the hope that at one will seek help at the right time and would not wait till the end like me. The reason for the first 4 taglines is because of my mental illnesses. Today I would not be where I am without my mental illness. I am proud to be a mental health patient, but I replace the word patient with the word survivor because in my journey from 2014 till today I know the progress I have made. So, this is Sangeetha Param, a mental health survivor.

Rae Farmer is a Social Entrepreneur with Emotional Resilience at the heart. She is the Director/Founder and owner of Next Steps - learning for life Ltd and also the ‘Gangster of Light’ delivering one-to-one therapeutic support, through resilience coaching and reiki. Rae is also a published author of a series of children's stories exploring Emotional Literacy, Well-Being and Mindfulness. Rae was invited in 2015 to become a panel member of the CPS North East Scrutiny Panel for Homophobic & Transphobic Hate Crime and has volunteered her time since to enhance the work of the CPS. Over the years Rae has successfully learnt to ride the roller coaster of life in the face of extreme pressure, trauma and loss which enables her to be The Emotional Resilience Strategist. Her training is bespoke, her style of delivery is motivational and inspiring. Being a fellow of the International School of Social Enterprise enables Rae to see and work creatively and innovatively, often highlighting new ways of working that have not been considered before.

What/who are ‘Energy Vampire’? How can we dissolve their energy? This discussion based presentation intends to explore the two questions above and link to current theorists to consider how we can all become more conscious of the emotional dangers of working with individuals who are traumatized and discuss ways in which we can consciously protect ourselves from the inevitable risks associated with working with people who are in emotional pain. Rae has worked with individuals who are experiencing change, conflict or challenge in their lives for over 24 years. During this time, she has chosen to study and  evelop new ways to enhance the professional’s levels of resilience and  inimize the emotional transference that can take place. Whilst working as CEO for Next Steps – learning for life Ltd Rae has developed an assessment tool which is currently being tested with clients in the field. This product enables frontline workers to assess the potential emotional hazards that might be present in the work they do for themselves and their clients. The Emotional Risk Assessment (ERA) is expected to be a live assessment tool form early 2018.

Background: Mental health issues are commonest cause of disability in childhood including behaviour issues and conduct problem. To assess the effectiveness of a parenting intervention in community setting for improving the mental health of children, randomised controlled trial was undertaken.

Methods: Randomised controlled trial with 8-week of intervention, follow-up at 6 months, assessors blind to treatment status. Participants were recruited family and children’s centre from 3 sites in India. From initial assessments with psychologist and mental health nurse, 86 children, aged 2-8 years with behaviour and conduct issues were included in 8-week intervention or wait-list control. Parenting intervention was designed as group program, training parents in cognitive-behavioural techniques for managing child’s difficult behaviour and issues. Program was focused on parent-child problem solving method and positive interaction. Primary outcomes were child problem behaviour assessed by parent-report (Eyberg) and the Goodman Strengths and Difficulties Questionnaire. Secondary outcomes measure included General health, Parenting Stress and Self Esteem of parents. These outcomes were measured before and immediately after the 8-weeks intervention, and at six months follow up.

Results: Intervention group showed significant improvements in child problem behaviour, (p=.002) conduct problem (p<0.05), emotional score (p<0.05), peer problems (p<0.01) after post assessments. These changes were sustained at follow up assessments. Parental anxiety, depression and social dysfunction were better improved in intervention group compared to control at post assessment. Overall parents’ satisfaction was high in intervention group. There was no comparison group at follow up assessments as waitlist control started intervention after 2-month waiting period. However, changes in intervention group were maintained at follow up assessments.

Conclusions: Findings suggest group parenting intervention could be effective in a community setting for reducing conduct problems and enhancing parenting skills.

Olessia Gorkovenko is currently a PhD (Psych) student at UNISA in South Africa. She is an Associate at the Well Lab and runs a center Pilatelicious in

Johannesburg. She has wrote a book "Spiritually Evolved" and published papers in reputed journals and has been serving as an Editorial Board Member of Journal International Journal of Psychotherapy, Counseling & Psychiatry. She has a passion for teaching and coaching and is extremely meticulous in achieving the best results. She will work with her students and clients and then insures that no mistakes are made and clients are staying motivated. She will carefully check  with assessments and strategies, training routines, nutrition plans and therapeutic advice. If she has a suggestion to make, she won’t hesitate to do so if it’s in her client's benefit and will help them to achieve better results. That’s her main goal and purpose, to help clients become better and achieving perfect results. She operates on the fundamentals of positive psychology approaches that focus on performance improvements as a result of holistic development. She is a firm believer of best practices. She is always willing to share knowledge and collaboration between stakeholders in order to reach a common goal.

In this presentation, the aim is to identify the criteria to predict motivational and personality properties of individuals with their surrounding environment, based on specific characteristics of each person and to describe their workplace environment based on multiple intelligence, emphasizing constructive emotions and spirituality. This approach will create a more positive communication pattern and effective healthcare environment, increasing multiple regulations and resiliencies. In a good workplace employers are helped to respond to each other and thereby meet each other’s psychological work related needs. Multiple intelligence and specifically constructive emotional aspect at the workplace is therefore effective not only in healing employers’ connections but is also therapeutic for the individual's psychopathology including self-growth. When it comes to describing the variety of the reasons why people work, it can be illustrated as in the pyramid of Maslow (1960), shelter and food, clothing and transportation, socialization and need for love, money and need for self-actualization. For the social psychologist and the psychologists of religion, the previous description will not be accurate or enough. Instead, we need to know what social and mental factors regulate why people are going to work, solve or unsolve their work-related problems, improve their healthcare environment so as their identity and maintain it. I believe that knowledge about these things can help us to create a healthier, more productive work environment, can provide the psychological module for the improvement of work performance and to reduce conflicts, stress and fear, dissatisfactions or unhappiness of the work choices. Believing in what you are doing and the emotional feeling of happiness is paramount in achieving a better working environment. Workers are more likely to pursue transcendent goals, cultivate trust, become a team player, create a healthier atmosphere, greater commitment to the employer and the goals, and a better healthcare environment. In order to build the argument for this idea and the rationale for what can be called a healthy work- environment we need to encourage meaningful aspect of the multiple intelligence, emphasizing constructive emotions and spirituality at work, which can emphasize norms, values and expectations associated with the benevolent and principled ethical climates of the learning organization which goes beyond merely making profits. By encouraging values, norms that support caring for each other and the organization and for the country and for the planet such higher-order goals often reflect the spiritual values of the contribution to the society and make employers feel that their work has a higher meaning.

Sam Vaknin is a is Visiting Professor of Psychology, Southern Federal University, Rostov-on-Don, Russia and Professor of Finance and Psychology in CIAPS (Centre for International Advanced and Professional Studies). He is the Author of "Malignant Self-love: Narcissism Revisited" and other books about personality disorders. His work is cited in hundreds of books and dozens of academic papers. He spent the past six years developing a treatment modality for Narcissistic Personality Disorder (NPD). Over the years with volunteers, it was found to be effective with clients suffering from a major depressive episode as well.

Anxiety is uncontrollable and excessive apprehension, a kind of unpleasant (dysphoric), mild fear, with no apparent external reason. Anxiety is dread in anticipation of a future menace or an imminent but diffuse and unspecified danger, usually imagined or exaggerated. The mental state of anxiety (and the concomitant hypervigilance) has physiological complements. It is accompanied by short term dysphoria and physical symptoms of stress and tension, such as sweating, palpitations, tachycardia, hyperventilation, angina, tensed muscle tone and elevated blood pressure (arousal). It is common for anxiety disorders to include obsessive thoughts, compulsive and ritualistic acts, restlessness, fatigue, irritability and difficulty concentrating. Patients with personality disorders are often anxious. Narcissists for instance, are preoccupied with the need to secure social approval or attention (narcissistic supply). The narcissist cannot control this need and the attendant anxiety because he requires external feedback to regulate his labile sense of self-worth. This dependence makes most narcissists irritable. They fly into rages and have a very low threshold of frustration. Subjects suffering from certain personality disorders (e.g.,  istrionic, Borderline, Narcissistic, Avoidant, Schizotypal) resemble patients who suffer from panic attacks and social phobia (another anxiety disorder). They are terrified of being embarrassed or criticized in public. Consequently, they fail to function well in various settings like social, occupational, interpersonal, etc.

Min Dong got her Bachelor’s Degree in Southern Medical University in 2013, majoring in Clinical Medicine. Then, she studied in Central South University the second Xiangya Hospital for Master’s Degree from 2013 to 2016, majoring in Psychiatry and Mental Health. During this period, she completed master’s project: Diffusion Tensor Imaging Study in Schizophrenia with Persistent Auditory Hallucinations. In the third year of master period, she studied electro-encephalograph and event-related potential in Japan as an exchange student. Then, she studied for PhD in University of Macau since 2016, majoring in biological medicine. During PhD study, she learned meta-analysis on epidemiology studies, case-control studies and randomized controlled trials. Her PhD project is psychotropic prescription patterns in Asia regions.

Statement of the Problem: Depressive disorders are common in old age. The prevalence of major depressive disorder, minor depression and clinically relevant depressive symptoms in old people living in the community were 1.8%, 9.8% and 13.5%, respectively. Compared to younger adults, older adults suffering from depression have an increased risk of physical and psychological comorbidities, more disability and social isolation, greater economic cost, and higher mortality. Psychotropic medications are prescribed for old people up to 7-18 times more frequently than for middle-aged adults. Antipsychotics (APs) are often used as an adjunctive treatment with antidepressants (ADs) in this population but its patterns of use in Asia are not known. This study explored the rate of combination of APs and ADs in older adult psychiatric patients in Asia.

Methodology: This is a secondary analysis of the database of a multicenter study which recorded participants’ basic demographical and clinical data in standardized format in ten Asian countries and territories. The data were analyzed using univariate and multivariate logistic regression analyses. Findings: A total of 955 older adult psychiatric in and outpatients were included in this study. The proportion of concurrent AP and AD use was 32.0%, ranging from 23.3% in Korea to 44.0% in Taiwan. Multivariate logistic regression analysis found that younger age, inpatient status and diagnosis of schizophrenia were significantly related to a higher proportion of concurrent use of APs and ADs.

Conclusion: Around a third of older adult psychiatric patients had concurrent AP and AD use in the Asian countries/ regions surveyed. Considering the uncertain effectiveness and questionable safety of the APs and ADs combination in this patient population, this type of polypharmacy should be used cautiously.

Recent Publications

1. Harper C (2009) The neuropathology of alcohol-related brain damage. Alcohol 44: 136-140.

2. Heilig M and Egli M (2006) Pharmacological treatment of alcohol dependence: target symptoms and target mechanisms. Pharmacology and Therapeutics 111: 855-876.

3. Li X, Schwacha M G, Chaudry I H and Choudhry M A (2008) Acute alcohol intoxication potentiates neutrophilmediated intestinal tissue damage after burn injury. Shock 29(3): 377-383.

4. Room R, Babor T and Rehm J (2005) Alcohol and public health. Lancet 365: 519-530.

5. Sullivan E V and Zahr N M (2008) Neuroinflammation as a neurotoxic mechanism in alcoholism: Commentary on “Increased

Aman Sado Elemo obtained his B.Ed from the Bahir Dar University in Pedagogical Sciences and MA from the Addis Ababa University, Ethiopia. Currently, he is a PhD candidate in the Psychological Counselling and Guidance at Anadolu University, Turkey. He has research interests in International students’ adjustment, stress coping and positive psychology.

Statement of the Problem: Studying abroad can be an exciting opportunity as it can be quite stressful. However, together with the developmental concerns, international students may encounter additional stressors while adjusting to living and studying in a new culture. Nevertheless, there is a dearth in the literature relating to psychological interventions to support their adjustment. The growing number of international students’ population in Turkey seemingly necessitates undertaking need based psychological support services. Hence, the current study involves a group program and examines its efficiency to enhance adjustments of international students.

Methodology & Theoretical Orientation: With a 2×3 controlled quasi-experimental group design, participants in the experimental group underwent eight weekly sessions of a psychoeducational program. The program was cognitive behavioral in nature and contained every session with one and half hours each that proceeded for eight consecutive weeks. A total of 18 international students, as interventional and control groups, completed measures on coping self-efficacy, psychological adaptation and psychological distress at three-time points (baseline, postintervention and six months after intervention).

Findings: Posttest results indicate significant differences in coping self-efficacy in favor of the experimental group. However, compared to control, the experimental group showed no statistically significant differences in psychological adaptation and distress levels. Follow-up results revealed significant changes in all the three measures in favor of the experimental group.

Recent Publications

1. Harper C (2009) The neuropathology of alcohol-related brain damage. Alcohol 44:136-140.

2. Heilig M and Egli M (2006) Pharmacological treatment of alcohol dependence: target symptoms and target mechanisms. Pharmacology and Therapeutics 111:855-876.

3. Li X, Schwacha M G, Chaudry I H and ChoudhryM A (2008) Acute alcohol intoxication potentiates neutrophilmediated intestinal tissue damage after burn injury. Shock 29(3):377-383.

4. Room R, Babor T and Rehm J (2005) Alcohol and public health. Lancet 365:519-530.

5. Sullivan E V and Zahr N M (2008) Neuroinflammation as a neurotoxic mechanism in alcoholism: Commentary on “Increased MCP-1 and microglia in various regions of human alcoholic brain”. Experimental neurology 213(1):10-17.