Charles Benayon

Founder & CEO of Aspiria


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Adderall: When a Study Hack Becomes a Drug Problem

studyI recently wrote a blog about the Fentanyl crisis affecting Canadians today. This week, I want to discuss another drug crisis impacting Canadian youth: Adderall abuse. Adderall is a prescription drug used to treat Attention Deficit Hyperactivity Disorder (ADHD) in children and adults, but the drug has gained popularity among post-secondary students who use the medication as a “study drug”. When used for its intended purposes, Adderall helps increase one’s ability to focus. When people who do not suffer from ADHD use the drug, they experience laser-sharp concentration, making it a popular study tool for stressed students. According to the American Journal of College Health, 76% of students will be offered the prescription drug throughout their four years of university, and about 30% will accept it.

Back when I was in university, Adderall was not used as a study drug, and if it was, it definitely wasn’t discussed as openly as it is today. When we began offering our SAP services, I was shocked to learn just how prevalent the use of Adderall is on many campuses today. As some schools are in the middle of midterms, and others are preparing for final projects and exams, I thought I would write this blog to educate students on the dangers of this quick fix study trick.

People who have used the drug for studying purposes report feeling focused and motivated to complete their work. Spending hours in the library studying for an exam can be mind numbing, but because Adderall was designed to lengthen your attention span, students find it easier to get through their workload.

Adderall is one of the most addictive prescription drugs on the market. When a student uses it and receives a great mark on a paper or exam, it can be difficult not to resort back to the method that helped them achieve it. A lot of students carry the mantra, “I’ll just use it this once to get through this tough exam period”, but if a student is relying on Adderall for their brain power, what’s to stop them from using it in the working world as well?

Adderall can affect your body in a number of ways. Short–term, students who take Adderall experience feelings of nervousness, nausea and agitation. Since the drug maintains your focus, it also reduces your appetite. Consequently, students often miss important meals after taking the drug. Abuse of the drug has been linked to eating disorders and other associated mental health issues.

After taking excessive amounts of Adderall over a period of time, your body begins to depend on it, just like any other drug. Suddenly it can be difficult to accomplish daily tasks without popping a few pills first. As mentioned in my previous blog about Fentanyl, people often begin abusing one drug and move on to more powerful substances to get a more intensified high. Last year, the Toronto Star published an article discussing the link between Adderall use and suicide.

So how is it so easy for students to get their hands on this drug? It is estimated that only 1 in 20 children in Canada have ADHD, but that doesn’t stop students desperate to improve their grades. A quick Google search can expose hundreds of articles with titles like, “How to trick your doctor into prescribing you Adderall”. Faking symptoms of ADHD can lead doctors to a misdiagnosis, and students can walk away with a powerful prescription. Students who have received prescriptions are known to sell the drug to their peers for up to $25 a pill.

Have you or a loved one recently started using Adderall to combat school stress? Here are my tips on how you can deal with the problem now:

  1. Get organized without the use of prescription medication. Talk to your teachers if you are feeling stressed, and surround yourself with positive people who want to help you succeed.
  2. If you are experiencing physical symptoms from Adderall use, talk to a medical professional. Talking about drug use can be difficult, but living with an addiction is harder.
  3. Talk to your campus mental health or SAP provider for assistance on managing drug use and stress levels. They have the tools to assist you through an Adderall dependency, or managing the challenges of schoolwork.

There is no denying that post-secondary life is difficult. I remember staying up late to finish papers and stressing over exams for hours, I was always a crammer. While taking Adderall might seem like a short-term solution to your stress, working hard to get a good grade is a lot more rewarding.


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Campus life: Are you prepared?

As September draws closer, students all over Canada are preparing for their first year of university or college. Leaving home, new classes, new friends and new activities, it can be a lot to handle. While attending post-secondary school is an exciting chapter in anyone’s life, it can also be a transitional period for students experiencing it all for the first time.

 Student Life

Moving out on your own is exciting and full of opportunities, but at times it can be lonely. Clinical psychologist Dr. Christopher Thurber co-produced a study on homesickness in university students, and found that while all students miss something about home when they’re away, 5-10% of post-secondary students develop intense homesickness, which has an effect on behaviour.

Homesickness isn’t the only threat to first year students’ mental health. Students have to deal with a more demanding curriculum, adapt to new roommates, new classmates and learn how to take care of themselves for the first time ever. I remember the culture shock I experienced during my first few weeks of classes at York University, and that was back when university wasn’t as expensive, programs were less competitive, and moving away from home was not the thing to do!

Students who choose to live at home during post-secondary schooling are not exempt from mental health issues either. While staying home saves students and families from the financial burden of accommodation, it can be challenging to watch friends go off and start a new life while they remain at home with their parents who may still treat them as children.

Mental health issues in universities and colleges are not new. Why do you think Reading Week was introduced? It was created in the 1960s to allow students a reprieve from their demanding curriculum. Since then, mental health issues have grown exponentially. In 2011, Ryerson University’s centre for student development and counselling found that there was a 200% increase in students reporting a crisis situation. I was initially shocked by this statistic, but a Maclean’s report about mental health on campus provided some background on this issue. They found that more students are enrolling in school with previous mental health issues than ever before, and now these existing issues are being intensified.

We developed The Student Assistance Program (affectionately known as SAP) at Aspiria to augment what schools are currently providing to assist students seeking help with their mental heath on campus. Our goal is to help students thrive while at school and build resiliency skills to prepare them for graduation and the workforce

Attending college or university certainly has its challenges for students, but it’s important to remember that the experience is also exciting, rewarding, and will help shape who they become in life.

So how can we help students adjust to their 1st year of college or university ? Here are a number of tips for students on how to stay mentally well:

  • Parents should encourage their children to work summer jobs to create a sense of independence and responsibility they will carry with them to school.
  • If students are moving away for school, it’s important to familiarize yourself with the campus prior to starting classes. This will allow for less of a culture shock when school begins.
  • Join clubs and social groups. Clubs are a great way to meet friends and people who have similar interests. International students can find other students who have recently moved to their campus .
  • Seek help with the school’s counsellors or find out if a SAP is offered. These programs are in place to help students address their mental health issues and are always accessible.

 

1st year on campus can be a difficult adjustment for students. What additional strategies can you think of that can make the transition to campus life easier for students?


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See The Signs – Recognizing Mental Health Issues in the Workplace

mental-healthJust a few weeks ago at a high school outside of Toronto, a fourteen-year-old girl stabbed and injured five students and two staff members. As a result, there has been more dialogue about bullying, mental illness and mental health, as we are reminded of the importance and seriousness of attending to mental illness in the workplace.

Mental illness indirectly affects all Canadians at some time through a family member, friend or colleague, according to the Canadian Mental Health Association. Stigma surrounding mental illness is widespread, often flying under the radar in the workplace because employees tend to suffer in silence – afraid to risk their careers by speaking out and employers are afraid to ask. Recognizing the signs can be crucial to preventing serious situations from developing, and ensuring supports are in place.

Being able to recognize when your employees are distressed, and addressing these concerns, can help to break down the stigma and allow for communication between you and your staff. Let me share with you some tips on recognizing the symptoms of a possible mental health issue with an employee:

  • Missed deadlines
  • Reduced productivity
  • Reduced quality of work
  • Absent or late more frequently
  • Relationship issues or conflicts with co-workers
  • Withdrawal or reduced participation
  • Anxiety, fearfulness, or loss of confidence

Each of these signs alone does not necessarily indicate the presence of an illness, but each can begin a conversation to show your employee, as their employer, that you are supportive and accommodating, especially if performance is suffering. Employees are more likely to ask for help from their employer when you provide them with a caring environment and the probability of their success will increase as well.

Social media can be helpful in providing insight, as the young woman’s blog was her cry for help in the case of the Dunbarton High School stabbing. It is crucial for an organization to be trained and able to identify the signs of an employee who may be in danger of hurting themselves and/or others due to their mental state.

Early recognition of mental health problems, consultation for your supervisors with your EAP, referring employees with the above symptoms to the EAP for assessment, treatment and support, will all help your employees receive the support they require to return to work and/or better manager their job.

The bottom line here is that when your organization creates a mentally healthy work environment for your employees, it allows them to achieve and maintain success.


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Advice for Parents of New University and College Students

Moving to schoolAs we embark on the beginning of another school year, the majority of the focus is rightfully on the university and college students who are transitioning into a whole new phase of life as they enter post-secondary education. As September approached, I saw a great deal of literature that offered advice to the students about what to expect from their first hours, days, and weeks at school. I did not, however, see very much advice for the just as large population of parents of these new first-year students.

As a mental health professional and parent, I’ve collected a few nuggets of wisdom when it comes to supporting your child and new student in this transition.

Stay organized to avoid stress: Nothing is worse than being emotionally fragile and disorganized. Make sure you have the correct information and paperwork, and that you have made your to-do lists and shopping lists. This will help you feel prepared and armed to handle the exhaustive and emotional process of moving in your child and saying goodbye.

Encourage your child to try everything: The first couple of days at university and college are designed to appeal to a variety of needs and personalities that help students orient themselves with their new surroundings. While your child may not want to throw themselves into new activities or get-to-know-you games, encourage him or her to try everything that is offered in these first days so that they stay busy and occupied.

Know that homesickness and discomfort are normal: Remind your child that every student feels the same way: new, awkward, and uncomfortable, and this is completely normal! If your child calls you feeling homesick and sad, avoid rushing in to rescue them from these feelings, because they are an important part of acclimatizing to their new environment and learning valuable coping skills.

Make yourself aware of the resources: Your child has a lot on their mind when they arrive to school. They are trying to feel comfortable in their new space, trying to meet people and get oriented in their new home. It wouldn’t hurt for you to familiarize yourself with the resources available on campus and within the school’s housing and residence structure. This way, if and when you see your child struggling or uncomfortable, you can make recommendations and direct them to help.

Be prepared for them to make mistakes: As you probably know from your own experience as a young adult, your child is not perfect. They will make mistakes this year, and these mistakes will help them learn and grow into a better person. While you may be disappointed in certain decisions they make, be there for them and work through it together.

Try not to smother them: This time in your child’s life is crucial to their development into a self-sufficient and responsible young adult. Give them the space they need to discover who they truly are and what makes them happy.

The first few weeks of this transition will be hard for both you and your child, but this is what you’ve worked so hard for – a child who is capable and responsible. Trust that they can take on the world, and know that even though you may not always be physically with them or actively guiding them, you are still the biggest influence in their life.

Remember that everyone is different, and no two parents will handle the situation the same. That being said, how are you managing during the first days of the transition? Share your experience with me below.


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Are E-Cigarettes a Good Smoking Cessation Tool?

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For the past couple of decades, society has changed its view on cigarette smoking, where more smokers are socially isolated due to public smoking laws and legislations. Tobacco kills about 37,000 Canadians every year, and lung cancer remains high on the list of preventable diseases.

Smoking cessation tools are a multi-million dollar industry as smokers try to make the healthy choice to kick their habit. E-cigarettes have been introduced and marketed as a cessation tool, although research on the product reveals entirely different results.

How do e-cigarettes work, you ask? E-cigarettes are battery-powered devices designed to simulate conventional cigarette smoking. Inside the cigarette shaped tube is a cartridge that contains nicotine or other chemicals, that when heated, converts liquid into vapour that is inhaled by the smoker. The idea is that the e-cigarettes do not burn, so no smoke is inhaled, which makes the smoking an e-cigarette safer, although not completely safe.

There are several reasons that e-cigarettes can pose just as great a risk as traditional cigarettes:

Nicotine: Nicotine is the highly addictive substance found in cigarettes and e-cigarettes, which still fuels addiction of the substance even though the delivery of the drug is in a safer manner with e-cigarettes.

Dosage is not regulated: You can purchase nicotine cartridges in a variety of doses (0mg/ml to 36mg/ml) and the higher the dosage, the more intense the effects of the drug.

Cheaper than cigarettes: Cigarettes are heavily taxed due to their associated health risks, while e-cigarettes are becoming widely available at an affordable price.

Marketed to young people: Flavoured cigarettes were banned when it was determined that flavoured products were targeting young users, but there are no regulations on flavoured e-cigarette cartridges which are often laced with large amounts of sugar. Studies show that many e-cigarette users are young people who were never cigarette smokers before.

There does not seem to be an association between e-cigarette use and reduced cigarette consumption in young people, which suggests that young non-smokers are picking up an e-cigarette habit! E-cigarettes are more successful as a cessation tool in older adults, who have more motivation to quit.

If not addressed promptly, e-cigarette use could become another avenue to develop a nicotine addiction, instead of the cessation tool it was initially intended to be. What needs to happen to regulate e-cigarette use?

  • Policies regarding public use of e-cigarettes (banned in restaurants, bars, offices)
  • Laws against selling to minors
  • Warning labels
  • No free samples
  • Avoid marketing to minors

Do you see e-cigarette use as harmful as cigarette smoking? What else can be done to regulate the use of nicotine? I look forward to your thoughts below!

Sources:

http://www.commdiginews.com/health-science/a-parents-guide-to-e-cigarettes-are-they-really-safe-18087/

http://www.medicalnewstoday.com/articles/278313.php

http://www.lung.ca/protect-protegez/tobacco-tabagisme/facts-faits/index_e.php#truth

 

 


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Supporting Students in Times of Tragedy

university students grief

The recent tragedy involving the fatal stabbings of five Calgary university students has left the entire country reeling with shock and disbelief. Outside of immediate family and friends, University of Calgary students are those most strongly affected by the deaths of their peers. How does a student body, faculty and staff recover from such a set-back in morale, which has undoubtedly affected their studies as well as personal mental health? Just as importantly, how can Colleges and Universities be proactive and prepare themselves in anticipation of a tragedy occurring in their schools?

Considering that the university and college age demographic is highly vulnerable to mental health issues, especially in light of such tragedy and grief, it is vital that the educational institution bands together as a community to keep one another safe. The University of Calgary has been working diligently to provide support to the students of the university, encouraging them to participate in the vigils, funerals and celebrations of life for the victims, offering counselling sessions as well as accommodating students who wish to defer exams. How else can we support our students in a time like this?

Communication and Active Listening: Loss of life, especially of young people with such bright futures, can be very triggering for individuals within a community, so it is important that there are platforms for people to talk and listen to each other. Having counsellors available for students, staff and faculty as well as encouraging students to listen to and support one another is helpful in making people feel part of their community during difficult times.

Promote alternative counselling: Because university and college students fall into the Millennial generation, they sometimes prefer communicating through technology versus more traditional talk-therapy. Options like phone counselling, e-counselling, video-chat or the use of a mobile app, can target students who are less likely to ask for help outright and can access support within their comfort zone.

Prevention:  Often times, organizations are in a reactive mode to solving a problem, acting as if it was unexpected.  To be proactive is to be planned and prepared, albeit as much as one can be, and it is prudent when operating in a student environment.

Programs that help organizations be prepared for a tragic event should include the following:

1) Developing a Emergency Response Plan, such as the one the University of Toronto implemented in 2009  that maps out the course of action to take when a tragedy strikes an educational facility, utilizing all the available resources at your disposal.  But this is not enough:  all students and staff need to understand what that plan is, and know how to act accordingly in the event of a school crisis.  Just like there are school fire drills in case of fire, there should be emergency drills in case of campus violence.

2) As I’ve mentioned before in a previous blog, Millennial students often lack solid coping skills upon entering the post-secondary education setting. As a more long-term solution, an institution could implement Coping Skills Training, which would help students identify triggers to their mental health, and learn strategies to support themselves through a mental health issue

3) Stress Management Strategies, like the ones offered featured on the Santa Clara University can help individual students who are under pressure, feeling anxious, lonely, scared, or lost, to learn to cope with their mental health issues. For example, stress busting events that aim to help students relax during stressful times, such as during the exam period and during the harsh winter months, have been adopted by universities and colleges Stress Busters can help students learn the skills necessary in times of grief as well, as it can give students the permission they need to distract themselves from their period of anxiety and pressure.

What other strategies could an educational institution employ to support students during times of trauma, grief, and loss? What have you seen universities and Colleges do? I look forward to your thoughts below.


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Part 3 of 3: Our Call to Action

your_not_aloneZiggy Marley once said, “I believe we are all connected to other people. I am connected to people who are suffering. We all are.”

One of the biggest obstacles to strong mental health is the overwhelming sense of loneliness felt by our university and college-aged students. As I mentioned in the previous instalments of this 3-part blog series, while our students are more “connected” to the world via social media and their mobile devices, these same students are feeling crippling loneliness and a general lack of coping skills in their lives, as they often have not developed an identity separate from their parents or a strong sense of independence.

Chris Hadfield, Canadian astronaut and now-celebrity is always asked if he was lonely in space. His response was that you can be hundreds of thousands miles away from Earth and feel connected to people and the universe, and, at the same time, you can also be living in the centre of a metropolitan city and feel like the loneliest person in the world. A myth endures, which allows us to assume university and college students living away from home could never be lonely in dorms with thousands of other students “partying” all the time. However, they could very well be the loneliest people on Earth.

As parents, teachers, counsellors, siblings and peers of this demographic, what can we do to better support our students? We are beginning to understand the prevalence of mental health issues in Canada and how our current resources are exhausted from the increased demand. It could take years for the health care system to implement a structure that places mental health as a higher priority, so what are the steps we can take at a grassroots level to help students and the greater community now?

Below, you will find a list of collaborations and ideas that are already being set in motion by influential Canadian industries. And you might ask yourself, how can I, as one person, make any sort of impact? Like anything, if you look to hard at the big picture, beginning the process of finding a solution can seem too overwhelming. So I’ve included ways you can support these overarching goals in your community, your workplace or even in your home.

Collaboration: Recently, the Mental Health Commission of Canada embarked on a two-day conference with the Canadian Association of Chiefs of Police because, more and more the police force has become first responders in mental health crises. This partnership speaks to the new understanding that working together is the only way to move forward when a problem has as many touch points in society as mental health does.

In your own environments, encourage similar collaboration with mental health as your frame of reference. This can be achieved in different ways, from a professor-student-staff initiative within the university setting or organizing representatives from various departments in your workplace to avoid working in silos.

Education: The ultimate purpose of collaboration is to educate one another and to share resources. Every Canadian stakeholder is focused on the goal to improve the accessibility and support of those who suffer from mental health issues, from the health industry, to the government, to the education system. Each has valuable information to share and ways to support people suffering from mental illness.

Seek education on how to engage someone with a mental illness, learn to look for warning signs and changes and encourage others to do the same. We are often afraid of what we don’t understand, which is why we might feel like we wouldn’t know how to address someone who is suffering. With education behind you, you can feel confident in supporting someone through a difficult time.

Connectedness: A sense of belonging and a strong personal network are tools that help people with mental health issues feel less alone in their situation. As a society, we value individualism and privacy, but perhaps the pursuit of these ideas have moved us too far away from the strength gained from an environment based on community values. Universities and colleges have placed a greater focus on connecting students with their peers, providing forums to reach out in and raising awareness of the resources that are available.

Engage in conversation with people in your life and seek to understand their perspective. Find ways to stay present in face-to-face experiences, despite the temptation to “connect” via your devices and various social networks. Learn to notice small changes in behaviour, attitude and performance in those around you and don’t be afraid to ask someone how they are doing. You might be the only person who has shown them that kind of care in a while.

How else can we support our students as they learn to cope with the pressures of university? Where do you think the changes need to begin – At the top with governments and health care, or at the bottom within our homes, schools and communities, or both? I look forward to your comments below!