Residential Treatment

Residential Treatment:

Rogers is a comprehensive psychiatric hospital, nationally recognized for specialty residential treatment programs for eating disorders, addiction, obsessive-compulsive disorder and anxiety disorders for children, teens and adults.

Life. Worth. Living.

June 18, 2013 - 2:35pm

OCD treatmentRogers Memorial Hospital is proud to announce new facilities for the OCD treatment Center. The new property will offer more beds in order to provide greater access to care. Bradley C. Riemann, PhD, Clinical Director of the OCD Center, explains the decision to expand, “We’re dedicated to helping people with OCD and their families. With this expanded center, we’re making sure quality treatment is available to those who need it.”

The new OCD Center, situated on 23 wooded acres with lake frontage, is less than one mile from Rogers’ Oconomowoc hospital campus. The facilities are being renovated with residents in mind, featuring spacious common areas, serene lake views and natural light. Easy access to medical staff offices will foster a therapeutic environment.

 

 

June 11, 2013 - 9:53am

When a traumatic event occurs in someone’s life, it is expected for them to react with acute stress or even shock. It’s when the acute stress symptoms persist that it may be more than a healthy reaction. An acute stress reaction is a psychological response one goes through after experiencing some sort of trauma; it is the minds way of coping with feelings of intense helplessness. This becomes “Acute Stress Disorder,” if the reaction persists for over two days, but diminishes after about a month. Initially, the victim will experience confusion and a state of disorientation with an inability to comprehend what is going on around them. This is followed by either complete withdrawal from the situation or agitated, anxious responses and depression. The reaction begins within minutes of the event and typically disappears within hours to 2-3 days. If not, this is when acute stress becomes a disorder.

Those with acute stress disorder suffer the symptoms of an acute stress reaction repeatedly for up to a month following the traumatizing event. They will continue to re-experience the event through flashbacks, dreams or thoughts. They will also avoid any stimulus that reminds them of the event. Other symptoms that occur are depression, anger, and anxiety. There must be clear connections between the event and the onset of the symptoms to be considered acute stress disorder. As previously mentioned, it is when this disorder continues for more than a month that there may be a mental illness diagnosis such as Post-traumatic stress disorder (PTSD).

With PTSD, these symptoms recur longer than one month, causing impairment in every day functioning. There are three criteria related to the symptoms of PTSD:

  1. Reacting to a traumatic event with feelings of intense fear, helplessness or horror.
  2. Re-experiencing of the event, similar to acute stress disorder. However, PTSD is much more pervasive than an acute stress reaction.
  3. Conscious attempts to avoid stimulus reminding them of the event.

Many diagnosed with PTSD will also have a general decrease in emotional responsiveness. These symptoms may not show immediately after the event occurs; PTSD can take months to set in. If any of these symptoms were apparent before the event, the diagnosis cannot be PTSD.

PTSD can be treated with medications as well as psychotherapy, although not every mental health provider is trained or experienced to provide PTSD treatment. Therefore, it is vital to seek out help from a specialized provider. Rogers offers a variety PTSD treatment including Cognitive Behavioral Therapy and Exposure Ritual Prevention. ERP is an exposure to stimulus followed by a reconditioning of the response. The best way to recover is to seek help and proper PTSD treatment.

Take the step: raise PTSD awareness. If you or a loved one may benefit from PTSD treatment, call 800-767-4411 for a free screening. You can also request a free screening for treatment at http://rogershospital.org/screening-request.

May 9, 2013 - 8:57am

Often times when people hear the term “disordered eating,” they assume it’s another way of saying one has an eating disorder. However, these terms are not interchangeable. With an eating disorder, food intake and weight issues consume your thoughts and actions making it nearly impossible to focus on anything else; it is a mental illness. Eating disorders often cause multiple, serious physical problems and, in severe cases, can become life threatening. On the other hand, disordered eating is much more common and symptoms typically occur less frequently than those of an eating disorder. Changes in eating patterns due to temporary stressors, athletic events, or even an illness would be considered disordered eating. Disordered eating can be defined as an unhealthy relationship with food; whereas an eating disorder is a psychiatric illness that is far more complex.

Although both diagnoses are cause for concern, there are signs to look for to know whether this is a temporary change in eating patterns or a mental illness. Both eating disorders and disordered eating can be recognized by certain red flags; yet these symptoms remain constant in those with an eating disorder. Indications of either diagnosis include:

  • Restrictive dieting/skipping meals
  • Binging
  • Purging
  • Laxatives/Diet Pill abuse

These symptoms will demonstrate the unhealthy relationship the individual has developed with food and eating habits. However the following symptoms may only be apparent in those with an eating disorder due to the psychological effects:

  • Withdrawing from social activities
  • Distorted body image
  • Persistent concern about being “fat”
  • Frequent mirror checking
  • Feeling ashamed, sad or anxious
  • Obsessive thinking about food, weight, shape
  • Compulsive activity

As the signs and symptoms illustrate, individuals with both disordered eating and eating disorders will develop atypical eating habits which can lead to nutritional deficiencies. One concern for those with disordered eating is that it can lead to an eating disorder. Monitoring the individual and helping them maintain healthy eating habits is crucial to avoid this from happening. When the unhealthy eating patterns become persistent and more frequent, and other symptoms, such as the psychological ones, begin to occur, the individual should seek medical help.

Those with disordered eating develop poor eating habits that occur inconsistently or less frequently, typically caused by a particular event. Those with an eating disorder have a constantly occurring illness that can consume their lives.

If you or a loved one may be suffering from an eating disorder, you can call 800-767-4411 for a free telephone screening, or complete an online screening request.

May 2, 2013 - 8:50am

Mental Health affects everyone; mental health issues affect about 80% of people in one way or another. Chances are you know someone who is or has dealt with mental illness and recovery, or know of someone who is going through the process of dealing with some sort of anxiety, depression, addiction or eating disorder.

This year Mental Health America has made their theme Pathways to Wellness, which sheds light on key points that we at Rogers Memorial Hospital would like to pass along.

Wellness is essential to living a full and productive life. One must develop and maintain a set of skills and strategies to prevent the onset of or shorten the duration of illness, while promoting recovery and well-being. Being well is more than just being free of disease, it is understanding how, when and why to seek help and willing to fight things like stigma. Things that can assist in building balance and overall wellness are diet, exercise, plenty of sleep, a healthy self-image, and the development of coping skills that promote resiliency. Each of us goes through stressful times in our lives, and the development of good coping skills allows us to maintain mental health in the face of sometimes overwhelming stress.

Wellness involves a complete and general well-being. It’s really a balance of emotional, physical, spiritual, and mental health. Being willing to take good care of one’s mental health means taking stock of feelings, emotions, stress levels, and coping mechanisms, even getting screened just as you would for various physical illness’. One must fully embrace wellness to improve the mind, body, and spirit, in order to maximize the potential for a person to lead and full and productive life. Wellness will also lead to prevention of mental health conditions, substance use conditions and promote societal features like greater academic achievement by our children, a more productive economy, and a solid family structure.

April 15, 2013 - 11:22am

Alcoholism, rehab, treatmentWhen thinking about excessive alcohol consumption most people picture the typical adverse effects such as slowed reaction times, poor decision making and even liver problems. But what are the hidden costs of excessive alcohol consumption and can it have a lasting effect on health or even your pocketbook?

A study released in 2012 by the Centers for Disease Control found that the economic cost of excessive alcohol consumption was $223.5 billion in 2006. These numbers included losses in workplace productivity and healthcare expenses, as well as law enforcement and criminal justice costs.

In addition to the economic impacts, excessive alcohol consumption and misuse has lasting health impacts. A review published in the journal Cortex discusses how alcohol misuse in young people can lead to deficits in visual learning and memory. While older adults may see an increase in blood pressure, damage to the pancreas or heart disease.

Michael M. Miller, MD, FASAM, FAPA, Medical Director at the Herrington Recovery Center, stresses that people need to have access to treatment for this condition, as easily as they have access to treatment for heart disease or cancer. In addition, the ready availability of psychiatric consultation and concurrent treatment of mental health concerns, as is found at Rogers offers the opportunity to address broader aspects of a person’s condition. By continuing to embrace and enhance the existing treatment framework, addiction can move into remission, and the economic and health impacts can be greatly reduced.

1. Daniel F. Hermens, Jim Lagopoulos, Juliette Tobias-Webb, Tamara De Regt, Glenys Dore, Lisa Juckes, Noeline Latt, Ian B. Hickie. Pathways to alcohol-induced brain impairment in young people: A review. Cortex, 2013; 49 (1): 3 DOI: 10.1016/j.cortex.2012.05.021
2. Economic Costs of Excessive Alcohol Consumption in the U.S., 2006 Ellen E. Bouchery, Henrick J. Harwood, Jeffrey J. Sacks, Carol J. Simon, Robert D. Brewer American journal of preventive medicine 1 November 2011 (volume 41 issue 5 Pages 516-524 DOI: 10.1016/j.amepre.2011.06.045)

April 1, 2013 - 1:35pm

Addiction treatment can be the single most powerful time in someone’s life. Those in recovery often cite experiences within their first days if treatment as life changing and an experience that saved their lives. All over the country people belong to a fellowship called Alcoholics Anonymous or AA. These people meet to attain and maintain sobriety. The only requirement is a desire to stop drinking. Shortly after AA began, the Oxford Group, a Christian organization influenced the early members of AA about the spiritual principals needed for recovery. Bill Wilson, co-founder of AA, wrote what would become known as “the Big Book”. He recognized that people struggling with addiction need a simple, yet powerful, program to become the crux of recovery. Today the original 12 steps have been modified very little, only edited down to include less reference to God.

Since then, the 12 steps have become synonymous with AA. Many treatment providers use the 12 step program as a basis for achieving and maintaining recovery from all types of addiction, not just alcohol. Additionally, the 12 step program is used to help people deal with certain emotional disorders.

The 12 steps begin by challenging the notion that no matter what a person has free choice and ends with the closing of the loop and giving back to those who can use this deep spiritual experience to improve their lives. Today’s 12 steps are recognized as:

  • Step 1 - We admitted we were powerless over alcohol—that our lives had become unmanageable.
  • Step 2 - Came to believe that a Power greater than ourselves could restore us to sanity.
  • Step 3 - Made a decision to turn our will and our lives over to the care of God as we understood Him.
  • Step 4 - Made a searching and fearless moral inventory of ourselves.
  • Step 5 - Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
  • Step 6 - Were entirely ready to have God remove all these defects of character.
  • Step 7 - Humbly asked Him to remove our shortcomings.
  • Step 8 - Made a list of all persons we had harmed, and became willing to make amends to them all.
  • Step 9 - Made direct amends to such people wherever possible, except when to do so would injure them or others.
  • Step 10 - Continued to take personal inventory and when we were wrong promptly admitted it.
  • Step 11 - Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His Will for us and the power to carry that out.
  • Step 12 - Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

While the 12 steps are widely recognized as a treatment program, they are not a stand-alone solution or cure for addiction. Professionals agree that addiction is not something with definite cure, but a constant series of activities designed to keep a person abstaining and improving their life and spiritual health. The ideal role of the 12steps is one facet in a multi modal approach. Other types programs like behavioral therapy, group therapy, and one on one counseling, all used together to help heal the whole person.

The addiction treatment services at Rogers Memorial Hospital are geared to help those who want recovery and are ready to accept change in their lives, to begin this process contact the admissions department with questions at 800-767-4411, or request a screening online.

March 25, 2013 - 10:04am

Treatment for depressionCognitive-behavioral therapy, or CBT, for depression really started in the 1960’s with behavioral therapy treatments focusing on activity scheduling. CBT today still includes many of these early interventions. Activity scheduling, and its modern form, called behavioral activation, is based on the idea that individuals’ moods and activities are highly related. That is, when people become depressed, they tend to change what they do. For instance, individuals with depression might start to sleep more, spend more time isolating from others, and generally engage in less activity overall. Treatment, then, works to gradually increase individuals’ engagement in certain types of activities that have been found to relate to improved mood. These activities include activities that the individual enjoys (or used to enjoy before becoming depressed), important activities for general functioning (e.g., showering, paying bills, etc.), and activities that the individual values (e.g., spending time with their children, work-related activities, etc.). Treatment works by gradually increasing engagement in these types of activities, starting with activities that the individual does not find to be too overwhelming or difficult given their current level of functioning.

CBT for depression also often involves cognitive restructuring, which is the breaking down of cognitive distortions that allow persons to maintain negative beliefs about themselves and their environment. When individuals become depressed, they tend to see themselves, the world, and the future in very negative ways. CBT for depression restructures these automatic thoughts to be more positive, helping the patient to understand that feelings of negativity are unwarranted and, at times, simply incorrect.

CBT for depression has been examined extensively and is empirically supported, which has helped more treatment providers recognize it as a therapy that provides positive outcomes.

Treatment for depression may include more than CBT, such as antidepressant medications. Treatment plans vary from individual to individual depending on their unique symptom presentation. Family members and friends can have a very positive effect on treatment by encouraging patients to complete important parts of their treatment plan and praising them for the work they do in treatment.

Like any mental illness, there are barriers to treatment. Stigma, lack of insurance coverage, and availability of care all have an impact on the overall quality of treatment available for those with a depression diagnosis. Rogers Memorial Hospital exists to provide the best care possible for those with depression by providing numerous levels of care intensive outpatient care to inpatient acute care.

If you or someone you know is interested in depression treatment call 800-767-4411 or you can request a screening online.

February 26, 2013 - 3:07pm

OCD is treatable, but because it is hard to treat a select few organizations really understand OCD and how to treat the person instead of their symptoms. There are three main treatment methodologies for OCD medication, psychotherapy or a combination of the two. If you or a loved one have OCD symptoms controlling your daily life, it’s highly recommended you get a screening which may include a full YBOCS test that details the depth and severity of OCD symptoms.

Medication is one method for treating OCD. Commonly anti-depressants are tried to increase the levels of serotonin in the brain. Lacking serotonin is common in patients with OCD diagnosis.

Psychotherapy is also successful in most people with OCD. Utilizing a therapy called (CBT) Cognitive Behavioral Therapy; patients re-learn the proper response to anxiety situations in ways that reduce the compulsions they have in reacting to negative stimuli. CBT also is learned which is something patients can practice on their own making it highly effective even after the patient is discharged from their level of care.

At Rogers, our treatment teams also use a method called Exposure and Response Prevention (ERP) which is exposure to the feared stimuli, then re-enforced evidence that the feared results really don’t happen. Rogers Memorial Hospital has an array of treatment options for OCD:

  • Intensive Outpatient – In Madison, Milwaukee and Oconomowoc, Wisconsin these programs generally run 3 hours a day, a few times per week for up to 4 weeks, at which time each patient is extensively evaluated for further care or discharge.
  • Residential Treatment - This type of care happens at both the OCD center and in the child and adolescent centers, in Oconomowoc. As one of the largest single providers in the world, Rogers is known for comprehensive, quality of care for OCD.

Rogers has an extensive anxiety treatment program as well and treats people from ages 8 and up for:

  • Generalized Anxiety Disorder
  • Panic Disorder
  • Social Anxiety Disorder
  • PTSD (post-traumatic stress disorder)

If you would like to learn more about the OCD treatment options at Rogers, please don’t hesitate to call 1-800-767-4411 or visit our website screening form to make an appointment to discuss admission to one of Rogers’s programs.

February 21, 2013 - 3:28pm

OCD, Addiction, Eating Disorders, Depression, Bi-Polar Disorder, PTSD the list of mental health illnesses people are diagnosed with is incredibly complex. Unlike a typical medical hospital, when patients come to Rogers for help, they may not know exactly what is bothering them, or why. With broken arms or the flu it is fairly easy to see the problem. However, when someone is suicidal or in the midst of mental illness, one may not even understand the symptoms, let alone the diagnosis. At Rogers we are well known for our ability to get to the core of what is wrong and diagnose a mental illness successfully.

Rogers excels at helping and diagnosing people because of our screening process. It is Rogers’s mission to treat patients and families through patient centered care. Patient centered care means taking the time to get the right diagnosis from the start. From there, every person on the treatment team from the nurses, counselors, psychiatrists, medical doctors or experiential therapists, understands the individual’s exact diagnosis and plan. This leads to the highest levels of care, as well as reliable outcomes.

Screenings can take 45 minutes to an hour and in more complex cases even longer. The questions asked in a screening are important to an accurate needs assessment. Being honest is vital, as it is the short and long term treatment for the patient that matters. Once a complete needs assessment is achieved, Rogers has the specialized care and expertise to treat a myriad of mental illness. In fact, no place in the Midwest and maybe the country can treat a wider variety of behavioral issues at one location.

Roger’s own Dr. Miller talks about being fortunate to have access to nationally recognized experts, making more complex cases treatable when other providers would not be able to provide care on such a level. This availability can make the difference in the lives of people who come to Rogers.

February 15, 2013 - 3:16pm

Treatment for depression can improve physical health, while failing to treat depression could have dire physical consequences.

Depression TreatmentDepression is a powerful medical illness which alone can be a very painful and difficult illness for patients and families to recover from. When you add another co-occurring medical condition, like cancer, the intensity of the depression symptoms may become more apparent or even increase.

The connection between mental illness and medical illness has been in conversations for centuries. The greatest minds in mental health and medicine agree there is a relationship. Today, more than ever before what that relationship is, and how it affects people, is getting attention. “Western medicine” is starting to recognize some aspects of “Eastern medicine” are not only real, but highly impactful in people’s lives. The last 30 years have shown resurgence in the exploration of the mind and how it permeates and is affects all of the body’s functions. This resurgence is spurred by chronic medical conditions which appear to be affected by psychological conditions, and appear to improve with psychiatric interventions like psychotherapy.

Depression may amplify the physical symptoms associated with a medical illness in several ways. The co-occurring nature increases impairment in functioning while decreasing adherence to prescribed regimens. Another symptom is suicidal thoughts or taking one’s own life. This can be an independent factor in chronic medical illness, however, the chronic medical illness may intensify these thoughts, making them more common and even more concerning. What people may not realize is that although depression, (which often leads to these suicidal thoughts) is insidious, it is common and treatable.

Depression and Cancer

Cancer is the number 1 killer of Americans under the age of 85. According to the American Cancer Society, in 2013 1,660,290 new cancer cases are expected to be diagnosed and 580,000 are expected die from the disease. Depression also kills. Suicide occurs at a higher rate than homicide, at a similar rate as breast cancer, and is the second leading cause of death in college students. It is the third leading cause of death in ages 15-24 and fourth in people 24-65. All of these deaths by one’s own hand via suicide. Oftentimes caused by depression, which is very treatable in most cases.

How do they relate? Psychiatric disorders like depression are 15% more prevalent in patients with cancer, than the population as a whole. Depression is up to 60% more common in the more acute or advanced cancer patients. What is unique among cancer patients is that nearly 80% of the psychiatric disorders go unrecognized and untreated. In one study only 2% of cancer patients were receiving antidepressant medications or psychotherapeutic interventions.

At the end of the day, depression major, minor or sub-clinical in nature does have an effect on the body and can have major impacts on people with physical illness, particularly major illnesses. As people understand the connection between mind and body these effects will become more widely known and a common understanding will develop. If you or a family member or other loved one is experiencing major medical illness, they may also be experiencing depression which could have a significant impact on their treatment and how they recover. As always, Rogers provides free depression screenings 7 days a week by calling 1-800-767-4411 or schedule a screening online by visiting http://rogershospital.org/request-screening.

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