Depression

What are the Signs and Symptoms of Youth Depression?

What are the Signs and Symptoms of Youth Depression?

In today’s fast-paced world, the mental health of our youth is more crucial than ever. Depression among young individuals is a growing concern, impacting their overall well-being and daily functioning. Recognizing the signs and symptoms of youth depression is essential for timely intervention and support. In this article, we’ll explore the common indicators of depression in young people and discuss the importance of seeking treatment from specialized providers like the Forum Functional Health Center, offering depression treatment in McKinney TX, with a focus on functional medicine.

Signs and Symptoms of Youth Depression:

Depression in youth may present differently than in adults, making it vital for parents, educators, and caregivers to be aware of the signs. Here are some common signs and symptoms to watch out for:

  • Persistent Sadness or Irritability:
    Noticeable and prolonged feelings of sadness, hopelessness, or irritability that impact daily life.

  • Withdrawal from Activities:
    Loss of interest in activities once enjoyed, such as hobbies, sports, or spending time with friends and family.

  • Changes in Sleep Patterns:
    Insomnia, oversleeping, or disrupted sleep patterns, leading to fatigue and difficulty in functioning during the day.
  • Changes in Appetite or Weight:
    Significant changes in appetite, resulting in weight loss or gain, without any apparent cause.
  • Fatigue or Loss of Energy:
    Persistent feelings of tiredness, lethargy, or lack of motivation, even after adequate rest.
  • Difficulty Concentrating:
    Trouble focusing, making decisions, or remembering details, affecting academic or work performance.
  • Physical Complaints:
    Frequent complaints of headaches, stomachaches, or other unexplained physical symptoms, despite medical evaluations.
  • Self-Harm or Suicidal Thoughts:
    Engaging in self-harming behaviors or expressing thoughts of suicide, which require immediate intervention and support.

Recognizing these signs early on can pave the way for initiating conversations about mental health and seeking professional help.

Depression Treatment in McKinney, TX:

For those in McKinney, TX, experiencing youth depression, the Forum Functional Health Center, offers specialized treatment options and best Functional Medicine in McKinney TX, With a focus on functional medicine, their approach emphasizes personalized care tailored to the individual needs of each patient.

The center provides comprehensive evaluations to identify underlying factors contributing to depression, such as nutritional deficiencies, hormonal imbalances, or genetic predispositions. Treatment plans may include a combination of therapies, such as:

  • Nutritional Counseling: Addressing dietary factors that may impact mood and mental health.
  • Lifestyle Modifications: Incorporating stress-reduction techniques, exercise, and sleep hygiene practices.
  • Therapy and Counseling: Providing individual or group therapy sessions to explore and address underlying emotional issues.
  • Medication Management: When necessary, prescribing medications to alleviate symptoms and support overall well-being.

Conclusion:

Youth depression is a serious mental health concern that requires attention, understanding, and support from the community. By recognizing the signs and symptoms of depression in young individuals and seeking help from specialized providers like the Forum Functional Health Center in McKinney TX, we can ensure that our youth receive the care and support they need to thrive. Let’s prioritize mental health and work together to create a supportive environment where our youth can flourish.

Read More :- How to Cultivate Healthy Eating Habits to Boost Mood and Fight Depression

How to Cultivate Healthy Eating Habits to Boost Mood and Fight Depression

How to Cultivate Healthy Eating Habits to Boost Mood and Fight Depression

In the journey to combat depression, adopting healthy eating habits can serve as a powerful tool to uplift mood and promote overall well-being. By nourishing your body with nutritious foods, you can fuel your brain and body with the essential nutrients it needs to function optimally. In this comprehensive guide, we’ll explore practical strategies to cultivate healthy eating habits that not only boost mood but also aid in the fight against depression.

The Connection between Diet and Depression

Scientific research has established a strong connection between diet and mental health. Certain nutrients play crucial roles in neurotransmitter function, brain structure, and overall mood regulation. Conversely, diets high in processed foods, sugar, and unhealthy fats have been linked to an increased risk of depression and other mental health disorders.

Key Nutrients for Mental Health

To support your mental health and combat depression, focus on incorporating nutrient-rich foods into your diet. Here are some key nutrients and the foods rich in them:

Omega-3 Fatty Acids: Found in fatty fish like salmon, walnuts, flaxseeds, and chia seeds, omega-3 fatty acids have been shown to reduce inflammation in the brain and improve mood.

Complex Carbohydrates: Whole grains like brown rice, quinoa, and oats provide a steady source of glucose to the brain, promoting stable mood and energy levels.

Antioxidants: Colorful fruits and vegetables, such as berries, leafy greens, and bell peppers, are rich in antioxidants that help protect the brain from oxidative stress and inflammation.

Protein: Lean sources of protein like chicken, turkey, tofu, and beans contain amino acids that are essential for neurotransmitter synthesis, contributing to improved mood regulation.

Vitamins and Minerals: Ensure adequate intake of vitamins and minerals like vitamin D, B vitamins, magnesium, and zinc, which play roles in neurotransmitter production and mood stabilization.

 

Practical Tips for Healthy Eating

Incorporating these nutrient-rich foods into your diet doesn’t have to be daunting. Here are some practical tips to help you cultivate healthy eating habits:

Plan Ahead: Take time to plan your meals for the week, including a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats.

Cook at Home: Cooking your meals allows you to have full control over the ingredients and cooking methods, ensuring that you’re nourishing your body with wholesome foods.

Eat Mindfully: Pay attention to your hunger and fullness cues, and savor each bite by eating slowly and without distractions.

Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, as dehydration can negatively impact mood and cognitive function.

Limit Processed Foods: Minimize your intake of processed and sugary foods, as they can lead to fluctuations in blood sugar levels and exacerbate mood swings.

Seek Support: Surround yourself with a supportive community of friends, family, or a professional healthcare team who can encourage and guide you on your journey to better health.

Forum Functional Health Care 

As you embark on your journey to cultivate healthy eating habits and fight depression, consider joining Forum Functional Health Care, you can connect with like-minded individuals, share experiences, and gain valuable insights and support from experts in nutrition, mental health, and holistic healing modalities.

At Forum Functional Health Care, we believe in the power of community to inspire positive change and promote well-being in mind, body, and spirit. Join us today and take the first step towards a happier, healthier life.

In conclusion, cultivating healthy eating habits is an integral part of managing depression and promoting mental wellness. By nourishing your body with nutrient-rich foods and adopting mindful eating practices, you can boost mood, increase energy levels, and enhance overall quality of life. Remember, small changes in your diet can lead to significant improvements in your mental and emotional well-being. Take charge of your health today and embark on the journey to a brighter tomorrow.

 

How Sleep Deprivation Affects Depression Treatment

How Sleep Deprivation Affects Depression Treatment

The relationship between sleep and depression is one that cannot be understated. Sleep deprivation, whether chronic or occasional, can significantly exacerbate symptoms of depression and hinder effective management strategies. Understanding the profound impact of sleep deprivation on depression management is crucial for individuals striving to improve their mental well-being.

The Link between Sleep and Depression

To comprehend the impact of sleep deprivation on depression management, it’s essential to grasp the intricate interplay between sleep and mood regulation. Sleep plays a vital role in emotional processing, cognitive function, and overall mental health. When deprived of adequate sleep, the brain’s ability to regulate emotions becomes compromised, leading to increased vulnerability to negative mood states, such as depression.

Effects of Sleep Deprivation on Depression Symptoms

Sleep deprivation can intensify various symptoms of depression, making it more challenging for individuals to cope with their condition effectively. Common effects of sleep deprivation on depression symptoms include heightened irritability, persistent sadness, decreased motivation, and impaired concentration. Moreover, insufficient sleep can exacerbate feelings of hopelessness and exacerbate suicidal ideation, posing significant risks to individuals struggling with depression.

Biological Mechanisms at Play

The impact of sleep deprivation on depression management extends beyond mere psychological factors, delving into intricate biological mechanisms within the body. Disruptions in sleep patterns can dysregulate neurotransmitter activity, particularly serotonin and dopamine, which are crucial for mood regulation. Additionally, sleep deprivation can trigger inflammatory responses in the body, contributing to neurobiological changes associated with depression.

The Vicious Cycle of Sleep Deprivation and Depression

One of the most challenging aspects of managing depression amidst sleep deprivation is the creation of a vicious cycle wherein each exacerbates the other. Individuals experiencing depression may find it difficult to fall asleep or maintain restful sleep due to racing thoughts, anxiety, or intrusive negative emotions. Conversely, insufficient sleep can worsen depressive symptoms, leading to a continuous cycle of sleep disturbances and mood disturbances.

Strategies for Managing Sleep Deprivation and Depression

While navigating the complex relationship between sleep deprivation and depression can be daunting, several strategies can help individuals better manage their symptoms:

Establishing a Consistent Sleep Routine: Prioritize regular sleep schedules, aiming for seven to nine hours of quality sleep each night.

Creating a Relaxing Sleep Environment: Designate your bedroom as a tranquil space conducive to restorative sleep, minimizing exposure to electronic devices and stimulating activities before bedtime.

Practicing Relaxation Techniques: Engage in relaxation practices such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation to alleviate stress and promote relaxation before sleep.

Seeking Professional Support: Consult with a healthcare provider or mental health professional to explore personalized treatment options, including therapy, medication, or alternative interventions tailored to address both sleep and mood disturbances.

 

The Importance of Comprehensive Assessment and Treatment

 

While antidepressants may be prescribed as a treatment option for depression, it’s crucial to acknowledge the limitations of this approach without addressing underlying root causes. At Forum Functional Health Center, we prioritize comprehensive assessment and treatment of depression by evaluating three main body systems: hormonal, gastrointestinal, and detoxification.

Each of these systems plays a pivotal role in influencing mood and overall well-being, and dysfunction within one can significantly impact the others. By addressing underlying imbalances and deficiencies, we aim to restore holistic health and empower individuals to reclaim their lives from the grips of depression.

If you’re struggling with depression and seeking a comprehensive approach to address underlying factors contributing to your symptoms, we invite you to schedule an appointment at our office. Our dedicated team at Forum Functional Health Center is committed to helping you achieve optimal health, happiness, and a life free from the burdens of depression and its accompanying challenges.

How to Protect Your Mental Health from Depression

How to Protect Your Mental Health from Depression

Depression is a serious mental health condition that affects millions of people worldwide. It can have a profound impact on a person’s daily life, relationships, and overall well-being. However, there are steps that can be taken to protect and prioritize your mental health. By understanding the risk factors, recognizing the signs and symptoms, and implementing healthy coping strategies, you can safeguard your mental well-being and reduce your risk of developing depression. This article provides valuable insights and practical tips on how to protect your mental health from depression.

 

The impact of depression on mental health

Depression goes beyond just feeling sad or down for a couple of days. It is a complex mental health condition that can significantly impact various aspects of your life. Understanding the full extent of its effects can help you take proactive steps to protect your mental well-being.

Depression can disrupt your sleep patterns, leaving you feeling exhausted and drained. It can also affect your appetite, leading to weight changes and a loss of interest in activities you once enjoyed. Perhaps most importantly, depression can impair your ability to think clearly and make decisions, making it challenging to navigate daily tasks and responsibilities.

Depression can strain your relationships with others, causing feelings of isolation and loneliness. The impact on your emotional well-being can be immense, with feelings of hopelessness, guilt, and worthlessness becoming constant companions.

 

The signs and symptoms of depression

Being able to recognize the signs and symptoms of depression is crucial in protecting your mental health. By identifying these indicators early on, you can seek the necessary help and support to manage your condition effectively.

One of the key signs of depression is a persistent feeling of sadness or emptiness that lasts for at least two weeks. This feeling may be accompanied by a loss of interest in activities that you once found enjoyable. You may also find it difficult to concentrate or make decisions, leading to a decrease in productivity.

Physical symptoms such as changes in appetite, sleep disturbances, and constant fatigue are common in depression. Additionally, experiencing feelings of hopelessness, worthlessness, and guilt can significantly impact your emotional well-being.

 

Creating a supportive environment for mental health

Creating a supportive environment is essential for protecting your mental health from depression. Surrounding yourself with positive and understanding individuals can greatly impact your well-being. Seek out friends, family, or support groups who can offer empathy and encouragement during difficult times.

In addition to building a support network, it’s crucial to establish healthy boundaries in your personal and professional life. Learn to say no when you feel overwhelmed and prioritize self-care activities that promote relaxation and stress reduction.

Furthermore, cultivating healthy coping mechanisms is vital for maintaining mental well-being. Engage in activities that bring you joy and fulfilment, such as hobbies, exercise, or creative outlets. Developing effective stress management techniques, such as meditation or deep breathing exercises, can also help in managing depressive symptoms.

 

Implementing self-care strategies to protect mental health

To building a support network and establishing healthy boundaries, implementing self-care strategies is essential for protecting your mental health from depression. Taking care of yourself both physically and emotionally can make a significant difference in your overall well-being.

One important aspect of self-care is practicing good sleep hygiene. Getting enough sleep and creating a routine can help regulate your mood and improve your mental health. Make sure to establish a bedtime routine that promotes relaxation, such as avoiding screens before bed and creating a calming environment.

Another self-care strategy is nourishing your body with a healthy diet. Eating nutritious foods can provide the necessary nutrients for your brain to function optimally and can contribute to improving your mood and overall mental well-being.

 

Seeking professional help and support

At Forum Functional Health Center, we specialize in understanding the intricate interplay of the hormonal, gastrointestinal, and detoxification systems within the body. Our unique approach involves a thorough evaluation and targeted addressing of each of these vital body systems, recognizing their integral roles in overall health. In our practice, we consistently observe the interconnected nature of these systems, where a disruption in one can significantly impact the others.

Our mission is clear, to guide you towards a healthier and happier life by helping you reclaim the vitality you deserve. If you find yourself grappling with depression and are seeking a holistic solution that extends beyond traditional prescription medications and their potential side effects, we invite you to reach out to our office. Schedule an appointment with us today, and let our experienced team assist you in restoring balance to these crucial body systems, paving the way for a renewed sense of well-being.

How Anxiety & Depression Impacts Your Physical Health

How Anxiety & Depression Impacts Your Physical Health

Anxiety and depression are common mental health disorders that affect millions of people worldwide. However, the impacts of these conditions go beyond just mental well-being. Research has shown that anxiety and depression can also have significant effects on physical health. From increased risk of cardiovascular disease to weakened immune system function, the relationship between mental and physical health is complex and interconnected. In this article, we will explore the ways in which anxiety and depression can impact your physical health, and why it is important to address these conditions holistically.

 

Anxiety and Physical Health Problems

Anxiety has a significant impact on physical health, specifically in relation to various conditions

Digestive Disorders: The digestive system is greatly influenced by anxiety, resulting in problems such as irritable bowel syndrome (IBS), indigestion, and stomach cramps. This underscores the strong connection between mental well-being and gut health.

Heart Disease: The stress associated with anxiety can contribute to the development of heart-related issues. Heightened levels of stress hormones can lead to increased blood pressure, putting strain on the cardiovascular system and potentially causing heart disease.

Asthma and Breathing Problems: Anxiety can trigger or worsen respiratory issues, making the management of conditions like asthma more challenging. Anxious individuals often experience shallow breathing patterns which contribute to a cycle of respiratory distress.

Weakened Immune System: Chronic anxiety weakens the immune system, rendering individuals more susceptible to infections and diseases. Prolonged stress can suppress immune response, leaving the body less capable of defending against pathogens.

 

Depression and Physical Health Problems

Depression can have a significant impact on physical health, leading to various issues:

Obesity and Weight Gain: Individuals with depression often experience changes in appetite and reduced physical activity, which can contribute to weight gain. If not addressed, this can lead to obesity and related health problems.

Chronic Pain: The relationship between chronic pain and depression is complex. While chronic pain can contribute to the development of depression, it is also true that depression can amplify the perception of pain. Managing both the mental and physical aspects is crucial for addressing these interconnected issues.

Insomnia and Sleep Problems: Depression commonly disrupts sleep patterns, resulting in insomnia and other sleep-related difficulties. The resulting fatigue further intensifies feelings of hopelessness and lethargy, creating a challenging cycle to break.

It is important to consider both mental and physical well-being when dealing with depression as it affects various aspects of an individual’s overall health.

 

The Advantages of Treating Anxiety and Depression:

Promotes Holistic Well-being: By addressing anxiety and depression, individuals can promote holistic well-being by recognizing the interconnectedness of mental and physical health. Taking a comprehensive approach that considers both aspects can provide a more complete solution.

Leads to Improved Quality of Life: Treating anxiety and depression can lead to significant enhancements in an individual’s quality of life. As mental health improves, physical symptoms often alleviate as well, resulting in a more fulfilling and vibrant life.

Reduces Health Risks: Effectively managing anxiety and depression helps mitigate the associated health risks. By addressing the root causes, individuals can reduce the likelihood of developing or exacerbating physical health issues that are linked to these mental health conditions.

Builds Resilience: With effective mental health management comes the opportunity to build resilience against stressors. This, in turn, contributes to a stronger immune system, better cardiovascular health, and an overall enhanced ability to cope with life’s challenges.

 

Seeking professional help for comprehensive care

At Forum Functional Health Center, we understand the intricate interplay of the hormonal, gastrointestinal, and detoxification systems within the body. Our comprehensive approach involves evaluating and addressing each of these main body systems, recognizing that their proper functioning is integral to overall health. We often witness the interconnected nature of these systems in our practice, where dysfunction in one can impact the others. Our mission is to guide you towards a healthier, happier life, allowing you to reclaim the vitality you deserve. If you are grappling with depression and seek a holistic solution that goes beyond prescription medications and their potential side effects, consider reaching out to our office. Schedule an appointment today, and let us help you restore balance to these crucial body systems.

While self-care practices play a significant role in managing anxiety and depression, it’s essential to acknowledge the value of professional assistance in your journey toward well-being. Therapists and counselors at Forum Functional Health Center are equipped to provide the support and guidance tailored to your unique needs. They create a safe, non-judgmental space for you to explore your emotions and concerns, offering effective coping mechanisms. In some cases, medication may be recommended by psychiatrists or mental health specialists to help manage symptoms. Seeking professional help is not a sign of weakness but a proactive step towards taking control of your mental and physical health. By combining self-care practices with expert care, you empower yourself on the path to recovery, reminding yourself that you don’t have to face anxiety and depression alone – support is available to guide you through every step of the journey.

Effective Strategies for Managing Depression Naturally

Effective Strategies for Managing Depression Naturally

Depression is a common mental health condition that affects millions of people worldwide. While medication and therapy are often effective treatments, many individuals prefer to manage their depression naturally, without the use of pharmaceutical interventions. Fortunately, there are numerous strategies and techniques that can help individuals effectively manage and alleviate the symptoms of depression. This article explores some of the most effective natural strategies for managing depression, including lifestyle changes, alternative therapies, and self-care practices.

 

Understanding the importance of natural strategies for managing depression

Understanding the importance of natural strategies for managing depression is crucial in order to make informed decisions about one’s mental health. While medication and therapy can be effective for some individuals, the use of natural strategies provides an alternative approach that is often less invasive and can have long-lasting benefits. Natural strategies prioritize the well-being of the individual as a whole, focusing on lifestyle changes, alternative therapies, and self-care practices.

By incorporating natural strategies into their daily routine, individuals are able to take an active role in their mental health journey. These strategies not only address the symptoms of depression but also promote overall well-being and resilience. With the growing awareness and acceptance of natural treatments, it is important to explore these options and develop a personalized plan that works best for each individual. Through this holistic approach, individuals can effectively manage and alleviate the symptoms of depression naturally.

 

Creating a healthy lifestyle for optimal mental health

Creating a healthy lifestyle is essential for managing depression naturally. Taking care of your physical health can significantly impact your mental well-being. Start by prioritizing regular exercise, as it has been shown to reduce symptoms of depression and increase the production of endorphins, the brain’s natural mood lifters.

In addition to exercise, maintaining a balanced diet is crucial. Consuming foods rich in essential nutrients, such as omega-3 fatty acids, Vitamin D, and B vitamins, can support brain health and improve mood. Reduce your intake of processed foods, caffeine, and alcohol, which can negatively impact your mental health.

Adequate sleep is also vital. Aim for 7-9 hours of quality sleep each night. Establish a relaxing bedtime routine and create a sleep-friendly environment to improve your sleep hygiene. Incorporating stress-reducing techniques like mindfulness meditation, deep breathing exercises, and engaging in hobbies you enjoy can further enhance your mental well-being. Remember, managing depression naturally requires a holistic approach that addresses both your physical and mental health.

 

The power of exercise and physical activity in combating depression

Regular physical activity and exercise have been proven to be powerful tools in combating depression. Not only does exercise release endorphins, the brain’s natural mood boosters, but it also helps reduce stress and anxiety levels, improves sleep, and enhances self-esteem.

When it comes to exercise, finding activities that you enjoy and can commit to is key. It could be as simple as going for a brisk walk every day, practicing yoga, or participating in a team sport. The goal is to engage in physical activity consistently to experience its mood-enhancing benefits.

If you’re new to exercise or struggling to find motivation, consider joining a fitness class or finding a workout buddy to keep you accountable. Start small and gradually increase the intensity and duration of your workouts as your fitness level improves.

 

The role of nutrition in managing depression naturally

In addition to regular physical activity, another important aspect of managing depression naturally is paying attention to your nutrition. The food you consume can have a significant impact on your mental health and overall well-being.

Research suggests that certain nutrients can help improve mood and reduce symptoms of depression. For instance, foods rich in omega-3 fatty acids, such as fatty fish, walnuts, and flaxseeds, have shown to be beneficial for mental health. Omega-3s help reduce inflammation in the brain and promote the production of neurotransmitters associated with mood regulation.

Similarly, consuming foods high in antioxidants, like fruits and vegetables, can also have a positive effect on mental health. Antioxidants help protect the brain from oxidative stress and inflammation, which are linked to depression. On the other hand, certain foods should be limited or avoided as they can worsen symptoms of depression. Highly processed foods, sugary snacks, and beverages, and excessive caffeine can contribute to inflammation and destabilize blood sugar levels, negatively impacting mood. Incorporating a balanced diet with plenty of fruits, vegetables, whole grains, lean protein, and healthy fats can provide the essential nutrients needed for optimal mental health.

 

Exploring Alternative Therapies for Depression Management

while nutrition and exercise serve as pillars for managing depression, exploring alternative therapies can further enhance these strategies. Mindfulness meditation, a practice focusing on the present moment without judgment, has shown promise in reducing stress, anxiety, and depression.

Aromatherapy, utilizing essential oils like lavender and bergamot, offers mood-enhancing properties. Whether diffusing oils or incorporating them into a relaxing bath, these natural scents may provide relief from depressive symptoms.

Acupuncture, an ancient Chinese practice involving thin needles to balance energy flow, has gained popularity. Reports suggest mood and overall well-being improvements with regular acupuncture treatments.

 

Harnessing the Benefits of Mindfulness and Meditation

Building upon the exploration of alternative therapies, this section focuses on mindfulness and meditation. Mindfulness meditation, involving non-judgmental focus on the present moment, has extensive research supporting its efficacy in reducing stress, anxiety, and depression.

This technique trains the mind to stay present, observing thoughts and emotions without becoming entangled in them. Easily incorporated into daily routines, starting with a few minutes and gradually increasing duration, mindfulness meditation offers numerous resources, from quiet room sessions to guided classes or smartphone apps.

Regular meditation induces positive changes in the brain, including increased gray matter in areas linked to emotional regulation, improved stress management, and heightened focus. It proves a potent tool for managing depressive symptoms naturally. Consider incorporating mindfulness into your routine and stay tuned for insights on support systems and seeking professional help.

 

Building a Strong Support Network for Ongoing Mental Health Care

Effective management of depression requires a multifaceted approach that includes not only alternative therapies and mindfulness techniques but also the establishment of a robust support network. Friends, family, or support groups can provide a vital sense of belonging, and open conversations about struggles can alleviate feelings of isolation while offering valuable perspectives.

Professional help is equally crucial on this journey. Seeking a therapist or counselor specializing in depression ensures tailored guidance, support, and evidence-based strategies for achieving improved mental health. At Forum Functional Health Center, we take a comprehensive approach by evaluating the three main body systems: hormonal (including HPA testing), gastrointestinal, and detoxification. Recognizing the interconnected nature of these systems, our goal is to enhance your overall well-being, making you healthier, happier, and helping you regain the life you deserve – because that’s what life is truly about!

If you’re looking for assistance in testing and correcting all three main body systems to address the root causes of your depression, we invite you to call our office today and schedule an appointment. We are dedicated to helping you reclaim your life naturally, steering clear of prescription medications and their potential side effects. Your well-being is our priority, and we would be delighted to be a part of your journey to optimal mental health.