NAMI Mercer County

Families Meeting the Challenge of Mental Illness

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Histrionic Minds

By

Bella Santulli, NAMI Intern

This May, as we recognize Mental Health Awareness Month, it is essential to emphasize less-discussed disorders such as Histrionic Personality Disorder (HPD) to encourage understanding, challenge stigma, and promote connection for those who feel overlooked or misrepresented.

So, What is HPD? HPD is a mental health condition that involves an unstable center of emotions as well as a distorted self-image. For people with this condition, their self-esteem depends on the approval of others, not themselves. Additionally, they desire to be noticed by others, often exhibiting erratic or impulsive behavior. Researchers estimate that approximately 1% of people have this condition, predominantly women, although more research is being conducted for undiagnosed men. 

The criteria for diagnosing this condition include five or more of the following behaviors.

  • Uncomfortable when not the center of attention.
  • Seductive or provocative behavior.
  • Shifting and shallow emotions.
  • Uses appearance to draw attention.
  • Impressionistic and vague speech.
  • Dramatic or exaggerated emotions.
  • Suggestible (easily influenced by others).
  • Considers relationships more intimate than they are.

It is important for those who have HPD to seek outside support, such as talk therapy or different support groups. Cleveland Clinic recommends these steps because gaining insight into their condition tends to have better outcomes and increased functionality in social relationships. 

Shedding light on Histrionic Personality Disorder, this Mental Health Awareness Month helps bring attention to often less-known or ignored conditions. By understanding HPD, we can build empathy and create space for people to seek help without shame or judgment.

Book of the Week: Boy Parts by Eliza Clark

This novel follows Irina in Newcastle, UK. She is a troubled photographer with a twisted view of herself and others. Her mind is chaotic—full of obsession, control, and confusion between what’s real and what’s not. It is a raw look at a woman unraveling and a powerful match for this week’s focus on Histrionic Personality Disorder. 

Resources

References

  • Lovering, Nancy. “Treating Histrionic Personality Disorder.” Edited by Jeffery Ditzell, Psych Central, 14 Oct. 2014, psychcentral.com/disorders/histrionic-personality-disorder/treatment. 
  • “Histrionic Personality Disorder: Causes, Symptoms & Treatment.” Cleveland Clinic, 19 Mar. 2025, my.clevelandclinic.org/health/diseases/9743-histrionic-personality-disorder. 
  • Torrico, Tyler J. “Histrionic Personality Disorder.” National Institutes of Health, U.S. National Library of Medicine, 20 June 2024, www.ncbi.nlm.nih.gov/books/NBK542325/#:~:text=Introduction-,Histrionic%20personality%20disorder%20(HPD)%20is%20a%20chronic%2C%20enduring%20psychiatric,late%20adolescence%20or%20early%20adulthood.

Attending to ADHD

By

Angelina Villalva, NAMI Intern

It’s 11:00 PM. There are 3 assignments that you have to turn in by 11:59 tonight, and another 2 due tomorrow. You already missed the previous assignments due this past week, but for some reason or another, you absolutely cannot bring yourself to start. You know you should, in fact you tried your best to. But you still can’t focus. Why? 

For many of us, forgetting deadlines and losing track of time is nothing new. It can be hard to juggle a busy schedule, balancing the time needed for chores, job responsibilities, upcoming appointments, and social relationships. However, if you find yourself with an excessive inability to stay organized and complete your assignments (whether schoolwork, chores, and/or job duties) it may indicate a sign of ADHD. 

ADHD stands for attention deficit/hyperactivity disorder. For those unfamiliar, ADHD is commonly characterized with symptoms of poor time management, difficulty in focus, trouble multitasking, and impulsivity. However, ADHD is much more complicated than that, presenting symptoms differently in not only genders, but also age groups.

Many children exhibit common issues with impulsivity and hyperactivity. But what separates that from ADHD lies in symptoms being noticeably greater than expected for their age or developmental level and then furthermore causing problems at home and school.

In adults, ADHD can present itself as low self-esteem, trouble coping with stress, avoiding mentally straining tasks, and having unstable mood swings. Furthermore, adults with undiagnosed ADHD may have relied on unsustainable coping mechanisms such as substance abuse or binge eating. 

Overall, ADHD is more commonly diagnosed among boys than girls. Boys tend to present symptoms that indicate hyperactivity and externalizing symptoms (such as fidgeting, impulsivity, and high energy) while girls tend to present inattentive symptoms (problems focusing, organizing, remembering tasks, etc.)

Unfortunately, there is no designated cause of ADHD. However, there are multiple suggested correlations between the likelihood of someone to develop ADHD if they have the following: 

  • Low birth weight
  • Premature birth
  • Exposure to toxins during pregnancy
  • A family member who also has ADHD

Currently, medication treatments and psychological counseling are available to help individuals who are impaired from severe ADHD. There are also several further coping strategies that former NAMI Intern, Matthew Michibata, highlights in his toolkit titled, “ADHD: A Guide for Adults.” (https://namimercer.org/wp-content/uploads/2023/08/ADHD-A-Guide-for-Adults.pdf)

Remember that you are more than your diagnosis, and to treat yourself kindly. As former President Theodore Roosevelt says, “Do what you can, with what you have, where you are.” 

Resources: 

  • Nami Mercer Helpline: 609-799-8994 x17
  • Attention Deficit Disorder Association (ADDA): https://add.org/
  • Fact sheets, infographics, and other resources about ADHD signs, symptoms, and treatment options posted by the CDC: https://www.cdc.gov/adhd/

Citations: 

Addressing Anxiety

By

Angelina Villalva, NAMI Intern

It was difficult waving goodbye to all my hometown friends, knowing that it would be months before I saw any of their faces again. Months before I saw my family again. Months before I would be home. I was prepared for this, I knew this was the natural course of progression for every college student. Yet, at the same time, I felt a heavy pit settle in my stomach for the uncertainties I would have to face alone. 

While most college students are already accustomed to this familiar feeling, some are experiencing these changes for the first time. That is, of course, anxiety. Everyone feels anxious from time to time, whether that be for an upcoming exam, or forgetting to wake up on time for class. However, that is drastically different from having an anxiety disorder, which can present itself in numerous forms: social anxiety, generalized anxiety, separation anxiety, or panic disorder. 

According to the National Institute of Health (NIH), roughly a third of U.S. adolescents and adults will experience an anxiety disorder at some point in their lives. Compared to feelings of anxiousness, anxiety disorders are much more pervasive– causing intense, excessive, and persistent emotions of fear and worry that do not go away for long periods of time. 

It is important for those experiencing or undergoing anxiety disorders to reach out for support. Talking to friends, family, and especially healthcare professionals can begin to make headway into finding solutions. Aside from reach out for support, here are some other tips provided from Mayo Clinic towards coping with anxiety: 

  • Identify triggers – learn what causes or increases your anxiety 
  • Make sleep a priority – increased sleep has shown evidence of reduced stress
  • Use stress management and relaxation techniques 
  • Use the 3-3-3 rule – in event of a panic attack, identify three things you can see, three sounds you can hear, and three things you can move or touch

Remember that you are never alone, and it is okay to reach out for help. Anxiety can be overwhelming, but it doesn’t have to overpower your life. As author Dan Millman says, “You don’t have to control your thoughts; you just have to stop letting them control you.” 

If you’d like to read more details about anxiety specifically pertaining to college students, I highly suggest reading through the toolkit called, “Anxiety and the Roller Coaster of the College Experience,” created by NAMI Intern, Jacob Adam. (https://namimercer.org/wp-content/uploads/2024/07/Anxiety-in-College-Students-Toolkit-Jacob-A.pdf)

Resources: 

  • Nami Mercer Helpline: 609-799-8994 x17
  • Anxiety & Depression Association of America: adaa.org

Citations 

What Does Depression Look Like?

By

Anushna Kondala, NAMI Intern

Depression is a complex and multifaceted condition that can manifest in various ways. It’s not just about feeling sad or down; it encompasses many emotional, physical, and behavioral symptoms that can significantly impact a person’s daily life. Here’s a closer look at what depression might look like:

Emotional Symptoms
Depression often brings a persistent feeling of sadness or emptiness. People may experience a loss of interest in activities they once enjoyed, leading to a sense of hopelessness and worthlessness. Irritability and frustration over small matters can also be common, making maintaining relationships and social interactions difficult.

Physical Symptoms
The physical toll of depression can be profound. Changes in appetite or weight, either increased or decreased, are common. Sleep disturbances, such as insomnia or excessive sleeping, can leave individuals tired and low energy. Unexplained aches and pains, headaches, and digestive issues may also arise, further complicating the condition.

Cognitive Symptoms
Depression can cloud the mind, making it hard to concentrate or make decisions. Memory problems and negative thought patterns, such as self-criticism and guilt, can dominate a person’s mental landscape. These cognitive symptoms can interfere with work, school, and daily responsibilities.

Behavioral Symptoms
Behavioral changes are often noticeable in those with depression. Withdrawal from friends and family, decreased performance at work or school, and neglect of personal hygiene and responsibilities are common. Some may turn to alcohol or drugs as a coping mechanism, which can exacerbate the condition.

High-Functioning Depression
It’s important to recognize that depression doesn’t always look the same. Some individuals may appear to function well in their daily lives, maintaining responsibilities and social interactions, while internally struggling with feelings of emptiness and despair. This high-functioning depression can be particularly challenging to identify and address.


Depression is a deeply personal experience that varies from person to person. It’s essential to understand that it’s not a sign of weakness or something that can be easily “snapped out of.” If you or someone you know is struggling with depression, seeking professional help is crucial.

There are many resources and treatments available that can make a significant difference:

  • National Institute of Mental Health (NIMH)
  • Substance Abuse and Mental Health Services Administration (SAMHSA)
  • National Alliance on Mental Illness (NAMI)
  • Anxiety and Depression Association of America (ADAA)
  • BetterHelp
  • Talkspace
  • Mental Health America (MHA)
  • Centers for Disease Control and Prevention (CDC)
  • Mayo Clinic

Remember, you’re not alone, and there is hope. Understanding the signs and symptoms of depression is the first step toward getting the support and care needed to manage this condition.

Embracing Solitude: The Art of Being Alone, Not Lonely

By

Anushna Kondala, NAMI Intern

In today’s fast-paced world, being alone often carries a negative connotation. However, solitude can be a powerful and enriching experience when embraced with the right mindset. Being alone doesn’t have to mean being lonely. It can be a time of self-discovery, creativity, and personal growth.

The Difference Between Being Alone and Being Lonely

  • Loneliness is a feeling of sadness or distress about being alone. It’s often accompanied by a sense of isolation and a longing for connection.
  • On the other hand, being alone is simply the state of being alone, which can be a choice and lead to positive experiences.

The Benefits of Solitude

  • Self-Discovery: Spending time alone allows you to reflect on your thoughts, feelings, and desires without external influences. It’s a chance to understand yourself better and to grow as an individual.
  • Creativity: Solitude can be a breeding ground for creativity. Without distractions, your mind is free to wander and explore new ideas. Many artists, writers, and thinkers have produced their best work in solitude.
  • Mental Clarity: Alone time can help clear your mind and reduce stress. It allows you to process your thoughts and emotions, improving mental health.
  • Independence: Learning to enjoy your own company fosters independence and self-reliance. It builds confidence and helps you become comfortable with who you are.

Tips for Embracing Solitude

  • Create a Comfortable Space: Designate a space in your home to retreat and feel at peace. Fill it with things that make you happy and relaxed.
  • Engage in Solo Activities: Find activities you enjoy doing alone, such as reading, writing, painting, or hiking. These activities can be fulfilling and provide a sense of accomplishment.
  • Practice Mindfulness: Mindfulness and meditation can help you stay present and appreciate the moment. It can also reduce loneliness by fostering a deeper connection with yourself.
  • Set Boundaries: It’s important to set boundaries with others to ensure you have time for yourself. Communicate your need for alone time to friends and family.
  • Stay Connected: While solitude is valuable, maintaining connections with others is also important. Balance your alone time with social interactions to avoid feelings of isolation.

Being alone doesn’t have to be a negative experience. By embracing solitude, you can discover new aspects of yourself, boost your creativity, and improve your mental well-being. Remember, it’s all about finding the right balance and making the most of your alone time. So, next time you find yourself alone, take it as an opportunity to grow and thrive.

Living With CPTSD

By

Caitlin Golden, NAMI Mercer Intern

“There is no timestamp on trauma. There isn’t a formula you can insert yourself into to get from horror to healed. Be patient. Take up space. Let your journey be the balm.” Dawn Serra

Living with Complex PTSD is often a silent struggle. Being in a constant stage of fight or flight is exhausting and can lead to further stress and depression. Exposure to chronic trauma can result in the development of Complex Post-Traumatic Stress Disorder, also known as CPTSD or Complex PTSD. This form of PTSD is characterized by repeated trauma throughout one’s life, whether it be childhood abuse, intimate partner violence, or another chronic form of trauma.

Complex PTSD has yet to be recognized by the DSM, but has been recognized by the ICD. The condition was first coined by Judith Herman, a psychiatrist and researcher who focuses on trauma and incest. In her book Trauma and Recovery (1992), Herman sets apart the differences between single-event traumas (Type I traumas) versus complex traumas (Type II traumas).

The symptoms of Complex PTSD can vary in degree from person to person, but often disrupt one’s daily lifestyles. While not everyone will experience the same symptoms, there are many common ones, such as hypervigilance, emotional regulation struggles, and intrusive memories and flashbacks. Below is the C-PTSD Symptom Wheel, created by Lindsay Braman.

A common challenge of those living with Complex PTSD is talking about their emotions. Many people who live through traumatic events don’t want to remember them, so they try to suppress those upsetting memories or ignore them. As a result, many people living with CPTSD suffer emotionally. It is important to embrace your emotions and allow yourself to feel them, all while taking care of yourself. When confiding in someone about your emotions, it is vital that you stay in the present, acknowledge what you’re feeling, take it slow, self-soothe and pay attention to your body.