Mental Health By Numbers

Mental Health By The Numbers

Millions of Americans are affected by mental health conditions every year.

Here are some facts about the prevalence and impact of mental illness:


Prevalence of Mental Illness

  • Approximately 1 in 5 adults in the U.S.—43.8 million, or 18.5%—experiences mental illness in a given year.1
  • Approximately 1 in 25 adults in the U.S.—9.8 million, or 4.0%—experiences a serious mental illness in a given year that substantially interferes with or limits one or more major life activities.2
  • Approximately 1 in 5 youth aged 13–18 (21.4%) experiences a severe mental disorder at some point during their life. For children aged 8–15, the estimate is 13%.3
  • 1% of adults in the U.S. live with schizophrenia.4
  • 6% of adults in the U.S. live with bipolar disorder.5
  • 9% of adults in the U.S.—16 million—had at least one major depressive episode in the past year.6
  • 1% of adults in the U.S. experienced an anxiety disorder such as posttraumatic stress disorder, obsessive-compulsive disorder and specific phobias.7
  • Among the 20.2 million adults in the U.S. who experienced a substance use disorder, 50.5%—10.2 million adults—had a co-occurring mental illness.8


Social Stats

  • An estimated 26% of homeless adults staying in shelters live with serious mental illness and an estimated 46% live with severe mental illness and/or substance use disorders.9
  • Approximately 20% of state prisoners and 21% of local jail prisoners have “a recent history” of a mental health condition.10
  • 70% of youth in juvenile justice systems have at least one mental health condition and at least 20% live with a serious mental illness.11
  • Only 41% of adults in the U.S. with a mental health condition received mental health services in the past year. Among adults with a serious mental illness, 62.9% received mental health services in the past year.8
  • Just over half (50.6%) of children aged 8-15 received mental health services in the previous year.12
  • African Americans and Hispanic Americans used mental health services at about one-half the rate of Caucasian Americans in the past year and Asian Americans at about one-third the rate.13
  • Half of all chronic mental illness begins by age 14; three-quarters by age 24. Despite effective treatment, there are long delays—sometimes decades—between the first appearance of symptoms and when people get help.14


Consequences of Lack of Treatment

  • Serious mental illness costs America $193.2 billion in lost earnings per year.15
  • Mood disorders, including major depression, dysthymic disorder and bipolar disorder, are the third most common cause of hospitalization in the U.S. for both youth and adults aged 18–44.16
  • Individuals living with serious mental illness face an increased risk of having chronic medical conditions.17 Adults in the U.S. living with serious mental illness die on average 25 years earlier than others, largely due to treatable medical conditions.18
  • Over one-third (37%) of students with a mental health condition age 14­–21 and older who are served by special education drop out—the highest dropout rate of any disability group.19
  • Suicide is the 10th leading cause of death in the U.S.,20 the 3rd leading cause of death for people aged 10–2421 and the 2nd leading cause of death for people aged 15–24.22
  • More than 90% of children who die by suicide have a mental health condition.23
  • Each day an estimated 18-22 veterans die by suicide.24



Any Mental Illness (AMI) Among Adults. (n.d.).Retrieved October 23, 2015, from:

Serious Mental Illness (SMI) Among Adults. (n.d.). Retrieved October 23, 2015, from:

Any Disorder Among Children. (n.d.) Retrieved January 16, 2015, from:

Schizophrenia. (n.d.). Retrieved January 16, 2015, from:

Bipolar Disorder Among Adults. (n.d.). Retrieved January 16, 2015, from:

Major Depression Among Adults. (n.d.). Retrieved January 16, 2015, from:

Any Anxiety Disorder Among Adults. (n.d.). Retrieved January 16, 2015, from:

Substance Abuse and Mental Health Services Administration, Results from the 2014 National Survey on Drug Use and Health: Mental Health Findings, NSDUH Series H-50, HHS Publication No. (SMA) 15-4927. Rockville, MD: Substance Abuse and Mental Health Services Administration. (2015). Retrieved October 27, 2015 from:

U.S. Department of Housing and Urban Development, Office of Community Planning and Development. (2011). The 2010 Annual Homeless Assessment Report to Congress. Retrieved January 16, 2015, from:

Glaze, L.E. & James, D.J. (2006). Mental Health Problems of Prison and Jail Inmates. Bureau of Justice Statistics Special Report. U.S. Department of Justice, Office of Justice Programs Washington, D.C. Retrieved March 5, 2013, from:

National Center for Mental Health and Juvenile Justice. (2007). Blueprint for Change: A Comprehensive Model for the Identification and Treatment of Youth with Mental Health Needs in Contact with the Juvenile Justice System. Delmar, N.Y: Skowyra, K.R. & Cocozza, J.J. Retrieved January 16, 2015, from:

Use of Mental Health Services and Treatment Among Children. (n.d.). Retrieved January 16, 2015, from:

Agency for Healthcare Research and Quality. (2010). 2010 National Healthcare Disparities Report. Agency for Healthcare Research and Quality, Rockville, MD. Retrieved January 2013, from:

Kessler, R.C., et al. (2005). Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbitity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. Retrieved January 16, 2015, from:

Insel, T.R. (2008). Assessing the Economic Costs of Serious Mental Illness. The American Journal of Psychiatry. 165(6), 663-665

Agency for Healthcare Research and Quality, The Department of Health & Human Services. (2009). HCUP Facts and Figures: Statistics on Hospital-based Care in the United States, 2009. Retrieved January 16, 2015, from:

Colton, C.W. & Manderscheid, R.W. (2006). Congruencies in Increased Mortality Rates, Years of Potential Life Lost, and Causes of Death Among Public Mental Health Clients in Eight States. Preventing Chronic Disease: Public Health Research, Practice and Policy, 3(2), 1–14. Retrieved January 16, 2015, from:

National Association of State Mental Health Program Directors Council. (2006). Morbidity and Mortality in People with Serious Mental Illness. Alexandria, VA: Parks, J., et al. Retrieved January 16, 2015 from:

U.S. Department of Education. (2014). 35th Annual Report to Congress on the Implementation of the Individuals with Disabilities Education Act, 2013. Washington, DC: U.S. Department of Education. Retrieved January 16, 2015, from:

Suicide Facts at a Glance 2015 (n.d.). Retrieved October 23, 2015, from:

Suicide Prevention. (2014, January 9). Retrieved March 24, 2015, from:

U.S.A. Suicide: 2013 Official Final Data. (2015, January 22). Retrieved March 24, 2015, from:

U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institute of Mental Health. Retrieved January 16, 2015, from:

U.S. Department of Veteran Affairs Mental Health Services Suicide Prevention Program. (2012). Suicide Data Report, 2012. Kemp, J. & Bossarte, R. Retrieved January 16, 2015, from:


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Your “Pathways” To Healing

Your “Pathways” To Healing




There are many different types of depressive or MOOD DISORDERS listed in the “Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, DSM-IV”.


The most common disorders are Major Depressive Disorder and Bipolar Disorder(previously named Manic Depressive Disorder) but did you know other diagnosed mood disorders are Dysthymic Disorder, Depressive Disorder, NOS, Bipolar I and Bipolar II Disorder, Cyclothymic Disorder, Mood Disorder Due to a General Medical Condition, and Mood Disorder, NOS? Each of these disorders brings with their specific signs, symptoms and severities.


Family and friends are often the first to recognize/observe and report signs and symptoms of these various depressive disorders. If you have observed some of the symptoms listed below maybe it is time to discuss this with this person so you can effect a positive change for them.


Various symptoms often observed by the depressed individual and/or others close to them:


  1. Unexplained various aches, pains, headaches, lethargy, lack of motivation and energy.
  2.  Inability to enjoy activities previously important to the individual.
  3. Isolation from family and friends who are important to the individual.
  4. Depressed mood much of the day nearly every day for a two week period.
  5. Significant weight loss or weight gain without purpose.
  6. Increase or loss in appetite.
  7. Insomnia or hypersomnia on a consistent basis.
  8. Unexplained fatigue and loss of energy.
  9. Feelings of worthlessness or excessive or inappropriate guilt.
  10. Diminished ability to think, concentrate or made decisions.
  11. Low self esteem.
  12. Feelings of hoplessness.
  13. Unexplainable mood swings, depressed, expansive, elevated or irritable.
  14. Inability to function socially, occupationally or other areas of daily functioning.
  15. Recurrent thoughts of death.


This list is not meant to take the place of seeking professional help. It is a guide to direct you to new awareness regarding the various types of depressive disorders and to lead you to make changes that are necessary for ones’ well being. There are various proven interventions that help with depressive disorders but the most clinically proven methods are to seek psychotherapy from a licensed professional and to engage ancillary medication management of psychotropic medications from a psychiatrist and/or trusted physician who has extensive experience with the management of psychotropic medications.



Why Pathways?

Why Pathways?

“Life is difficult,” wrote Scott Peck, PhD. in the first line of his book THE ROAD LESS TRAVELED. Yes, modern life is often peppered with stress and difficulties to the point at which we sometimes feel a little or even a lot out of control. No, Pathways Counseling Center of Spring Hill can’t make your problems go away, but we can help clients better manage problems of daily living by aiding them in making new and healthier choices. We help clients recognize some of the more “common” afflictions of modern living and their causes while offering suggestions and guidance for solutions to fit each client’s personal situation.


Today’s world offers countless opportunities for worry — from finances to health issues to terrorism; but excessive worry can sabotage a person’s chance for a healthy, happy life. We have a competent staff of psychotherapists with a variety of backgrounds who can help you find the pathway to your personal growth and success.


Our therapists have a combined history that totals more than 150 years of experience in the mental health field. Each of the therapists has various areas of expertise and our office staff can schedule you with the therapist who can guide you toward resolution of issues you present in your confidential initial telephone call.


Pathways Counseling Center was the dream of Nancy Makar. Nancy originally thought she would have to open a private practice in a county south of Hernando but quickly discovered she could grow with Hernando County. Currently there are 3 full-time office staff and 9 licensed psychotherapists to meet your mental health needs. We have “real” people who answer our telephone lines, but if you happen to reach the voice mail, please leave your name and telephone number; someone will return your call in a brief period of time.


Pathways Counseling Center began operating in 1991 and is the longest running private practice center in the county. The office is conveniently located on Kass Circle, off of Spring Hill Drive, which allows residents of Hernando, Pasco and Citrus counties to avail themselves of our services. Pathways is one of the few centers in several counties with late evening and Saturday appointments available.


Please click on the section “Meet Our Therapists” to read more about our counselors, their professional and personal philosophies, and their complete vitae.


We are often updating and changing articles on our site so if you are having difficulty with various links on this site feel free to contact us by phone so we can make the necessary corrections.



Choosing The Right Therapist

Choosing The Right Therapist


Wisdom, empathy, compassion and character are all attributes you will want your therapist to have. In addition, you want a professional with good training and knowledge in his or her chosen field.


When you assess various therapists, here are some basic questions to help you sort through their credentials:


  1. Are they licensed in the state of Florida? (This means they have completed a graduate or post-graduate degree with an accredited university, have had intensive academic study in the field of mental health, have completed supervised clinical experience and have passed the state licensure exam.)
  2. What expertise do they have with my type of problem?
  3. Can they accommodate my schedule?
  4. Do they have a good reputation?
  5. Do they accept my insurance or what do they charge if I pay cash?
  6. Are they easily accessible either by car or public transportation?

Individuals often wonder if they would do better with a female or male therapist. Due to the nature of your concern, you can trust your instincts to determine if the gender of a therapist is a significant issue for you and then choose what feels right for you personally.


Once you feel confident that a therapist meets your criteria, you are ready for your first meeting. Pay attention to how you feel in the therapist’s presence and in the therapeutic setting he or she created. Be aware how well the therapist listens and responds to you. Even though you are choosing to make yourself vulnerable to another human being, it can be anxiety provoking so pay attention to your comfort level as the session progresses. The foundation of good therapy is the relationship you and the therapist build together. It is essential that you find someone with whom you feel a comfortable connection, someone who makes you feel understood and accepted and someone who creates and maintains an environment within which you can safely explore even the most deeply felt sources of pain and conflict. You deserve the best possible therapeutic experience for a life-changing and life-enhancing experience.


As you go through the process of choosing the therapist who will best serve your needs, the identification of various “letters behind a name” may be a bit confusing. Below is a list of various designations you may see as you continue your search.


  • M.D. – Medical Doctor, A psychiatrist is a specialist in the mental health field.
  • PhD. – Doctor of Philosophy, often trained in psychological testing.
  • PsyD – Doctor of Psychology; often trained in assessment.
  • MSW- Master of Social Work; trained in biopsychosocial functioning of individuals couples, families, groups, organizations and communities.
  • MA, MS – Master of Arts, Master of Science, often trained in types of counseling, such as rehabilitative counseling, and other various degrees in counseling.
  • EdD. EdS, – Masters in some form of education. 

Above and beyond the graduate degrees, the state-licensed individuals may have the following titles along with their degree letters. 


  • LCSW – Licensed Clinical Social Worker
  • LMHC- Licensed Mental Health Counselor
  • LMFT – Licensed Marriage and Family Therapist
  • CAP – Certified Addictions Professional

In addition, you may see a variety of other letters you can inquire about with your therapist as these letters change and vary by state. Don’t let all the “letters” confuse or overwhelm you when searching for your therapist.