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Brad Pitt Opens Up About Suicidal Ideation

(MedPage Today) -- Welcome to Culture Clinic, MedPage Today's collaboration with Northwell Health to offer a healthcare professional's take on the latest viral medical topics. Brad Pitt, the famed actor and film producer, recently shared that...

Brad Pitt Opens Up About Suicidal Ideation

Brad Pitt, the celebrated actor and producer, recently revealed in an interview with Esquire that he has had suicidal thoughts due to personal issues, in a broader discussion about mental health, loss, divorce, and sobriety. The 52-year-old actor, who considers himself an "optimistic congenital," admitted to feeling so overwhelmed by pain that he envisaged relief in taking a bullet to the head. However, he emphasized that he did not act on these thoughts.

Pitt also disclosed that he has returned to drinking, albeit in moderation, after seven years of sobriety. Mental health professionals have weighed in on Pitt's disclosures. David Pflaum, a psychiatrist at Northwell Health Far Rockaway Treatment Center, explained that suicidal ideation is a spectrum that can range from casual mentions to detailed plans of self-harm. It is generally a symptom of significant distress or depression, addiction, or anxiety, and can be treated effectively.

Pflaum noted that people often feel suicidal when they are overwhelmed by suffering that they perceive as inescapable. This is usually a combination of various factors, including major life events like divorce or loss. He stressed that with proper support, individuals can typically handle losses well, but without support, they may feel their situation deteriorating, leading them to consider self-harm.

Asked how to differentiate between casual remarks and genuine suffering, Pflaum advised that there's no harm in asking loved ones about their suicidal thoughts. Chase T.M. Anderson, a child and adolescent psychiatrist at the University of California San Francisco, added that if someone is passively suicidal, it's important to ensure they have people to contact, including a therapist or psychiatrist. For those who are actively suicidal, calling 988, the suicide and crisis lifeline, or 911 is crucial.

Regarding Pitt's drinking, Pflaum suggested that substance misuse often stems from internal pain. He warned that substances can worsen mental health symptoms, including hopelessness and suicidal thoughts. Pflaum pointed out that recovery can vary from person to person, questioning whether it means abstaining from any substance or simply reducing consumption.

Pflaum also addressed whether celebrity health disclosures are beneficial to the public. He believes that such disclosures can help reduce the stigma associated with mental health issues, reminding people that these struggles are more common than they realize. He encouraged people to be open about their mental health issues and emphasized that seeking help is not a sign of weakness. If you or someone you know is considering suicide, he urged immediate action by contacting the 988 Suicide and Crisis Lifeline.

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