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Mental illness and disorders • Almost everyone struggles with feelings of anxiety, sadness, and the occasional irrational fear. Sometimes, however, mental and emotional problems are so severe that people are unable to function in daily life. This lesson describes some of the more serious types of mental health conditions people experience. Defining mental illnesses and disorders. • A mental illness is a medical condition that is characterized by a mental or emotional problem so severe that it interferes with daily functioning. For example, a fear of being in public places could lead a person to avoid going to school, work, or even to visit with family and friends. • The terms mental illness and mental disorder are often used interchangeably because they both refer to serious mental health conditions involving thoughts, feelings, or behaviors. Anxiety and depression are two of the most common types of mental health. Anxiety • Almost everyone experiences anxiety in some situations. Common signs and symptoms of anxiety may include an increased heart rate, rapid breathing, sweaty palms, and an upset stomach. • People who experience extreme anxiety in some situations have an anxiety disorder. These people have extreme and unrealistic worries about daily life events, experiences, or objects. • Panic disorder- people with panic disorder experience panic attacks, or episodes of intense fear that something bad is going to happen. Panic attacks are accompanied by severe physical symptoms, such as heart palpitations and nausea. • Generalized anxiety disorder- patterns of constant worrying about many different activities and events, even though these worries are not based in reality. • Phobias-people with phobias have extreme anxiety caused by specific objects or situations. People with severe phobia, also called social anxiety disorder, have a strong fear of being judged by other people or feeling embarrassed. • Obsessive-compulsive disorder(OCD)- people with OCD have persistent and obsessive thoughts or feelings that they manage by engaging in ritualized behavior. • Post-traumatic stress disorder- people who live through a terrifying event involving physical harm or the threat of harm, such as a war or a natural disaster, may develop PTSD. People with this disorder express extreme stress or fright, even when they aren’t in danger. They may also experience recurring thoughts about the event. Depression • Everyone experiences feelings of hopelessness, loneliness, and inability to care about anything. People may feel depressed after experiencing a major life event, such as the death of a loved one. For most people, these feelings of loss and sadness improve and go away over time. For other people however, these feelings are very intense and last for two weeks or more. People who experience these ongoing negative feelings have major depression, or clinical depression, which is a serious mental disorder. People with major depression also experience changes in their patterns of thinking and behavior. • Some of the following symptoms are characteristics of people with major depression: • A decreased interest in previously enjoyed activities • Extreme tiredness and loss of energy • Difficulty sleeping • Difficulty concentrating • Irritability, anger, and hostility • Recurrent thoughts of death • Untreated depression can have serious consequences. People who have major depression are more likely to engage in behaviors that are harmful to their health. People who are depressed are also at greater risk of developing various health problems. Other types of mental disorders: • Bipolar disorder- people who have this disease experience periods of intense depression that alternate with periods of manic, or mentally and physically hyperactive, moods. During the periods of depression, any of the symptoms of major depression may occur. Symptoms of the manic mood may include poor judgement, little need sleep, and hyperactive behavior. Another symptom is a lack of self-control, which may include binge drinking, binge eating, drug use, sexual behavior, or out-of-control spending. • Schizophrenia- people with this order typically experience symptoms such as irregular thoughts, delusions of false beliefs, and hallucinations. People diagnosed with this disease may believe that people are threatening or plotting against them. They may also show inappropriate emotional reactions, such as laughing when they hear someone has died. • Personality disorders- these people show consistent patterns of inappropriate behavior. A common personality disorder is antisocial personality disorder. People with this disorder show a disregard for social rules, tendency for impulsive behavior, and indifference to other people’s rights and feelings. People who have borderline personality disorder show instability in their own self-concept and interpersonal relationships. They may get very angry at someone for cancelling plans because they fear abandonment. They may also show extreme shifts in their attitudes about people, such as idealizing a dating partner and then believing that person doesn’t truly care about them. • ADD/ADHD- attention deficit order and attention deficit hyperactivity disorder are the most commonly diagnosed mental disorders in children and adolescents. People with ADD typically have trouble paying attention, whereas those with ADHD also tend to act impulsively and behave hyperactively. These disorders often occur at different degrees of severity. People with these disorders may show many different types of symptoms, like having difficulty sitting still or focusing, becoming bored easily, having trouble staying on task and not following instructions, talking nonstop, no patience, and blurting out inappropriate comments without awareness of the impact of this behavior on others. addictions • Sometimes people are addicted to a particular substance, such as alcohol, nicotine, or drugs. People can also be addicted to a behavior, such as gambling or using social media. Alcohol and drug addiction also increases the risk of developing certain types of mental disorders, particularly depression, anxiety, and paranoia. Self-injury • Self injury occurs when people intentionally harm themselves. Self mutilation, or cutting, is the most common form of injury, in which a person makes small cuts on his or her body. Other forms of self-injury may include burning, drinking harmful products such as bleach, or punching. Although self-injury is not technically a mental disorder, this behavior is addictive. Self-injury is also linked with some mental disorders, including depression and borderline personality disorder. Self-injury typically occurs because people are unable to effectively manage or control their emotions. What causes mental illness? Biological factors • Biological factors influence a person’s physical makeup. These factors include the person’s genes, injuries, and even events that occurred before he or she was born. Genetics • The genes people inherit from their biological parents can determine their risk for developing mental illnesses and disorders. People who have a family member with depression or schizophrenia are at a greater risk of having these disorders themselves. This suggests that people with certain genes are more likely than others to develop a particular mental illness or disorder. These people have a genetic predisposition or vulnerability, to that illness. • Genes may influence the levels of particular chemicals in the brain. People with certain mental disorders have abnormal levels of these chemicals. In some cases, the levels of particular chemicals are too low. People with major depression may have lower levels in chemical serotonin in their brain. Serotonin helps regulate mood. In other cases, the level of a chemical may be too high. People with schizophrenia have higher-than-normal levels of another chemical, dopamine in their brains. • Having a genetic predisposition to developing a particular mental illness does not mean that a person will develop that illness. Most experts believe that a person’s life situation or circumstances play a major role in whether the illness actually develops. Brain injury • People who experience a serious brain injury are at a great risk of developing some mental illnesses and disorders. Traumatic brain injury occurs when a severe blow or jolt to the head damages the brain. Contact sports injuries and motor vehicle accidents are common causes of TBI’s and concussions. Concussions result in disorientation, confusion, nausea, and weakness, and may cause memory loss or unconsciousness. Although usually temporary, concussions can lead to serious complications and should be treated by a doctor. • Brain injuries may cause temporary or permanent changes to brain function. Irreversible brain changes can result in depression, anxiety, personality changes, and aggression. People with brain injuries are also at greater risk of developing a substance abuse problem. In these situations, alcohol and drugs may be used in an attempt to regulate negative mood or pain. Environmental factors • Environmental factors are events and stressors that occur in a person’s life and may contribute to the development of a mental disorder. Some experts believe that traumatic life events and stressors can trigger the development of a mental disorder In people who are genetically vulnerable to it. Traumatic life experiences that can trigger a mental disorder include: the death of a loved one, divorce, significant family conflict, financial pressures, moving or changing jobs or schools, abuse or neglect, and substance abuse. • Environmental Recovery from traumatic experiences may take a few weeks or months but the effects may also last longer. Psychological factors • These factors include feelings of inadequacy, low self-esteem, anxiety, and anger. People who have unhealthy patterns of thinking, or cognitive distortions, about the world around them are also at a greater risk of developing a mental disorder. Feelings of loneliness and difficulties relating to other people are often common among these individuals. These people may believe the negative feelings they experience will never go away. • in some cases, negative feelings are caused by biology, such as the levels of particular chemicals In a person’s body or how his or her brain functions. Traumatic life experiences can also lead to these feelings and thought patterns. Fortunately, people can learn to correct these distortions, leading to improved mental health. • When people think about committing suicide, they feel like their lives are never going to get better- but they are wrong. Eventually, many of these people recover and later realize that illness contributed to their feelings of hopelessness and despair. This is why it is important for people who are thinking about suicide to get help. Family factors • People from types of family backgrounds may be at greater risk of attempting suicide, people whose biologics parents experience depression may be at a greater risk of developing depression themselves, so they may also be at greater risk of committing suicide. • Difficult relationships among family members may also increase the risk for suicide attempts. Crises such as financial hardships, issues of abuse or neglect, or substance abuse and addiction problems, may further strain family relationships and increase risk factors. Environmental factors • Hearing about the suicide of someone else, even a stranger, may increase the risk for certain people to attempt suicide themselves. This is called suicide contagion. Group experiences of suicides among members of a community in a short period of time Is called a suicide cluster. The impact of suicide on others • Survivors, or people who loose a loved one to suicide, often feel anger, guilt, and sadness. Survivors may suffer with guilt because they were unable to prevent the death. They may feel rejected and abandoned by the victim. Also, because suicide deaths are sudden, survivors are unable to prepare themselves for this loss. • Survivors may feel embarrassed or shamed by the suicide. In addition, many people are uncomfortable with the topic of suicide, and may blame the victim instead of supporting the survivors. Unfortunately, this means survivors may not get the support they need following their loss. Preventing suicides • Most people who make a suicide attempt show some warning signs about their intentions. They often tell someone about their plans beforehand or hint at such plans in other ways. Some people may say they feel like they have no reason to live, or they may seem obsessed with death. It is very important to take any mention of suicide seriously, even if the person seems to be joking. • Warning signs that can indicate a person is at risk of committing suicide include changes in eating and sleeping habits and withdrawal from family, friends, and regular activities. Disregard for personal appearance, changes in personality, giving away valued possessions, and loss of interest in activities previously enjoyed are also signs. • If you ever find yourself thinking about hurting yourself, or if you know someone who may be thinking about suicide, there are steps you can take to get help. First, always take thoughts or mention of suicide very seriously. Talk to an adult you trust immediately. This perso can put you in touch with a mental health professional who can help. • If a person confides in you about having suicidal thoughts, you cannot keep this secret. Talk to someone who can help immediately, or call 911 or a suicide hotline number to reached a trained counselor. If you are getting help for someone, it does not mean you are breaking confidentiality. Barriers to seeking help • Unfortunately, people with mental health concerns sometimes do not get the help they need. These people may assume their negative feelings will go away on their own. Most mental illnesses and disorders, however, do not improve without treatment. Untreated mental illnesses and disorders may even get worse and lead to larger problems. These people may also be dealing with external barriers to getting help for their condition. Social stigma • Negative and often unfair beliefs about mental illnesses and disorders can cause people with these conditions to not seek help. Social stigma may also cause people to deny they have a problem, feel shame and embarrassment about their disorder, and fear that they will lose an opportunity, job, scholarship, or a leadership positionbecause of their condition. • People who experience a mental illness or disorder may mistakenly believe that they should be able to fix their illness or disorder on their own. These people need to realize that their condition requires a doctor’s treatment just like a physical problem. Treatments for mental health concerns • Researchers are trying to find ways of identifying people who are vulnerable to mental illnesses and disorders. As researchers better understand how the human brain works, they are also creating new treatments so people with mental illnesses and disorders can live healthy and productive lives. Individual therapy • A therapist is a professional who is trained to diagnose and treat people with mental illnesses and disorders. Therapist include professionals such as psychologists, psychiatrists, social workers, and counselors. • The information people share with therapists is completely confidential in most cases. If a therapist believes their patient may hurt his or herself, or someone else, the therapist may share that information with a parent or guardian. Therapists can help people understand their feelings and behaviors in an accepting and non-judgmental way. Therapists may also have specific suggestions for how people can understand their thought process and help themselves feel better. Therapists can help people learn to cope with their problems in healthy, positive ways. Family therapy • Family therapy, in which all members meet together with a therapist, helps families build positive, functional relationships and strengthen interactions. Family therapy can also help members of family support one member with a mental illness or disorder through treatment and recovery. Support groups • In support groups, a therapist meets with a group of people with a common problem. Strategies for managing this problem are shared and with all group members at the same time. People can feel a great deal of support from the group because members truly understand the problems they are facing. Members of support groups also gain information about what strategies were helpful for others. medication • Medications, which are prescribed by doctors– usually psychiatrists– often work by changing a person’s biology. People who have the following mental illnesses or disorders are often treated through the use of medications in conjunction with therapy. • Depression: antidepressants are used to make certain chemicals in the brain, such as serotonin, more available, which can reduce of eliminate symptoms. • ADHD: stimulants are used to increase the levels of norepinephrine and dopamine in the brain, which helps improve memory and attention span. • Anxiety disorders: medications used to treat people with anxiety disorders often slow down the central nervous system, which makes people feel calmer and more relaxed. • Schizophrenia: antipsychotics can be used to manage the symptoms pf schizophrenia, which may include hallucinations. • Bipolar disorders: lithium Is commonly used to help control the extreme highs and lows experienced by people with bipolar disorder. • substance abuse: in addition to therapy, treatment for addictions and substance abuse may include taking certain medications long enough to help people manage withdrawal symptoms. Inpatient treatment In some cases, a person’s mental illness or disorder causes such serious problems that he or she needs care in an inpatient clinic or hospital. This type of treatment is used only when people are at serious risk of harming themselves or others. People who are very depressed and suicidal may need to be hospitalized for a period of time to make sure they do not attempt suicide. In the hospital, people receive aroundthe-clock supervision, medication. And therapy. Helping a loved one • If you are concerned that someone you care about has a mental illness or disorder, share your concerns with that person in an open and honest way. Simply saying that you are worried and would like to help lets that person know you are available. You could also accompany your loved one to talk to the professional. • Remember that sometimes people just need more time before they are ready to get the help they need. Take immediate action, however, if you suspect someone in contemplating suicide, or has taken steps toward suicide. Call 911 or take the person to the hospital right away.