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Know the Facts: Mental Illness What is Mental Illness? Mental illness is defined as “collectively all diagnosable mental disorders” or “health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning.” Depression is the most common type of mental illness, affecting more than 26% of the U.S. adult population. It has been estimated that by the year 2020, depression will be the second leading cause of disability throughout the world, trailing only ischemic heart disease. 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. Just over half (50.6%) of children aged 8‐15 received mental health services in the previous year. What are the Signs and Symptoms of Mental Illness? Trying to tell the difference between what expected behaviors are and what might be the signs of a mental illness isn't always easy. There's no easy test that can let someone know if there is mental illness or if actions and thoughts might be typical behaviors of a person or the result of a physical illness. Each illness has its own set of symptoms but some common signs of mental illness in adults and adolescents can include the following. ‐ Excessive worrying or fear ‐ Feeling excessively sad or low ‐ Confused thinking or problems concentrating and learning ‐ Extreme mood changes, including uncontrollable “highs” or feelings of euphoria ‐ Prolonged or strong feelings of irritability or anger ‐ Avoiding friends and social activities ‐ Difficulties understanding or relating to other people ‐ Changes in sleeping habits or feeling tired and low energy ‐ Changes in eating habits such as increased hunger or lack of appetite ‐ Changes in sex drive ‐ Difficulty perceiving reality (delusions or hallucinations, in which a person experiences and senses things that don't exist in objective reality) ‐ Inability to perceive changes in one’s own feelings, behavior or personality (”lack of insight” or anosognosia) ‐ Abuse of substances like alcohol or drugs ‐ Multiple physical ailments without obvious causes (such as headaches, stomach aches, vague and ongoing “aches and pains”) ‐ Thinking about suicide Inability to carry out daily activities or handle daily problems and stress ‐ An intense fear of weight gain or concern with appearance (mostly in adolescents) Mental health conditions can also begin to develop in young children. Because they’re still learning how to identify and talk about thoughts and emotions, their most obvious symptoms are behavioral. Symptoms in children may include: ‐ Changes in school performance Excessive worry or anxiety, for instance fighting to avoid bed or school ‐ Hyperactive behavior ‐ Frequent nightmares ‐ Frequent disobedience or aggression ‐ Frequent temper tantrums www.cdc.gov www.nami.org Know the Facts: Mental Illness Treatment & Services Innovations in the range of evidence based medications, therapy and psychosocial services such as psychiatric rehabilitation, housing, employment and peer supports have made wellness and recovery a reality for people living with mental health conditions. Choosing the right mix of treatments and supports that work for you is an important step in the recovery process. Treatment choices for mental health conditions will vary from person to person. Even people with the same diagnosis will have different experiences, needs, goals and objectives for treatment. There is no “one size fits all” treatment. When people are directly involved in designing their own treatment plan, including defining recovery and wellness goals, choosing services that support them and evaluating treatment decisions and progress , the experience of care and outcomes are improved. There are many tools that can improve the experience on the road to wellness: medication, counseling (therapy), social support and education. Therapy, for example, can take many forms, from learning relaxation skills to intensively reworking your thinking patterns. Social support, acceptance and encouragement from friends, family and others can also make a difference. Education about how to manage a mental health condition along with other medical conditions can provide the skills and supports to enrich the unique journey toward overall recovery and wellness. Together with a treatment team you can develop a well‐rounded and integrated recovery plan that may include counseling, medications, support groups, education programs and other strategies that work for you. Consequences of Lack of Treatment 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. Individuals living with serious mental illness face an increased risk of having chronic medical conditions. Adults in the U.S. living with serious mental illness die on average 25 years earlier than others, largely due to treatable medical conditions. 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. Suicide is the 10th leading cause of death in the U.S., the 3rd leading cause of death for people aged 10–24 and the 2nd leading cause of death for people aged 15–24. www.cdc.gov www.nami.org