Download here

Presented by
John Mudie, Ph.D. and David Lawrence
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The Purpose of this course is to offer
information which might be useful to people
who want to recover some more and to allow
them the opportunity to improve their
recovery and to practice computer skills
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* The purpose of this course is to offer
participants ideas related to recovery and to
improve their computer skills
* You can get to the class website by typing the
address http://www.rlccomputer.com into the
address bar of Internet Explorer. Then click on
the schedule for your location. Then find the
entry for Medications and Recovery and click
on it to get to this page.
* You can get the slides by clicking here.
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* Describing the course
* Leaning about mental illness and recovery.
* Learning/refreshing computer skills
* Learning about your medications (if any)
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* We are offering classes in Basic Recovery
at
10:30 am in Lompoc on Tuesdays and at 10:00
am in Santa Maria on Mondays
* We are offering a Recovery Group at
12:30 pm
in Lompoc on Tuesdays and at 12:00 pm in
Santa Maria on Mondays
* We are considering offering classes in Basic
Word and Smart Phones next. Comments
welcomed.
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* Please note that covers are available for you to
store your handouts in.
* Please ask the Computer Tech for a cover if you
want one
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* Want to share your name?
* Want to share what’s important that’s
happening in your life today?
* Is having more recovery in your life important
to you?
* What would you like to get out of this class
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* Just attending classes and groups won’t be all that
beneficial.
* Neurons that fire together wire together
* Taking new and different actions will be strange and
uncomfortable and you won’t think they are going
to work.
* Do them anyway.
* Doing more of the actions that I suggest may be
very useful indeed.
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No
Title
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Intro to Basic Recovery.
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Mental Illness Recovery
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Addiction Recovery
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Group Support
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Taking Responsibillity
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Get a job and more freedom
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Getting off benefits
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Sharing results and experiencing Serenity
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* Understanding mental illnesses
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understanding psychosis
understanding depression
understanding anxiety
understanding schizophrenia
understanding schizoaffective disorder
understanding bipolar disorder
understanding suicide
understanding mental illness and violence
understanding the brain and mental illness
psychosis - general information
From, source
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A mental disorder, also called a mental illness, psychological disorder or psychiatric disorder, is
mental or behavioral pattern that causes either suffering or a poor ability to function in ordinary life.
Many disorders are described.[1] Conditions that are excluded include social norms. Signs and symptoms
depend on the specific disorder.[1]
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The causes of mental disorders are often unclear. Theories may incorporate findings from a range of
fields. Mental disorders are usually defined by a combination of how a person feels, acts, thinks or
perceives.[1] This may be associated with particular regions or functions of the brain, often in a social
context. A mental disorder is one aspect of mental health. The scientific study of mental disorders is
called psychopathology.
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Services are based in psychiatric hospitals or in the community, and assessments are carried out by
psychiatrists, clinical psychologists and clinical social workers, using various methods but often relying
on observation and questioning. Treatments are provided by various mental health professionals.
Psychotherapy and psychiatric medication are two major treatment options. Other treatments include
social interventions, peer support and self-help. In a minority of cases there might be involuntary
detention or treatment. Prevention programs have been shown to reduce depression.[1]
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Common mental disorders include depression, which affects about 400 million, dementia which affects
about 35 million, and schizophrenia, which affects about 21 million people globally.[1] Stigma and
discrimination can add to the suffering and disability associated with mental disorders, leading to
various social movements attempting to increase understanding and challenge social exclusion
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From Wikipedia
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Risk factors for mental illness include genetic inheritance, such as parents having depression, [2] repeating
generational patterns,[3][4] and dispositions like personality.[5] Correlations of mental disorders with drug use
include cannabis,[6] alcohol[7] and caffeine.[8]
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Particular mental illnesses have particular risk factors, for instance including unequal parental treatment, adverse
life events and drug use in depression,[9][10] migration and discrimination, childhood trauma, bereavement or
separation in families, and cannabis use in schizophrenia and psychosis,[10][11] and parenting factors, child abuse,[12]
family history (e.g. of anxiety), and temperament and attitudes (e.g. pessimism) in anxiety.[13] Many psychiatric
disorders include problems with impulse and other emotional control.
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In February 2013 a study found common genetic links between five major psychiatric disorders: autism, ADHD,
bipolar disorder, major depressive disorder, and schizophrenia.[14] Abnormal functioning of neurotransmitter
systems has been implicated[citation needed] in several mental disorders, including serotonin, norepinephrine, dopamine
and glutamate systems. Differences have also been found in the size or activity of certain brain regions in some
cases. Psychological mechanisms have also been implicated, such as cognitive (e.g. reasoning) biases, emotional
influences, personality dynamics, temperament and coping style. Studies have indicated[citation needed] that variation
in genes can play an important role in the development of mental disorders, although the reliable identification of
connections between specific genes and specific categories of disorder has proven more difficult. Environmental
events surrounding pregnancy and birth have also been implicated. Traumatic brain injury may increase the risk of
developing certain mental disorders. There have been some tentative inconsistent links found to certain viral
infections, to substance misuse, and to general physical health.
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Social influences have been found to be important[citation needed], including abuse, neglect, bullying, social stress,
traumatic events and other negative or overwhelming life experiences. The specific risks and pathways to
particular disorders are less clear, however. Aspects of the wider community have also been implicated, [citation needed]
including employment problems, socioeconomic inequality, lack of social cohesion, problems linked to migration,
and features of particular societies and cultures
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From wikipedia
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In the 1980s, the dropout rate of participants at Kaiser Permanente’s obesity clinic in San Diego was about 50%; but
what was perplexing was that all of the dropouts had been successfully losing weight before they left the clinic. [4]
Dr. Vincent Felitti conducted interviews with individuals who had left the program, and discovered that a majority
of 286 people he interviewed had experienced childhood sexual abuse.[4] The interview findings suggested to Felitti
that weight gain might be a coping mechanism for depression, anxiety, and fear. [4]
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Felitti and Dr. Robert Anda from the CDC went on to survey childhood trauma experiences of over 17,000 Kaiser
Permanente patient volunteers.[4]
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Findings[edit]
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The number of ACEs was strongly associated with adulthood high-risk health behaviors such as smoking, alcohol and
drug abuse, promiscuity, and severe obesity, and correlated with ill-health including depression, heart disease,
cancer, chronic lung disease and shortened lifespan.[6][7][8] Compared to an ACE score of zero, having four adverse
childhood experiences was associated with a seven-fold increase in alcoholism, a doubling of risk of being
diagnosed with cancer, and a four-fold increase in emphysema; an ACE score above six was associated with a 30fold increase in attempted suicide.[3]
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From https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study
Mechanisms by which Adverse Childhood Experiences influence health and well-being throughout the lifespan.
The 17,337 participants were volunteers from approximately 26,000 consecutive Kaiser Permanente members.
About half were female; 74.8% were white; the average age was 57; 75.2 had attended college; all had jobs and
good health care, because they were members of the Kaiser HMO.[5] Participants were asked about 10 types of
childhood trauma that had been identified in earlier research literature: physical abuse, sexual abuse, emotional
abuse, physical neglect, emotional neglect, mother treated violently, household substance abuse, household
mental illness, parental separation or divorce, and incarcerated household member.[6] About two-thirds of
individuals reported at least one of these Adverse Childhood Experiences (ACE); 87% of individuals who reported
one ACE reported at least one additional ACE.[6] The prevalence of emotional abuse was 10.6%, physical abuse
28.3%, sexual abuse 20.7%, emotional neglect 14.8%, physical neglect 9.9%, mother treated violently 12.7%,
household substance abuse 26.9%, household mental illness 19.4%, parental separation or divorce 23.3%,
incarcerated household member 4.7%.
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Based on Gabor Maté’s two decades of experience as a medical doctor and
his groundbreaking work with the severely addicted on Vancouver’s skid
row, In the Realm of Hungry Ghosts radically reenvisions this much
misunderstood field by taking a holistic approach. Dr. Maté presents
addiction not as a discrete phenomenon confined to an unfortunate or
weak-willed few, but as a continuum that runs throughout (and perhaps
underpins) our society; not a medical "condition" distinct from the lives it
affects, rather the result of a complex interplay among personal history,
emotional, and neurological development, brain chemistry, and the drugs
(and behaviors) of addiction. Simplifying a wide array of brain and
addiction research findings from around the globe, the book avoids glib
self-help remedies, instead promoting a thorough and compassionate selfunderstanding as the first key to healing and wellness. In the Realm of
Hungry Ghosts argues persuasively against contemporary health, social,
and criminal justice policies toward addiction and those impacted by it.
The mix of personal stories—including the author’s candid discussion of his
own "high-status" addictive tendencies—and science with positive solutions
makes the book equally useful for lay readers and professionals.
From Amazon.com
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Main articles: Treatment of mental disorders, Services for mental disorders and Mental health professional
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Treatment and support for mental disorders is provided in psychiatric hospitals, clinics or any of a diverse range of community mental health services. A number of
professions have developed that specialize in the treatment of mental disorders. This includes the medical specialty of psychiatry (including psychiatric nursing),[124][125][126]
the field of psychology known as clinical psychology,[127] and the practical application of sociology known as social work.[128] There is also a wide range of psychotherapists
(including family therapy), counselors, and public health professionals. In addition, there are peer support roles where personal experience of similar issues is the primary
source of expertise.[129][130][131][132] The different clinical and scientific perspectives draw on diverse fields of research and theory, and different disciplines may favor differing
models, explanations and goals.[29]
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In some countries services are increasingly based on a recovery approach, intended to support each individual's personal journey to gain the kind of life they want, although
there may also be 'therapeutic pessimism' in some areas.
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There are a range of different types of treatment and what is most suitable depends on the disorder and on the individual. Many things have been found to help at least some
people, and a placebo effect may play a role in any intervention or medication. In a minority of cases, individuals may be treated against their will, which can cause
particular difficulties depending on how it is carried out and perceived.
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Compulsory treatment while in the community versus non-compulsory treatment does not appear to make much of a difference except by maybe decreasing victimization.[133]
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Some psychotherapies are based on a humanistic approach. There are a number of specific therapies used for particular disorders, which may be offshoots or hybrids of the
above types. Mental health professionals often employ an eclectic or integrative approach. Much may depend on the therapeutic relationship, and there may be problems
with trust, confidentiality and engagement.
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Medication
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Despite the different conventional names of the drug groups, there may be considerable overlap in the disorders for which they are actually indicated, and there may also be
off-label use of medications. There can be problems with adverse effects of medication and adherence to them, and there is also criticism of pharmaceutical marketing and
professional conflicts of interest.
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Other
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Counseling (professional) and co-counseling (between peers) may be used. Psychoeducation programs may provide people with the information to understand and manage
their problems. Creative therapies are sometimes used, including music therapy, art therapy or drama therapy. Lifestyle adjustments and supportive measures are often
used, including peer support, self-help groups for mental health and supported housing or supported employment (including social firms). Some advocate dietary
supplements.[136]
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Reasonable accommodations (adjustments and supports) might be put in place to help an individual cope and succeed in environments despite potential disability related to
mental health problems. This could include an emotional support animal or specifically trained psychiatric service dog.
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From https://en.wikipedia.org/wiki/Mental_disorder#Management
"Haus Tornow am See" (former manor house), Germany from 1912 is today separated into a special education school and a hotel with integrated work/job- and rehabilitationtraining for people with mental disorders
Psychotherapy
A major option for many mental disorders is psychotherapy. There are several main types. Cognitive behavioral therapy (CBT) is widely used and is based on modifying the
patterns of thought and behavior associated with a particular disorder. Psychoanalysis, addressing underlying psychic conflicts and defenses, has been a dominant school of
psychotherapy and is still in use. Systemic therapy or family therapy is sometimes used, addressing a network of significant others as well as an individual.
A major option for many mental disorders is psychiatric medication and there are several main groups. Antidepressants are used for the treatment of clinical depression, as
well as often for anxiety and a range of other disorders. Anxiolytics (including sedatives) are used for anxiety disorders and related problems such as insomnia. Mood
stabilizers are used primarily in bipolar disorder. Antipsychotics are used for psychotic disorders, notably for positive symptoms in schizophrenia, and also increasingly for a
range of other disorders. Stimulants are commonly used, notably for ADHD.
Electroconvulsive therapy (ECT) is sometimes used in severe cases when other interventions for severe intractable depression have failed. Psychosurgery is considered
experimental but is advocated by certain neurologists in certain rare cases.[134][135]
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* he act or process of becoming healthy after an
illness or injury : the act or process of
recovering
* : the act or process of returning to a normal
state after a period of difficulty
* : the return of something that has been lost,
stolen, etc.
* From Merriam Webster
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* Life is less than ideal due to excessive behavior
(the disease) e.g. drinking alcohol, using drugs,
over-eating, gambling etc.
* Excessive behavior stops.
* Life becomes “Normal” due to the absence of
side effects caused by the excessive behavior.
* Known as “Being in Recovery from ….”
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* Disease is present. Symptomsof disease cause
less than ideal life (bad decisions, manic,
hallucinations, loss of energy(depression,
suicide)
* Measures are applied to reduce symptoms ,
(medications, exercise, ECT, CBT,job etc)
* With reduction of symptoms, life becomes
more “Normal” and functional.
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* Since the mid-1980s, a great deal has been written about
mental health recovery from the perspective of the
consumer (client), family member and mental health
professional. The amount of research of various aspects of
recovery continues to grow. Early research by Courtney
Harding (1987) and others challenged the belief that severe
mental illness is chronic and that stability is the best one
could hope for. They discovered there are multiple outcomes
associated with severe mental illness and that many people
did progress beyond a state of mere stability. As such, the
concept of recovery began to obtain legitimacy (Sullivan
1997).
* Taken from
http://www.mhrecovery.com/definition.htm
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* Although there are many perceptions and definitions of recovery,
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William Anthony, Director of the Boston Center for Psychiatric
Rehabilitation seems to have developed the cornerstone definition of
mental health recovery. Anthony (1993) identifies recovery as " a
deeply personal, unique process of changing one’s attitudes, values,
feelings, goals, skills and/or roles. It is a way of living a satisfying,
hopeful, and contributing life even with limitations caused by the
illness. Recovery involves the development of new meaning and
purpose in one’s life as one grows beyond the catastrophic effects of
mental illness."
Ultimately, because recovery is a personal and unique process,
everyone with a psychiatric illness develops his or her own definition
of recovery. However, certain concepts or factors are common to
recovery.
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Taken from http://www.mhrecovery.com/definition.htm
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* Hope is a desire accompanied by confident
expectation. Having a sense of hope is the foundation
for ongoing recovery from mental illness. Even the
smallest belief that we can get better, as others have,
can fuel the recovery process.
* Early in the recovery process, it is possible for a
treatment provider, friend, and/or family member to
carry hope for a consumer. At some point, however,
consumers must develop and internalize their own
sense of hope.
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Taken from
http://www.mhrecovery.com/definition.htm
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* While many people are frustrated by the process of finding
the right medications and the side effects of medications,
most persons with a psychiatric disorder indicate that
medications are critical to their success (Sullivan, 1997). For
many, the goal is not to be medication-free, but to take the
least amount necessary.
* Likewise, mental health consumers often report that mental
health professionals and treatment programs are valuable to
their recovery. Especially when consumers feel they are
engaged in a partnership with their treatment provider and
are involved in their treatment planning.
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Taken from http://www.mhrecovery.com/definition.htm
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* Empowerment is the belief that one has power
and control in their life, including their illness.
Empowerment also involves taking
responsibility for self and advocating for self
and others. As consumers grow in their
recovery journeys, they gain a greater sense of
empowerment in their lives.
• Taken from
http://www.mhrecovery.com/definition.ht
m
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* Support from peers, family, friends and mental health
professionals is essential to recovery from mental illness. It is
especially beneficial to have multiple sources of support.
This not only reduces a consumer’s sense of isolation, but
also increases their activity in the community, allowing them
to obtain an integral role in society.
* In addition to support from individuals, participation in
support groups is an important tool for recovery. Consumers
frequently report that being able to interact with others who
understand their feelings and experiences is the most
important ingredient for their recovery.
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Taken from http://www.mhrecovery.com/definition.htm
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* In order to maximize recovery, it is important to learn
as much as possible about our illnesses, medications,
best treatment practices and available resources. It’s
also important to learn about ourselves, including our
symptoms so that we can gain better control over our
illnesses.
* Consumers can educate themselves by speaking with
health care professionals, attending workshops and
support groups, reading books, articles and
newsletters, browsing the internet and participating in
discussion
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Taken from
http://www.mhrecovery.com/definition.htm
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* While most consumers recognize the value of
professional treatment, self-help is often viewed as
the conduit to growth in recovery. Self-help can
take many forms including learning to identify
symptoms and take actions to counteract them,
reading and learning about an illness and its
treatment, learning and applying coping skills,
attending support groups and developing a support
system to rely on when necessary.
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Taken from
http://www.mhrecovery.com/definition.htm
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* A broad definition of spirituality is that it’s a
partnership with one’s higher power. For many
consumers spirituality provides hope, solace
during their illness, peace and understanding
and a source of social support.
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Taken from
http://www.mhrecovery.com/definition.htm
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* Frequently, when we meet new people, they ask
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"what do you do?" Whether it is fair or not, what
we do shapes others' opinions of who we are. As a
result, it is common for a person's identity to be
significantly impacted by what they do. Likewise,
what a person does influences his/her confidence,
esteem, social role, values, etc. Simply put,
employment/meaningful activity affords most
consumers the opportunity to regain a positive
identity, including a sense of purpose and value.
Taken from
http://www.mhrecovery.com/definition.htm
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* Take action on your own behalf
* Doing these assignments will support you
* Neurons that fire together, wire together.
* This is where the learning and recovery is.
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* Select a the medications you (or a friend of
yours) is taking
* Search on the web for a Patient Information
Leaflet (PIL) for the medication.
* This is the piece of paper that usually comes
with the bottle of pills.
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* Now print out your file by typing Ctrl-P (Hold
down Ctrl key and press P), then press Print.
Please print your name and date on it and
turn it into the instructor by the end of next
week.
* You can now get more knowledge about your
medications and knowledge is power.
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* Find a story about recovery from mental illness
on the web and read it.
* You can check out the recovery stories section of
the National Empowerment Center at
http://power2u.org/
* You can search for Mental Illness Recovery
Stories on Google.
* You can search for John’s story by searching for
Living life on the Bipolar ride on Google.
* Print it out and turn it in by next week.
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*Thanks for being part of this
*Did
you learn anything ?
*What did you enjoy about it?
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class.