Feb 12 2009

Perspectives on Mental Health Recovery

Category: Mental Healthhealthbuff @ 12:03 am

If you have a chronic disease like heart attack or diabetes, you will have to live life with it. You will learn to adjust after each attack and would know the signs that there is an acute attack budding. The same is true with recovery from a mental illness. You cannot expect that during treatment, you will be a renewed man. Symptoms would still be apparent and you would experience things that are sometimes hopeless and debilitating but still you have to adjust through them. And with each adjustment, you would feel that you are starting to move forward, leaving your mental illness behind.

Mental health recovery is all about improvement from a bad case to something better. It is a continuous process and definitely not a linear one. You would move from square one to square two but you should always be ready to move one step back. You would learn newer ways to control the symptoms of your mental illness and would have insights on how to cope with them. There would be a lot of disappointments and errors the results from these errors are oftentimes rewarding.

Mental health recovery is a lifelong process as much as mental illness took years to develop sometimes even decades. A person could struggle through years of being controlled solely by a mental disorder and will have to face a lifelong effort to get out of it. You may achieve a life beyond the chains of your previous mental illness symptoms but you would still have to bout with intermittent attacks of symptoms.

One crucial factor to all kinds of illnesses is early intervention. Someone who presents symptoms of schizophrenia during earlier stages have a better chance of easier recovery with early intervention than someone who has aggravated case. Likewise, any signs of relapse that are recognized and treated early could define the barrier between going through the same disorder again or completely shutting all doors towards total recovery.

However, recovery from a mental disorder is just one of the many parts of the process. A person suffering from mental illness should also work to restore his mental health or sense of well-being.

Many individuals who have histories of mental illness often resort to a life that is withdrawn from the public due to social stigma and discrimination associated with the mental disorder. This leads to impaired sense of self-worth thus invaliding the whole idea of recovery.

For most people, the hardest stage of the recovery process is not the beginning but the end. In this stage, a person has to reclaim everything that he has lost during the entire period he had the mental illness plus every lost opportunity that he would have taken prior to the onset of symptoms.

Sadly, reclaiming these bits of life is far harder than all the aspects of recovery combined. Going back to “what could have been” takes a very long time as well as mending the damages caused by the mental illness due to very limited opportunities opened to people who have suffered a mental disorder.

But this shouldn’t be. You may not be able to go back to your previous job or do the things that you used to do but you could redirect your life to something different but equally rewarding. This has happened before to other people, it will happen to you.

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Feb 11 2009

Causes of Mental Health Disorders

Category: Mental Healthhealthbuff @ 10:20 am

It is amazing how a lump of gray matter could manipulate all the systems in our body in the most systematic way possible with all the intricacies and complex functioning. But what’s queer about this stuff (the organ we call brain) is that it could malfunction in a way that it could result to single or multiple representations of mental health problems all in an individual.

Clinical research and laboratory observations consistently arrive at a conclusion that mental health disorders are products of the accumulation and interaction of several contributing factors. It would have been easier to identify each disorder if there is only one cause to all meal health disorders but that simply isn’t the truth. In reality, all mental disorders could root from several causes such as an environment that is conducive to the development of a mental disorder or individual genetic make-up that programs the brain (or the faulty components of the brain) to develop into something non-normal.

Saying that it’s all about the pathological make-up of the brain that causes the mental health disorders is simplistic, to say the least. Looking at the strange development of these disorders would reveal that there are actually at least 3 contributing factors that may be seen as potential causes, all of which have varying degrees. This means that a particular culprit could be more dominant than the other.

First with the physical causes. This bracket of causes is biological in nature. Each individual has a distinct and unique biological make-up that dictates the direction of his health, may it be physical or mental. Some people are born with inherent tendency to develop a specific mental disorder in comparison with other people while others are less prone to risks. This cause also covers the genetic make-up of an individual, the biological make-up and the events in life that affects the physical body (such as a trauma on the head or substance abuse).

Second are the environmental or social causes. Nature VS Nurture has been a great debate in the scientific community but research confirms that a person experience a spilt-half of both. Nature of course are the physical attributes of an individual while Nurture reflects more on the social structures and physical, emotional and mental environments to which an individual was exposed to. This factor tells us more on how an individual grew up, the interaction of influences that affected all facets of his growth and the mechanisms he used to cope with a specific environment.

It is observable that some mental disorders are caused primarily by the consequences of experience brought about by the environment. For example, people (especially children) living in a stressful, chaotic and unstable environment are more likely to develop mental illnesses than those individuals living in peaceful environment. This consequence is due to the fact that there are certain social and environmental components that may become risk factors to the development of mental health problems.

Third is the psychological factor. This particular factor tells us more on the psychological state of a person, his coping mechanisms to certain life events that could otherwise end up with psychological disorders, his perception on his own self and his environment and thought patterns that affect his mental health. For example, someone who has gone beyond the limit of his stress coping capacity is likely to break down mentally as a result of the psyche’s automatic “lock down” to protect itself.

For the majority of people lacking mental health, it is often the case of triggering the mental health to break down through series factors that have eventually contributed to the cause of mental health disorder.

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Feb 10 2009

An Overview of the Mental Health Assessment

Category: Mental Healthhealthbuff @ 8:39 am

Mental health assessment is conceived only through a series of tedious processes that will help identify all necessary details of the mental wellness of the person leading to a conclusive judgment. It is a common knowledge among practitioners of mental health care providers that a mental health assessment could only be conceived if all information relating to the disorder could be gathered. Diagnosis may take a few minutes but arriving at a conclusion is possible only after a certain period of case study.

Fleshing out the details is necessary to arrive at an accurate result- may it be diagnosis or prognosis. But this could only be achieved by paying attention to small details that could uncover underlying symptoms, when developments of symptoms are well-recorded and when the mental state of the patient is strictly monitored. A psychiatric assessment is built on careful attention to details associated with the person including medical history, upbringing and environment, experiences such as childhood traumas along with others. If not done properly, the doctor may fail to see crucial details that could affect the result of the evaluation.

Apart from what has been listed above, a psychiatric assessment could also include evaluation on presented behavior, manner of thinking, mood, capacity to reason out and to express oneself and memory. Routine medical assessment such as blood test, urine test, and other laboratory tests are also included.

Preparation

Health assessment such as this requires prior groundwork. Symptoms of a disorder must be clearly recorded in a diary or journal. This helps keep track of the symptoms that may be a sign of improvement or of worsening the case. This would give the psychiatrist or the doctor a clearer picture of the mental health illness. If the patient is a child, the parent should see to it that the preparation of the journal is carefully supervised or that the parent should also make a separate journal to keep a detailed history of observations.

If already diagnosed and given medications for the control of symptoms, alterations of behavior or symptoms should also be recorded.

Interview

Nearly all psychiatric assessment require interview. Mental health illnesses normally lack in the presentation of observable symptoms. This is why talk is highly valuable in psychoanalytical and behavioral assessment of a patient.

A series of interviews gives the doctor a better look at the information that a patient could present. This offers the chance to gather information, clarify ambiguous details and to refute any established impressions.

There are three types of questions used during a psychiatric interview-

a) close questions
b) open questions
c) choice questions

Interviews are not only valuable because they clearly open opportunities for gathering information; it is also the opportunity for the patient to tell his or her story. Talk is beneficial as it allows usually terrifying thoughts to be voiced out.

Physical Examination

Neurological and cardiovascular examinations are the most commonly used physical examination for the assessment of mental health. The choice of examination is influenced mainly by factors such as the age of the person, concurrent disorders, planned medical treatment, concurrent medications and substance use or dependency.

Summary of the Findings

Plain examination and evaluation of a patient would not give reliable information for managing his or her mental health. A conclusive summary of all findings and accompanying recommendations for treatments and therapies would help prepare the person for recovery.

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