Mental Health Matters - latest Issue
Volume 4, Issue 1, Jan / Feb 2017
Author Zane WilsonSource: Mental Health Matters 4, pp 3 –3 (Jan / Feb 2017)More Less
Welcome to the first edition of Mental Health Matters for 2017. We are looking forward to a year of inspiration, education, awareness as well as Mental Wellness.
The MHM team held two very positive meetings with GPs last year who gave us some interesting suggestions and topics for the publication – so watch out for some exciting changes to this year’s magazine.
Author Mark ZimmermanSource: Mental Health Matters 4, pp 6 –8 (Jan / Feb 2017)More Less
Clinicians may have misconceptions about the treatment and management of depression in routine clinical practice. Here, Mark Zimmerman, MD, Director of Outpatient Psychiatry and the Partial Hospital Program at Rhode Island Hospital in Providence, helps shed some light on these beliefs and what is found in medical literature. Dr. Zimmerman is also Professor of Psychiatry and Human Behavior at The Warren Alpert Medical School of Brown University, Providence, Rhode Island. He has performed psychiatry research for more than 2 decades, much of it in the area of assessment and diagnosis.
Author Bradley DrakeSource: Mental Health Matters 4, pp 11 –13 (Jan / Feb 2017)More Less
Humans are inherently social beings. We typically value social relationships and tend to thrive and report greater levels of well-being when we experience a sense of belonging. In clinical practice, we often see the numerous emotional costs of prolonged avoidance of specific or general social interaction. It is also well known that social support typically forms an integral part of recovery from illness.
Author Deborah JamesSource: Mental Health Matters 4, pp 16 –18 (Jan / Feb 2017)More Less
Manic depression and bipolar affective disorder are synonymous with each other and are the names given to bipolar disorder, a chronic illness where the highs of mania alternate after weeks or months with the lows of depression. This is bipolar I which is the classic bipolar disorder found in 2 per cent of the population and has a strong genetic basis. It is generally associated with significant personal and societal costs.
Emil Kracpelin, eminent German psychiatrist (1856-1926) studied the natural course of bipolar disorder and found it to have intervals where the patient was stable, functional and free of symptoms. He very importantly distinguished this from schizophrenia which was more psychotic based and had a poorer outcome with no return to normal or baseline functioning.
Author Anita Decaires-WagnerSource: Mental Health Matters 4, pp 20 –22 (Jan / Feb 2017)More Less
ADHD is a condition with a range of possible intellectual, behavioural, emotional and social consequences. Developmental immaturity may exist and impact on functioning. Understanding how the child perceives his/her world enables general practitioners, parents and teachers to more effectively manage the child at home and in the classroom.
Author Helen ClarkSource: Mental Health Matters 4, pp 24 –26 (Jan / Feb 2017)More Less
We are all too aware of the high stress levels in the world in which we live today – from financial stress to poverty; from high school costs to constraints in the current education system; child abuse, domestic conflict, family dysfunction and violence; from divorce to single parent and child headed households; alcohol and drug abuse; chronic physical and mental illness; the ravages of ongoing HIV; fear regarding safety in our homes and on our streets; crime; demonstrations and violence in our communities and our universities, as well as xenophobic violence. We live these every day and experience them through the media. Pre-occupied by our own inability to cope in our own daily lives, we rarely ask the crucial question – “Where are the children?”
Author Karen van ZylSource: Mental Health Matters 4, pp 28 –30 (Jan / Feb 2017)More Less
Although anger is a natural, normal human emotion it can be difficult to manage. It varies from mild irritation to highly charged rage, and there may be elements of defensiveness and revenge or even violence present. Many people tend to avoid it, withdraw or lash out when it shows up and this leads to problems.
Anger, aggression and irritability are included as descriptors in the DSM 5 for various categories of mental disorders like Generalised Anxiety Disorder, PTSD, Intermittent Explosive Disorder, Oppositional Defiant Disorder, Bipolar Mood Disorder, Borderline Personality Disorder and Antisocial Personality Disorder. In cases of intense dysfunctional anger, medication as well as therapy (Cognitive Behavioural Therapy has been proved to be effective) may be indicated.
Major depressive disorder - breaking down the diagnostic challenges : Part 1 (normal sadness, bereavement)Author Eddie PakSource: Mental Health Matters 4, pp 32 –34 (Jan / Feb 2017)More Less
According to the World Health Organisation (WHO), depression as an illness is now the leading cause of disability worldwide with an estimated 350 million people affected. It is therefore crucial that clinicians be able to correctly recognise this condition.
Unfortunately, diagnosis can at times be less than straightforward as the illness can take on many different forms. In the next two articles, I will look at the diagnostic challenges that major depressive disorder presents.
Source: Mental Health Matters 4, pp 36 –38 (Jan / Feb 2017)More Less
Every other day, doctors meet two types of patients: one who seeks medicine to live and another in need of treatment from actively trying to kill themselves. For most people, death is an unwanted visitor. Predicting the desire to end one’s life often confounds doctors in general practice, nurses, teachers, and parents. Why would someone harbour self-destructive thoughts, and can this be treated?
Author Lesley RobertsonSource: Mental Health Matters 4, pp 41 –44 (Jan / Feb 2017)More Less
The diagnosis of schizophrenia is a clinical one, made through the observation of characteristic signs and symptoms and the exclusion of other causes for these (Box 1). It often takes a period of time to be certain of the diagnosis as the various manifestations evolve with the course of the illness.
Source: Mental Health Matters 4, pp 46 –48 (Jan / Feb 2017)More Less
The American Society of Addiction Medicine (ASAM, 2017) Public Policy Statement defines addiction as “a chronic disease of brain reward, motivation, memory and related circuitry [which leads to] an inability to abstained [and] impairment in behaviour control, craving [and diminished recognition of significant problems with behaviour and interpersonal relationship,”
Author Yolisa DlepuSource: Mental Health Matters 4, pp 51 –52 (Jan / Feb 2017)More Less
I was raised by a single mother, who was diagnosed with bipolar depression, which later developed into schizophrenia.
I was still young when my mother started showing the symptoms of bipolar. I was eight years old. I did not know what this was, let alone not knowing whether she was sick. I just started seeing my mother changing. She became very moody and sensitive. Sometimes she would be very friendly and in a split second very irritated.