Mental Health Matters - Volume 3, Issue 3, 2016
Volume 3, Issue 3, 2016
Author Zane WilsonSource: Mental Health Matters 3, pp 1 –4 (2016)More Less
On the 13th and 14th April 2016, stakeholders from the world's community of mental health care advocates met for a two-day conference co-hosted by the World Bank and the World Health Organisation in Washington DC. The aim of the "Out of the Shadows: Making Mental Health a Global Development Priority" conference was to engage civil society; the business community; financiers; government, NGO and health organizations, and technology innovators to take ownership of the urgent need for investment in mental health services, and the expected returns in terms of health, social and economic benefits.
Author Umunyana RugegeSource: Mental Health Matters 3, pp 9 –10 (2016)More Less
On 16 February 2016, the South African Competition Commission began the public hearing phase of the Health Market Inquiry, which was initiated because of initial evidence of high and increasing expenditure in the private sector. The inquiry is being conducted by a distinguished Panel chaired by former Chief Justice Sandile Ngcobo. The private health sector serves 17% of the population and 8.8 million of those users' healthcare needs are funded through medical scheme membership. Some people access private healthcare services on an out-of-pocket basis, particularly in rural areas. Even though the private sector provides services to less than a quarter of the population, it accounts for about half of the expenditure in healthcare as a whole.
GPS and disabled patient's right to reasonable accommodation : how medical personnel can improve treatment outcomes & patient support : what GPS need to know to advise patients & employers : guest editorialAuthor Peter StrasheimSource: Mental Health Matters 3, pp 12 –13 (2016)More Less
All Medical Practitioners ("MPs") and Health Professionals ("HPs") have a vital and indispensable role to support their patients with disabilities and promote non-discrimination, employment equity and equality. A regular problem is that most MPS and HPs have never been trained to do it. CPD training does not sensitise practitioners about their patients' rights and employers' duties to their patients - and does advise MPs and HPs on how to give medical information and recommendations to others who must promote disabled patients' rights and discharge important duties to disabled patients. Importantly, in South Africa, legislation to promote equality and equity all directly supports MPS and HPs to enhance patient support, improve treatment outcomes and care for patients who have disabling impairments.
Source: Mental Health Matters 3, pp 16 –18 (2016)More Less
Author Rykie LiebenbergSource: Mental Health Matters 3, pp 20 –22 (2016)More Less
The existence of attention-deficit/hyperactivity disorder (ADHD) in adulthood is now recognized by most professionals in the field, and is endorsed by the DSM-IV, and also the newer DSM-V. Interest in this disorder has increased in recent years, but resources for diagnosis and treatment of adults are still scarce. There is also a perception among a section of the public and even some professionals, that it is merely a fad and not a valid concept.
Author Eileen ThomasSource: Mental Health Matters 3, pp 24 –26 (2016)More Less
Bipolar disorder is a serious mental illness that is undoubtedly more commonly seen in the general practitioner setting than is appreciated. Bipolar disorder is a complex and recurrent disorder of mood and behaviour that is characterized by fluctuations between hypomania, depression or mania. Bipolar disorder has an overall prevalence of 1% in the general population and typically manifests in late adolescence or early adulthood.
Author Wendy FriedlanderSource: Mental Health Matters 3, pp 28 –30 (2016)More Less
Currently, the aetiology is unclear but known to be multi- factorial involving the interaction between genetic and environmental factors. There are no diagnostic investigations available and the diagnosis relies on clinical observation. The expression of the pathology and response to treatment remains highly individual but the condition has an almost universally poor outcome. An understanding of the risk factors for the disease may not only assist in illuminating the aetiology of the condition but also target areas of management intervention.
Author Duncan RodsethSource: Mental Health Matters 3, pp 32 –34 (2016)More Less
The rapid advances in genetic research have made it possible to determine the genetic contribution to an increasing number of diseases. For several decades now it's been possible to identify the gene that is responsible for Huntington Disease (HD) - a condition inherited in an autosomal dominant pattern. This means children of a person affected by the disease have a 50% chance of inheriting the gene. Anyone who carries the gene will manifest symptoms of the illness at some time in their lives. The most common time of life for the clinical picture to become apparent is the third decade although it can manifest at other times. Tragically the onset of the symptoms of Huntington Disease often occurs after the sufferer has already had children. This means their children experience the devastating progress of the disease in a parent with the knowledge that they will have a high risk of going through the same illness.
Source: Mental Health Matters 3, pp 36 –40 (2016)More Less
Can i take any natural products to treat my depression?
Can my depression come back?
If i have depression, will my children have it too?
Will my meds make me gain weight?
Will i become addicted to my medication?
Will i have to take my meds forever?
How will i know if my meds are working?
What normal side effects should i expect?
Author Joshua MarcusSource: Mental Health Matters 3, pp 43 –46 (2016)More Less
Sexuality has been linked to the human psyche since long before psychology was recognised as a science. It's one of most significant human drives. The pursuit and attainment of sex influences our sense of power and worth, and is closely linked to the human search for meaning. It's no wonder then that sexuality and mental illness are often intertwined. Individuals and groups who have struggles with sexual identity - particularly in the LGBT community - are more prone to depression and anxiety, as well as sexual dysfunction. As health practitioners, it's crucial to be sensitive to the context of an LGBT patient, and diagnose and treat accordingly.
Author Peet VermaakSource: Mental Health Matters 3, pp 48 –50 (2016)More Less
Narcolepsy is characterized by the classic tetrad of excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis. Note that this tetrad is seen only rarely in children. The term "narcolepsy" is derived from Greek, "seized by somnolence." Gelineau was the first to delineate the syndrome in 1880.
Author Lynda AlbertynSource: Mental Health Matters 3, pp 53 –56 (2016)More Less
The term 'autism' was originally coined by Bleuler, meaning 'self' which conveyed the idea of self-absorption that characterised these children. Kanner, in the 1940's described children with 'fascinating personalities'. At the same time Asperger wrote about higher functioning children who had speech and normal IQ's, but with similar characteristics to Kanner's patients. Previous DSM diagnoses referred to Pervasive Developmental Disorders, which included Classic Autism and Asperger's Syndrome, as well as several other forms of Autism. The DSM-55 has grouped them all under the umbrella of ASD. In the last 15 years our knowledge of ASD has greatly increased. The original describers of autism attributed a rich inner fantasy to people with Autism. The truth is that the hallmark of the condition is concreteness, literal thinking and limited imagination.
Author Sindisiwe Van ZylSource: Mental Health Matters 3, pp 59 –60 (2016)More Less
On the 1st April 2013, I could not get out of bed. I remember lying in the guest bedroom, where I had been crying for hours, and I just could not get moving. My son was in his room whining because he needed a nappy change. And I could not move. I was admitted to hospital on my 37th birthday - on the 3rd April 2013.