Sunday 8 May 2016

Let’s Talk About Mental Health...


John is 28 years old. His friends and family have given him nicknames such as “All-Over-the-Place, John”, “Psycho John”, “Hurricane John”, “Attention-Seeking-John”, and “Sad-Sam-John”, among others.  Some of John’s loved ones describe him as being the life of the party, constantly laughing, and always ready to help. Others say he lacks boundaries, is short-tempered, rude, immature, impulsive, self-centered, and unbearable.

John is one of the “lucky” ones. Two of his childhood friends realized there was more to his behavior than attention-seeking and being difficult. John has a mental illness and got the help and support that he needed in time.

Fact 1: According to the National Institute of Mental Health (NIMH), 57.7 million people (ages 18 and older) in America experience mental illness each year.1
Many of us believe that mental illness doesn’t affect us and as such, we remain ill-informed. Statistics show that at some point in our lives, many of us will interact with people who suffer from a mental illness. According to the U.S. Department of Health and Human Services (DHHS):
a)      1 in 5 adults in America experienced a diagnosable mental disorder (2014);2
b)      At least 1 in 10 young people suffered from major depression (2014);3
c)      Half of all chronic mental illnesses show first signs in individuals as young as 14, with three quarters of mental health disorders beginning before the age of 24;4 and
d)      1 in 25 Americans live with a serious mental illness (major depression, schizophrenia, or bipolar disorder).5


Fact 2: Many individuals who suffer from mental illness do not receive the medical and emotional help they need. 
Due to the stigma and pre-conceived notions surrounding mental illness, many who suffer from it are rejected, abused, and discriminated against. As a result, they do not get the help that they need.  Those who do get help often end up in institutions that resemble human warehouses, as opposed to comforting environments that offer healing.6 The National Alliance on Mental Illness (NAMI) states that in America:
a)      60% of adults and 50% of youth between the ages of 8 and 15, with a mental illness, did not receive mental health services in the previous year.7
b)      90% of those who commit suicide have a history of mental illness.8


Fact 3: People with mental illness did not get this illness because they are weak, immature, self-centered, or stubborn.

Mental illness affects each person differently. Until a person is diagnosed with a mental illness, it is very easy to misunderstand or dismiss their behavior. According to the US DHHS:
a)      Genes, illness, trauma, and family history are some of the factors that contribute to mental illness;9
b)      People with mental illness can’t just overcome their illness with willpower—they genuinely require treatment, mental health services, and community support to get better;10
c)      People with mental health problems can get better and some recover completely.11



Fact 4: Just because someone is mentally ill does not mean they are unpredictable and prone to violence.
With all the devastating cases of mass killings, many people assume that those who suffer from a mental illness are capable of committing an act of violence towards others or themselves.

The World Health Organization (WHO) states that “mental disorders are important risk factors for other diseases, as well as unintentional and intentional injury” (2014).12 The US DHHS states that:
a)      Only 3%-5% of those living with a serious mental health issue have committed violent acts.13
b)      Those living with a serious mental health illness are 10% more likely to be victims, rather than perpetrators, of violent acts.14
c)      We likely each know a friend, family member, or colleague with a mental illness and do not realize they have it, because they are productive, active members of society living full lives.15



Fact 5: A person living with a mental illness is capable of obtaining and keeping employment.
Some mental illnesses are severe enough to disrupt daily life, making it hard and sometimes impossible for an individual to get and hold down a job. As such, many people assume that all those with mental health needs are unable to perform as well as their colleagues, or even keep their jobs. The US DHHS states that:
a)      Many people with mental health needs, who are receiving help for their illness, have good attendance, are motivated, and perform equally (or better) than their colleagues.16
b)      Identifying and treating mental illness in good time has great benefits, such as fewer reports of absenteeism, lower medical costs, more productivity, and lower disability costs.17



What can you do?
1)      Learn about the different types of mental illness. This knowledge could help you identify the common warning signs18 and better support someone you know with a mental illness.
2)      If you think someone you know might have a mental illness, seek professional advice. Putting labels on mentally ill individuals or making jokes about mental illness is harmful, disrespectful, and unkind.
3)      Start having conversations about mental health and illness. By acknowledging its existence and impact on society, we are taking steps to better understand and manage mental illness, while being supportive of those who suffer from it.
4)      One size does not fit all when it comes to treating mental illness. Do not discourage loved ones from pursuing various forms of treatment and support. Medication alone will not work in all cases. Many patients also need therapy, other forms of self-help, and community support to get better.
5)      Be as supportive as you can. It’s certainly not easy dealing with a loved one with a mental illness. But those with mental illness do not deserve to be ostracized or mistreated. Support from family and friends can go a long way in managing and recovering from mental illness.



  References

1.      National Institute of Mental Health (2013). The Numbers Count: Mental Disorders in America. Retrieved May 5, 2016: http://www.lb7.uscourts.gov/documents/12-cv-1072url2.pdf
2.      U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
3.      U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
4.      U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
5.      U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
6.      World Health Organization (2014). Mental Health: a state of well-being -10 Facts on Mental Health. Retrieved May 5, 2016: http://www.who.int/features/factfiles/mental_health/mental_health_facts/en/
7.      The National Alliance on Mental Illness (n.d.). Mental Health Facts in America. Retrieved May 4, 2016: https://www.nami.org/NAMI/media/NAMI-Media/Infographics/GeneralMHFacts.pdf
8.      The National Alliance on Mental Illness (n.d.). Mental Health Facts in America. Retrieved May 4, 2016: https://www.nami.org/NAMI/media/NAMI-Media/Infographics/GeneralMHFacts.pdf
9.      U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
10.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
11.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
12.  World Health Organization (2014). Mental Health: a state of well-being -10 Facts on Mental Health. Retrieved May 5, 2016: http://www.who.int/features/factfiles/mental_health/mental_health_facts/en/index4.html
13.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
14.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
15.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
16.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
17.  U.S. Department of Health and Human Services (2014). Mental Health Myths and Facts (2014). Retrieved May 4, 2016: https://www.mentalhealth.gov/basics/myths-facts/index.html  
18.  Parekh, R. (2015). Warning Signs of Mental Illness. American Psychiatric Association. Retrieved from: https://www.psychiatry.org/patients-families/warning-signs-of-mental-illness 

Images
1.      Mental Health America. (2016). Mental Health Month [Image], Retrieved May 5, 2016: http://www.mentalhealthamerica.net/may
2.      Mental Health America (2015). Infographic B4Stage4: Changing the Way We Think About Mental Health [Image], Retrieved May 5, 2016: http://www.mentalhealthamerica.net/infographic-b4stage4-changing-way-we-think-about-mental-health
3.       Growth Guided (2015). Here Are Five Issues Millions of Americans Face When Getting Help With Mental Illness [Image], Retrieved May 5, 2016: http://www.growthguided.com/here-are-five-issues-millions-of-americans-face-when-getting-help-with-mental-illness/
4.      Fanpop (n.d.). Mental Health Awareness – “Snap Out Of It.” [Image], Retrieved May 5, 2016: http://www.fanpop.com/clubs/mental-health-awareness/images/36499936/title/snap-out-photo
5.      Fricke, P. (2013). Functional Mental Disorders. [Image]. Retrieved May 5, 2016: http://www.siue.edu/~pfricke/
6.      The London Therapy Center (2015). Some Mental Health Facts & Myths [Image], Retrieved May 5, 2016: http://www.thelondontherapycentre.com/#!some-mental-health-myths---facts/a1jq7





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