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NEHA PANKAJ
MEGHA ANAND
PIYUSH
POONAMJOT KAUR




MENTAL HEALTH
INTRODUCTION

 Mental health describes a level of
  psychological well-being , or an absence of a
  mental disorder.
 The World Health Organization defines mental
  health as "a state of well-being in which the
  individual realizes his or her own abilities, can
  cope with the normal stresses of life, can work
  productively and fruitfully, and is able to make a
  contribution to his or her community".
‱ There are different types of mental health
  problems, some of which are common, such as
  depression and anxiety disorders, and some
  not so common, such as schizophrenic and
  Bipolar disorder.

‱ Most recently, the field of Global Mental health
  has emerged, which has been defined as 'the
  area of study, research and practice that places
  a priority on improving mental health and
  achieving equity in mental health for all people
  worldwide'.
SIGNIFICANCE

   Evidence from the World Health
    Organization suggests that nearly half the world's
    population are affected by mental illness with an
    impact on their self-esteem, relationships and ability
    to function in everyday life.
   An individual's emotional health can also impact
    physical health and poor mental health can lead to
    problems such as substance abuse.
   The importance of maintaining good mental health is
    crucial to living a long and healthy life. Good mental
    health can enhance one’s life, while poor mental
    health can prevent someone from living a normal life.
‱ The importance of maintaining good mental
  health is crucial to living a long and healthy life.
  Good mental health can enhance one’s life,
  while poor mental health can prevent someone
  from living a normal life.
MENTAL ILLNESS AS A STIGMA
   Stigma is defined as a sign of disgrace or discredit,
    which sets a person apart from others. The stigma of
    mental illness, although more often related to context
    than to a person's appearance, remains a powerful
    negative attribute in all social relations.
   Mental illness, despite centuries of learning and the
    ‘Decade of the Brain’, is still perceived as an
    indulgence, a sign of weakness. Self-stigmatization
    has been described, and there are numerous
    personal accounts of psychiatric illness, where
    shame overrides even the most extreme of
    symptoms.
THE EXPERIENCE OF STIGMA

      SOCIAL
    EXCLUSION



  SHAME
                BLAME

  SECRECY

                  ISOLATION


 DISCRIMINATION
ETIOLOGY
                METABOLIC
ORGANIC         DISEASES,NEOPLASM,NEURO-
                LOGICAL DISEASES,ENDOCRINE
                DISEASES e.g. Epilepsy

                e.g. IF BOTH PARENTS ARE
HEREDITARY      SCHIOPHRENIC

                WORRIES, BROKEN
PSYCHOSOCIAL    HOMES,POVERTY,STRESS,
                CHANGING FAMILY
                STRUCTURE,REJECTION, ECONOMIC
                INSECURITY
                TOXIC SUBSTANCES – MERCURY
                DRUG ABUSE AND ALCOHOLISM
ENVIRONMENTAL   MINERAL DEFICIENCY- IODINE
                TRAUMATIC FACTORS
                RADIATION
OTHER CONTRIBUTING FEATURES

 Social and environmental causes
These might be things such as:
 Where we live

 Our place of work

  Whether we have close family and friends
  How and where we can relax.
   Where we live
   The physical environment where we live can be very stressful, particularly
    when there are problems with neighbours, or if there are high crime rates and
    other such issues.

   Where you work
   Whether you enjoy your work, or feel you are under too much pressure, are
    unable to find employment or hold down a job, can all put pressure on your
    mental well-being.

   Families and Friends
   When we face difficult times our support networks become very important –
    those who do not have close friends or families, or those who do not live near
    the people who support them may find it increasingly difficult to cope alone.

   How and when to relax
   All these kinds of problems will increase the amount of stress people are
    under, and can cause depression and anxiety especially in situations where
    people don't have a time or a place to relax.
INTERNATIONAL CLASSIFICATION OF
DISEASE OF MENTAL HEALTH

ORGANIC - Delirium                      DISORDERS OF ADULT PERSONALITY

MENTAL & BEHAVIORIAL – Drug abuse ,     MENTAL RETARDATION
alcoholism

SCHIZOPHRENIA                           DISORDERS OF PSYCHOLOGICAL
                                        DEVELOPMENT – Childhood autism

MOOD DISORDERS – Depressive disorders   BEHAVIOUR DISORDERS OCCURING IN
                                        CHILDHOOD & ADOLESCENCE

NEUROTIC,STRESS RELATED DISORDERS       UNSPECIFIED MENTAL DISORDERS


BEHAVIOUR SYNDROME – EATING
DISORDERS
PSYCHOLOGICAL SIGNS AND
SYMPTOMS
   Feeling sad or down
   Confused thinking
   Excessive fears or worries
   Withdrawal from friends and activities
   Problems sleeping
   Detachment from reality (delusions) or hallucinations
   Inability to cope with daily problems or stress
   Alcohol or drug abuse
   Significant changes in eating habits
   Sex drive changes
   Excessive anger, hostility or violence
   Suicidal thinking
PHYSICAL SIGNS AND SYMPTOMS
   Fatigue
   Back pain
   Chest pain
   Digestive problems
   Dry mouth
   Headache
   Sweating
   Weight gain or loss
   Rapid heart rate
   Dizziness
PREVENTION OF MENTAL ILLNESS
TREATMENT ASPECT OF MENTAL ILLNESS
   The initial assessment
   The role of psychiatrists and general practitioners
   Help is available through both public and private health care
   Psychological treatment
      Cognitive behavior therapy (CBT)
      Interpersonal psychotherapy
      Dialectical behavior therapy
   Treatment with medication
   Other forms of treatment
TREATMENT WITH MEDICATION
 Medications are mainly helpful for people who
  are more seriously affected by mental illness.
  Different types of medication treat different
  types of mental illness:
 Antidepressant medications – about 60 to 70
  per cent of people with depression respond to
  initial antidepressant treatment. These
  medications are now also used (in combination
  with psychological therapies) to treat phobias,
  panic disorder, obsessive compulsive disorder
  and eating disorders
   Antipsychotic medications – are used to treat
    psychotic illnesses, for example schizophrenia and
    bipolar disorder. Newer antipsychotic medications
    may have some side effects, but tend to have
    fewer of the effects that were associated with the
    older medications, for example stiffening and
    weakening of the muscles and muscle spasms
   Mood stabilizing medications – are helpful for
    people who have bipolar disorder (previously
    known as manic depression). These medications,
    such as lithium carbonate, can help reduce the
    recurrence of major depression and can help
    reduce the manic or ‘high’ episodes
OTHER FORMS OF TREATMENT
   Effective treatment involves more than medications.
    Treatment may also involve:
   Community support – including information,
    accommodation, help with finding suitable work, training
    and education, psychosocial rehabilitation and mutual
    support groups. Understanding and acceptance by the
    community is very important
   Electroconvulsive therapy (ECT) – this treatment can be a
    highly effective treatment for severe depression and,
    sometimes, for other diagnoses when other treatments
    have not been effective. After the person is given a
    general anaesthetic and muscle relaxant, an electrical
    current is passed through their brain
 Hospitalization – this only occurs when a person
  is acutely ill and needs intensive treatment for a
  short time. It is considered better for a person’s
  mental health to treat them in the community, in
  their familiar surroundings.
 Involuntary treatment – this can occur when the
  psychiatrist recommends someone needs
  treatment but the person doesn’t agree. In
  general, people receive involuntary treatment to
  ensure their own safety or that of others.
MENTAL HEALTH SERVICES

 Early diagnosis and treatment
 Rehabilitation

 Group and individual psychotherapy

 Mental health education

 Use of modern psychoactive drugs

 After care services
MENTAL HEALTH PROGRAMES IN INDIA
   National mental health program
The Government of India has launched the National Mental
Health Program (NMHP) in 1982, keeping in view the heavy
burden of mental illness in the community, and the absolute
inadequacy of mental health care infrastructure in the country to
deal with it.
It includes Integration mental health with primary health care
through the NMHP.
Provision of tertiary care institutions for treatment of mental
disorders.
Eradicating stigmatization of mentally ill patients and protecting
their rights through regulatory institutions like the Central Mental
Health Authority, and State Mental health Authority.
   District mental health programs

 It includes training programs of all workers in the
mental health team at the identified Nodal Institute in
the State.
 Public education in the mental health to increase
awareness and reduce stigma.
 For early detection and treatment, the OPD and indoor
services are provided.
 Providing valuable data and experience at the level of
community to the state and Centre for future planning,
improvement in service and research
CURRENT STATUS

 Annual data of PGI
 Walk in clinic – 7555 new cases

                    3921 old cases
 Refer from other departments-1267

 DDTC (De addiction center) 1297 new cases

                                 644 old cases
 Maximum cases 22-50 yr age group

 350 cases per year - 22-50 yr of age
-VE


      FACTORS




                +V
                 E
Mental health

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Mental health

  • 1. SUBMITTED BY : NEHA PANKAJ MEGHA ANAND PIYUSH POONAMJOT KAUR MENTAL HEALTH
  • 2. INTRODUCTION  Mental health describes a level of psychological well-being , or an absence of a mental disorder.  The World Health Organization defines mental health as "a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community".
  • 3. ‱ There are different types of mental health problems, some of which are common, such as depression and anxiety disorders, and some not so common, such as schizophrenic and Bipolar disorder. ‱ Most recently, the field of Global Mental health has emerged, which has been defined as 'the area of study, research and practice that places a priority on improving mental health and achieving equity in mental health for all people worldwide'.
  • 4. SIGNIFICANCE  Evidence from the World Health Organization suggests that nearly half the world's population are affected by mental illness with an impact on their self-esteem, relationships and ability to function in everyday life.  An individual's emotional health can also impact physical health and poor mental health can lead to problems such as substance abuse.  The importance of maintaining good mental health is crucial to living a long and healthy life. Good mental health can enhance one’s life, while poor mental health can prevent someone from living a normal life.
  • 5. ‱ The importance of maintaining good mental health is crucial to living a long and healthy life. Good mental health can enhance one’s life, while poor mental health can prevent someone from living a normal life.
  • 6. MENTAL ILLNESS AS A STIGMA  Stigma is defined as a sign of disgrace or discredit, which sets a person apart from others. The stigma of mental illness, although more often related to context than to a person's appearance, remains a powerful negative attribute in all social relations.  Mental illness, despite centuries of learning and the ‘Decade of the Brain’, is still perceived as an indulgence, a sign of weakness. Self-stigmatization has been described, and there are numerous personal accounts of psychiatric illness, where shame overrides even the most extreme of symptoms.
  • 7. THE EXPERIENCE OF STIGMA SOCIAL EXCLUSION SHAME BLAME SECRECY ISOLATION DISCRIMINATION
  • 8. ETIOLOGY METABOLIC ORGANIC DISEASES,NEOPLASM,NEURO- LOGICAL DISEASES,ENDOCRINE DISEASES e.g. Epilepsy e.g. IF BOTH PARENTS ARE HEREDITARY SCHIOPHRENIC WORRIES, BROKEN PSYCHOSOCIAL HOMES,POVERTY,STRESS, CHANGING FAMILY STRUCTURE,REJECTION, ECONOMIC INSECURITY TOXIC SUBSTANCES – MERCURY DRUG ABUSE AND ALCOHOLISM ENVIRONMENTAL MINERAL DEFICIENCY- IODINE TRAUMATIC FACTORS RADIATION
  • 9. OTHER CONTRIBUTING FEATURES  Social and environmental causes These might be things such as:  Where we live  Our place of work  Whether we have close family and friends  How and where we can relax.
  • 10.  Where we live  The physical environment where we live can be very stressful, particularly when there are problems with neighbours, or if there are high crime rates and other such issues.  Where you work  Whether you enjoy your work, or feel you are under too much pressure, are unable to find employment or hold down a job, can all put pressure on your mental well-being.  Families and Friends  When we face difficult times our support networks become very important – those who do not have close friends or families, or those who do not live near the people who support them may find it increasingly difficult to cope alone.  How and when to relax  All these kinds of problems will increase the amount of stress people are under, and can cause depression and anxiety especially in situations where people don't have a time or a place to relax.
  • 11. INTERNATIONAL CLASSIFICATION OF DISEASE OF MENTAL HEALTH ORGANIC - Delirium DISORDERS OF ADULT PERSONALITY MENTAL & BEHAVIORIAL – Drug abuse , MENTAL RETARDATION alcoholism SCHIZOPHRENIA DISORDERS OF PSYCHOLOGICAL DEVELOPMENT – Childhood autism MOOD DISORDERS – Depressive disorders BEHAVIOUR DISORDERS OCCURING IN CHILDHOOD & ADOLESCENCE NEUROTIC,STRESS RELATED DISORDERS UNSPECIFIED MENTAL DISORDERS BEHAVIOUR SYNDROME – EATING DISORDERS
  • 12. PSYCHOLOGICAL SIGNS AND SYMPTOMS  Feeling sad or down  Confused thinking  Excessive fears or worries  Withdrawal from friends and activities  Problems sleeping  Detachment from reality (delusions) or hallucinations  Inability to cope with daily problems or stress  Alcohol or drug abuse  Significant changes in eating habits  Sex drive changes  Excessive anger, hostility or violence  Suicidal thinking
  • 13. PHYSICAL SIGNS AND SYMPTOMS  Fatigue  Back pain  Chest pain  Digestive problems  Dry mouth  Headache  Sweating  Weight gain or loss  Rapid heart rate  Dizziness
  • 15.
  • 16. TREATMENT ASPECT OF MENTAL ILLNESS  The initial assessment  The role of psychiatrists and general practitioners  Help is available through both public and private health care  Psychological treatment Cognitive behavior therapy (CBT) Interpersonal psychotherapy Dialectical behavior therapy  Treatment with medication  Other forms of treatment
  • 17. TREATMENT WITH MEDICATION  Medications are mainly helpful for people who are more seriously affected by mental illness. Different types of medication treat different types of mental illness:  Antidepressant medications – about 60 to 70 per cent of people with depression respond to initial antidepressant treatment. These medications are now also used (in combination with psychological therapies) to treat phobias, panic disorder, obsessive compulsive disorder and eating disorders
  • 18.  Antipsychotic medications – are used to treat psychotic illnesses, for example schizophrenia and bipolar disorder. Newer antipsychotic medications may have some side effects, but tend to have fewer of the effects that were associated with the older medications, for example stiffening and weakening of the muscles and muscle spasms  Mood stabilizing medications – are helpful for people who have bipolar disorder (previously known as manic depression). These medications, such as lithium carbonate, can help reduce the recurrence of major depression and can help reduce the manic or ‘high’ episodes
  • 19. OTHER FORMS OF TREATMENT  Effective treatment involves more than medications. Treatment may also involve:  Community support – including information, accommodation, help with finding suitable work, training and education, psychosocial rehabilitation and mutual support groups. Understanding and acceptance by the community is very important  Electroconvulsive therapy (ECT) – this treatment can be a highly effective treatment for severe depression and, sometimes, for other diagnoses when other treatments have not been effective. After the person is given a general anaesthetic and muscle relaxant, an electrical current is passed through their brain
  • 20.  Hospitalization – this only occurs when a person is acutely ill and needs intensive treatment for a short time. It is considered better for a person’s mental health to treat them in the community, in their familiar surroundings.  Involuntary treatment – this can occur when the psychiatrist recommends someone needs treatment but the person doesn’t agree. In general, people receive involuntary treatment to ensure their own safety or that of others.
  • 21. MENTAL HEALTH SERVICES  Early diagnosis and treatment  Rehabilitation  Group and individual psychotherapy  Mental health education  Use of modern psychoactive drugs  After care services
  • 22. MENTAL HEALTH PROGRAMES IN INDIA  National mental health program The Government of India has launched the National Mental Health Program (NMHP) in 1982, keeping in view the heavy burden of mental illness in the community, and the absolute inadequacy of mental health care infrastructure in the country to deal with it. It includes Integration mental health with primary health care through the NMHP. Provision of tertiary care institutions for treatment of mental disorders. Eradicating stigmatization of mentally ill patients and protecting their rights through regulatory institutions like the Central Mental Health Authority, and State Mental health Authority.
  • 23.  District mental health programs It includes training programs of all workers in the mental health team at the identified Nodal Institute in the State. Public education in the mental health to increase awareness and reduce stigma. For early detection and treatment, the OPD and indoor services are provided. Providing valuable data and experience at the level of community to the state and Centre for future planning, improvement in service and research
  • 24. CURRENT STATUS  Annual data of PGI  Walk in clinic – 7555 new cases  3921 old cases  Refer from other departments-1267  DDTC (De addiction center) 1297 new cases  644 old cases  Maximum cases 22-50 yr age group  350 cases per year - 22-50 yr of age
  • 25. -VE FACTORS +V E