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“Mental illness is like any other medical illness”: a critical examination of the statement and its impact on patient care and society

The nature of mental illness has been the subject of passionate discussion throughout history. In ancient Greece Plato, 1 , 2 promoting a mentalist definition of mental illness, was the first to coin the term “mental health,” which was conceived as reason aided by temper and ruling over passion. At around the same time, Hippocrates, 3 taking a more physicalist approach, defined different mental conditions as a variety of imbalances between different kinds of “humours.” Griesinger 4 , 5 almost 2 centuries ago was the first to state that “mental illness is brain illness,” an expression that has provided a strong impetus to the more recent medical conception of mental illness. The substantial progress accomplished in genomics and brain imaging in the last few decades made biological psychiatry stronger than ever and contributed to the reification of mental disorders as illnesses of the brain. The almost exclusively biogenetic conceptual framework for understanding mental illness has acquired a hegemony that has influenced mental health practitioners while also influencing campaigns designed to improve public attitudes toward the mentally ill. As a result, the statement “mental illness is like any other illness” has become almost axiomatic and, therefore, by definition it embodies an accepted truth not in need of a proof.

This view of mental illness is presented for better acceptance of the mentally ill by the public and of treatment by those experiencing mental illness and is indeed based on accumulated, albeit limited, knowledge in the neurobiology of mental disorders. However, anything that reaches axiomatic proportions needs a serious examination. In this editorial we examine the reasons underlying this perspective, its consequences and the evidence to support or refute its continued justification. We then present a position that we believe best fits the current state of knowledge and is closest to clinical realities and public perceptions of mental illnesses.

What does the statement actually imply?

The statement that “mental illness is like any other medical illness” implies that mental illness has a biological basis just like other medical illnesses and should be treated in the public’s eye in a similar manner. The purpose of this article is not to present a philosophical or ideological argument in favour of or against a biological basis explaining mental illness, but rather to examine the clinical and public utility of presenting a dominant neurobiological model of mental illness to patients, their families and the public at large.

Illness, pathophysiology and the “self’’

To understand the justification of equating mental and medical disorders, a comparison often made between type 2 diabetes and mental disorders, especially schizophrenia, other psychoses and depression, is worth examining in some detail. Diabetes, although very complex, is understood as the result of dysfunctional glucose metabolism related to absolute or relative insufficiency of insulin signalling. This dysfunctional metabolism is the consequence of endogenous predispositions, such as hereditary diathesis, and environmental factors, including personal choices, such as poor diet and sedentary life style. Therefore, by improving glucose metabolism, either through medication, insulin replacement or changes in lifestyle, positive health outcomes can be expected. Diabetes is diagnosed by confirming high levels of fasting glucose and other related biochemical markers of glucose metabolism. Further, the cascade of its effects on other systems (e.g., cardiovascular, central nervous system) are, or could be, well explained on the basis of physiologic mechanisms. They can also be prevented/treated by better and early control of diabetes. All through this, however, the patient is aware of the nature of his or her problems, including personal choices, and diabetes generally does not affect his or her day-today thinking, behaviour or perception. Except for mental health complications due to neurologic illnesses (e.g., delirium in the context of severe metabolic complications, depression as a consequence of awareness of the life and death implication of the disorder, abnormal perceptions in the case of some neurologic conditions), it can be stated that somatic illnesses, such as diabetes do not usually alter the core self of a person substantially. More importantly, the model of attribution presented to the patient is congruent with the scientific “facts,” thereby making it easier for the person as well as society to accept the condition.

Mental disorders, on the other hand, affect the very core of one’s being through a range of experiences and phenomena of varying severity that alter the individual’s thinking, perception and consciousness about the self, others and the world. This is seen to an extreme degree with more serious mental disorders, such as psychoses and bipolar disorders, but to a lesser albeit significant degree with anxiety, mood, eating and other psychiatric disorders. Emotion, perception, thought and action are the essence of human identity and the concept of “self,” and these are the prime domains altered in mental disorders. The precise definition of what constitutes the self and whether the location of a state of self is a material reality in the brain, its form and the brain-related factors that influence it are deeply philosophical issues, 6 , 7 but not the subject of this editorial. Suffice it to say that factors involved in increasing the risk for mental disorders are endogenous (genetics is recognized as a major contributor to most mental disorders) as well as environmental, much like most medical disorders. Psychological deprivation and trauma, social defeat and isolation, poverty and poor family environment are but some of the environmental factors that have been reported to increase the risk for mental disorders. In addition to changes at the physiologic level, common to somatic and mental disorders the latter encompass changes in one’s definition of “self,” and are not situated outside the “self.” It can even be argued that in the absence of any substantiated biological marker for mental disorders (only 1 has been included in the recent DSM-5: orexin change in narcolepsy), 8 the hallmark defining features of mental disorders, at least for now, remain the changes in how the patients feel, think and act and how these changes affect their relation to themselves and to others.

As a first corollary of this definition, contrary to medical conditions where restoring dysfunctional physiologic mechanisms is the main target of therapeutic interventions, this is only 1 part of the therapeutic interventions for mental disorders. The primary focus of therapeutic interventions in mental disorders is helping the patient to feel better and interact more adaptively with his or her social and physical environments. Although there is little doubt that all medical conditions require psychological attention, mental health interventions focus primarily on achieving a positive change in feeling, self-esteem, mood, perceptions, thoughts and action — all changes in the “self” that are not primarily targeted in the treatment of medical conditions. Different models of psychological and social interventions are the main ingredients for these desired changes in the self.

A second corollary of this definition is the fact that mental health is very laden with values, not because scientific factors are lacking, but because values become of the utmost importance — more so than for medical disorders — when we deal with the self and its restoration. While somatic illnesses such as diabetes are primarily defined and shaped by biologically discernible facts, values do play a certain role but do not define the disorder. Societal and personal values are important in the treatment of most medical disorders, but acquire paramount importance in the case of mental disorders. Societal and cultural values even define variations in diagnoses over time and across geographic locations. Compulsory treatments, a particularity in the mental health field, are a strong testimony of how mental health can interfere with the self and how the personal values of the patient can clash with the societal values, thus necessitating legal, value-laden mitigation.

Neurobiology and experience of mental illness

Advances in neurosciences have surely given us much better biological mechanistic explanations of many of the uniquely human cognitive, emotional and conative functions, such as memory, thinking, perception, mood and action. This knowledge has informed us that many mental illnesses derive their vulnerability from underlying biological variations. However, we are far from being able to explain in neurobiological terms many of the behaviours and experiences that constitute the core presentations of mental disorders. Even if neurobiology one day were to provide better explanations of the workings of the brain, more elaborately explain the role of genes in increasing the risk for mental illness and the mechanisms behind complex human behaviour, one would still need to understand the experiences of patients with different forms of mental illness in psychological terms, as recently described by Kendler 9 so eloquently. By equating mental illness with any medical illness and, therefore, situating it in an organ within the human biology and not recognizing its unique nature in the way it affects the “self” cannot be justified on the basis of current state of knowledge nor may it serve our patients and society well, as we explain in the rest of this editorial.

Mental illness and the utility of explanatory models

Indeed, it is envisaged that putting mental illness on the same footing as medical illness, society will understand it better and not react negatively toward those with mental illnesses. It is hoped that as a result those with mental illness may face less social stigma — a major obstacle to people seeking and/or receiving help — and reducing stigma may help individuals regain eventual acceptance by society as productive members. Interestingly, the public’s explanatory models of mental illness do not follow this narrative and, on the contrary, the public have multiple models of explaining mental illness varying across cultures and times.

One needs to ask the pragmatic question of whether the strategy of using a biogenetic model of mental illness and equating it with medical illness has actually helped. There are 2 areas worthy of examination in this regard.

Explanatory models, stigma and society

The first is to examine the effect of the statement, “mental illness is like any other medical illness,” on social stigma toward people with mental illness. As indicated previously, implicit in the axiomatic statement is a primarily biological origin of the behaviour and suffering that characterize mental illness. Let us examine the evidence in this regard. In the last decade or 2, biogenetic attribution of all mental disorders, having acquired a hegemoneous status 10 has been used primarily to inform campaigns for reducing stigma and promoting better acceptance of mental illness and the people with mental illnesses by society. 11 , 12 Several well-conducted studies have concluded, almost uniformly, that this strategy has not only not worked, but also may have worsened public attitudes and behaviour toward those with mental illnesses. Investigations of stigma have shown that those who consider mental disorders as primarily attributable to biological forces, just like other medical disorders, while absolving the mentally ill person of responsibility for their behaviour and actions, tend to feel less optimistic about their ability to get better and function well, are less accepting of them and feel less positively toward them. 13 – 16 In a review of the literature related to the concept of mental illness being like any other illness, Read and colleagues 17 reported that biogenetic causal theories and diagnostic labelling as illness are both positively related to perceptions of dangerousness and unpredictability and to fear of and desire for social distance. The attitudes investigated in these studies are reflected in individuals’ responses to whether they would live next door to, socialize or make friends with or have a close relative get married to a person described as being mentally ill. There is also evidence to suggest that biogenetic explanatory models may have negative consequences for those with mental illness in terms of their implicit self concept and explicit attitudes, such as fear. 18 Further, campaigns to reduce stigma that encourage people to think about mental illness as simply another form of medical illness have produced results that show effects to the contrary. For example, a recent study showed that over a 10-year period of deliberate use of the biogenetic explanatory model for campaigning to reduce stigma has resulted in worsening of most, if not all, aspects of public attitudes toward individuals with mental illnesses. 19 , 20 The strength of these perhaps counterintuitive findings comes from the fact that these studies were adequately designed, well powered and, most importantly, replicated in several countries (e.g., United States, Britain, Germany) with very similar results. It is acknowledged that these relatively negative attitudes may be particularly stronger in relation to certain forms of mental illness (e.g., psychosis, manic depressive illness) and addictions.

Explanatory models of mental illness and the mentally ill person

Another domain — perhaps the most important — of examination is the individual with mental illness. In clinical practice, telling patients that their presenting mental illness is like any other medical illness may initially reassure some and assist them in accepting to take medication, especially during the distressing acute phases of a serious mental disorder. They or their families may welcome a simple explanation for encouraging them to accept treatment, which in many cases includes medication. While this strategy can achieve something very important in acute crisis-like situations, it may become problematic, if persistent over time, in getting individuals to accept other highly effective psychological and social treatments. These latter interventions are highly effective and considerably less noxious than often less effective medications for some forms of mental illness, such as mild to moderate depression, anxiety and eating disorders, and emotional dysregulation associated with several long-standing mental illnesses. Even in the most serious mental disorders, such as psychotic, bipolar and severe major depressive disorders, where medications are invariably an essential part of treatment, psychological and social therapeutic interventions are the essential bridge between pharmacological interventions during the acute crises and the need for their sustained use in the long term while at the same time achieving the essential goals of relief of internal distress, restoration of self and a return to productive social and working lives.

Furthermore, presenting mental illness as any other medical illness often implies a medical treatment (medication in most cases) as the dominant treatment strategy. Patients’ rejection of the treating clinician’s medical illness model is generally described as lack of insight and starts the cycle of nonadherence to medication, which then translates into nonadherence to treatment. In reality, if patients and families are allowed to articulate their attributional models, given credit for their “experiential knowledge” and encouraged to enter into a dialogue with the treating clinician, it is more likely there will be some consensus on acceptance of recommended treatment. This may prevent the cycle of disengagement and decline in the course that follows.

What needs to be done?

In clinical practice, if we are to take seriously the multidimensional goals of providing mental health services, as articulated by those seeking and receiving help for mental illness, clinicians have to work within an attributional model that makes sense to the person receiving service, that can be supported by sound argument and evidence and that provides a framework within which those receiving service and those providing it can share a common language. Such a framework will need to include the biogenetic model of attribution of mental illness as 1 of several parallel and equally authentic social, psychological, environmental and cultural models offered by service providers and researchers (acquired knowledge) as well as those who experience mental illness (experiential knowledge). There is a need to create a common language in order to come to an understanding of the person’s experience and to promote such an understanding among the public at large. Denying the special nature of mental illness is unlikely to achieve these important goals.

Some recent developments, such as the promotion of a recovery model 21 – 23 and the early intervention movement, 24 , 25 may hold more promise in improving both the quality of care and possibly involvement of and improvement in public attitudes. The former has emerged from experiential knowledge and advocacy from service users, supported later by sound qualitative research, whereas the latter has emerged from a combination of a shift in philosophy of delivery of care on the part of service providers, parallel generation of evidence of its effectiveness 26 , 27 and greater acceptance by service users and their families, who have now joined the movement as advocates. A third emerging movement, the concept of positive mental health, 28 , 29 may prove to be effective in combating the negative image of mental illness. This movement promotes and is based on human resilience and positive aspects of the experience of mental illness. There is a burgeoning literature emerging in this field, which may balance the rather deterministic, deficit oriented and largely pessimistic miasma created by using an exclusively biogenetic model to explain mental disorders.

Conclusion and recommendations

Simply seeking an axiom of “mental illness is like any other medical illness” is at best simplifying a complex human problem and at worst doing a major disservice to patients, their families and the mental health field. Our dialogue should incorporate the general complexity of human thinking, behaviour, memories and the idea of self and consciousness, including knowledge emerging from sophisticated biogenetic and social science research while attending to the specific complexities that each of us as human beings carry as part of our life stories. That is true for those receiving and those providing services.

We therefore argue that we should continue to have a social and a professional conversation where we find a proper place for neurobiology, social, cultural and environmental forces, personal histories and the uniqueness of each individual when trying to understand, explain and treat mental disorders while avoiding a simplistic reductionism that may be perceived at best as patronizing but ultimately harmful, even though the intentions may be noble. We propose that future antistigma campaigns should give up the axiom of “mental illness is like any other medical illness” and instead present the complex and multifaceted explanations of mental illness as unique along with the positive aspects as discussed here. These campaigns need to be informed not only by the acquired knowledge of service providers and scientists but equally by the experiential knowledge from service users and their families, taking into consideration new knowledge emerging from fields of recovery, early intervention and positive mental health. For clinicians, it would be equally important to embrace explanatory models of mental illness that are based on evidence in science and to include biogenetic, social and cultural models as well as those told to them by the very people they are trying to serve.

Editors’ note: The ideas expressed in this editorial are not necessarily those of the journal. Importantly, JPN continues to focus on publishing “papers at the intersection of psychiatry and neuroscience that advance our understanding of the neural mechanisms involved in the etiology and treatment of psychiatric disorders.”

Competing interests: See jpn.ca for R. Joober. None declared by A. Malla or A. Garcia.

NeuroLaunch

Understanding Bipolar Disorder: An In-Depth Essay

Imagine living in a world where emotions oscillate between exhilarating highs and crippling lows. Where one moment, you feel invincible, and the next, you are engulfed in a darkness so profound it seems suffocating. Welcome to the complex and enigmatic realm of bipolar disorder.

At some point in our lives, we all experience fluctuations in our moods. However, for individuals with bipolar disorder, these mood swings are extreme, unpredictable, and can have devastating consequences. It is a mental health condition that possesses the power to disrupt lives, strain relationships, and challenge society’s understanding.

In this in-depth essay, we will delve into the intricate facets of bipolar disorder, unraveling its definition, prevalence, and impact. We will explore the different types of the disorder and investigate the causes and risk factors that contribute to its development.

Furthermore, we will examine the symptoms associated with bipolar disorder and the diagnostic criteria used to identify it. We will highlight the challenges faced by individuals with bipolar disorder and the effects this condition can have on personal relationships. Additionally, we will confront the societal stigma and misunderstandings that permeate the public’s perception of bipolar disorder.

Treatment and management play a critical role in the lives of those with bipolar disorder, and we will explore the medication options, therapeutic approaches, and lifestyle changes that can provide support and stability.

To navigate such a vast and complex topic, it is important to understand how to approach writing an essay on bipolar disorder. We will discuss strategies for choosing a focus, structuring your essay, addressing controversial topics, and providing reliable sources.

This essay aims to shed light on the intricacies of bipolar disorder, debunk myths, and promote understanding and empathy. By gaining knowledge and insights into this often-misunderstood condition, we can facilitate a more inclusive and compassionate society. Join us on this journey of discovery as we strive to comprehend the multifaceted nature of bipolar disorder.

Overview of Bipolar Disorder

Bipolar disorder, also known as manic-depressive illness, is a chronic mental health condition that affects a person’s mood, energy levels, and ability to function effectively. It is characterized by extreme shifts in mood, ranging from manic episodes, where individuals experience heightened euphoria and energy, to depressive episodes, where they feel overwhelming sadness, hopelessness, and a lack of interest in activities.

What is Bipolar Disorder?

Bipolar disorder is a complex condition that involves various biological, genetic, and environmental factors. It affects approximately 2.8% of U.S. adults, according to the National Institute of Mental Health. The onset of bipolar disorder usually occurs in late adolescence or early adulthood, although it can manifest at any age.

During manic episodes, individuals may exhibit symptoms such as increased talkativeness, racing thoughts, impulsivity, inflated self-esteem, and a decreased need for sleep. They may engage in risky behaviors, such as excessive spending or substance abuse. On the other hand, depressive episodes are characterized by symptoms like persistent sadness, fatigue, sleep disturbances, difficulty concentrating, and thoughts of death or suicide.

Types of Bipolar Disorder

Bipolar disorder is further categorized into several subtypes:

1. Bipolar I Disorder: This is the most severe form of the illness, involving manic episodes lasting for at least seven days or requiring hospitalization. Depressive episodes lasting for two weeks or more often accompany these manic episodes.

2. Bipolar II Disorder: In this type, individuals experience recurring depressive episodes but have hypomanic episodes that are less severe than full-blown mania. These hypomanic episodes do not usually lead to significant impairment in functioning.

3. Cyclothymic Disorder: Cyclothymic disorder is a milder form of bipolar disorder where individuals have frequent, but less intense, mood swings. They experience hypomanic symptoms and depressive symptoms that persist for at least two years, with brief periods of stability.

Causes and Risk Factors

The exact cause of bipolar disorder is not fully understood. However, research suggests that a combination of genetic, biological, and environmental factors contribute to its development. Individuals with a family history of bipolar disorder or other mood disorders are at a higher risk.

Other factors that may influence the development of bipolar disorder include abnormal brain structure and function, neurotransmitter imbalances, hormonal imbalances, and high levels of stress. Substance abuse or traumatic experiences may also trigger the onset or exacerbation of symptoms.

Understanding the different types of bipolar disorder and the contributing factors can help demystify this complex condition. By recognizing the signs and seeking appropriate diagnosis and treatment, individuals with bipolar disorder can lead fulfilling lives and manage their symptoms effectively.

Symptoms and Diagnosis of Bipolar Disorder

Bipolar disorder is a complex mental health condition characterized by distinct symptoms that significantly impact an individual’s daily life. Accurate diagnosis of bipolar disorder is crucial to ensure appropriate treatment and support. In this section, we will explore common symptoms of bipolar disorder, the diagnostic criteria used for its identification, and how it is distinguished from other mental health conditions.

Common Symptoms of Bipolar Disorder

The symptoms of bipolar disorder can vary depending on the specific episode and its severity. During manic episodes, individuals often experience an intense euphoria, increased energy levels, and a heightened sense of self-esteem. They may engage in risky behavior, such as excessive spending or engaging in dangerous activities. Rapid speech, racing thoughts, and impulsivity are also commonly observed.

Conversely, depressive episodes are characterized by persistent feelings of sadness, hopelessness, and a loss of interest in previously enjoyed activities. Individuals may experience changes in appetite and sleep patterns, difficulties concentrating, and thoughts of self-harm or suicide. Fatigue, a lack of motivation, and a general feeling of emptiness are also common symptoms.

Diagnostic Criteria for Bipolar Disorder

To diagnose bipolar disorder, healthcare professionals refer to the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). According to the DSM-5, the presence of manic, hypomanic, and depressive episodes is necessary for a bipolar disorder diagnosis.

For a diagnosis of bipolar I disorder, an individual must have experienced at least one manic episode, lasting for a minimum of seven days or requiring immediate hospitalization. Depressive episodes may or may not occur alongside the manic episodes.

In bipolar II disorder, individuals experience at least one major depressive episode and at least one hypomanic episode, which is characterized by milder manic symptoms that do not cause significant impairment in functioning.

Cyclothymic disorder, a milder form of bipolar disorder, is diagnosed when an individual experiences numerous periods of hypomanic symptoms and depressive symptoms over a two-year period.

Distinguishing Bipolar Disorder from other Mental Health Conditions

Differentiating bipolar disorder from other mental health conditions can be challenging due to overlapping symptoms. Depression alone, for example, may resemble the depressive episodes experienced by individuals with bipolar disorder. However, bipolar disorder is distinguished by the presence of manic or hypomanic episodes, which are not present in unipolar depression.

Other conditions such as borderline personality disorder and attention-deficit/hyperactivity disorder (ADHD) may exhibit symptoms similar to bipolar disorder, further complicating the diagnostic process. Thorough evaluation by a mental health professional is essential to accurately differentiate bipolar disorder from other conditions and develop an appropriate treatment plan.

Understanding the symptoms and diagnostic criteria of bipolar disorder helps in early identification and intervention, leading to improved outcomes for individuals living with this complex condition. Seeking professional help and support is crucial for accurate diagnosis and developing an effective management plan to mitigate the impact of bipolar disorder on daily life.

Impact of Bipolar Disorder on Individuals and Society

Bipolar disorder not only affects the lives of individuals diagnosed with the condition but also has a significant impact on their personal relationships, daily functioning, and society as a whole. In this section, we will explore the effects of bipolar disorder on personal relationships, the challenges faced by individuals with the condition, and societal stigma and misunderstandings surrounding bipolar disorder.

Effects of Bipolar Disorder on Personal Relationships

Living with bipolar disorder can strain personal relationships. The extreme mood swings, impulsivity, and erratic behavior exhibited during manic episodes can be confusing and distressing for partners, family members, and friends. Loved ones may struggle to understand the sudden changes in mood and energy levels, leading to strained communication and emotional instability within the relationship.

During depressive episodes, individuals with bipolar disorder may withdraw from social interactions, isolate themselves, and have difficulty expressing their needs and emotions. This can result in feelings of loneliness and isolation, further impacting the dynamics of personal relationships.

Challenges Faced by Individuals with Bipolar Disorder

Individuals with bipolar disorder face numerous challenges that affect their daily lives. The unpredictability of mood swings can make it difficult to maintain stable employment or pursue educational goals. Managing relationships, parenting responsibilities, and financial stability may also become more challenging due to the episodic nature of the condition.

Additionally, the presence of comorbid conditions, such as anxiety disorders or substance abuse, further compounds the difficulties faced by individuals with bipolar disorder. The stigma associated with mental illness may also create barriers in accessing proper treatment and support, exacerbating the challenges they encounter.

Societal Stigma and Misunderstandings

Despite growing awareness and understanding of mental health, societal stigma and misunderstandings surrounding bipolar disorder still persist. Many people hold misconceptions that individuals with bipolar disorder are simply “moody” or “unstable.” Such stigmatization can lead to social exclusion, discrimination, and a reluctance to seek help.

Moreover, the portrayal of bipolar disorder in popular culture and media often exaggerates the extreme behaviors associated with the condition, further perpetuating misconceptions and reinforcing stereotypes. This portrayal not only contributes to societal misunderstandings but also hinders individuals with bipolar disorder from openly discussing their experiences and seeking support.

Reducing stigma and promoting understanding are crucial steps towards creating a compassionate society that supports individuals with bipolar disorder. Educating the public about the true nature of bipolar disorder, highlighting the strengths and resilience of individuals living with the condition, and providing resources for support and education can help combat these misconceptions.

By acknowledging the impact of bipolar disorder on personal relationships, understanding the challenges faced by individuals with the condition, and challenging societal stigma, we can foster an environment that promotes empathy, acceptance, and support for those affected by bipolar disorder.

Treatment and Management of Bipolar Disorder

Effective management of bipolar disorder is essential for individuals to lead stable and fulfilling lives. Treatment typically involves a combination of medication, therapeutic approaches, and lifestyle changes. In this section, we will explore the different options available for treating bipolar disorder.

Medication Options for Bipolar Disorder

Medication plays a crucial role in managing bipolar disorder and stabilizing mood swings. Mood-stabilizing medications are commonly prescribed, such as lithium, which has proven efficacy in reducing the frequency and severity of manic and depressive episodes. Other mood stabilizers, such as valproate or lamotrigine, may also be prescribed.

Antipsychotic medications can be used to manage acute manic or depressive symptoms. They help regulate neurotransmitters in the brain, reducing the intensity of mood episodes. Antidepressant medications may be prescribed cautiously in combination with mood stabilizers to address depressive symptoms, considering the risk of triggering manic episodes.

It is important for individuals to work closely with healthcare professionals to find the most suitable medication regimen, as each individual’s response to medication varies. Regular monitoring and adjustments may be necessary to achieve optimal symptom management.

Therapeutic Approaches for Bipolar Disorder

Therapeutic interventions, such as psychotherapy, play an integral role in the treatment of bipolar disorder. Cognitive-behavioral therapy (CBT) can help individuals identify and modify negative thought patterns and behaviors associated with the disorder. Interpersonal and social rhythm therapy (IPSRT) focuses on stabilizing daily routines and addressing interpersonal issues that may trigger mood episodes.

Family-focused therapy involves educating and involving family members in the treatment process, enhancing communication, and providing support to both the individual with bipolar disorder and their loved ones. For those experiencing difficulties with medication adherence, psychoeducation can be beneficial in promoting understanding about the disorder and the importance of treatment.

Lifestyle Changes to Support Mental Health

In addition to medication and therapy, adopting certain lifestyle changes can be beneficial in managing bipolar disorder. Regular exercise has been shown to improve overall mood, reduce stress, and promote better sleep patterns. A balanced and nutritious diet can also contribute to physical and mental well-being.

Establishing a consistent sleep schedule is crucial, as disrupted sleep patterns can trigger mood episodes. Practicing good sleep hygiene, such as creating a calming bedtime routine and maintaining a comfortable sleep environment, is recommended.

Avoiding or minimizing the use of alcohol and recreational drugs is important, as these substances can negatively interact with medication and exacerbate mood symptoms. Building a strong support system, including seeking support from support groups or engaging in individual counseling, can provide valuable emotional support.

While bipolar disorder presents unique challenges, it is a treatable condition. By finding the right combination of medication, therapeutic approaches, and lifestyle changes, individuals with bipolar disorder can stabilize their moods, reduce the severity and frequency of episodes, and lead fulfilling lives. A comprehensive treatment approach that addresses the complex biological, psychological, and social aspects of the disorder is key to managing and mitigating the impact of bipolar disorder on daily functioning. Collaborating with healthcare professionals and accessing necessary support systems are vital steps towards successful management of this condition.

Writing an Essay on Bipolar Disorder

Writing an essay on bipolar disorder allows for a deeper exploration of this complex topic. However, it is important to approach the subject with sensitivity, accuracy, and a focus on providing valuable information. In this section, we will discuss key considerations when writing an essay on bipolar disorder.

Choosing a Focus for the Essay

Bipolar disorder encompasses a wide range of topics, so it is essential to narrow down your focus based on your interests and the scope of your essay. Consider exploring specific aspects of bipolar disorder, such as its impact on creativity, the relationship between bipolar disorder and substance abuse, or the experiences of individuals living with bipolar disorder.

Structuring the Essay

Organizing your essay in a logical manner is crucial for conveying information effectively. Consider using the introduction to provide an overview of bipolar disorder and set the context for the essay. Each subsequent section can delve deeper into specific aspects, such as symptoms, diagnosis, impact on relationships, treatment options, and societal understanding. Conclude your essay by summarizing key points and highlighting the significance of promoting awareness and support for individuals with bipolar disorder.

Addressing Controversial Topics

Bipolar disorder is a complex and multifaceted subject that may touch upon controversial areas. When discussing topics such as medication use, alternative therapies, or the link between creativity and bipolar disorder, it is important to present balanced viewpoints supported by credible sources. Acknowledge differing perspectives and engage in evidence-based discussions while considering potential biases or limitations in existing research.

Providing Reliable Sources

To ensure the credibility and accuracy of your essay, consult reputable sources that provide evidence-based information on bipolar disorder. Peer-reviewed academic journals, government health websites, and renowned mental health organizations are reliable sources of information. Remember to properly cite your sources using a recognized citation style, such as APA or MLA, to give credit to the original authors and avoid plagiarism.

Writing an essay on bipolar disorder provides an opportunity to educate and inform readers about this complex condition. By selecting a focused topic, structuring your essay logically, addressing controversies with balanced viewpoints, and using reliable sources, you can create an informative and compelling piece that contributes to understanding and promoting empathy for those with bipolar disorder. It is imperative to approach the topic with sensitivity and respect, recognizing the impact it has on individuals, their relationships, and society as a whole.In conclusion, bipolar disorder is a complex and multifaceted mental health condition that significantly impacts individuals and society as a whole. This in-depth essay has provided a comprehensive understanding of bipolar disorder, covering various aspects such as its definition, prevalence, and impact on personal relationships. We explored the different types of bipolar disorder and the causes and risk factors associated with its development.

Furthermore, we delved into the symptoms and diagnostic criteria used for identifying bipolar disorder while highlighting the importance of distinguishing it from other mental health conditions. The essay also shed light on the challenges faced by individuals with bipolar disorder, including the strain on personal relationships and the societal stigma surrounding the condition.

The treatment and management of bipolar disorder were extensively discussed, emphasizing the significance of medication options, therapeutic approaches, and lifestyle changes to support mental health. By adopting a comprehensive treatment approach, individuals with bipolar disorder can stabilize their moods and lead fulfilling lives.

Moreover, this essay provided insights into writing an essay on bipolar disorder, guiding readers on choosing a focus, structuring the essay effectively, addressing controversial topics, and providing reliable sources. By following these principles, writers can effectively promote awareness and understanding of bipolar disorder.

It is crucial to recognize the impact of bipolar disorder and combat societal misunderstandings and stigmas. By fostering empathy, educating the public, and providing support systems, we can create an inclusive and compassionate society that supports and empowers individuals living with bipolar disorder.

In conclusion, understanding bipolar disorder is integral to promoting mental health and fostering a more informed and accepting society. By spreading knowledge, reducing stigma, and advocating for appropriate support and resources, we can work towards creating a world where individuals with bipolar disorder can lead fulfilling and meaningful lives.

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Mental Health Essay

Mental Health Essay

Introduction

Mental health, often overshadowed by its physical counterpart, is an intricate and essential aspect of human existence. It envelops our emotions, psychological state, and social well-being, shaping our thoughts, behaviors, and interactions. With the complexities of modern life—constant connectivity, societal pressures, personal expectations, and the frenzied pace of technological advancements—mental well-being has become increasingly paramount. Historically, conversations around this topic have been hushed, shrouded in stigma and misunderstanding. However, as the curtains of misconception slowly lift, we find ourselves in an era where discussions about mental health are not only welcomed but are also seen as vital. Recognizing and addressing the nuances of our mental state is not merely about managing disorders; it's about understanding the essence of who we are, how we process the world around us, and how we navigate the myriad challenges thrown our way. This essay aims to delve deep into the realm of mental health, shedding light on its importance, the potential consequences of neglect, and the spectrum of mental disorders that many face in silence.

Importance of Mental Health

Mental health plays a pivotal role in determining how individuals think, feel, and act. It influences our decision-making processes, stress management techniques, interpersonal relationships, and even our physical health. A well-tuned mental state boosts productivity, creativity, and the intrinsic sense of self-worth, laying the groundwork for a fulfilling life.

Negative Impact of Mental Health

Neglecting mental health, on the other hand, can lead to severe consequences. Reduced productivity, strained relationships, substance abuse, physical health issues like heart diseases, and even reduced life expectancy are just some of the repercussions of poor mental health. It not only affects the individual in question but also has a ripple effect on their community, workplace, and family.

Mental Disorders: Types and Prevalence

Mental disorders are varied and can range from anxiety and mood disorders like depression and bipolar disorder to more severe conditions such as schizophrenia.

  • Depression: Characterized by persistent sadness, lack of interest in activities, and fatigue.
  • Anxiety Disorders: Encompass conditions like generalized anxiety disorder, panic attacks, and specific phobias.
  • Schizophrenia: A complex disorder affecting a person's ability to think, feel, and behave clearly.

The prevalence of these disorders has been on the rise, underscoring the need for comprehensive mental health initiatives and awareness campaigns.

Understanding Mental Health and Its Importance

Mental health is not merely the absence of disorders but encompasses emotional, psychological, and social well-being. Recognizing the signs of deteriorating mental health, like prolonged sadness, extreme mood fluctuations, or social withdrawal, is crucial. Understanding stems from awareness and education. Societal stigmas surrounding mental health have often deterred individuals from seeking help. Breaking these barriers, fostering open conversations, and ensuring access to mental health care are imperative steps.

Conclusion: Mental Health

Mental health, undeniably, is as significant as physical health, if not more. In an era where the stressors are myriad, from societal pressures to personal challenges, mental resilience and well-being are essential. Investing time and resources into mental health initiatives, and more importantly, nurturing a society that understands, respects, and prioritizes mental health is the need of the hour.

  • World Leaders: Several influential personalities, from celebrities to sports stars, have openly discussed their mental health challenges, shedding light on the universality of these issues and the importance of addressing them.
  • Workplaces: Progressive organizations are now incorporating mental health programs, recognizing the tangible benefits of a mentally healthy workforce, from increased productivity to enhanced creativity.
  • Educational Institutions: Schools and colleges, witnessing the effects of stress and other mental health issues on students, are increasingly integrating counseling services and mental health education in their curriculum.

In weaving through the intricate tapestry of mental health, it becomes evident that it's an area that requires collective attention, understanding, and action.

  Short Essay about Mental Health

Mental health, an integral facet of human well-being, shapes our emotions, decisions, and daily interactions. Just as one would care for a sprained ankle or a fever, our minds too require attention and nurture. In today's bustling world, mental well-being is often put on the back burner, overshadowed by the immediate demands of life. Yet, its impact is pervasive, influencing our productivity, relationships, and overall quality of life.

Sadly, mental health issues have long been stigmatized, seen as a sign of weakness or dismissed as mere mood swings. However, they are as real and significant as any physical ailment. From anxiety to depression, these disorders have touched countless lives, often in silence due to societal taboos.

But change is on the horizon. As awareness grows, conversations are shifting from hushed whispers to open discussions, fostering understanding and support. Institutions, workplaces, and communities are increasingly acknowledging the importance of mental health, implementing programs, and offering resources.

In conclusion, mental health is not a peripheral concern but a central one, crucial to our holistic well-being. It's high time we prioritize it, eliminating stigma and fostering an environment where everyone feels supported in their mental health journey.

Frequently Asked Questions

  • What is the primary focus of a mental health essay?

Answer: The primary focus of a mental health essay is to delve into the intricacies of mental well-being, its significance in our daily lives, the various challenges people face, and the broader societal implications. It aims to shed light on both the psychological and emotional aspects of mental health, often emphasizing the importance of understanding, empathy, and proactive care.

  • How can writing an essay on mental health help raise awareness about its importance?

Answer: Writing an essay on mental health can effectively articulate the nuances and complexities of the topic, making it more accessible to a wider audience. By presenting facts, personal anecdotes, and research, the essay can demystify misconceptions, highlight the prevalence of mental health issues, and underscore the need for destigmatizing discussions around it. An impactful essay can ignite conversations, inspire action, and contribute to a more informed and empathetic society.

  • What are some common topics covered in a mental health essay?

Answer: Common topics in a mental health essay might include the definition and importance of mental health, the connection between mental and physical well-being, various mental disorders and their symptoms, societal stigmas and misconceptions, the impact of modern life on mental health, and the significance of therapy and counseling. It may also delve into personal experiences, case studies, and the broader societal implications of neglecting mental health.

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What is Mental Disorder? An essay in philosophy, science, and values

What is Mental Disorder? An essay in philosophy, science, and values

What is Mental Disorder? An essay in philosophy, science, and values

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This resource by Derek Bolton tackles the problems involved in the definition and boundaries of mental disorder.

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Home — Essay Samples — Nursing & Health — Bipolar Disorder — Psychological Disorders Overview: Classification, Prevalence

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Psychological Disorders Overview: Classification, Prevalence

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Published: Jan 30, 2024

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Table of contents

Overview of psychological disorders, types of psychological disorders, causes and risk factors, diagnosis and assessment, treatment approaches, ethical considerations in the treatment of psychological disorders, stigma and misconceptions surrounding psychological disorders.

  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders , Fifth Edition (DSM-5).
  • National Institute of Mental Health. (2020). Mental Health Information: Statistics. https://www.nimh.nih.gov/health/statistics/index.shtml
  • World Health Organization. (2019). Mental Disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

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understanding psychological disorders essay

15.3 Perspectives on Psychological Disorders

Learning objectives.

By the end of this section, you will be able to:

  • Discuss supernatural perspectives on the origin of psychological disorders, in their historical context
  • Describe modern biological and psychological perspectives on the origin of psychological disorders
  • Identify which disorders generally show the highest degree of heritability
  • Describe the diathesis-stress model and its importance to the study of psychopathology

Scientists, mental health professionals, and cultural healers may adopt different perspectives in attempting to understand or explain the underlying mechanisms that contribute to the development of a psychological disorder. The specific perspective used in explaining a psychological disorder is extremely important. Each perspective explains psychological disorders, their causes or etiology, and effective treatments from a different viewpoint. Different perspectives provide alternate ways for how to think about the nature of psychopathology.

Supernatural Perspectives of Psychological Disorders

For centuries, psychological disorders were viewed from a supernatural perspective: attributed to a force beyond scientific understanding. Those afflicted were thought to be practitioners of black magic or possessed by spirits ( Figure 15.6 ) (Maher & Maher, 1985). For example, convents throughout Europe in the 16th and 17th centuries reported hundreds of nuns falling into a state of frenzy in which the afflicted foamed at the mouth, screamed and convulsed, sexually propositioned priests, and confessed to having carnal relations with devils or Christ. Although, today, these cases would suggest serious mental illness; at the time, these events were routinely explained as possession by devilish forces (Waller, 2009a). Similarly, grievous fits by young girls are believed to have precipitated the witch panic in New England late in the 17th century (Demos, 1983). Such beliefs in supernatural causes of mental illness are still held in some societies today; for example, beliefs that supernatural forces cause mental illness are common in some cultures in modern-day Nigeria (Aghukwa, 2012).

Dancing Mania

Between the 11th and 17th centuries, a curious epidemic swept across Western Europe. Groups of people would suddenly begin to dance with wild abandon. This compulsion to dance—referred to as dancing mania —sometimes gripped thousands of people at a time ( Figure 15.7 ). Historical accounts indicate that those afflicted would sometimes dance with bruised and bloody feet for days or weeks, screaming of terrible visions and begging priests and monks to save their souls (Waller, 2009b). What caused dancing mania is not known, but several explanations have been proposed, including spider venom and ergot poisoning (“Dancing Mania,” 2011).

Historian John Waller (2009a, 2009b) has provided a comprehensive and convincing explanation of dancing mania that suggests the phenomenon was attributable to a combination of three factors: psychological distress, social contagion, and belief in supernatural forces. Waller argued that various disasters of the time (such as famine, plagues, and floods) produced high levels of psychological distress that could increase the likelihood of succumbing to an involuntary trance state. Waller indicated that anthropological studies and accounts of possession rituals show that people are more likely to enter a trance state if they expect it to happen, and that entranced individuals behave in a ritualistic manner, their thoughts and behavior shaped by the spiritual beliefs of their culture. Thus, during periods of extreme physical and mental distress, all it took were a few people—believing themselves to have been afflicted with a dancing curse—to slip into a spontaneous trance and then act out the part of one who is cursed by dancing for days on end.

Biological Perspectives of Psychological Disorders

The biological perspective views psychological disorders as linked to biological phenomena, such as genetic factors, chemical imbalances, and brain abnormalities; it has gained considerable attention and acceptance in recent decades (Wyatt & Midkiff, 2006). Evidence from many sources indicates that most psychological disorders have a genetic component; in fact, there is little dispute that some disorders are largely due to genetic factors. The graph in Figure 15.8 shows heritability estimates for schizophrenia.

Findings such as these have led many of today’s researchers to search for specific genes and genetic mutations that contribute to mental disorders. Also, sophisticated neural imaging technology in recent decades has revealed how abnormalities in brain structure and function might be directly involved in many disorders, and advances in our understanding of neurotransmitters and hormones have yielded insights into their possible connections. The biological perspective is currently thriving in the study of psychological disorders.

The Diathesis-Stress Model of Psychological Disorders

Despite advances in understanding the biological basis of psychological disorders, the psychosocial perspective is still very important. This perspective emphasizes the importance of learning, stress, faulty and self-defeating thinking patterns, and environmental factors. Perhaps the best way to think about psychological disorders, then, is to view them as originating from a combination of biological and psychological processes. Many develop not from a single cause, but from a delicate fusion between partly biological and partly psychosocial factors.

The diathesis-stress model (Zuckerman, 1999) integrates biological and psychosocial factors to predict the likelihood of a disorder. This diathesis-stress model suggests that people with an underlying predisposition for a disorder (i.e., a diathesis) are more likely than others to develop a disorder when faced with adverse environmental or psychological events (i.e., stress), such as childhood maltreatment, negative life events, trauma, and so on. A diathesis is not always a biological vulnerability to an illness; some diatheses may be psychological (e.g., a tendency to think about life events in a pessimistic, self-defeating way).

The key assumption of the diathesis-stress model is that both factors, diathesis and stress, are necessary in the development of a disorder. Different models explore the relationship between the two factors: the level of stress needed to produce the disorder is inversely proportional to the level of diathesis.

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The Importance of Mental Health

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understanding psychological disorders essay

Akeem Marsh, MD, is a board-certified child, adolescent, and adult psychiatrist who has dedicated his career to working with medically underserved communities.

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Risk Factors for Poor Mental Health

Signs of mental health problems, benefits of good mental health, how to maintain mental health and well-being.

Your mental health is an important part of your well-being. This aspect of your welfare determines how you’re able to operate psychologically, emotionally, and socially among others.

Considering how much of a role your mental health plays in each aspect of your life, it's important to guard and improve psychological wellness using appropriate measures.

Because different circumstances can affect your mental health, we’ll be highlighting risk factors and signs that may indicate mental distress. But most importantly, we’ll dive into all of the benefits of having your mental health in its best shape.

Mental health is described as a state of well-being where a person is able to cope with the normal stresses of life. This state permits productive work output and allows for meaningful contributions to society.

However, different circumstances exist that may affect the ability to handle life’s curveballs. These factors may also disrupt daily activities, and the capacity to manage these changes. 

The following factors, listed below, may affect mental well-being and could increase the risk of developing psychological disorders .

Childhood Abuse

When a child is subjected to physical assault, sexual violence, emotional abuse, or neglect while growing up, it can lead to severe mental and emotional distress.

Abuse increases the risk of developing mental disorders like depression, anxiety, post-traumatic stress disorder, or personality disorders.

Children who have been abused may eventually deal with alcohol and substance use issues. But beyond mental health challenges, child abuse may also lead to medical complications such as diabetes, stroke, and other forms of heart disease.

The Environment

A strong contributor to mental well-being is the state of a person’s usual environment . Adverse environmental circumstances can cause negative effects on psychological wellness.

For instance, weather conditions may influence an increase in suicide cases. Likewise, experiencing natural disasters firsthand can increase the chances of developing PTSD. In certain cases, air pollution may produce negative effects on depression symptoms.  

In contrast, living in a positive social environment can provide protection against mental challenges.

Your biological makeup could determine the state of your well-being. A number of mental health disorders have been found to run in families and may be passed down to members.

These include conditions such as autism , attention deficit hyperactivity disorder , bipolar disorder , depression , and schizophrenia .

Your lifestyle can also impact your mental health. Smoking, a poor diet , alcohol consumption , substance use , and risky sexual behavior may cause psychological harm. These behaviors have been linked to depression.

When mental health is compromised, it isn’t always apparent to the individual or those around them. However, there are certain warning signs to look out for, that may signify negative changes for the well-being. These include:

  • A switch in eating habits, whether over or undereating
  • A noticeable reduction in energy levels
  • Being more reclusive and shying away from others
  • Feeling persistent despair
  • Indulging in alcohol, tobacco, or other substances more than usual
  • Experiencing unexplained confusion, anger, guilt, or worry
  • Severe mood swings
  • Picking fights with family and friends
  • Hearing voices with no identifiable source
  • Thinking of self-harm or causing harm to others
  • Being unable to perform daily tasks with ease

Whether young or old, the importance of mental health for total well-being cannot be overstated. When psychological wellness is affected, it can cause negative behaviors that may not only affect personal health but can also compromise relationships with others. 

Below are some of the benefits of good mental health.

A Stronger Ability to Cope With Life’s Stressors

When mental and emotional states are at peak levels, the challenges of life can be easier to overcome.

Where alcohol/drugs, isolation, tantrums, or fighting may have been adopted to manage relationship disputes, financial woes, work challenges, and other life issues—a stable mental state can encourage healthier coping mechanisms.

A Positive Self-Image

Mental health greatly correlates with personal feelings about oneself. Overall mental wellness plays a part in your self-esteem . Confidence can often be a good indicator of a healthy mental state.

A person whose mental health is flourishing is more likely to focus on the good in themselves. They will hone in on these qualities, and will generally have ambitions that strive for a healthy, happy life.

Healthier Relationships

If your mental health is in good standing, you might be more capable of providing your friends and family with quality time , affection , and support. When you're not in emotional distress, it can be easier to show up and support the people you care about.

Better Productivity

Dealing with depression or other mental health disorders can impact your productivity levels. If you feel mentally strong , it's more likely that you will be able to work more efficiently and provide higher quality work.

Higher Quality of Life

When mental well-being thrives, your quality of life may improve. This can give room for greater participation in community building. For example, you may begin volunteering in soup kitchens, at food drives, shelters, etc.

You might also pick up new hobbies , and make new acquaintances , and travel to new cities.

Because mental health is so important to general wellness, it’s important that you take care of your mental health.

To keep mental health in shape, a few introductions to and changes to lifestyle practices may be required. These include:

  • Taking up regular exercise
  • Prioritizing rest and sleep on a daily basis
  • Trying meditation
  • Learning coping skills for life challenges
  • Keeping in touch with loved ones
  • Maintaining a positive outlook on life

Another proven way to improve and maintain mental well-being is through the guidance of a professional. Talk therapy can teach you healthier ways to interact with others and coping mechanisms to try during difficult times.

Therapy can also help you address some of your own negative behaviors and provide you with the tools to make some changes in your own life.

A Word From Verywell

Your mental health state can have a profound impact on all areas of your life. If you're finding it difficult to address mental health concerns on your own, don't hesitate to seek help from a licensed therapist .

World Health Organization. Mental Health: Strengthening our Response .

Lippard ETC, Nemeroff CB. The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders . Am J Psychiatry . 2020;177(1):20-36. doi:10.1176/appi.ajp.2019.19010020

 Helbich M. Mental Health and Environmental Exposures: An Editorial. Int J Environ Res Public Health . 2018;15(10):2207. Published 2018 Oct 10. doi:10.3390/ijerph15102207

Helbich M. Mental Health and Environmental Exposures: An Editorial. Int J Environ Res Public Health . 2018;15(10):2207. Published 2018 Oct 10. doi:10.3390/ijerph15102207

National Institutes of Health. Common Genetic Factors Found in 5 Mental Disorders .

Zaman R, Hankir A, Jemni M. Lifestyle Factors and Mental Health . Psychiatr Danub . 2019;31(Suppl 3):217-220.

Medline Plus. What Is mental health? .

National Alliance on Mental Health. Why Self-Esteem Is Important for Mental Health .

By Elizabeth Plumptre Elizabeth is a freelance health and wellness writer. She helps brands craft factual, yet relatable content that resonates with diverse audiences.

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Psychological Disorders Essay Examples for Free

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Stressful Situations and Psychological Consequences

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A Comprehensive Essay Sample on Mental Illnesses

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Mental illnesses refer to a wide range of disorders affecting a person’s cognitive abilities, mood, and behaviors. Many people admit to having mental disorders or, at least, concerns from time, though most of them manage to overcome them and improve in the longer perspective. Yet, the rest must request psychological help to recover and improve their health conditions. To better understand the disorders faced by these people, it is necessary to cover key mental disorders, diagnosis and treatment options.

Diagnosing mental illnesses is performed using physical examinations, laboratory tests and psychological evaluation. At first, the person usually applies for help to the primary care facilities and consults with the doctor on the options for ruling out revealed psychological problems. Then, laboratory tests might be involved and include, for instance, checking thyroid function or screening for alcohol or drug abuse. Eventually, the psychological evaluation might greatly contribute to the enumeration of the symptoms and their synchronization with one of the mental diseases.

The person might suffer from some mental illnesses and disorders, and they all are grouped by symptoms or the cause that leads to their development. Bipolar and related disorders include alternating disorders and episodes of mania, changing periods of depression and increased excitement (APA, 2018). Depressive disorders generally involve the disorders that significantly affect one’s emotional state, happiness, and sadness. These include dysphoric disorders, depression, anxiety and others. Neurodevelopmental disorders encompass a wide range of psychological problems that usually become evident in childhood, such as autism, attention deficit, and learning disorders (APA, 2018). Anxiety disorders are related to the worries and negative feelings associated with the future and various fears and excessive nervousness. Obsessive-compulsive disorders include obsessions or preoccupations with a profession, person, certain item or idea (APA, 2018). Examples of these include hoarding disorder and hair-pulling disorders. Dissociative disorders cause the person to sense oneself disrupted due to dissociative amnesia and dissociative identity disorder (APA, 2018). Sleep-wake disorders, such as insomnia, sleep apnea, and restless legs syndrome, significantly affect the sleeping capabilities of the person (APA, 2018). Gender dysphoria refers to disorders associated with the stress caused by a person’s desire to be another gender.

Patients who suffer from mental illnesses and disorders are open to some treatment options. Usually, the treatment plan includes consultations with family or primary care doctors, nurse practitioners, physicians or psychologists. The person might be prescribed medications, which compensate for some of the needed substances that are not developed by the person’s organism (APA, 2018). Antidepressants are used to treat depression, anxiety and other psychological conditions. They improve symptoms such as sadness, lack of energy, and difficulties with concentration. They are not addictive, so their consumption does not lead to dependency. Mood-stabilizing medications help patients to cope with various mood disorders and swings. Psychotherapy usually provides for talking about the problems and hardships experienced by the patient and related issues (APA, 2018). During psychotherapy, the patient reveals and learns more about his other mental problems, which eventually helps to cope with the stress and disorder by practicing coping and stress management skills. Brain stimulation treatment deals with depression and other mental health illnesses (APA, 2018). They are used in case psychotherapy, and medications are not effective. These might include electroconvulsive therapy, experimental treatments, magnetic stimulation and others. Hospital and residential programs are prescribed for those needing prolonged treatment and supervised by the professionals provided constantly.

📎 References:

1. APA. (2018). Psychology help center. Retrieved from https://www.apa.org/topics/mental-health/help-emotional-crisis

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Understanding the Cultural Differences of Psychological Disorders Analytical Essay

Although the overall classification of psychological disorders appear to be universalistic in nature and scope, there exists compelling evidence to the effect that an individual’s cultural background colors every facade of illness experience, from linguistic construction and content of delusions to the distinctive meaning of expressed emotion.

It, therefore, becomes critical for caregivers and other stakeholders to consider the cultural background of individuals presenting with psychological disorders, along with their exposure to cultural change, if proper inferences of pathology are to be developed and the existing disorders recognized (Canino & Alegria 156).

This paper aims to determine the extent to which psychological disorders differ in their basic definitions and constellation of symptoms, as influenced by the various cultures and subcultures residing in the United States.

The sociocultural perspective on psychological disorders proposes that it is virtually impossible to entirely elucidate all forms of psychopathology without focusing attention to factors outside the individual – particularly the social and cultural factors that shape the context, or background, of what is considered as abnormal behavior.

Consequently, when this perspective is put into focus, available literature suggest that psychological disorders should be evaluated while paying close “…attention to social-cultural factors such as gender, age, and marital status; the physical, social, and economic situations in which people live, and the cultural values, traditions, and expectations in which they are immersed” (Bernstein 464).

When the sociocultural perspective is put into consideration, it becomes clear that the multiplicity of factors projected influences not only what is and is not labeled as ‘abnormal’ by society, but also who exhibits what kind of disorder and how serious does the society within the cultural context perceives the disorder (Versola-Russo 90).

Having laid the groundwork for the discussion, it is essential to look at the specific examples of how the psychological disorders are looked upon differently under the cultural context in the United States. It is a well-known fact that gender and the roles that are allocated to each gender, male or female, are cultural specific (Lewis-Fernandez et al. 215).

In this light, it has been reported that “…the greater tolerance in many cultures for open expression of emotional distress among women but not men may contribute to the fact that women report higher rates of depression than men do” (Bernstein 464).

In the cultural context, it has been found that a large percentage of African American women are affected by depression than what is reported for Caucasian women and Hispanic women, a fact that has been attributed to poor coping mechanisms, weak family systems, and oppressed identity due to the male-dominated viewpoint of society (Lewis-Fernandez et al. 213).

In most African American families, the man is considered as the sole breadwinner of the family, and women are supposed to look upon the men for social, emotional and financial support.

This cultural arrangement occasions great emotional turmoil on African American women in the eventuality that the man fails to deliver, leading to higher incidences of depression. On the contrary, most Caucasian women are socialized to be independent early in life, and thus develop effective coping mechanisms to face life challenges later on (Canino & Alegria 160).

Moving on, it is evident that some cultures view excessive consumption of alcohol as appropriate while others view it as less appropriate.

Available psychological literature demonstrates that this perception may set the stage for rates of alcohol abuse that are higher in some cultures than in others, and, consequently, alcohol abusers in cultures that allow excessive consumption of alcohol may be perceived as having alcohol-related psychological disorders than those individuals who come from cultures that restrict alcohol use (Bernstein 464).

For example, many African American men are deemed to be suffering from alcohol-related psychological syndromes than Asians and Hispanics residing in the United States, probably due to the cultural construct of what constitutes excessive consumption of alcohol.

This observation provides credence to the assertion that specific symptoms of alcohol-related psychological dysfunctions tend to be at variance depending on an individual’s cultural background (Canino & Algeria 161; Bernstein 464).

In anxiety-related psychological disorders, it has been observed that many Puerto Rican and Dominican Hispanic Women residing in the United States often experience what is referred to as “attacks of the nerves.” These attacks come in the form of heart palpitations, shaking, elevated nervousness and seizure-like occurrences (Bernstein 464).

While these behavioral orientations can be expressed by Puerto Ricans and Dominicans as a standard way of reacting to an uneasy situation, they are viewed in the mainstream white community as critical indicators of anxiety-related psychological disorders (Lewis-Fernandez et al. 215).

This, therefore, implies that what is viewed as ‘abnormal’ behavior by individuals of a particular culture can pass as ‘normal’ behavior when evaluated within the context of a different cultural grouping.

In mental illness, culture is again central in determining how individuals communicate and exhibit symptoms associated with this condition, their coping mechanisms, their social and psychological support systems, and their enthusiasm to seek either traditional or conventional treatment (Versola-Russo 92).

In many traditional African American families, mental illness was perceived to have a demonic orientation, and spiritual healing through prayers was the preferred way to treat individuals manifesting symptoms of a mental illness. Most African families who have immigrated to the United States to date view cases of mental illness as arising from witchcraft, implying that they have no cure (Canino & Alegria 161).

In the mainstream white community, however, mental illness is viewed as a culture-general disorder that should be treated using psychiatry-oriented medical interventions (Lewis-Fernandez et al. 220).

The above discussion demonstrates that the perception of psychological disorders not only varies within the cultural dynamics, but this variation fundamentally influences the diagnosis, treatment, management and reintegration of individuals suffering from these disorders back into the society (Versola-Russo 92).

Of course, there exist many other examples of psychological disorders that could be used to demonstrate this variation; but the examples sampled and used in this paper provides enough ground for the assertion that the overall classification of psychological disorders cannot be complete without considering the social-cultural context.

Works Cited

Bernstein, Douglas A. Essentials of Psychology . 5th ed. Belmont, CA: Wadsworth Cengage Learning. 2011.

Canino, Glorisa & Margarita Alegria. “Psychiatric Diagnosis – Is it Universal or Relative to Culture?” Journal of Child Psychology & Psychiatry 49.3 (2008): 156-165. Web.

Lewis-Fernandez, Roberto, Devon E. Hinton, Amoro J. Laria, Elissa H. Patterson, Stefan G. Hofmann, Michelle G. Craske…Betty Liao. “Culture and the Anxiety Disorders: Recommendations for DSM-V.” Depression & Anxiety 27.2 (2010): 212-229.

Versola-Russo, Judy M. “Cultural and Demographic Factors of Schizophrenia.” International Journal of Psychosocial Rehabilitation 10.2 (2006): 89-103.

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Psychological Disorders Essay Examples

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Psychology plays a profound role in shaping our perceptions, decisions, and interactions in everyday life. This essay explores the ways in which psychology impacts our daily experiences, from influencing our behavior to enhancing our communication skills, and delves into the practical applications of psychological principles...

Short Essay About Depression: Types and Causes

Unfortunately, there is small amout of essays about depression, but I want to mention that if you have a depression, then you may have trouble doing normal day-to-day activities, and sometimes you may feel as if life is not worth living. More than just a...

Commonality Between Borderline Personality Disorder and Emotional Dysregulation

Borderline personality disorder (BPD) shares a commonality with emotional dysregulation in that they are disorders which compromise an individuals ability to use their emotions to guide effective action (Chapman, 2019, McMain et al, 2019). Treatment used to treat BPD is Dialectical Behaviour Therapy (DBT). Standard...

Treatment for Major Depressive Disorder

Major Depression Disorder is a mood disorder which is described by persistent sadness and lack of interest in most matters. It affects the way one behaves, feels and thinks. It also causes various emotional and physical issues. Talk therapy and medications can be used to...

Attention Deficit Hyperactivity Disorder as a Neurodevelopment Disorder

 Attention deficit hyperactivity disorder (ADHD) is a neurodevelopment disorder which is most common in children, it causes patients to be hyperactive, inattentive and impulsive (Geladé K 2017). ADHD patients have been found to have an increased Theta wave and a decreased beta wave, an increased...

The Types, Triggers, and Treatments of Anxiety Disorder

Anxiety is a complex disorder that has many symptoms attributed to it. One symptom of anxiety is the developing changes in a person’s natural habits, such as being increasingly tired. Another symptom of anxiety is having chronic worries. An example of this is looking at...

The Role of Nature and Nurture in the Development of Psychosis

When looking at the contributions of nature and nurture on adolescent mental health, it is likely that the causes of illnesses such as Psychosis, are not nature or nurture individually, but actually a combination of the two; therefore it is important to discuss how they...

Cognitive Models and Their Accountability for Diverse Psychosis Symptoms

The term ‘psychosis’ is one that has been associated with a variety of different processes and behaviours amongst the years. More is constantly being learned, and something that used to be associated with supernatural causes, and subsequently simply as result of physical trauma and bodily...

The Concept of Attention Hyper Deficit Disorder in Children

The concept of “Attention Hyper Deficit Disorder” has intrigued me ever since I was diagnosed with it four years ago. I was given a prescription to Adderall and after taking the medication for two years, I grew tired of it, mainly due to the unexpected...

Psychosis in Adults: a Therapeutic Approach

Psychosis is a mental state of altered sensory perceptions which is a collection of symptoms rather than a disease, where a person's mood, perceptions, thoughts or even behaviors might alter. A person may not function in self-care and everyday tasks with psychosis. The most common...

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