Transcript Schizophrenia presentation by Dr. Nusrat Habib Rana, E.D.

COMMUNITY MENTAL
HEALTH
By
Dr. Nusrat Habib Rana
Executive Director, PIMH
Describing Mental Health – One
The emotional resilience which enables us
to enjoy life and to survive pain,
disappointment and sadness. It is a positive
sense of well being and an underlying belief
in our own and others dignity and worth.
Mental Health Fact sheet, HEA (1996)
Describing Mental Health – Two
The ability to : ► Develop psychologically, emotionally, intellectually
and spiritually.
► Initiate, develop and sustain mutually satisfying
personal relationships.
► Become aware of others and to empathies with
them.
► Use psychological stress as a development
process.
Together We Stand and Adolescent Mental Health
Services
NHS Health Advisory Service, HMSO (1995)
DESCRIBING MENTAL HEALTH – THREE
Five senses of mental health: ► A sense of trust
► A sense of challenge
► A sense of competency
► A sense of accomplishment
► A sense of homour
Four things which often underlie mental
health problems: ► Shame, guilt, fear and isolation.
The concept of Mental Health (conference paper),
Dr. Dennis Trent (1995)
DEMYSTIFYING MENTAL ILLNESS
Neurosis
Psychosis
Anxiety
Bi-polar Disorder
Depression
Schizophrenia
NEUROSIS
Anxiety:
Characteristics:
Excessive worrying & agitation
Physical symptoms e.g. rapid breathing / fast heart rate.
Anxiety (Phobias):
Specific fear of an object or person that adversely
affect a persons life.
Anxiety (OCD):
Obsessive thoughts leading to some form of
obsessive behavior.
DEPRESSION
The diagnosis is used to describe a range of moods
ranging from low spirits to more severe problems where
depression interferes with everyday life.
SYMPTOMS
Feeling of unhappiness that don’t go away
 Unable to enjoy anything
 Utterly tired
 Suicidal thoughts
 Avoiding others
 Weight loss / Weight gain
 Going off sex
 Restless / Loss of sleep
 Loss of interest in life

PSYCHOSIS – CONTINUED
Schizophrenia
Two groups of symptoms
Negative
&
Cannot concentrate
Stay in House/Bed
Feel uncomfortable with people.
Feel Worthless
Nothing to say
Difficult to maintain hygiene
Loss on interest in life.
Loss of energy.
Loss of emotion
Positive
-DELUSIONS:




Uncommon beliefs
‘Unreal’ beliefs
Grandeur
Paranoid (Persecution)
-THOUGHT DISORDER
 Poor concentration
 Drift of thought
 Disconnected Thought
-HALLUCINATIONS




Hearing voices
Smell
Feel (Tactile)
See (Auditory)
-THOUGHT
Broadcast/insertion/control
Someone taking thoughts
Someone inserting thoughts Ability
to
transmit
thoughts
Being
controlled/influenced
DUAL DIAGNOSIS
Term often used with respect to individuals with
mental health problems and substance misuse
issues
The ‘Cause’ or ‘Result’ Scenario
Mental Health
Problems
Coping
Mechanism
Substance
Misuse
Substance
Misuse
Catalyst
Mental
Health
Problems
HELPING YOURSELF AND OTHER
If you suspect someone may be feeling
suicidal, be ALERT
► Ask if they are thinking about suicide
► Listen and show you care
► Encourage them to get help and support
them to do so.
► Right now
► Tell someone.