Psychological problems Flashcards
What is mental health?
A person’s emotional and psychological wellbeing; this allows them to cope with the normal stresses of everyday life and to function in society.
What are mental health problems?
Diagnosable conditions in which a person’s thoughts, feelings, and behaviours change and they are less able to cope and function.
What are some characteristics that a mentally healthy person will display?
- Not overcome by difficult feelings.
- Having good relationships with others.
- Being able to deal with disappointments and problems.
- Being able to cope with stresses and demands of everyday life.
- Effectively coping with difficulties and challenges.
- Being able to make decisions.
- Functioning as part of society.
- Positive engagement with society.
What is important to bear in mind with these characteristics?
Not having all of these, does not mean that someone has a mental health problem.
How do mental health problems affect an individual?
They affect the way you think, feel, and behave.
What are the most common mental health problems?
- Depression.
- Anxiety.
What are the least common mental health problems?
- Schizophrenia.
- Bipolar disorder.
What are the two different ways of identifying and diagnosing mental health problems?
- International Classification of Diseases. (ICD-10)
- Associates Diagnostic and Statistical Manual of Mental Disorders.
(DSM-5)
What affects different beliefs surrounding mental health problems?
Cultural variations.
What has been believed throughout history about mental health problems?
Throughout history, mental health problems have often been believed to have a supernatural or spiritual origin.
If supernatural was a cause, what would they say it was affected by?
Suggested causes for people’s symptoms included possession by evil spirits, being cursed, and being a witch.
What did European and North American people believe during the 14th to 16th centuries?
Many people, especially women, were accused and tried for being witches.
What is one explanation behind people being tried for being witches in the 16th to 17th centuries?
It is now believes that mental health problems may have resulted in some of the behaviours that led to people being accused.
In which cultural group is having mental health problems seen as shameful?
In Asian cultures, mental health problems are strongly stigmatised and seen as a form of personal weakness.
What does this stigma lead to?
Can result in people experiencing economic, social, and legal discrimination.
What does stigma mean?
Situations, people, or characteristics that are disapproved of and seen as shameful by much of society.
What happens in cultures where a person’s behaviour reflects on their whole family?
It is common for people with mental health problems to be kept away from other people and cared for by their family.
What do cultural beliefs as a whole affect?
The type of treatment people receive. Treatments are closely linked to beliefs about the cause of mental health problems.
What is the treatment offered in cultures where it is seen as a biological cause?
Medication is commonly used.
What is the treatment offered in cultures where it is seen as a spiritual cause?
Treatments may range from prayer to exorcisms.
What is the treatment offered in cultures where it is promoted to share openly about yourself and your emotions are valued?
Self-help groups and therapy.
What is the treatment offered in cultures where it is seen to be shameful to have mental health problems?
People may be kept completely isolated and unable to talk to anyone about what they are experiencing.
What does emerging data suggest about mental health problems?
Worldwide, more people than ever before are being diagnosed with a mental health problem.
Which mental health problem is staying at a consistent rate?
Schizophrenia.
Which mental health problem has a growing rate of diagnosis?
Depression.
What do psychologists believe that one of the explanations is for the rising diagnosis levels may be caused by?
Some medical professionals believe that changes in the classifications of some conditions mean that more people now meet the criteria for diagnosis
What do psychologists believe that another of the explanations is for the rising diagnosis levels may be caused by?
More people are also seeking medical and psychiatric treatment as many cultures come to rely less on traditional methods of dealing with mental health problems.
So what is the main factor for the uprise in diagnosises?
Changes in diagnosis levels may explain some of the upward trend in mental health problems, but there may also be other factors involved.
What is something that really affects mental health?
Modern living.
What can living in a more populated area do to your mental health?
It can increase stress.
How do we know that it can increase stress?
Brain scans show that people living in cities have a more active amygdala than people living in less populated areas. One role of the amygdala is responding to threats.
What living situations can take a toll on your mental health?
Loneliness and isolation can be factors in mental health problems such as depression and anxiety.
What does isolation mean?
Being or feeling alone and separate from other people.
What is a survey that backs this up?
A recent survey for the Mental Health Foundation found that one in ten people in the UK report feeling lonely and this is increasing amongst young people.
What may be increasing our levels of loneliness?
Changes in the way that we live.
What is an example of why we could change the way in which we live?
More people are living on their own, often some distance away from family members. This may be down to needing to move for work, family breakdown, and people living longer.
What has changed the way that people interact?
- Technology.
- Social networking sites.
Why have these things changed the way in which people interact?
People can connect with others all over the world, but there are also concerns that technology may be making isolation worse as it increasingly replaces face-to-face communication.
What are some results that back this up?
18% of participants in the Mental Health Foundation survey said they thought they spent too much time communication with family and friends online rather than in person.
What is the Current Western understanding of mental health?
It concerns biological and psychological causes and they began to develop during the nineteenth century. At this time classification systems and psychiatry became a specific area of medicine.
What did the twentieth century see in terms of the Western understanding of Mental Health?
The early twentieth century saw the development of psychoanalysis and the mid-twentieth century saw drugs increasingly become the most common way of treating mental health problems.
What is the traditional understanding of mental health?
It has generally focused on supernatural and spiritual factors. Although biological and psychological causes are now becoming more accepted, myths and misconceptions are still widespread, especially in rural and developing countries.
As a whole, what increases worldwide diagnosis rates?
As more people recognise the biological and psychological nature of mental health problems, they are also more likely to seek medical and psychiatric treatment.
Why was the term ‘metal health’ used?
It was first used in the early twentieth century to try to reduce stigma by focusing on health rather than illness. But a hundred years later, being diagnosed with a mental health problem can still be hugely stigmatising.
What were the findings of the National Attitudes to Mental Illness survey?
It shows that opinions in the UK are changing.
What were these changing opinions a result of?
This may be a result of a variety of things, including campaigns such as ‘‘Time to change’’ and well-known personalities speaking about their own experiences.
What does the WHO think about stigma and discrimination towards people with mental health issues?
As one of the worlds most important health issues. Although one reason for diagnosis levels increasing may be the lessening of social stigma, in order for everyone to be able to seek the treatment they need, more needs to be done.
What are some examples of how people with mental health problems can have difficulty coping with everyday life?
Trouble sleeping, low energy levels, and poor concentration levels all make being in education or work more difficult.
What effect does developing a mental health problem earlier in life have on their everyday life?
Developing a condition earlier in life can stop individuals from finishing their education or training.
What is a statistic that backs up the fact that people struggling find it harder to cope with everyday life?
People in the UK who have a mental health problem are four times more likely to be out of work.
What are two factors of everyday life that can make mental health problems work?
Unemployment and low income can increase stress and anxiety and may well make mental health problems worse.
What can mental health problems also impact?
Physical wellbeing.
What is an example of mental health problems affecting physical wellbeing?
People can find it hard to follow treatment programmes for their mental health condition or other health conditions they may have.
What is an explanation for this struggle?
Possible reasons for this include anxiety about side effects of taking medication, being too depressed to attend appointments, and forgetting to take medication due to concentration difficulties.
What can result in weight loss or gain?
Changes in appetite and side effects of medication.
What can reduce physical exercise levels?
Low energy and mood.
Can relationships also be damaged by mental health problems?
Yes, and in a number of ways.
What does research suggest about the correlation between having a family member whos struggling and developing a mental health problem?
Research suggests that 50 per cent of family members of someone with a mental health problem may also develop some form of mental health problem.
Why does this happen?
Family members may end up becoming caregivers, which can increase stress and cause conflict. The effect on the household income can also increase stress levels. Children may not understand why their parents are different or unable to care for them and they may blame themselves.
What may happen in terms of some children and their parents’ care?
Some children end up being their parents’ caregiver and others may end up in the care system.
What is one last explanation between the correlation of having a family member whos struggling and developing a mental health problem?
People can also become very isolated. The stigma of mental health problems may mean that people choose not to talk about their situation and low mood can lead people to simply withdraw into themselves.
What are the effects on society of mental health problems?
The implications for the economy are one of the main societal effects of mental health problems.
What did a study by WHO find in relation to the economy and mental health?
A study by the WHO found that in developed countries such as the UK, 15 per cent of the economic cost of all health issues is due to mental health problems.
What did the Sainsbury centre for mental health find out about decreased work productivity and mental health?
Decreased work productivity due to mental health problems cost the UK economy over 15 billion pounds every year.
What is said about the danger of mental health problems?
Most individuals with mental health problems do not commit violent crimes, and people with mental health problems are actually more of a danger to themselves.
What did the ministry of justice find out in relation to the percentage of mental health problems in prisoners, and in the general population?
A Ministry of Justice study found that 49 per cent of female and 23 per cent of male prisoners were suffering from anxiety and depression. This compares to 19 per cent of females and 12 per cent of males in the general population.
What link may these figures suggest?
These figures may suggest a link between mental health problems and crime or they may indicate a link between imprisonment and mental health problems.
Overall, what may mental health problems mean for the costs of society?
Mental health problems may mean that social care costs increase. A person with a mental health condition may have a variety of needs to be met. In a welfare state such as the UK, this can result in increased spending in areas such as the health system, social housing, and benefit payments.
What is a misconception between depression and sadness?
Because depression is often linked with its main symptoms of sadness or low mood, many people are unsure of the difference between them.
What is sadness?
Sadness is a normal emotional reaction to certain situations or events, while depression occurs without any obvious trigger. Sadness may seem like it goes on for a long period of time, but is not a continuous feeling that lasts for weeks or months. Sadness hurts and is unpleasant, but it is normal and it does not last.
What is depression then?
Depression affects every part of our daily lives and often does not fet better without medical or therapeutic treatment.
What are the two types of depression?
- Unipolar depression.
- Bipolar depression.
What is unipolar depression?
A mood disorder that causes an individual to feel constantly sad, to lose interest and enjoyment, and to have reduced energy and activity levels.
What is unipolar depression also known as?
Clinical depression or depression.
What do people with depression generally suffer from?
They have a continuous low mood, and loss of enjoyment and energy.
What is a characteristic of unipolar depression?
Those suffering from it only experience a change of mood in one direction.
What is bipolar depression?
A mood disorder that causes an individual’s mood, energy, and activity levels to change from one mood to another.
What do people with bipolar depression generally suffer from?
As well as having depressive type symptoms such as low mood, people with bipolar disorder also have high moods known as mania.
What happens during a manic episode?
During a manic episode, people may have increased energy and feelings of extreme excitement. They may be unable to sleep, be more talkative, and may do risky or extreme things.
What is a characteristic of bipolar depression?
Someone with bipolar depression experiences two types of mood change.
Who can give formal diagnosis of depression?
Only a doctor.
How do doctors diagnose depression?
Doctors ask a number of standard questions based around the diagnostic criteria set out in the ICD-10 and DSM-5.
What do doctors do because some medical conditions also have similar symptoms to depression?
A doctor may also do a physical examination as well as blood and urine tests.
What gives a number of possible symptoms for depression?
The ICD-10.
What does the number and severity of the symptoms an individual experiences determine?
Whether a depressive episode is considered to be mild, moderate, or severe.
What is very important to note about the length of the symptoms?
Symptoms would generally need to be continuously present for at least two weeks for a diagnosis of depression.
What are the symptoms given in the ICD-10 for a depressive episode?
- Low mood.
- Reduced energy and activity levels.
- Changes to sleep pattern.
- Changes to appetite levels.
- Decreased self-confidence.
- Lack of interest and enjoyment.
- Reduced concentration and focus.
- Feelings of guilt and worthlessness.
- Negative thoughts about the future,
- Suicidal thoughts.
What are the three theories that explain the cause of depression?
- Biological.
- Psychological.
- Social.
Which two theories will we look in depth at?
- Biological.
- Psychological.
What is the biological explanation for depression?
The influence of nature.
What is nature?
It is the idea that our characteristics and behaviors are inherited.
So, what is suggested by this theory when it comes to depression’s cause?
It is suggested that whether an individual will suffer from depression is predetermined by their genes and biology.
Bearing that in mind, what is one biological explanation for depression then?
It is that depression can be caused by an imbalance of neurotransmitters (chemicals).
How does the brain use neurotransmitters?
The brain uses these chemicals to communicate with itself and with the nervous system and the body. These chemical messages are received and sent by the brain’s neurons (nerve cells). Neurons are constantly communicating with each other using neurotransmitters, and this communication is very important for the brain to function properly.
What are the two main neurotransmitters linked with depression?
- Serotonin.
- Norepinephrine.
What does serotonin do?
Serotonin helps to control biological functions like sleep patters, aggression levels, appetite, and mood.
How did researchers investigate the link between serotonin and depression?
Researchers used PET scans to study the brains’ of depressed people and compared them to the brain of people who were not depressed. They measured levels of a serotonin receptor and found less in the brains of the depressed people, especially in the hippocampus.
What is the hippocampus?
The hippocampus is part of the temporal lobe and it is involved in storing our memories and connecting them to our emotions.
What have MRI scans also found out about the hippocampus?
MRI scans have also found that people who are de[ressed have a smaller hippocampus.
What does norepinephrine do?
It gets the brain and beady ready for action and high levels are released during the fight or flight response.
What have autopsy studies revealed about norepinephrine?
Autopsy studies of people who have had many depressive episodes have found that they have fewer neurons that release norepinephrine.
What has other research found in terms of norepinephrine and serotonin levels? (Their correlation)
Other research has found that in some people, low levels of serotonin may cause a decrease in norepinephrine levels.
What is important to consider when thinking about the biological explanation for depression?
Although research does suggest that neurotransmitters are somehow involved in depression, it is very difficult to actually measure the levels of chemicals in the brain. The brain is also very complex and there are many chemical reactions that affect your mood in some way.