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define mental wellbeing
our state of mind, enjoyment of life, and ability to copy with normal stressors of everyday life and develop to our potential
levels of functioning
the degree to which an individual can complete day to day tasks effectively and independently
high levels of functioning
meeting life’s challenges adaptively, independent self care (hygiene, eating, meds), good interpersonal relationships, emotional self regulation, clear thinking and decision making, productive at school or work
low levels of functioning
struggling with basic hygiene, uncharacteristic lethargy or tiredness, lacking direction or goals, inability to cope with environmental changes
resilience
the ability to successfully cope with and manage change and uncertainty - “bouncing back” in the face of adversity
high resilience traits
strong self efficacy, high self esteem, optimism, hope, flexibility
SEWB framework
holistic and multidimensional view of health for aboriginal and torres strait islander peoples that recognises their connection to country, culture, spirituality, ancestry, family and community
holistic
considers the whole person
multidimensional
individual sits within a network of interrelated domains
SEWB - body and behaviours
physical health and connection to body
SEWB - mind and emotions
personal mental experience and managing feelings
SEWB - family and kinship
systems of caring and respect for elders
SEWB - spirit, spirituality and ancestors
sacred relationship between Country, beings past, present and future
SEWB - community
connection to a communal space and working together
SEWB - culture
secure identity, heritage and knowledge systems
SEWB - country
spiritual association and belonging to an area of land
adaptive behaviours
any behaviour that enables the individual to adjust to the environment appropriately and effectively
maladaptive behaviours
any behaviour that is detrimental, counterproductive, or otherwise interferes with the individual’s ability to successfully adjust to the environment and fullfill typical roles
mentally healthy
positive state, managing challenges, and connecting with others
mental health problem
“rough patch”, less severe and more temporary than a mental disorder
mental disorder
significant stress and impaired functioning, diagnosable
stress
state of pyschobiological arousal in response to percieved challenges
anxiety
apprehension/worry about unpleasant future events
phobia
diagnosable anxiety disorder characterized by persistent, intense, irrational fear of a specific stimulus that adversely impacts functioning
comparing stress, anxiety and phobia
stress/anxiety = sometimes adaptive, some avoidance, severe if unmanaged. ; phobia = never adaptive, total avoidance, severe impact
GABA dysfunction (predisposing)
significantly low levels of GABA (primary inhibitory neurotransmitter) = excessive neural firing (overstimulation) and heightened fear response
long term potential - LTP (perpetuating)
strengthening of synaptic connections in the fear neural pathway = strengthens the association between phobic stimulus (CS) and fear response (CR) through repeated activation
benzodiazepines
GABA agonists - short acting medications that mimic inhibitory effect of GABA (increase inhibitory effect to reduce physiological arousal and anxiety)
breathing retraining
teaching conscious control of slow, deep breathing = restored oxygen/carbon dioxide balance and activates parasympathetic response to lower heart rate
classical conditioning (precipitating)
associating a neutral stimulus with a traumatic event
operant conditioning (perpetuating)
avoidance behaviours remove unpleasant feelings of fear = maintained phobia
memory bias (perpetuating)
tendency to focus on recalling negative content of experiences with phobic stimuli more than positive/neutral ones
catastrophic thinking (perpetuating)
over-emphasizing the worst possible outcomes and underestimating coping capacity
cognitive behavioural therapy (CBT)
identifying and countering irrational thoughts with factual ones (cognitive). / using relaxation techniques and rewards to discourage avoidance (behavioural)
systematic desensitisation
aims to replace fear with relaxation using classical conditioning (1. learn relaxation technique; 2. create fear hierarchy (least to most feared); 3. gradual exposure to hierarchy items paired with relaxation)
specific environmental triggers (precipitating)
direct traumatic experiences with an object/situation
stigma (perpetuating)
fear of social disapproval or ridicule preventing a person from seeking treatment
psychoeducation
challenging unrealistic thoughts (replacing anxious thoughts with balanced ones) and discouraging avoidance behaviours (not reinforcing behaviours that perpetuate phobia)
maintenance of mental wellbeing - bio
adequate nutrition/hydration, adequate quality/quantity of sleep
maintenance of mental wellbeing - psych
cognitive behavioural strategies (techniques to correct problem thinking and behaviours), mindfulness meditation (breathing and experiencing thoughts freely and without judgement)
maintenance of mental wellbeing - social
social support (assistance and care from family, friends and community - validating feelings, avoiding shared downward spirals, being authentic, listening well)
cultural determinants - cultural continuity
preservation of culture, history and belonging over time, including passing language and traditions to younger generations
cultural determinants - self determination
basic human right for communities to freely determine their own political, cultural and social development (outcomes are best when people are empowered to lead the development and delivery of their own policies and services)