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How can mental health conditions develop?
biological factors like genetics or chemical imbalances
environmental factors like stress, trauma, poor coping habits
both
Depression
mood disorder caused by chemical imbalance, stress, or environmental factors
persistent sadness, fatigue, loss of interest, hopelessness, poor sleep or appetite, and sometimes suicidal thoughts
therapy, medication, exercise, and healthy habits
Anxiety disorders
excessive fear or worry that interferes with daily life
racing thoughts, restlessness, sweating, rapid heartbeat, difficulty concentrating
therapy, stress management, relaxation techniques, and medication
ADHD
chronic condition that affects attention, focus, and impulse control; often begins in childhood
difficulty focusing, forgetfulness, impulsivity, restlessness, excessive talking
behavioral therapy, structure/routine, and medication
PTSD
develops after experiencing or witnessing a traumatic event (abuse, combat, disaster, loss)
flashbacks, nightmares, avoidance of triggers, mood swings, difficulty sleeping, hypervigilance
psychotherapy, exposure therapy, and medication
Stressor
anything that causes anxiety, tension, or stress
external (environment, finances) or internal (emotions, trauma)
White coat syndrome
when a person's blood pressure spikes only when measured in a medical setting, but remains completely normal in their daily life
Environmental stressors
factors in a person’s surroundings that can cause emotional or physical strain
pollution or poor air quality
excessive noise or overcrowding
extreme weather, natural disasters
discrimination or language barriers
violence or accidents (theft, car crashes, physical assault)
can lead to physical tension, sleep problems, anxiety, or even PTSD after traumatic events
Socioeconomic stressors
financial and social pressures
job loss or lack of job security
sudden large expenses (medical bills, car repairs)
debt or inability to meet financial obligations
loss of housing or transportation
retirement or reduced income
Core principles of communication
active listening: Pay full attention to what the patient is saying, both verbally and nonverbally.
empathy: Show understanding and compassion for what the patient feels.
respect: Treat every patient with dignity, regardless of their background, condition, or attitude.
clarity: Use simple, clear language to avoid confusion.
patience: Allow patients time to think and respond—don’t rush their answers.
Communication technique tips
reflection: Repeat or rephrase the patient’s statement to show understanding and encourage elaboration
observation: Point out behaviors or changes you notice
recognition: Acknowledge the patient’s progress or efforts.