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Mental health is your ability to:
Think clearly
Handle stress
Build relationships
Learn and grow
Function in daily life
Good mental health helps people work, learn, maintain relationships, and enjoy life.
Mental Illness
Mental illness is a health condition involving changes in:
Emotions
Thinking
Behavior
It causes distress and interferes with daily functioning.
Mental Illness Causes/Risk Factors
There is no single cause.
Factors include:
Trauma
Abuse
Genetics
Brain chemistry imbalance
Substance use
Medical illnesses
Loneliness and isolation
Stressful life events [
Mental Health Disorders
A mental health disorder is a diagnosable condition based
on specific symptoms
Mental Health Disorders - Major Categories
Major Categories
Anxiety disorders
Trauma disorders
Dissociative disorders
Personality disorders
Mood disorders
Schizophrenia disorders
Neurocognitive disorders
Neurodevelopmental disorders
Eating disorders
Substance use disorders
Mental Health Continuum
Mental health is not all-or-nothing.
People move back and forth on a continuum between wellness and illness
Five Zones - 1. Excelling
Highest level of wellness.
Motivated
Successful
Strong relationships
Handles stress well
2. Thriving
Healthy coping skills.
Stress occurs but is managed.
Good daily functioning.
3. Surviving
Beginning to struggle.
Nervous
Irritable
Distracted
Withdrawn
4. Struggling
Mental health affecting daily life
anxiety
Depression
Poor concentration
Low energy
5. Crisis
Emergency situation.
Severe symptoms
Irrational thinking
Cannot function normally
Possible suicidal thoughts
4. Wellness-Illness Model
Three areas:
Well-being
Neutral
Disability
Well-being
Healthy
Stress managed
Growth occurring
Neutral
No illness symptoms
Can still function
Disability
Mental illness present
Significant functional difficulties
5. Diathesis-Stress Model
Diathesis =
predisposition (genetic risk)
Stress =
environmental trigger
Mental illness often develops when
a person with a predisposition experiences significant stress.
Mental illness often develops when a person with a predisposition experiences significant stress. [exam 1 mental health | PDF]
Example:
Family history of depression (diathesis)
Loss of a loved one (stress)
Depression develops
6. Social Determinants of Mental Health (SDOMH)
Conditions in life that affect mental health.
6. Social Determinants of Mental Health (SDOMH) - Risk Factors
Lack of social support
Poverty
Food insecurity
Unemployment
Poor housing
Poor education
Limited access to healthcare
Unsafe neighborhoods
Childhood trauma
6. Social Determinants of Mental Health (SDOMH) Protective Factors
Supportive family
Community resources
Quality healthcare
Education
Stable housing
7. Adverse Childhood Experiences (ACEs)
Traumatic childhood experiences that increase risk for mental illness later in life
ACE Examples
Physical abuse
Emotional abuse
Sexual abuse
Physical neglect
Emotional neglect
Domestic violence
Divorce
Family member with mental illness
Family member with substance use disorder
Family member in prison
Effects of ACEs
Higher risk for:
Depression
Anxiety
Substance abuse
Suicide
Poor school performance
Chronic diseases later in life
8. Trauma-Informed Care
Care that recognizes past trauma affects current behavior.
Trauma-Informed Care Main ideas:
Safety
Trust
Peer support
Collaboration
Empowerment
Cultural sensitivity
9. Stigma
A negative attitude toward people with mental illness.
Types of Stigma
Public Stigma
Self-Stigma
Institutional Stigma
Public Stigma
Negative attitudes from society.
Example: "People with schizophrenia are dangerous."
Self-Stigma
Person believes negative stereotypes about themselves.
Example: "I'm weak because I have depression."
Institutional Stigma
Organizations create barriers.
Example: Insurance covering medical care but not psychiatric care
Implicit Bias
Unconscious bias.
Example: Avoiding a schizophrenia patient without realizing why.
Explicit Bias
Intentional discrimination.
Example: Making negative comments about a person with depression.
11. DSM-5-TR
Diagnostic and Statistical Manual of Mental Disorders.
DSM-5-TR Purpose:
Diagnoses mental disorders
Provides criteria for disorders
Standard language for healthcare providers
It does NOT tell you how to treat disorders.
Nursing Core Values
Trust
Inclusiveness
Innovation
Empowerment
Trust
Be honest and dependable.
Inclusiveness
Respect diversity.
Innovation
Be open to new ideas.
Empowerment
Help clients participate in decisions.