mental health & mental disease. mental health & self esteem mental health is the well being...
TRANSCRIPT
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Mental Health & Mental Mental Health & Mental DiseaseDisease
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Mental Health & Self EsteemMental Health & Self Esteem
Mental health is the Mental health is the well being of the mind. well being of the mind. Self esteem is vitalSelf esteem is vital
Self esteem is liking Self esteem is liking yourself and being yourself and being able to express what able to express what you believe is right. you believe is right. Self acceptance!Self acceptance!
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2 mirrors that don’t match2 mirrors that don’t match
You can choose to You can choose to change to become change to become closer to the other closer to the other mirror or accept mirror or accept your imperfection your imperfection and rewrite the and rewrite the other mirror.other mirror.
Either way there are Either way there are affects pos/negaffects pos/neg
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PersonalityPersonality
Personality is a mix of Personality is a mix of how you feel, think, how you feel, think, and behaveand behave
It is due to genetics It is due to genetics AND environment.AND environment.
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What was your personality like as a baby. A What was your personality like as a baby. A child and now?child and now?
How is it the same?How is it the same? How is it different?How is it different?
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How Environment affects How Environment affects PersonalityPersonality
Socialization/CultureSocialization/Culture Conditioning; rewards and punishment for Conditioning; rewards and punishment for
behaviorbehavior Observation of role modelsObservation of role models Gender roleGender role StereotypeStereotype Labels (change to I struggle with……)Labels (change to I struggle with……) I am good at …….I am good at …….
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Imagos windowImagos window
What I know about meWhat I know about me What you know about meWhat you know about me What a higher power knows about meWhat a higher power knows about me What I really am: The truthWhat I really am: The truth
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Where are the discrepancies in Where are the discrepancies in your mirrors?your mirrors?
The expectation mirror and your belief mirror? The expectation mirror and your belief mirror? What makes more sense based on the facts?What makes more sense based on the facts?What is the truth?What is the truth?What will you change and what will you What will you change and what will you accept about yourself?accept about yourself?
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TheoristTheorist
Freud: focuses on how instincts or drives Freud: focuses on how instincts or drives influence developmentinfluence development– Focuses on intellectual stages Focuses on intellectual stages
Erickson: Focuses on social developmentErickson: Focuses on social development Maslow: Focuses on human needsMaslow: Focuses on human needs
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Freud’s Theory of Human InstinctFreud’s Theory of Human Instinct
Id: What I WantId: What I Want Ego: What I will doEgo: What I will do Superego: What Superego: What
ideally should doideally should do Conscience—good Conscience—good
angel and bad angel angel and bad angel on the shoulderson the shoulders
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Developing Healthy WellnessDeveloping Healthy Wellness
Self concept: your Self concept: your view of yourself. Is it view of yourself. Is it accurate? Do others accurate? Do others see you that way?see you that way?
Responsibility: Do you Responsibility: Do you accept responsibility accept responsibility for your behavior?for your behavior?
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Self-ExaminationSelf-Examination
Do you have problems that you ignore and Do you have problems that you ignore and let others resolve for you?let others resolve for you?
Are there things about your behavior that Are there things about your behavior that you would like to change?you would like to change?
Does peer pressure cause you to do things Does peer pressure cause you to do things that you would like to change? Does it that you would like to change? Does it cause you to do things you normally cause you to do things you normally wouldn’t do?wouldn’t do?
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An unexamined life is likely to result in a An unexamined life is likely to result in a repeat of chronic poor behavior. Living repeat of chronic poor behavior. Living status quo, not to your potential or maslows status quo, not to your potential or maslows hierarchy of self actualization.hierarchy of self actualization.
Examination creates self awareness and the Examination creates self awareness and the possibility of positive change and/or self possibility of positive change and/or self acceptance.acceptance.
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Defense MechanismsDefense Mechanisms
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Defence Mechanisms Defence Mechanisms
Repression: pushing feelings away from the Repression: pushing feelings away from the conscious thought.conscious thought.
Rationalization: Making an excuse for Rationalization: Making an excuse for behavior.behavior.
Compensation: Covering up faults or Compensation: Covering up faults or weakness by trying to excel else where.weakness by trying to excel else where.
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Defense Mechanisms Con'tDefense Mechanisms Con't
Projection: Projecting your own negative Projection: Projecting your own negative feelings to someone else. You are feelings to someone else. You are disappointed in yourself, you say someone disappointed in yourself, you say someone is disappointed in you.is disappointed in you.
Idealization: Seeing someone as perfect. Idealization: Seeing someone as perfect. The way you want them to be, not the way The way you want them to be, not the way that really are.that really are.
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Defense Mechanisms Con’tDefense Mechanisms Con’t
Daydreaming: is the creation of make Daydreaming: is the creation of make believe events that seem more pleasant or believe events that seem more pleasant or exciting that the real world.exciting that the real world.
Regression: To go back to a time when you Regression: To go back to a time when you were less mature.were less mature.
Denial: the refusal to recognize reality.Denial: the refusal to recognize reality. Displacement: Taking emotions out on an Displacement: Taking emotions out on an
innocent person.innocent person.
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Defense Mechanisms Con’tDefense Mechanisms Con’t
Reaction formation: hiding their true feelings Reaction formation: hiding their true feelings by acting opposite of how they really feel.by acting opposite of how they really feel.
e.g. Acting happy that someone else won e.g. Acting happy that someone else won the award.the award.
Acting like you are glad that he broke up Acting like you are glad that he broke up with you.with you.
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Mental DiseaseMental Disease
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History of mental illnessHistory of mental illness
Labels: witches,lunatics,evildoersLabels: witches,lunatics,evildoers Ways of dealing with mental illness:Ways of dealing with mental illness: Rituals were performed by priest, or Rituals were performed by priest, or
magiciansmagicians ExorcismsExorcisms Potions to rid the evil spiritsPotions to rid the evil spirits
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Trepanation: hole Trepanation: hole drilled in the head to drilled in the head to allow the evil spirits to allow the evil spirits to be released.be released.
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Ancient Greeks Ancient Greeks believed that the believed that the mentally ill person was mentally ill person was being punished by the being punished by the gods for wrongdoing.gods for wrongdoing.
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Middle ages: witchcraft and demons were Middle ages: witchcraft and demons were the belief of the behavior of the mentally illthe belief of the behavior of the mentally ill
treatment:treatment: Persecution, restraining, beatings, starvation Persecution, restraining, beatings, starvation
and drowningand drowning
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Renaissance;Renaissance; Belief that the stars and moon caused Belief that the stars and moon caused
madness thus the term lunacymadness thus the term lunacy Special institutions were built for the Special institutions were built for the
mentally ill called insane asylumsmentally ill called insane asylums The conditions were unsanitaryThe conditions were unsanitary
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1700’s: French 1700’s: French physician Philippe physician Philippe pinel introduced the pinel introduced the concept of exercise, concept of exercise, fresh air and cleaner fresh air and cleaner environmentenvironment
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1883 Emil kraepelin developed a system for 1883 Emil kraepelin developed a system for diagnosing mental illnessdiagnosing mental illness
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DepressionDepression
Everyone occasional Everyone occasional blues.blues.
Causes: Hormones or Causes: Hormones or circumstancescircumstances
Treatment: Attitude Treatment: Attitude adjustment, stress adjustment, stress management, problem management, problem solving techniques, solving techniques, temporary meds, & timetemporary meds, & time
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Major DepressionMajor Depression
9% of the population 9% of the population Signs and Symptoms: Signs and Symptoms:
extreme sadness, extreme sadness, insomnia, hypersomnia, insomnia, hypersomnia, decreased sex drive, decreased sex drive, appetite fluxuations, appetite fluxuations, anhedonia, decreased anhedonia, decreased energy, hopelessness, self energy, hopelessness, self mutilation, & suicidalitymutilation, & suicidality
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TreatmentTreatment
Antidepressants: Antidepressants: Zoloft, prozac, desyrel, Zoloft, prozac, desyrel, etc…etc…
Inpatient Treatment: Inpatient Treatment: Suicide prevention Suicide prevention contracts: contract in contracts: contract in which patient will which patient will inform staff of suicidal inform staff of suicidal feelingsfeelings
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ECT electroconvulsive therapy is used only ECT electroconvulsive therapy is used only as a last resort for extreme depression.as a last resort for extreme depression.
It basically jumpstarts the brain to release It basically jumpstarts the brain to release serotonin.serotonin.
ECT is a temporary fix. Follow up care is ECT is a temporary fix. Follow up care is mandatorymandatory
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Walk between the raindropsWalk between the raindrops
The 3 things that The 3 things that people have in people have in common that are common that are happy and successful happy and successful despite tragedy in their despite tragedy in their life is……………life is……………
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1) they become knowledgeable about the topic 1) they become knowledgeable about the topic that is causing them painthat is causing them pain
2) they surround themselves with resources such 2) they surround themselves with resources such as family ,friends, church members, counsellors. as family ,friends, church members, counsellors. They do not try to deal with the problem alone.They do not try to deal with the problem alone.
3)They do the things that they find meaningful. 3)They do the things that they find meaningful. They focus on the things that bring them joy and They focus on the things that bring them joy and defocus on the things that make them saddefocus on the things that make them sad
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Think about a problem in your life!!!Think about a problem in your life!!! How can you become knowledgeable about How can you become knowledgeable about
that topic?that topic? Who can you use as resources?Who can you use as resources? What is meaningful in your life and how can What is meaningful in your life and how can
you use that to bring you joy?you use that to bring you joy?
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Depression is a chemical imbalance but the Depression is a chemical imbalance but the chemical imbalance can be restored withchemical imbalance can be restored with
A) medicationA) medication B) attitude changeB) attitude change c) talk therapyc) talk therapy
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90% of all suicide victims have a psychiatric 90% of all suicide victims have a psychiatric disorder.disorder.
Psychiatric disorders can be treated with Psychiatric disorders can be treated with medication and counsellingmedication and counselling
50% of all suicide victims have alcohol in 50% of all suicide victims have alcohol in their systemtheir system
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Eating disordersEating disorders
Anorexia patients are Anorexia patients are at higher risk for at higher risk for suicide than bulimia suicide than bulimia patientspatients
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Depression questionnaireDepression questionnairesuicide videosuicide video
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Bipolar/Manic-depressive Bipolar/Manic-depressive DisorderDisorder
Patient plays 2 Patient plays 2 different behaviors: different behaviors: extreme excitement extreme excitement and depression.and depression.
Meds: Lithium, tegretol Meds: Lithium, tegretol & valprotic acid& valprotic acid
2% of the population2% of the population
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Signs & SymptomsSigns & Symptoms
Excitement Excitement GrandiosityGrandiosity InsomniaInsomnia Increased energyIncreased energy Increased spending Increased spending
(shopping sprees, or (shopping sprees, or excessive buying)excessive buying)
AgitationAgitation EuphoricEuphoric
DelusionsDelusions HallucinationsHallucinations
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http://www.everydayhealth.com/http://www.everydayhealth.com/bipolar-disorder-pictures/famous-bipolar-disorder-pictures/famous-
people-with-bipolar-people-with-bipolar-disorder.aspx#11disorder.aspx#11
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SchizophreniaSchizophrenia
Chronic mental Chronic mental disorder in which a disorder in which a person cannot person cannot differentiate fantasy differentiate fantasy from reality.from reality.
Meds: anit-psychotic Meds: anit-psychotic drugs like clozarildrugs like clozaril
1% of population1% of population
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Signs & SymptomsSigns & Symptoms
Hallucination: auditory, Hallucination: auditory, somatic, tactile, visual, somatic, tactile, visual, or olfactoryor olfactory
DelusionsDelusions Flat monotone voiceFlat monotone voice Inappropriate Inappropriate
expression of expression of speech/contentspeech/content
Lack of Lack of initiative/energyinitiative/energy
Disheveled Disheveled appearanceappearance
Poor hygienePoor hygiene Rigid postureRigid posture Pacing for hoursPacing for hours RockingRocking Bizarre behaviorBizarre behavior
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Antisocial DisorderAntisocial Disorder
Person has not conscience Person has not conscience or remorseor remorse
S&S: irresponsible w/ S&S: irresponsible w/ family, friends and family, friends and financial matters. Irritable, financial matters. Irritable, aggressive but charismatic aggressive but charismatic and manipulative to get and manipulative to get their waytheir way
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Obsessive-compulsive Disorder Obsessive-compulsive Disorder OCDOCD
Obsession: an idea, Obsession: an idea, thought or impulse that thought or impulse that does not go awaydoes not go away
Compulsion: Behavior that Compulsion: Behavior that is respective and is respective and intentionalintentional
Washing hands, counting Washing hands, counting items, anal organization items, anal organization habits, etc…habits, etc…
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Begins at any ageBegins at any age Males and females equallyMales and females equally Tend to abuse alcohol and anti anxiety Tend to abuse alcohol and anti anxiety
drugsdrugs
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Post traumatic stress syndromePost traumatic stress syndrome
Experiences traumatic Experiences traumatic event such a rape, event such a rape, witness a murder, witness a murder, MVA, warMVA, war
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symptomssymptoms
Recurrent thoughts of the event.Recurrent thoughts of the event. Acting it outActing it out NightmaresNightmares DepressionDepression AnxietyAnxiety Feeling of guiltFeeling of guilt
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Impulsive behaviorImpulsive behavior Hyper vigilanceHyper vigilance Exaggerated startle responseExaggerated startle response Angry outburstAngry outburst flashbacksflashbacks
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Dissociative identity disorderDissociative identity disorder
2 or more distinct personalities, each with its 2 or more distinct personalities, each with its own way of perceiving, relating to and own way of perceiving, relating to and thinking about the environment and self.thinking about the environment and self.
Only one personality is in control at a time.Only one personality is in control at a time. When one person comes out it is called When one person comes out it is called
dissociationdissociation
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Each personality is called an alterEach personality is called an alter Host personality is in control most of the Host personality is in control most of the
time.time. Some alters age with timeSome alters age with time May be different ages, race, and gender.May be different ages, race, and gender. Each alter has a job.Each alter has a job.
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Perhaps, spouse, parent, employee, Perhaps, spouse, parent, employee, child,etcchild,etc
One alter may go on a trip and the other get One alter may go on a trip and the other get the bill, and not remember the tripthe bill, and not remember the trip
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symptomssymptoms
Loss of timeLoss of time
Regressive behaviorRegressive behavior
Extreme changes in behaviorExtreme changes in behavior
Not keeping appointmentsNot keeping appointments
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Anxiety attackAnxiety attack
Paralysis of the individuals ability to function Paralysis of the individuals ability to function socially or deal with life situations rationallysocially or deal with life situations rationally
Symptoms:Symptoms: LightheadednessLightheadedness Heart palpitationsHeart palpitations
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Tingling or numbness Tingling or numbness of the extremitiesof the extremities
)parathesis))parathesis)
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Panic attackPanic attack
A severe form of A severe form of anxiety that leads to anxiety that leads to sheer terrorsheer terror
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hypochondriasishypochondriasis
Preoccupied with their Preoccupied with their healthhealth
Convinced they are ill Convinced they are ill even though the Dr. even though the Dr. cannot find anything cannot find anything wrongwrong
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phobiaphobia
A dread or irrational A dread or irrational fear of specific objects fear of specific objects or situationsor situations
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agoraphobiaagoraphobia
Fear of some many things that the individual Fear of some many things that the individual will not leave their home.will not leave their home.
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Tools to curb anxietyTools to curb anxiety
Slow downSlow down Good nutritionGood nutrition Adequate sleepAdequate sleep ExerciseExercise Take walksTake walks MeditateMeditate Relaxation techniquesRelaxation techniques
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Relaxation breathingRelaxation breathing Get awayGet away MusicMusic RecreationRecreation Develop routineDevelop routine Seek out friendsSeek out friends VolunteerVolunteer
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Live in the here and now.Live in the here and now. Go to therapyGo to therapyAnti anxiety medsAnti anxiety medsDon’t characterize things. Don’t characterize things. Focus on what you can do not what others should Focus on what you can do not what others should
do.do.Remove yourself from the toxic situationRemove yourself from the toxic situationHave a planHave a plan
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forgivenessforgiveness
Read article and answer the questions.Read article and answer the questions.
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Ways to create trustWays to create trust
Introduce yourself (first names only)Introduce yourself (first names only) Keep your wordKeep your word Observe their body languageObserve their body language Make frequent short visitsMake frequent short visits Be honest: if you can’t keep the secret don’t Be honest: if you can’t keep the secret don’t
tell them you willtell them you will
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Stay within your boundaries: don’t become Stay within your boundaries: don’t become their buddy stay professionaltheir buddy stay professional
Set limits: Set limits: Find out the answer to their questionsFind out the answer to their questions Admit your mistakesAdmit your mistakes Give your patient support by validating their Give your patient support by validating their
feelingfeeling
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Show confidence in your patient ability to Show confidence in your patient ability to get betterget better
Don’t be judgmentalDon’t be judgmental Be yourselfBe yourself Socialize when appropriateSocialize when appropriate Encourage the use of leisureEncourage the use of leisure Reassure them that they are safeReassure them that they are safe
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communicationcommunication
Use open ended questionsUse open ended questions ParaphraseParaphrase Body languageBody language Touch proximityTouch proximity Transference( you remind them of Transference( you remind them of
someone)someone)
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Safety issuesSafety issues
ElopementElopement ContrabandsContrabands Room checksRoom checks
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Video of diseasesVideo of diseases Play therapy with the sand boxPlay therapy with the sand box