2 most common mental health disorders in Canada
1) anxiety disorders
2) depressive disorders
Anxiety and depressive disorders are more common amongst:
a) females
b) males
a) females
Emotional signs of anxiety
feeling on edge
feeling irritable
not fully enjoying things
Physical signs of anxiety (many many many)
restlessness
chest tightness
muscle tension
SOB/hyperventilation
GI upset
headaches
sweaty palms
butterflies
changes in appetite
blushing/flushing
fatigue or low energy
rapid, pressured speech
Behavioural signs of anxiety
avoidance of feared situations (e.g. public speaking)
short temper, anger
difficulty sleeping
difficulty concentrating, distracted by worries, forgetfulness
Cognitive signs of anxiety
apprehension (sense something unpleasant will happen)
over-worry
distracted
Emotional signs of depression
feeling sad
non-reactive mood
feeling despair
loss of enjoyment of normally enjoyable activities
Physical signs of depression
changes in sleep
changes in appetite
feeling slowed down in movements, or agitated and restless
pain, headaches
Behavioural signs of depression
withdrawing from friends and family
staying in more, missing work or school
Cognitive signs of depression (many)
feelings of guilt
suicidal thoughts
feelings of hopelessness
difficulty concentrating
dwelling on the negative
thinking over past bad memories and experiences
difficulty making decisions
negative thinking
4 main indicators that suggest a concern or problem (vs stress)
1) disproportionate reaction
2) persist for extended period of time - past the stressor
3) impairment - interfere with life
4) out of character - not like self, seem “off”
Aspects of a mental disorder diagnosis
not simple
require assessment by a mental health professional
What does the mental health professional take into account when doing an assessment?
takes the whole person into account
e.g. life course, family history, current contexts, symptoms, bullying, academic problems, relationship problems, substance misuse, recreation, exercise
Components of a diagnostic assessment (6)
1) developmental history
2) family history
3) symptoms
4) treatment
5) other factors
6) relational and social factors
1) developmental history
e.g. learning, communication, and/or neuromotor problems, childhood adversity
2) family history
of mental disorders
3) symptoms
onset, nature, relationship to context/stressors
4) treatment
response to any treatment tried to date, consideration of other physical or medical conditions that may be contributing
5) other factors
lifestyle, exercise, recreation, substance misuse, current stressors etc.
6) relational and social factors
nature of relationships, social connectedness, environment