Mental Health 101

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Mental Health 101

• Kim Etherton, M.A., L.M.H.P.
• Program Manager
• Lancaster County Crisis Center
• 24-Hour Emergency Services

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Mental disorder

• Mentally ill is not the same as Developmentally
  Disabled or Mentally Retarded
• Persons with Mental disorder may be intelligent,
  perceptive, and articulate
• They may be employed and maintain family
  relationships
• Level of impairment can vary tremendously among
  persons with mental disorder

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Mental disorder Statistics

• 20 of physical ailments are related to anxiety
  disorders
• 8-14 million Americans have Depression each year
• 12 million children suffer from mental disorders
• 2 million Americans have schizophrenia (300,000
  new cases each year
• ¼ elderly labeled as senile actually suffer from
  a mental disorder that can be treated

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Mental disorderType Severity

• MILD
• Need for treatment within the community
  (outpatient treatment)
• MODERATE
• Need for intensive casework
• SEVERE
• Need for hospitalization, institutionalization,
  or total care to prevent killing or injuring self
  or others

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Mental disorder CONTINUUM
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Mental disorderGeneral Types

• symptoms can lie anywhere on the continuum (mild
  to moderate to severe)
• Mood Disorders
• Anxiety Disorders
• Thought Disorders
• Substance Abuse Disorders

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Mood Disorders

• Depression
• Not all persons with depression are suicidal, but
  depression is the most common diagnosis in
  completed suicide.
• Helpless Hopeless Defective

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Depression

• Symptoms can include
• Feeling sad during most of the day, every day
• Losing interest in usual activities
• Losing weight (when not dieting) or gaining
  weight
• Sleeping too much or too little or waking too
  early
• Feeling tired and weak all of the time

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Depression (cont.)

• Feeling worthless, guilty or hopeless
• Feeling irritable and restless all the time
• Having difficulty in concentrating, making
  decisions or remembering things
• Having repeated thoughts of death and suicide
• Adapted from World Health Organization 2000

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Mental Disorder
Edgar Allen Poe
Abraham Lincoln
Robert Schumann
Theodore Roosevelt
Mike Wallace
WELL KNOWN PERSONS WITH DEPRESSION
Ludwig von Beethoven
Vincent van Gogh
Drew Carey
Virginia
Woolf
Mark Twain
Dick Cavett
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Mood Disorders

• Bipolar Disorder (Manic Depressive Illness)
• Often includes cycles of Depression / Mania
• Mania may be characterized by high energy level,
  not sleeping, grandiose ideas

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Anxiety Disorders

• Common Anxiety Disorders include
• Panic Disorder
• Often described as feeling like a heart attack
• Phobias
• Obsessive Compulsive Disorder (OCD)

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Thought Disorders

• Schizophrenia and Psychosis
• Paranoia
• Paranoia is the belief that others are plotting
  against him/her. This may include an unreal fear
  of being watched, talked about, being followed,
  persecuted or harmed.
• Delusions
• personal beliefs that are not based on reality.
  They may take the form of a unique or peculiar
  perspective that often focuses on persecution or
  grandeur.
• Hallucinations
• experiencing events that have no objective source
  but are real to the person. This can involve any
  sense, but the most common are seeing and hearing
  things. Tactile hallucinations (sensations on
  skin) may be a sign of drug / alcohol use or
  withdrawal.

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Substance Abuse Disorders

• Intoxication
• Drunk, High, Loaded, etc
• Dependence
• Alcoholic, Chemically Dependent

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Why do we respond the way we do?
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Crisis ResourcesSoutheast Nebraska

• Community Mental Health Center of Lancaster
  County
• 24 hr line/mobile assessment 441-7940
• Crisis Center 441-8276
• 2200 St Marys Avenue
• BryanLGH Medical Center West
• 24 hr Nurse 475-1011 or 800-742-7875
• 2300 South 16th Street
• Nationwide
• 1-800-SUICIDE (Answered at Boys Town in Omaha)

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Crisis ResourcesSoutheast Nebraska

• Blue Valley Mental Health Center
• York /Seward Area Line 402-362-4133
• Nebraska City Area Line 402-873-6691
• Beatrice Area Line 402-228-3344

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Questions ??????????