Category: Mental Health

Theresa May’s Reform Plan

Theresa May’s Reform Plan

Theresa May’s mental health reform speech on Monday was the first time I’ve heard her say more than a soundbite, and also the first time I’ve heard her talk about anything other than Brexit, so I wasn’t sure what to expect.

At the opening of her speech, I wanted to support her. I wanted to believe she would say something genuinely meaningful and compassionate. I also hoped (perhaps naively) that she would make reference to the effect of austerity upon mental health. May is in a good place to acknowledge the negative impact of previous political choices, after all. While she is maintaining many of those choices, she didn’t instigate them. She has mostly inherited the bad decisions made by others, most obviously David Cameron, becoming essentially the country’s largest-scale supply teacher.

Initially, her opening discussion of the overt and covert injustices present today were impactful, leaving her actual reform strategies as arguably the weakest element of her speech. Similarly, while her view on reducing stigma (below) says all the “right” things, it does so without providing anything tangible or practical, or any awareness of where the Government themselves have been guilty of removing that attention and treatment.
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How Is The World Feeling?

How Is The World Feeling?

If you have a smartphone, then right now you could be taking part in the world’s largest mental health study. Sounds interesting? Then head over to http://howistheworldfeeling.spurprojects.org/ to join in.

If you need a bit more convincing, then read on.

The survey is called How Is The World Feeling?, and it’s aiming to get a snapshot of how everyday people around the world are feeling during this week (October 10th- October 16th). The target is to have 7 million people taking part, and 70 million emotions logged.

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Mental Health, Common Sense, and the Unknown

Everyone has a level of physical health which changes over time and as a result of circumstances.

A minority of people are at their peak of physical health, the healthiest they could possibly be.

The majority of people are generally healthy: they don’t have to worry about their physical health as everything is working well enough to live their life.

Minor physical health issues such as colds or aches and pains, are common. They temporarily make life doable but more difficult. People with longer-term minor issues learn to adapt and accommodate around what is tougher for them- perhaps they can usually function at 95% of the generally healthy level .

Major physical health issues can make normal life very difficult, requiring someone to change how they live for a bit and often need a recovery time/ gradual return afterwards.

Then a small percentage of people have chronic, severe physical health issues that mean they either cannot function in a typical life at all, or they need to adapt almost everything about their life to live and function.

Why did I just write that? Everything I’ve just said is common sense. It doesn’t need saying.

But try it again, swapping physical for mental…
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Mental Health Online: Forums

Mental Health Online: Forums

In 1994, Dr Phillip Long founded www.mentalhealth.com aiming to create a cross-cultural encyclopaedia of mental health conditions. The site is looking a little archaic now, using older DSM categories not commonly used now, and containing diagnostic ideas that didn’t really catch on, such as analysing all mental health symptoms through Greek personality dimensions.

mentalhealth.com post
While the site may not be entirely relevant these days, it’s a fascinating and detailed read. Moreover, it’s attached forum has been consistently running since 2005. In internet terms, this is an incredibly long time. Imagining friendships possibly extending for 10 years, its easy to see the best part of forums; their ability to connect people with others across time and space, providing friendships built on common experience and support.

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Mental Health Online: Tumblr

Mental Health Online: Tumblr

Of all the major social networks, Tumblr is the one I wanted to write about the most, because its a dramatic difference from the stoicism of Twitter and the envy-inducing highlight reel of Facebook. Just like most of its users, its young, bold, and easily misunderstood.

#History

For the uninitiated, Tumblr is a microblogging site with a very “anything goes” attitude towards content: drawings, videos, music, gifs, longform text, links and pretty much anything else you can think of are all found there. Its major feature is reblogging, which is reposting someone else’s content onto your own feed and adding commentary, opinions, or a visual response- a cross between a Twitter retweet and a standard blog’s comment chain. Content is organised and collected using hashtags, which are essential for posts being discovered and read.

Part of Tumblr’s appeal is how it conveys the impression of a private, almost clandestine association. Continue reading “Mental Health Online: Tumblr”

Mental Health Online: Twitter

Mental Health Online: Twitter

Compared to Facebook, I didn’t think of Twitter as a useful place for discussing mental health issues. This was partly due to the 140 character limit; I couldn’t see the use of tweets for in-depth discussion compared to something like a blog post or video.

However, when I looked through my twitter feed more closely, there was a lot of talk about mental health. Most of the people talking were advocates; either they wanted to start conversations, to support mental health organisations, or start their own campaigns. And most of these advocates were survivors, using their experiences with mental health to show others why researching mental health matters.

#Academia

Twitter doesn’t have the same kind of scare-headline news stories as Facebook, and there isn’t any research saying it affects people negatively. However, there is some research on  responses to individual hashtags. Shepherd et al studied the #DearMentalHealthProfessionals thread, a conversation set up by Amanda O’Connell in August 2013, and found there were four main types of discussion:
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Mental Health Online: Facebook

Mental Health Online: Facebook

Everyone, their mum, and their cat has Facebook, or so it can often seem.  As one of the most subscribed-to places online, and perhaps some people’s only online connection, looking at what Facebook has to do with mental health could be important on a large scale.

Simply searching for “Facebook” flags up a New Yorker headline- “How Facebook Makes Us Unhappy”. Narrowing it down to “facebook and mental health” adds BrainBlogger’s  “Facebook is no friend to mental health”, and “7 Ways Facebook is Bad For Your Mental Health, from Psychology Today. 

The BrainBlogger and Psychology Today articles were almost uniformly negative, showing research that connects Facebook use to envious friendships, jealous relationships and decreased life satisfaction.

The New Yorker article included its fair share research on the unhappy consequences of Facebook usage, but also  included some optimistic findings . Their best answer was; it depends what people are actually doing on Facebook. People actively using Facebook to keep in contact and engage with loved ones benefit from the social connection. People passively browsing their timelines, however, are often left feeling worse after using Facebook.

Facebook as a mental health resource

If actively participating on Facebook is generally beneficial, does that make Facebook a good resource for people with mental health issues?

Facebook Suicide Prevention Initiative

Facebook Suicide Prevention Initiative

On February 25th, Facebook’s safety division announced an extension of their suicide prevention initiative. They describe the initiative as being based on work with suicide prevention organisations, clinical research, and lived experiences from mental health survivors.

From what I’ve seen so far, parts of this initiative seem beneficial,  and  useful for helping people through a bad night or self-destructive impulse. However, there are still some concerning areas, and there has already been at least one example of just how this initiative can be dealt with wrongly.

THE BENEFITS

Firstly, the good parts. For a potentially-suicidal person, the idea of pointing out that they seem upset or distressed from what they have posted is a good one- it might be what makes them realise they are having difficulties beyond typical life, and might encourage them to see what the offered help is.

For the person who flags a status, having the option to send an anonymous “someone thinks you might be in trouble” message reduces one of the barriers people often have in talking about mental health issues. It starts the conversation in a low-risk way, without  requiring a face-to-face question that many people just don’t know how to carry out.
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Treating Mental Health Issues: Definitions

When talking about treating mental health issues, it’s important to look at what medical staff, researchers, and people with mental health issues consider to be successful treatment. As its a lot harder to measure and accurately define mental health symptoms than physical ones, it is harder to accurately judge treating them. To show what kind of terms are used when treating mental health conditions, I’m  using some hypothetical case studies. Imagine that each of these patients has just been diagnosed as being in their first Major Depressive Episode, and this is their first mental health issue. Each patient starts with a score of 18 on the PHQ-9, representing moderately severe depression using that system, is treated with an antidepressant, and is followed up six months later.

Response

After a six-week course of medication, Patient A retakes the PHQ-9 and scores 14. Six months later, their score is 15. Because their score has decreased, Patient A has therefore had a treatment response. Their diagnosis would not change. In a purely medical sense, this is progress. An academic study testing the effectiveness of patient A’s antidepressant would be happy with a 3-point response, and would consider this a successful response. However, the patient themselves won’t see it that way. Continue reading “Treating Mental Health Issues: Definitions”

Diagnosing Mental Health: My Experience

One of the things that can stop people looking for help with mental health issues is the uncertainty of not knowing how they are referred and diagnosed, what kind of place they need to go to, or what person they need to see.

This is especially true for people under 18, who may not want to see anyone in case it means involving their families or sacrificing their ability to keep information confidential.

Online communities can answer these questions to an extent, giving some people’s experiences. But these sometimes focus on only the easiest experiences or the worst experiences in getting help.

Personally, my experience was in-between these extremes; some of the services I used were really accessible and useful while others made less sense. Similarly, some of the people I saw were really supportive and helpful, and some weren’t. So I thought I would explain my experience getting support, in case it’s helpful to anyone.

2012-
Part 1 (Uni)
Part 2 (GP)
Part 3/ Part 4(Community Services)

2015-

Part 1-Pottergate Centre Screening
Part 2- GP
Part 3- Community Services