Mental Illnesses Are Brain Disorders.
What Everybody Needs To Know.
Rev.
03/04
What
is Mental Illness?
Mental illness is a term used for a group of brain
disorders causing severe disturbances in thinking, feeling, and relating. They
result in substantially diminished capacity for coping with the ordinary
demands of life. Brain disorders can affect persons of any age --- children,
adolescents, adults, and the elderly --- and they can occur in any family.
Several million people in this country suffer from serious, long-term mental
illnesses. The cost to society is high due to lost productivity and treatment
expense. Persons with mental illness occupy more hospital beds than do persons
with any other illness.
People with mental illnesses are usually of normal
intelligence, although they may have difficulty performing at a normal level
due to their illness.
Schizophrenia
Schizophrenia is one of the most serious and disabling
of the brain disorders. It affects approximately one person in a hundred. The
disease affects men and women about equally. Its onset is usually in the late
teens or early twenties. People with schizophrenia usually have several of the
following symptoms:
· disconnected
and confusing language
· poor
reasoning, memory, and judgment
· high
levels of anxiety
· eating
and sleeping disorders
· hallucinations
-- hearing and seeing things that exist only in the mind of the patient
· delusions
--- persistent false beliefs about something; e.g., others are controlling
their thoughts
· deterioration
of appearance and personal hygiene
· loss
of motivation and poor concentration
· tendencies to withdraw from others
Unfortunately there are many
myths about schizophrenia. People with schizophrenia do not have a “split
personality” and are not any more prone to violence than the general population
when they are receiving treatment. Their illness is not caused by bad parenting
or weakness of character. Their disorder is due to a biochemical disturbance of
the brain.
Depressive Illnesses
Depressive illnesses are the most common of
psychiatric disorders. They are generally less persistently disabling than
schizophrenia. The primary disturbance in these disorders is that of affect or
mood. These mood disorders may be bipolar disorder, in which the person swings
between extreme high and low moods; or they may be unipolar, in which the
person suffers from persistent severe depression. About six percent of the
population suffers from an affective disorder --- a major cause of suicide.
Persons diagnosed as having bipolar illness usually
have several of the following characteristics during a period of mania:
· boundless
energy, enthusiasm, and need for activity
· decreased
need for sleep
· grandiose
ideas and poor judgment
· rapid,
loud disorganized speech
· short
temper and argumentativeness
· impulsive
and erratic behavior
· possible
delusional thinking
· rapid
switch to severe depression
Persons with severe depression (or the depressive
phase of a bipolar disorder) may have four or five of the following characteristics
during a period of depression:
· difficulty
sleeping
· loss
of interest in daily activities
· loss
of appetite
· feelings
or worthlessness, guilt, and hopelessness
· feelings
of despondency or sadness
· inability
to concentrate
· psychotic
symptoms
· suicidal
thoughts and even actions
Other disabling brain disorders include severe anxiety
and panic disorders, personality disorders, and obsessive-compulsive disorder.
Causes of Brain Disorders
The causes of biologically based brain disorders are
not well understood, although it is believed that the functioning of the
brain’s neurotransmitters is involved. Many factors may contribute to this
disturbed functioning. Heredity may be a factor in brain disorders as it is in
diabetes and cancer. Stress may contribute to the onset of mental illness in a
vulnerable person. Recreational drugs may also contribute to onset but are
unlikely to be the single cause. Family interaction and early childhood
experiences were once thought to cause mental illness; however, research does
not support that theory any longer.
Can
Brain Disorders be Prevented? Cured?
Since the causes of long-term mental illnesses are not
known, there is no effective prevention at this time. More research is needed
to determine causes and strategies of prevention. Likewise, there are no cures
for these brain disorders. However, treatments can substantially improve the
functioning of persons with these illnesses.
What
Are the Treatments for These Brain Disorders?
An expanding range of medications markedly reduces
symptoms for many people. Supportive counseling, self-help support groups, and
community rehabilitation programs promote recovery and build self-confidence.
Housing and employment services enable some people to develop independent living
skills, hold a job, and achieve a fulfilling life.
Others may need support for most or all of their lives. Helping them achieve a sense of dignity with the highest degree of independence, productivity, and satisfaction with life is the goal.
Needed:
A System of Community Care
· Supportive Housing - A range of housing is needed with various levels of support to meet the diverse needs of persons with mental illnesses.
·
Day Programs -
Ranging from day treatment
(outpatient) to psychosocial and vocational rehabilitation, these programs help
persons recover lost skills and become as independent as possible.
·
Self-help
Support Groups - These groups help
people overcome loneliness and isolation, make friends, and participate in
social activities.
·
Client
Management - Trained persons are
needed to help persons with brain disorders access community services.
·
The Basic
Necessities of Life - Like everyone,
these people need money, food, recreation, friends, housing, and jobs.
How Can the Community
Help?
There are so many ways that caring people can help
that we can only list a few. Contact your local NAMI affiliate and see what
you, your church, your club, or your neighborhood can do. Some suggestions:
· Help
combat stigma by objecting to negative stereotyping of persons with brain
disorders. Tactfully correct misunderstandings about mental illness held by
friends and relatives.
· If you
are an employer, hire these persons. For private employers, there can be
tax advantages.
· As a
taxpayer, support funds for a good community-based support system and
research to further understanding of causes and treatments.
· If you
are a homeowner, welcome a group home in your neighborhood. People with
brain disorders can be good neighbors.
· Groups
can help finance a house or apartment for persons with brain disorders
or help furnish existing ones. Employment projects and social clubs are also
needed.
· If you are a family with an ill member, join your local NAMI affiliate. If you know of families with this problem, tell them about NAMI. Even if you don’t have a relative with mental illness, you are invited to become a member of NAMI and/or to make donations to our work.
NAMI
of Greater
NAMI-GC
is the
The National Alliance on Mental Illness
NAMI of Greater
312-563-0445