While linking causes, research suggests multiple.
Genetics, environment and lifestyle influence whether someone develops a mental health condition. Furthermore, biochemical processes and circuits and basic brain structure may play a role, the o. With that said, why is it that Olympians are so often asked about their physical health but rarely about their mental health? Now look. Few have opened up about living with a mental health condition, lots of them have admitted the various health issues they’ve overcome. This is somewhat surprising due the since the immense mental component of being a Olympic athlete. Notice, many Olympians have commented that the game mental aspect far exceeds the physical. For example, coping with a mental sympthe ms health condition could potentially make competing more of a challenge quite similar the how a physical injury would make competing more challenging. Living with a mental health condition wouldn’t prohibit someone from being able the compete or win, even if it is more challenging.
Olympians who have the ld the world that they live with a mental health condition almost always do so after their career as a Olympian has ended. There aremostly there’re exceptions, just like ‘gold medalist’ swimmer Allison Schmitt who is currently competing in her third Olympics. Schmitt has bravely shared her personal sthe ry of living with depression. After her cousin the ok her own life, Schmitt felt compelled the talk openly about her depression, she had been struggling in silence for years. Then again, statistically speaking, Schmitt ain’t the lone Olympian in this year’s Rio games living with a mental health condition. There areSo there’re 554 athletes competing in the 2016 Olympics on the USA team. That is interesting. Approximately 110 of these athletes live with a mental health condition, since 1 in 5 adults live with a mental health condition. I’m sure you heard about this. Only a handful have spoken out.
Let me ask you something. So if they have it, why don’t lympians talk freely about mental illness? Probably stigma. Athletes want the be viewed as strong and empowered, and rightly so. Ok, and now one of the most important parts. Especially one that is so heavily stigmatized in our society, they don’t want the public shaming them for any issue type or condition. Ok, and now one of the most important parts. We need the encourage athletes the open up about their mental health. Ok, and now one of the most important parts. It could alter society’s perception of what someone living with a mental health condition is capable of achieving. We need the break the stigma that is keeping these world class athletes silent. Go the and take the pledge the be stigmafree, in order the join NAMI’s movement in ending the stigma on mental illness.
Whenever linking causes, research suggests multiple. Genetics, environment and lifestyle influence whether someone develops a mental health condition. Biochemical processes and circuits and basic brain structure may play a role, the o. Eventually, olympians who have the ld the world that they live with a mental health condition almost always do so after their career as a Olympian has ended. There aremostly there’re exceptions, just like ‘goldmedalist’ swimmer Allison Schmitt who is currently competing in her third Olympics. Schmitt has bravely shared her personal sthe ry of living with depression. For instance, after her cousin the ok her own life, Schmitt felt compelled the talk openly about her depression, she had been struggling in silence for years.
If they have it, why don’t lympians talk freely about mental illness, is that the case?
Probably stigma. Also, athletes want the be viewed as strong and empowered, and rightly so. Furthermore, especially one that is so heavily stigmatized in our society, they don’t want the public shaming them for any issue type or condition. We need the encourage athletes the open up about their mental health. Known it could alter society’s perception of what someone living with a mental health condition is capable of achieving. We need the break the stigma that is keeping these world class athletes silent. Make sure you leave suggestions about it below. Go the and take the pledge the be stigmafree, the join NAMI’s movement in ending the stigma on mental illness.
Why is it that Olympians are so often asked about their physical health but rarely about their mental health?
Thence few have opened up about living with a mental health condition, the majority of them have admitted the various health issues they’ve overcome. This is somewhat surprising due the being that the immense mental component of being a Olympic athlete. Manylots of Olympians have commented that the game mental aspect far exceeds the physical. Have you heard of something like this before, is that the case? Coping with a mental sympthe ms health condition could potentially make competing more of a challenge quite similar the how a physical injury would make competing more challenging. Living with a mental health condition wouldn’t prohibit someone from being able the compete or win, even if it is more challenging.
The reader should note that this article only covers standard medical causes of mental sympthe ms and does not include many other physical causes, like nutritional imbalances and metabolic abnormalities, listed in other articles on AlternativeMentalHealth.
When extensive testing is done, it should also be noted that some studies have shown that medical causes may account for substantially more than 10 of patients with mental sympthe ms. Lastly, manyloads of clinicians think that patients may suffer from medical conditions, like hypothyroidism, that can be missed by standard medical lab tests and, therefore, be overlooked on studies applying standard medical screening. Online information can be found easily by going on the web. Edithe r’s note. Essentially, the following is the finest article we have found on medical subject causes of severe mental sympthe ms. Therefore, we are grateful the Dr. Diamond for his permission the reprint.
The reader should note that this article only covers standard medical causes of mental sympthe ms and does not include many other physical causes, similar to nutritional imbalances and metabolic abnormalities, listed in other articles on AlternativeMentalHealth.
When extensive testing is done, it should also be noted that some studies have shown that medical causes may account for substantially more than 10percent of patients with mental sympthe ms. Lastly, manyquite a few clinicians think that patients may suffer from medical conditions, like hypothyroidism, that can be missed by standard medical lab tests and, therefore, be overlooked on studies applying standard medical screening.
Almost any time a patient comes inthe your office, your emergency room or your hospital, there islook, there’s a very real possibility that what seems the be a psychological problem is caused by some physical illness. Besides, the depressed patient may have an under active thyroid gland. The patient with panic attacks may have a pheochromocythe ma, a tumor that secretes epinephrine. So patient, whose personality change and increased irritability is thought the be caused by his marital problems, may actually have a brain tumor causing the personality changes and exacerbating longstanding marital issues. How common is this problem, is that the case? Very…and not very. a number of your clients won’t have a medical disease masquerading as an emotional problem. Virtually, amid the problems is that most really serious medical illnesses are rare enough that we all get sloppy and sthe top looking for them. Usually our medical workups are unnecessary but 90 of the time isn’t the same as normally. It ain’t necessary the live in abject terror about missing patients all with unsuspected medical illnesses that come the you with sympthe ms of depression or anxiety. So, medical causes of psychiatric sympthe ms should always be considered. Besides, you need the know enough about these medical illnesses the make some basic assessment about whether a further medical assessment is necessary and how the focus that assessment as the make it as productive as possible, as a mental health professional.
Ex.
Johnson had at least one active, important, physical disease, Staff at the mental health program was aware of only 47 of these. Research program discovered previously undiagnosed, important diseases in 63 of these patients. Ex. With that said, koran performed thorough medical assessments on 529 patients drawn from eight community mental health centers in California.
Conservative estimates suggest that 10 of persons initially seen in outpatient settings for psychological sympthe ms have an organic disease causing the sympthe ms. This figure is higher in the elderly, in persons with certain diagnosis similar to hysteria, and much higher in inpatient settings. Whenever working in academic centers and aware of organic possibility illness, miss medical illnesses with disturbing frequency, even internists and neurologists. There ismost of us are aware that there is no set of tests that can definitively rule everything out. As a result, some illnesses are hard the diagnose, especially at the beginning. The specific tests that would allow the diagnosis are not considered because Others are so rare that they are not thought of. Still other times the illnesses present atypically. That a medical illness is missed, the patient’s sympthe ms seem different than those described in the medical textbooks.
The first is that there arelook, there’re a huge number of different possible illnesses the worry about.
The second problem is that it is almost impossible the talk about medical illnesses without lapsing inthe medical jargon. This is half a paper about medical illnesses, and half a paper on learning a new language that will hopefully help you when you need the communicate the other physicians.
The third problem is both more subtle and more serious.
Nonmedical’ mental health professionals organize the world according the psychological sympthe ms. Now look, the question is, what medical illnesses can cause depression, anxiety, and suchlike? The problem is that the depression caused by a brain tumor might be identical the depression caused by marital discord or by an endogenous depression. What is likely the be different is the patient’s histhe ry and the associated signs and sympthe ms apart from the depression. Listing illnesses according the which ones can cause depression or which ones can cause anxiety does not produce a coherent organization. Manyplenty of illnesses can cause many different psychological sympthe ms. Such a listing would not help the understand what other questions the ask the help separate physical from psychological illnesses.
Physicians organize the world much differently.
The easiest way the remember separate all facts and the see patterns is the organize illnesses according the physiological systems. Throughout this paper I will talk about endocrine systems, neurological systems and cardiopulmonary systems. It isn’t always so obvious for quite a bit of the world, for someone who has been through medical school, this becomes the obvious way the organize things. The problem with categorizing according the psychiatric sympthe ms will become obvious as you go through this paper. It does not do much good the think about illnesses list that can present as depression unless you begin the think about a lot of the other associated sympthe ms that those illnesses also have and the best way the organize these associated sympthe ms is the understand what organ systems the illness effects.
Having said all of that, I will try the organize illnesses by their psychological effects, and, at the same time, try the introduce the way that physicians would organize their thinking about those illnesses. Physicians tend the dismiss psychiatric patients for a few reasons. There ismany of us are aware that there is a tendency the assume that all psych patients are just nuts without real illness. Actually, physicians are often uncomfortable around patients who are obviously depressed or who are acting bizarrely, or who they are afraid might act bizarrely. At times these patients behave in ways that make evaluation more difficult, either by being unwilling the give a full histhe ry, unable the give an accurate description of sympthe ms, or the o frightened the allow a full physical examination.
The fact that someone is actively psychotic does not mean that they do not also have a serious medical illness. One should always be concerned that a medical illness might, as a matter of fact, be the psychosis cause. Of course even in patients who clearly have schizophrenia or some other diagnosable mental illness and who have had an excellent medical workup in the past, That’s a fact, it’s important the consider whether their current complaints or recent change in behavior might be related the a medical illness. You see, virtually, psychotic patients are more difficult the evaluate, and if they do happen the have a serious medical illness, it is more likely the get missed.
Studies have demonstrated that disliked patients are more likely the have an undiagnosed organic brain syndrome than more likable patients, and it is just those disliked patients that will often get the most cursory and incomplete physical evaluation.
My guess is that patients who are most different from their physicians are also more likely the have a medical illness missed, and this is especially true of psychiatric patients. Actually, also so that you can understand the person’s current feelings and functioning within what context has happened the person in the past and what is happening now, this is needed the rule out a medical illness.
Information Much that you need the suspect a medical illness is readily available as part of a psychiatric assessment. Undoubtedly it’s useful since It is important the know how the organize this information, and the fill in gaps in your information so that important areas are not missed. Oftentimes the goal isn’t the come up with a specific diagnosis. You can decide what the do next since The goal is the organize the data that you collect about the patient, how worried you need the be, and when and how and what the say the your consulting physician if you decide further medical assessment is necessary.
Make sure if your laborathe ry can measure the drug or drugs that you expect this person might be using, and whether blood or urine tests are better relying upon the particular drug and time since ingestion, So if you are asking for a drug screen the figure out if the client has recently used an illicit drug. LSD is used in much smaller amounts and may not be detectable even if recently used, most labs can test for cocaine presence. Known such a call requires that you step out of your typical ‘non medical’ role and interact with a strange and often forbidding medical system, this kind of question can be answered by a call the the local chemistry lab hospital.
Important information is likely the get lost, if the client is less than articulate.
This is a particular problem with older clients, those who are hard of hearing or who have other communication problems, or those who are less organized or less clear in their thinking. Undoubtedly it’s also a problem when the sympthe ms you want evaluated are vague, or your concerns leading the referral do not relate the a particular medical sympthe m. Your job must include organizing the information that you have collected and transmitting it the docthe r in such a way as the do your client the most good. Telling the client the see his local docthe r, or phoning the local internist with a request the Please do a physical exam on this client. Generally, this client has a depression that seems very atypical. Could you please see if there should be a medical illness involved, right? He is also complaining of increased weight, cold inthe lerance, decreased libido and extremely dry skin, even better yet, This patient is complaining of depression with decreased energy level. With that said, he was treated for hyperthyroidism 15 years ago. Could you see if any thyroid problems or any other medical problems might be increasing his depression, right?
Generally you won’t be able the frame a consult request with as much detail as this last ‘example but’ in all cases the more the better. Rather than any particular sympthe m suggesting a particular illness, the referral the physician is based on a pattern suggesting a higher probability of medical illness. Any client who initially develops psychiatric sympthe ms over 40 age should have a medical workup. I’m sure it sounds familiar.|Doesn’t it sound familiar, right?|Sounds familiar, is that the case?|doesn’t it? the physician needs the have that information, I’d say in case this is the reason you are referring the client. There arethere’re differences of communication styles between mental health professionals and physicians. Known the social worker or psychologist is likely the want the give the physician a complete patient description and the problem in a phone discussion that may go on for many minutes. With a clinic full of patients waiting the be seen, the physician is likely the be in office middle hours.
Somatic manifestations.
Whenever tingling of extremities, vertigo, shortness of breath, headache, blurred vision, tinnitus, diarrhea, tremor, fainting Cardiopulmonary disease with hypoxia, authe nomic or visceral sympthe ms, including palpitations, chest pain, tachycardia, fatigue, weakness, perspiration, flushing. Notice that chronic hypoxia may present with lassitude, apathy, psychomothe r retardation and other sympthe ms confused with depression.
systemic lupus erythemathe sus is most often seen in women 13 40″ years old. It often presents initially with nonspecific sympthe ms similar to fatigue, malaise, anorexia and obesity removal, all of which can lead the functional diagnosis depression. We are able the carry out our vital work thanks the financial support from those like you -people who realize our importance continuous public education regarding alternative mental health choices. That said, your donation the Safe Harbor could make THE difference in another person’s life.