Stress Mental Health Mental Illness by Datin Dr. Ang Kim Teng

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    by

    Dr.AngKimTeng

    1

    MMHA Capacity Building Workshop,

    1-2 Feb 2013, Hotel Vivatel, Kuala Lumpur

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    UNDERSTANDING MENTAL HEALTH

    Is Stress A Mental Disorder ?, orIs Stress A Mental Health Problem ?Is Mental Disorder An Illness ?Is being mentally well mean having no

    mental illness ?

    Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL2

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    SURVEY FINDINGS, MALAYSIA

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    National Health and Morbidity Survey 2006

    11.2% of adult population (aged 16 andabove) had some form of mental health

    problem (Psychiatric Morbidity)

    20.3%*of children and adolescents aged5-15yrs have some form of mental health

    problem (Psychiatric Morbidity)

    * 20.0% in 2011 survey

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    Health is a state ofcomplete physical, mental and

    social well-being and notmerely the absence of disease

    or infirmity.WHO 1947

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    DEFINITION FOR HEALTH

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    MENTAL HEALTH IS ..

    IS NOT ABOUT MENTAL ILLNESSIS AN INTEGRAL PART OF HEALTHAND WELLBEING

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    GENERAL HEALTH QUESTIONNAIRE

    (GHQ 28)

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    1. Universal screening tool for psychiatricmorbidity ( non-wellbeing)

    2. Set of 28 self-administered questionnaires3. Consist of general health questions

    Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL

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    GENERAL HEALTH QUESTIONNAIRE

    (GHQ 28 some examples )

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    Have You Recently :

    Q1. been feeling perfectly well and in good health

    Q3. felt that you were ill

    Q6. been having pains, tightness or pressure in your

    head

    Q10. felt under constant strain

    Q13. Found everything is getting on top of you

    Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel,

    KL

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    GHQ 28 : ON INSOMNIA - Have you recently :

    Q8. Lost much sleep over worries

    Q9. Had difficulty in staying asleep once

    youre tired

    GHQ 28 : ON ANXIETY - Have you recently :

    Q 11. been getting scared or panicky for no

    reason

    Q14. Feeling nervous and strung-up all the

    time

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    GHQ 28 on Suicidal Ideation

    Q24. Felt it is not worth living

    Q25. Thought of the possibility that you might make

    away with your own life

    Q27. Found yourself wishing that you were dead

    GHQ 28 on Depression

    Q 21.been able to enjoy your normal day activities

    Q 22. been thinking of yourself as a worthless person

    Q 23. felt that life is entirely hopeless

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    WHATS THE DIFFERENCE ?

    1. MENTAL HEALTH2. MENTAL DISORDER3. MENTAL ILLNESS

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    Mental Wellbeing Means .

    1. Feel comfortable with oneself2. Feel comfortable with other people3. Be able to meet the demands ofeveryday life

    Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL

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    1.Feel good about oneself

    Able to handle lifes disappointment Take pleasure in simple everyday

    things

    Not being too emotional Have self respect Realistic Tolerant

    Neither under-estimate or over-estimate ones abilities (good insight)

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    2. Feel comfortable with other people

    Able to feel that they arepart of a group, not

    feeling anxious

    Able to form friendship

    Able to care for othersRespect the many

    differences they may find

    in other people

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    3.Able to meet demands of life

    Do not get upset or anxiouswhen faced with challenges

    Welcome new experiencesand ideas

    Feel able to deal with mostsituations

    Able to make ones owndecision

    Is satisfied in putting onesbest effort into what one do

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    MENTAL DISORDER/ILLNESS

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    MENTAL DISODER : A generic terms todescribe various mental illnesses

    - eg. mood disorder, psychotic disorder,

    anxiety disorder

    MENTAL ILLNESS when referring to aspecific illness with a diagnosis

    - eg. bipolar disorder, major depressive

    disorder, OCD, schizophrenia, generalanxiety disorder, panic disorder

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    MENTAL ILLNESS

    causes distress and disability, orinterferes with daily living, and

    relationships.

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    Mental illness : a condition thatinterferes with yourthought process

    (perception, interpretation, judgement),

    emotions and behavior

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    STRESS .. A mental health problem

    HAVE YOU BEEN

    UNDER STRESSLATELY ?

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    DASS Stress Component Only

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    Scoring : 0-14 : Normal; 15-18 : Mild; 19-25 : Moderate; 26-33 : Severe; 34+ : Extremely severeSource:Adaptedfromwww.psy.unsw.edu.au

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    STRESS : 1. Physical symptoms

    HeadacheGiddinessChest discomfortPalpitationAbdominal

    discomfort

    Constant fatigueMuscle spasmSleep problemsAppetite problemsSexual problems

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    STRESS : 2. Psychological symptoms

    Anxious, Feeling unable to cope with life

    Impatient and Irritable, Poor concentration Unable to make decision

    Frequent outburst of anger

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    Behavioural Effect

    Depression

    Illegal drug abuse

    Abuse of tranquilizer

    Excessive smoking

    Alcohol abuse

    Lower productivityInsomnia

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    HOW TO COPE WITH STRESS ?

    REFER TO THE NEXT SESSION

    THE MINDFULNESS WAY

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    23 Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL