Stress Mental Health Mental Illness by Datin Dr. Ang Kim Teng
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Transcript of 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 ?
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SURVEY FINDINGS, MALAYSIA
Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL3
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
Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL
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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
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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