Showing posts with label schizophrenia. Show all posts
Showing posts with label schizophrenia. Show all posts

Friday, 23 May 2014

Mental Illness Can Have More Impact on Life Expectancy Than Smoking

According to researchers at Oxford University, mental illness has an effect on life expectancy that is equivalent or greater than smoking. A great deal of effort and spending has been invested into smoking cessation programs and smoking awareness campaigns. This new research should prompt the government, health care and social services to shift their focus in an effort to increase life expectancy for those living with mental illness.

Researchers reviewed 20 review papers from clinical studies that reported mortality risk among mental health problems, substance and alcohol abuse, dementia, autistic spectrum disorders, learning disability and childhood behavioral disorders. These studies included over 1.7 million individuals and over 250,000 deaths. They also used studies and reviews that reported life expectancy and risk of dying by suicide. All results were compared to data for heavy smoking.

According to their findings, “one in four people in the UK will experience some kind of mental health problem in the course of a year” while smokers consist of roughly 21% of British men and 19% of women. 

They discovered that all diagnoses studied had an increased mortality risk similar or greater than heavy smoking. Some of the estimated reductions in life expectancy were found to be as follows:
  • Bipolar Disorder: 9 - 20 years
  • Schizophrenia: 10 – 20 years
  • Drug and Alcohol Abuse: 9 - 24 years
  • Recurrent Depression: 7 - 11 years
  • Heavy smoking: 8 - 10 years
Dr. Seena Fazel of the Department of Psychiatry at Oxford University said: "We found that many mental health diagnoses are associated with a drop in life expectancy as great as that associated with smoking 20 or more cigarettes a day."
Despite the fact that this study did not mention the prevalence of smoking among persons with mental illness, the results are still devastating.

There may be many reasons for this phenomenon. For example:
  • Psychiatric patients and those with drug and/or alcohol dependence can be more likely to engage in high-risk behaviours.
  • Physical health problems may not be taken seriously and treated properly due to the stigma attached to their mental illness.
  • Many mental illnesses can create physical health problems and/or worsen pre-existing ones.
  • People with serious mental illness may not access healthcare effectively.
  • The de-medicalization of mental illness may increase the likelihood that physical health problems go untreated or neglected.
Life expectancy may increase if only we could make mental health a priority as we have with smoking. In addition to funding and advancing research on mental illness, we should improve health and social services to ensure that persons with mental illness have better access to health care, suitable employment and supports in their community.

Many mental illnesses reduce life expectancy more than heavy smoking

© www.mentalhealthblog.com

Monday, 14 April 2014

Books about mental illness and recovery

Books are an invaluable source of information. When it comes to mental health, they can be a great resource in helping you understand what you are going through. Following is a list of some of the top-selling books on various mental illnesses. I have not read all of them and I do not endorse any of them. I am simply going by what the most popular titles in the field are. I recommend reading reviews before purchasing a book, as that will give you a better idea of the content. The list is not comprehensive in any way. I hope you find something useful!

Anxiety
The Anxiety and Phobia Workbook by Edmund J. Bourne, Ph.D.
The 10 Best-Ever Anxiety Management Techniques by Margaret Wehrenberg, Psy.D.
The Mindful Way through Anxiety by Susan M. Orsillo, Ph.D. and Lizabeth Roemer, Ph.D.

Attention deficit hyperactivity disorder (ADHD)
Parenting Children with ADHD by Vincent J. Monastra, Ph.D.
Your Life Can Be Better by Douglas A. Puryear, M.D.
Driven to Distraction by Edward M. Hallowell, M.D. and John J. Ratey, M.D.

Autism spectrum disorders
Autism by Dr. Robert Melillo
The Complete Guide to Asperger’s Syndrome by Tony Attwood, M.A., Ph.D.

Bipolar disorder
The Bipolar Disorder Survival Guide by David J. Miklowitz, Ph.D.
The Bipolar Workbook by Monica Ramirez Basco, Ph.D.
Living with Someone Who’s Living with Bipolar Disorder by Chelsea Lowe and Bruce M. Cohen, M.D., Ph.D.

Depression
The Depression Cure by Stephen S. Ilardi, Ph.D. 
The Mindful Way through Depression by Mark Williams, Ph.D., John Teasdale, Ph.D., Zinder Segal, Ph.D. and Jon Kabat-Zinn, Ph.D.
Feeling Good by David D. Burns, M.D.

Dissociative disorders
Coping with Trauma-Related Dissociation by Suzette Boon, Ph.D., Kathy Steele, M.N., C.S. and Onno van der Hart, Ph.D.
The Dissociative Identity Disorder Sourcebook by Deborah Bray Haddock, M.Ed., M.A., L.P. 
Rebuilding Shattered Lives by James A. Chu, M.D.

Eating disorders
8 Keys to Recovery from an Eating Disorder by Carolyn Costin, M.A., M.Ed., MFT and Gwen Schubert Grabb, MFT
Life Without Ed by Jenni Schaefer
Healing Your Hungry Heart by Joanna Poppink, MFT

Insomnia
Say Good Night to Insomnia by Gregg D. Jacobs, Ph.D.
The Effortless Sleep Method by Sasha Stephens
The Insomnia Workbook by Stephanie A. Silberman, Ph.D., DABSM

Obsessive-compulsive disorder 
The OCD Workbook by Bruce M. Hyman, Ph.D. and Cherry Pedrick, RN
The Mindfulness Workbook for OCD by Jon Hershfield, MFT and Tom Corboy, MFT
Obsessive-Compulsive Disorders by Fred Penzel, Ph.D.

Panic disorders
When Panic Attacks by David D. Burns, M.D.
Panic Attacks Workbook by David Carbonell, Ph.D.
From Panic to Power by Lucinda Bassett

Personality disorders
Understanding Personality Disorders by Duane L. Dobbert, Ph.D.
Difficult Personalities by Helen McGrath, Ph.D. and Hazel Edwards, M.Ed.

Posttraumatic stress disorder
The PTSD Workbook by Mary Beth Williams, Ph.D., LCSW, CTS and Soili Poijula, Ph.D.
When Someone You Love Suffers from Posttraumatic Stress by Claudia Zayfert, Ph.D. and Jason C. DeViva, Ph.D.

Schizophrenia
Surviving Schizophrenia by E. Fuller Torrey, M.D.
The Complete Family Guide to Schizophrenia  by Kim T. Mueser, Ph.D. and Susan Gingerich, MSW

Substance abuse
The Mindfulness Workbook for Addiction by Rebecca E. Williams, Ph.D. and Julie S. Kraft, M.A.
Clean by David Sheff
Beyond Addiction by Jeffrey Foote, Ph.D., Carrie Wilkens, Ph.D. and Nicole Kosanke, Ph.D. with Stephanie Higgs

For loved ones
The Family Guide To Mental Health Care by Lloyd I. Sederer, M.D.
When Someone You Love Has a Mental Illness by Rebecca Woolis, M.F.C.C.
You Need Help! by Mark S. Komrad, M.D.

Memoirs



Share your favorite books on mental illness and recovery in the comments.

Wednesday, 11 December 2013

My take on meds

Feel free to ignore this post if you don't want an opinion piece. I just feel that since I will be talking about medication, it's probably best that I explain my stance to provide some context. 

There's so much good that has come from modern medicine. This includes a wide assortment of medications that help treat and even prevent certain conditions. These include entire categories dedicated to mental health issues. Due to the fact that we don't know enough to not be experimental, new discoveries are made by chance. For instance, anti-seizure medication can be used in the treatment of personality disorders. It's a frontier we have yet to conquer.

I have a great level of respect for those who dedicate their lives to finding ways to improve and extend our lives. Unfortunately, the pharmaceutical industry as a whole is not run by philanthropists who throw money at it. It's a business. This means that they have to make money. The competition can be healthy in terms of innovation, but it has to be financed. This is how Prozac got renamed Sarafem and prescribed for PMS. Once the original use for a drug has been tapped into, it's time to find ways to keep making money off of the same formula. Do you have to take four pills a day? We just made a different one that does the same thing, but you only have to take it once! You think anti-psychotics are reserved for schizophrenia? No, they're also used for autism, dementia and even insomnia.

Honestly, it's a really complex system and I'm not here to preach about it. But since medication is a significant aspect of the mental health industry, I can't ignore it. In order to offer a respectful climate for discussion of something so attached to opinion, this is the perspective I am coming from:

• Medication has the potential to significantly improve and even save lives in the mental health field.

• Some people need medication. They have exhausted all their options and cannot find anything else that is sufficiently effective.

• It is not our job to judge whether or not someone needs medication. Don't think your sister needs lithium? It's the job of her and her doctor to figure that out. Think your friend needs some anti-anxiety pills? It's not your call.

• Side effects are a factor that should be taken into consideration when prescribing medication.

• When it comes to children, teenagers and young adults, special precautions need to be taken and other approaches should be more carefully considered. While the body and mind are still developing, a cost-benefit analysis is definitely warranted.

• Are we overprescribing? Probably. I refuse to believe all my classmates who take Ritalin or Aderall actually have attention deficit hyperactivity disorder (ADHD), a childhood disorder that doesn't spontaneously emerge in college.

• Never encourage or support someone in going off their medication without proper medical supervision. Not only may it be inappropriate in terms of treatment, but not regulating the tapering off of a substance can cause withdrawal symptoms and other serious – possibly permanent – complications.

• There are alternative approaches that can be taken, and that's okay, too.

• Ultimately, it's about getting better. Whatever works (and is relatively healthy) is great!


I understand completely if you disagree. I don't claim to be an expert. I'm just being honest about where I'm coming from so that any biases I have are pre-announced. 

Sunday, 24 February 2013

15 Best Picture winners about mental illness

The entertainment industry has a tremendous power in shaping the public view of mental health topics. With Silver Linings Playbook, a romantic comedy featuring a protagonist with bipolar disorder, up for eight awards at tonight's Academy Awards, attention is currently being focused on the challenges faced by those affected by mental health conditions. 

It is the first movie nominated for all of the "Big Five" awards (Best Picture, Best Director, Best Screenplay, Best Actor and Best Actress) and all four acting awards (add Supporting Actor and Actress). While it is highly unlikely that it will receive all of the awards, Jennifer Lawrence is considered a frontrunner for Best Actress for her portrayal of a young widow facing a her own set of complications following the traumatic death of her husband. After seeing how the film fares tonight, I intend to write a commentary on it in the coming days. It has a lot of interesting implications.

Looking back, however, mental health conditions have definitely had their place in creating award-winning movies. Starting with the early days of the Oscars, here are fifteen films that emphasize a variety of aspects mental health and illness.



All Quiet on the Western Front (1929/30)

Showing World War I from the perspective of the Germans, this film deals with the expectations and realities of war, including the psychological aspects. Well before PTSD was officially defined, elements of it can be gleaned from previous wars, as demonstrated in this production.







Gone with the Wind (1939)

In this epic, the effects of personality disorders on oneself and others can clearly be seen. Critics have noted that heroine Scarlett O'Hara displays characteristics of narcissistic, histrionic, anti-social and borderline personality disorders. In other words, she's the epitome of the cluster B subsection. In addition, leading lady Vivien Leigh, who played O'Hara, struggled with bipolar disorder.







Rebecca (1940)

Hichcock's psychological dramatic noir thriller (thank you, Wikipedia) features characters who certainly have some significant problems. Based on the novel by Daphne du Maurier by the same name, it also handles themes such as grief, manipulation and suicide.







The Lost Weekend (1945)

With its plot centering on a writer's struggle with alcoholism, The Lost Weekend is, according to the Library of Congress, "a landmark social-problem film" with "an uncompromising look at the devastating effects of alcoholism." While the premise might seem like a cliché nowadays, it received significant opposition when it was being produced.






The Best Years of Our Lives (1946)

In the wake of World War II, a new group of veterans had to learn to adjust to civilian life. This movie follows three of them as they struggle to find normalcy. One of them, Homer, lost both hands in the war (which actually hard happened to the actor, Harold Russell). His struggle to deal with a physical handicap that he believes makes him unfit for his fiancée is metaphoric for a lot of the psychological aspects of living through a prolonged trauma like combat. Part of this film's strength is in how it shows the role of social support, both between fellow veterans and those around them.




One Flew over the Cuckoo's Nest (1975)

Because the film takes place in a mental institution, there is a lot of psychological material to draw from. The characters struggle with different conditions, but they also develop a community. The tyrannical Nurse Ratched is a legendary villain and under her reign, the viewer is exposed to a lot of the treatments that have historically (and presently) been used to treat mental illnesses. It's also one of only three movies to win all of the "Big Five" Academy Awards.





Annie Hall (1977) 

Considered one of Woody Allen's greatest and most influential films, Annie Hall follows the anxious and neurotic Alvy Singer as he tries to find out why his relationship with the title character failed. This film is worth noting because while Alvy has what appears to be a clear case of generalized anxiety disorder, he has actually lived a relatively normal life. This helps show that mental illness is not just reserved for those with traumatic histories or psychotic symptoms.






Ordinary People (1980)

An upper-middle class family struggles with the accidental loss of one son and attempted suicide of another. It tackles family dynamics in a stressful environment where each individual handles grief in his own way. Since one person with mental health issues will impact the entire family, this film is important in its portrayal of the struggle for normalcy without clear direction.





Amadeus (1984)

While Amadeus is not very historically accurate, it does tackle the interesting issue of delusional obsession. As contemporary composers, Antonio Salieri cannot overcome his jealousy of Mozart's talent. The film shows how Salieri creates a worldview in which he feels justified in using a vengeful plot to gain some sort of "victory" over both Mozart and God Himself. Obsession is usually portrayed in a romantic context, making this film all the more fascinating.






Rain Man (1988)

After his father's death, the narcissistic Charlie finds out that he has a brother, Raymond, who is more or less inheriting everything from their father. An autistic savant, Raymond lives in a mental institution. The question of why Charlie was not told about his brother points directly at the issue of stigma against mental illness, even within families. 







The Silence of the Lambs (1991)

The only horror film to ever win an Oscar for Best Picture, The Silence of the Lambs is the most recent winner of the "Big Five" awards. It features Hannibal Lecter, who is both a psychiatrist and a cannibalistic serial killer. The epitome of genius and (criminal) insanity combined, this character has been deemed the greatest villain in movie history by the American Film Institute.






Forrest Gump (1994)

In this beloved movie, Tom Hanks plays Forrest Gump, a man with an intellectual developmental disability. The film displays a very positive attitude towards Forrest, giving him his own talents and showing how he contributed to a variety of historically significant events. It tackles both the challenges and joys experienced by the title character, offering a glimpse into how society treats those who are intellectually challenged.






A Beautiful Mind (2001)

Based on the Nobel-prize winning mathematician John Nash, this film tackles the role of schizophrenia in the protagonist's life. It follows the onset of the illness, which commonly manifests in early adulthood, its identification and how it affects Nash personally and professionally. It acknowledges the permanent nature of the condition, showing that he could achieve success while still experiencing symptoms.




The Hurt Locker (2009)

The effects of war are tackled again, this time with the Iraq War. The film, which made Kathryn Bigelow the first female to win Best Director, covers the acute stress experienced in a war zone and how it affects decision making. Instead of having the focus on the posttraumatic symptoms likely experience by the characters after the story's end, the movie gives insight into its development. This is a valuable perspective, considering the current public discussion surrounding PTSD.




The King's Speech (2010)

Not all mental illnesses are defined by mood or disconnect with reality. Stuttering is categorized as a mental health condition and can be comorbid with other disorders. In telling the story of King George VI, The King's Speech shows that not even royalty is immune to these challenges. With the help of a speech therapist, George admirably demonstrates the effort that goes into recovery.





Who do you think will win best picture this year? What awards do you think the cast and crew of Silver Linings Playbook might take home tonight?

Saturday, 19 January 2013

Choline Supplements During Pregnancy May Prevent Schizophrenia


Research shows that the use of choline supplements during pregnancy may prevent schizophrenia.  Specifically, lower rates of physiological schizophrenic risk factors in infants 33 days old has been noted when the dietary supplement is given during the second and third trimesters of pregnancy and early infancy.

Robert Freedman, MD, professor and chairman of the Department of Psychiatry, University of Colorado School of Medicine and one of the study's authors states: "Basic research indicates that choline supplementation during pregnancy facilitates cognitive functioning in offspring. Our finding that it ameliorates some of the pathophysiology associated with risk for schizophrenia now requires longer-term follow-up to assess whether it decreases risk for the later development of illness as well."

Choline is a water-soluble essential nutrient, typically grouped within the B-complex vitamins. It can be found naturally in foods such as liver, muscle meats, fish, nuts and eggs.  According to the American Institute of Medicine, pregnant women require between 450 and 3500 milligrams of choline each day and 550 to 3500 milligrams while lactating.  Infants aged 0-6 months need a minimum daily dose of 125 milligrams of choline and 150 milligrams from 7-12 months of age.

“Choline is also being studied for potential benefits in liver disease, including chronic hepatitis and cirrhosis, depression, memory loss, Alzheimer's disease and dementia, and certain types of seizures.”

To test their theory, researchers observed infant responses to a clicking sound.  Typically, the brain responds fully to an initial click, however the response to a second click immediately following the first is inhibited.  This trait is often absent among schizophrenia patients and relates to poor sensory filtering and familial transmission of schizophrenia risk.  Researchers observed this effect among infants to represent the illness as schizophrenia does not normally appear until adolescence.

“Half the healthy pregnant women in this study took 3,600 milligrams of phosphatidylcholine each morning and 2,700 milligrams each evening; the other half took placebo. After delivery, their infants received 100 milligrams of phosphatidylcholine per day or placebo. Eighty-six percent of infants exposed to pre- and postnatal choline supplementation, compared to 43% of unexposed infants, inhibited the response to repeated sounds, as measured with EEG sensors placed on the baby's head during sleep.”

These results could not only assist in early detection of schizophrenia, but may even help in preventing the illness or developing more effective treatments.

Some examples of choline found in different food sources:

Type of Food
mg of choline
5 ounces (142 g) raw beef liver
473
Large hardboiled egg
113
Half a pound (227 g) cod fish
190
Half a pound of chicken
150
Quart of milk, 1% fat
173
A gram soy lecithin
30
100 grams of Soybeans dry
116
A pound (454 grams) of cauliflower
177
A pound of spinach
113
A cup of wheat germ
202
Two cups (0.47 liters) firm tofu
142
Two cups of cooked kidney beans
108
A cup of uncooked quinoa
119
A cup of uncooked amaranth
135
A grapefruit
19
Three cups (710 cc) cooked brown rice
54
A cup (146 g) of peanuts
77
A cup (143 g) of almonds
74

Choline Supplementation DuringPregnancy Presents a New Approach to Schizophrenia Prevention
Choline