Mental health articles

OF mental health care and mentally ill

mentally ill

vascular dementia symptoms and stages

vascular dementia symptoms and stages Vascular dementia is the second-most-common form of dementia and accounts for approximately 20% of all cases of dementia. It is caused by problems in the supply of blood to the brain. If the vascular system within the brain becomes damaged and blood cannot reach the brain cells, they will eventually […]

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Assessment of child and adolescent psychiatric disorders

Assessment of child and adolescent psychiatric disorders It is essential to undertake a full and comprehensive assessment before embarking on treatment of the problems. It may take more than one meeting before an assessment is completed. Assessments should be carefully planned and time allowed to explore with the child and family their attitude to the […]

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Case study on substance misuse: Joan for old people

Case study on substance misuse: Joan for old people The following case study highlights some of the issues to consider when an older person has a drink problem. Joan was a sprightly 74-year-old Scottish woman who had lived in London for many years. She approached the substance misuse service for help with her drinking, but […]

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substance misuse of meeting the needs of families and carers

substance misuse of meeting the needs of families and carers Despite the breakdown in relationships which can be associated with substance misuse many users do live with a partner, family or friends. This can often be a confusing and distressing experience for them. Some of these people will be actively involved in the care and […]

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substance misuse case study: Ray

substance misuse case study: Ray To illustrate some of the treatment interventions, which can be used with people with a dual diagnosis, Ray’s case is considered further. Ray was referred to the substance misuse team from an inpatient psychiatric ward where he had been admitted following a deterioration in his mental state. This had stabilized […]

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Case study about substance misuse: Ken

Case study about substance misuse: Ken Ken has an alcohol problem and a severe depressive disorder for which he has regular contact with his community mental health nurse (CMHN) and consultant psychiatrist. Ken decided that he wanted to stop drinking so was referred to the substance misuse team. The substance misuse nurse obtained detailed information […]

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Persuasion of substance misuse

Persuasion of substance misuse In this stage the aim is to persuade the client that change would be desirable. Motivational interviewing (MI) is the key intervention. The five principles of MI are to: express empathy, develop discrepancy, avoid argumentation, roll with resistance, and support self-efficacy. Specific techniques that might be used to develop discrepancy and […]

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Engagement on substance misuse

This stage concerns the development of a therapeutic alliance between client and professional. Persistence may be needed to engage the client and techniques associated with assertive outreach, such as visiting the client at home and helping sort out practical issues (for example, getting benefit payments, dealing with housing difficulties, providing clean injecting equipment) can serve […]

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dual diagnosis definition

Overview of dual diagnosis Dual diagnosis, the coexistence of mental health and substance misuse disorders, is widely seen as a major challenge to mental health services and the staff working in them. While this definition may seem straightforward, the range of people who might be categorized in this way is very diverse. The Department of […]

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Predisposing factors of anorexia nervosa

There is increased number of cases of eating disorders within families. Twin studies suggest that over 50 per cent of the variance is attributed to genetic factors. There is an increased risk of perinatal stress or trauma in anorexia nervosa. There is insecure attachment: avoidant in anorexia nervosa  and ambivalent in bulimia nervosa. There is […]

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