Mental health articles

OF mental health care and mentally ill

What is Eating disorders

The eating disorders anorexia and bulimia nervosa frequently commence during the teenage years, with a minority of cases of anorexia nervosa having onset pre-pubertally. Patients tend to be secretive about their symptoms, so these may have been ongoing for some time before coming to clinical attention. Concern is usually raised by parents, and young people […]

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Obsessive–compulsive disorder (OCD) in children and adolescents

Obsessive–compulsive disorder (OCD) in children and adolescents shares its clinical features with the disorder as seen in adulthood, although the nature of the obsessions and compulsions may be different. Children may be more prone to magical thinking and may show simpler thoughts and rituals. Unlike in adults, where the symptoms of OCD are recognised as […]

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What is Phobias?

While specifi c phobias (dogs, the dark, lifts) are the most common psychiatric disorder of childhood, probably only a third of these cause psychosocial impairment. Nevertheless, most are readily treatable by a behavioural nurse or psychologist using desensitisation and graded exposure to the feared stimulus. Without treatment, symptoms may be persistent. Other phobias, including social […]

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What is ‘engagement’?

Engagement can be defined broadly as providing a service that is experienced by service users (including carers) as acceptable, accessible, positive and empowering. If clients perceive a mental health service in this way they are more likely to use it. Creating such a service has implications for both the quality of the relationships that service […]

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The rationale for interventions

Although the literature exploring the benefits of improved medication compliance is limited, there is a strong rationale for addressing this area for the following reasons. The first is a moral-ethical one, related to symptom reduction/relief and improving and maintaining the perceived quality/quality of life of the client; taking into account the holistic needs of the […]

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Symptom management techniques

Although symptom management techniques may not produce fundamental changes, they facilitate progress by reducing distressing feelings, such as anger, anxiety, fear and worry, and making them manageable to enable other behavioural techniques to take place. Three symptom-management techniques are mentioned here: controlled breathing, tension-release exercises and coping cards. Controlled breathing he aim of controlled breathing […]

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Techniques to generate alternative interpretations and constructive ideas

 This is perhaps the most difficult part of cognitive restructuring because the practitioner may be able to see the alternatives, but needs to facilitate the individual client to arrive at these alternatives using one or more of the techniques outlined below. The alternative interpretation or constructive idea is phrased as a hypothesis, i.e. a theory […]

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Defining deliberate self-harm

The language used to describe how and why people harm themselves can reflect the judgements that are often made about this client group: ‘self-abuse’ and ‘self-mutilation’ assume emotive aspects such as guilt or self-loathing, whereas purely descriptive terms such as ‘cutting’ or ‘blood letting’ convey neither the choice that the client has made nor the […]

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The relationship between self-harm and suicide

In England, around 5000 people per year kill themselves, and suicide is the most common cause of death in men under 35. It is important to remember that the death of an individual impacts on his community, family and society in general. One of the target groups that the government has identified for reducing suicide […]

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Possible indicators of anger and aggression

Possible antecedents are indicated when the person: focuses attention on what is causing anger and continues to dwell on this; perceives threat from others or is suspicious; reacts in an exaggerated manner to problems; shows increased physical arousal – restlessness, pacing, erratic movements; shows increased volume of speech; has a tense facial expression – fixed […]

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