Mental health articles

OF mental health care and mentally ill

People with mental health have difficulty in making decisions

People with severe mental health conditions, including dementia, may have difficulty in making and communicating decisions. Very few people are unable to be involved in making choices at all, but some may have partial or fluctuating mental capacity and may need help with communication. Pioneering work within the area of communication with older people with […]

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Case study: obsessive compulsive disorder

Sarah is a 63-year-old widow who was recently referred by her GP after he was contacted by an environmental health agency. Sarah was primarily obsessed that she would lose her wedding ring and this led her to not throw anything away (in case her ring slipped off and she couldn’t find it). She also feared […]

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Definition and diagnosis of Obsessive-compulsive disorder

A DSM-IV diagnosis of OCD is made if the person exhibits either obsessions or compulsions. Obsessions are indicated by the following: 1 The person has recurrent and persistent thoughts, impulses or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress. 2 The thoughts, […]

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Symptoms of Obsessive-Compulsive Behavior

Obsessive-compulsive disorder (OCD) is classed as an anxiety disorder in DSM-IV. OCD has two symptom clusters: Obsessional thoughts (ruminations) and compulsive actions (rituals). Most patients have a mixture of both symptoms. Approximately 1.5 per cent of the population at any given time will suffer from OCD. The condition affects people irrespective of class, race, culture […]

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Treatment efficacy: phobias

Roth and Fonagy  in their comprehensive review of anxiety disorders and ‘what works for whom?’ concluded: ‘There is little justification for using anything other than exposure treatments for specific phobias’. Undoubtedly, the most efficacy as demonstrated through randomized controlled treatment trials come from behaviour therapy using exposure and cognitive techniques. Such treatments can vary in […]

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Specific phobia case studies

Specific phobia (illness phobia of HIV/Aids) Michael was a 23-year-old final-year student nurse who lived at home with his parents. He developed a terrifying fear of ‘catching HIV’ and dying of Aids. He had intrusive unwanted thoughts and images when at work, that somehow the virus had entered his skin (although there were no cuts […]

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Social phobia case studies

Steven is a 19-year-old student who was having increasing difficulty continuing with his degree. He had a lifelong history of shyness. However, this never effected his day-to-day functioning and although slightly anxious in situations, never panicked. His problems began when he started his degree course and had to move away from home. Within two weeks […]

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Phobia case studies

John is a 27-year-old postman, married with three children and has a sixyear history of agoraphobia. John recalled having his first panic attack in a crowded shop five years earlier after returning from a two-week summer holiday. At the time of this first panic attack, it started with severe sweating, and then feeling dizzy, followed […]

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Phobia Names and Definitions

Prevalence studies on phobias suggest that 1–2 per cent of the general population suffer from agoraphobia, 1–2 per cent from social phobia and 7 per cent from specific phobias (ibid.). Phobia onset varies; specific phobias tend to develop in childhood and may be an exaggerated response of normal childhood developmental fears. For example, it is […]

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Finitions of anxiety and symptoms

Marks  suggests that fear can be seen as a ‘usually unpleasant response to realistic danger’, whereas anxiety is ‘similar to fear but without objective source of danger’. A phobia is fear of a situation, which is out of proportion to the actual danger and cannot be explained or reasoned away. Panic is a sudden upsurge […]

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