Mental health articles

OF mental health care and mentally ill

Definitions of anxiety and related concepts

 Marks (1987: 5) 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 […]

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Case study: first onset of bipolar disorder

Case study: Mark – a 24-year-old with first onset of bipolar disorder. Mark was a final-year medical student when he experienced his first and, to date, only episode of mania. He was 24 years of age and was studying for his f inal examinations. As Mark approached his finals, he began working longer and longer […]

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Principles of nursing a person suffering from bipolar disorder

Nursing people suffering from bipolar disorder requires a variety of nursing skills and behaviours. These are based on the same principles of nursing that apply to the care of people suffering from depression, which have been discussed previously. However, the nurse needs to be aware of the possibility of mood change and particularly the development […]

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Bipolar Disorder Case Study Examples

Case study: Jean – a 34-year-old with dysthymia and depressive episodes. Jean is a 34-year-old woman who has experienced dysthymia, that is, persistent low mood, for most of her adult life. However, over the last five years this has become particularly distressing and her mood has often deepened to include long spells of disabling depression. […]

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Symptoms Diagnosis Bipolar Disorder

Bipolar disorder or manic depression as it is sometimes known, is a disorder which, as its name suggests, consists of two categories of symptoms: depressive symptoms which are described in the first part of this chapter, and mania, that is periods of exaggerated mood, euphoria and psychotic episodes. The other key feature which needs to […]

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Respecting personal space and reserving time to talk

In the busy world of modern health care, and particularly in hospital, nurses may feel under pressure to ‘get results’, and they may also be extremely busy. It is easy to forget that the busy pace of the modern health professional may not be the pace of a person experiencing a mental health problem, particularly […]

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Principles of nursing a person experiencing depression

 The main role of the nurse is to build a collaborative relationship with the person experiencing depression. This relationship is the core of working with the depressed person. It is a relationship that must be built on genuine respect and openness in which the nurse is seen as a partner in the depressed person’s recovery. […]

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Causes of sexual dysfunction

Effi cient sexual function requires anatomical integrity, intact vascular and neurological function, and adequate hormonal control. Peripheral genital effi ciency is modulated by excitatory and inhibitory neural connections that mediate psychological infl uences, which, in turn, are affected by environmental factors. Sexual dysfunctions are rarely caused by a single factor, although one may predominate. The […]

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Ed Treatments for Men

Treatment of erectile dysfunction Anxiety reduction and desensitization The classic treatment programme for erectile failure, known as sensate focusing, was developed by Masters and Johnson. It involves a structured approach, designed to take the stress out of the sexual act. It begins with the couple learning to touch each other in pleasurable ways, but with […]

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Possible Causes of Erectile Dysfunction

Aetiology of erectile dysfunction Psychodynamic explanations According to Janssen, erectile failure results from an oedipal confl ict constellation involving fear of castration or incest, uncertainties in sexual identity, incestuous object choices, latent homosexual tendencies and fear of aggressive-phallic impulses. These may develop as a result of factors that inhibit appropriate passage through the oedipal stage […]

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