by

Dr. Ang Kim Teng MMHA Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, Kuala Lumpur

UNDERSTANDING MENTAL HEALTH

Is Stress A Mental Disorder ?, or Is Stress A Mental Health Problem ? Is Mental Disorder An Illness ? Is being mentally well mean having no

mental illness ?

Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL

SURVEY FINDINGS, MALAYSIA

National Health and Morbidity Survey 2006
11.2% of adult population (aged 16 and

above) had some form of mental health problem (Psychiatric Morbidity)

20.3%* of children and adolescents aged

5-15yrs have some form of mental health problem (Psychiatric Morbidity)

* 20.0% in 2011 survey
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DEFINITION FOR HEALTH

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
WHO 1947
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MENTAL HEALTH IS ..
IS NOT ABOUT MENTAL ILLNESS IS AN INTEGRAL PART OF HEALTH

AND WELLBEING

Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL

GENERAL HEALTH QUESTIONNAIRE

(GHQ 28)
1. Universal screening tool for psychiatric

morbidity ( non-wellbeing)
2. Set of 28 self-administered questionnaires 3. Consist of general health questions

Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL

GENERAL HEALTH QUESTIONNAIRE (GHQ 28 some examples )

Have You Recently : Q1. been feeling perfectly well and in good health Q3. felt that you were ill Q6. been having pains, tightness or pressure in your head Q10. felt under constant strain Q13. Found everything is getting on top of you

Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL

GHQ 28 : ON INSOMNIA - Have you recently : Q8. Lost much sleep over worries Q9. Had difficulty in staying asleep once youre tired GHQ 28 : ON ANXIETY - Have you recently : Q 11. been getting scared or panicky for no reason Q14. Feeling nervous and strung-up all the time
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GHQ 28 on Depression Q 21.been able to enjoy your normal day activities Q 22. been thinking of yourself as a worthless person Q 23. felt that life is entirely hopeless GHQ 28 on Suicidal Ideation
Q24. Felt it is not worth living Q25. Thought of the possibility that you might make away with your own life Q27. Found yourself wishing that you were dead
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WHATS THE DIFFERENCE ? 1. MENTAL HEALTH 2. MENTAL DISORDER 3. MENTAL ILLNESS

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Mental Wellbeing Means .

1. Feel comfortable with oneself 2. Feel comfortable with other people 3. Be able to meet the demands of everyday life

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1. Feel good about oneself

Able to handle lifes disappointment Take pleasure in simple everyday

things Not being too emotional Have self respect Realistic Tolerant Neither under-estimate or overestimate ones abilities (good insight)
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2. Feel comfortable with other people

Able to feel that they are

part of a group, not feeling anxious Able to form friendship Able to care for others Respect the many differences they may find in other people
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3. Able to meet demands of life

Do not get upset or anxious

when faced with challenges Welcome new experiences and ideas Feel able to deal with most situations Able to make ones own decision Is satisfied in putting ones best effort into what one do
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MENTAL DISORDER/ILLNESS
MENTAL DISODER : A generic terms to describe various mental illnesses - eg. mood disorder, psychotic disorder, anxiety disorder MENTAL ILLNESS when referring to a specific illness with a diagnosis - eg. bipolar disorder, major depressive disorder, OCD, schizophrenia, general anxiety disorder, panic disorder
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MENTAL ILLNESS
Mental illness : a condition that interferes with your thought process (perception, interpretation, judgement), emotions and behavior
causes distress and disability, or

interferes with daily living, and relationships.

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STRESS .. A mental health problem HAVE YOU BEEN UNDER STRESS LATELY ?

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DASS Stress Component Only

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Scoring : 0-14 : Normal; 15-18 : Mild; 19-25 : Moderate; 26-33 : Severe; 34+ : Extremely severe Source : Adapted from www.psy.unsw.edu.au

STRESS : 1. Physical symptoms

Headache Giddiness Chest discomfort Palpitation Abdominal Constant fatigue Muscle spasm Sleep problems Appetite problems Sexual problems

discomfort

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3/21/13

STRESS : 2. Psychological symptoms

Impatient and Irritable,

Poor concentration Unable to make decision

Frequent outburst of anger

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Anxious, Feeling unable to cope with life

3/21/13

Behavioural Effect

Excessive smoking Alcohol abuse

Illegal drug abuse Abuse of tranquilizer

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Insomnia

Lower productivity

Depression
3/21/13

HOW TO COPE WITH STRESS ?

REFER TO THE NEXT SESSION THE MINDFULNESS WAY

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Capacity Building Workshop, 1-2 Feb 2013, Hotel Vivatel, KL