Tuesday, September 30, 2014

STIGMA: Mental Illness


I am sure that there are times in our life when we can all be sad or blue. In fact, I bet we have all seen movies about a madman and his crime spree, with the underlying cause of mental illness. Perhaps, we might make jokes about people being crazy or nuts, even though we know that we shouldn’t.  But, one of the biggest problems that I see in society is Stigma; specifically, associated with mental illness. Stigma is a sign of disgrace or discredit towards another individual; it is meant to, set that individual apart from others. Stigma can lead to discrimination if the individual suffers unjust or prejudicial treatment because of their mental health diagnosis.  So, what can be done about it?

 First, there needs to be more education on mental illness. We have all had some exposure to mental illness, but do we really understand it or know what it is? A mental illness can be defined as a health condition that changes a person’s thinking, feelings, or behavior. These changes cause the person distress and difficulty in functioning. As with many diseases, mental illness can be severe in some cases and mild in others. Individuals who have a mental illness don’t necessarily look like they are sick; especially, if their illness is mild. There are many different mental illnesses, including: depression, schizophrenia, attention deficit hyperactivity disorder (ADHD), autism, and obsessive-compulsive disorder, to name a few. Each of these illnesses will alter the person’s thoughts, feelings, and/or behaviors in distinct ways. These differences can make others feel uncomfortable; and for some people, they don’t like to feel uncomfortable, so they stigmatize or discriminate against the person that is different.

Another step that can be taken to combat stigma, is to stop using the term mental illness and to start using the term neurological disorders. Mental illness infers that the person is mentally ill, but science and technology shows us that there is a biological explanation for both the psychological and physical dimensions associated with a mental health diagnosis.

Did you know that “not all brain diseases are categorized as mental illnesses”?  “Disorders such as epilepsy, Parkinson’s disease, and multiple sclerosis are brain disorders, but they are considered neurological diseases rather than mental illnesses” (US Dept. of Health). Interestingly, the lines between mental illnesses and these other brain or neurological disorders is blurring somewhat. The National Institute on Mental Illness reports that “As scientists continue to investigate the brains of people who have mental illnesses, they are learning that mental illness is associated with changes in the brain’s structure, chemistry, and function and that mental illness does indeed have a biological basis. This ongoing research is, in some ways, causing scientists to minimize the distinctions between mental illnesses and these other brain disorders” (US Dept of Health). Let’s look at this?

A healthy brain takes in information, processes it, and causes a response. The US Department of Health describes the process as “The basic functional unit of the brain is the neuron. A neuron is a specialized cell that can produce different actions because of its precise connections with other neurons, sensory receptors, and muscle cells. A typical neuron has four structurally and functionally defined regions: the cell body, dendrites, axons, and the axon terminals”. This description is the way the brain takes in information, processes it, and causes a response is simple. So, why is this important?

            Did you know that “not all brain diseases are categorized as mental illnesses”?  “Disorders such as epilepsy, Parkinson’s disease, and multiple sclerosis are brain disorders, but they are considered neurological diseases rather than mental illnesses,” because Neurons communicate using both electrical signals and chemical messages, when there is a problem with the chemical messages, the neurotransmitters, an individual can develop a mental health diagnosis. But, when there is a problem with the electrical signals an individual can develop epilepsy, Parkinson’s disease, or multiple sclerosis. An example of this would be epilepsy, when a seizure happens there are too many messages that are going around the brain at once, all at the same time. It's as if two different messages are going around the circle at once during a game of telephone. This makes it very likely that the messages are going to get mixed up. During a seizure, the neurons send mixed up messages to your body, so the body does things that you don't want it to (stair off-petite mal, fall to the ground shaking-grand mal). If epilepsy, Parkinson’s disease, and multiple sclerosis can be defined as a brain disorders, then I don’t see why a mental health diagnosis is called a mental illness. 

We can combat stigma by providing education, and by changing the terms that we use to identify a person with a mental health diagnosis from mental illness to neurological disorders. Mental illness infers that the person is mentally ill, but science and technology shows us that there is a biological explanation for both the psychological and physical dimensions associated with a mental health diagnosis. Our society needs to adopt a biological, psychological, and social approach to treating individuals with a mental health diagnosis. By taking this kind of approach, our society can treat the whole person and reduce stigma.

 References

US Department of Health and Human Services. (2012). National Institute on Mental Illness. Retrieved from http://www.nimh.nih.gov/neurological/index.shtml

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