Tag: Mental Health

Personality Disorders 101: Paranoid PD

The first in the series of personality disoders is Paranoid Personality Disorder (PPD). Although experiencing paranoia in a stressful situation is common, PPD refers to a much bigger idea; a permanent fear that someone or something is trying to cause you harm, and that you are in almost-constant danger.

A person with PPD will treat every experience, however neutral or friendly, as a personal attack and a sign of their “put-upon” status. They will feel like they always need to be on guard to defend themselves. Someone with PPD will struggle to trustanything, as they fear (or expect) that everything in their world could be revealed as a lie or trick at any moment. This uncertainty may drive someone with PPD towards anger and constant arguments with other people, who they assume are lying or hiding information. Alternately, the person may isolate themselves from the world and from others so they cannot be decieved.

To be diagnosed with PPD in the DSM-5, someone must meet 4 of these criteria;

Continue reading

Personality Disorders 101 : How are PDs diagnosed?

The study of psychological differences and “abnormal” behaviour has received more public attention than many other branches of psychology, but this attention isn’t always beneficial. “Abnormal” behaviour is associated with sensationalist news headlines more than sensible conversation. As a result, people often know about psychological conditions through their portrayals in mass media, rather than from factual explanations.

Of the many psychological differences, the category of personality disorders is most frequently misunderstood. The individual personality disorders (PDs) are often mis-represented, while the idea of a “disordered personality” sparks criticism from anti-psychiatry groups and people diagnosed with PDs.

So what are PDs, and what do we mean by “personality” in this context?

Currently, personality disorders are defined as groups of traits, experiences and behaviours that are significantly different from the majority of people; that affect someone’s thinking, emotions and impulses; and are associated with personal distress and dysfunction. These general criteria needs to be met for any PD diagnosis.

So to be diagnosed with a PD, someone needs to have a collection of unusal behaviours and traits which affects a large portion of their everyday life. Those behaviours and traits must start before early adulthood. They need to cause negative consequences for the person, who should be upset by or annoyed at those behaviours.  The name “personality disorder” attempts to represent how far-reaching and impactful those behaviours and experiences are upon almost every aspect of the person’s understanding of themselves and their ability to relate to others.

Continue reading

World Suicide Prevention Day | What is meant by Suicide Prevention?

(This is the second post in this series; my first post discusses the most popular current theory of suicide as well as some statistics on it, and my third post discusses some assumptions made by suicide prevention initiatives)

In the lead-up to WSPD 2019, I’ve seen many videos aimed at individuals who currently feel suicidal, encouraging them not to act on that feeling. But that can’t be the full story for such a large goal as preventing suicide. So, my question for today is; what does “suicide prevention” actually mean? What areas does it cover, and how does it work?

According to Wikipedia, suicide prevention is “the collective efforts of citizen organisations, health professionals and related professionals to reduce the incidence of suicide”. This is centred on direct intervention, and accompanied by four supporting parts: treating depression, improving people’s coping strategies, reducing risk factors for suicide, and giving people hope.

Continue reading

“Delaying the Inevitable”- Pessimism in mental health support

Trigger Warning: This whole post is about themes of suicidal thoughts and responses to them. There isn’t anything graphic or too detailed, but don’t read this post if that theme’s not a good idea for you. 

I have a strange history with the word inevitable. One one hand, it’s a warning sign. It’s the red flag which warns me I’m about to lose days to the thoughts rattling around my head and blocking everything I care about. When I start to believe that returning to the past is inevitable, that failure is guaranteed while everything good that’s happened since was just temporary solace- that’s how I know a bad time is imminent. When things are bad, the word inevitable gets lodged in my mind, poisoning everything I experience. But at one point, the phrase “delaying the inevitable” was the most helpful thing I’d heard for months.

Continue reading

Theresa May’s Reform Plan

Theresa May’s mental health reform speech on Monday was the first time I’ve heard her say more than a soundbite, and also the first time I’ve heard her talk about anything other than Brexit, so I wasn’t sure what to expect.

At the opening of her speech, I wanted to support her. I wanted to believe she would say something genuinely meaningful and compassionate. I also hoped (perhaps naively) that she would make reference to the effect of austerity upon mental health. May is in a good place to acknowledge the negative impact of previous political choices, after all. While she is maintaining many of those choices, she didn’t instigate them. She has mostly inherited the bad decisions made by others, most obviously David Cameron, becoming essentially the country’s largest-scale supply teacher.

Initially, her opening discussion of the overt and covert injustices present today were impactful, leaving her actual reform strategies as arguably the weakest element of her speech. Similarly, while her view on reducing stigma (below) says all the “right” things, it does so without providing anything tangible or practical, or any awareness of where the Government themselves have been guilty of removing that attention and treatment.

Continue reading

How Is The World Feeling?

If you have a smartphone, then right now you could be taking part in the world’s largest mental health study. Sounds interesting? Then head over to http://howistheworldfeeling.spurprojects.org/ to join in.

If you need a bit more convincing, then read on.

The survey is called How Is The World Feeling?, and it’s aiming to get a snapshot of how everyday people around the world are feeling during this week (October 10th- October 16th). The target is to have 7 million people taking part, and 70 million emotions logged.

Continue reading

Mental Health, Common Sense, and the Unknown

Everyone has a level of physical health which changes over time and as a result of circumstances.

A minority of people are at their peak of physical health, the healthiest they could possibly be.The majority of people are generally healthy: they don’t have to worry about their physical health as everything is working well enough to live their life.

Minor physical health issues such as colds or aches and pains, are common. They temporarily make life doable but more difficult. People with longer-term minor issues learn to adapt and accommodate around what is tougher for them- perhaps they can usually function at 95% of the generally healthy level .

Major physical health issues can make normal life very difficult, requiring someone to change how they live for a bit and often need a recovery time/ gradual return afterwards.

Then a small percentage of people have chronic, severe physical health issues that mean they either cannot function in a typical life at all, or they need to adapt almost everything about their life to live and function.

So, why did I just write that? Everything I’ve just said is common sense, and it doesn’t need saying.

But try it again, swapping physical for mental…

Continue reading

Mental Health Online: Forums

In 1994, Dr Phillip Long founded www.mentalhealth.com aiming to create a cross-cultural encyclopaedia of mental health conditions. The site is looking a little archaic now, using older DSM categories not commonly used now, and containing diagnostic ideas that didn’t really catch on, such as analysing all mental health symptoms through Greek personality dimensions.

While the site may not be entirely relevant these days, it’s a fascinating and detailed read. Moreover, it’s attached forum has been consistently running since 2005. In internet terms, this is an incredibly long time. Imagining friendships possibly extending for 10 years, its easy to see the best part of forums; their ability to connect people with others across time and space, providing friendships built on common experience and support.

Continue reading

Mental Health Online: Tumblr

Of all the major social networks, Tumblr is the one I wanted to write about the most, because its a dramatic difference from the stoicism of Twitter and the envy-inducing highlight reel of Facebook. Just like most of its users, its young, bold, and easily misunderstood.

# history

For the uninitiated, Tumblr is a microblogging site with a very “anything goes” attitude towards content: drawings, videos, music, gifs, longform text, links and pretty much anything else you can think of are all found there. Its major feature is reblogging, which is reposting someone else’s content onto your own feed and adding commentary, opinions, or a visual response- a cross between a Twitter retweet and a standard blog’s comment chain. Posts are organised and collected using hashtags, which are essential for posts being discovered and read.

Part of Tumblr’s appeal is how it conveys the impression of a private, almost clandestine association. (In reality, there are over 100 million tumblr users, and it got bought by Yahoo! for over a billion dollars). Unlike most social networks, pseudonymity can prevail; a user can change their name as often as they want and hide all personal information, while the lacking search function works solely on tagged words, effectively making untagged content invisible except for to followers. Because of this, Tumblr can seem far more private than other social networks. Many posts are made seemingly without considering a potential audience- often off-the-cuff, reactionary, self-depreciatingly, or holding nothing back about mental health difficulties.

Continue reading

Mental Health Online: Twitter

Compared to Facebook, I didn’t think of Twitter as a useful place for discussing mental health issues. This was partly due to the 140 character limit; I couldn’t see the use of tweets for in-depth discussion compared to something like a blog post or video.

However, when I looked through my twitter feed more closely, there was a lot of talk about mental health. Most of the people talking were advocates; either they wanted to start conversations, to support mental health organisations, or start their own campaigns. And most of these advocates were survivors, using their experiences with mental health to show others why researching mental health matters.

#Academia

Twitter doesn’t have the same kind of scare-headline news stories as Facebook, and there isn’t any research saying it affects people negatively. However, there is some research on  responses to individual hashtags. Shepherd et al studied the #DearMentalHealthProfessionals thread, a conversation set up by Amanda O’Connell in August 2013, and found there were four main types of discussion:

Continue reading