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1 December 2009
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You are in : HEALTHCARE

MENTAL HEALTH

The sad news that former world heavyweight boxing champion Frank Bruno was admitted to a psychiatric unit, made all the headlines recently.

But how it was treated by different newspapers also made the news. The Sun newspaper’s headline – "Bonkers Bruno" prompted a deluge of complaints and the newspaper had to make a public climb down after protests from readers.

In fact, the headline was changed in later editions, to "Sad Bruno in mental home". And since the outcry, the Sun has launched a support fund for people with mental health problems.

So did the Sun misjudge the public mood about mental health? How much do we understand about mental illness?

Mental health is an issue for all of us – we are all fallible and capable of psychological unease from time to time.

Anyone experiencing difficulties due to a mental health problem deserves our understanding and support, especially because at these times they feel most vulnerable

Those in the public eye have it particularly tough due to lack of privacy at times of difficulty and misrepresentation of and highly insensitive portrayal of the facts as this week shows can happen.

Stigma still exists about mental health issues, often out of a mixture of ignorance and fear yet mental health problems are common and can affect any one of us.

People in Northern Ireland are at greater risk of mental ill health than people in England and Scotland (Health & Well-being Survey DHSS 2001).

Some statistics
It is estimated that as many as 1 in 6, at any point in time suffer from a diagnosed condition such as depression and anxiety.

Between 10-20% of our teenagers suffer from depression at some time

The trend for self-harm and suicide is high, especially amongst young men (150 deaths per year and approximately 4,000 hospital admissions due to self-harm).

Depression is particularly prevalent – (often dubbed the ‘Common Cold’ of psychiatry). The world Health Organisation have estimated that by 2020 depression will be the second leading cause of disease (after heart disease).

There is an increasing focus on fostering positive mental health and well-being. A regional strategy – Promoting Mental Health – Strategy and Action Plan 2003-2008 has been developed and action is being implemented.

Also there is currently a major review of Mental Health and Learning Disability underway in Northern Ireland.

Special working committees are looking at issues such as:-

Mental Health Legislation and Policy 
Children and Adolescents mental health
Learning Disability 
Mental Health Promotion 
Primary Care

Limited resources are an issue. Here is estimated that there is a shortfall in community investment in mental health of £26 million.

Mental health tends to be the ‘Cinderella’ of the health services.

How to tackle stigma?
Education helps – increasing people’s awareness of mental health issues – especially given that anyone can experience such difficulty at some time in their life

Mental Health problems can be harder to understand than physical problems – they are in a sense invisible - People can sympathise with a broken leg etc but find depression harder to understand if they haven’t experienced it themselves.

There has been some work done in schools – there could be more – also in terms of helping young people build resilience in coping with adversity

Mental health in the workplace has been a developing area over the past few years

Student mental health is of some concerns currently – high levels of psychological problems have been identified. Isolation, loneliness, stress of exams can all trigger problems for some.

What can help an individual?
Medication can be helpful as part of a range of treatment, but approach should be holistic eg

Alternative therapies such as reflexology, aromatherapy and yoga have been found by many to be beneficial.
Relaxation is important, whether structured or informal
Exercise, even moderate, has been shown to reduce tension and improve mood.
Creativity has been linked particularly with good mental health.
Being aware of one’s own emotions helps, ie - emotional intelligence and being able to manage difficult emotions such as anger.
Meaningful and interesting activity is useful – interests other than work and family alone ie hobbies etc
Trying to have a work- home balance is useful
Learning from experience and allowing oneself to make mistakes is important – not being a perfectionist having realistic standards.



NI Association for Mental Health – Tel: 028 9032 8474


LISTENERS’ COMMENTS

A Derriaghy woman says – It is great that mental disorders have been highlighted – even if it happens to be because of the Frank Bruno situation. My daughter has got an eating disorder and I think there should be more education about this in the schools.

County Down listener says – I don’t know why people are so ignorant. I am in a psychiatric unit and a friend I thought I once had, has not visited or sent me a card. If I had been in an ordinary hospital, I wonder would it have been any different.

A Coleraine man says – thank you to Linda for the heartfelt interview with Shelagh. I just wish more GPs would deal with issues of depression in a better way.

An listener tells us – I am a professional person and I can’t tell my employers that I suffer from a mental illness. But Action and Mental Health has been a great support to me providing training and advice.

A Belfast listener says - I suffer from a mental illness and sometimes become disorientated and suicidal in the middle of the night and have to ring 999. I think there should be a psychiatric nurse on call for this sort of situation.

A listener in Upper Ballinderry says – I can relate to what Sheila said in regards to friends not understanding mental illness and not visiting – I would like to wish her all the luck in the future.

RELATED LINKS

Mental Health Foundation

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