🔥🔥🔥 Compare And Contrast Mental Health And Mental Illness

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Compare And Contrast Mental Health And Mental Illness

Economic Causes Of Hatred In Romeo And Juliet. A guide for mental health professionals. Medications for common adult health problems, such as diabetes, high blood pressure, anxiety, and depression may interact badly with anticonvulsants. Compare And Contrast Mental Health And Mental Illness Engl J Med Infant Observation Paper 8 — This website needs JavaScript enabled in Compare And Contrast Mental Health And Mental Illness to work Compare And Contrast Mental Health And Mental Illness currently it looks like it is disabled.

Mental Health or Mental Illness? What’s the difference?

Among urban residents in China, satisfaction with living environment and neighborhood safety were linked to lower levels of depression [ 42 ] and neighborhood planning conflicts with local government were linked to higher levels [ 43 ]. In contrast, a U. Direct and indirect experiences of community violence in adolescence have been significantly associated with elevated depressive, anxiety, and PTSD symptoms [ 40 , 41 ]. Additionally, U. Bor and colleagues [ 45 ] examined a unique community-level predictor—police killings of unarmed Black Americans at the state level. Similarly, a study of the unrest that developed in Ferguson, Missouri after the death of Michael Brown found that proximity to associated violence was linked to negative mental health outcomes [ 46 ].

Among New York City residents most affected by Hurricane Sandy, Black race and Latinx ethnicity predicted higher post-traumatic stress [ 47 ]. Globally, nationality and migration status have demonstrated significant negative impacts on mental health [ 15 ]. A recent Canadian examination has provided further evidence that, although migrants on average demonstrate better mental health than native populations shortly after their arrival, this effect typically disappears over time [ 10 ]. In the United States, Latinx parents reporting adverse immigration-related impacts since January were more likely to report high psychological distress than those without immigration concerns [ 49 ]. Women also consistently report poorer mental wellbeing than men [ 15 , 50 , 7 , 51 , 10 ].

However, they may be less likely to meet diagnostic criteria for neurodevelopmental and disruptive and impulse control disorders [ 13 ]. Additionally, factors related to gender identity e. It is important to note, however, that mental health differences based on such fixed characteristics e. Although less frequently discussed than the converse pathway, mental illness can also impact social determinants, including homelessness, school dropout, marital instability, and economic insecurity [ 52 — 54 ]. A two-way relationship exists between mental health disorders and social determinants, as poor mental health can aggravate personal choices and affect living conditions that limit opportunities [ 55 ].

Using a life-course approach, the World Health Organization [ 55 ] has described how mental health symptoms in each stage of life can negatively impact socioeconomic status and other social determinants in a cumulative and dynamic manner. Young adulthood is a crucial period where multiple social determinants can intersect and contribute to behavioral health disorder onset. These risk factors can then impede future earnings, create barriers to socioeconomic improvement, and increase mental health disorder risk. Further, young adults often lack access or long-term connection to behavioral health services, facilitating social inequities [ 59 ].

Given considerable evidence of the links between social determinants and mental health outcomes, multilevel interventions aimed at eliminating systemic social inequalities—such as access to educational and employment opportunities, healthy food, secure housing, and safe neighborhoods—are crucial [ 55 ]. A framework designed by Bell, Donkin, and Marmot [ 60 ] incorporates the individual, family, systems e. Table 1 briefly summarizes several recent studies of interventions targeting social determinants of mental health at various levels; these studies are also described and contextualized below. Interventions aimed at improving household and working life for individuals with mental illness have demonstrated success in increasing housing stability, community functioning, perceived wellbeing and quality of life, and increased self-esteem [ 61 ].

A recent meta-analysis of interventions targeting employment showed that Individual Placement and Support IPS programs have effectively improved employment rates, as well as individual functioning and wellbeing [ 62 ]. However, limited funding impedes IPS program implementation [ 63 ]. Housing First programs have been linked to improved housing outcomes, lower rates of inpatient hospitalization, and more stable use of health services for individuals experiencing homelessness and mental health challenges; however, these programs did not significantly reduce clinical symptoms [ 61 , 64 ].

Studies investigating the effects of addressing mental health needs before offering housing have not shown promising outcomes [ 61 ]. Social policies targeting housing stability have also been credited with decreasing food insecurity rates in Canada [ 65 ]. Food insecurity has been linked with poor mental health outcomes [ 21 — 23 ]; however, benefits of national programs like the Supplemental Nutrition Assistance Program may be moderated by individual perceptions of government assistance [ 66 ]. Other poverty reduction programs, such as the Earned Income Tax Credit, suggest that such national efforts can decrease depressive symptoms and improve self-esteem among beneficiaries [ 67 ]. Community-based interventions that build neighborhood trust and safety, mitigate violence and crime, or improve neighborhood deprivation can also lessen mental health inequalities [ 68 , 69 ].

Regional and national programs focused on urban planning e. Interventions designed to improve social connectedness and inclusion have also demonstrated positive responses [ 74 ]. For youth in particular, programs that encourage engagement through social media and social marketing, schools, primary care, and parental relationships have been linked to improvement of several behavioral health outcomes [ 75 ]. This strategy has shown positive results—not only in reducing drug use initiation and delinquency rates, but also in reducing overall projected justice- and health-related costs [ 76 ].

Emerging literature illustrates the positive impact of investing in and integrating social services with mental health care. The use of community health workers CHWs for patient outreach, navigation, and care management activities has been credited with improving patient engagement and treatment utilization in low-resource settings [ 77 ]; CHWs have also successfully implemented interventions targeting social determinants among individuals with mental health conditions [ 78 ]. However, a recent systematic review revealed that many social prescribing studies were considerably small in scale and utilized poor quality study designs [ 79 ]. Finally, universal primary health care access is presented as a method for reducing mental health inequalities, given better emotional wellbeing demonstrated in individuals from nations with universal health care [ 81 , 82 ].

Social determinants interact at different levels within complex systems, creating direct and indirect impacts on mental health—often with time delays [ 69 ]. To estimate these non-linear, dynamic, and time-varying relationships, researchers have utilized analytical strategies beyond generalized linear models. Simulation models, for example, offer a simplified representation of complex systems [ 83 ] and can be a useful tool for understanding system dynamics related to social determinants. State-transition and network models are used to simulate disease progression among populations; they are particularly useful when clinical event timing i. For example, Scata and colleagues [ 85 ] modeled the spread of suicidal ideation as a social contagion phenomenon among individuals with psychological distress using a state-transition model.

Their results suggested that increasing awareness of suicidal behavior risks through prevention programs and social campaigns may reduce suicidal ideation contagion. Heterogeneous social networks consisting of individuals with varying degrees of susceptibility and awareness—possibly resulting from distinct socioeconomic backgrounds—might also increase network resilience against contagion [ 85 ]. Agent-based models ABMs simulate actions and interactions of multiple agents i. Compared with randomized control trials, ABMs can simulate outcomes of systems under different scenarios, and therefore be significantly more time and cost-efficient for testing intervention effectiveness and examining policy impact [ 84 ].

They found that increasing employment was strongly correlated with improvements in mental health outcomes, while increasing education or income produced weak correlations. These weight-based approaches can be readily integrated in existing survey designs, and thus are convenient tools for weighted survey analysis. Recent social determinants research [ 91 , 92 ] has also used descriptive unsupervised and predictive supervised machine learning algorithms to interpret existing patterns and behaviors and predict future events.

Unsupervised learning methods allow systems to learn the structure of input data without explicitly provided outputs [ 93 ]; enabling identification of previously unknown data patterns. In two recent studies [ 94 , 95 ], k-means clustering methods were used to identify distinct social determinant clusters from interview responses of LGBT adolescents. Poor mental health outcomes i. In contrast, supervised learning methods allow systems to learn a mapping function i.

Penalized regressions, random forest, and neural networks have been used to illustrate important social determinants of health, including income and social support [ 92 ]. Nonclinical data regarding individual- and community-level social determinants might help supervised learning models predict mental health outcomes and service need, but performance improvement findings have been mixed [ 97 , 92 ]. In contrast to traditional models where outputs are affected by a linear combination of inputs, machine learning algorithms can account for more complex, dynamic relationships , and thus identify new social determinants [ 98 ]. Proliferation of big data and wider use of electronic health records EHR have presented new options for using social determinants data.

These measures have been adopted and expanded in various settings [ , ], and are often used in conjunction with locally designed instruments [ ]. In the era of value-based care, incorporating community-level social determinants into EHR is of great interest. Because geomarkers, such as public transportation availability or distance from care providers, can approximate risk of poor health outcomes [ ], researchers have sought to develop effective geospatial techniques to link such information to EHR data. Once obtained, geocoded community-level information can be readily added into EHR. Of note, quality of mapping can be affected by uncertainty in matching geocoded information to addresses for individual patients in EHR [ ]. Despite ongoing efforts to include standardized social determinants data in EHR, socioeconomic information is still collected in an unstructured format e.

Recently developed text-mining algorithms can identify social determinants information that may be hidden within EHR entries. A study searching for 22 terms related to social determinants e. Thus, existing algorithms may require modification for specific populations in different contexts to ensure validity. Given identified links between social determinants and health care need, utilization, and spending, some states have sought to use social determinants e.

These strategies allow states to capture risk beyond traditional diagnostic data and avoid financially penalizing providers who care for patients with greater social needs. The movement to address social determinants of mental health can accelerate advances in the evaluation and dissemination of social interventions and increase social and institutional supports for disadvantaged patients. There are, however, some limitations from this work. Below, we raise several points for consideration regarding future research. As research continues to illuminate the connections between social determinants and mental health outcomes, researchers should also focus on identifying any negative consequences of such work.

Caution should be taken to ensure that patients are supported, rather than harmed. Many social determinant studies have used cross-sectional designs that fail to account for temporal trends and cumulative effects [ ], and many have failed to include control groups or address selection bias. Future investigation could utilize pragmatic trials, cost-effectiveness analysis, and scientifically rigorous designs and analyses e. Lack of definitions and dosage information across intervention studies prevents aggregation of data to draw broader conclusions. Achieving a better definition of criteria and elements addressed in a specific social determinant intervention will allow researchers to better replicate, interpret and understand the mechanisms driving change in the mental health outcomes.

Scholars should seek to learn more about differential effects of social determinants on members of different populations e. Perhaps there are time sensitive periods where specific social determinants—and, therefore, associated interventions—have a larger impact on mental health outcomes. Supported education might be beneficial for young adults experiencing mental illness, but benefits may weaken as individuals age. Efforts to develop a more comprehensive understanding of the optimal time and dosage of certain interventions could inform future policy and program planning.

Investigators should continue using simulation models to understand relationships between social determinants and mental health outcomes, and should merge varied sources of data to ensure all relevant factors are included. Additionally, investigators should consider utilizing social media data, which are inherently longitudinal and available in real-time, thereby facilitating surveillance and prediction of mental health risk [ , ]. Although interventions tend to focus solely on one domain e. Evaluations of interventions targeting social determinants often utilize clinical outcomes i. However, other potential outcomes might be equally, if not more important to patients, providers, or other interested parties. Creating partnerships across patients, policymakers, and researchers can elicit multiple perspectives on what matters most.

Social determinants should be framed as the result of structural inequalities in our institutional systems rather than patient vulnerabilities [ ]. A narrative supported by past research focused on individual-level explanations suggests that the responsibility to overcome barriers such as poverty lies with the person rather than with allocation of resources by governments and institutions. This shift in framing the problem is critical for changing societal attitudes towards funding social programs or interventions targeting populations that have been disadvantaged due to long-standing structural inequalities. Dissemination efforts via policy briefs and patient blogs can clarify what research has found regarding social determinants and what information gaps remain.

Providing evidence-based information to wider audiences can help decision-makers and patients prioritize and select which social determinants have substantial evidence for implementation given the mental health outcome they seek to tackle [ ]. To maximize the potential of these recommendations, decision-makers must assign responsibility to specific leaders and institutions for identifying and addressing patient social determinants—especially those with strong links to mental health and wellbeing.

The silo approach to governmental, social, and health system duties and responsibilities tends to muddle responsibility which can lead to inaction. We end with optimism that the social determinant movement will allow us to decrease mental health disease burden, reduce adverse patient selection for insurers and finally recognize that healthcare systems must treat the whole person, not just the illness. The authors would like to thank Georgina Dominique, Lauren Cohen, and Olivia Kahn-Boesel for their assistance in the preparation of this manuscript. National Center for Biotechnology Information , U. Curr Psychiatry Rep. Author manuscript; available in PMC Sep Author information Copyright and License information Disclaimer.

Copyright notice. The publisher's final edited version of this article is available at Curr Psychiatry Rep. See other articles in PMC that cite the published article. Abstract Purpose of Review: The present review synthesizes recent literature on social determinants and mental health outcomes and provides recommendations for how to advance the field. Recent findings: Recent research has increasingly focused on interactions between multiple social determinants, interventions to address upstream causes of mental health challenges, and use of simulation models to represent complex systems. Summary: Recent advances in strategies to collect, evaluate, and analyze social determinants suggest the potential to better appraise their impact and to implement relevant interventions.

Keywords: social determinants, mental health, vulnerable populations, interventions, public health. Introduction Social determinants frameworks focus on understanding how the circumstances in which people live and work shape their health outcomes [ 1 ]. Social Determinants and Mental Health Outcomes: Recent Findings In the past three years, greater evidence has accumulated to support ways in which social determinants impact mental health outcomes within specific populations. Interventions to address the social determinant and mental health cycle Given considerable evidence of the links between social determinants and mental health outcomes, multilevel interventions aimed at eliminating systemic social inequalities—such as access to educational and employment opportunities, healthy food, secure housing, and safe neighborhoods—are crucial [ 55 ].

Table 1. Selected interventions targeting social determinants of mental health. Census Bureau. Urban park quantity, quality and self- reported scores on the Gallup-Healthways 1Wellbeing Index WBI , Park quantity was among the strongest predictors of overall wellbeing; the strength of park quality and accessibility were positively associated with wellbeing Universal Primary Health Care Access [ 81 ] Analyze cross- national results of self-reported health and the prevalence of material hardship for adults, which can lead to poor mental health U. Open in a separate window. Advancing methodological techniques for social determinant research Social determinants interact at different levels within complex systems, creating direct and indirect impacts on mental health—often with time delays [ 69 ].

Collecting and using social determinant data Proliferation of big data and wider use of electronic health records EHR have presented new options for using social determinants data. Conclusions and recommendations The movement to address social determinants of mental health can accelerate advances in the evaluation and dissemination of social interventions and increase social and institutional supports for disadvantaged patients. References 1. Marmot M Social determinants of health inequalities. The lancet ; — Marmot M, Bell R. Social inequalities in health: a proper concern of epidemiology.

Ann Epidemiol ; 26 4 — Closing the gap in a generation: health equity through action on the social determinants of health. The lancet ; —9. Social determinants of mental health. Int Rev Psychiatry ; 26 4 — The social determinants of health: coming of age. Annu Rev Public Health ; 32 — Fisher M, Baum F. The social determinants of mental health: implications for research and health promotion. Aust N Z J Psychiatry ; 44 12 — Han S, Lee H-S. Depressed during the depression: has the economic crisis affected mental health inequalities in Europe? Findings from the European Social Survey special module on the determinants of health.

Health inequalities between employed and unemployed in northern Sweden: a decomposition analysis of social determinants for mental health. Int J Equity Health ; 17 1 Migration and social determinants of mental health: Results from the Canadian Health Measures Survey. J Immigr Minor Health ; 19 3 — Int J Health Serv ; 45 2 — Canadian journal of psychiatry Revue canadienne de psychiatrie J Immigr Minor Health ; 17 6 — Explaining mental health inequalities in Northern Sweden: a decomposition analysis. Glob Health Action ; 10 1 Does social capital protect mental health among migrants in Sweden? Health promotion international ; 31 3 — Arch Sex Behav ; 46 — Maternal and child health journal The impact of persistent poor housing conditions on mental health: A longitudinal population-based study.

Prev Med ; — J Environ Psychol ; 50 — Nutrients ; 9 3 J Nutr ; 3 —7. Results revealed that overall prevalence of depression was 9. Overall, higher prevalence was observed with worsening food insecurity. J Health Psychol Berger M, Sarnyai Z. Stress ; 18 1 :1— Discrimination, mental health, and substance use disorders among sexual minority populations. LGBT health ; 3 4 — J Racial Ethn Health Disparities ; 5 4 —7. Canadian journal of psychiatry Revue canadienne de psychiatrie ; 63 5 — Mental health of African asylum-seekers and refugees in Hong Kong: using the social determinants of health framework. BMC Public Health ; 17 1 American journal of public health ; 7 — Multifactorial discrimination as a fundamental cause of mental health inequities.

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Differences in health care, family, and community factors associated with mental, behavioral, and developmental disorders among children aged 2—8 years in rural and urban areas—United States, — LGBT health ; 4 5 —9. Longitudinal trajectory of adolescent exposure to community violence and depressive symptoms among adolescents and young adults: understanding the effect of mental health service usage. Community Ment Health J ; 53 1 — BJPsych open ; 3 5 — Chen J, Chen S. Mental health effects of perceived living environment and neighborhood safety in urbanizing China. Habitat Int ; 46 — Fu Q Bringing urban governance back in: Neighborhood conflicts and depression. Soc Sci Med ; :1—9. The collateral damage of mass incarceration: Risk of psychiatric morbidity among nonincarcerated residents of high-incarceration neighborhoods.

American journal of public health ; 1 — Police killings and their spillover effects on the mental health of black Americans: a population-based, quasi-experimental study. The Lancet The authors found a mental health impact of these killings on Black Americans, but not White Americans, with the highest impact observed one to two months after exposure. Exposure to violence during Ferguson protests: mental health effects for law enforcement and community members.

J Trauma Stress ; 29 4 — J Health Care Poor Underserved ; 25 3 Latino Parents Raising Adolescents. J Adolesc Health ; 62 5 — Gender inequalities in mental wellbeing in 26 European countries: do welfare regimes matter? Eur J Public Health ; 26 5 —6. Nguyen D, Goel M. Social determinants and the psychological distress of Vietnamese immigrants. Int J Cult Ment Health ; 8 1 — Psychiatric services Washington, DC ; 63 10 — Money and mental illness: A study of the relationship between poverty and serious psychological problems. Community Ment Health J ; 52 7 — Mental health and school dropout across educational levels and genders: a 4. BMC Public Health ; 16 It's important to give the body time to adjust to the change. People don't get addicted or "hooked" on these medications, but stopping them abruptly may also cause withdrawal symptoms.

Some antidepressants may cause more side effects than others. You may need to try several different antidepressant medications before finding the one that improves your symptoms and that causes side effects that you can manage. Call your doctor right away if you have any of the following symptoms, especially if they are new, worsening, or worry you U. Food and Drug Administration, :. Combining the newer SSRI or SNRI antidepressants with one of the commonly-used "triptan" medications used to treat migraine headaches could cause a life-threatening illness called "serotonin syndrome.

Serotonin syndrome is usually associated with the older antidepressants called MAOIs, but it can happen with the newer antidepressants as well, if they are mixed with the wrong medications. Antidepressants may cause other side effects that were not included in this list. To report any serious adverse effects associated with the use of antidepressant medicines, please contact the FDA MedWatch program using the contact information at the bottom of this page. For more information about the risks and side effects for each medication, please see Drugs FDA. Anti-anxiety medications help reduce the symptoms of anxiety, such as panic attacks, or extreme fear and worry. The most common anti-anxiety medications are called benzodiazepines. Benzodiazepines can treat generalized anxiety disorder.

In the case of panic disorder or social phobia social anxiety disorder , benzodiazepines are usually second-line treatments, behind SSRIs or other antidepressants. Buspirone which is unrelated to the benzodiazepines is sometimes used for the long-term treatment of chronic anxiety. In contrast to the benzodiazepines, buspirone must be taken every day for a few weeks to reach its full effect.

Anti-anxiety medications such as benzodiazepines are effective in relieving anxiety and take effect more quickly than the antidepressant medications or buspirone often prescribed for anxiety. However, people can build up a tolerance to benzodiazepines if they are taken over a long period of time and may need higher and higher doses to get the same effect.

Some people may even become dependent on them. To avoid these problems, doctors usually prescribe benzodiazepines for short periods, a practice that is especially helpful for older adults read the NIMH article: Despite Risks, Benzodiazepine Use Highest in Older People , people who have substance abuse problems and people who become dependent on medication easily. If people suddenly stop taking benzodiazepines, they may have withdrawal symptoms or their anxiety may return.

Therefore, benzodiazepines should be tapered off slowly. Like other medications, anti-anxiety medications may cause side effects. Some of these side effects and risks are serious. The most common side effects for benzodiazepines are drowsiness and dizziness. Other possible side effects include:. Beta-blockers generally are not recommended for people with asthma or diabetes because they may worsen symptoms related to both.

Anti-anxiety medications may cause other side effects that are not included in the lists above. To report any serious adverse effects associated with the use of these medicines, please contact the FDA MedWatch program using the contact information at the bottom of this page. As the name suggests, stimulants increase alertness, attention, and energy, as well as elevate blood pressure, heart rate, and respiration National Institute on Drug Abuse, Stimulant medications are often prescribed to treat children, adolescents, or adults diagnosed with ADHD.

Two other non-stimulant antihypertensive medications, clonidine and guanfacine , are also approved for treatment of ADHD in children and adolescents. One of these non-stimulant medications is often tried first in a young person with ADHD, and if response is insufficient, then a stimulant is prescribed. Stimulants are also prescribed to treat other health conditions, including narcolepsy, and occasionally depression especially in older or chronically medically ill people and in those who have not responded to other treatments. Stimulant medications are safe when given under a doctor's supervision. Some children taking them may feel slightly different or "funny. Some parents worry that stimulant medications may lead to drug abuse or dependence, but there is little evidence of this when they are used properly as prescribed.

Additionally, research shows that teens with ADHD who took stimulant medications were less likely to abuse drugs than those who did not take stimulant medications. Stimulants may cause side effects. Most side effects are minor and disappear when dosage levels are lowered. The most common side effects include:. Stimulants may cause other side effects that are not included in the list above. To report any serious adverse effects associated with the use of stimulants, please contact the FDA MedWatch program using the contact information at the bottom of this page. Antipsychotic medicines are primarily used to manage psychosis.

Antipsychotic medications are often used in combination with other medications to treat delirium, dementia, and mental health conditions, including:. Antipsychotic medicines do not cure these conditions. They are used to help relieve symptoms and improve quality of life. Some of the common typical antipsychotics include:. Newer or second generation medications are also called "atypical" antipsychotics. Some of the common atypical antipsychotics include:. According to a research review by the Agency for Healthcare Research and Quality , typical and atypical antipsychotics both work to treat symptoms of schizophrenia and the manic phase of bipolar disorder. To find additional antipsychotics and other medications used to manage psychoses and current warnings and advisories, please visit the FDA website.

Certain symptoms, such as feeling agitated and having hallucinations, usually go away within days of starting an antipsychotic medication. Symptoms like delusions usually go away within a few weeks, but the full effects of the medication may not be seen for up to six weeks. Every patient responds differently, so it may take several trials of different antipsychotic medications to find the one that works best. Some people may have a relapse—meaning their symptoms come back or get worse. Usually relapses happen when people stop taking their medication, or when they only take it sometimes. Some people stop taking the medication because they feel better or they may feel that they don't need it anymore, but no one should stop taking an antipsychotic medication without talking to his or her doctor.

When a doctor says it is okay to stop taking a medication, it should be gradually tapered off— never stopped suddenly. Many people must stay on an antipsychotic continuously for months or years in order to stay well; treatment should be personalized for each individual. Antipsychotics have many side effects or adverse events and risks. The FDA lists the following side effects of antipsychotic medicines:. A person taking an atypical antipsychotic medication should have his or her weight, glucose levels, and lipid levels monitored regularly by a doctor.

Typical antipsychotic medications can also cause additional side effects related to physical movement, such as:. Long-term use of typical antipsychotic medications may lead to a condition called tardive dyskinesia TD. TD causes muscle movements, commonly around the mouth, that a person can't control. TD can range from mild to severe, and in some people, the problem cannot be cured. Sometimes people with TD recover partially or fully after they stop taking typical antipsychotic medication.

People who think that they might have TD should check with their doctor before stopping their medication. TD rarely occurs while taking atypical antipsychotics. Antipsychotics may cause other side effects that are not included in this list above. To report any serious adverse effects associated with the use of these medicines, please contact the FDA MedWatch program. For more information about the risks and side effects for antipsychotic medications, please visit Drugs FDA.

Mood stabilizers are used primarily to treat bipolar disorder, mood swings associated with other mental disorders, and in some cases, to augment the effect of other medications used to treat depression. Lithium , which is an effective mood stabilizer, is approved for the treatment of mania and the maintenance treatment of bipolar disorder. A number of cohort studies describe anti-suicide benefits of lithium for individuals on long-term maintenance. Mood stabilizers work by decreasing abnormal activity in the brain and are also sometimes used to treat:. Anticonvulsant medications are also used as mood stabilizers.

They were originally developed to treat seizures, but they were found to help control unstable moods as well. One anticonvulsant commonly used as a mood stabilizer is valproic acid also called divalproex sodium. Other anticonvulsants used as mood stabilizers include:. Mood stabilizers can cause several side effects, and some of them may become serious, especially at excessively high blood levels. These side effects include:. If a person with bipolar disorder is being treated with lithium, he or she should visit the doctor regularly to check the lithium levels his or her blood, and make sure the kidneys and the thyroid are working normally. Lithium is eliminated from the body through the kidney, so the dose may need to be lowered in older people with reduced kidney function.

Also, loss of water from the body, such as through sweating or diarrhea, can cause the lithium level to rise, requiring a temporary lowering of the daily dose. Although kidney functions are checked periodically during lithium treatment, actual damage of the kidney is uncommon in people whose blood levels of lithium have stayed within the therapeutic range. Mood stabilizers may cause other side effects that are not included in this list. For more information about the risks and side effects for each individual medication, please see Drugs FDA.

Medications for common adult health problems, such as diabetes, high blood pressure, anxiety, and depression may interact badly with anticonvulsants. In this case, a doctor can offer other medication options. Many medications used to treat children and adolescents with mental illness are safe and effective. However, some medications have not been studied or approved for use with children or adolescents. Still, a doctor can give a young person an FDA-approved medication on an "off-label" basis.

This means that the doctor prescribes the medication to help the patient even though the medicine is not approved for the specific mental disorder that is being treated or for use by patients under a certain age. In addition to medications, other treatments for children and adolescents should be considered, either to be tried first, with medication added later if necessary, or to be provided along with medication. Read more about child and adolescent mental health research. Older adults have a higher risk for experiencing bad drug interactions, missing doses, or overdosing. Older adults also tend to be more sensitive to medications. Even healthy older people react to medications differently than younger people because older people's bodies process and eliminate medications more slowly.

Therefore, lower or less frequent doses may be needed for older adults. Before starting a medication, older people and their family members should talk carefully with a physician about whether a medication can affect alertness, memory, or coordination, and how to help ensure that prescribed medications do not increase the risk of falls. Sometimes memory problems affect older people who take medications for mental disorders. An older adult may forget his or her regular dose and take too much or not enough. A good way to keep track of medicine is to use a seven-day pill box, which can be bought at any pharmacy.

At the beginning of each week, older adults and their caregivers fill the box so that it is easy to remember what medicine to take. Many pharmacies also have pill boxes with sections for medications that must be taken more than once a day. The research on the use of psychiatric medications during pregnancy is limited. The risks are different depending on which medication is taken, and at what point during the pregnancy the medication is taken. While no medication is considered perfectly safe for all women at all stages of pregnancy, this must be balanced for each woman against the fact that untreated serious mental disorders themselves can pose a risk to a pregnant woman and her developing fetus.

Medications should be selected based on available scientific research, and they should be taken at the lowest possible dose. Pregnant women should have a medical professional who will watch them closely throughout their pregnancy and after delivery. Antidepressants, especially SSRIs, are considered to be safe during pregnancy. However, antidepressant medications do cross the placental barrier and may reach the fetus. Birth defects or other problems are possible, but they are very rare. The effects of antidepressants on childhood development remain under study.

Studies have also found that fetuses exposed to SSRIs during the third trimester may be born with "withdrawal" symptoms such as breathing problems, jitteriness, irritability, trouble feeding, or hypoglycemia low blood sugar. Most studies have found that these symptoms in babies are generally mild and short-lived, and no deaths have been reported. Risks from the use of antidepressants need to be balanced with the risks of stopping medication; if a mother is too depressed to care for herself and her child, both may be at risk for problems.

In , the FDA issued a warning against the use of certain antidepressants in the late third trimester. The warning said that doctors may want to gradually taper pregnant women off antidepressants in the third trimester so that the baby is not affected. After a woman delivers, she should consult with her doctor to decide whether to return to a full dose during the period when she is most vulnerable to postpartum depression. After the baby is born, women and their doctors should watch for postpartum depression, especially if a mother stopped taking her medication during pregnancy. In addition, women who nurse while taking psychiatric medications should know that a small amount of the medication passes into the breast milk.

However, the medication may or may not affect the baby depending s on the medication and when it is taken.

ABS Many definitions of recovery have been proposed by those who are experiencing it [ 818 Compare And Contrast Mental Health And Mental Illness. Unemployment, precarious employment, and employment conditions continue to be routinely linked to increased psychological distress [ 78 ], even in Analysis Of The Alchemist By Paulo Coelho with universal healthcare [ 910 ], Compare And Contrast Mental Health And Mental Illness employer-provided health Compare And Contrast Mental Health And Mental Illness is less essential to accessing services. Implementation of Compare And Contrast Mental Health And Mental Illness care and planning: From policy to practice to evaluation.

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