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Mental Health - मानसिक स्वास्थ्य


While every attempt has been made to check the accuracy of the information linked to, we do not monitor the content of third-party websites and do not accept any responsibility for any third-party website

This information was adapted from a brochure titled “What is Mental Illness” produced by ADEC (Action on Disability within Ethnic Communities) Victoria, Australia.

A pdf version of this information can be downloaded here in English or in Nepali

Mental Health and Well-being

What is Mental Distress?

People with mental distress can experience problems in the way they think, feel or behave. In other words, their thinking, feeling and behaviour is all mixed up. This significantly interferes with their relationships with other people, their work, and enjoyment of life. Having mental distress can be difficult for the person and difficult for the family. But, it is not something to be ashamed of.

What Causes Mental Distress?

It is important to understand that having mental distress is no-one's fault. It is sometimes believed that it is caused by bad blood, punishment or the evil eye. On the other hand, doctors believe that there are a number of factors which may lead to mental distress:

  • Chemical imbalance in the brain
  • Stress and everyday problems
  • Exposure to severely distressing experiences

It is difficult to be absolutely sure about the causes of mental distress in all situations. Sometimes physical distresses may have psychiatric symptoms.

Is Mental Distress Inherited?

Research indicates that some people may have a genetic predisposition to develop mental distress. Because there are many complex factors, it is advisable to discuss this with your doctor.

Is Mental Distress Contagious?

Mental distress is not like a cold or the measles, it is not contagious.

What Are The Main Types Of Mental Distress?

  • Anxiety Disorders
  • Post Traumatic Stress Disorder (PTSD)
  • Depression
  • Manic Depressive Distress
  • Schizophrenia
Anxiety Disorders

A person can experience extreme distress, panic or worry.
Common symptoms include:

  • high blood pressure,
  • increased heartbeat,
  • upset stomach,
  • tremors,
  • muscle tension,
  • feeling restless,
  • sleeplessness.
Post Traumatic Stress Disorder (PTSD)

Common symptoms include:

  • nightmares,
  • having a lot of thoughts of the trauma you suffered,
  • sleeplessness,
  • startling easily.
Depression

Depression affects a person's mood.

Mild Depression: Many people experience mild depression in their lives for example, sadness or not wanting to do anything.

Major Depression:Symptoms may include:

  • extreme sadness or despair;
  • a loss of interest in doing anything for example work, hobbies or hygiene;

  • sleeping problems;
  • loss of appetite;
  • weight loss;
  • lack of energy;
  • suicidal feelings or wanting to die;
  • sense of guilt;
  • hopelessness;
  • feeling worthless

Depression, whether mild or major, can be the result of reactions to life events for example the loss of a loved one, loss of a job, or trying to adjust to life in a new country. However, it can also have no known external causes.

If you are uncertain of the severity of the depression please seek professional advice.

Manic Depressive Distress

This affects a person's mood. A person may have extreme mood swings of highs and lows. Symptoms of a 'low' mood may include:

  • feelings of failure or unworthiness;
  • suicidal feelings or wanting to die;
  • depressed mood;
  • sleeping problems;
  • poor appetite.

Symptoms of a 'high' mood may include:

  • irritability,
  • speech may be jumbled because of speaking too quickly;
  • impulsiveness;
  • belief in being someone important or having great powers.

A person with manic depressive distress (also called ‘Bipolar Disorder’) may experience psychosis. Psychosis:This occurs when a person loses touch with reality or is unable to distinguish between what is real and what is fantasy.

Schizophrenia

The most common psychotic disorder is schizophrenia. Symptoms may include:

  • feeling confused or depressed;
  • withdrawal from family, friends, and reduced social contact;
  • hearing voices of people who are not present or that no-one else can hear;
  • believing that people are wanting to cause them harm;
  • belief of being someone famous or powerful;
  • feelings and thoughts may not match, for example, laughing at a sad thought for no apparent reason;
  • inability to perform everyday tasks, for example, looking after personal hygiene or diet.
What Can Be Done To Help A Person?

People experiencing these symptoms should seek medical help. Mental distress is like a physical illness. It is important to receive treatment in order to get well. If a person receives treatment at an early stage, they may be able to recover more quickly. One of the following or a combination can assist the person:

  • Medication can help with some forms of mental distress. It helps to control symptoms.
  • Support and counselling is talking to someone to deal with problems, to help to cope with the distress and the symptoms.
  • Support Group Meetings and being with other people with mental distress. Families getting together who have a member with mental distress. These groups give people the chance to share experiences, learn about mental distress and support each other.

The aim of this help is to restore respect, dignity and confidence to the mentally distressed person.

Where Can I Get This Help?


Primary Care Provider

Your doctor can check to make sure there are no underlying physical problems. They can medically treat the mentally distressed person. Your doctor can also refer you to other appropriate services.

Community Mental Health Clinics

Staff include psychiatrists, psychologists, psychiatric nurses, occupational therapists, social workers. They offer different forms of help to the person with mental distress and/or their families. This can include crisis assistance.

Psychiatric Hospitals

If someone is very sick they may need to be in hospital. People may be taken to hospital involuntarily if there is a risk that they can hurt themselves or others. Once a person is admitted to hospital, their mental health is reviewed regularly. The aim of a hospital admission is to restore a person's mental health as soon as possible so that they can return home.

Will My Problem Be Kept Confidential?

When seeing a health professional, information about your problem cannot be given to anyone else without your permission. If an interpreter is present they also must keep the information confidential. It is important for a person with mental distress to receive treatment in order to get well. The longer the distress remains untreated the longer it can take for the person to recover.

The Surrey and Borders Partnership NHS Foundation Trust after receiving funding from Broadhurst, a local charity in Rushmoor, had their North East Hampshire Community Mental Health Recovery Service and Early Intervention in Psychosis team working in partnership with media studies students at Farnborough College of Technology and the Nepalese Community, Naya Yuva, to create videos on mental health for the Nepalese community.

These videos are the start of opening a dialogue, especially with young adults, to encourage increased openness about mental health and challenge the taboo and stigma toward mental health that is common within this community.

Depression

Psychosis

Nepali audio on mental distress - मानसिक पीडा के हो?

Nepali audio for Stress - आघात

London and South East Veterans Mental Health Service


Transition, Intervention and Liaison Service (TILS)

This is a specific service for veterans and personnel who are transitioning out of the British Armed Forces. It is an open-access service, so a professional (e.g. GP, healthcare provider, welfare or other care worker) can refer someone. Referrals can also be made by yourself or it is possible to have a friend or loved one refer you.

Further information about the service can be viewed via their website.

Complex Treatment Service (CTS)

This is an enhanced local NHS community based service for ex-service personnel who have complex mental health problems related to their military service, including Post Traumatic Stress Disorder that has not improved with earlier care and treatment.

It is operated by the same team as TILS and their contact details are:

  • Telephone: 020 3317 6818
  • Email: cim-tr.veteranstilservice-LSE@nhs.net
  • Address: NHS Veterans’ Mental Health TIL and CT Services – London and South East England, St Pancras Hospital, 4th Floor, West Wing, 4 St Pancras Way, London, NW1 0PE
 

The following videos were produced by TalkPlus, providers of support for people with common mental health problems in North East Hampshire and Farnham.

What is anxiety? छटपटी/ ब्यकुलता भनेको के हो

What is worry? चिन्ता भनेको के हो

What is depression? उदसिनता भनेको के हो

 
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