Let's Talk About Mental Health

[therock]

Just responding to the current situation to begin a chat on this.

Generally psychiatric illness can be classified into

The BAD, The SAD, and the MAD... 

You can also have a mix of conditions, such as borderline personalities, or a bipolar condition.

 

 

If one has a serious psy issue, you need treatment by a psychiatrist, who may be assisted by a psychologist. 

A psychiatrist is a qualified doctor, who can diagnose, and more importantly treat a patient. 

The treatment can be in the form of words, such as counselling, psychological methods and medical or even ECT: Electroconvulsive treatment

A psychologist aids by using non medical methods, such as listening, and active methods like flooding and other ways to help.

 

There are POC (Psychiatric Outpatient Clinics) s to visit. IMH may be too scary or a label for them.... 

These are Government subsidised clinics nested within the polyclinics. Usually in a quiet corner and they get poly MCs so their bosses won't know otherwise.

IIRC, Bedok, Tampines and Geylang poly have it - we had names for them - BePOC, TamPOC and GeyPOC  

Private help is always available, but it's costly.. but very private.

 

Remember, illness must be correlated with the social context. Eg mediums are part of our society, so a person who claims he / she can talk to the Monkey God isn't necessarily mad.

Medications can be taken orally, injected and you also have ECT.

Training of a psychiatrist requires someone to take the basic degree, then enter residency for it and receive specialist training. 

Apart from IMH aka Woodbridge, there is NUH, which has a unit, and now TTSH too.

It isn't a glamour practice, but it is needed.

Psy illness isn't that uncommon, up to 1 in 150 can have it, just in various forms and at various parts of the spectrum.

 

You can have traits, eg obsessive compulsive traits, eg, checking all your car doors once or twice before you can walk off, but you remain functional, all the way to a disorder, where you can't stop washing your hands, and even end up without skin because of hand washing. 

 

Edited August 2, 2021 by therock

[therock]

One big difference is that when someone is having a psychotic breakdown, they may not know what they are doing and that means they can cause harm to themselves or others without knowledge.

So one field of psychiatry is forensic psy. 
One needs to establish if the perpetrator knows it is wrong, and is aware of the situation and still commits the crime. So even a schizophrenic person can be charge for molest for example.

Stages of grief acceptance

In 1969, Elisabeth Kübler-Ross described five common stages of grief, popularly referred to as DABDA.
...
They include:

Denial.

Anger.

Bargaining.

Depression.

Acceptance.

What are the 5 steps of recovery?

Recovery is a process, typically divided into five stages: Pre-Contemplation, Contemplation, Preparation, Action, and Maintenance. Each stage involves its own steps to recovery and readiness to move on to the next stage.

 

As for work and life:
One can have a fairly normal life if the condition is well controlled, but the key is compliance, and unlike other illnesses, where you feel bad so you take your meds. Here, the more psychotic you are, ironically the less likely you are to take meds, which can make it worse..

So if you know someone who has mental illness, stay their friend, help them, and if they start acting up, help them to see a doctor. It can very lonely, and they can be isolated and also find difficulty getting jobs. 

Be that friend they need..

Edited August 2, 2021 by therock

[Kopites]

Thanks doc. for the insight.

 

[Atonchia]

13 minutes ago, therock said:

One big difference is that when someone is having a psychotic breakdown, they may not know what they are doing and that means they can cause harm to themselves or others without knowledge.

So one field of psychiatry is forensic psy. 
One needs to establish if the perpetrator knows it is wrong, and is aware of the situation and still commits the crime. So even a schizophrenic person can be charge for molest for example.

Stages of grief acceptance

In 1969, Elisabeth Kübler-Ross described five common stages of grief, popularly referred to as DABDA.
...
They include:

Denial.

Anger.

Bargaining.

Depression.

Acceptance.

What are the 5 steps of recovery?

Recovery is a process, typically divided into five stages: Pre-Contemplation, Contemplation, Preparation, Action, and Maintenance. Each stage involves its own steps to recovery and readiness to move on to the next stage.

Just give me 1 percent of Jeff Bezo net worth..... I will live without worries..... 😅

Likewise many in the world if $$$ is the issues..... and its distribution is on equity..... probably there won't be stress... 

 

Haven't seen documentary on tribal life recorded stress related mental problem.... 

They live in the world of  sustenance.... hunting and gathering.... 

But once material stuff becomes the pursuit.... 

Means of exchange is required to barter greater stuff.... 

Then the pursuit became focus on pursuit of means of exchange than the needs of sustenance..... 

But we all are caught in the same pursuit.... 😅... 

It's more of finding a balance of  chasing the wants and needs. 

 

Edited August 2, 2021 by Atonchia

[therock]

Take the girl on the MRT..

She may have lost track of her way in life... pun intended..

But one must differentiate between attention seeking, suicide ideation from a situational stressor eg exams / covid or a true psychotic illness..

And that's what the doctors at IMH will do.

Eg for those NS men who claim they are going 'mad'. They get one night at IMH Hilton in the active psychiatric ward. Those who have no real illness get 'cured' immediately and ask for a discharge the following morning.. 

But jokes aside, those who just need a bit of observation will spend a night in the SAF ward first if they aren't overtly mad.. 

Those who are really nuts will get a free stay in IMH. The doctor there can commit you to the place if he determines you have the potential to harm yourself or those around you... 

[Nolicense]

Quote

Remember, illness must be correlated with the social context. Eg mediums are part of our society, so a person who claims he / she can talk to the Monkey God isn't necessarily mad.

this part i cannot deal with.. call me mad or psycho.. i cannot deal with it..

[therock]

1 minute ago, Atonchia said:

Just give me 1 percent of Jeff Bezo net worth..... I will live without worries..... 😅

Likewise many in the world if $$$ is the issues..... 

Probably there won't be stress... 

 

Haven't seen documentary on tribal life recorded stress related mental problem.... 

They live in the world of  sustenance.... hunting and gathering.... 

But once material stuff becomes the pursuit.... 

Means of exchange is required to barter greater stuff.... 

Then the pursuit became focus on pursuit of means of exchange than the needs of sustenance..... 

But we all are caught in the same pursuit.... 😅... 

It's more of finding a balance of  chasing the wants and needs. 

 

Bro, check out this Oscar nominated doco..

Very thought provoking:

https://www.thehappymovie.com/ 

[Atonchia]

1 minute ago, therock said:

Bro, check out this Oscar nominated doco..

Very thought provoking:

https://www.thehappymovie.com/ 

Will watch it. 

[Nolicense]

2 minutes ago, therock said:

Take the girl on the MRT..

She may have lost track of her way in life... pun intended..

shes not wrong... she just want to get off this track.. seems if she get off at the station, it leads back to this reality.. she wants the blue pill

[Atonchia]

3 minutes ago, Nolicense said:

this part i cannot deal with.. call me mad or psycho.. i cannot deal with it..

In NLP term it is call visualisation. 

In medical term, it's called hallucination? 

 

[Atonchia]

This type has stress and anger management issues..... 

Looking for trouble... to show "authority or power" 

A bit like a lion trying to intermediate younger lions. 

[therock]

Simple things one can do to improve your mood:

- sleep/rest - but like Ribena, "not too much"

- exercise

- music

- fellowship & sharing 

- prayer

- hobbies

 

 

[Tianmo]

I am 天魔, am I BAD,  SAD,  or MAD?  

But I know I cfm cannot talk to the Monkey God... 

 

[Jamesc]

I got OCD and I always tell people its a good thing

because you should always

check, check and check again right?

Edited August 2, 2021 by Jamesc

[Jamesc]

This song not good for mental health.

It will drive you nuts!

 

 

[DOBIEMKZ]

1 hour ago, therock said:

Just responding to the current situation to begin a chat on this.

Generally psychiatric illness can be classified into

The BAD, The SAD, and the MAD... 

You can also have a mix of conditions, such as borderline personalities, or a bipolar condition.

 

 

If one has a serious psy issue, you need treatment by a psychiatrist, who may be assisted by a psychologist. 

A psychiatrist is a qualified doctor, who can diagnose, and more importantly treat a patient. 

The treatment can be in the form of words, such as counselling, psychological methods and medical or even ECT: Electroconvulsive treatment

A psychologist aids by using non medical methods, such as listening, and active methods like flooding and other ways to help.

 

There are POC (Psychiatric Outpatient Clinics) s to visit. IMH may be too scary or a label for them.... 

These are Government subsidised clinics nested within the polyclinics. Usually in a quiet corner and they get poly MCs so their bosses won't know otherwise.

IIRC, Bedok, Tampines and Geylang poly have it - we had names for them - BePOC, TamPOC and GeyPOC  

Private help is always available, but it's costly.. but very private.

 

Remember, illness must be correlated with the social context. Eg mediums are part of our society, so a person who claims he / she can talk to the Monkey God isn't necessarily mad.

Medications can be taken orally, injected and you also have ECT.

Training of a psychiatrist requires someone to take the basic degree, then enter residency for it and receive specialist training. 

Apart from IMH aka Woodbridge, there is NUH, which has a unit, and now TTSH too.

It isn't a glamour practice, but it is needed.

Psy illness isn't that uncommon, up to 1 in 150 can have it, just in various forms and at various parts of the spectrum.

 

You can have traits, eg obsessive compulsive traits, eg, checking all your car doors once or twice before you can walk off, but you remain functional, all the way to a disorder, where you can't stop washing your hands, and even end up without skin because of hand washing. 

 

I suffered from OCD in my younger years but managed to wear off it.

 

 

[1fast1]

Thanks for mentioning the outpatient mental health clinics quietly nestled in the heartlands. 

Two decades ago, when I used to work in IMH, I ran sessions in the Stirling Road clinic. Mainly stable patients, who came in for depot antipsychotics and mood stabilisers. 

It was there that I also encountered one of the most depressing things I've experienced as a doctor. Apart from having mental health issues (fairly well-controlled), many of these poor chaps also had chronic medical conditions (equally well-controlled). Since we're all (obviously) medical doctors, we used to help them out by taking their blood pressure, sometimes checking their hypocount etc. and if all was well and good, giving them a refill of their antihypertensives, hypoglycaemic agents etc. It was a good system, the patients were very grateful and they were saved from having to queue again and pay another consultation fee at the main medical polyclinic. 

That soon came to an end though. You see, the medical director (meaning a freaking doctor in name at least) of the polyclinic group that was "hosting" us wrote a nasty letter to the head of IMH saying we shouldn't be doing this, that the patients should go to the main polyclinic for their non-psych med refills. 

There was absolutely no lapse on our part that triggered this. As best I can make out, it may have been some combination of lost revenue and lost "face". 

But think about this: these poor things, who often found it extremely difficult to find and keep a (generally menial, low paying) job, and still had to take time to come down and see the "low khoon" now had to queue twice and pay twice for no good reason I can discern.

We were basically forced to comply by our (to his credit, throughly apologetic) boss, because the alternative was to be kicked out of the polyclinic campus. But that entire saga left me thoroughly disgusted, and it was probably one of the things that convinced me to avoid clinical medicine altogether. 

[Jamesc]

15 minutes ago, Turboflat4 said:

That soon came to an end though. You see, the medical director (meaning a freaking doctor in name at least) of the polyclinic group that was "hosting" us wrote a nasty letter to the head of IMH saying we shouldn't be doing this, that the patients should go to the main polyclinic for their non-psych med refills. 

There was absolutely no lapse on our part that triggered this. As best I can make out, it may have been some combination of lost revenue and lost "face". 

People have to be insane to put "face" and money

above other people's mental health.

Its just freaking nuts!

This person needs serious help.