What are mental health issues?

man showing stress

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Mental Health Week - 18 to 24 May 2020 - theme is 'kindness'

Well, May is mental health month and last week was Mental Health week. Especially in these isolating times it’s worth looking at mental health in a little more detail. Rather than treating it generally we thought it would be good to get the views of a YouDriver on the subject.

This reflects Chris’s views and is based on his experiences.

Are they mental health issues or life issues?

Over many years I have worked with employees, friends and colleagues who have started conversations about how they feel. I listen and (gently of course) ask a thousand questions to understand as much as I can, to try to find the cause. In many, certainly a majority. of cases the person has been taking medication.

My first reaction is – why? What and how did you get to this stage – to go to a doctor, then they prescribe serious addictive medication that merely numbs the effects and certainly never cures the cause.

With doctors giving you ten minutes to ask, dig, delve, diagnose and come up with a solution there is no way they can make an accurate diagnosis in that time and certainly not know what the cause is. Often in its early stages the issue does not require medication but requires someone to work with the individual to get to the bottom of the problem. There are other options, for example Cognitive Behavioural Therapy (CBT) and people can be placed on a CBT programme, but that is often a lottery and it can take months to get on the list.

Doctors in my opinion don’t have the time or the experience to deal with mental health issues. Prescribing strong anti-depressant drugs to a 21-year-old man who feels down and allegedly depressed 2 to 3 times a week isn’t the answer, when in reality the young man had so many things happening in his life that he was struggling to cope. He needed a physical person to talk things through with.

What I noticed more than anything is as you dig a bit deeper and chat with the person, they explain how they feel. When they start to describe the feelings, I will often say OMG I feel like that sometimes and life can kick you hard, can’t it?

It’s amazing how when the person realises that the emotion is part of human life and others suffer with it as well, they start to think ‘Oh it’s not really mental illness, it’s part of life, and I need to find a solution to get around it.”

Obviously if people are left to fester over time the matter escalates and secondary things start to happen such as social isolation, eating disorders, poor self-worth and many other effects start to creep in.

Watching for signs very early on is so critical especially with young people.

Today’s society doesn’t help

Today two of our major problems are labels and instant coffee.

We are so quick to label people, including ourselves. For many that means – I feel low, therefore I am depressed, therefore this is medical and I cannot do anything about it. I need professional help. I hear young people saying all the time “I’m stressed, I’m depressed” and I wonder if they are really stressed or depressed or if they’ve watched something on a soap opera that looks like that therefore they think that’s what they have.

If you have children and you start to hear this, don’t be alarmed but gently sit down and start to dig a little and try to understand the matter.

Don’t rush, take time to observe and see how you or other members of the family can help. Naturally if it persists or other effects start to show then it’s best to seek professional advice – but medication should be the last resort.

Instant Coffee – we want a quick fix for everything today. Talking to people who feel lethargic or lacklustre, when you suggest reviewing their diet, eating habits and lifestyle, they think that that’s too hard and it’s easier to just go to the shop and buy multi vitamins.

Maybe we go to the doctors with these mental health symptoms and think “I need a pill and I trust a doctor – who wouldn’t?”, and often the doctor won’t argue and will give you what you perceive as the magic pill to cure how you feel. However, some antidepressant drugs have awful side effects and in reality it’s the last thing you need.

In summary this month the message is – let’s get talking! Often early stages of unhappiness, stress, anxiety etc can be halted, reduced by talking and help.

We are all busy in our lives and often have our own life issues to sort out. But we need to stop and listen and watch others and be more aware of the subtle signs of life stresses. I don’t like to use the word mental health issues because if we did, I think 99% of society would have mental health issues. I think in many instances it’s not a sign of mental illness to feel sad each week or even each day.

It’s dependent on your circumstances and what’s happening, but it’s also about controlling your emotions.

Look at the list below. We all could tick several of those boxes, but we need support and understanding to overcome them and to be told we are not ill, it’s just life. We can work together on it.

So, I could write a book on this subject but you would get bored and switch off. But as a director, manager, co-worker, dad, mum, grandparent, son, daughter, friend or neighbour, watch out for the simple signs in people and get people talking. What do they say; a problem shared is a problem halved.

Below I have made a few suggestions on how to tackle the effects of life on people. We may be suffering from one or many of these life issues. By stepping back, using self-analysis and talking to others will determine how much of a problem it is. Then you can decide how best to move forward.

Let’s look at a video before that.

We all have mental health

We all have mental health as well as physical health.

This video from the Anna Freud National Centre for Children and Families is part of a teacher toolkit and was developed in collaboration with young people, teachers and mental health experts.

This video gives a couple of examples of mental health issues in young people.

Is it in our DNA or can it be a social thing?

Well, it can be both. Some who have higher levels of positivity / negativity can grow up in a social environment and be suppressed over the years. But as soon as that individual changes that social environment, natural tendencies will come flooding back. Recognising our own style and approach is really important when making our life choices, especially in love, career and family.

This video gives an couple of examples

Signs and symptoms of mental illness can vary, depending on the disorder, circumstances and other factors. Mental illness symptoms can affect emotions, thoughts and behaviours.

Examples of signs and symptoms include:

Feeling sad or down. Life can be like been in a boxing ring and you cannot get out, the art is to not get punched and if you do get back up always get back up. Solution; talk to others first, think it through but don’t rush for a solution. We have all felt this way on a regular basis – it’s life.

Confused thinking or reduced ability to concentrate. When you have a lot going off in your life there are times when you suffer this effect. Stop, step back and talk to others. If it persists for a long time you need to look deeper.

Excessive fears or worries, or extreme feelings of guilt. At times we all have these and It’s natural to worry about things that are really important. The word extreme means different things to different people so you need to talk to someone else and gauge if it is extreme, and if in doubt seek professional advice

Extreme mood changes of highs and lows. These can also happen in everyday life and they are perfectly normal. We may have inner calm but there is always someone that wants to burst our bubble – the glass half empty brigade – watch out for them. If they become very extreme talk to other people; you will be surprised how often it happens to others.

Withdrawal from friends and activities. As we develop in our lives our feelings, emotions and thoughts change. We may move, change jobs, and our lives change. Managing change is a skill and we need to be aware of how to do it. Often this can happen in life, the older we get the more cynical we become so they say but withdrawal from society totally isn’t a good thing. Humans need interaction whatever that might be, so managing this is important. Living in a tree isn’t good for your soul.

Significant tiredness, low energy or problems sleeping. Getting a good night’s sleep is really important, but if you’re worrying about things you could be using lots of mental energy; this happens to all of us in our lives. Talking to others helps you understand it more and there are many solutions to help you to switch off.

Detachment from reality (delusions), paranoia or hallucinations. Extremes like this are a problem and you need to seek professional advice, but some detachment from reality are common in humans; we see it in everyday life, on the TV, in the media, social media etc. If someone has a dull life, they are naturally going to look for an escape. Talking honestly to people about how we feel can help.

Inability to cope with daily problems or stress. This can be the effect of a life that is going wrong. We all know people who seem to have a car crash life and wonder why. If our work/ homelife/ social life is extreme then it can cause stress. We need to take a step back, talk to others or in extreme cases seek counselling.

Trouble understanding and relating to situations and to people. This happens to everyone sometimes – it’s called life! How to manage it is talk to others, try to judge how strong your issue is then decide on a course of action.

Problems with alcohol or drug use. Excess alcohol envelops your life eventually and reduces your ability to take personal responsibility. There are many support functions online.

Major changes in eating habits. Usually this is a symptom of something deeper going on. If you start to put lots of weight on don’t let it get out of control – excessive drinking and eating will create even bigger health problems. If you see others ballooning don’t be frightened to speak up and say.

Sex drive changes.  It’s life, it happens as we age or life circumstances hit us. Our body and brain cannot always deal with all life issues and sometimes this affects our sex drive. Again, step back, self-analyse and don’t rush to judge. The internet is full of information or if you can talk to someone else to see how much of a problem it is.

Excessive anger, hostility or violence. We can all feel anger and hostility towards life, others and things, but violence is a different matter. Once we start to step into violence then we need medical help.

Suicidal thinking.  People who are at the stage of wishing to end their lives is a serious matter. Medical counselling and support are needed.

YouDrive thinks…

These are Chris’s views, based on his experiences. We’ll revisit this as a discussion in our next post.

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All areas of health are interlinked

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Find your initial focus

You might think that physical, financial and mental health are quite separate, and for some people they are. However, often a problem in one area has a knock-on effect on others. Losing your job can lead to anxiety and depression, which can turn you to drink and impact your health.

You might have a severe issue in one area but that can lead to problems in other areas, and the people treating you for the first problem won’t be equipped to deal with these linked issues.

For example, doctors and nurses can treat you for a physical problem but can’t advise you about your job or finances.  Nor for the anxiety that comes with it, apart from prescribing some drugs, which might or might not be the best solution.

We encourage you to take a holistic view – we look at all areas and offer support across the whole spectrum.

health areas interlinked

Even this view of health is simplistic, as you’ll discover later if you go down that route.  You might want to consider overall health, or wellness or wellbeing, which include additional types of health, such as occupational health (how you are in your job).   Then there’s happiness and quality of life – how do these fit?

If you’re interested in that, click the link here to see more information.

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Health Areas in Domains

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Domains

We break down the overall concept of health or wellness into ‘bite-sized chunks’ that we can actually do something about.  The first level we call health domains. 

We like the Life of Wellness site and we have chosen the following domains.

1. Emotional Wellness: Awareness and acceptance of feelings
2. Spiritual Wellness: A search for meaning and purpose
3. Intellectual Wellness: Recognition of your creativity, knowledge and skills
4. Physical Wellness: Need for physical activity and balanced nutrition
5. Environmental Wellness: Positive awareness and impact on your environment
6. Financial Wellness: Debt reduction, cash flow balance or financial future planning
7. Occupational Wellness: Personal achievement and enrichment from your career
8. Social Wellness: Contribution to your community

Health Areas

Within each domain, we have included a number of health areas. These are specific issues that you can tackle.  Within each health area, e.g. Depression, we have built additional information and exercises which you can do to help in the area. You can create your own Action Plan to address this area, and see

Emotional: Anxiety, Compassion Fatigue, Depression, Gambling, Laughter, Narcissistic, Personality Disorder, Sleep, Stress

Environmental: Environmental Issues, Greenness

Financial: Debt, Family Finance, Financial Planning, Financial Wellness

Intellectual: IQ, Personality, Procrastination

Occupational: Jobs for Different Personality Types, Retirement Income, Work Life Balance

Physical: Alcohol, Disabilities, Dizziness, Drugs, Fitness, Food Preferences, General Health, Healthy Ageing, Illness, Nutrition, Sleep Apnea, Smoking

Social: Communication Skills, Communication Styles, Domestic Abuse, Emotional Abuse, Love Partnerships, Mental Abuse, Parenting Styles, Sexual Addiction

Spiritual: Are You Sensitive, Mystical Guidance, Spirituality

Each health area has supporting information and its own questionnaire.

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Understand Health

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Physical, financial and mental health

One definition of health is:

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. 

The NHS define health as: ‘We use a broad definition of health that encompasses both physical and mental health, as well as wellbeing. This means we are not only interested in whether or not people are ill or have a health condition, but also in how healthy and well they are.’

We believe we also have to consider financial health, as this can easily impact physical and mental health. Click the button to see an example of how these are connected.

 It gets more complicated…

What is Health? How about Wellness, Wellbeing or Happiness?

The Active Wellbeing Society (TAWS) define Health as a state of the overall mental and physical state of a person; the absence of disease. They define Wellbeing or wellness as a way of life that aims to enhance well-being and refers to a more holistic whole-of-life experience which also includes emotional and spiritual aspects of life.  We expand on this definition of health to include financial health and mental health, to make it synonymous with wellbeing or wellness.  

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Health domains

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We break down the overall concept of health or wellness into ‘bite-sized chunks’ that we can actually do something about.  The first level we call health domains.

We like the Life of Wellness site and we have chosen the following domains.

1. Emotional Wellness: Awareness and acceptance of feelings
2. Spiritual Wellness: A search for meaning and purpose
3. Intellectual Wellness: Recognition of your creativity, knowledge and skills
4. Physical Wellness: Need for physical activity and balanced nutrition
5. Environmental Wellness: Positive awareness and impact on your environment
6. Financial Wellness: Debt reduction, cash flow balance or financial future planning
7. Occupational Wellness: Personal achievement and enrichment from your career
8. Social Wellness: Contribution to your community

wellness wheel

Health Areas

Within each domain, we have included a number of health areas. These are specific issues that you can tackle.  Within each health area, e.g. Depression, once you have subscribed we have built additional information and exercises which you can do to help in the area.

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See which domains you should address

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Having established that we use 8 domains, you need to understand which you should concentrate on.

The 8 are:

  • Emotional
  • Environmental
  • Financial
  • Intellectual
  • Occupational
  • Physical
  • Social
  • Spiritual

 

You can take a questionnaire, which scores you in each domain.  You can decide which domains you are strong in, and which you need to improve.

Another analysis shows which domains you should look at, but also which domains you want to look at.

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Locus of Control

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  • We want to help people in all aspects of their health  – physical, financial and mental. We also provide detailed explanations of how overall health (or well-being) is measured.
  • We believe these things are often linked, so we try and address health holistically. We are building templates, questionnaires and exercises to help you identify what’s important to you.
  • We think people should try and take responsibility for  of their own health as much as they can.  See below for what that means.

People look at things differently.  Some people believe things happen to them, while others believe they can influence what happens to them. Technically this is called the ‘locus of control’.  People can have an Internal or external Locus of Control

So how do you see things?

Psychology Today have a 15 minute test which gives you a summary of your position you can buy the detailed results if you want to.

My Personality Test have a 10 minute test which gives you a summary.

People tend to take more responsibility (locus gets more internal) as they get older.  However, external isn’t always bad – for example if you are physically unable to do some things you can accept it and focus on the things you can do.  This American video explains the concept and gives examples of how this can affect relationships.

locus of control

Internal

  • More likely to take responsibility for actions
  • Tend to be less influenced by others

External

  • Blame outside forces for what happens
  • Don’t believe they can change their situation themselves

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Add your attitude to change - see how you view changes in your life

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Do you need to change?

No matter how healthy you are at the moment, the chances are that there are some areas you could improve. It may be that you have a real problem in one or more areas, and you would like to make some improvements.

At YouDrive we accept that there are many different degrees of ‘not wellness’ in a large number of different health areas, ranging from physical illness such as covid-19 through mental illness such as anxiety through to financial problems like debt.  We try and help where the problem ranges from ‘slight’ to quite bad’ – after this expert help and intervention may be needed.

However, especially in these times, we have to try and make these changes ourselves, possibly with some help from others, whether remotely or face to face.

The thing is, to make an improvement we have to change some things.

This involves changing our behaviour in some respects, and that’s not always easy.

Henry Ford, the creator of the assembly line, is quoted as saying “if you always do what you’ve always done, you’ll always get what you’ve always got”.  

henry ford

Another way of looking at this: “The definition of insanity is doing the same thing over and over again and expecting a different result.” – attributed to Albert Einstein.

Consequently we need to make some changes.  The problem is that we have already developed a lot of habits, some of which we need to break and replace by better ones.  Some of our bad habits have become entrenched, and the bad results they create in turn engender further bad habits to develop – in effect the bad habits can feed on themselves.

We need to understand how we can make changes and stick to them, and that’s what this part of your health profile is about.

It will involve some learning, through reading, some videos and some additional information and also seeing how you react to change currently.

It will also ask you to consider whether you feel you are in charge of your future, or whether you feel it’s all fate.

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Assess your overall health using a health questionnaire

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At YouDrive we try and help people improve their health. We use ‘health’ but we understand there are other terms such as wellbeing or even happiness that reflect how we are doing in our lives – if you’re interested in the different definitions and ideas see our page on the subject.

We want to help whether you have a particular problem – physical, financial or mental – or if you just want to improve some specific part of your life or just make some improvements overall.

You’d be surprised, but there has been a serious amount of scientific work done in this area over the last twenty years.

So first we allow you to assess your current health (or wellbeing, or happiness).  We do this by questionnaire.  Which one is determined by the type of person you are:

  1. You understand yourself well and want a quick overview of your health and wellness, and will drill down in any areas needing work
  2. You want to do a more detailed assessment and then focus on areas you’re already aware of
  3. You want to look at the whole situation in more detail across all the health domains.

By the way, we take your privacy seriously – we collect information that you choose to provide but we de-identify it as much as possible and will never share it with anyone without your explicit consent.

You can then drill down into some specific areas and there are more questionnaires to see your situation in these particular areas.  We provide you with specific information and refer you to other potential aspects of help. Our next step is to build a personalised action plan – for now we will make a suggestion for you to develop your own plan and then after a time you can see whether this has had a positive impact by retaking the test.

In future we will be engaging with medical and behavioural specialists to devise action plans for individual people with specific situations.

We have an overall questionnaire which you can complete which will assess your current state.

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Values, Attitudes and Beliefs

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We all have our beliefs, attitudes and values – these have developed throughout our life based on who we are and what we have done. Let’s look at what these are.

The University of Reading explain: “People’s values, beliefs and attitudes are formed and bonded over time through the influences of family, friends, society and life experiences. So, by the time you’re an adult, you can hold very definite views on just about everything with a sense of “no one is going to change my mind”.

The combination of your personal values, beliefs and attitudes are your moral principles that guide you in life and affect your behaviour. However, your views can wildly differ to others and in an institution such as a school, these beliefs may be counter to the values of the school, child development or indeed the law.” 

Let’s look more closely at the differences between beliefs, attitudes and values.

Beliefs

These come from real experiences – we think our beliefs are based on reality, but in fact our beliefs colour our experiences; also, an original experience e.g. when we were a child is not the same as what’s happening now. Beliefs can be moral, religious or cultural and reflect who we are. They can be rational (‘it gets colder in winter’) or irrational (‘I am never going to make something of myself’).

Attitudes

This is an immediate belief or disposition about something specific. It is a recurring group of beliefs and behaviours aimed at specific groups, people, ideas or objects. They will normally be positive or negative and we will always behave that way to the target group. Examples of attitudes include confidence (I can or can’t do something), grateful (I an entitled to / grateful for XXX) and cheerful (I am generally happy / miserable).

Values

These are things (principles or qualities) that we hold in high regard or consider to be worthwhile or right / wrong. They are formed by a belief related to the worth of something – an idea or behaviour. Some values are common (e.g. family comes first, the value of friendship) or cultural (which the whole community have – see video at Study.com here)

The theory

Links to Wikipedia

Expectancy Value Theory suggests you balance your beliefs about something with the value you attach to it. The Theory of Reasoned Action suggests that beliefs and evaluation about behavioural outcomes determine attitudes, and intentions lead directly to behaviour.

Beliefs

Expressions of confidence – can change over time

Attitudes

Learned predispositions to something – are subject to change

Values

Ideals that guide our behaviour – Generally long lasting and often need life changing experience to change

Iceberg demonstrating implicit and explicit bias – from Owlcation

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A Butterfly Life: 4 Keys to More Happiness, Better Health and Letting Your True Self Shine

Times of change can be a challenge, no doubt! Whether it’s a relationship breakup, job loss, or being diagnosed with a serious health issue. Or you may WANT things to be different, but it feels a little scary or overwhelming. The butterfly reminds us change can be beautiful, even necessary, in order to realize our full potential and live our best life.