04 Mental Well-being
Highlights:
1. Mental health
- A state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community (WHO, 2014)
2. Characteristics of an emotionally healthy person
- With the ability (1) to recognize and express emotions properly and (2) to cope with stress, worries and depression in daily life
3. Factors affect mental health
Biological Perspective
- Mind and body are connected as a holistic system
- Emotions and memory are managed by brain
Psychological Perspective
- Experience in personal development
- Self-concept
Social Perspective
- Family, community, society and culture etc.
- Social / economic changes / welfare system etc.
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4. Stress
What is stress?
- Stress is the physiological, emotional and behavioural reactions to a particular stressor, when the existing resources are not sufficient to cope with the external demand.
Types
- Eustress – a positive form of stress, usually related to desirable events in a person’s life
- Distress – a negative form of stress, usually related to keeping people from doing the things they need to do or cause discomfort
Stressors
- Disastrous Events
- Life events
- Physical environment
Stress reaction
- Physiological reaction – e.g. heavy breathing
- Emotional reaction – e.g. the feeling of tension
- Behavioural reaction – e.g. nail biting
Strategies for coping with stress
- Coping with problem Directly dealing with stressors
- Coping with emotion Strategies to relieve emotions
5. Types of mental problems/disorders:
Depression
- Presence of persistent depressed mood, lack of interest or motivation and negative thinking
Phobia
- Excessive or irrational fear to a particular object or situation
Post-traumatic Stress Disorder
- Intrusive memory of the traumatic event, avoidance of situations that are reminders of the trauma, and hyper-arousal symptoms such as being easily startled and difficulty in sleeping
Schizophrenia
- Disturbance of thinking and perception
6. Social isolation / exclusion and mental illness
Labelling
- prone to violence
- unpredictable behavior
- inability to make rational decisions
Negative Impacts
- Discrimination: unfair treatment to patients
- Social isolation: patients isolate themselves
- Higher risk of relapse: patients may conceal their case history and hinder early diagnosis of the problem / treatment
7. Possible impact of poor mental health and stress:
Suicide
- the risk of suicide attempts is higher among those with depression
Productivity / efficiency loss
- unable to cope with stress in normal life and work effectively
Burden on family members
- taking care of a mental patient is a major stressor
- caregivers may need to quit their jobs
- conflicts between the patients and family members
8. Rehabilitation
Deinstitutionalization
- Long-term hospitalization : dependency and social withdrawal / adaptation problems of reintegration after long term segregation
- Release of hospitalized patients into the community : closer contact with families and the community
Rehabilitation service
- Hospital Authority :
- in-patient, e.g. occupational therapists;
- out-patient, e.g. community psychiatric services
- NGOs : e.g. sheltered workshops, halfway houses
Family care and support
- Care
- help patients to follow the treatment and medication;
- take care of the patients in daily lives
- Emotional support
Integration into the community
- Self-help groups
- Training on social skills and living skills
- Vocational training
Latest Update: October 2019
Reading:
Application:
Assessing my learning
- What does it mean to be mentally healthy?
- How can we maintain our mental health?
- What are the common mental disorders in Hong Kong?
- What are the major difficulties faced by patients with mental illness and their carers?