Mental Health Diagnosing Psychiatric Disorders and Keeping A Video Diary Phillip W. Long M.D.
Common Disabilities • In developed countries, the ten leading causes of lost years of healthy life at ages 15-44 are: • Major Depressive Disorder • Alcohol Use • Road Traffic Accidents • Schizophrenia • Self-Inflicted Injuries • Bipolar Disorder • Drug Use • Obsessive-Compulsive Disorder • Osteoarthritis • Violence "The Global Burden Of Disease" by C.J.L. Murray and A.D. Lopez, World Health Organization, 1996, Table 5.4 page 270
Mental Disorders • Notice that 8 of these 10 leading causes of disability are mentaldisorders: • Major Depressive Disorder • Alcohol Use • Road Traffic Accidents • Schizophrenia • Self-Inflicted Injuries • Bipolar Disorder • Drug Use • Obsessive-Compulsive Disorder • Osteoarthritis • Violence "The Global Burden Of Disease" by C.J.L. Murray and A.D. Lopez, World Health Organization, 1996, Table 5.4 page 270 Suggested Reading: • Hidden Away • Lost Lives
Major Depressive Disorder • The leading cause of disability (ages 15-44) isMajor Depressive Disorder. • U.S.President Abraham Lincoln and his wife, Mary, suffered terribly from this disorder. British Prime Minister Winston Churchill also suffered from this disorder. • The lifetime risk of developing this disorder is 18% for women, and 9% for men. • Risk of having another episode: • 60% after 1st episode • 70% after 2nd episode • 90% after 3rd episode Suggested Reading: • The Power Of Mood • The Paths To Pleasure
Alcoholism • The 2nd leading cause of disability (ages 15-44) is Alcoholism. • Former Russian President Boris Yeltsin suffered from alcoholism. • President George W. Bush was once fined $150 and had his driver’s license suspended for driving under the influence of alcohol. • The lifetime risk (in USA) of developing alcoholism is 15% (but is much lower for Asian Americans). • After treatment, between 45% to 80%areabstinent at 1 year. Suggested Reading: • Out In The Open • A Pill For Alcoholics
Schizophrenia • The 4th leading cause of disability (ages 15-44) is Schizophrenia. • Nobel prize winner, John Nash, had Schizophrenia cut short his amazing mathematical career. • The prevalence of this illness ranges from 0.5% to 1.5% of the population. • 7 years after hospitalization: • 22% aren’t living independently • 47% are socially isolated • 94% are unemployed Suggested Reading: • Working Their Way Back
Suicide • The 5th leading cause of disability (ages 15-44) is suicide • It is amazing that this silent epidemic of death is so under-reported in the media Suggested Reading: • 12 Deadly Diseases • Suicide As Last Resort • Could Suicide Be Contagious?
Bipolar Disorder • The 6th leading cause of disability (ages 15-44) is Bipolar Disorder. • The prevalence of this illness ranges from 3% to5% of the population, and it can even present in preschoolers. • If left untreated, this disorders usually causes 8 to 10 episodes of mania or depression in a lifetime. • For adults, 4 years after hospital discharge, 41% have a good overall outcome, and 4% have died. Suggested Reading: • Young And Bipolar
Drug Addiction • The 7thleadingcause of disability (ages 15-44) is Drug Addiction. • 2003 USA National Survey (of the population aged 12 or older): • 9.1% had substance dependence or abuse: • 6.2% to onlyalcohol • 1.3% toboth alcohol +drugs • 1.6% toonlydrugs • 8.2% were current illicit drug users • 6.2% currently used marijuana • 2.7% illegally used prescription drugs • 1.0% currently used cocaine • 0.4% currently used hallucinogens • 0.2% currently used Ecstasy • 0.2% currently used LSD • 0.05% currently used heroin
Obsessive-Compulsive Disorder • The 8th leading cause of disability (ages 15-44) is Obsessive-Compulsive Disorder. • This disorder is characterized by obsessions (which cause marked anxiety or distress) and/or by compulsions (which serve to neutralize anxiety). • In their lifetime, 2.5% of the population will have this disorder.
Violence • The 10th leading cause of disability (ages 15-44) is violence • It is tragic that this silent epidemic of violence is now the 10th leading cause of disability in the developed world.
Computerized Psychiatry • Our paid subscription website offers: • Computerizedself-diagnosis • Computerized cognitive testing • Computerizedvideodiarywhich: • records your progress every week using a private video blog • statistically analyzes and graphs your progress every week using our Quality of Life Scale • Our free website offers support communitieswhere you can talk with other people with: • Depression • Bipolar Disorder • Schizophrenia
Why Keep A Video Diary? • Our memories are very unreliable. Most of us quickly forget our past mistakes or bad times; hence we fail to learn from experience. • Our weekly computerized video diary records: • Your week’s good or bad events • Your goals for the next week • What you thought life taught you that week • Your mental health (as measured by our Quality of Life Scale) • Your written comments • Your computerized psychiatric diagnosis (optional) • Weeks or months later, you can review your video diary (and the statistical analysis of your Quality of Life Scale) • Keeping a private video diary can help you learn moreabout yourselffrom your past experiences, and allows you better to predict your future.
Computerized Self-Diagnosis • Our website offers computerized self-diagnosis usingDecisionbase™ • Rules for the diagnosis of mental disorders have been published by the American Psychiatric Association as the “DSM-IV-TR” • Our program,Decisionbase™ exactly adheres to DSM-IV-TR diagnostic criteria to generate a psychiatric diagnosis. • Decisionbase™ diagnoses more than 80 of the most common mental disorders.
Computerized Cognitive Testing • Our website offers cognitive testingtoquickly measure the cognitive functions that are commonly impaired by mental illness: • Memory • Concentration • Executive Functioning • Vocabulary • Thinking Speed • Spatial Attention • Orientation • Research has shown that these cognitive impairments are accurate predictors of prolonged unemployment and social isolation seen in individuals with severe mental illness.
Quality of Life Scale • Your video diary uses our “Quality of Life Scale” to quickly measure and graph changes in your mental health, such as: • Physical Functioning • Social Functioning • Employment-Economic Functioning • Impulsive/Antisocial Behavior • Substance Abuse • Phobia/Panic/Obsession • Depression • Risk of Harming Self • Hyperactivity/Excitement • Reality Testing • Intellectual Functioning • Need For Institutional Care • Lack of Insight • Maladaptive Personality Traits
Physical Functioning • Our Quality of Life Scale uses the following to measure Physical Functioning: • Pain or discomfort • Fatigue • Sleeping problems • Appetite or eating problems • Sexual problems • Overall physical health
Social Functioning • Our Quality of Life Scale uses the following to measure Social Functioning: • Family problems • Friendship problems • Distrust or suspiciousness • Dependent behavior
Occupational-Economic Functioning • Our Quality of Life Scale uses the following to measure Occupational-Economic Functioning: • Occupational problems • Educational problems • Housekeeping problems • Economic problems • Housing problems
Impulsive or Antisocial Behavior • Our Quality of Life Scale uses the following to measure Impulsive or Antisocial Behavior: • Reckless thrill-seeking behaviors • Illegal or criminal behavior • Physical violence
Substance Abuse • Our Quality of Life Scale uses the following to measure Substance Abuse: • Smoking • Alcohol abuse • Drug or medication abuse
Phobia/Panic/Obsession • Our Quality of Life Scale uses the following to measure Phobia / Panic / Obsession: • Agoraphobia (inability to leave home without a companion) • Other phobias • Panic attacks • Obsessions or compulsions
Depression • Our Quality of Life Scale uses the following to measure Depression: • Depressed or hopeless mood • Apathy • Poor concentration • Generalized worry • Irritability or hostility • Self-blame
Hyperactivity/Excitement • Our Quality of Life Scale uses the following to measure Hyperactivity or Excitement: • Elated mood • Over-talkativeness or racing speech • Hyperactivity or agitation
Reality Testing • Our Quality of Life Scale uses the following to measure Reality Testing: • Grandiosity • Delusions or hallucinations • Disorganized speech or bizarre behavior
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