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More information about types of Mental Illnesses

Anxiety Disorders
Clinical Depression
Bipolar Disorders
Schizophrenia

Anxiety Disorders

Generalised Anxiety Disorder - causes people to spend time (sometimes months) constantly worrying about harmful things that may happen to them. People may also worry about their friends and family (who are in no danger) or have fears of financial disasters. Irrational worries like these can be accompanied by feelings of being uptight and nervous at all times. People may find it hard to concentrate, make decisions or get sleep. Headaches and nausea can also be a experienced. Constant anxiety can, over time, lead to depression.

Phobia - most people have a fear of something, such as spiders, heights, or public speaking. But a person with a phobia about snakes might never be able to go on a bush-walk or even walk down a wooded path in the middle of a city for fear of coming across one. Although this may seem irrational to other people, the fear is very real for the person with the phobia. Various treatments are available for phobias, included graded exposure to the thing the person fears.

Social Phobia - people with this phobia are fearful that they will be judged in a negative way by others. Social situations can lead to extreme anxiety and panic attacks. People with this disorder may try to cope by avoiding doing things in front of others, particularly eating, drinking or speaking. Another way of dealing with this phobia is by gradually withdrawing from any contact with other people.

Agoraphobia – This where a person has a fear of being away from familiar surroundings, relatives and friends in case they might have a panic attack with no easy way of getting back to a ‘safe’ place.

Panic Attack - an extreme form of the symptoms of what we all know by panic, including shakiness, dry throat, racing heart, perspiring and dizziness. Up to 40% of the population have a spontaneous panic attack at some stage in their lives, but do not go on to develop a panic disorder or agoraphobia.

In panic attacks, feelings of dread are so severe that the person can think that he or she is going mad, having a heart attack or dying. Anticipation of a panic attack can lead to the beginning of a panic attack in itself, so sometimes a ‘vicious cycle’ develops. Fortunately, there are many self-management techniques for dealing with panic attacks that a clinical psychologist or psychiatrist can help with.

Post-Traumatic Stress Disorder - symptoms can develop following a person's exposure to an extreme or traumatic event. Traumatic events involve reactions of intense fear, hopelessness or horror to something that a person witnessed or was confronted with. It involves events that involve actual or threatened death or serious injury to a person or others

A person with this disorder re-experiences the event in 'flashback'. This can happen in dreams, whilst driving, or watching TV. A person who is having these flashbacks can also 'feel' the fear of the event as if it was happening again. People may, in this situation, start avoiding situations, people or places that could trigger any flashbacks.

Obsessive Compulsive Disorder - approximately 2% of Australians are affected by this disorder. A person with obsessive compulsive disorder experiences irrational and annoying ideas which they cannot control. People may think constantly about bad things happening to themselves, their families, or their communities. These obsessive thoughts can often lead to compulsive actions and rituals like checking the door locks twenty times before leaving and only doing it in a certain order. A person with this disorder may believe that if the rituals and behaviours are not done correctly then something bad could happen to themselves or their friends. People can build up a pattern of behaviour that is hard to escape, even if they realise that it is irrational.

For detailed information about anxiety disorders go to The Clinical Research Unit on Anxiety Disorders at the University of NSW.

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Clinical Depression

Clinical Depression - The word 'depression' is often used to describe feelings of sadness and grief, which are experienced by most people at some time through their lives.

Clinical depression is not just one condition, but a group of conditions ranging from understandable reactions to stress (such as death), to a serious depressive illness. People may develop depression if it runs in the family or it may come on suddenly without visible cause due partly to a chemical imbalance in the brain. People with other mental health conditions can also experience clinical depression. Clinical depression can affect a person's whole life.

With any of the groups of clinical depression, a person may have difficulty sleeping, waking early, have no energy, might want to eat more or eat less. Feelings of worthlessness, isolation, intense anxiety, sadness, fear and hopelessness may also be experienced. A person with clinical depression may find it hard to concentrate, make decisions and feel deeply sad. Also, feelings of being unable to feel love for someone, feeling inadequate or unlovable may be experienced. A person with clinical depression may feel unable to cope, nothing will ever make it better or even that life is not worth living. Often people who attempt suicide can be reacting to the feelings associated with clinical depression.

Reactive Depression - a clinical depression as a result of a person's reactions to a very distressing event in someone's life.

Post Natal Depression - approximately 10% of women develop clinical depression following childbirth.

Beyond Blue, the National Depression Initiative, has more information about depression and young people.

Anyone who shows signs of clinical depression should be reassured and encouraged to visit and talk to a local doctor or a counsellor as soon as possible.

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Bipolar Disorders

Bipolar disorder, the name for manic depression, is a mood disorder.

Bipolar disorder affects nearly 180,000 Australians (about 1%). Bipolar equally affects both men and women.

People with bipolar disorder can have intense mood swings from extreme exhilarating highs (mania) or extreme depressing lows (clinical depression). Some people may only have mania while others may get only depression. The mood swings can last for weeks or months with years of 'normal mood' in between.

People having an episode of bipolar mania may have extra energy, not sleep much, have big 'way-out' plans and ideas, lose their normal inhibitions, lose touch with reality, become delusional and do things that they later regret. People having an episode of bipolar depression may have all the symptoms and signs of someone with clinical depression as well as hallucinations, delusions, suicidal thoughts and lose touch with reality.

Find out how the State of Victoria 'Get-On-Top's Youth Mental Health site deals with bipolar disorder

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Schizophrenia

There are several schizophrenic disorders which involve people not being able to process information correctly. Schizophrenia affects 1% of the population and can be one of the most debilitating illnesses. People with forms of schizophrenia may experience a number of symptoms when they are unwell (episode). People experiencing and episode may experience fragmented thinking processes, which may show up in speech and movement as if someone is not in touch with reality. Some people used to think altered movement and speech was a sign of split personality.

A person may experience some symptoms (below) but rarely all of them at the same time.

Delusions: A person may so deeply believe in things that are false or not real that logical arguments can't make them stop. Commonly a person may believe that certain people or organisations are out to hurt them, or that God has sent them on a special mission to save the world. A person may also think that other people can 'hear' their own thoughts or are able to 'put' thoughts into their head.

Hallucinations: A person may perceive, through their senses, things which are not really there. A person may hear the voice of God, a friend or a stranger (even two or more at a time). The voices may tell them to do things, or be critical, argue or describe an action as it is carried out. People may also see, feel or taste things like insects crawling over the body, or familiar food has a strange taste. Very often hallucinations can support a person's delusions. If food tastes strange, the person may have proof of their belief that their family, or ASIO, is trying to poison them.

Thought Disorder: This relates to various difficulties of thought and concentration. A person's mind may feel clouded, or slow, or thoughts may rush through their head and they may have trouble sorting them out. Because of this, a person's speech may come out jumbled, or could jump from one subject to another. The person may use totally new words, which have no meaning to anyone else.

Altered Emotions: A person's feelings and reactions may not match what is going on around them eg. giggling when someone is sad. An event or someone else's happy or sad occasion may go by unnoticed. A wooden facial expression or lack of non-verbal expression and gestures may also be experienced.

Social Withdrawal: A person may withdraw from the company of others, even to the point of hiding away for days at a time. Many people may become frightened of others, or find it a strain to socialise and interact with others.

Lack of Insight: The person may not realise they are unwell, that their behaviour is inappropriate or that they may need treatment.

Loss of Motivation: A person may experience severe lack of initiative and drive.

For more information about psychosis associated with schizophrenia (and bipolar), 'Get on top' (a youth mental health site from Victoria) has some good information

For more information on drugs and schizophrenia, click here.

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