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— CH. 1 · DEFINING THE STATE OF WELL-BEING —

Mental health

~5 min read · Ch. 1 of 6
6 sections
  • Mental health encompasses emotional, psychological, and social well-being. It influences cognition, perception, and behavior in daily life. The World Health Organization defines it as a state of well-being where an individual realizes their abilities. They can cope with normal stresses of life and work productively. This definition includes subjective well-being and perceived self-efficacy. Autonomy and competence are also key components. Intergenerational dependence plays a role in how people function. Self-actualization of intellectual and emotional potential is another factor. Mental disorders impair these capacities. In 2019, about 970 million people worldwide suffered from a mental disorder. Anxiety and depression were the most common conditions found globally.

  • William Sweetser coined the term mental hygiene in the mid-nineteenth century. Isaac Ray defined this concept as preserving the mind against deteriorating influences. Dorothea Dix fought for better conditions between 1840 and 1880. She won support to set up over thirty state psychiatric hospitals. These facilities were often understaffed and under-resourced. Clifford Beers published A Mind That Found Itself in 1908 after his time in asylums. He opened the first outpatient mental health clinic in the United States. The Community Mental Health Centers Act passed in 1963. It enforced the closure of state-provisioned psychiatric hospitals. Only patients posing imminent danger could be admitted to state facilities. Critics argue that poor living conditions prevailed in community homes. Patients became lonely without proper medical care. Some cases shifted care to families lacking funding or expertise. The Penrose Hypothesis of 1939 theorized an inverse relationship between prison populations and hospital beds. Prisons began to embody another form of state-provided mental hospital.

  • Mental illnesses are more common than cancer, diabetes, or heart disease. Over 22 percent of all Americans over age 18 met criteria for a mental illness in 2021. Evidence suggests 970 million people worldwide have a mental disorder. Major depression ranks third among leading causes of disease globally. By 2030, it is predicted to become the leading cause of disease worldwide. Over 700 thousand people commit suicide every year. Around 14 million attempt it. A World Health Organization report estimated the global cost at nearly $2.5 trillion in 2010. This figure was projected to increase to over $6 trillion by 2030. In 2015, mental health problems contributed to a global prevalence of 13 percent for children and adolescents. About one in seven of the world's ten to nineteen-year-olds experienced a mental health disorder in 2019. That totaled about 165 million young people. Suicide is the fourth leading cause of death in fifteen to nineteen-year-olds. The average age of onset for depressive disorders falls between eleven and fourteen years. Only approximately 25 percent of children with behavioral problems refer to medical services.

  • Biological factors include changes in neurotransmitters like dopamine or glutamate. Life experiences such as psychological trauma contribute to risk. Family history of mental health problems also plays a role. Gender affects risk levels differently across populations. Females have an elevated risk of depression commencing in adolescence. Males have a higher chance of substance abuse issues. Poverty and financial status create critical challenges. Low-income individuals face physical barriers to accessing treatments. Job insecurity stimulates external stigma. Unemployed individuals may be perceived as irresponsible or lazy. Rural areas lack availability and offer limited treatments. Residents project a higher percentage of stigma towards mental health. Cultural pressures lead to self-isolation among Asian Americans. Latino communities face structural barriers like documentation issues. Immigration status causes many to avoid seeking professional care. Traditional gender roles implement strong-headed characteristics on men. Society expects emotional resilience from males. Women experience more emotional regulation through connective relationships.

  • Pharmacotherapy uses pharmaceutical drugs like antidepressants or lithium. It can only be prescribed by a medical professional trained in Psychiatry. Physical exercise triggers the production of hormones including endorphins. Studies show activity can impact depression similarly to antidepressants. Activity therapies promote healing through active engagement. Occupational therapy focuses on daily tasks like dressing or eating. Expressive therapies include art, music, drama, dance, and poetry. Drama therapy is approved for treating psychosis. Psychotherapy includes schools such as cognitive behavioral therapy. Group therapy takes place involving multiple people. Mindfulness meditation brings reductions in depression and anxiety. Lucid dreaming has been found associated with greater mental well-being. Mental fitness encourages intentional regulation of emotional wellbeing. Spiritual counselors meet with people to offer comfort based on theological principles. The Collaborative for academic, social, emotional learning addresses five broad areas of competence. Social-emotional skills are highlighted as key pillars of personal growth.

  • A 2016 report concluded no country grants equal societal value to those with mental illness. Public stigma involves negative attitudes that lead to structural barriers. Self-stigma refers to internalized shame about one's condition. Films often portray mental illness through exaggerated stereotypes. The film Joker from 2019 was associated with higher levels of prejudice toward those with mental illness. East Asian countries associate issues with weakness due to Confucian values. South Korea emphasizes self-control and maintaining face. African nations prioritize physical health over psychological disorders. Over 90 percent of the Latin American population consists of Catholic and Protestant worshipping churches. Religious beliefs contribute to negative perceptions of mental health. In the United States, less than one-third of people who seek help receive minimally adequate care. On average persons do not access care until nearly a decade following illness development. The National Alliance on Mental Illness was founded in 1979 to advocate for struggling individuals. Campaigns like Changing Minds ran from 1998 to 2003 to reduce stigma.

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Common questions

What is the World Health Organization definition of mental health?

The World Health Organization defines mental health as a state of well-being where an individual realizes their abilities. This state allows people to cope with normal stresses of life and work productively. The definition includes subjective well-being, perceived self-efficacy, autonomy, and competence.

When did William Sweetser coin the term mental hygiene?

William Sweetser coined the term mental hygiene in the mid-nineteenth century. Isaac Ray defined this concept as preserving the mind against deteriorating influences. Dorothea Dix fought for better conditions between 1840 and 1880.

How many people worldwide suffered from a mental disorder in 2019?

In 2019, about 970 million people worldwide suffered from a mental disorder. Anxiety and depression were the most common conditions found globally. Major depression ranks third among leading causes of disease globally.

Why do rural areas lack availability of mental health treatments?

Rural areas lack availability and offer limited treatments due to resource constraints. Residents project a higher percentage of stigma towards mental health in these regions. Low-income individuals face physical barriers to accessing treatments regardless of location.

What is the average age of onset for depressive disorders?

The average age of onset for depressive disorders falls between eleven and fourteen years. Only approximately 25 percent of children with behavioral problems refer to medical services. Females have an elevated risk of depression commencing in adolescence.