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Mental
Health Illness in the UK is a massive
problem.
Who
is affected?
Pretty
much everyone! If you are not a
sufferer yourself, then you will
almost certainly know someone who is a
sufferer at some point in time.
-
1
in 4 people will experience some
kind of mental health problem in
the course of a year.
-
1
in 6 people will have depression
at some point in their life.
Depression is most common in
people aged 25-44 years.
-
1
in 10 people will suffer from a
"disabling anxiety
disorder" at some stage in
their life. For manic depression
(Bi-Polar Disorder) the figure is
1 in 100.
-
At
any given time, approximately 20
percent of women and 14 percent of
men in England have some form of
mental illness.
-
18%
of Women & 11% of Men have
some form of neurotic disorder
such a anxiety, depression,
phobias or panic attacks.
-
1
in 10 people will suffer from a
phobia at some point in time.
-
Mixed
anxiety and depression is the most
common mental disorder in Britain
with almost 9% of people meeting
criteria for diagnosis - The
Office for National Statistics
Psychiatric Morbidity report
(2001)
-
Between
8-12% of the population experience
depression in any year- The Office
for National Statistics
Psychiatric Morbidity report (2001
Costs:
At
least one million adults are out of
work with mental health problems and
countless children miss out on
schooling and fail to achieve their
full potential because their mental
distress is not treated properly.
-
Mental
ill health costs over £77 billion
per year in England alone in lost
working days and treatment costs.
This works out to cost the UK
economy (taxpayer) approximately
£1300 per year for each citizen!
The mental health charity MIND
places the loss figure even higher
at £100 billion and counts lost
productivity. They say 10% of the
UK's gross national product is
lost each year due to
job-generated stress.
-
Over
91 million working days are lost
to mental ill health every year.
Half of these lost days are due to
stress and anxiety. To put this
figure into perspective, in 2005
the UK budget for NHS spending was
£67 billion. Mental illness is
costing us big!
Obsessive
Compulsive Disorder
-
OCD
affects around 1 in every 50
people.
-
The
average OCD sufferer will develop
the condition before the age of
25. It is rare to develop OCD over
the age of 35 (15% of cases).
-
Those
who do receive treatment will
typically have suffered with OCD
for 7 years before seeking help.
-
OCD
is listed amongst the top 10 most
debilitating illnesses by the WHO
(World Health Organisation). OCD
is thought to affect 2-3% of the
UK population.
-
OCD
Recovery rates:
| Type
of Treatment |
Improvement
Rate |
Long-Term
Improvement |
Comments |
| No
treatment |
25-71% |
14-61% |
15%
get progressively worse. |
| Exposure
and Ritual Prevention (ERP) |
80-90% |
75%
maintain their improvement |
About
20% relapse and about 25%
aren't able to use ERP. |
| Medications
(typically SSRI's - Prozac,
Anafranil, etc) |
60-80%
experience a 20-40% symptom
improvement |
70-90%
relapse within a few weeks
after stopping taking their
medication. |
Medication
does not cure OCD and can have
drawbacks which must be
balanced against possible
advantages. |
| ERP
plus medication |
Same
as ERP alone 80-90% |
Same
as ERP but medication relapse
rate is considerably lower for
those who complete ERP. |
SSRI
medications are
anti-depressants. Therefore
combination treatment for
those with OCD and depression
is more effective. |
| Information
adapted from "Monster in
the Cave" by Mellinger
and Lynn. |
Conclusion
Most
people have a brush with mental
illness at some point in their lives.
Overall, mental illness remains
stigmatised even though it is so
prevalent which is a ridiculous
position for us to take culturally. As
a culture we need to address this.
This problem is woven into the fabric
of our society, and is affecting every
aspect of it. 10-20% of young people
involved in criminal activity are
thought to have a psychiatric
disorder. It is interesting to note
that in traditional so-called
primitive, non-Westernised communities
such as the Amish (who still live a
17th Century lifestyle), we find
clinical depression is almost unknown.
Similarly we find this is also the
case in many indigenous tribal
communities (The Amazon, Papua New
Guinea). Reasons for this are many and
varied, but central to the wellness of
such groups is a strong sense of
"community". What this means
in practice is that if an individual
is emitting a "Help....I'm
lost!" signal, then the community
sees this and addresses it. The
community rallies to that individual
and supports them back into good
health, addressing the root of the
problem (I'm overworked...I feel
unloved etc). Here in the UK, if you
send out a signal that says
"Help...I'm lost!" What do
you get? Mostly ignored. If you do get
noticed you get at best pity...at
worst scorn, but rarely any practical
solutions. Just getting noticed often
means you have to be at the point of
complete crisis, total shutdown,
unable to function. Only then does
someone say "This person needs
help." This can be easily avoided
by simply recognising the signs
earlier and taking steps to correct
the situation. We however by and large
find ourselves simply unequipped to
deal with it. We have literally lost
our understanding of these problems.
Our sense of community is vague at
best, and even when we do want to help
our neighbour (or family member) we
often don't know how to. From the
Victorians we inherit a picture of
mental illness as some kind of dirty
affliction....something Freudian and
dark...something depraved even.
Certainly collectively, it remains
mysterious and we are confused
about it. Some still have a sense that
it is something shameful, sinful, a
personal weakness. So our usual
response as Pink Floyd rightly points
out in the Dark Side of the Moon is
"Hanging on in quiet desperation
is the English way". In other
words we bury our discomfort and try
to plow on regardless...because
culturally...that's the deal; that's
what's expected of you. It's becoming
clearer and clearer that not
addressing an emotional disturbance is
what often causes a mental illness,
and culturally we are often encouraged
to not address it. It's not that we're
a hard hearted lot. We're not. We just
literally don't know what to do with
it! Clearly, this is not working!
So
what is the answer?
Well,
it's complicated because there are so
many factors which contribute to these
problems, but let's at least begin
with the recognition that we need to
take seriously the fact that there is
a problem. Let's collectively de-stigmatise
the problem, and then let's set to
work to recognise that many of these
problems are avoidable. Prevention is
better than cure! Central to avoiding
these difficulties is the recognition
that we need to cultivate good
mental hygiene. This means
learning what factors create anxiety
and what factors decrease anxiety.
Collectively, we need to start valuing
mental health as much as we value our
physical health, because quite simply
failing to do so has consequences, the
evidence of which is plain for all to
see. Together we need to start
admitting what makes us ill. Often the
answer is really simple. We could
start by asking "What's
wrong?" ......."What are you
struggling with....what needs are not
being met?" This is a cultural
process, and it will take time, but
for now you can make sure that YOU
build awareness in this regard. If
you're well, then you'll serve as a
beacon for others. This website is
designed to give a starting point for
this process. I hope in some small way
it will make a difference to peoples
lives. Understanding is everything!

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