Concept of Mental Illness

Dr.ParvatRaaj Tambde,Psychiatrist ,

Sanskar Mind & Body ClinicFirst Floor ,White House, In Front of Gunjan Cinema,

Gunjan Circle Vapi .9726104297

Which is life threatening emergency ?1. Patient with heart attack2. Patient with suicidal tendency

Which is disability ?1. Handicapped by an accident2. Unable to work by a mental trauma

Who is ill ?1. Bed ridden due to fever and body ache 2. Bed ridden due to severely sad, distressed

Who needs treatment ?1. Chronic drinker with vomiting2. His wife who attempted suicide

Bodily symptoms special attention and sympathy

Mental symptoms Rejection, ignorance, stigmatic labeling.

(e.g. weakness, madness, laziness)

Mental symptoms # stigma / curse / black magic / possession

Mental Illness Physical Illness

Physical illness symptoms – increase or decrease or variation in normal bodily function. Due to change in normal anatomical structure (e.g. fever and hypothermia)

Mental illness symptoms – high or low or variation in normal mental functions (thinking, emotions, perception, cognition). Due to change in neuro circuits, neurotransmissions (e.g. fear, mood)

Every person have life time prevalence of mental illness symptoms

When to diagnose mental disorder- Changes in thinking, emotions, perception and

cognition

- Change in talk and behaviour (Different from previous personality or from norms of society.

- Distress and suffering to patient and other

- Dysfunctioning (Daily activities, work, relationship)

Examples

1) Sadness + distress + I. P. R. difficulties + social life dysfunction

Depression

2) Impaired reality +distress + I. P. R. difficulties + social dysfunction

Psychotic disorder

Lower Animals Poorly developed brain violence for survival (food & sex)

Human Highly developed cerebral cortex

Higher functions (Shortcut)

Social evolution Exploiting Social norms (Crime)

Social norms Grabbing status & resources

Acquiring status or resources ? success

Success

Mentally ill defect in brain functioning crime for defense.

Lower Animals Poorly developed brain violence for survival (food & sex)

Human Highly developed cerebral cortex

Higher functions (Shortcut)

Social evolution Exploiting Social norms (Crime)

Social norms Grabbing status & resources

Acquiring status or resources ? success

Success

Mentally ill defect in brain functioning crime for defense.

THANKS