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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.
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1 in 4 people will experience some
kind of mental health problem in the course of a year.
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1 in 6 people will have depression
at some point in their life. Depression is most common in
people aged 25-44 years.
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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.
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At any given time, approximately 20
percent of women and 14 percent of men in England have some
form of mental illness.
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18% of Women & 11% of Men have
some form of neurotic disorder such a anxiety, depression,
phobias or panic attacks.
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1 in 10 people will suffer from a
phobia at some point in time.
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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)
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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.
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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.
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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
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OCD affects around 1 in every 50
people.
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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).
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Those who do receive treatment will
typically have suffered with OCD for 7 years before seeking
help.
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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.
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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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