AN INTRODUCTION TO MENTAL HEALTH - The Nossal Institute for ...

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Nisha looks upset Nisha: I am worried that I will feel worse, last time I went out I started to feel faint and my heart was beating so fast I thought I would die. CHW: You are not going to die Nisha. You have a problem, but it won’t cause you to die. You are experiencing feelings of fear and panic, but you can learn to control these feelings so that you can safely go outside once again without feeling your heart pounding. Nisha: Yes the doctor has told me about panic attacks but I’m still scared. What do you think I should do? CHW: How about coming outside with me for just a short period of time. We will only go a short way from the house, and wait until the symptoms go away. Nisha: OK, although I’m still worried that my heart will explode. CHW: I know that’s how you feel at the moment but I will go with you. If you stay here it will be harder to go out tomorrow. Nisha and the CHW go outside and tomorrow they go a little further from the house. End of role play Role Play 3 – Unhelpful response CHW: Good morning Amal how are you feeling? Amal appears distracted and doesn’t answer CHW: (louder) Amal, I said how are you feeling today? Amal: I feel frightened, he’s trying to harm me again. CHW: Who is trying to harm you Amal? I don’t see anyone. Amal looks fearful and says, Amal: You know who it is, everyone knows who it is, he’s just told me so. CHW: (appearing irritated) Amal I don’t have a clue what you are talking about, who told you they are going to harm you, I can’t hear anyone. Stop talking like this people will think you are mad. Amal beings to look distressed Amal: Of course you know what I am talking about you can hear him, everyone can hear him, they must be able to he is shouting so loud. CHW: (shouting) I have had it with you Amal and your stupidity, you pretend to hear voices AN INTRODUCTION TO MENTAL HEALTH 127
and you say they are trying to harm you when anyone can see that nobody is trying to harm you. Just stop being silly and pull yourself together. Amal becomes distressed and begins to cry and gets up and leaves. End of role play Role Play 4 – Helpful response CHW: Good morning Amal how are you feeling? Amal appears distracted and doesn’t answer CHW: (speaking softly) Amal you appear to be a little distracted are you feeling ok? Amal: I feel frightened, he’s trying to harm me again. CHW: (again speaking softly) Who is trying to harm you Amal? Amal looks fearful and says, Amal: You know who it is, everyone knows who it is, he’s just told me so. CHW: Amal are you hearing the voices of someone other than me talking to you at the moment? Amal looks puzzled Amal: yes I am and he is threatening to kill me! Can’t you hear him? CHW: No Amal I can’t hear the voice but I do believe that you can hear it and it sounds as though the things that the voice is saying to you are very frightening. Amal: Yes they are frightening! I try to tell myself that he can’t hurt me but sometimes the voice is so loud I feel certain that he is going to get me. CHW: That must be very distressing Amal, you know it isn’t uncommon for people to hear voices when there is nobody there talking to them. Amal: Isn’t it? I thought I was the only one that heard voices like this. CHW: No Amal I have met lots of people that have heard voices like yours and many of them have been able to learn ways of making the voices less distressing. Amal: I wish I could stop this voice from bothering me, can you help me to do that? CHW: I can’t promise that I can make the voices stop completely but I can help you to cope with the voices to make it less distressing, would you like me to tell you more about how we might be able to do this? Amal appears less tense and more hopeful. Amal: Yes, I’d like you to tell me more about that. End of role play 128 AN INTRODUCTION TO MENTAL HEALTH
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AN INTRODUCTION TO MENTAL HEALTH Fa
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The development of this manual was
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T A B L E O F C O N T E N T S DAY T
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Contributors BasicNeeds: www.basicn
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Introduction Mental health is vital
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CHWs make a significant contributio
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Including representation of people
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Day Two Session 4 - Mental Health F
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Day Four Session 10 - Mental Health
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1 DAY Session 1: Introduction to me
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To be a healthy person we need to h
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Appropriate treatment can help impr
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India. 8 These types of beliefs can
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Activity 4 : Symptoms of mental dis
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Symptoms of mental disorders table
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7. Heart pounding 8. Muscle tension
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19. Aggression 20. Believing others
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In this session we are going to dis
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Step 2 Divide participants into two
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INFORMATION FOR PRESENTATION Common
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ecome a disorder when the alcohol o
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Figure 2 - Some Common and Severe M
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2. Mental disorders are a common pr
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have an important role to play in p
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48 AN INTRODUCTION TO MENTAL HEALTH
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Step 2 - Case study and group work:
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Reasons why a person with a mental
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2 DAY Session 5: Mental Health Firs
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“I hope they don’t ask me a que
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6. Gently hold your breath and coun
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• If the person is thinking about
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Ask each group in turn to call out
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Tiredness and fatigue may lead to o
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Poor sleeping is a common symptom o
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• • • that they have great we
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3 DAY Session 7: Mental Health Firs
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9. Describe a good way to approach
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Provide the person with information
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Page 81 and 82: INFORMATION FOR PRESENTATION Counse
Page 83 and 84: Diagram 4. The problem treatment cy
Page 85 and 86: Step 2 Ask participants to divide i
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Page 91 and 92: • Like medications for physical i
Page 93 and 94: • • • Nausea or vomiting Slur
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Page 99 and 100: How does stigma and discrimination
Page 101 and 102: Step 2 Invite participants to comme
Page 103 and 104: Step 2 - How does gender relate to
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Page 107 and 108: References 1. Herrman H, Saxena S,
Page 109 and 110: Appendix A : Introducing your other
Page 111 and 112: Appendix B : Factors affecting ment
Page 113 and 114: 3. Hearing voices 4. Fear 112 AN IN
Page 115 and 116: 7. Heart pounding 8. Muscle tension
Page 117 and 118: 11. Mood swings 12. Lack of energy
Page 119 and 120: 15. Thinking about suicide 16. Poor
Page 121 and 122: 19. Aggression 20. Believing others
Page 123 and 124: Appendix D: Common and Severe Menta
Page 125 and 126: Case study E Ahanti is a 25 year ol
Page 127: Appendix F : Role plays Role Play 1
Page 131 and 132: Appendix H Counselling Skills Cards
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Page 142: BasicNeeds 158A, Parade, Leamington
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