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

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India. 8 <strong>The</strong>se types of beliefs can delay early recognition of mental disorders and prevent<br />

appropriate treatment and follow-up. 9<br />

Biological factors can include genetics, brain injury, and chemical imbalance in the brain.<br />

Sometimes people experiencing chronic medical problems such as heart, kidney and liver<br />

failure, and diabetes may develop mental health problems such as depression, as living<br />

with a chronic illness can be very stressful.<br />

Stressful life events can contribute to the development of mental disorders e.g. family<br />

conflicts, unemployment, death of a loved one, money problems, infertility and violence. 2,5<br />

A lot of stress may also contribute to an imbalance of chemicals in the brain.<br />

Poverty can place a person at risk of mental disorders because of the stresses associated<br />

with low levels of education, poor housing and low income. Mental disorders are also more<br />

difficult to cope with in conditions of poverty. 1<br />

Difficulties in childhood such as sexual or physical violence, emotional neglect, or early<br />

death of a parent can sometimes lead to a mental disorder later in life.<br />

Unhealthy behaviours such as drug and alcohol abuse can lead to the development of a<br />

mental disorder as well as being the result of a mental disorder.<br />

Step 2<br />

Divide the participants into two groups and ask each group to list all of the<br />

factors that contribute to the development of mental disorders (based on<br />

their current understanding). One participant in each group records the<br />

factors identified by the group.<br />

Allow 10 minutes <strong>for</strong> the groups to complete this task.<br />

Bring the two groups together and ask a representative from each group<br />

to read their list of factors aloud. As the list is read, write each factor on<br />

the board, ignoring duplicate factors from the second group.<br />

If either group suggests factors that are in fact not associated with the<br />

development of a mental disorder e.g. spirit possession, write this on the<br />

board in a separate place from the main list.<br />

Using the ‘Factors affecting mental health’ diagram below, ensure that all<br />

factors are adequately listed on the board. If the groups do not mention<br />

certain factors then the facilitator can add them to the list.<br />

24<br />

<strong>AN</strong> <strong>INTRODUCTION</strong> <strong>TO</strong> <strong>MENTAL</strong> <strong>HEALTH</strong>

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