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

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• If there is conflict or violence in the family you may need to think of alternative support networks such as women’s groups, friends or a religious leader. • Families often need help to understand the person’s problems and manage their own stress related to the situation. • Families also need help to understand the importance of not being too critical or over protective of the depressed person. How to help a person who is threatening to commit suicide • Remove access to all dangerous items such as knives and poison. • Ensure the person is not left alone – enlist help from family and friends to keep the person company if necessary. • Seek professional help as soon as possible. • If the person is consuming alcohol, try to stop him/her from consuming any more. • Listen non-judgementally, do not give advice or contradict the person. • Let the person know that you and others care about him/her. • Let the person know that even though the situation seems hopeless at present, things are likely to improve – feeling bad is only temporary. If the person has already harmed him/herself e.g. swallowed poison, emergency medical treatment is required. Case study E Step 2 – Case study Ask participants to get into groups of five to read Case study E and discuss possible explanations for why Ahanti is feeling sad and hopeless and thinking about suicide. Allow 10 minutes for this. Ahanti is a 25 year old woman who is married and has one daughter and one son. She has gradually lost all interest in life. Even her children and family don’t make her happy. She feels tired all the time and has lost the taste for food which she used to love; she can not sleep at night and has lost weight. Ahanti feels like she is a burden on the family. She feels embarrassed about her situation and cannot tell anyone. Her mother-in-law complains that she has become lazy and her husband is frustrated with her and keeps yelling at her and hitting her. Now Ahanti feels like ending her life, she is so scared by these feelings that she has come to talk to the health worker. Ask each group in turn to call out one of their explanations until all suggestions have been voiced. In their groups, ask participants to think of as many ways as possible of helpfully responding to Ahanti. Allow 10 minutes for this. AN INTRODUCTION TO MENTAL HEALTH 61
Ask each group in turn to call out one of their suggestions until all suggestions have been voiced. Write the responses on the black/white board and try to group responses under the five MHFA headings: • Assess risk of suicide or self harm • Listen without judgement • Give reassurance and information • Encourage the person to get appropriate help • Encourage self help treatments Conclude this session by highlighting that the helpful things to do for Ahanti include: • Ask her if she has a plan for ending her own life and seek professional help if she does. • Encourage Ahanti to talk about her problems. • Listen to her without judgement. • Don’t leave her alone until she is feeling better. • Recognise that Ahanti’s feelings of hopelessness are the symptom of a problem rather than just laziness 62 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
Page 11 and 12: CHWs make a significant contributio
Page 13 and 14: Including representation of people
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Page 17 and 18: Day Four Session 10 - Mental Health
Page 19 and 20: 1 DAY Session 1: Introduction to me
Page 21 and 22: To be a healthy person we need to h
Page 23 and 24: Appropriate treatment can help impr
Page 25 and 26: India. 8 These types of beliefs can
Page 27 and 28: Activity 4 : Symptoms of mental dis
Page 29 and 30: Symptoms of mental disorders table
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Page 33 and 34: 19. Aggression 20. Believing others
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Page 39 and 40: INFORMATION FOR PRESENTATION Common
Page 41 and 42: ecome a disorder when the alcohol o
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Page 47 and 48: have an important role to play in p
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Page 99 and 100: How does stigma and discrimination
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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
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3. Hearing voices 4. Fear 112 AN IN
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7. Heart pounding 8. Muscle tension
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11. Mood swings 12. Lack of energy
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15. Thinking about suicide 16. Poor
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19. Aggression 20. Believing others
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Appendix D: Common and Severe Menta
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Case study E Ahanti is a 25 year ol
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Appendix F : Role plays Role Play 1
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and you say they are trying to harm
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Appendix H Counselling Skills Cards
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132 AN INTRODUCTION TO MENTAL HEALT
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BasicNeeds 158A, Parade, Leamington
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