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Mental, neurological and substance use disorders (MNS) are common, highly

disabling, and associated with significant premature mortality. The human, social


and economic toll imposed by lack of attention to MNS across the world is
considerable. It is estimated that at least 10 percent of the world’s population is
affected, and that 20 percent of children and adolescents suffer from some type of
mental disorder.

In countries affected by fragility, conflict and violence, the number of people


afflicted by mental ill-health rises to approximately one in five people (22.1%).
And some segments of the population are disproportionality affected by MNS:
women and children who have experienced violence, soldiers returning from war,
migrants and refugees displaced by conflict, the poor, and other vulnerable groups
in society such as the unemployed.

Depression

It is a common mental disorder affecting more than 264 million people worldwide.
It is characterized by persistent sadness and a lack of interest or pleasure in
previously rewarding or enjoyable activities.  It can also disturb sleep and appetite;
tiredness and poor concentration are common. Depression is a leading cause of
disability around the world and contributes greatly to the global burden of disease.
The effects of depression can be long-lasting or recurrent and can dramatically
affect a person’s ability to function and live a rewarding life.
The causes of depression include complex interactions between social,
psychological and biological factors. Life events such as childhood adversity, loss
and unemployment contribute to and may catalyse the development of depression.

Psychological and pharmacological treatments exist for moderate and severe


depression. However, in low- and middle-income countries, treatment and support
services for depression are often absent or underdeveloped. An estimated 76–85%
of people suffering from mental disorders in these countries lack access to the
treatment they need. 

 Anxiety problems

Anxiety is what we feel when we are worried, tense or afraid – particularly about
things that are about to happen, or which we think could happen in the future.

Occasional anxiety is a normal human experience. But if your feelings of anxiety


are very strong, or last for a long time, they can be overwhelming. You might also
experience physical symptoms such as sleep problems and panic attacks.

Schizophrenia

Views on schizophrenia have changed over the years. Lots of people question
whether it's really a distinct condition, or actually a few different conditions that
overlap. But you may still be given this diagnosis if you experience symptoms
such as:

 psychosis (such as hallucinations or delusions)


 disorganised thinking and speech
 feeling disconnected from your feelings
 difficulty concentrating
 wanting to avoid people
 a lack of interest in things
 not wanting to look after yourself.
Obsessive-compulsive disorder (OCD)

Obsessive-compulsive disorder is a type of anxiety disorder. The term is often


misused in daily conversation – for example, you might hear people talk about
being 'a bit OCD', if they like things to be neat and tidy. But the reality of this
disorder is a lot more complex and serious.

OCD has two main parts: obsessions (unwelcome thoughts, images, urges, worries
or doubts that repeatedly appear in your mind; and compulsions (repetitive
activities that you feel you have to do to reduce the anxiety caused by the
obsession).

Personality disorders

Personality disorder is a type of mental health problem where your attitudes,


beliefs and behaviours cause you longstanding problems in your life. If you have
this diagnosis it doesn't mean that you're fundamentally different from other people
– but you may regularly experience difficulties with how you think about yourself
and others, and find it very difficult to change these unwanted patterns.

There are several different categories and types of personality disorder, but most
people who are diagnosed with a particular personality disorder don't fit any single
category very clearly or consistently. Also, the term 'personality disorder' can
sound very judgemental.

Because of this it is a particularly controversial diagnosis. Some psychiatrists


disagree with using it. And many people who are given this label find it more
helpful to explain their experiences in other ways.

Bipolar disorder

Bipolar disorder (once called manic depression) mainly affects your mood. With
this diagnosis you are likely to have times when you experience: manic or
hypomanic episodes (feeling high); depressive episodes (feeling low); and
potentially some psychotic symptoms.

Everyone has variations in their mood, but in bipolar disorder these swings can feel
very extreme and have a big impact on your life. In between, you might have stable
times where you experience fewer symptoms.

Suicidal feelings
Suicide - when someone intentionally takes their own life - is a very complex
issue. What are suicidal feelings? People feel suicidal for a variety of reasons,

Self harm
Self-harm is when someone purposely hurts themselves, usually in order to cope
with intense emotional distress.

Eating disorders

An eating disorder is a diagnosis given to someone who has unhealthy thoughts,


feelings and behaviour about food and their body shape.

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