National Council for Mental Health
National Council for Mental Health "The realization of optimum mental health in Sri Lanka through research, training, awareness raising and care"
Psychiatry & Mental Health
 
Psychiatry & Mental Health
 
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Psychiatric disorders
 
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Bipolar Affective Disorder
Schizophrenia and other Psychotic illnesses
Psychiatric Manifestations of Medical Conditions
Depression
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Treatments in psychiatry
 
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Transcranial magnetic stimulation
Electro-convulsive therapy
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Mental Health in Sri Lanka
 
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Home > Psychiatry & Mental Health > FAQ's
What is Health?
What is Mental health?
What is the mind?
Does the mind and body interact?
Is there a difference between physical illness and mental illness?
If so, why do we use the term "Mental Illness"?
What is psychiatry?
Who is a psychiatrist?
What is the difference between psychiatrist and a psychologist?
How common are psychiatric illnesses?
What are the common psychiatric disorders?
Do only certain people suffer from psychiatric illnesses?
Is there a link between suicide and psychiatric disoredrs?
What causes people to suffer from psychiatric illnesses?
What are the common signs and symptoms of psychiatric pathology?
Can psychiatric disorders be successfully treated?
What are the treatment options available?
Are modern drugs safe and effective?
How long do I need to take medication for?
What is ECT?
What else can help?
 
What is Health?
Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
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What is Mental health?
The World Health Organization defines mental health as "a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community
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What is the mind?
Mind is a non-physical phenomenon which perceives, thinks, recognises, experiences and reacts to the environment.

The mind is described as having two main aspects: clarity and knowing; meaning that the mind is clear, formless and allows for objects to arise in it, and that the mind is knowing, an awareness, a consciousness which can engage with objects.
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Does the mind and body interact?

Let us compare our body and mind to a computer. In this simile, the body is the hardware and the mind is the software.

As mentioned above, the mind is defined as a non-physical phenomena which perceives, thinks, recognises, experiences and reacts to the environment, not unlike computer software. Although software needs to be imprinted or registered in something like the hard-drive before it can do anything, in itself, a program represents a lot of thinking by the software manufacturer. Without software (mind), the hardware (body) is just a 'dead thing'. The hardware (body) is of course important in what the computer can do; how fast it is, which programs can be run, and how the computer can interact with the world. However good the hardware is, it can ultimately only perform what the program 'knows'.
The software needs to use the 'senses' of the hardware, like the keyboard, the mouse, a video camera, a modem etc. to receive 'input'; just like the mind needs the senses that receives the 'input' of the outside world.

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Is there a difference between physical illness and mental illness?
No. Psychiatric illnesses occur due to chemical and/or structural changes in the brain. Suffering from a psychiatric illness is no different from suffering from heart disease or diabetes.
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If so, why do we use the term "Mental Illness"?
Two reasons:
1. chemical and/or structural changes in the brain can lead to abnormalities in one's mental state - due to mind body interaction
2.Mental stress is a major risk factor for the development of psychiatric illnesses in individuals.
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What is psychiatry?
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders—which includes various affective, behavioural, cognitive and perceptual disorders. The term was first coined by the German physician Johann Christian Reil in 1808. The word psyche comes from the ancient Greek for soul  or butterfly
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Who is a psychiatrist?
A psychiatrist is a medically qualified doctor who specializes in psychiatry and is certified in treating mental disorders. All psychiatrists are trained in diagnostic evaluation and in psychotherapy.
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What is the difference between psychiatrist and a psychologist?
The main difference between them is that psychiatrists are medically qualified doctors. Psychologists are not medically-trained professionals, and they are primarily concerned with the study of how people think, act, react and interact.
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How common are psychiatric illnesses?
Psychiatric disorders are very common. 1 in 4 individuals will suffer from a diagnosable mental health disroder at some point in their life. The World Health Organization (WHO) reported in 2001 that about 450 million people worldwide suffer from some form of mental disorder or brain condition
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What are the common psychiatric disorders?
Depression, Bipolar affective disorder, Anxiety disorders, Schizophrenia and other psychotic illnesses, Alcohol and substance abuse, Dementia, Personality disorders etc.
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Do only certain people suffer from psychiatric illnesses?
No. Anyone, irrespective of sex, age, financial status, intelligence, race, religion can suffer from a psychiatric disorder.
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Is there a link between suicide and psychiatric disoredrs?
Yes. Each year approximately 1 million people commit suicide globally. Approximately 90% of those who commit suicide suffer from a diagnosable mental disorder.
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What causes people to suffer from psychiatric illnesses?
Psychiatric illnesses are caused by chemical and/or structural changes in the brain. This may be due to:
1. primary chemical and/or structural brain changes
2. diseases occuring in other organs . eg: Thyroid dysfunction, anaemia, low body salt levels etc.
3. environmental risk factors eg: illicit drug use (cannabis), traumatic brain injury ect.
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What are the common signs and symptoms of psychiatric pathology?
This would depend on the disorder. In general, common signs and symptoms include:
low mood, lack of energy, insomnia. loss of appetite, medically unexplained physical symptoms, fear, sexual dysfunction, lack of insight, hallucinations and delusions ect.
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Can psychiatric disorders be successfully treated?
yes they can. Psychiatry is one of the most rewarding medical specialities at present. If one follows medical advice with regards to treatment and environmental manupilation most conditions can be successfully treated.
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What are the treatment options available?
Medication, Psychological therapies such as Cognitive Behavioural Therapy (CBT) in certain conditions, Electro-convulsive therapy, rTMS, Neurosurgery
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Are modern drugs safe and effective?
If taken according to medical advice modern medicines are extremely effective and safe, with minimal side effects. Since there are so many to choose from it is important to discuss each case with the psychiatrist before embarking on treatment.
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How long do I need to take medication for?
This would depend on your diagnosis, other lifestyle factors etc. Medication should never be discontinued or changed without the approval of your doctor.
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What is ECT?

Electro-convulsive therapy (ECT) is a well-established, extremely effective and safe treatment in which seizures are electrically induced in anaesthetized patients for therapeutic effect.

Today, ECT is most often used in treatment resistant
•Depression
•Mania (often in bipolar disorder)
•Catatonia and schizophenia

It was first introduced in the 1930s

Today, an estimated one million people worldwide recieve ECT every year usually in a course of 6-12 treatments administered 2or3 times a week.

ECT is not known to give rise to long term side effects.
It is safe in all three trimesters in pregnancy.

Relative contraindications include recent cerebro-vascular accident (stroke), heart disease and phaeochromocytoma.

 Procedure:
 •Intra-venous access
 •Patient is ventilated
 •Short acting intra-venous anaesthetics
 •Intra-venous muscle relaxant
 •Brain stimulation (unilateral /bilateral electrode placement)  

Mechanism of action  
 •Increase blood supply to brain
 •Down grading of anxiety (beta) receptors
 •Increase brain derived neurotropic factor (BDNF)
 •Formation of new blood vessels in the brain
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What else can help?

1. minimise stress
2. eat healthily. A diet rich in antioxidents and essential fatty acids can be beneficial
3. exercise regularly
4. stop smoking
5. avoid alcohol
6. do not bottle up your problems - talk to someone you trust.
7. follow your doctor's advice at all times.

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NATIONAL COUNCIL FOR MENTAL HEALTH
Resource Centre - Colombo 08
No. 96/20, Kitulwatta Road,
Colombo - 08.
Sri Lanka
Tel +94 112 685 960 / +94 114 339 606-7
Fax +94 112 685 950
Email council@ncmh.lk
 
NATIONAL COUNCIL FOR MENTAL HEALTH
Gorakana - Residential Facility
No. 115/2, Galkanuwa Rd.
Gorakana, Panadura.
Sri Lanka
Tel +94 383 398 317 / +94 384 927 506 / +94 382 297 702
Fax +94 382 287 203
Email council@ncmh.lk
         
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