Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Monday, 8 January 2024

Loneliness and the elderly: ‘The deafening sound of silence’

 from the Irish Times

Vivienne O’Brien, who lives on her own in the north Dublin suburb of Swords, says she hates weekends and bank holidays. “It’s because everybody else is busy and I’m not,” explains the 79 year old. She also finds the darker evenings and winter months more difficult than the brighter times of the year.

“I don’t expect to do something every day and I have carers coming in three times a day to bath and dress my legs,” explains O’Brien, who suffers from ulcers on her legs. Two of her sons also live nearby, so she feels she has to remain positive. “You can’t be sad because nobody will want to come visit you if you are.”

Brendan Kilkenny (62) retired from 30 years’ work in the Civil Service 2½ years ago. And while he kept busy, replacing his hour-long commute into the office with daily trips to play pitch-and-putt, he realised that he missed the camaraderie of working with a large group of people. “Retirement is a huge, huge step,” he explains. “All of a sudden I missed all the banter with workmates and our Friday nights out. I’m a very outgoing, people-oriented person and for the next two years, I was living in my head.”

Kilkenny said he realised that, as a single man living alone, he needed to be part of a community and made contact with Friends of the Elderly to see if he could join. “Joining it has totally changed my life. Everyone is so friendly. This is what I want to be part of when I’m 72 and 82. It means so much to me.”

“Loneliness can occur at any age but it is more common and more significant for older people,” says Prof Rose Anne Kenny, geriatrician at St James’ Hospital, Dublin and author of Age Proof: The New Science of Living a Longer and Healthier Life.

She says studies have found that people who are lonely are more likely to get infections, heart disease, cancer and even dementia. “Loneliness is not just a mind-related issue. It has a physiological effect. It affects the same inflammatory pathways as cancer, infections, high blood pressure, heart failure and heart attacks.”

Unsurprisingly, the antidote to loneliness is social connection. “Meeting people, having laughter in your life, good quality relationships and friendships – these are the interventions that help,” says Prof Kenny. “And it’s really important to encourage people to have a meal with someone else – even if they are just talking to someone on the phone while they are having their meal.”

Studies of loneliness as part of the Irish Longitudinal Study on Ageing at Trinity College Dublin found that loneliness among people over 50 increased threefold during the Covid pandemic. “It has not gone back to pre-pandemic levels. It is about halfway back to where it was before,” says Prof Kenny.

Friends of the Elderly – which describes itself as the national charity dedicated to combating loneliness and social isolation among older people – has launched its Silent Night Christmas Appeal.

“Silent Night is one of the most beautiful Christmas carols, with images of family get-togethers, Christmas trees with twinkling lights, but for many older people Christmas is just another silent night when nobody calls and nobody visits,” says Deborah Costello from Friends of the Elderly.

The charity is calling on members of the public to reach out to older family members, friends and neighbours to “help break the deafening sound of silence”.

 

 

 

Sunday, 28 February 2021

time to talk about talking therapy!


 

About 2.5 years ago, I suffered from a psychotic episode.

Talking therapy and family support gave me the strength to recover and then I started reading about mental health and mental disorders (see photo of this post of an excellent book on mental health that I read last year).

With the right medication and good diet and enough sleep, I can now live with it, and have a quality life!

The most important aspects are these: 

a. good collaboration with the psychiatrist and

b. competent support by the family and a talking therapist/coach.

These thoughts came to mind this morning when I read the story of Horatio Clare in Sunday Times.

Concluding, it's essential to treat mental health patients with compassion and talking therapy. These are the best medicines. Of course, the right medication is also needed.

Time to break the mental health taboo and talk openly about talking therapy, because medication only can not be the solution...

Talk to your people who suffer from mental health in a compassionate way and show them Love! 

Love is the best medicine, better than any anti-psychotic drug on its own...

Love and the right drugs can do miracles! Go for these miracles and don't stay in the little dark cave of mental disorders.

Open up and talk and Love!

Ioannis

 

 

Tuesday, 7 July 2020

let's talk about mental health



over the past few days, I was reading a new book, on the "psychiatry's troubled search for the biology of mental illness". Why is this search so troubled? Why the management of mental health is so problematic?
As a chemist working on the interface of biology/biochemistry/inflammation, I have been wondering for a long time now: do GPs and consultants receive adequate training on the chemistry of drugs? on the pharmacology of diseases? is it just a module they are taught or something more substantial?
Psyche is not as simple as a petri dish. Psychiatrists can not use X-rays or microscopes to examine the inner soul. But, they can use a manual, they call it Diagnostic and Statistical Manual of Mental Disorders

( as if our psyche can fit in a bloody manual ) !

So, from that manual, they can derive that I suffer from X (e.g. Schizophrenia), you suffer from Z (e.g. bipolar disorder, type 1 or type 2 or type 234566, you see...
there are some many different bipolar disorders...
that's why now they (have to) call it "bipolar disorder spectrum"
and the new (sic!) concept now is "personalized treatment".

Copying page 271 of Anne's book:
"the bold 1980s venture to bring about a "biological revolution" has now run into the sand as well. Far from flocking to psychiatry, many pharmaceutical companies have recently been fleeing it, as the prospects for new and potentially lucrative psychiatric drugs have dimmed. The manual on which the profession has rested so much of its biological authority has come under sharp attack, not just by cranky outsiders but by informed insiders committed to the mission".

(...)

"Among the very many people who present to a general practitioner or a psychiatrist with a mental affliction, some are (almost certainly) suffering from a real illness, one that is understandable (in principle) like any other medical complaint. By the same token, others are (almost certainly) not. Mental suffering takes many forms and has many causes, only some of which have roots in disease. The suffering of those who are not really ill in any meaningful medical sense can still be acute."



Let's move back to the hospital (aka prison) environment and read the case of Daniel Paul Schreber. Schreber's career as a prominent German judge ended when, in 1884, he went mad at the age of 42. His renowned Memoirs of My Nervous Illness, written during a remission and published in 1903, describes with astounding lucidity damned near every torment that schizophrenia can bring. Of these, Schreber's worst agony was clearly the isolation his treatment forced on him. At the asylum he was placed in (the same sort Kraepelin visited to refine his view of dementia praecox), Schreber was miserable and spoke little. He writes that, while hospitalized there, he was "completely cut off from the outside world, without any contact with my family," "forsaken," "left to rot."
The completeness of this alienation helps explain the anthropologist's fascination with schizophrenia. Schizophrenia is where culture—Western culture, anyway—disintegrates.


Over the past few years, through different life environments, I studied closely the biochemistry of brain diseases and mental disorders; the (lack of) holistic approach that the mental healthcare have in Ireland and the pharmacology of Second Generation Antipsychotics (SGAs) .

The more I read, the more questions emerged...

Why isn't there any holistic treatment?

Why can't psychiatrists collaborate actively (not in paper!) with therapists (like psychologists, clinical psychologists, mentors etc)?

Once a patient is diagnosed with a disorder (what a stigma to be called "I have this DIS-order" as if all the rest are orderly fine!), some medication is prescribed and all...grand (is it though? All grand?).

What about re-assessing this person?

How often?

By the same practitioner?

Is there any bias involved if the same psychiatrist assesses the same person for life?

And what about the (lack of) "holistic approach"?

How can medication work on its own? Well it doesn't but this is the easiest (and most profitable!) approach.
They don't really care about us.
They are here to sell us drugs.
They are here to keep feeding our bodies with pharmaceuticals as if mental health can be promoted only by chemical "stuff".

And what about the soul? Psyche means soul...but, hey, the medical establishment can't think outside the DSM manual and the BigPharma shortsighted horizons.

Let's imagine this picture for a moment: it is time for the monthly check up but our imaginary patient is not seen by a psychiatrist but by a team of people (nutritionist, PE mentor, mentor, psychologist and psychiatrist) and they all have a chat...not for five minutes (as it happens now!) but for an hour, to talk about life, the weather, the moods, cinema, music. They can then collectively design their therapeutical approach beyond mere prescription of "drugs".

Hey Yannis? Are you mad?
This takes a lot of listening and much less prescribing of "stuff"...
Uncomfortable truths...

YannisZ
Clonlara 7.7.2020








Further reading
on stigma
side effects of SGAs in children