Information about Mental Illness & Homelessness
 

Mental Illness: A Brief Introduction

Mental illnesses are physical brain disorders that profoundly disrupt a person's ability to think, feel, and relate to others and their environment. Mental illnesses are more common than cancer, diabetes, or heart disease.

Schizophrenia
A chronic and severe brain disease. Schizophrenia does not mean "split" or multiple personalities. People with schizophrenia often suffer terrifying symptoms such as hearing internal voices not heard by others, or believing that other people are reading their minds, controlling their thoughts, or plotting to harm them. These symptoms may leave them fearful and withdrawn. Their speech and behavior can be so disorganized, and they may be incomprehensible or frightening to others. Available treatments can relieve many symptoms, but most people with schizophrenia continue to suffer some symptoms throughout their lives Other symptoms of schizophrenia include: anxious, irritable, agitation, anxiety, panic, angry outbursts, inappropriate emotional responses, depression, moodiness, slowed movements, odd posturing, bizarre actions, follows rituals, mimicing, swearing and shouting, delusional false beliefs, suspicious, paranoia, hallucinations (visual and/or auditory) catatonic excitement (pacing, rocking, grimacing), catatonic rigidity (bizarre body postures, mutism, negativism), no attention to hygiene.

Bipolar disorder (also called manic-depression)
A brain disorder that, in some forms, causes extreme shifts in mood, energy and functioning. A person may have mania, an overly "high" mood, or episodes of mania and depression. Some of the symptoms of Bipolar disorder include: abnormally elevated, expansive, high moods, irritable, critical, argumentative, stubborn, inflated self concepts of power, greatness, grandiosity, rapid shifts of attention, poor concentration, memory distortion, disorganized, incoherent speech, racing thoughts, pressured speech, disorganized, easily distracted, recklessness, spending money, bad business investments, hyper sexuality, sexual misadventures, decreased need for sleep, impulsive, intrusive, uninhibited, catatonic.

Major (clinical) depressive disorder
A mood disorder characterized by a number of symptoms that occur nearly every day, all day or for at least 2 weeks. These include at least one of the following: sad, anxious or “empty” mod, sleeping too little or too much, changes in weight or appetite, loss of pleasure or interest in activities once enjoyed, feeling irritable or restless, trouble concentrating, or making decisions and remembering, fatigue or loss of energy, feeling guilty, hopeless or worthless, physical symptoms that don’t respond to treatment, thoughts of death or suicide. It is one of the most treatable of all medical illnesses!

Mania
A condition characterized by an abnormally and persistently elevated mood or irritability accompanied by symptoms such as inflated self-esteem; decreased need for sleep; increased talkativeness; racing thoughts; distractibility; increased goal-directed activity such as shopping; physical agitation; and excessive involvement in risky activities.

Generalized anxiety disorder
A condition of chronic and heightened worry and tension. A person may worry excessively about health, money, family or work. Physical symptoms such as trembling, twitching, muscle tension, headaches or sweating may occur.

Borderline personality disorder (BPD)
An enduring pattern of poor control of impulses, disappointing and unstable relationships, fears of abandonment, intense and often rapidly changing moods, extreme anger, and feelings of emptiness. Personality disorders are diagnosed in adults when emotional and behavioral traits are inflexible and maladaptive and cause significant distress and difficulty in living.

Obsessive-compulsive disorder (OCD)
A disorder characterized by anxious thoughts or rituals that a person believes are beyond his or her control. For example, someone may be obsessed with germs leading him to wash his hands repeatedly. Disturbing thoughts or images are obsessions, and the rituals that are done to prevent or dispel them are compulsions.

Panic disorder
A disorder characterized by feelings of terror that strike suddenly and repeatedly with no warning. A person may develop intense anxiety between episodes, worrying about the next attack. Episodes may be accompanied by physical symptoms such as chest pain, heart palpitations, shortness of breath, dizziness or abdominal distress.

Phobia
A specific phobia is a fear of a particular object or situation. Social phobia is fear in a social setting or anticipation of painful embarrassment in a social setting.

What causes mental illness?
Chemical imbalances are thought to contribute to mental illnesses. As with cancer, mental illnesses may also be triggered by environmental stresses, particularly in people who are at risk due to family or genetic factors.

Can people recover from mental illness?
With treatment, many people can recover, while those with more chronic disorders can learn to manage their symptoms, much like a person learns to live with arthritis or diabetes.

When should a person seek help for mental illness?
The American Psychiatric Association lists the following signs for adults: a marked change in personality, inability to cope with problems and daily activities, strange ideas or delusions, excessive anxiety, prolonged feelings of sadness, a marked change in eating or sleeping patterns, thinking or talking about suicide, extreme highs and lows, abuse of alcohol or drugs, excessive anger, hostility, violent behavior, and irrational fears.

Effect of alcohol and drugs on mental illness
Alcohol and other drugs are a barrier to accurate identification and effective treatment of those who suffer from psychiatric disorders. Their use may conceal a psychiatric disorder, or accelerate its development and magnify its effects. AOD use can cause symptoms that resemble psychiatric syndromes and may inflate co-morbidity rates-the presence of any two or more illnesses in the same person. Thus, an individual might be alcohol dependent and schizophrenic. Having either an alcohol or psychiatric disorder increases a person's risk of having the other diagnosis. Alcoholics, for example, are 21 times more likely to have an antisocial personality disorder, 6 times more likely to have manic depressive disorder and 4 times more likely to have schizophrenia.

Hope
However, “there is widespread agreement that when housing is permanent and flexible, and individualized support services are available as needed, people with serious mental illnesses can achieve and maintain residential stability in the community”. Also, many can work and contribute to society.