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Student mental health and well-being
School of Psychology and Clinical Language Sciences Student mental health and well-being Professor Shirley Reynolds
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Common mental health problems
Severe mental health problems Common mental health problems Life’s up and downs
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Acquiring new skills Especially to do with social behaviour Abstract reasoning – greater focus on considering yourself from the eyes of another person Impulse control and long-term perspective taking
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Age of onset of Major Mental Health disorders
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AGE of onset of schizoprenia
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Age of onset of bipolar disorder
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Burden of mental ill health by age
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WHY DO WE SEE An INCREASE?
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Social Gradient of health
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Evidence based treatment
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Student mental health Students often come to us expecting to be given a prescription of some kind, but a lot of difficulties are not caused not medical problems, but by normal life problems, such as family or relationship issues, or anxiety about their work While these problems are distressing, through counselling we can help students to understand them, and then suggest strategies for dealing with their feelings. Alan Percy, head of counselling at the University of Oxford
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Common mental health problems
Severe mental health problems Common mental health problems Life’s up and downs
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Dealing with ‘normal life problems’
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‘Stepped care’ model
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Common mental health problems
Usually refers to Depression (range of severity, mild – severe; at the severe end can merge with psychosis) Anxiety disorders Generalised anxiety disorder Social anxiety PTSD Panic and agorophobia OCD Body dysmorphic disorder Eating disorders NB these are often co-morbid so people often have many
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Severe mental health problems
Bipolar Disorder Schizophrenia Personality Disorder Some eating disorders Chronic depression Substance misuse These require multi-disciplinary care and management over a lengthy period. The aim is recovery or management of the condition. Medication is often used, supplemented by psychological therapies and/or counselling, family support etc
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Understanding the mechanisms
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Mechanisms in PTSD
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Counselling and psychological therapies
Problems with definitions – but Counselling (non-directive) is recommended for mild to moderate depression (NICE) Likely to be useful to support students and staff who have ongoing difficulties, adjustment, bereavement, ‘stress’, relationship difficulties CBT is recommended for problems with anxiety related disorders (e.g. PTSD, phobias, health anxiety) depression, eating disorders Multidisciplinary care is usually required for bipolar disorders, schizophrenia, many eating disorders How do universities work with and alongside NHS services?
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Challenges Continuity of care – term/non term, GP liaison home /university Family (social) support and engagement Working across and with different agencies Conflicting roles and responsibilities to individual students
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‘Stepped care’ model
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Shirley Reynolds: S.A.Reynolds@reading.ac.uk
Thank you
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