1. TYPES OF MENTAL ILLNESS

2. A BEAUTIFUL MIND
JOHN NASH

3. CAUSES
USED TO THINK BAD FAMILIES WERE CAUSE (SCHIZOPHRENOGENIC MOTHER)
NOW THOUGHT TO BE BRAIN DISORDER WITH GENETIC OR BIOLOGICAL CAUSE
ABOUT 1% PREVALENCE IN WIDE VARIETY OF TIMES AND PLACES

4. CORRELATES LOW SOCIAL CLASS CAUSE OR CONSEQUENCE?
NO GENDER DIFFERENCES
NO ETHNIC DIFFERENCES
EARLY ONSET YEARS
ALMOST ALL NOT MARRIED

5. PROGNOSIS (COURSE) USED TO THINK DEGENERATIVE
NOW THOUGHT TO BE VARIABLE
1/3 CHRONIC; 1/3 EPISODIC; 1/3 RECOVER
HIGH RATE OF SUICIDE - 10%

6. TREATMENT USED TO BE LONG STAYS IN MENTAL HOSPITALS
NOW BRIEF, EPISODIC HOSPITAL STAYS ALONG WITH COMMUNITY TREATMENT (OR NEGLECT)
MEDICATION SINCE 1950’S
PHENOTHIAZINES AND CLOZAPINE

7. TREATMENT MEDICATION DOESN’T CURE, BUT CONTAINS - BUT MUST TAKE IT
PSYCHOSOCIAL TREATMENTS - SOCIAL AND JOB SKILLS, HOUSING
PSYCHOTHERAPY LESS CRITICAL
HARDEST TO TREAT - MICA (MENTALLY ILL CHEMICAL ABUSERS)

8. MAJOR PROBLEMS INADEQUATE FUNDING FOR TREATMENT
MANY DON’T ADMIT THAT THEY ARE ILL - STOP TAKING MEDICATIONS
WHEN GET IN TROUBLE PUT IN JAILS AND PRISONS

9. BI-POLAR DISORDER

10. DYSREGULATION OF MOOD ALTERATIONS OF WILD ELATION AND DEEP DEPRESSION
CAN BE ACCOMPANIED BY DELUSIONS AND HALLUCINATIONS
VERY DIFFERENT INTERPERSONALLY THAN SCHIZOPHRENIA - CONNECTEDNESS

11. MANIC PHASE SUPER-CHARGED ENERGY WHEN MANIC (67)
CREATES BEHAVIOR PROBLEMS (74)
CAN BE VIOLENT (120)
HIGH RATE OF ALCOHOL AND DRUG ABUSE
HIGH CREATIVITY AND PRODUCTIVITY

12. DEPRESSIVE PHASE TOTAL BLEAKNESS WHEN DEPRESSED (111)
HIGH RATE OF SUICIDE

13. CAUSE PROBABLE GENETIC CAUSE RUNS IN FAMILIES
PREVALENCE BETWEEN 1/2% TO 1%
SEEMS TO BE UNIVERSAL

14. SOCIAL CORRELATES NO SOCIAL CLASS DIFFERENCES NO ETHNIC DIFFERENCES
SMALL GENDER DIFFERENCE
VARIABLE AGE OF ONSET – FROM LATE TEENS TO MIDDLE AGE

15. COURSE AND TREATMENT HIGHLY VARIABLE COURSE, BUT USUALLY RECURRENT
MUCH HIGHER SOCIAL FUNCTIONING THAN SCHIZOPHRENIA
LITHIUM MOST COMMON TREATMENT SINCE 1950’S
CAN CONTROL CYCLES

16. JAMISON - UNQUIET MIND DIFFICULTIES OF TREATMENT
AMBIVALENCE TOWARD MEDICATION (98)
IMPORTANCE OF SOCIAL SUPPORT - INFORMAL AND PROFESSIONAL
YAVI ASPECT?