1. Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar in Old Age Psychiatry

2. YouTube- Schizophrenic Man Terrifies Kids At Party

3. What is mental illness?

4. Mood disorders Schizophrenia Anxiety disorders Dementia Personality disorders Learning disability Autism ADHD Eating disorders Addictions Response to trauma Sexual disorders

5. 25%

10. What is depression?

11. Depression- key messages It is an illness, not a variant of normal It is not the same as feeling “down” or “fed up” It is common- 14-18% will get it at some point It’s even more common in medical students Treatments for depression are very effective

12. If your friend had depression, what might they notice and what might you notice?

13. Depression Low mood Lack of enjoyment Low energy Disturbed sleep Poor concentration Low self esteem Guilty thoughts Change in appetite Change in psychomotor activity Suicidal thoughts or behaviour

14. “We take people in who have doused themselves with petrol, who have tried jumping off flats, who have taken vast amounts of paracetamol, who do not want to live any more, and we bring those people in, and I would say that nine and a half out of ten punters leave here happy and well. If that isn’t a result I don’t know what is. Pessimism has always dominated our thinking about mental illness, it’s just like the ghost of stigma reinventing itself as despair in this particular case. The idea that there’s nothing you can do, that’s complete nonsense.” Mark Salter, consultant psychiatrist

15. Depression is important wherever you end up working

16. 20% of patients develop depression after a heart attack

17. 25-30% of patients have depression following a stroke

18. Over half of cases of depression in the general hospital go undetected

19. 90% of people with mental health problems are cared for entirely in primary care

20. 10% of women develop depression after having a baby and suicide is one of the leading causes of maternal death

21. 10% of five to fifteen year olds have a mental health problem. Childhood abuse and neglect are major risk factors for adult mental illness.

22. Self harm is one of the five most common reasons for A+E attendance

23. 15% of patients develop depression after successful surgery for lung cancer

24. 20% of patients with no previous depression suffered from depression in the six months after surgery for hip fracture

25. Mentally Flourishing We wish to see a Scotland where we all understand that there is no health without good mental health, where we know how to support and improve our own and others’ mental health and wellbeing and act on that knowledge and where our flourishing mental health and mental wellbeing contributes to a healthier, wealthier and fairer, smarter, greener and safer Scotland. TAMFS Scottish Government 2008

27. Wellbeing 3 dimensions: emotional, social and psychological This includes our ability to cope with life’s problems and make the most of life’s opportunities; to cope in the face of adversity and to flourish in all our environments: to feel good and function well, both individually and collectively. Mental wellbeing ranges from good or high mental health, or flourishing, at one end of a continuum to poor mental health, or languishing, at the other end of the continuum. TAMFS Scottish Government 2008

28. The WHO Triangle

29. DisorderLanguishingModerateFlourishing Population Approach Population mental health: emotional, psychological, social (Keyes, 2002; Rose 2003; Huppart 2005)

30. DisorderLanguishingModerateFlourishing Population Approach Population mental health: emotional, psychological, social (Keyes, 2002; Rose 2003; Huppart 2005)

31. DisorderLanguishingModerateFlourishing Population Approach Population mental health: emotional, psychological, social (Keyes, 2002; Rose 2003; Huppart 2005)

32. The Continua of Disorder and Health

33. Invest to Save: Best Buys in Economic Research 2007 Supporting parents and early years: parenting skills training/pre-school education Supporting children and young people: health promoting schools and continuing education Improving working lives: employment/ workplace Positive steps for mental health: lifestyle (diet, exercise, sensible drinking and social support) Supporting communities: environmental improvements

34. Evidence of What Works New Economic Foundation (2009)  Social economics of languishing  Levers for change - connect - be active - take notice - keep learning - give Mental Capital and Wellbeing – Government Office for Science report (2008). 400 world experts say priority for children, young people, mental health, work, older years.

35. Evidence of What Works Positive steps  supportive contact  activity  nature  creativity  good diet  alcohol sense  lifelong learning

37. Effects – Teenage Births

38. Effects - Obesity

39. Effects – Drug abuse

40. Effects: Imprisonment

41. Effects: Violence

42. Effects: Mental Health

43. Effects: Child Wellbeing

44. Effects: Social Mobility

45. Patient Doctor

47. 30%

48. What can I do now? Follow Dundee Psychiatry on Twitter @DundeePsych Join the RCPsych as a Student Associate (for free!) Reduce stigma by starting a conversation about mental health Look after yourself and your colleagues

49. Looking after self and colleagues Student support services www.dundee.ac.uk/studentservices/ Your GP/ University Health Service Mental Health Training Doctors Support Network www.dsn.org.uk