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-Mental
diseases are brain disorders -
NAMI Pennsylvania 1-800-223-0500
NAMI Clarion Research
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"As for me, you must know I
shouldn't precisely have chosen madness if there had been
any choice. What consoles me is that I am beginning
to consider madness as an illness like any other, and
that I accept it as such." Vincent Van
Gogh 1889
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What are Brain Disorders?
Brain disorders are chemically or
physiologically based diseases. It is crucial to
understand that these diseases are no-one's fault for
treatment to proceed. There is no
"blame" to be laid!
Given this, there are several brain disorders
widely recognized in people:
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- Schizophrenia: A term for a group
of mental disorders marked by a variety of symptoms. Literally,
the term means "split mind," but, contrary to a common
misconception, schizophrenia does not imply a split personality,
in the sense of someone acting like two different people. Not
until the 20th century was schizophrenia distinguished from
other forms of psychosis. Symptoms of schizophrenia, only
some of which are present in any one individual, occur in thoughts,
perceptions, feelings, movements, and interpersonal relationships.
Thought disorders may be observed as a failure to make logical
connections or by the development of delusions. Hallucinations-particularly
hearing one's thoughts spoken aloud or hearing imaginary voices
giving commands or making comments-are the principal perceptual
problems. Emotional reactions to a situation appear to observers
to be either flat or inappropriate. Disturbances in movement
may appear as catatonia (a rare condition in which the patient
maintains a rigid posture) or, more commonly, as apparently
purposeless, excited movements that have a repetitive sameness
about them. Relationships with others are usually disturbed,
often because the schizophrenic person tends to be withdrawn.
Schizophrenia almost always develops before middle
age. Typically, the first episode takes place during adolescence
or young adulthood and tends to be followed by others. Its appearance
is evidenced by a deterioration in a person's work, social relationships,
and ability to care for himself or herself, together with one
or more of the symptoms noted above. No simple catalog of symptoms,
however, can convey the devastation of schizophrenia. It is
the most severe major mental illness. A schizophrenic person's
odd speech and behavior may cause others to laugh nervously,
but these symptoms are the product of torment rather than playfulness.
Being unable to order and control one's own thoughts, being
isolated by a vision of reality all one's own, being commanded
to act by disembodied voices-these are the experiences that
make schizophrenia such a frightening and lonely experience.
- Major (Clinical) Depression: Depression
is a psychiatric disorder characterized by feelings of worthlessness,
guilt, sadness, helplessness, and hopelessness. In contrast
to normal sadness or the grief accompanying the loss of a loved
one, clinical depression is persistent and severe. It is accompanied
by a variety of related symptoms, including disturbances in
sleep and eating, loss of initiative, self-punishment, withdrawal
and inactivity, and loss of pleasure. In psychiatry, two
major forms of depressive disorders are recognized. In both,
the predominant symptom is a disturbance in mood. One form of
the disorder, depressive disorder, is marked only by episodes
of depression. The other is bipolar or manic depressive illness
(see below).
- Bipolar Disorder: This disease
is characterized by alternating depressed and manic episodes.
In major depression or the depressed phase of bipolar illness,
a depressed mood predominates, although the patient may not
be aware of feeling sad. Typically, he or she loses all interest
in and withdraws from usual activities. Symptoms include sleep
disturbances (usually early-morning awakening); loss of appetite
or greatly increased appetite; inability to concentrate or to
make decisions; slowed thinking and decreased energy; feelings
of worthlessness, guilt, hopelessness, and helplessness; diminished
sexual interest; and recurrent thoughts of suicide and death,
sometimes leading to actual suicide. In the manic phase
of bipolar illness, the patient's mood can be elevated, expansive,
or irritable. Behavior is bizarre and sometimes obnoxious. Other
symptoms include excessive talkativeness, racing thoughts, and
grandiose ideas; greatly increased social, sexual, and work
activity; distractability; loss of judgment; and a decreased
need for sleep.
- Anxiety Disorders: Anxiety is
the predominant symptom in two conditions: panic disorder and
generalized anxiety disorder. In phobias and obsessive-compulsive
disorders, also considered anxiety disorders, fear is experienced
when an individual tries to master other symptoms. A phobia
is an irrational fear of a specific object, activity, or situation
that is so intense that it interferes with everyday life. Obsessions
are repetitive thoughts, images, ideas, or impulses that make
no sense to the person. He or she can fear being unable to avoid
committing a violent act, for example, or worry over whether
some small duty has been performed. Compulsions are repetitive
behaviors performed dutifully to try to ward off some future
event. Examples of such behavior include repeated washing of
the hands or counting and recounting belongings.
"Mental Disorders," Microsoft(R) Encarta(R)
97 Encyclopedia. (c) 1993-1996 Microsoft Corporation. All
rights reserved.
It is important if you
feel that you or a loved one exhibits any of these disorders
that you contact your health care provider or a psychiatrist
to start receiving the care you need.
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