October is Mental Health Awareness Month in South Africa. The aim of this awareness campaign is twofold: to educate people about mental health, and to reduce the stigma and discrimination people with mental health issues often experience.
The South African Depression and Anxiety Group estimates that as many as one in five people will, or does suffer from a mental illness in their lives. Mental health problems, such as depression, anxiety, substance abuse and job stress are common, and have a huge effect on the wider community.
Even though many mental health problems can be treated at clinics and hospitals, very few South Africans seek help they need when they have mental health problems.
The Mental Health Care Act. Act 17 of 2002 states that mental health services should be provided as part of primary, secondary and tertiary health services. In practice, this clearly does not always happen.
Mental illnesses are not always simple to treat, as they could be the result of an interplay between biological, environmental, social and psychological factors.
Causes and risk factors for mental illness
There are several different causes of and risk factors for mental illnesses, ranging from inherited traits (other relatives have a mental illness), exposure to certain substances such as alcohol or drugs or environmental stressors before birth, and reactions to stressful life situations, such as a close person’s death, or a divorce or financial problems, to name but a few.
Treatment depends on the type of mental illness, and how severe it is. Often a combination of treatments works most efficiently – these can include therapy, medication, and in some cases, hospitalisation. A team approach often works best.
Often in the case of serious mental illness, such as schizophrenia, non-compliance (where patients stop taking their medication) can be a problem.
But it is also a problem with the treatment of many other mental illnesses, and this can have serious consequences.
Several factors can influence a patient’s compliance, namely patient attitudes and life situation, whether they are in-patients or out-patients, side effects of the medication, feelings of guilt or suspicion, which are typical of the disorder being treated, and the level of expertise of the doctor involved.
In the interest of our patients, in accordance with SA law and our commitment to expertise, MediHub cannot subscribe to the practice of online diagnosis. Please consult a medical professional for specific medical advice. If you have any major concerns, please see your doctor for an assessment. If you have any cause for concern, your GP will be able to direct you to the appropriate specialists.