State law says the public mental health
system must provide quality services within available resources
to people with a wide range of serious disorders. Here's a glossary
of mental health ailments and treatments.
Schizophrenia: Symptoms include
hallucinations, delusions, suspicions, withdrawal and drastic
changes in behavior and personality. First episodes usually strike
in the patient's 20s. Patients can hear voices ordering them to
hurt themselves or, more rarely, others. Occurs in about 1 percent
of the population.
Adjustment disorders: Found
in children and adolescents who cannot adapt to stressful events,
and have trouble functioning at school or in social settings.
Some patients have unexplained physical symptoms that can't be
traced to another illness.
Developmental disabilities:
Severe, chronic mental or physical impairments that affect
an individual's ability to function. Examples include retardation,
cerebral palsy and autism. About 1.8 percent of the population
has these conditions.
Bipolar disorder: Also known
as manic depression, characterized by severe mood swings between
euphoria and grandiose feelings to severe depression. Thought
to have a genetic basis, the illness affects 0.8 percent to 1.5
percent of the population.
Major depression: A common
brain disorder, affecting as many as 20 percent of women and 8
percent of men at some point in their lives. It is particularly
dangerous among the 3 percent to 5 percent of people who have
severe, recurrent depression - with episodes occurring as often
as twice a year and lasting as long as six months. Seventy-five
percent of suicides are blamed on major depression.
Schizo-affective disorder: A
combination of psychotic symptoms, including hallucinations or
delusions, and major mood swings. About 20 percent of people with
severe and persistent mental illness have these symptoms.
Psychosis: A symptom of
severe mental illness expressed differently in different people.
Examples include hallucinations and delusions. Term generally
means a loss of contact with reality.
Substance abuse: Overuse
and dependence on alcohol, prescription drugs or street drugs.
Based on a survey conducted by Research Triangle Institute, state
officials estimate that 343,000 North Carolinians need comprehensive
substance abuse treatment, mostly for alcohol dependence.
Atypical anti-psychotic drugs:
A new class of drugs developed in the 1990s that help control
hallucinations, delusions, apathy and isolation in schizophrenic
men and women with fewer side effects. Among them are clozapine,
risperidone and olanzapine.
Sources: NAMI North Carolina, a patient advocate group; N.C.
Department of Health and Human Services; the Merck Manual of Medical
Information
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