Symptoms And Treatment Of Mental Health Disorders

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Introduction Depression, schizophrenia and anxiety disorders are common major mental health disorders which occasionally consist of a combination of affective, behavioural, cognitive and perceptual components.1,2 The history of treatment of mental health disorders consists in a development through years in using pharmacological interventions or psychological therapies. Data shows the recorded incidence of common mental health disorders is 1.23% and around 25% of people in England, aged 18 years or older, have at some point had a diagnosis of a common mental health disorder.2,3 Of those, about 27% were being prescribed antidepressants in 2010/2011, around 5 times as many as were receiving psychological therapy interventions.3 Most studies…show more content…
Stepped care requires treatments of differing intensity.9,10 This requirement is amply satisfied in psychological therapies, where a number of less intensive treatments (or ‘minimal interventions’) have been developed. For example brief therapies, group treatments and self-help approaches such as bibliotherapy and computerised treatments. The main candidate for stepped care is cognitive-behavioural therapy. This therapy has been highlighted by guidelines as the treatment of choice for a number of disorders including depression, schizophrenia and anxiety disorders.11.12.13 The issue of pharmacological interventions should also not be ignored. Generally, access to medicines is not constrained in the same way as access to psychological therapy, because it does not generally require access to a specialist therapist. Modern models of collaborative care do involve significant support from case managers to improve compliance with medicines and thus the principles of stepped care can be applied in this context.14 NICE recommends that for a person suffering from anxiety, psychological therapies should be offered alongside pharmacological interventions. Cognitive Behavioural Therapy (CBT) and applied relaxation are usually weekly for about three to four months. Although medication can be given, NICE recommends CBT to treat moderate to severe anxiety and talking therapies for long term therapy.12 CBT is
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