Date post: | 26-Feb-2018 |
Category: |
Documents |
Upload: | anonymous-nz9rhh |
View: | 224 times |
Download: | 1 times |
of 139
7/25/2019 Instructor MHFA Slides Jan 07
1/139
Instructor
Date
7/25/2019 Instructor MHFA Slides Jan 07
2/139
2
Course Outline Session 1
Mental Health First Aid
Common mental health problems
The five basic steps of mental health first aid What are substance use disorders?
Symptoms and ris factors
Crisis first aid for overdose Mental health first aid for s!bstance !sedisorders
Treatment and reso!rces
7/25/2019 Instructor MHFA Slides Jan 07
3/139
"
Course Outline Session 2
What is depression?
Symptoms of depression
#is factors for depression Alcohol$ dr!%s and depression
S!icide in Canada
Crisis first aid for s!icidal behavio!r Mental health first aid for depression
Treatment and reso!rces
7/25/2019 Instructor MHFA Slides Jan 07
4/139
&
Course Outline Session 3
What are anxiety disorders?
Symptoms of an'iety disorders
#is factors for an'iety disorders Alcohol$ dr!%s and an'iety disorders
Crisis first aid for panic attacs
Crisis first aid for ac!te stress reaction Mental health first aid for an'iety disorders
Treatment and reso!rces
7/25/2019 Instructor MHFA Slides Jan 07
5/139
(
Course Outline Session 4
What are psychotic disorders?
Symptoms of psychotic disorders
#is factors for psychosis Alcohol$ dr!%s and psychotic disorders
Crisis first aid for ac!te psychosis
Mental health first aid for psychosis Treatment and reso!rces
)ther e'pressions of distress
7/25/2019 Instructor MHFA Slides Jan 07
6/139
*
World Health Organization
Health is +a state of ,complete- physical$mental and social .ell/bein% and notmerely the absence of disease or infirmity01
Mental Health is +a state of .ell/bein% in.hich the individ!al realies his or her o.nabilities$ can cope .ith the normal stresses
of life$ can .or prod!ctively and fr!itf!lly$and is able to mae a contrib!tion to his orher comm!nity01
7/25/2019 Instructor MHFA Slides Jan 07
7/139
3
he !ental Health Continuu"
Ma'im!mMental Health
MinimalMental Disorder
MinimalMental Health
Ma'im!mMental Disorder
Dia%nosis of a serio!sillness and poor
mental health
Dia%nosis of a serio!sillness b!t copes .ell and
has positive mental health
4o illness or disorderand positive mental
health
4o dia%nosable illnessor disorder b!t haspoor mental health
7/25/2019 Instructor MHFA Slides Jan 07
8/139
5
What are !ental Health #roble"s$
A mental health problem ca!ses ma6orchan%es in a person7s thinin%$ emotional
state and behavio!r$ and disr!pts theperson7s ability to .or and carry on their!s!al personal relationships0
7/25/2019 Instructor MHFA Slides Jan 07
9/139
8
What is !ental Health %irst &id$
Mental Health First Aid is the helpprovided to a person developin% a mental
health problem or in a mental healthcrisis0 The first aid is %iven !ntilappropriate professional help is receivedor !ntil the crisis is resolved0
7/25/2019 Instructor MHFA Slides Jan 07
10/139
9:
he %i'e (asic Steps
&ssess ris of s!icide or harm
)isten non/6!d%mentally*ive reass!rance and information+nco!ra%e the person to %et appropriate
professional help+nco!ra%e self/help strate%ies
7/25/2019 Instructor MHFA Slides Jan 07
11/139
99
Why !ental Health %irst &id$
There is sti%ma associated .ith mental
health problems
Imagine if we treated everyone like
we treated the mentally ill.
7/25/2019 Instructor MHFA Slides Jan 07
12/139
92
7/25/2019 Instructor MHFA Slides Jan 07
13/139
9"
7/25/2019 Instructor MHFA Slides Jan 07
14/139
7/25/2019 Instructor MHFA Slides Jan 07
15/139
9(
#re'alence
At least 9 in " Canadians .ille'perience a mental health problem at
so"e point in their li,e At least 9 in ( Canadians .ill
e'perience a mental health problem in
a year =n Canada 2: per cent of all sic leaves
are related to mental health
7/25/2019 Instructor MHFA Slides Jan 07
16/139
9*
I"pact
The economic costs of mental illnessesin Canada .as estimated to be at least
>9&0" billion in 9885 Mental illnesses are disablin%
Si' of the 9: leadin% ca!ses of years
lived .ith disability7 are mental healthproblems
7/25/2019 Instructor MHFA Slides Jan 07
17/139
93
he &)*++ -ap
&ssess sit!ation and eval!ate the ris
)isten very caref!lly and don7t ts ts
*ive reass!rance and the %ood info +nco!ra%e them to see appropriate pro
+nco!ra%e them to !se self help ideas
And that is the &)*++rap my dears@
7/25/2019 Instructor MHFA Slides Jan 07
18/139
95
What is a Substance .se /isorder$
sin% alcohol or dr!%s does not in itselfmean that a person has a s!bstance
!se disorder ,SD- Dependence on a s!bstance
se leads to problems at .or$ school$
home se ca!ses dama%e to health
7/25/2019 Instructor MHFA Slides Jan 07
19/139
98
One Standard /rin0
Centre for Addiction and Mental Health
= =
able Wine
( o;9&2 mB,92 alcohol-
-egular (eer
92 o;"&9 mB,( alcohol-
Spirits
90( o;&" mB,&: alcohol-
7/25/2019 Instructor MHFA Slides Jan 07
20/139
2:
)o-is0 /rin0ing *uidelines
drin0s lo.est ris of an alcohol/related problem
4o more than 2 standard drin0sonany one day
WomenE !p to standard drin0sa
.ee MenE !p to 14 standard drin0s
a .ee
7/25/2019 Instructor MHFA Slides Jan 07
21/139
29
)onger" +,,ects o, &lcohol
rain
Heart
B!n%s Biver$ pancreas$ stomach and intestines
Genitals and reprod!ctive system
M!scles$ nervo!s system$ motor sills
Sin
7/25/2019 Instructor MHFA Slides Jan 07
22/139
22
Other &bused Substances
Tobacco
4icotine is a po.erf!l stim!lant
Male smoers are t.ice as liely toe'perience impotence
Spit tobacco contains more than "$:::chemicals
Withdra.al symptoms incl!de an'iety$insomnia$ restlessness
Some lon% term effects / heart disease$stroe$ cancer
7/25/2019 Instructor MHFA Slides Jan 07
23/139
2"
Other &bused Substances
Cannabis ,mari6!ana$ hashish$ 6oints$ reefers-
Most .idely !sed ille%al dr!% in Canada
Abo!t 2 of the pop!lation have problem.ith cannabis ab!se;dependence0
More than t.ice as liely to s!ffer from an
an'iety disorder or depression More than three times the ris of s!fferin%
from psychotic symptoms
7/25/2019 Instructor MHFA Slides Jan 07
24/139
2&
Other &bused Substances
Cannabis ,mari6!ana$ hashish$ 6oints$ reefers-
Adolescents !sin% cannabis are more
liely to s!ffer from depression$ cond!ctproblems$ drinin% and other dr!% !se
More freI!ent !se of cannabis increases
ris of dia%nosis of schiophrenia overne't 9( years
7/25/2019 Instructor MHFA Slides Jan 07
25/139
2(
Other &bused Substances
Amphetamines a stim!lant dr!%
J'amplesE crystal meth$ ice$ speed$
!ppers$ bennies$ cran$ ecstasy Amphetamines have the temporary
effect of increasin% ener%y and
apparent mental alertness sers develop a tolerance and need to
tae more to %et same effects
7/25/2019 Instructor MHFA Slides Jan 07
26/139
2*
Other &bused Substances
Amphetamines a stim!lant dr!%
An overdose can ca!se del!sions$
hall!cinations$ hi%h fever$ coma$ death A partic!lar mental health ris is
amphetamine psychosis or +speed
psychosis1 .hich involves symptomssimilar to schiophrenia
7/25/2019 Instructor MHFA Slides Jan 07
27/139
23
Other &bused Substances
)pioids
J'amplesE heroin$ morphine$ codeine$
o'ycodone Jffects can incl!de pain relief$
dro.siness$ constipation$ tiny p!pils
sers develop a tolerance and need totae more to %et same effects
)verdose can res!lt in coma anddeath
7/25/2019 Instructor MHFA Slides Jan 07
28/139
25
Other &bused Substances
Cocaine ,crac$ coe$ C$ sno.$ flae-
A cocaine hi%h can last from ( min!tes
to 2 ho!rs )verdose can ca!se sei!res$ stroes
heart attacs$ coma$ death
sers develop a tolerance and need totae more to %et same effects
7/25/2019 Instructor MHFA Slides Jan 07
29/139
28
-is0 %actors
Family history of s!bstance ab!se
Childhood ab!se or ne%lect
Acceptance of s!bstance !se,comm!nity$ peer-
Bo. parental s!pport;monitorin%
7/25/2019 Instructor MHFA Slides Jan 07
30/139
":
%irst &id ,or Substance .se /isorders
&ssess ris of s!icide or harm
)isten non/6!d%mentally
*ive reass!rance and information
+nco!ra%e the person to %et
appropriate professional help +nco!ra%e self/help strate%ies
7/25/2019 Instructor MHFA Slides Jan 07
31/139
"9
Step 1 &ssess the -is0 o, Suicide
or Har" =f yo! determine the person has taen
an overdose$ follo. the steps for Crisis
First Aid for an )verdose
=f the person is not at ris$ move on toStep 2 Bisten 4on/K!d%mentally
7/25/2019 Instructor MHFA Slides Jan 07
32/139
"2
Crisis %irst &id ,or an O'erdose
=f they are !nconscio!sE Mae s!re the person7s air.ay is clear and roll
them into the recovery position
7/25/2019 Instructor MHFA Slides Jan 07
33/139
""
Crisis %irst &id ,or an O'erdose
=f the person is conscio!s
7/25/2019 Instructor MHFA Slides Jan 07
34/139
"&
Step 2 )isten 5on6udg"entally
Bisten .itho!t interr!ptin%
As appropriate I!estions to mae s!re
yo! are both clear on .hat is bein% said Bisten to the .ord and tone of voice and
.atch their body lan%!a%e
#estate .hat the person has said S!mmarie facts and feelin%s
7/25/2019 Instructor MHFA Slides Jan 07
35/139
"(
Step 2 )isten 5on6udg"entally
e attentive
Leep eye contact comfortable ,don7t
stare or avoid eye contact- Leep an open body position
Sit do.n$ even if they stand
Try not to sit directly opposite,facin%- the person
7/25/2019 Instructor MHFA Slides Jan 07
36/139
"*
Step 3 *i'e -eassurance and
In,or"ation Tell the person yo! .ant to help them
S!bstance !se disorder is a real medical
condition =t is a common illness
7/25/2019 Instructor MHFA Slides Jan 07
37/139
"3
Step 4 +ncourage the #erson to *et
&ppropriate #ro,essional Help
Family doctor or physician Dr!% and alcohol specialists
Mental health team
7/25/2019 Instructor MHFA Slides Jan 07
38/139
"5
he Change !odel
Conte"plation
#reconte"plation
/eter"ination7
#reparation
-elapse
!aintenance
&ction
7/25/2019 Instructor MHFA Slides Jan 07
39/139
"8
Step 8 +ncourage Sel,Help
Strategies
Many people .ith a s!bstance !sedisorder may also have another
!nderlyin% mental health problem s!chas depression or an'iety0
The self/help strate%ies for these
conditions may help b!t sho!ld not bethe main so!rce of treatment0
7/25/2019 Instructor MHFA Slides Jan 07
40/139
&:
-esources
Alberta Alcohol and Dr!% Ab!seCommission
http://www.aadac.com
Centre for Addiction and Mental Health
http://www.camh.net/
7/25/2019 Instructor MHFA Slides Jan 07
41/139
&9
I,
=f yo! can al.ays be cheerf!l
=f yo! can sleep .itho!t dr!%s
=f yo! can rela' .itho!t alcohol
=f yo! can start the day .itho!t caffeine
=f yo! can tae blame .itho!t resentment
=f yo! can resist .itho!t complainin% =f yo! can eat the same food every
day .itho!t complainin% and be
%ratef!l
7/25/2019 Instructor MHFA Slides Jan 07
42/139
&2
I,
=f yo! can !nderstand .hen yo!r lovedones are too b!sy to spend time .ith yo!
=f yo! can overloo it .hen those yo! love
tae thin%s o!t on yo! .hen$ thro!%h nofa!lt of yo!rs$ somethin% %oes .ron%Then yo! are almost
as %ood as yo!r do%
7/25/2019 Instructor MHFA Slides Jan 07
43/139
&"
Session 2
What is depression?
Symptoms of depression
#is factors for depression Alcohol$ dr!%s and depression
S!icide in Canada
Crisis first aid for s!icidal behavio!r Mental health first aid for depression
Treatment and reso!rces
7/25/2019 Instructor MHFA Slides Jan 07
44/139
&&
What is /epression$
Clinical depression lasts at least t.o.ees$ affects the person7s behavio!r
and has physical$ emotional and co%nitiveeffects0
=t interferes .ith the ability to .or andhave satisfyin% personal relationships0
7/25/2019 Instructor MHFA Slides Jan 07
45/139
&(
Sy"pto"s o, /epression
+"otionsE sadness$ mood s.in%s$hopelessness$ an'iety
houghtsE Self/criticism$ indecisiveness$tho!%hts of s!icide$ pessimism (eha'iourE Cryin% spells$ ne%lect personal
appearance$ .ithdra.al$ no motivation
#hysicalE Bac of ener%y$ sleepin% toom!ch;too little$ overeatin%;lossof appetite
7/25/2019 Instructor MHFA Slides Jan 07
46/139
&*
/epression in the Wor0place
Decreased prod!ctivity
Morale problems
Bac of co/operation Safety problems
Absenteeism
Complaints of bein% tired$ havin%aches;pains
Alcohol and;or dr!% ab!se
7/25/2019 Instructor MHFA Slides Jan 07
47/139
&3
(ipolar /isorder 9!anic /epression:
ipolar disorder is characteried bye'treme mood s.in%s
A person has periods of depression andmania .ith periods of normal7 mood inbet.een
A person m!st have episodes of bothdepression and mania to be dia%nosed
7/25/2019 Instructor MHFA Slides Jan 07
48/139
&5
Sy"pto"s o, (ipolar /isorder
Depression
Mania
=ncreased ener%y and over activity Jlated mood
4eedin% less sleep than !s!al
=rritability
#apid thinin% and speech Bac of inhibitions
Grandiose del!sions
Bac of insi%ht
7/25/2019 Instructor MHFA Slides Jan 07
49/139
&8
-is0 %actors ,or /epression
rea !p of relationship or livin% inconflict
Havin% a baby Kob loss$ !ns!ccessf!l 6ob h!ntin%
Bon% term illness or disability or carin%
for someone .ith illness;disability ein% a victim of a crime
Alcohol or dr!% ab!se
7/25/2019 Instructor MHFA Slides Jan 07
50/139
(:
-is0 %actors ,or /epression
Side effect of medications or dr!%s
Stress from another mental disorder
Hormonal chan%es Bac of e'pos!re to bri%ht li%ht in .inter
Family history of depression
7/25/2019 Instructor MHFA Slides Jan 07
51/139
(9
Suicide in Canada
Abo!t &$::: Canadians die by s!icide eachyear
=n 2::9$ there .ere "0( s!icides amon% men
for every s!icide amon% .omen0
7/25/2019 Instructor MHFA Slides Jan 07
52/139
(2
Suicide -ates by #ro'ince#er 1; population; 21
95: * 8" 92 9(
&lberta
Sas0atchean
!anitoba
Ontario
7/25/2019 Instructor MHFA Slides Jan 07
53/139
("
%irst &id ,or /epression
&ssess ris of s!icide or harm
)isten non/6!d%mentally
*ive reass!rance and information
+nco!ra%e the person to %et
appropriate professional help +nco!ra%e self/help strate%ies
7/25/2019 Instructor MHFA Slides Jan 07
54/139
(&
Step 1 &ssess the -is0 o, Suicide
or Har"
=f yo! determine the person is at ris$follo. the steps for Crisis First Aid for
S!icidal ehavio!r
=f the person is not at ris$ move on toStep 2 Bisten 4on/K!d%mentally
7/25/2019 Instructor MHFA Slides Jan 07
55/139
((
Crisis %irst &id ,or Suicidal (eha'iour
90 Jn%a%e the person in serio!sconversation abo!t ho. they are
feelin%20 Determine if the person has tho!%hts
of s!icide
"0 J'plore and assess the ris f!rther&0 Find o!t abo!t prior s!icidal behavio!r
(0 Find o!t abo!t their s!pports
7/25/2019 Instructor MHFA Slides Jan 07
56/139
(*
Crisis %irst &id ,or Suicidal (eha'iour
*0 Jns!re the person is not left alone
30 See additional help
50 =f they are cons!min% alcohol or dr!%s$try to ens!re they do not tae more
80 Try to ens!re they do not have readyaccess to some means to tae their life
9:0Jnco!ra%e the person to tal
990 Jns!re yo!r o.n personal safety
7/25/2019 Instructor MHFA Slides Jan 07
57/139
(3
Sel, Care
S!pportin% a s!icidal person can be!nsettlin% and stressf!l
Do not !nderestimate the effect on yo!ro.n .ell/bein%
Find .ays of red!cin% the immediatestress ,e'ercise$ rela'ation techniI!es$
sleep- Find someone to tal to abo!t yo!r
e'perience
7/25/2019 Instructor MHFA Slides Jan 07
58/139
(5
Step 2 )isten 5on6udg"entally
Bisten to the person .itho!t 6!d%in%0
Do not be critical of the person0
Do not e'press fr!stration .ith theperson for havin% these symptoms0
Do not %ive %lib advice s!ch as p!ll
yo!rself to%ether70 Avoid confrontation !nless necessary to
prevent harmf!l acts0
7/25/2019 Instructor MHFA Slides Jan 07
59/139
(8
Step 3 *i'e -eassurance and
In,or"ation
Depression is a real medical condition
Depression is a common illness
Depression is not a .eaness orcharacter defect
Depression is not lainess
Jffective help and treatments areavailable
7/25/2019 Instructor MHFA Slides Jan 07
60/139
*:
Step 4 +ncourage the #erson to *et
&ppropriate #ro,essional Help
Comm!nity/based care
Family doctor or physician
Co!nsellors and clinical psycholo%ists
7/25/2019 Instructor MHFA Slides Jan 07
61/139
*9
What Helps ,or /epression$
ery severedepression only
Jlectroconv!lsive therapy ,JCT-
Ad!lts
Adolescents
Antidepressants
-ating!edical reat"ents
Very good evidence
Good evidence
Promising treatment
7/25/2019 Instructor MHFA Slides Jan 07
62/139
*2
*"
7/25/2019 Instructor MHFA Slides Jan 07
63/139
*"
*&
7/25/2019 Instructor MHFA Slides Jan 07
64/139
*&
What Helps ,or /epression$
#eadin% depression self/help boos based on CT
7/25/2019 Instructor MHFA Slides Jan 07
65/139
*(
en Co""on hin0ing /istortions
90 lac and .hitethinin%
20 Settin% !nrealistic
e'pectations"0 Selective thinin%
&0 Convertin%positives intone%atives
(0 )ver %eneraliin%
*0 J'a%%eratin%!npleasantness
30 Catastrophiin%
50
7/25/2019 Instructor MHFA Slides Jan 07
66/139
**
Step 8 +ncourage Sel,Help
Strategies
Self/help strate%ies have proventherape!tic effects
They also help people to feel they arere%ainin% control of their lives
*3
7/25/2019 Instructor MHFA Slides Jan 07
67/139
*3
What Helps ,or /epression$
Massa%e therapy
#ela'ation therapy
No%a breathin% e'ercises
Winter depression
4on/seasonaldepression
Bi%ht therapy
J'ercise
-ating
)i,estyle @ <ernati'e reat"ents
*5
7/25/2019 Instructor MHFA Slides Jan 07
68/139
*5
What Helps ,or /epression$
Alcohol avoidance for people .ith drinin% problems
Folate
St Kohn7s .ortO
Ac!p!nct!re
-ating)i,estyle @ <ernati'e reat"ents
O St Kohn7s .ort sho!ld not be taen .ith antidepressants0This herb has interactions .ith a n!mber of prescribedmedications0
*8
7/25/2019 Instructor MHFA Slides Jan 07
69/139
*8
3:
7/25/2019 Instructor MHFA Slides Jan 07
70/139
3:
39
7/25/2019 Instructor MHFA Slides Jan 07
71/139
39
32
7/25/2019 Instructor MHFA Slides Jan 07
72/139
32
3"
7/25/2019 Instructor MHFA Slides Jan 07
73/139
3&
7/25/2019 Instructor MHFA Slides Jan 07
74/139
-esources
#efer to MHFA Canada Man!alSection 2$ pa%e 99
3(
7/25/2019 Instructor MHFA Slides Jan 07
75/139
Session 3
What are anxiety disorders?
Symptoms of an'iety disorders
#is factors for an'iety disorders Alcohol$ dr!%s and an'iety disorders
Crisis first aid for panic attacs
Crisis first aid for ac!te stress reaction Mental health first aid for an'iety disorders
Treatment and reso!rces
3*
7/25/2019 Instructor MHFA Slides Jan 07
76/139
What are &nxiety /isorders$
An an'iety disorder differs from normalan'iety
An'iety disorders are more severe$ theylast lon%er and they interfere .ith .oror relationships
There are several types of an'ietydisorders symptoms .ill vary0
33
7/25/2019 Instructor MHFA Slides Jan 07
77/139
Mind Racing?
Vision strange orblurry?Possible sleepdisturbance?
Heart racing,
palpitations?
Difculty swallowing?
Dizzy, disoriented,lightheaded?
Trembling?
weating or
shi!ering?
"anting torun?
#eelingbreathless,
breathing $ast %hallow?
&ausea, lac'o$ appetite?
Restless?
(elly)li'e legs?
35
7/25/2019 Instructor MHFA Slides Jan 07
78/139
*eneral Sy"pto"s o, &nxiety
#hysical
Cardiovascular:palpitations$ chest
pain$ rapid heartbeat$ fl!shin%
Respiratory:hyperventilation$shortness of breath
Neurological:diiness$ headache$s.eatin%$ tin%lin% and n!mbness
38
7/25/2019 Instructor MHFA Slides Jan 07
79/139
*eneral Sy"pto"s o, &nxiety
#hysical
Gastrointestinal:choin%$ dry mo!th$
na!sea$ vomitin%$ diarrhea Musculoskeletal:m!scle aches and
pains ,esp0 nec$ sho!lders-$
restlessness$ tremors and shain%
5:
7/25/2019 Instructor MHFA Slides Jan 07
80/139
*eneral Sy"pto"s o, &nxiety
#sychological
nrealistic and;or e'cessive fear and
.orry ,abo!t past or f!t!re events-
Mind racin% or %oin% blan
Decreased concentration and memory
59
7/25/2019 Instructor MHFA Slides Jan 07
81/139
*eneral Sy"pto"s o, &nxiety
#sychological
Diffic!lty main% decisions$ conf!sion
#estlessness$ feelin% on ed%e7 ornervo!sness
Tiredness$ sleep dist!rbances$ vividdreams
=rritability$ impatience$ an%er
52
7/25/2019 Instructor MHFA Slides Jan 07
82/139
*eneral Sy"pto"s o, &nxiety
(eha'ioural
Avoidance of sit!ations
)bsessive or comp!lsive behavio!r
Distress in social sit!ations
7/25/2019 Instructor MHFA Slides Jan 07
83/139
ypes o, &nxiety /isorders
Generalied an'iety disorder ,GAD-
7/25/2019 Instructor MHFA Slides Jan 07
84/139
/o Aou Worry &ll the i"e$
Which problems have yo! had often over thelast * months?
= never stop .orryin% abo!t thin%s bi%and small
= have headaches or aches and pains forno reason
= am tense a lot and have tro!ble rela'in% = have tro!ble eepin% my mind
on thin%s
5(
7/25/2019 Instructor MHFA Slides Jan 07
85/139
/o Aou Worry &ll the i"e$
Which problems have yo! had often overthe last * months?
= %et crabby or %ro!chy = have tro!ble fallin% asleep or stayin%
asleep = sometimes have a l!mp in my throat or
feel lie = need to thro. !p .hen = am.orried
= s.eat and have hot fl!shes
5*
7/25/2019 Instructor MHFA Slides Jan 07
86/139
*eneralized &nxiety /isorder 9*&/:
)ver.helmin% and !nfo!nded an'iety
7/25/2019 Instructor MHFA Slides Jan 07
87/139
/o Aou Ha'e Sudden (ursts o,
%ear ,or 5o -eason$
Which problems have yo! had d!rin% theseb!rsts of fear?
= have chest pains or a racin% heart = have a hard time breathin% or a choin%
feelin% = feel diy$ or = s.eat a lot
= have stomach problems or feel lie =need to thro. !p
55
/ A H S dd ( t ,
7/25/2019 Instructor MHFA Slides Jan 07
88/139
/o Aou Ha'e Sudden (ursts o,
%ear ,or 5o -eason$
Which problems have yo! had d!rin% theseb!rsts of fear?
= shae$ tremble$ or tin%le = feel o!t of control = feel !nreal = am afraid = am dyin% or %oin% cray
58
7/25/2019 Instructor MHFA Slides Jan 07
89/139
#anic /isorder
A person .ith a panic disorder haspanic attacs
A panic attac is the s!dden onset ofintense fear or terror
The attacs develop s!ddenly
The fear is inappropriate for thecirc!mstances in .hich it is occ!rrin%
8:
7/25/2019 Instructor MHFA Slides Jan 07
90/139
&goraphobia
Fear of panic attacs
Fear of bein% in a sit!ation .ith no help
or escape Avoidance of places .here it is felt that
a panic attac co!ld happen
89
/ A % l &, id . , t bl
7/25/2019 Instructor MHFA Slides Jan 07
91/139
/o Aou %eel &,raid or .nco",ortable
When Aou are &round Other #eople$
=s it hard to be at .or or school? = have an intense fear that = .ill do or say
somethin% and embarrass myself in front
of other people = am al.ays very afraid of main% a
mistae and bein% .atched and 6!d%edby other people
My fear of embarrassment maes meavoid doin% thin%s that = .ant to do orspeain% to people
82
/ A % l &, id . , t bl
7/25/2019 Instructor MHFA Slides Jan 07
92/139
/o Aou %eel &,raid or .nco",ortable
When Aou are &round Other #eople$
=s it hard to be at .or or school? = .orry for days or .ees before = meet
ne. people
= bl!sh$ s.eat$ tremble$ or feel lie = haveto thro. !p before or d!rin% an event.here = am .ith ne. people
= !s!ally stay a.ay from social sit!ations
s!ch as school events and main%speeches
= often drin to try and maethese fears %o a.ay
8"
7/25/2019 Instructor MHFA Slides Jan 07
93/139
Social &nxiety /isorder
Common an'iety disorder
Fear of h!miliation$ embarrassment or
scr!tiny by others Fear that others are thinin% ne%atively
abo!t them
Tends to develop in shy children as theymove into adolescence
8&
7/25/2019 Instructor MHFA Slides Jan 07
94/139
#hobic /isorders
A person .ith a phobia avoids orrestricts activities beca!se of fear
The fear appear persistent$ e'cessiveand !nreasonable
The fear .ill ca!se the person to avoid
specific thin%s$ events or places
8(
Ha'e Aou )i'ed hrough a Bery
7/25/2019 Instructor MHFA Slides Jan 07
95/139
Ha'e Aou )i'ed hrough a Bery
Scary or /angerous +'ent$
Which problems have yo! had after theevent?
= 6!mp and feel very !pset .hen
somethin% happens .itho!t .arnin% = have a hard time tr!stin% or feelin% close
to people
= stay a.ay from places that remind me ofthe event = feel %!ilty beca!se others died
and = lived
8*
Ha'e Aou )i'ed hrough a Bery
7/25/2019 Instructor MHFA Slides Jan 07
96/139
Ha'e Aou )i'ed hrough a Bery
Scary or /angerous +'ent$
Which problems have yo! had after theevent?
= have tro!ble sleepin% and my m!scles
are tense = feel lie the terrible event is happenin%
all over a%ain0 This feelin% often comes
.itho!t .arnin% = have ni%htmares and scary memories ofthe terrifyin% event
= %et mad very easily
83
#ost rau"atic Stress /isorder
7/25/2019 Instructor MHFA Slides Jan 07
97/139
#ostrau"atic Stress /isorder
and &cute Stress /isorder
7/25/2019 Instructor MHFA Slides Jan 07
98/139
/o Aou %eel rapped in a #attern o,
.nanted and .psetting houghts$
Are any of these problems interferin% .ithyo!r life?
= have !psettin% tho!%hts or ima%esenter my mind a%ain and a%ain
= feel lie = can7t stop these tho!%hts orima%es$ even tho!%h = .ant to
= .orry a lot abo!t terrible thin%s thatco!ld happen if =7m not caref!l
88
/o Aou %eel rapped in a #attern o,
7/25/2019 Instructor MHFA Slides Jan 07
99/139
/o Aou %eel rapped in a #attern o,
.nanted and .psetting houghts$
Are any of these problems interferin% .ithyo!r life?
= have !n.anted !r%es to h!rt someoneb!t no. = never .o!ld
= have a hard time stoppin% myself fromdoin% thin%s a%ain and a%ain$ lie
co!ntin%$ checin% on thin%s$ .ashin%my hands$ re/arran%in% ob6ects$ doin%thin%s !ntil it feels ri%ht$collectin% !seless ob6ects
9::
7/25/2019 Instructor MHFA Slides Jan 07
100/139
Obsessi'eCo"pulsi'e /isorder
)bsessive tho!%hts and comp!lsivebehavio!rs accompany feelin%s of an'iety0
)bsessive tho!%hts are !n.anted andinappropriate rec!rrent tho!%hts$ imp!lsesor ima%es the person cannot %et rid of0
Comp!lsive behavio!rs are repetitivebehavio!rs or mental acts s!ch asco!ntin%$ checin% or .ashin%0
9:9
7/25/2019 Instructor MHFA Slides Jan 07
101/139
-is0 %actors ,or &nxiety /isorders
Gender
7/25/2019 Instructor MHFA Slides Jan 07
102/139
%irst &id ,or &nxiety /isorders
&ssess ris of s!icide or harm
)isten non/6!d%mentally
*ive reass!rance and information
+nco!ra%e the person to %et
appropriate professional help +nco!ra%e self/help strate%ies
9:"
Step 1 &ssess the -is0 o, Suicide
7/25/2019 Instructor MHFA Slides Jan 07
103/139
Step 1 &ssess the -is0 o, Suicide
or Har"
7/25/2019 Instructor MHFA Slides Jan 07
104/139
Crisis %irst &id ,or #anic &ttac0s
90 =f yo! are !ns!re if it is a panic attacor a heart attac call an amb!lance0
20 =f yo! are s!re it is a panic attac$move the person to a I!iet safe place0
"0 Help calm the person by helpin% themcontrol their breathin%0
&0 e a %ood listener$ .itho!t 6!d%in%0
9:(
7/25/2019 Instructor MHFA Slides Jan 07
105/139
Crisis %irst &id ,or #anic &ttac0s
(0 J'plain they are havin% a panic attacand it is not life threatenin%0
*0 J'plain the attac .ill be over soonand they .ill recover0
30 Ass!re them that someone .ill stay.ith them !ntil the attac stops0
9:*
Crisis %irst &id ,or &cute
7/25/2019 Instructor MHFA Slides Jan 07
106/139
Crisis %irst &id ,or &cute
Stress -eaction
90 Bet the person tell their story b!t do notp!sh them to do so0
20 e a patient and sympathetic listener0
"0 #eass!re the person that stressreactions are normal responses toabnormal events and in time most
people have a normal recovery oftheir emotions0
9:3
Crisis %irst &id ,or &cute
7/25/2019 Instructor MHFA Slides Jan 07
107/139
Crisis %irst &id ,or &cute
Stress -eaction
&0 Jnco!ra%e the person to sharefeelin%s .ith others0
(0 Advise the person not to !se alcoholor dr!%s to cope0
*0 =f the stress reaction persists for morethan a month$ enco!ra%e the personto see professional help0
9:5
7/25/2019 Instructor MHFA Slides Jan 07
108/139
Step 2 )isten 5on6udg"entally
N) A#J 4)T B=STJ4=4G T) MJ WHJ4E
No! say yo! !nderstand0
No! say yo! have an ans.er to myproblem$ before =7ve finished tellin% yo!my problem0
No! c!t me off before =7ve finishedspeain%0
No! finish my sentences for me0
9:8
7/25/2019 Instructor MHFA Slides Jan 07
109/139
Step 2 )isten 5on6udg"entally
N) A#J 4)T B=STJ4=4G T) MJ WHJ4E
No! are dyin% to tell me somethin%0
No! tell me abo!t yo!r e'periences$main% mine seem !nimportant0
No! ref!se my thans by sayin% yo! reallyhaven7t done anythin%0
99:
7/25/2019 Instructor MHFA Slides Jan 07
110/139
Step 2 )isten 5on6udg"entally
N) A#J B=STJ4=4G T) MJ WHJ4E
No! try to !nderstand me$ even if =7m not
main% m!ch sense0 No! %rasp my point of vie.$ even .hen
it7s a%ainst yo!r o.n sincere convictions0 No! realie the ho!r = too from yo! has
left yo! a bit tired and a bit drained0
999
7/25/2019 Instructor MHFA Slides Jan 07
111/139
Step 2 )isten 5on6udg"entally
N) A#J B=STJ4=4G T) MJ WHJ4E
No! allo. me the di%nity of main% my
o.n decisions$ even tho!%h yo! thinthey may be .ron%0 No! do not tae my problem from me$
b!t allo. me to deal .ith it in my o.n
.ay0 No! hold bac the desire to %ive me
%ood advice0
992
7/25/2019 Instructor MHFA Slides Jan 07
112/139
Step 2 )isten 5on6udg"entally
N) A#J B=STJ4=4G T) MJ WHJ4E
No! do not offer me reli%io!s solace
.hen = am not ready for it0 No! %ive me eno!%h room to discover for
myself .hat is really %oin% on0 No! accept my %ratit!de by tellin% me
ho. %ood it maes yo! feel to no. thatyo! have been helpf!l0
99"
Step 3 *i'e -eassurance and
7/25/2019 Instructor MHFA Slides Jan 07
113/139
Step 3 *i'e -eassurance and
In,or"ation
An'iety is a real medical condition0
An an'iety disorder is a commonillness0
An an'iety disorder is not a .eanessor character defect0
Jffective help and treatments are
available0 An'iety can be !npleasant b!t is rarely
harmf!l0
99&
Step 4 +ncourage the #erson to *et
7/25/2019 Instructor MHFA Slides Jan 07
114/139
Step 4 +ncourage the #erson to *et
&ppropriate #ro,essional Help
Family doctor or physician
Co!nsellin% or psychotherapy for
specific an'iety disorder
99(
Step 8 +ncourage Sel,Help
7/25/2019 Instructor MHFA Slides Jan 07
115/139
Step 8 +ncourage Sel, Help
Strategies
An'iety is best overcome by confrontin%fear rather than avoidin% it
se evidence/based self help boos
7/25/2019 Instructor MHFA Slides Jan 07
116/139
What Helps ,or &nxiety /isorders$
Generalied an'iety disorder
7/25/2019 Instructor MHFA Slides Jan 07
117/139
What Helps ,or &nxiety /isorders$
Generalied an'iety disorderMeditation
#an%e of an'iety disorders
Generalied an'iety disorder
&nxiety /isorder
Alcohol Avoidance
#ela'in% M!sic
-atingreat"ents
995
-
7/25/2019 Instructor MHFA Slides Jan 07
118/139
-esources
#efer to MHFA Canada Man!alSection "$ pa%e 9:
998
S i 4
7/25/2019 Instructor MHFA Slides Jan 07
119/139
Session 4
What are psychotic disorders?
Symptoms of psychotic disorders
#is factors for psychosis
Alcohol$ dr!%s and psychotic disorders
Crisis first aid for ac!te psychosis
Mental health first aid for psychosis Treatment and reso!rces
)ther e'pressions of distress
92:
Wh t i # h i $
7/25/2019 Instructor MHFA Slides Jan 07
120/139
What is #sychosis$
7/25/2019 Instructor MHFA Slides Jan 07
121/139
What is #sychosis$
7/25/2019 Instructor MHFA Slides Jan 07
122/139
Sy"pto"s o, #sychosis
Chan%es in emotion and motivation
Depression or an'iety
S!spicio!sness l!nted$ flat or inappropriate emotion
=rritability
Chan%e in appetite #ed!ced ener%y and motivation
92"
S "pto"s o, #s chosis
7/25/2019 Instructor MHFA Slides Jan 07
123/139
Sy"pto"s o, #sychosis
Chan%es in thinin% and perception
Diffic!lties concentratin%
Sense of alteration of self or others feelin% that self or others have chan%edor are actin% differently
)dd ideas
n!s!al percept!al e'periences red!ced or %reater intensity of smell$so!nd$ colo!r
92&
Sy"pto"s o, #sychosis
7/25/2019 Instructor MHFA Slides Jan 07
124/139
Sy"pto"s o, #sychosis
Chan%es in behavio!r
Sleep dist!rbance
Social isolation or .ithdra.al #ed!ced ability to .or or carry o!t
social roles
)dd or stran%e behavio!r
92(
Sy"pto"s o, #sychosis
7/25/2019 Instructor MHFA Slides Jan 07
125/139
Sy"pto"s o, #sychosis
Chan%es in speech
Disor%anied speech
Speech becomes rapid
92*
Schizophrenia
7/25/2019 Instructor MHFA Slides Jan 07
126/139
Schizophrenia
Schiophrenia is a chronic anddisablin% disorder
Mental f!nction chan%es and tho!%htsand perceptions become disordered
Schiophrenia is not a constant or staticcondition severity of symptomsfl!ct!ate or do not appear at all
923
Sy"pto"s o, Schizophrenia
7/25/2019 Instructor MHFA Slides Jan 07
127/139
Sy"pto"s o, Schizophrenia
Del!sions
Hall!cinations
Thinin% diffic!lties Boss of drive
l!nted emotions
Social .ithdra.al
925
Other #sychotic /isorders
7/25/2019 Instructor MHFA Slides Jan 07
128/139
Other #sychotic /isorders
7/25/2019 Instructor MHFA Slides Jan 07
129/139
-is0 %actors ,or #sychotic /isorders
=t is believed that psychosis is ca!sed bya combination of factors incl!din%E
Genetics
iochemistry
Stress
9":
%irst &id ,or #sychotic /isorders
7/25/2019 Instructor MHFA Slides Jan 07
130/139
%irst &id ,or #sychotic /isorders
&ssess ris of s!icide or harm
)isten non/6!d%mentally
*ive reass!rance and information
+nco!ra%e the person to %et
appropriate professional help +nco!ra%e self/help strate%ies
9"9
Step 1 &ssess the -is0 o, Suicide
7/25/2019 Instructor MHFA Slides Jan 07
131/139
p
or Har"
7/25/2019 Instructor MHFA Slides Jan 07
132/139
y
hreatening Biolence$
90 Do not %et involved physically
20 Call the police
"0 Try to create a calm$ non/threatenin%
atmosphere
&0 Try to %et the person to sit do.n
(0 Do not try to reason .ith ac!te psychosis
*0 J'press empathy for the person7s emotionaldistress
30 Comply .ith reasonable reI!ests
9""
Step 2 )isten 5on 6udg"entally
7/25/2019 Instructor MHFA Slides Jan 07
133/139
Step 2 )isten 5on6udg"entally
Bisten to the person .itho!t 6!d%in%
Spea calmly$ clearly and in shortsentences
Do not be critical of the person and donot e'press fr!stration .ith the person
Do not %ive %lib advice s!ch as p!llyo!rself to%ether7
7/25/2019 Instructor MHFA Slides Jan 07
134/139
9"(
Step 3 *i'e -eassurance and
7/25/2019 Instructor MHFA Slides Jan 07
135/139
In,or"ation
When a person is in a psychotic state itis diffic!lt and inappropriate to %ivethem information abo!t psychosis .ait
!ntil they are in to!ch .ith reality
Do not mae promises yo! cannot eepand do not lie
9"*
Step 3 *i'e -eassurance and
7/25/2019 Instructor MHFA Slides Jan 07
136/139
In,or"ation
When the person is thinin% moreclearly e'plainE No! .ant to help them
They have a real medical condition Their condition is not a common illness b!t
.ell no.n and researched
7/25/2019 Instructor MHFA Slides Jan 07
137/139
&ppropriate #ro,essional Help
Jarly intervention is important0 Theperson needs to be placed onappropriate medication
Family doctor or physician
7/25/2019 Instructor MHFA Slides Jan 07
138/139
Strategies
Have an a%reement .ith family;friends
Many people .ith a psychotic disorderalso have depression and;or an'iety
The self/help strate%ies for theseconditions may help b!t sho!ld not bethe main so!rce of treatment
9"8
-esources
7/25/2019 Instructor MHFA Slides Jan 07
139/139
-esources
#efer to MHFA Canada Man!alSection &$ pa%e 5