Mental health Archives - Page 5 of 5

Examining Our Biases About Mental Illness

“There’s nothing really wrong with him, it’s just anxiety.” How many times have you heard someone say this—or said it yourself? Mental health problems are among the most marginalized health conditions in the United States. They’re viewed as less “real” than physical illnesses; there’s no tumor to be palpated, no abnormality to be spotted on an X-ray. Emotional and psychological problems are often thought to be under a person’s control in a way that, say, multiple sclerosis or cancer is not. And because mental health problems can be construed as signs of weakness, sufferers may hide their symptoms. People who suffer from a mental illness need to feel comfortable seeking care and to trust that they’ll be treated with skill, compassion, and respect. This is vital: studies consistently find that mental illnesses, particularly depression, take a terrible toll on health. Such illnesses have been associated with an increased risk of stroke, coronary artery disease, and dementia, as well as increased mortality in people with cancer, diabetes, or chronic kidney disease and following a myocardial infarction or coronary artery bypass surgery.

That’s from “Examining our Biases About Mental Illness,” the Editorial in the February issue of AJN by clinical managing editor Karen Roush, MS, RN, FNP-C. What biases and assumptions about the mentally ill, the depressed, the anxious have you seen in your practice? Do you ever find yourself slipping into such biases yourself as a kind of default setting?

Jacob Molyneux, senior editor/blog editor2016-11-21T13:10:37-05:00February 24th, 2012|nursing perspective|4 Comments

Notes from the Nursosphere: Blogging Ethics, Tar Ball Vacation, Treating the Whole Person

Here’s a few things that got our attention late this week:

Chronic Disease Expert: U.S. Health Care Needs to Treat the ‘Whole Person’: At Kaiser Health News, a Q & A with a Stanford University chronic disease expert (who started her health care career as a registered nurse) focuses on the fragmentation of our health care system. Here’s a sample:

Q. Could the health care system do a better job addressing chronic disease?

A. The system would probably need to be totally reorganized if it was really going to do that. Right now, it addresses diseases or even parts of diseases or small sub-parts of the body. It does not address the whole, complex person with multiple chronic diseases. So, right now, what happens, if you’re lucky, you go to a primary care doc who kind of does the day-to-day stuff and then you see four or five specialists each of which do their little specialty part — none of whom really talk to each other except maybe to look at your laboratory tests on an electronic medical record if you’re really lucky.

It is totally uncoordinated. It’s chaotic. It serves pieces of people, not whole people.

Mental Health Impact of BP Spill Multiplies: Feel depressed and hopeless about the Gulf Oil Spill? At Covering Health, an article sketches out some of the journalistic work being done to look at what some people have actually begun calling “Gulf Oil Syndrome.”

Speaking of the oil spill, Sean Dent, a nurse who blogs at My Strong Medicine, has a recent post called

Jacob Molyneux, senior editor/blog editor2016-11-21T13:17:01-05:00June 25th, 2010|healthcare social media, nursing perspective|1 Comment

‘Jenny’s Daydream’: February’s ‘Art of Nursing’ Disturbs the Quiet

By Sylvia Foley, AJN senior editor

“Stuck to the chair, locked door, locked window, / watching for wrens and sparrows, Jenny closes her eyes.” These lines open “Jenny’s Daydream,” the poem featured in this month’s Art of Nursing (please click through to the PDF). The daydream is no idyll; though Jenny “remembers sparse blue and yellow flowers” and “herring gulls sunning on the pier, peaceful,” she’s also “waiting for / God’s voice to disturb the interstellar quiet.” Why? The answer, at once harrowing and poignant, might surprise you.

Karen Douglass, a writer and retired RN, has been published in many literary and mainstream magazines, including Sunken Lines, The Other Voices International Project, and Yankee. Her most recent collection is The Great Hunger (Plain View Press, 2009). Douglass also blogs about writing and life at KD’s Bookblog.

And if you’re a poet or a visual artist, we hope you’ll consider submitting to Art of Nursing. Read this blog post for details. Guidelines can be found here. Still have questions? Write to the Art of Nursing coordinator (me) at sylvia.foley@wolterskluwer.com.

Guest Author2016-11-21T13:19:17-05:00February 17th, 2010|nursing perspective, patient engagement|2 Comments

DSM-V Draft Ready for Public Comment–What’s It To Nurses?

As many of you know, a draft of the proposed DSM-5 is just out and it’s bound to stir plenty of comment and controversy. First, I’ve got to congratulate the DSM-5 crafters for making the draft public and for seeking public comment. That’s right: the APA wants to hear from members of the public, not just medical professionals. So let them know what you think.

Meanwhile, let me offer some preliminary comments:

1. Internet addiction isn’t included, which is fine by me and likely will save the APA much sniggering and criticism.

2. Bipolar disorder type 3 or subthreshold bipolar disorder is not included either and that is definitely a victory for critics like me who’ve long held that the softening of mood disorders–such as with bipolar disorder type 2–has led to millions of Americans being overdiagnosed and overmedicated.

Read more of this post at Furious Seasons, a thoughtful blog belonging to a health care journalist who has long suffered from mental illness (I can’t seem to link directly to the specific post, but at least for today it’s still at the top of the blog’s landing page).

We draw your attention to his observations because we’re interested in how nurses—perhaps especially psych nurses, but all nurses, or, for that matter, nurses who are patients—may be reacting to the release for public comment of a draft of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Your thoughts are always welcome here; we also hope to cover this in more detail in the journal […]