General Forums >> Ask A Nurse >> Stigma of Mental Illness
Stigma of Mental Illness
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Posted over 5 years ago This is a small part of a class that I have taught in the past on stigma:
• Stigma literally means mark of shame and is a major cause of social isolation for those with a MI • Stigma is a negative perception regarding mental illness. It is the belief that the illness is a personal defect or a moral failing. • The basis for stigma is a fear of what is not understood. • Stigma can be overcome with education. NEGATIVE EFFECTS OF STIGMA ON THE MI PATIENT • Those with MI or drug addictions are victims of stigma because many people think of them as “dangerous.” The effects of stigma on those with mental illness are harsh: • Negative perceptions contribute to the
• Those with problems may be reluctant to seek help due to stigma. • The most essential aspect of stigma is not so much people’s attitudes, but how they act. • Studies have shown that if you have a heart attack and you are known to have a mental illness, then you are investigated less, treated less, and die more often. OVERCOMING STIGMA • Nurses are the largest group of health care providers. This fact combined with a Gallup Poll Survey that found nurses to be rated number one in terms of honesty and ethical standards result in nurses being in a prime spot to overcome the stigma of MI • NAMI • Psychiatric nursing faculty can develop support systems for students such as NAMI Campus programs. |
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| Posted over 5 years ago CDnurse, thank you for sharing this. It's so important. It's so very true. I know first hand from trying to have my daughter treated. She suffered for 8 very long yr's, from 10-18 y/o with gallbladder disease, having the Dr's thinking it was an ulcer and being misdiagnosed because every time she went to the ER or Dr's office and was honest about her addictions, she wasn't treated in the correct way. After 10 days in the hospital and a very long 3 hr surg. she finally came out of it. I almost lost her then. Those who don't know about, or understand the whole concept that addictions aren't "that easy to over come and that they're not all in your head and you can stop IF you want to" are just plain crazy themselves, missing this very important "boat" completely! God help those who are addicted and living in that hell. God bless the parents, friends and families that loose their loved ones due to missed treatment of some kind. Thanks for being here! |
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| Posted over 5 years ago I just love what I do for a living. |
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| Posted over 5 years ago I'm so glad you do! We could sure benefit sharing knowledge and our passion. I want soooo bad to be a "real" nurse. I have 32 yrs in the medical field doing all kinds of work. I wanted to get my PT license but was unable to write my stupid essay in the English part of the test on the spot...! damn it Janet! Anyways, I'm still in a little bit of a fog, but I want to go to nursing school. I think I'm gonna go to a voc school and do the 18 mo LVN program and then bridge into RN...I just can't do the 4 yr for RN right now... CNA is required here to be RN, but that's how I started out in the first place, I may be able to challenge it? Anyways.. thanks! |
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| Posted over 5 years ago Hang in there. Do not give up. I did the LPN route first. |
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| Posted over 5 years ago Thanks! I'm gonna keep on keeping on... I just found this: Judge Gently Pray, don't find fault with the man that limps
There may be tacks in his shoes that hurt
Don't sneer at the man who's down today
You may be strong but still the blows
Don't be too harsh with the man that sins
For you know, perhaps,
-- Author Unknown |
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| Posted over 5 years ago ahhhhh. I love it. I am printing this out and saving it. thanks |
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| Posted over 5 years ago qnvictory: I love this too. And I think being a CNA should be a requirement for any nursing school, LPN or RN. I was one first too. Here's one I really like: Be kinder than necessary, for everyone you meet is fighting some kind of battle. author unknown ( a little side note-when my youngest son was about 7 or 8, I was reading some poems to him one night and most of them were by" anonymous" . After reading several of them he said "boy! anonymous sure did write alot of poems" I've always thought that was so cute!) |
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| Posted over 5 years ago cd, great post. My best friend has bi-polar disorder, and has struggled for years because she can't tolerate the side effects of most of the medications, and the only one that does work she has to have her level in the toxic range for it to help her. It's a catch-22 for her. Fortunately, she does not have pyschotic features. She's isolated because many people can't tolerate her mood swings. |
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| Posted over 5 years ago I was diagnosed in the early 90's with chronic clinical depression. I hid it so well, no one at work had a clue what I was going through. In my personal life, I didn't do so well. My one older sister finally intervened after she couldn't get in touch with me for a few weeks. You see, once I got home, I completely shut down and off. I didn't answer the phone, I ignored messages. I didn't return calls. If I didn't go to the market before I got home on friday, I didn't have food in the house for the weekend. I simply didn't eat. I would walk in the door of my haven, and just drop whatever I was carrying by the door, creating a path to the living room where I curled up with my dogs for hours on end, mostly mindlessly staring into space, sleeping, or pretending to watch tv. I never received any support, understanding or kindness from my peers, including surgeons. Comments were made about the crazy charge nurse, if things didn't go the way someone wanted it. If I happened to raise my voice to be heard, watch out she's going to lose it. If I took a sick day, comments were made about me going off the deep end. I hung on as the afternoon OR charge for five long years after my diagnosis. Finally I set myself free, and left. Wherever I worked after this, I was very careful to never mention my battle with depression. |
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| Posted over 5 years ago theala: bipolar is a tough one and often is undiagnosed |
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| Posted over 5 years ago dmazment: I am so sorry that you had to go through that. There is nothing worse than going through depression. Sometimes those that are well meaning will say things like "It is time for you to get over it" If I can find it again I will re-post some items on depression that I had up here a few months ago. |
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| Posted over 5 years ago thank you cd, it is what it is. Oh sure I've heard that said to others. I've never had it said to me, partly I think because I hid it from most everyone. It is a continuous fight to maintain a grip so you don't fall off the ledge back into the abyss. |
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| Posted over 5 years ago I understand why you would be cautious with who you disclose to. Working in medical you would think that we would be kinder to each other wouldn't you?. |
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| Posted over 5 years ago dmazment said: dmazement: did you ever take medication for it. I too have suffered from depression for many years. Most recently with the death of my Mom a year ago. I recognize some of the same systoms you described. Shutting down, sitting in front of the tv set for hours on end watching mindless stuff, not want ing to talk to anyone, sleeping all the time. I've been on Zoloft for some time now and it helps tremendously. I can tell right away of I don't take it. (cry easily, anxious, upset over nothing). I also notice that in the winter months I become depressed more easily. I have a artificial sunlight lamp and that helps quite abit too. I also find that even if I am rolling along with what life throws at me, it doesn't take much to send me back to that "black Hole". I can't seem to handle more than 2 things going wrong at the me time. GROUP HUG! |
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| Posted over 5 years ago Yes group hug. I was in a deep dark hole in my 20s. Early 20s fro women is a very common time to suffer from depression. I will never forget what that was like. Never want to go there again |
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| Posted over 5 years ago I find so many medical professionals intolerant of what they perceive as weaknesses within their own community as somehow we are supposed to be super human. I started out with prozac, then zoloft off and on for several years now on lexapro. |
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| Posted over 5 years ago it does seem like the medical community is less tolerant with each other than with the patients we care for. And we are a caring group of people. I wonder why that is. No none wants to admit their weaknesses. Maybe because then we might become the one being care for instead of being the one caring for others? |
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| Posted over 5 years ago If it's cancer, tumors, strokes, heart problems the medical community seems to step up to the plate, if it's a disability then it's intolerant. Makes absolutely no sense to me, since both my depression and partial deafness is not something I had any control over. |
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| Posted over 5 years ago dmazement: you are so right about the medical community not stepping up. We are very intolerant of each other even with physical illness. I had a charge nurse who would not let me go home even though I had the flu and a fever because it was New Year's Eve. The only reason I didn't call in sick was because I would have been fired for calling off on a holiday. I begged her to let me go home, but she refused. I had to take a full patient load in the ER for 8 hours before she relented and let me work in triage where I could at least sit down. It took me weeks to recover, and made me very depressed. My manager refused to support me, and I finally quit to escape the stress. I can't imagine going what you went through for five years. |
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| Posted over 5 years ago Whats the difference between bi-polar depression, manic depression or just being down in the dumps? |
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| Posted over 5 years ago Wow, this is a heavy topic, and I commend you guys for talking about it and sharing your experiences with it. I can't even remember a time in my whole life that I haven't been depressed. I'm a survivor of a hellish childhood..from just about every abuse suffered. Today, I have a wonderful therapist and a great Dr. Ive tried a lot of meds over the yr's, but I've found Wellbutrin,Lexapro and prn Klonopin...helps in a lot of ways.
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| Posted over 5 years ago I love Judge Gently. I have a few people I would like to have read this. God is the only judge. |
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| Posted over 5 years ago gentlenurse said: cdnurse this sounds like a question for you, and where does clinical depression fit into this? |
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| Posted over 5 years ago gentlenurse said: This depends on who you talk to. Some say there isn't a difference others say there is. Bipolar disorder typically means you have highs and lows. Depression just lows. Some claim they can be treated the same way, others say no. I'll be interested to see what cdnurse says |
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| Posted over 5 years ago dmazement: this one's for you! The Virginian Pilot Feb.15 2008 by Asra Q. Nomani It's impossible for me to find any entertainment value in the public harassment of Britney Spears, who was released from the psychiatric word of UCLA Medical Center last week. And as a journalist, I doubt there is news value in it either. Mental illness doesn't always elicit compassion. It's hard to see, so it's hard to understand. Perhaps in the wake of Spears' breakdown, California mental health advocates will lobby to change the state's involuntary commitment laws so that those who are sick get treatment. In the meantime, all of us should reflect on the fact that we wouldn't be so cruel to somebody diagnosed with another disease. Would we make a sideshow of someone with a brain tumor? |
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| Posted over 5 years ago thank you charlita. I have felt from the beginning Britney Spears was suffering from either post partum depression or psychosis, maybe even bipolar disorder. I find it difficult to understand the many absurd comments made by health care professionals in this forum over the article posted here. The lack of understanding and ridicule this famous young woman is going through. Being hounded by the papparazzi, the media etc. It's just sad and frankly I wouldn't want several of the health care professionals who posted here, taking care of me or any of my loved ones. |
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| Posted over 5 years ago Hello. Been working and just saw the post with questions re the difference between bipolar, depression. etc. Give me a minute to get something typed up and on here. So happy to see the interest. |
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| Posted over 5 years ago I will post another topic for depression This is mainly for bipolar
Adherence to medication will be improved with family education. Some patients and their families may have a fear of addiction to medications and believe that the patient should just “snap out of it. Misdiagnosing of bipolar disorder is a problem for the mental health professionals and their patients. Patient and family education is essential for the success of the treatment of the bipolar patient. Perhaps the most important mental health service would be to correctly diagnose and treat bipolar I. If not diagnosed and properly treated, the worsening of cycling and overall course of the illness can be expected. Healthcare providers can dramatically increase the social support and medical management of bipolar patients with an accurate and early diagnosis |
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| Posted over 5 years ago Thank you all for sharing. I don't feel as alone now. I sometimes feel like a monster and can't even stand myself when I experience a low. I have been denied health insurance because my health records show I was prescribed Prozac. I too experienced a very hellish childhood and my marriage of eighteen years has had it's share of trouble. When I'm feeling down in the dumps I'm often asked "have you taken your happy pills?" |