Stigma of Mental Illness-1: Clinical reflections

Although the quality and effectiveness of mental health treatment and service have improved significantly in the past 50 years, the psychiatric treatment revolution has not yet reduced the stigma yet. Shame is a universal experience of isolating people and delaying the treatment of mental illness, which in turn creates a great social and economic burden

Studies in India showed that the period of untreated disease in schizophrenia patients from the first mental illness to mental stability is 796 weeks (Tirupati et al., 2004 [57]).

In addition, please note that this is a reality in many other parts of the world, for some people to feel that this is only India.

People with mental illness are insulted. Many people who may benefit from these services can not access these services or they can not comply fully with the treatment plan if they start. Treatment adherence plays a decisive role in the rehabilitation of psychosis (Tsang et al., 2006 [58]). Unfortunately, patients with schizophrenia are less compliant with drugs and psychosocial treatment, which increases the likelihood of relapse and re-hospitalization (Swanson et al., 1997 [53]; Tay, 2007 [54 ]; McCann et al., 2005. 2008) [30])

Specific measures to reduce stigma in various psychiatric disorders may be of great value in obtaining better results if the stigma is a factor in delaying the search and continuation of treatment. This also reduces the social barriers caused by prejudice so patients can better integrate into society. However, it is still an issue to include bias prevention strategies in the practice of routine clinical practice.

Continuation of stigma can lead to serious direct disability or indirect economic consequences. Reducing stigma is a cost-effective way to reduce the risk of recurrence and the negative impact of long-term exposure to a stigmatized environment. Furthermore, if all schizophrenia patients are frequently receiving information on stigma and are instructed to use a simple strategy to enhance resistance to an adverse stigmatized environment, this will greatly improve the quality of life Improve it. Obviously, we need to do more work to identify interventions that can deal with treatment disorders, thereby improving the quality of life for individuals with mental illness.

This review first discusses the existence and experience of psychosis-induced stigma between patients and relatives, and how stigma affects patients' lives.

We present and discuss customer-centric interventions to cope with personal prejudice (patients) bias. Furthermore, we believe that evaluation of stigma needs to be transferred to a clinic of mental health experts.

There are two major dishonors in mental illnesses: "public shame" and "self insult" 1. Public shame is to think that other people are not welcomed by society patients with mental disorders. Recognition of other people's mental illness causes insults on the attitudes, prejudices and behavior of families, including health care workers, and their community members. People insulted may internalize perceived prejudices and may have negative emotions about themselves. The result of this process is self-humiliation. Self-esteem is revealed by a decline in self-esteem and an increase in depression. I think that patient is embarrassed and suffer from mental illness. These emotions limit social interactions and weaken occupational functions. When a patient marks themselves as a person in need of treatment, this can lead to further deterioration of self esteem, which constitutes a loss of self-esteem against help.

Social and cultural shame It has decreased, but there is still a stigma surrounding psychosis. Parents may think that psychiatric disorders are not reflected so much in parents or that behavioral disorders considers children "anxious" or "bad" and treatment at school is different. Adolescents often hesitate to admit depression or anxiety and may not notice that psychosis is a true illness. They may be aware that they are frustrated or socially isolated. Furthermore, parents and adolescents may not be able to identify signs of mental illness and may record a change in sustained sorrow, mood, or sleep behavior as "a teenager." Parents and school officials may miss opportunities to resolve and prevent mental illness