Demystifying Invisible Wounds
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This document discusses mental health issues, especially as they relate to Asian American communities. It provides information on various mental health conditions like depression, bipolar disorder, and schizophrenia. It highlights the high rates of mental illness among some Asian ethnic groups and discusses challenges to treatment like stigma, lack of culturally competent care, and language barriers. The document also explores the potential for new technologies like smartphones, virtual reality, and artificial intelligence to help improve access and quality of mental healthcare.
Demystifying Invisible Wounds
- 1. @StevenChanMD STEVEN CHAN, MD MBA DEMYSTIFYING INVISIBLE WOUNDS IMAGE: https://www.flickr.com/photos/seeminglee/2249001825 ?
- 2. @StevenChanMD CASE #1 18-year-old Chinese cis- with mania. This could happen to any of us.
- 4. @StevenChanMD time happy neutral sad Feeling down No pleasure Suicidal plans & intent unipolar depression
- 5. @StevenChanMD happy neutral sad time bipolar hypomania bipolar mania overexcitement euphoria delusions overactivity bipolar depression
- 6. @StevenChanMD WHY IS MENTAL HEALTH IS IMPORTANT? 10 risk factors contribute to inflammation in depression: Henry Nasrallah MD. 10 Triggers of in鍖ammation to be avoided, to reduce the risk of depression. Current Psychiatry 2015 March;14(3):6-7,15. http:// www.currentpsychiatry.com/home/article/10-triggers-of-in鍖ammation-to-be-avoided-to-reduce-the-risk-of-depression/0b19d0e64ed3756665ec63921410beae.html ALLERGY CHANGES IN GUT PERMEABILITY OBESITY SEDENTARY LIFESTYLE DENTAL DISEASE POOR SLEEP HYGIENE POOR DIET SMOKING STRESS LOW VITAMIN D
- 7. @StevenChanMD CAUSES OF DISABILITY World Health Organization, retrieved 10/2015. http://www.nimh.nih.gov/health/statistics/disability/us-leading-categories-of-diseases-disorders.shtml US Burden of Disease Collaborators. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA, 310(6): 591-608, 2013. MENTAL & BEHAVIORAL DISORDERS NEUROLOGICAL DISORDERS NEUROPSYCHIATRIC DISORDERS CARDIOVASCULAR & CIRCULATORY NEOPLASMS MUSCULOSKELETAL DIABETES, UROGENITAL, BLOOD, ENDOCRINE CHRONIC RESPIRATORY OTHER NON-COMMUNICABLE DISEASES UNINTENTIONAL NON-TRANSPORT INJURIES SELF-HARM & INTERPERSONAL VIOLENCE TRANSPORT INJURIES
- 8. @StevenChanMD 1 in 5U.S. adults suffer from a mental health condition in a given year. https://www.nami.org/Learn-More/Mental-Health-By-the- Numbers
- 9. @StevenChanMD Asian American females have the highest rates of depressive symptoms of any racial/ethnic or gender group. Young Asian American women ages 15 to 24 die from suicide at a higher rate than other racial/ ethnic groups. Older Asian American women have the highest suicide rate of all women over 65.
- 10. @StevenChanMD Among Southeast Asians 71%meet criteria for major mood disorders like depression with 81% among Cambodians & 85% among Hmong.
- 11. @StevenChanMD ACCULTURATION Language barriers More stigma, racism, bias. Poorer quality & culturally insensitive care. Less access to treatment Less likely to receive treatment. Lower rates of health insurance. https://www.nami.org/NAMI/media/NAMI-Media/Infographics/MulticulturalMHFacts10-23-15.pdf
- 12. @StevenChanMD CASE #2 15-year-old cis- schizophrenia. IMAGE: : https://pixabay.com/en/mom-daughter-asian-family-mother-300296/ USED UNDER CREATIVE COMMONS.
- 13. @StevenChanMD IMAGE: : https://www.鍖ickr.com/photos/porsche-linn/7085203423/ USED UNDER CREATIVE COMMONS.
- 15. @StevenChanMD Religion Beliefs CONFUCIANISM Reciprocity, benevolence, filial piety, respect for authority, self- development, scholarship BUDDHISM Human life is full of sorrows due to the familys deeds, ones own karma and expectations, or ones desires TAOISM Yin = female = softness/darkness/ coldness. Yang = male = strength/ lightness/heat. Balance achieved by moving vital energy qi / chi. Cultural Psychiatry 2nd edition by Russell Lim
- 16. @StevenChanMD MODEL MINORITY? https://capac-chu.house.gov/media-center/model-minority-myth 35-40% of Hmong, Laotian, Cambodian populations dont finish high school. When 2008 housing market collapsed, AAPIs suffered largest percentage of foreclosures of any racial group. From 2007 to 2010, AAPIs had the highest share of long-term unemployment of any racial group.
- 18. @StevenChanMD PERFECTIONISM Obsessive compulsive personality Obsessive compulsive disorder Eating disorders (anorexia, bulimia) Depression Social Anxiety
- 19. @StevenChanMD WARNING SIGNS Depressed mood Suicide plans & intention Drugs & alcohol use
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- 30. @StevenChanMD BEYOND APPS: NEW MENTAL HEALTH TECH https://angel.co/mental-health-3 & @StevenChanMD graphics & analysis Of the 118 MH startups on AngelList, 70 joined in 2015.
- 31. @StevenChanMD Googles involvement signals their con鍖dence in technologys role in one of the most underserved areas of medicine. Alphabet is actively looking at augmented reality, diabetes, geriatrics, & AI in healthcare. Technology can cover much of the diagnostic process ... Also, a lot of the treatments for mental health are psychosocial interventions, and those can be done through a smartphone. THOMAS INSEL, M.D., SEPT 21, 2015 http://www.technologyreview.com/news/541446/why-americas-top-mental-health-researcher-joined-alphabet/
- 34. @StevenChanMD SPARX cognitive behavioral therapy game Merry S, Stasiak K et al. The effectiveness of SPARX, a computerised self help intervention for adolescents seeking help for depression: randomised controlled non-inferiority trial. BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e2598 (Published 19 April 2012) http:// www.bmj.com/content/344/bmj.e2598. Also covered at http://www.imedicalapps.com/2014/01/video-game-depression-anxiety-kids- diabetes-asthma-linkedwellness/
- 35. @StevenChanMD SPECIFIC PHOBIAS SOCIAL ANXIETY ALCOHOL USE PTSD RELAXATION Psious Affordable virtual reality can enhance psychotherapy.
- 37. @StevenChanMD .. BRAIN POWER SYSTEM Wearable Educational System for Autism
- 38. @StevenChanMD EYE MOVEMENT ABNORMALITIES 1. Benson PJ et al. Biol Psychiatry. Simple viewing tests can detect eye movement abnormalities that distinguish schizophrenia cases from controls with exceptional accuracy. 2012 Nov 1;72(9):716-24. doi: 10.1016/j.biopsych.2012.04.019. Epub 2012 May 22. 2. http://www.yalescienti鍖c.org/2008/11/the-puzzle-of-autism/ 3. Jones W, Klin A. Attention to eyes is present but in decline in 26-month-old infants later diagnosed with autism. Nature 504, 427431 (19 December 2013) doi:10.1038/nature12715 Eye movement tests Schizophrenia Autism
- 39. @StevenChanMD Courtesy Helen S. Koo PhD, @UCDavis http://helenskoo.com WEARABLE TECH + CLOTHING
- 40. @StevenChanMD ASYNCHRONOUS TELEPSYCHIATRY Interviewer Patient Courtesy @PeterYellowlees + @StevenChanMD, @UCDavisHealth Video later routed to psychiatry MD for diagnosis & treatment notes. FUTURE: Video for data analysis, facial recognition, emotion sensing
- 41. @StevenChanMD ARTIFICIAL INTELLIGENCE FOR PSYCHOTHERAPY Paci鍖caappscreenshotonline. Tessappcourtesy@MichielRauws2,@X2_AI
- 42. @StevenChanMD Fragmented systems create opportunity for new mental health platforms.
- 43. @StevenChanMD CASE #1 18-year-old Chinese cis- with mania. Heres her recovery.
- 44. @StevenChanMD time medicines talk therapy calm environment friendship & support happy neutral sad
- 45. @StevenChanMD I'm afraid that I'll have an episode one day where I never recover though....it's a really scary thought, it's kind of like cancer in a way.
- 46. @StevenChanMD Know the signs & symptoms. Know where to go for help. Natl Alliance Mental Illness (NAMI) ActiveMinds American Psychiatric Association Normalize it. Talk about it. !
- 47. @StevenChanMD STEVEN CHAN, MD MBA Special thanks to Arshya Vahabzadeh, American Psychiatric Assn/ SAMHSA Minority Fellowship, UC Davis Psychiatry DEMYSTIFYING INVISIBLE WOUNDS IMAGE: https://www.flickr.com/photos/seeminglee/2249001825 ?
- 48. @StevenChanMD