By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Youth mental health.
Photo courtesy of Pixabay.com

Have you been putting off getting help for an emotional problem?

Some problems go away on their own if you just let them be others do not. Mental illness or emotional issues are not problems that benefit from delaying treatment. The majority of mental illnesses begin much earlier than we thought. Half of all those who get diagnosed with a mental illness have those symptoms by age fourteen.

Three out of four people who will develop a mental or emotional illness will have symptoms by age 24.

As early as the end of the third grade, eight years of age, we can already identify students who are at high risk for mental illnesses, emotional problems, and a future of substance abuse, dropping out of school and ending up in jails and prisons.

The conventional wisdom has been that you should not give in to an emotional problem.  The truth is that walking around on a broken leg makes the damage worse. The earlier that cancer is detected and treated the better the prognosis.

Early detection and treatment of mental, emotional, and behavior problems results in a reduction in illness severity and saves lives and futures.

A whole lot of mental and emotional disorders turn up in a severe enough condition to get diagnosed way earlier than we used to think. The myth of childhood being all happy times has not proved to be true for a lot of children.

That does not mean that parents caused all these early-onset mental or emotional problems. We are still a long way away from knowing precisely why one person gets an illness and another does not. Current theories tell us that most of this is the result of the interaction of risk factors and environmental factors. Every time a cell divides there is a risk of mutation. Genetics play a role. So too does early experiences and learning. Trauma can rewire the brain.

Whatever the cause, early identification and treatment is superior to the wait and see attitude.

So what disorders are most likely to show up and at what ages?

These are lifespan issues. Preschool children get seen by medical doctors, primarily for developmental issues. Failure to eat or eliminate as others or walking and talking issues get recognized early on.

By age 6 anxiety symptoms are noticeable. Some children outgrow the shyness; some get more withdrawn as they age. Hoping they will grow out of anxiety is a risky approach.

At age 11, Behavior disorders, acting out, disruptive behavior, and ADHD start getting diagnosed.

Beginning in the teen years, about age 13, mood disorders become more recognizable. Some of the children who were being given behavioral diagnosis get their code change to a mood issue as the symptoms of depression or Bipolar disorder become clearer.

Some small number of children will get their diagnosis changed from Depression to Bipolar once they have the first manic or hypomanic episode. No mania or near mania and they should not be getting labeled bipolar no matter how moody they are. Reduced need for sleep and pressured driven behaviors also point in the direction of bipolar disorders.

The number of people diagnosed with a mood disorders increases as people get older. The number of Anxiety disorders stays relatively constant regardless of the age of the person.  Exceptions to this are the increase in stress-related diagnoses as a group ages.

The younger someone is when they first develop a mental illness the more severe it is likely to be, especially if their problem goes untreated.

The same mechanism applies to learning disabilities. If they can’t read at grade level in third grade the child will continue to fall farther and farther behind until one day they give up and discontinue their education.

Anxious children give up trying new things and retreat into more and more isolation. People with depression are likely to stop trying.

Having an early onset of an emotional problem also sets up a high risk of trying drugs and alcohol as ways to cope. The earlier someone starts abusing substances the more likely they are to develop a substance use disorder.

Identification and treatment of mental health problems in young people have been woefully inadequate. The average person with a serious mental illness has the illness ten years from the onset until they arrive at treatment. Many do not get treatment until they end up in jails, prisons, or other institutions.

The cost of undiagnosed and untreated mental and emotional disorders does not solely fall on the person with the mental illness.

The mentally ill have higher rates of unemployment and underemployment.

They are more likely to be arrested. They have unstable housing and frequent changes of address. Having a mental health diagnosis is associated with poorer physical health and a shortened lifespan. This trend becomes worse the longer the delay between the onset of the disorder and the treatment.

The mentally ill also have more emergency room visits.

All these costs impact the person with the mental illness, their friends, family, and society in general.

Whether we like it or not the cost of every person with an untreated mental illness is paid for by the portion of society who is not having an illness in that particular year.

Early identification and treatment of mental and emotional disorders result in a reduced amount of suffering and countless benefits to the mentally ill, their families, and society.

If you or someone you know seem to be having emotional or mental problems seek out help as soon as possible.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Sad.
Photo courtesy of Pixabay.com

Looks like a lot of the theories about what caused mental illness are wrong.

What causes mental illness? What do we know and what do we think we know?

Many of the things we thought were causing mental illness turns out to not be causes. In the process, we missed a lot of things that are impairing the mental health of our society.

There have always been people who were clearly mentally different from others. We have seen explanations for what causes mental illness to come and go. Today we know more than ever before about the human brain, how it works and some of the problems it may develop, still we are less sure than before about what is causing that thing we call mental illness.

There is hardly a day now when you can turn on the T. V. or read the news online and not hear about someone with a “mental illness” and some terrible thing they have done. This media coverage is leaving more out than they put in and the result is less, not more, understanding about mental illness.

The mentally ill and violence.

As an aside here, the mentally ill, those with serious long-term illnesses, are more likely to be victims of crime than the perpetrators. They get beat up and robbed on a daily basis. This rarely gets on the news unless the perpetrator is a police officer, and even then the sense is that the mentally ill somehow deserved it.

Personally, experience has taught me that I have more to fear from the person who was just served with divorce papers or found out their spouse is cheating and has shown up at a worksite with a gun, than from someone who has a long-term mental illness.

Emotional problems in someone who has not been identified as having a serious and persistent meant illness are the larger threat. It is easy to see in retrospect that there “had to be” something wrong with the person who came to a school with a gun. But if you follow all the people who are diagnosed with schizophrenia, for example, very few of them ever get a gun and shoot up someplace.

Parents and gun violence.

Gun violence at schools and public sites is a huge problem. We need to do something about this. but for the record, for every child killed at a school site by a gunman, 25 to 50 children will be shot and killed at home by a biological parent with a gun. The cure seems simple. Do not let bio parents raise children or own guns. See how simple solutions turn into complex problems and do not always work the way they were intended?

There have been a lot of theories, most of them very simplistic, over the years about the causes of mental illness. Some people continue to cling to the over-simplistic views despite overwhelming evidence to the contrary. But then the flat earth society and those who doubt that some form of evolution has occurred are also still in existence.

In this post let’s look at some of the things that have been suggested as causes for mental illness in a necessarily oversimplified way.

First, the things we now doubt are true about or are not causes of mental illness.

1. Are there are two kinds of people, normal and the mentally ill?

We used to separate emotional problems into two categories, Neurosis and Psychosis. That was it. So people were seen as having a psychosis, they were in effect “crazy” or they had neurosis, problems of living that might respond to talk therapy.

The more this has been studied the less reliable it has become. First, we found that there were people who sort-of had both. They got the label of “Borderlines” then we found there were a whole lot of different kinds of neurosis, like anxiety and depression and OCD. And people with psychosis can also get depressed. You can have two or more problems.

From that two problem view, we continued to study symptoms and the result in the DSM-4 was over 400 recognized mental illnesses.  Even more, possibly another 400 disorders were proposed (the DSM-5 was supposed to simplify this but we still know way less than we would like.) Today we are seeing that some of this splitting up is the result of people moving on a continuum from one level of symptoms to another. People’s illnesses can change over time and they can have more than one illness.

2. For a while we blamed the victim, some people still do.

There was that belief that mental illness was from God or the gods. Some thought that God had caused the mental illness as a punishment for the person’s sins, or the sins of the father or grandfather.

There are still people who take this approach, avoiding the mentally ill or insisting that they should just snap out of it as if being ill was a choice.

We do know that this fallacy like every good lie has some grains of truth embedded in it.

Parents provide both the environment and the heredity. Some life events, like age and use of drugs or alcohol, may increase the risk of a gene mutation. But a risk factor is not a cause, and so we find that some very poor home environments produce some mentally healthy people while “normal” homes produce some very dysfunctional people.

More on the environment versus heredity issues to come.

If the problem is that God is punishing this person somehow then the cure should be a religious conversion. The prescription for mental illness used to be, and in some circles still is, prayer, fasting, self-control or self-abuse, and the like.

Some of the evidence to challenge the “its Gods will” concept of mental illnesses comes from the sudden miraculous improvement in some mental illnesses that medication produces; that and the cases where a person lives a good part of life, often in a “Godly way,” and is suddenly struck by a mental illness. Some of these appear to be the result of the changes our bodies undergo as we age.

3. People said, “It is the mother’s fault.” Occasionally this is read “it is the father’s fault.”

This was popular for a while under the guise that the cause of psychosis was “refrigerator mothers.” We found that there was some truth to emotional problems that resulted from early life experience; we now refer to this as attachment theory.

The idea that a lack of love or poor mothering skills was primarily the cause of serious mental illness has been largely discarded. We now think that there is such a thing as “good enough” parenting. Do a halfway good job and your child should turn out fine. Abuse or neglect can increase the risk of mental or emotional problems but risk is not result.

One new area of study is the role of “complex trauma.” A number of traumas or ongoing trauma change the brain in ways that are different from what we were looking for in the past. This complex trauma can cause more problems than the sum of its parts.  More on Complex Trauma in some upcoming posts.

4. It is just the way they are

There was a school of thought, back when the psychologists seem to offer us answers to all these issues, that mental illness was the result of “personality factors.” Again some truth here, but in my view, not nearly the whole story.

Some children are born “fussy” they are hard to soothe, cry a lot, and get on their parent’s nerves. Those kids may have a fussy temperament or they may have a physical illness. Either way, fussy kids get less care or upset the parents. Maybe the stressed parents yell at the child more. Their life experiences are different from the “naturally happy child.”

Personality can and does change over the lifetime. We can debate how much or why but the fussy child may grow into a contented child and the good child may at the onset of puberty suddenly become the problem child.

All these factors, to me, argue against the idea that mental illness is caused solely by personality.  It points in the direction of gene expression, genes act differently at different points in our lifetime. It also points out the ability of all of us to learn from life and as a result our personality shifts.

Sorry, this ran long. More on the causes and by implication the cures for our mental emotional and behavioral illnesses in some upcoming posts.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel