Where Science and Stigma Must Meet

By now, those who follow us know we are advocating for more research into the biological causes for mental health conditions and suicide. I am now wanting to add a very important point to the conversation. This is that we must make a change in how we are talking to our young people about mental health.  I believe that if the public was made aware that there is in fact a genetic component involved in serious mental health conditions and suicide, this in and of itself, would remove much of the stigma surrounding these topics. 

All major psychiatric disorders have a familial and heritable component. Twin studies have documented significant heritability across the spectrum of psychopathology, with estimates ranging from 20% to 45% for anxiety disorders, obsessive-compulsive disorder, post traumatic stress disorder, and major depressive disorder; from 50% to 60% for alcohol dependence and anorexia nervosa; and from 75% upward for autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), schizophrenia, and bipolar disorder. https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2019.19060643

Suicide and non-fatal suicide attempts have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders. https://www.sciencedirect.com/science/article/pii/S0006322321015705

Of course, genetics isn’t the only factor. However, in many cases, it does account for the predisposition to serious mental health disorders and suicide.  Maybe, young people would be more open to reaching out for help if they knew, based on these statistics, that their conditions quite possibly have a biological basis, a “scientific” foundation.  As it stands, far too many still suffer in silence due to the stigma of (pardon me for the very stigmatized phrase),  ’It’s all in your head’

Do researchers have all of the answers to the causes of these genetic predispositions, and better yet, effective treatments and curative therapies?  No, sadly, not yet.  What we need is far more research and far more funding for this research.  

However, while we wait for science to catch up, we need to take advantage of the help we do have at this time, and that is in working with qualified mental health professionals. Our young people will know that there is a ‘scientific’ reason behind their mental health conditions, and that these conditions are ‘real’, all the while learning valuable coping strategies. I believe people (of all ages) will feel more comfortable in taking that first step forward to reach out for help if they feel they have a real biological condition, and not just something that’s ‘all in your head’, so to speak.

So what am I saying?  We must advocate for biological and genetic research, and we must reduce mental health stigma.  

But, which comes first???

That’s a good question.  I think both need to work simultaneously.  In order to reduce stigma, we must have far more research into the biological causes for these brain diseases.  On the other hand, in order to gain support for research into the biological causes, we must reduce the stigma surrounding them.  Each goes hand in hand. 

We all need to work together – scientists, educators, parents, community leaders, and Congress.  We must all come together to end our mental health crisis!  This is not only for today, but for generations to come. Please join us.

“Moonshot for Mental Health!”

Please follow us (below right) for updates on how you can help or become a part of our coalition!

“A Simple, but Life Changing Request” – Please Sign!

Hello to everyone who is concerned about our mental health crisis, and who wants to truly be a part of making a change. The following is a very simple request!

I’m attaching a link (directly below the blog) where you may sign a petition. This petition will go to the Appropriations Committee, requesting for more funding for research into the biological causes for mental health disease. I ask that you please sign this petition so we will have a strong, united voice. If you sign, and I hope you do, please do not donate any money. That is not what this is about. This is about coming together as a united voice for a real ‘Moonshot for Mental Health’. United, we can make a difference. Thank you!!!

https://www.change.org/MoonshotforMentalHealth

Change The Forecast for 2030!

By the year 2030, ‘Depression’ is Projected to Be The Biggest Burden on Health in the World!

*** Note: Please make sure to click on the link at the bottom of this blog to see how you can help! ***

According to the World Health Organization (WHO), depression will be the single biggest burden on health in the world by 2030.  People with depression normally have several of the following: a loss of energy; a change in appetite; sleeping more or less; anxiety; reduced concentration; indecisiveness; restlessness; feelings of worthlessness, guilt, or hopelessness; and thoughts of self-harm or suicide. 

WHO has identified that depression has strong links to other disorders and diseases such as diabetes, heart disease, and raises the risk for substance abuse. Depression is also an important risk factor for suicide, which claims hundreds of thousands of lives a year. More than 800,000 people die by suicide a year. It is the leading cause of death in the 15 -19 year-old age group, and the second leading cause of death in the 20-34 year-old age group.

On December 7th, U.S. Surgeon General Dr. Vivek Murthy issued a new Surgeon General’s Advisory to highlight the urgent need to address the nation’s youth mental health crisis. Before the COVID-19 pandemic, mental health challenges were the leading cause of disability and poor life outcomes in young people, with up to 1 in 5 children ages 3 to 17 in the U.S. having a mental, emotional, developmental, or behavioral disorder. Additionally, from 2009 to 2019, the number of high school students who reported persistent feelings of sadness or hopelessness increased by 40%, to more than 1 in 3 students. Suicidal behaviors among high school students also increased during the decade preceding COVID, with 19% seriously considering attempting suicide, a 36% increase from 2009 to 2019, and about 16% having made a suicide plan in the prior year, a 44% increase from 2009 to 2019. Between 2007 and 2018, suicide rates among youth ages 10-24 in the U.S. increased by 57%, – PDF and early estimates show more than 6,600 suicide deaths – PDF among this age group in 2020. The pandemic added to the pre-existing challenges that America’s youth faced. This Fall, a coalition of the nation’s leading experts in pediatric health declared a national emergency. https://www.hhs.gov/about/news/2021/12/07/us-surgeon-general-issues-advisory-on-youth-mental-health-crisis-further-exposed-by-covid-19-pandemic.html

What Can We Do to Help?

With this information, you might ask, “What can I do?”  The good news is that you can actually do a great deal. The answer is to let your legislators know we must have a “Moonshot for Mental Health”, just like we did for cancer research 50 years ago! We need far more funding for mental health research so that we can get to the biological root causes of mental health diseases. In this way, we can develop new effective treatments and cures with the aim of treating people who are predisposed to mental health conditions early on so that these conditions don’t advance to serious levels. Just think of the advances we’ve made with cancer. Can’t we do the same with the most important organ in our body, our brain?

Funding for mental health research is far below funding for other conditions. This must change.

We CAN make a difference.  In fact, WE are the only ones who can.  Let’s change the forecast for 2030. “Moonshot for Mental Health!”

**** Please take a few minutes to write to your legislators.  If you wish, a sample letter is provided for your use, as well as contact information for your state legislators.  Please click on the following link for the letter and contact information for your legislators. ****

Thank you!

Please click this link.

New Study Linking Genes to Mental Health Disorders

We now have a new piece in the puzzle linking genes to a range of mental health disorders:

New research shows our genes influence the way our brains are ‘wired up’ in childhood making us more vulnerable to a range of mental health conditions in later life.

Scientists have long recognised that genes are a significant factor in most mental illnesses. But the mechanisms at play remain largely mysterious.

However, research from the NIHR Oxford Health Biomedical Research Centre (BRC) sheds new light on the link between genetics and mental health. A new study has revealed a common pattern of connections in the brains of people whose genes predispose them to mental health problems.

The findings show that brains ‘wired up’ in this way are associated with not just one but a whole range of mental health conditions – a list including schizophrenia, autism, depression, anxiety, and bipolar disorder.

Dubbed a ‘vulnerability network’, this pattern of connections may help us to understand why different mental health conditions seem to run in the same families and explain what makes a patient with one psychiatric disorder more likely to be diagnosed with another.

Psychiatric illnesses tend to have a lot in common and many share symptoms and genetic risk factors. The discovery of the ‘vulnerability network’ is another piece in the puzzle of how they relate to one another.  Dr Max Taquet who has lead the research explains ‘what’s really exciting about this research is that it gives us a better understanding of the way mental health conditions emerge’.

The research team studied the brain scans of a group of nearly 700 healthy children. By using data from a young and healthy population they aimed to limit the impact on their findings from pre-existing illness or treatment and from environmental factors.

They went on to show that, as well as predisposing people to a number of mental health disorders, the same vulnerability network is associated with behaviours that make people more vulnerable to mental health problems, such as  marijuana and alcohol misuse and impulsive behaviour.

Looking to the future, Dr Taquet is optimistic about the study’s implications for patients “we hope that this discovery holds the potential to inform the development of better interventions to treat and prevent psychiatric disorders.”

The research published in Molecular Psychiatry is available here https://www.nature.com/articles/s41380-020-0723-7 

Published: 6 May 2020

https://www.oxfordhealth.nhs.uk/news/new-piece-in-the-puzzle-linking-genes-and-mental-illness/

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