Using Literature To Explain Mental Health Status And Contributing Factors

Mental State Examination (MSE)

Chung’s mental health can be studied through Mental State Examination (MSE) and the DSM V models which look at the concepts of a specific patient as well as the experiences they are going through. The MSE is a way of observing and analyzing a client’s state of mind using the factors of behavior, attitude, appearance, speech, thought process, mood and cognition abilities (Lewis, 2010). Although Chung is a wise individual jaudging from his nature of career and educational level, he seems to have been affected by his current situation such that his traits change. During the examinations, Chung seems tearful and sad due to the overthinking about his family’s wellbeing as well as his career. He is always seated with no desire to get interactive mostly staring at a certain position for the longest period.

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His attentiveness is on the lowest as observed when asked a question since he does not automatically click to the content. The inability to rest due to long working shifts has contributed to a lot of pressure and anxiety which makes it impossible to settle at a given point. Through the MSE analysis, the experiences he faces from his physical interactions with work and family contributes towards all his mental health instability and this is common not only among older individuals but all stressed parties (Spencer, 2013). Overthinking and over exhausting himself is the major issue that makes the whole situation even worse as his mind does not have time to rejuvenate and heal from the previous unfortunate events. Through the observation of Chung’s health, he is therefore have a mental disorder due to self-inflicted reasons which he faces on a daily basis and finds it hard to conquer especially through medical advice and examination. According to (Tong, 2011), some of the symptoms that Chung shows are usually connected to the elderly generation but they can also occur when one suffers from dementia. He is battling with more of the social rather than the medical aspect of wellness and that requires more efforts to solve.

Using the DSM V concept is usually dependent on the personality disorder of an individual which can be observed through the behaviors of emotional stability, thought and impulse control. Chung’s way of thinking is dependent on the experiences he is going through both at work and at home as well. He behaves according to the pressure he handles on a daily basis as the mind cannot take more than it should (Stein, 2010). Chung is a person who finds thinking and worrying to be a solution to the issues he faces and yet it makes them even worse. He is too worked out to take a step that helps his work and family become well as they also need him to heal. His new responsibilities of fatherhood and caretaker to his wife does not come as a responsibility as he is already stressed about it. An individual who is too concerned to make others proud at the expense of their own comfort and peace of mind cannot achieve a positive result (Jared, 2010). Just like Chung, one ends up worked up and unable to think such that they cannot have a way to make the situation better. The DSM V is therefore a good way to ensure that one can analyze the personality traits of an individual and use it to help solve the situation at hand.

DSM V Concept

Stress vulnerability is a concept that explains the causes and influences of psychiatric disorders and the kind of influences they have on each other. The ability of an individual to deal with medical disorders depends on the social support, coping skills and their extents of involving in activities (Hazalden, 2016). The kind of vulnerability can be biological in terms of genetics and family blood line which is not the case of Chung. His past experiences are not involved in the situation he is facing nor are his family histories which means that the other elements play a great role in his health. Stress and coping skills are the main aspects which influence the way Chung addresses his problems and they seem to be taking much of his energy (Goh, 2010).

One of the main factors that contributes to the mental disturbance experienced by Chung is the new responsibility of a new family that seeks for more work to be done. He is now more involved as his infant daughter needs a present father to be able to effectively develop. The burden of a new family is much more involving besides his daily work experiences which calls for more attention (Psychiatric, 2013). He therefore ends up stressing over the involvement of his wife and father in law in the upbringing of his daughter. There is no family connection and he feels that he is a disappointment to his own family. As much as he wants to be involved in his family’s upkeep and daily care, he is working longer shifts as well as advancing his studying which leaves his with no time to do better. He therefore worries too much for leaving his unwell wife to carry all the burden. According to health statistical research, most individuals with stress related mental issues tend to have the kind of responsibilities that they cannot handle (Brown, 2012). They are either in a fix or trying too hard to make a better result while there are limited resources and time.

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Another reason that can explain all the causes of Chung’s situation is the overworking and spending too much time active at work instead of resting his mind. He wants to achieve a lot at one moment since there are lots of responsibilities to handle. While in the process of maintaining a good career, he also wants to make sure that he can advance on education and attain a promotion. At the same time, his wife has not yet fully recovered from the caesarean section operation which was used to deliver her baby. The infant is also in need of proper care and maintenance which requires money and personal maintenance. Working too hard and for prolonged hour’s means that Chung barely attains the minimum sleeping hours recommended in a day. Anxiety is therefore the result of the whole operation and that means that the individual in context cannot have a relaxed mind (Brown, 2012). Chung’s recovery is highly dependent on the personal energy and ability to cope with the situation at hand regardless of all the challenges (Psychiatric, 2013). Stressing over the issues he faces only makes it worse as it develops the kind of mentality that things are at their worst and nothing can be possibly done to make it better.

Stress Vulnerability

The recovery model is used when providing personalized and group services to specific patients who are dealing with mental issues. Through this approach, it is stated that total recovery from a mental condition is possible and the most functional way is always patient-focused. Mental diseases leads to the unsettled state of the brain which shows an individual that their situation is permanent (Jacob, 2015). However through the recovery model, Chung can be convinced that he is not doomed to his situation as people have healed from worse cases than his. The patient in this case has to be involved in the change making process to ensure that they benefit from the whole operation. The care is usually patient directed and if need be, all the procedures are personalized to ensure that the involved individuals benefit from the program.

The principle of respect works a long way as the patients do not have enough courage to solve their problems on their own. They therefore requires an individual, mostly a professional who can listen to them and offer assistance from their perspective of life. They do not appreciate people who are against their beliefs and therefore respect is one of the principles that must be observed in the recovery model (Repper, 2011). In the case of Chung, the nurse in charge as well as the family members have to place all their efforts to first respect his decisions and help him move forward. Professionalism means that even though the medical practitioner might have a different view, it is important that they show some consideration to their patient’s views.

Empowerment is a crucial aspect that every mental patient should receive to ensure that they rise from their hopelessness and strive for better. All the individuals around the patient’s life including at home, work and also in medical contexts are responsible for empowering these individuals. Group associations can help individuals recover even better as there are many other people who suffer the same or even worse. Chung should therefore avoid staying alone and interact with others going through equally similar challenges so as to feel comfortable and take a step towards his wellbeing (Tew, 2012). His family and especially wife should always ensure to create better surroundings that can act as an empowerment to her husband’s recovery. Chung will play the greatest role in empowering himself and interacting with the right kind of people who can encourage him to do better than just giving up.

Finally hope is a key ingredient in any type of recovery as it ensures that there is no self-doubt which counts as the enemy to progress. Once an individual believes that he/she can get better in an advanced condition, then they are more likely to make efforts of achieving better. The patient has to develop this principle from the inside with just a little help from family, friends, workmates and professional health practitioners as well (Slade, 2014). One should believe that they will encounter any challenge in front of them and that enables them to resist hopelessness and helplessness which damages the recovery process. Chung should therefore avoid negative people who talk about impossibilities of getting better and instead focus on all the processes that show hope.

Brown, G. W. (2012). Social origins of depression: A study of psychiatric disorder in women. Routledge.

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Hazalden. (2016). The Stress-Vulnerability Model of Co-curring Disorders. Behavioral Health evolution,

Jacob, K. S. (2015). Recovery model of mental illness: A complementary approach to psychiatric care. . Indian journal of psychological medicine, 37(2), 117.

Jared, D. (2010). DSM-V offers new criteria for personality disorders.

Lewis, P. (2010). Mental State Examination- OSCE Guide.

Psychiatric, A. A. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. 

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Spencer, R. J. (2013). Psychometric limitations of the mini-mental state examination among nondemented older adults: an evaluation of neurocognitive and magnetic resonance imaging correlates. . Experimental aging research, 39(4), 382-397.

Stein, D. J. (2010). What is a mental/psychiatric disorder? From DSM-IV to DSM-V. . Psychological medicine, 40(11), 1759-1765.

Tew, J. R. (2012). Social factors and recovery from mental health difficulties: a review of the evidence. The British Journal of Social Work, 42(3), 443-460.

Tong, Z. Z. (2011). Urine formaldehyde level is inversely correlated to mini mental state examination scores in senile dementia. . Neurobiology of aging, 32(1), 31-41.