There has been a lot of discussion recently of how mental health issues have common traits, and even how there may be genetic and biological links between disorders. Bipolar disorder seems to be the starting point for a lot of these theories, as it is one of the most intensely studied of all mental health issues. Multiple genes, involving several chromosomes, have been linked to the development of this disorder. It may also share these characteristics with other disorders, such as epilepsy, schizophrenia, and panic disorder. What is unclear is whether these disorders are variations of a single disease, or separate disorders.

BIPOLAR DISORDER AND EPILEPSY

The technical side of this says that neurotransmitters called gamma aminobutyric acid (GABA) and norepinephrine have been implicated in mania. That is important because:
  • GABA helps prevent nerve cells from over-firing.

  • Norepinephrine is a hormone that involves stress.

Some research has associated similar biologic mechanisms in patients with epilepsy and bipolar disorder. As in epilepsy, the more episodes a bipolar disorder patient experiences early in the course of the disease, the more frequent and severe later episodes will be. Antiseizure agents, in fact, play an important role in the treatment of bipolar disorder.

You can read the entire article discussing these findings here.

The research side of this shows that there are many similarities between the two disorders, and that as many as 10% of the people with epilepsy develop bipolar disorder.
Why is this important? There are now mental health tests, and ultimately mental health medicines that are being developed to work on the combined disorders. Understanding the footprint of these disorders will help the development of treatment and therapy options for patients.

Next we'll take a look at the more personal side of this matter by looking at some articles and blogs written by people suffering from a multitude of mental health related issues.

I know this can be a heavy subject, but it's one worth exploring. There are many people out there who suffer from one form of mental health issue or another, and raising community awareness on these issues will help further the understanding of them.

Stay tuned!

We are going to take a look at some mental health medicine now. What I will be discussing will be the psychotherapeutic medications, which are commonly prescribed medications for mental health related issues such as depression, anxiety, and more.
MENTAL HEALTH MEDICINES

Just as aspirin can reduce a fever without curing the infection that causes it, psychotherapeutic medications act by controlling symptoms. These medications do not cure the mental health issue, but in many cases, they can help a person function better. For example, drugs like chlorpromazine can turn off the “voices” heard by some people coping with psychosis and help them to see reality more clearly. And antidepressants can lighten the dark moods of depression. The degree of response to these medications depends on a variety of factors related to the individual and the disorder being treated.

How long someone must take a psychotherapeutic medication depends on the individual and the disorder. Many depressed and anxious people may need medication for a single period—perhaps for several months—and then never need it again. People with conditions such as schizophrenia or bipolar disorder (also known as manic-depressive illness), or those whose depression or anxiety is chronic or recurrent, may have to take medication indefinitely.

Centre for Mental Health ResearchLike any medication, psychotherapeutic medications do not produce the same effect in everyone. Some people may respond better to one medication than another. Some may need larger dosages than others do. Some have side effects, and others do not. Age, sex, body size, body chemistry, physical illnesses and their treatments, diet, and habits such as smoking are some of the factors that can influence a medication’s effect. There are many mental health tests that can test a person's possible responsiveness to treatment, and your doctor is always the best place to start with these kinds of issues.

Next we will take a look at some great questions that you can ask your doctor if you are considering medication for mental health.

In this final part of "Understanding Metal Health Tests", I will be covering the fear of stigma of the diagnosed mental patient and mental assessments for children.

Stigma

Although mental illness responds well to treatment such as psychotherapy, prescription drugs and complementary alternative practices, there is still an avoidance to seek help. This avoidance stems from the fear of the stigma that comes with a mental illness diagnosis. The fear of being discriminated against and stereotyped surpasses sometimes the need of healing.

Throughout history people suffering mental conditions are stamped as being violent and unreliable. The mental health patient often faces problems when trying to rent or even seek employment. It is not a surprise that most people exhibiting some form or symptom of mental dysfunction shy away from professional help opting for a life of alienation. Alcohol and drug addictions are sometimes a product of not receiving needed help as they are used as a way to self medicate. It is important to rise awareness as a society and try to overcome the image and negative stigma of mental illnesses. Mental Health America offers a great support group lisiting.


Mental Health Tests for Children

Everyone is at risk of suffering from a mental illness. According to a pediatric update children are especially susceptible. Physical factors (inherited and/or inflicted to the developing fetus) and psychosocial harmful experiences after birth can affect the mental health of children. The mother's alcohol or substance abuse, family history of mental disease or traumatic events such as exposure to violence and neglect, are of great impact in a child's development. Mental illnesses in youth can lead to failure in school or substance abuse and if left untreated can result in life threatening conduct problems such as violence or even suicide.

Mental health tests are available to diagnose and treat autism, ADHD, mental retardation and behavioral/ emotional conditions. Visit the National Institute of Mental Health and learn more about the treatment of children with mental disorders.


Mental Health Tests are an in depth tool for the practitioner to better diagnose and treat a patient. They are composed of various assessments both physical (such as blood tests, MRI, etc.) and psychological. Mental tests help discover diseases of behavior, criminal, antisocial and personality dysfunctions. But what are those psychological tests and how do they aid in diagnosing or ruling out a mental illness?

Written and Verbal Tests

A mental health assessment may include one or more verbal or written tests. You will be asked some questions and will either answer out loud or write your answer on a piece of paper. Your answers are then rated and scored by your doctor.

Written questionnaires generally contain 20 to 30 questions that can be answered quickly, often in a "yes" or "no" format. They usually don't take long to finish and you can do them by yourself at a regular office visit. Many mental health questionnaires are available to test for depression and Cognitive Functions.

Depression:

The Hamilton Rating Scale for Depression is a depression rating scale of 17-items that evaluates depressed mood, vegetative and cognitive symptoms of depression, and co-morbid anxiety symptoms.

The Beck Depression Inventory (BDI) is a 21-item test presented in multiple choice format which  measures the presence and degree of depression in adolescents and adults. Each of the 21-items of the BDI attempts to assess a specific symptom or attitude "which appear(s) to be specific to depressed patients".

The Geriatric Depression Scale (GDS) is a 30-item self-report assessment designed specifically to identify depression in the elderly. The items may be answered yes or no, which is thought to be simpler than scales that use a five-category response set.

Cognitive Functions (How well you are able to think, reason, and remember)

The Mini Mental State Examination (MMSE) is the most commonly used test for complaints of memory problems or when a diagnosis of dementia is being considered. The MMSE is the test that the NHS recommends for deciding whether a drug treatment for Alzheimer's disease should be prescribed.It is widely used to check your cognitive functions and how well you are able to carry out routine activities, such as eating, dressing, shopping, or banking.

Sometimes a more extensive mental health test, such as the Wechsler Adult Intelligence Scale is needed. The WAIS is a general test of cognitive ability, which Wechsler defined as, "... the global capacity of the individual to act purposefully, to think rationally, and to deal effectively with his environment". Therefore following his definition of  intelligence as "an aggregate of mental aptitudes or abilities", the WAIS consists of 11 sub-tests divided into two parts, verbal and performance. The test was revised  to include a separate scale for children under 16 years of age.

Credits:

Bay Area Medical Information
Compact Clinical Assesment



Introduction

Mental health tests are an overall evaluation which includes your emotional, reasoning and cognitive functions abilities. They include interviews and tests with mental health professionals and regular physicians.

Mental Health Assessments distinguish between physical disorders and mental disorders such as anxiety, schizophrenia, depression and other dementia. Mental health tests are very important in the detection of learning disabilities such as attention deficit hyperactivity disorder (ADHD), conduct disorder (CD), or obsessive-compulsive disorder (OCD).

It is also used to evaluate the mental status of a person who has been institutionalized, arrested or otherwise suspected of dysfunctional behavior, such
as drunken driving, physical abuse and other
criminal antisocial behavior and clinical Dementia.

Questions to assess your cognitive functioning (your thinking, reasoning, and memory) are also included. Perception, thought processes, logical thinking, and suicidal tendencies may also be included in the interview.

Physical examination

Depending on the setting and circumstances, a mental health assessment may or may not include a physical examination. In a case where it is determined one is needed, the health professional will review your past medical history (as well as that of your family members) including medications you currently take, if any.

Your senses (hearing, taste, sight, smell, and touch) your reflexes and balance are examined as a way to test the nervous system.

Lab tests

If a nervous system problem is suspected or discovered by the physical examination screening, tests such as magnetic resonance imaging (MRI), computed tomography (CT) scan or electroencephalography (EEG) may be done. Laboratory tests for thyroid function, electrolyte levels and toxicology to detect drug or alcohol problems are often part of the screening.

Mental Health Tests are an in depth tool for practitioners to better diagnose and treat a patient. In the following days we will discuss the process to include written and verbal tests, the risks and fears of stigma, mental health tests for children and much more.