6. @StevenChanMD
WHY IS MENTAL HEALTH IS IMPORTANT?
10 risk factors contribute to inflammation in depression:
Henry Nasrallah MD. “10 Triggers of inflammation 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-inflammation-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.
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
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
family’s deeds, one’s own karma and
expectations, or one’s 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
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
Google’s involvement signals their confidence in technology’s 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/
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.yalescientific.org/2008/11/the-puzzle-of-autism/
3. Jones W, Klin A. “Attention to eyes is present but in decline in 2–6-month-old infants later diagnosed with autism.” Nature 504, 427–431 (19
December 2013) doi:10.1038/nature12715
Eye movement
tests
Schizophrenia Autism
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.
Nat’l 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
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