when it comes to mental health we don’t know what we are doing... thank you for this...

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When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO. KERRY, IRELAND HEARING VOICE GROUP FACILITATOR 1:1 HEARTMATH COACH GRADUATE OF THE SCHOOL OF THE WORK OF BYRON KATIE

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Page 1: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

When it comes to mental health we don’t know what we are doing...THANK YOU FOR THIS OPPORTUNITY…

BRYAN MCELROY 4 T H YEAR GP REGISTRAR SWGPT/ TRALEE CO. KERRY, IRELAND

HEARING VOICE GROUP FACILITATOR

1:1 HEARTMATH COACH

GRADUATE OF THE SCHOOL OF THE WORK OF BYRON KATIE

Page 2: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

Where are we pointing people?

Page 3: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

Diagnostic conundrums…‘Mental illness’----------?------Wellness

Page 4: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

DSM V

• ‘ A group of people on the other side of the world who have made a list’

• 74% pharmaceutical company connections• Super imposed ideas

• ‘Patients’ Anxiety disorder

Depression

Page 5: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

Implications…

• Diagnoses stick• Treatment regimes- - - self sustaining• Dominant force is about repeat

prescribing

Page 6: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

What does the evidence point to?

• ‘Anti depressants’

• Published and unpublished data: Drug/placebo effects

• No evidence that they correct partially or wholly any underlying biological abnormality

1. Kirsch I, Deacon BJ, Huedo-Medina TB, Scoboria A, Moore TJ, et al. (2008) Initial Severity and Antidepressant Benefits: A Meta-Analysis of Data Submitted to the Food and Drug Administration. PLoS Med 5(2): e45. doi:10.1371/journal.pmed.005004522 Moncrieff, J., & Cohen, D. (2013). How do psychiatric drugs work? BMJ: British Medical Journal, 338, 1535–1537. doi:10.1136/bmj.b1963

Page 7: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

Where does the evidence point to?

• Placebo effect- when the mind through

positive suggestion improves health

• Nocebo effect - when the mind through

negative suggestion damages health

Page 8: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

Innocent misunderstanding

Public perception- assumption:

Source of happiness found outside ourselves (Thinking/feeling selves)

‘No tablet can ever give lasting peace of mind’

Page 9: When it comes to mental health we don’t know what we are doing... THANK YOU FOR THIS OPPORTUNITY… BRYAN MCELROY 4 TH YEAR GP REGISTRAR SWGPT/ TRALEE CO

Thank you…

I’d love to share any info/ resources with you-

[email protected]