Do I Need Help? by Diedre Evans-Cosby, MD

Over the course of a person's lifetime, he may have periods when he feels "stressed out" or like "something is not right." Others may notice that a loved one is acting odd or "not like his old self." How can you tell if you should seek treatment? When and where should you turn?

At times, mental illness may be obvious to even the most casual observer. Someone may be carrying on a conversation when there appears to be no one there. Others see things that we cannot and still others discuss ideas that appear to have no basis in reality. More commonly the picture is a little hazier, however. Most people experience episodes of feeling stressed, overwhelmed, or sad. These experiences may be a part of everyday life and not an indication of mental illness. However, if such feelings are persistent or should start to interfere with occupational, social, or other important areas of functioning, this may be an indication of something more serious. Similarly if you or a loved one appears to have no energy, stop paying attention to hygiene needs, or isolates oneself, it may be time to seek help. In other cases, a loved one may seem like they never need to sleep, are always distracted, impulsive, or maybe they simply talk too fast, or gets involved in multiple projects without completing them.

There are many possible causes for any single symptom described above. The causes range from medical illness, medications, alcohol or illegal substances, to varying mental conditions. Society and the media have historically displayed mental illness in such a light that people may become afraid or are too embarrassed to seek help. Mental illness is more common than the general public is usually aware, however. Of Americans at least 18 years old 18.1 percent will experience an anxiety disorder in a given year. Similarly 9.5 percent will experience a mood disorder and 1 percent will carry a diagnosis of schizophrenia within a given year (National Institutes of Health).

In any instance, if there are any concerns regarding you or a loved one, it is best to seek help. There may be an identifiable and/or correctable cause. If the diagnosis is a clinically significant mental illness, there are many treatments available. The first step to treatment is an evaluation. Many people not wanting to see a psychiatrist choose to discuss the situation with their family physician or internist. If the concern is for a child, a good starting point may be his/her pediatrician. A significant percentage of psychiatric medications are prescribed by physicians other than psychiatrist. Others, feeling a little surer that they need a mental health evaluation, can contact their local community health centers. Evaluation at either site, allows an initial work up and preliminary diagnosis to be made, medication or the appropriate treatment to be initiated, and follow up planned.

There is much stigma associated with being diagnosed with a mental illness. However, the suffering is greater for those left untreated. Awareness is key for all involved and can make a significant difference in the quality of one's life.