Who should contact with mental health problems first?

Who should apply to those with mental health problems? Who should contact with mental health problems first?

Mental and nervous diseases were found curable by 89.2%. “what do you do in this situation? Who should contact with mental health problems first?

In our country, many people who are members of various professions that do not have the competence to diagnose and treat psychiatric illnesses and who are not competent in medicine, engage in diagnosis and treatment practices that will lead to undesirable results and this situation threatens the public health. Despite the legal regulations on the subject, inadequate supervision and the introduction of some media outlets to the public through programs that we think are incompatible with the responsible broadcasting approach increases the dimensions of the problem. The Psychiatric Association of Turkey feels the responsibility to inform the public and the press on this issue.

In our country, the definition of occupational groups dealing with mental problems in many parts of society is not known enough. For example, the concepts of psychologists or psychiatrists are frequently used in the same sense. With this use, the two groups that are actually very different in terms of their education are mixed together.

According to the results of a study conducted on 500 people in Gaziantep in 2006, 56.6% of the participants evaluated the psychologists as speech and the psychiatrists as medicines.

Mental and nervous diseases were found curable by 89.2%. M. Depression symptoms are defined, then “what do you do in this situation?” 57% of the respondents answered the question “think it is a temporary situation, do nothing”. Symptoms of schizophrenia are given and “What do you do to your relative in this situation?” When asked, 51.8% of the respondents replied, “I’ll take them to the psychiatrist”. Panic disorder symptoms are defined and “What do you do in this situation?” When asked, 57% of the subjects stated that they would go to the internal medicine doctor and the respondents who gave this answer were asked in the next question, “What would you do if your internal medicine doctor directed you to the psychiatrist?” While 64.1% of the respondents answered this question as “I go to the psychiatrist”

People who have problems with mental health are also undecided about where to apply. Mental health services should be carried out in teamwork. People working in the field of mental health can be listed as follows:

Psychiatrist

✅General Practitioner / Family doctor

✅Psychologist / Clinical Psychologist

✅Psychiatric nurse

✅Social worker

✅Psychological Counselors

✅Psychiatrist

A medical school graduate working in the recognition, prevention, treatment, and rehabilitation of mental illnesses, and a physician who has completed his psychiatry residency training. A psychiatrist is a specialist physician who has graduated from a 6-year medical school and has specialized in psychiatry for 4 years. It is the person who both has knowledge about the general diseases of the human with his medical education and has the authority, knowledge, and equipment to define his mental structure and to treat it when necessary. As a clinical decision-maker, the psychiatrist provides coordination within the mental health team. In order to provide psychiatric service with high quality, application, evaluation, treatment, referral to other units and termination of treatment, and rehabilitation stages are defined. The planning of the treatment to be applied to the patient and the evaluation of the treatment carried out is completely under the responsibility of the psychiatrist. It is solely the responsibility and authority of psychiatrists to make any diagnosis related to mental problems, to plan treatment, to apply appropriate psychotherapy as well as medication and other treatment methods. No other professional group is entitled to do these practices independently. This authority has been given only to psychiatrists with the laws of the Republic of Turkey.

Apart from the occupational groups listed above, “life coach, NLP, etc.” Those working in such fields are not included in the mental health team.

Psychiatry is a medical branch. Neurology, another branch of medicine; It serves in areas such as epilepsy (epilepsy), cerebrovascular accident (paralysis due to vascular events), parkinsonism and involuntary movements, headaches, multiple sclerosis, muscle diseases. Psychiatry’s interests are in general:

Depression, Anxiety (Anxiety) disorder (Panic disorder, Widespread anxiety disorder, Obsessive-compulsive disorder, Social Phobia, Posttraumatic stress disorder), Bipolar disorder (Manic depressive disorder, Bipolar disorder), Schizophrenia, Alcohol-substance addiction, Sexual dysfunction, Personality disorders, Eating disorders, Hysteria-conversion, Hypochondriasis, Tics, Aging psychiatry-dementia (dementia), Long-lasting age, Impulse control disorders.

Your mental and physical health is a whole. Many mental symptoms can indicate a physical illness, and many physical symptoms can indicate a mental illness. Diagnosis of mental illnesses, such as somatic illnesses, can only be made by physicians and their treatment can be made by the physician or under physician control. Psychiatrists have basic knowledge, skills, and equipment for all kinds of psychiatric practices. Advanced specialization examination can distinguish situations that require research or treatment intervention and can take the necessary precautions and guide them. All kinds of mental problems and complaints should be evaluated first by the physicians who have received a medical education, only your doctor can decide with you the treatment method. Most mental disorders can be successfully treated with biological treatments such as drug therapy and/or psychotherapy methods. Psychotherapy is also a medical intervention, but it can be done by or by your psychiatrist by a clinical psychologist with training and competence in a particular therapy. Your psychiatrist will decide the treatment that suits your mental state with you.

Exp. Dr. Mehmet BULBS
Psychiatric Association Scientific Meetings Secretary

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