Professional Documents
Culture Documents
Introduction
Mental illness and life sufferers
Mental illness are the most devastating and disabling of the diseases,
affecting the mankind, giving its victims and their families a life of suffering,
trauma and travail.
Nearly one percent of humanity is suffering from malady, of which nearly
20% would become chronic. In the context of our country it means one crore
of our people are victims of different forms of mental illness and of whom 20
lakh are likely to be chronic.
Often the victims entire personality becomes shattered due to disfunctioning
of their mental faculty. They drift from social mainstream, remain castigated
from immediate neighbourhood , as well as the society at large. What they
need is not just medical intervention but a multiple therapeutic approach to
bring them back even to a semblance of normal functionality.
Depression
Depression is a serious medical illness. Symptoms can include:
Sadness or low mood
Loss of interest or pleasure in activities you used to enjoy
Change in weight
Difficulty sleeping or oversleeping
Energy loss
Feelings of worthlessness
Thoughts of death or suicide
Depression can run in families and usually starts between the ages of 15 and 30. It
is much more common in women. Women can also get postpartumdepression after
the birth of a baby.
Aim
To design a rehabilitation centre for those persons with mental illness. This
will totally base on the design of the building in order to recover or
rehabilitate the persons by understanding the terms of psychological
treatment through the building envelope.
Set up a home away from home offering solace to the suffering individual
and family alike, where the atmosphere would be of large extended family in
which the residents would get the comfort,security,love and kindness of the
family, with psychological rehabilitation programmes .
Objectives
Scope
Building form, interiors and landscaped areas will be highlights of the design.
The campus will also include residential facilities for staff members.
Expected outcome
Design elements on how to deal with the buildings built psychologically for
such kind of persons
Research study on psychological based built architecture.
Recovery- a journey of happiness
Nurturing relationships
What is depression?
Back
Definition
Sometimes when people feel sad, they say they are "depressed." But depression is
more than just feeling sad. It's a medical illness. Someone who has "major" depression
has most or all of the symptoms listed in the box below nearly every day, all day, for 2
weeks or longer.
Symptoms
Causes
Your body contains chemicals that help control your moods. When you don't have
enough of these chemicals or when your brain doesn't respond to them properly, you
may become depressed. Depression can be genetic (meaning it can run in families).
Abusing drugs or alcohol can also lead to depression. Some medical problems and
medications can lead to depression.
Depression is not a normal part of growing older, but it is common in adults age 65 and
over. Retirement, health problems and the loss of loved ones are things that happen to
older adults. Feeling sad at these times is normal. But if these feelings persist and keep
you from your usual activities, you should talk to your doctor.
Diagnosis
Sometimes depression is first recognized by friends or family members. If you're having
symptoms of depression, be sure to tell your doctor. Don't assume he or she will be able
to tell that you are depressed just by looking at you. Your doctor will ask you questions
about your symptoms, your health and your family's history of health problems. He or
she may also give you an exam and do some tests. It is also important to tell your
doctor about any medicines that you are taking.
Aims & Objectives
To offer treatment, support and care to persons affected with a mental illness or a personality disorder or
any emotional and/or mental condition that has rendered them unable to function
To provide after care and support to clients of the centre to ensure complete integration within society
To offer care and support to the caregivers of such persons
Involving families, rendering therapy and support through the establishment of support groups for
caregivers
To offer counselling to disturbed and distressed adults with emotional problems and to individuals facing
coping difficulties
To encourage the involvement of the community in the cause of mental health by creating awareness and
organizing sensitisation programmes in the endeavour to generate and facilitate the use of local
employment facilities and resources
To empower and facilitate the use of already existing resources and services within the professional
community by networking and organising publicity for the purpose of sensitisation as well as skillenhancing workshops, seminars and training programmes.
[Madness] is the jail we could all end up in. And watch our step. For life time. We behave. A fantastic
and entire system of social control, by the threat of example as effective over the general population
as detention centers in dictatordhips, the image of the madhouse floats through every mind of the
course of its lifetime.
Psychiatry was the last specialty to be incorporated into the field of medicine. Although it now has a
definite place of its own, the medical profession has for long focused its attention on physical illnesses
alone. Matters related to the mind were regarded a separate entity to be treated along with philosophy
and religion. This resulted in a lot of magico-religious methods of treatment and these are still prevalent to
a large extent in India. Atharva Veda, the most important document of vedic medicine makes a mention of
psychiatric illnesses. Drugs like rauwolfia sepentia (sapargandha) were also known in the ancient times
and were used an tranquilizers, but the majority still believed in magic formulae against demons and evil
spirits. Many of the mentally ill were left untreated because of the belief that their illness were a result of
bad deeds in their previous births or dealt with barbarically and brutally due to the misconception that the
illness and its symptoms resulted from the possession of the individual by an evil spirit. (Desouza &
Desouza, 1984).
There are many diverse and compos mechanisms surrounding the issue that must be addressed. In order
to achieve maximum recovery and true integration, a holistic approach that addresses all aspects of
mental illness. Ignored oand neglected by the government or state welfare agencies, mental institutions
are often used by family members of the patient as dumping grounds for the unwanted and eventually
forgotten. Within the walls of these institutions, although medical treatment is mostly administered, many
individuals are written off as lost causes and face discrimination at every possible juncture. The
discrimination pervades every aspect of their lives and more often than not, even basic rights are openly
flouted.
Complete intolerance towards of mentally ill people, society continues to shun its responsibilities towards
this segment of society. So pervasive and powerful is the stigma attached to mental illness and so scarce
is accurate knowledge about mental illness, that families of these individuals rarely explore any option
other than isolation or just medication if and when the situation becomes unmanageable. Very often entire
families are forced into seclusion due to the sheer shame they experience. Adding to the misery of their
existence, the ill are often blamed and held responsible for the shame brought to the family.
Mental illness knows no boundaries. Mentally ill people from every economic strata and every class of
society tend to face a similar reality. The following are the possible reasons :
A mentally ill individual displays no overt signs of oa disorder. Completely normal physiologically, a
mental illness is difficult to detect and easier to hide. Given the stigma and the shame of being mentally ill,
total withdrawal from society is often the most preferred option.
Symptoms of mental illness emerge post-puberty or well into adulthood. Although born with the chemical
imbalance, a mentally ill adult may live a perfectly normal and healthy childhood and show little, if any,
signs of a disorder before adulthood. No diagnostic tools for early detection exist. As a result, the
problems tend to be more complex and tolerance for erratic behaviors stemming unknowingly from the
illness is virtually non-existent. The lack of visibility of the illness makes it an abstract phenomenon,
difficult to understand and more challenging to accept.
In spite of proof from all over the world that demonstrates high recovery potential amongst the mentally
oil, almost no opportunities, formal or otherwise, exist in India for rehabilitation and holistic therapy. It has
also been made evident that medicine alone is not conductive to reintegration and that rehabilitative
therapy must be administered concurrently with medical treatment for the successful integration of the
mentally ill into mainstream society.
Social acceptance for mentally ill people is affected because of the lack of awareness and education
among the people on the illness. People in general often associate or connect mental illness with violence
and insane behavior.
The family who are more often than not considered to be the primary agents of socialization, shy away
from any such attempts due to fear of being identified with mentally ill member due to the embarrassment
and shame they anticipate with their social circle. Therefore, the space for social acceptance and
socialization becomes more limited when there is lack of involvement from the family itself.
The high expenses involved in the process of treatment makes treatment a daunting proposition for the
family, especially for those from economically disadvantaged segments of society with limited resources
for sustenance.
Nothing defines the quality of life in a community more clearly than people who regard themselves,
or whom the consensus chooses to regard, as mentally unwell
.
The fast pace globalization, industrialization and modernization of society has resulted in stress, broken
families and unstable relationships. The sudden demise of a loved one and other such unexpected
happenings lead to depression and frustration as well as to mental disorders and behavioral changes.
The natural delay in the identification and diagnosis of mental disorders has further contributed to the
maturity of the illness and the often-unfulfilled need for prolonged rehabilitation, care and treatment.
Moreover, the lack of economic resources and professional interventions for the mentally ill in addition to
the apathy of the governments health and welfare departments has made the scenario even bleaker.
India alone has 1.25 million people who are suffering from mental illness and nearly 25 million are still in
need of mental health services.
Anxiety and worry are a normal part of life. Whether it's about a job or the outcome of a sporting event,
most people will worry a little about how things might turn out. Not only is anxiety a common human
emotion; but moderate amounts of anxiety can be a good thing. Anxiety produces exactly the right
response to a difficult situation. It can motivate a person to prepare for an exam, to complete an essay or
a painting or to deliver a speech, and it can give provide inspiration to produce high quality work and a
good performance.
Anxiety prepares us to face difficult or threatening situations, drives us to action, and helps us cope.
Nervousness in anticipation of a situation is normal, but if you have an anxiety disorder exaggerated
anxiety can impede your performance. People with anxiety disorders may be unable to find ways of
coping with or reducing their feelings of anxiety. Their anxiety may become so excessive that they may
not be able to take part in everyday activities. Excessive anxiety is more than butterflies in your stomach.
It is a real, medical illness, which disrupts people's lives.
Anxiety disorders are a group of very common, serious, yet treatable disorders that affect behaviour,
thoughts, feelings and physical sensations. They include a number of apparently very different conditions
such as:
Phobias
All these disorders have anxiety as a major or underlying symptom. Anxiety symptoms range from
feelings of uneasiness to episodes of incapacitating terror.
Like many other illnesses, anxiety disorders often have an underlying biological cause, and frequently run
in families. Experts believe that most anxiety disorders are caused by a combination of biological and
environmental factors. In that respect they are no different from medical disorders such as heart disease
or diabetes.
Fortunately, most people with an anxiety disorder can be helped with the right professional care. There
are no guarantees, and success rates may vary according to the severity and the type of anxiety and a
person's circumstances. The duration of treatment will also vary. Some people require only a few months
of treatment, while others may need a year or more. On the whole, psychiatrists prescribe a combination
of psychotherapy and medication.
Anxiety disorders are common in all countries and cultures. It is believed that around 16% of adults suffer
from a form of anxiety disorder. Panic disorder and agoraphobia, in particular, are associated with an
increased risk of attempted suicide.
Depression
The term depression is used to describe an emotion or a mood state, experienced by many people.
Everyone has moments of feeling down or sad. But, on the whole these feelings do not last for very long.
In contrast, people with severe depression are suffering from a serious illness. This illness affects not only
their mood, but also a range of other normal bodily functions.
Depression can influence the way a person eats and sleeps, but most of all the condition impacts on the
way individuals feel about themselves. Depression is not a phase, a passing mood or a state of mind that
people imagine or cause themselves, but a mental illness. Those who suffer from this disorder should not
be blamed for their feelings or frame of mind.
People with severe depression often feel sad, helpless, hopeless, and irritable and cannot snap out of
these feelings. The persistence and severity of the emotions set depression apart from normal mood
changes. Clinical depression is persistent and can severely affect an individual's ability to function
normally. Depression can be devastating to a person's everyday life, including family relationships,
friendships and the ability to work or go to school. If you suspect that you or a beloved one may suffer
from depression, talk to your doctor without delay.
Diagnosing someone with clinical depression - the medical term used for condition - implies that the
symptoms are severe enough to require treatment. There are several types of clinical depression. Every
one of these types has distinct characteristics. They include: major or severe depression, dysthymia,
double depression, bipolar disorder, and seasonal affective disorder (SAD).
Depression is a major worldwide health problem, and places great demands on health and social
services. Nearly one in ten adults may be suffering from depressive symptoms; depression is the greatest
cause of problem disability across the world. The highest rates of depressive illness are found among
people in their early twenties to mid forties.
About 12% of women suffer from clinical depression; almost double the rate of men (about 7%). One in
four women, is likely to experience severe depression at some stage during her life. Yet, only about one
fifth of women with depression receive the right treatment. Women are also more likely to suffer from
other symptoms, such as anxiety, sleep disorders, panic attacks and eating disorders together with
depression.
Depressive illness usually begins during adolescence or early adulthood. For many people it can take
years for the illness to be diagnosed. This is possibly due to the fact that the general public does not
consider depression to be an illness. As a result people with depression may not realise that they have a
treatable illness or may be discouraged from seeking treatment, because they feel ashamed of their
symptoms.
Many people suffer from depression for years without receiving a proper diagnosis or treatment.Yet
depression is one of the most treatable mental illnesses and an early diagnosis will improve the long-term
outcome considerably as treatment can start early. 80% - 90% of people with depression respond well to
treatment. Without treatment, the symptoms of depression can last for weeks, months or years, turning
the condition into a chronic disorder. This greatly increases the risk of multiple episodes .
Depression is a long-term illness and needs long-term treatment. Some people seem to recover but then
relapse. This is usually due because they feel better and therefore stop taking their medication. Staying
on treatment can prevent relapse and the reappearance of symptoms.
Depression in older people often remains undetected or untreated. In ageing people, the signs of
depression are much more likely to be dismissed as eccentricity or bad-temper. Depression can also be
difficult to recognise in older people, because they may be confused or have problems concentrating.
These symptoms are often mistaken for dementia, Alzheimer's disease or other disorders of the brain.
Mood changes and signs of depression can also be caused by medicines for high blood pressure or heart
disease.
ADHD
Attention deficit hyperactivity disorder or ADHD is a mental condition that affects especially children and
youngsters throughout the whole world. It is estimated that ADHD affects 5% of school-aged children and
that is two to three times more seen in boys than in girls. As the illness remains under-recognised, less
than half of the affected children and or adolescents receive a diagnosis. As a result, even fewer children
receive the appropriate treatment.
Left untreated, ADHD can have a negative impact on the wellbeing of a child and his/her family. A child
with ADHD who has not been diagnosed and has not been given the right treatment is likely to suffer not
only academically, but also emotionally and will experience behavioural symptoms into adulthood.
Mostly, ADHD is diagnosed during primary school years. Symptoms of ADHD are present before the age
of seven, but can last into adolescence and adulthood. Although symptoms tend to reduce during late
adolescence and early adulthood, people do not outgrow ADHD, but they learn to master strategies to
compensate for the symptoms.
Until now, the causes of ADHD are still not fully understood, but a genetic element may be involved.
Diagnosing the condition can be difficult, as a number of symptoms are involved. In most cases one
symptom will stand out. Depending which of these symptoms are more prominent, a diagnosis of one of
the three subtypes of ADHD will be diagnosed will be reached:
Predominantly hyperactive-impulsive
Predominantly inattentive
Combined ADHD
The consequences of ADHD for children, their families and for society can be very serious. Children can
develop poor self-esteem, emotional and social problems and their educational achievement is frequently
severely impaired. The pressure on families can sometimes be very extreme.
Although ADHD causes considerable problems for a child and his/her surroundings, a number of
treatments have been developed to treat the condition. These help the child's integration into normal daily
life. Treatment includes psychosocial and educational programmes as well as medication, in some cases.
If you suspect your child suffers from ADHD, the first step is talking to your doctor and your child's
teacher(s). Your doctor will be able to provide you with more information and refer you to a specialist
healthcare professional. Getting information from your child's teacher will be helpful in assessing your
child's problem and reaching a diagnosis where appropriate. The earlier ADHD is diagnosed, the better
the outcome for the child.
Having a child with ADHD poses significant problems to many parents who often want to hide their child's
condition. However, discussing the condition with family and friends can provide much needed support
and understanding and relieve the burden of ADHD. ADHD is often misinterpreted as bad behaviour as a
result of bad upbringing and education. Nothing is less true; ADHD is a mental behavioural illness and
ensuring loved ones, friends and teachers are aware of your child's condition, will not only improve their
relationship with your child, but improve family life, support and understanding.
I Want To Be is a series of photographs taken by Laila Vaziralli, a professional photographer, in
collaboration with the MANAV Foundation. Depicting the dreams, hopes and ambitions of
individuals recovering from severe mental illnesses, the idea for the exhibition stemmed from the
acknowledgement of the fundamental right to dream.
Never before has this right been questioned, never have we doubted its worthiness, irrespective of
whether in reality our dreams come true or not. Moreover, to dream big or small, is vital to our
existence, integral to staying alive. With this in mind the clients of the MANAV foundation were told to
dream, to dream ambitious, bold and brave dreams.
A variety of dreams emerged from this process some were practical ambitions like the desire to work in
an office or become a welder. Some were as simple as the hope to be a yellow flower. Several were out
of the box and ingenious in nature, like becoming a foreigner or a DJ!
Using costumes, face paints, and props the clients were dressed up and photographed as they wished. A
number of clients didnt want to be recognisable, while others were unafraid to show their faces and
thought it was important they tell society that they have an illness, just like any other illness, which is
treatable and makes them no different from other individuals. All the photographs were taken at the
Manav Rehabilitation Centre, so that the clients were in a comfortable and familiar environment. These
images are intended to initiate a social conversation, leading to the elimination of stereo types and the
stigma, which not only discriminates but mitigates the most basic right of all the right to dream. Come
and have a look and share in the dreaming
I want to create a center where people aged between 16-25 can come and share
about their problems which can be personal, which disturbs their mind continuously
due to which for a short period of time they suffer from mood
swings,depression,anxiety,excitement,hypertension and increased stress level.As i
am an architecture student i want to design a building where counselling can be
done to this kind of people.And improve their mental state by creating a landscape
in which they will interact with the nature.There will be meditation rooms, yoga
rooms and classrooms for mind lectures.I want to create a friendly environment in
which the suffering people can interact and share their problems easily,get healed
and return back from this center with a better mental state so that they can
continue their lives normally.
suicide in children and adolescents, including early diagnosis and treatment, and a better understanding of
suicidal thinking.
CLINICAL
RECOVERY:
Defined by mental health professionals and is reduction/cessation of symptoms and restoring social
functioning.
PERSONAL
Refers to an ongoing holistic process of personal growth, healing and self determination.
Recovery oriented mental health rehabilitation services are:
RECOVERY:
Process
with
mental
Better
understanding
illness)
of
the
problem
and
and
treatment
family
measures
and
its
outcomes
Help and identify area of communication creating conflict or problem and improve
communication
patterns
in
the
family
PSYCHOLOGICAL
Psychological
therapies
THERAPIES
for
short
and
long
Cognitive
term
rehabilitation
and
Behavioural
care
are
therapy
Interpersonal
therapy
Supportive
therapy
Cognitive
rehabilitation
Bibilotherapy
Cinema/Reel
therapy
Drama
Therapy
Morita
Therapy
SOCIAL
THERAPIES
Training
Family
Vocational
in
activities
Interventions
and
Supported
of
Living
and
occupational
skills
therapies
rehabilitation
Education
Supported
Living
Supported Employment
Art therapy
Group therapy
Recreation therapy
Indoor games
Community meeting
Vocational Training
when clients reach a level at which they are ready to engage in productive activity they are
introduced to the vocational training unit. The aim of training is to impart vocational skills to the
clients that prepare them for a contributory role in the family and community. Vocational skills are
taught by professional skills instructors, who assess the skills and interests of each resident and
build the training programme based on each individual. Some of the favourite vocational training
activities of our residents are:
Tailoring
Embroidery
Imitation jewellery
Envelop making
Card making
File Making
Crafts
Computer classes
Dance classes
Cooking classes
Gardening etc.
Living facility
24 hours residential care is provided for both Short and Long term, Care Treatment. There are
Separate blocks of Accommodation for males and females. Various kinds of accommodation is
available, depending upon the patients Psychological/ Physical condition and Choice of the
patient/ family like Single bedrooms, two, three, four bedded rooms and multiple occupancy
Dormitories. Rooms are spacious, well ventilated and bright. Generator Power Supply is
available round the clock in case of emergencies of power failures; toilet and bathroom facilities
with 24 hours water supply are provided. Recreational facilities like news papers, magazines
and televisions are supplied proportionately in each House. Single rooms are furnished with
extra large sized beds, a cupboard, set of chairs with a centre table, a T.V with cable
connection, etc. Air conditioning can also be provided on request from the family. The clean
and well equipped kitchen and beautifully arranged dining halls have been set up to provide the
residents with timely food and refreshments. Laundry facility is available for those who are not
able to wash clothes on their own.
The computer lab is arranged with the aim of providing opportunities for computer education
and refreshing the knowledge of computers of the residents.
To offer a Therapeautic Program to the clients in a comprehensive way in oder to regain their lost
potentials and encourage them to be contributing and functional members of the society. Our aim is to
extend various services for clients in Mental health through a broader holistic approach by providing them
with a structured Psycho Social Rehabilitation & Medical care supported by professionals with expertise.
"Empowering and Awakening clients towards a peaceful and divine well being leading to
maximum recovery