Let’s Change The Term “Mental Health”

Posted by cynthiaalan @cynthiaalan, Nov 6, 2023

As a retired counselor of 30 years I also manage my own severe treatment-resistant depression and anxiety. The term “mental health” consists of two words that each have a very negative connotation. Let’s consider using the term “brain health” instead, just like “heart health” and “bone health”. After all, the brain is just another organ of the body that needs to be medically treated for those of us dealing with brain health issues. There is already enough stigma.

Interested in more discussions like this? Go to the Depression & Anxiety Support Group.

@brandysparks

Ditto - extremely well-put: thank you.

... Adding to that, and reinforcing it:

The imprinting is at the most vulnerable stage - childhood - to those who otherwise are (or would have been) 'mentally healthy', and it is due to external factors.

This is a dilemma.

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Thank you for a wise addition ("imprinting" is a valuable contribution to this thread).

And thank you for helping me feel supported at a very vulnerable time. Best wishes.

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@esikora

The label "Behavioral Health" seems to be trending, which apparently groups substance abuse with emotional/psychiatric issues.
Not a fan of this trend...

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I dislike "behavioral health" because I think it, too, puts the onus on the person whose behaviors are problematic -- yet those behaviors didn't arise in a vacuum!

I briefly saw a psychiatrist for both meds and talk therapy who believed that we don't exactly have free will, because so much of who we are is determined by family-of-origin stuff that occurs during our 1st three years; it was a relief to hear someone experienced (decades as a practitioner) and well-educated say this.
....... And: About 20 years ago, I worked as a secretary in a methadone clinic for three years; one of my duties was to type up the intake notes for new patients. It amazed me that virtually all of them stated that their home life had been normal or OK -- despite the fact that each of them came from a psychologically dysfunctional family, and that in almost every one of those families, substance use and physical violence had been present.

To be clear, I don't think that our early experiences are a prison we can't escape; I *do* think that we (society) are only starting to combine our 150-yr-old understanding of those forces + acknowledging but not blaming the wounded parents who caused damage + a gradual understanding of therapies that can help with trauma (such as EMDR) + implementing strategies to help those with trauma not only find relief from pain but also have a more-enriching life.

Apologies if I've erred by focusing on my particular bugbears.

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@jc76

pkh3381, I have PTSD that developed into a anxiety/panic disorder. This is mental health. I would not call it brain health as it implies health of an organ versus psychological mental health. However that is my opinion and everyone has a right to feel and express their own.

Mental health is treating a psychological symptom and usually are referred to psychiatry or psychological specialist. This is standard at Mayo where I am under the care of the psychiatric department.

My psychiatric specialist coordinates with my physical health doctors to ensure any medications she is prescribing does not interfere with a physical condition or medication being taken for a physical condition. I think sometimes the physical health doctors do not make enough effort to address and make sure mental health is addressed when seeing patients and referred to specialist. This is NOT my experience with Mayo Clinic.

When I hear mental health I think positive as address the need to address mental health just as much as physical health as both can affect each other. There should be no negative connotation to hearing the term taking care of mental health anymore than physical health.

I am not a doctor but have a Masters Degree in Psychology and understand that physical health (body, organs, tissues, muscles, bones, can affect mental health, and mental health can affect physical health. The mental health of an individual especially dealing with stress, depression, and anxiety has a definite affect on the physical health of an individual.

There are physical conditions inside the brain and body that can't manifest themselves into a mental health symptom when if fact caused by a physical condition inside body especially the brain.

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I’m a retired LMSW and LMLA. I used to tell my dearest friend, “being crazy is not the issue, it’s learning how to make it work for you”.
I was joking with him, but there is a grain of truth there.
I am hardly a person one would consider landing within the normal spectrum. Label this any way one chooses, it is completely possible to make what others consider ‘deviation from the norm’ an opportunity to excel where many fail.

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@cynthiaalan

I sincerely apologize to you all, because in my original post I meant to say, “Let’s Change The Term Mental Illness” and NOT “Let’s Change The Term Mental Health”. The term “mental illness” consists of two words that, unfortunately, each have a negative connotation, especially the word “mental”. Again, last post, and I sincerely apologize for this confusion.

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Yes makes a big difference. I was responding to what is wrong with Mental Health and the connotation with that term. Which in my opinion is addressing your mental health just as much and important as your physical health.

Again I think all doctors should look at a patient and when they see them address them not only about their physical health but mental health. As I mentioned in previous post when I used to go to VA for visits the first part was all about my mental health. I used to think wow this is a lot of time focusing on that but then made me feel good was addressing me as a whole person and my overall HEALTH not just physical symptoms.

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@esikora

The label "Behavioral Health" seems to be trending, which apparently groups substance abuse with emotional/psychiatric issues.
Not a fan of this trend...

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I’ve seen the term ‘behavioural health’ used to apply stigma, unfortunately, with significant negative consequences to people labelled.
There must be a conscious facilitation of power and autonomy given back to the people who need support services/health care by the practitioners/deliverers or care services, otherwise it is a slippery slope that can and sometimes does lead to language and terminology categorising people negatively and silencing their voice in the therapeutic process by said labels attaching stigma that then becomes very hard to escape.
Hopefully that makes sense..I’m participating in this discussion at 1:30am with some level of fatigue, while “enjoying” wakefulness from drenching night sweats, and doing a bit of typing to take my mind off of it 🙂

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@jk77

I dislike "behavioral health" because I think it, too, puts the onus on the person whose behaviors are problematic -- yet those behaviors didn't arise in a vacuum!

I briefly saw a psychiatrist for both meds and talk therapy who believed that we don't exactly have free will, because so much of who we are is determined by family-of-origin stuff that occurs during our 1st three years; it was a relief to hear someone experienced (decades as a practitioner) and well-educated say this.
....... And: About 20 years ago, I worked as a secretary in a methadone clinic for three years; one of my duties was to type up the intake notes for new patients. It amazed me that virtually all of them stated that their home life had been normal or OK -- despite the fact that each of them came from a psychologically dysfunctional family, and that in almost every one of those families, substance use and physical violence had been present.

To be clear, I don't think that our early experiences are a prison we can't escape; I *do* think that we (society) are only starting to combine our 150-yr-old understanding of those forces + acknowledging but not blaming the wounded parents who caused damage + a gradual understanding of therapies that can help with trauma (such as EMDR) + implementing strategies to help those with trauma not only find relief from pain but also have a more-enriching life.

Apologies if I've erred by focusing on my particular bugbears.

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I totally agree with you on this @jk77, as well as what I replied with above on the imprinting and damage laid upon vulnerable, young, innocent minds and psyches...a phrase I think of, and only occasionally share, as I have few people in my life who I can discuss this with, is:
"no one asked me if I wanted to play this game!" ...
...referring to how when one has no where else to turn, there is no other option in youth, this oppression is unconscionable.

BUT, on the term "behavioral health": it does sit a little more gently than "mental health", but I then immediately thereafter think of "(mis-)behaving", or even just "behavior" as words used to describe / judge / label children or teens who don't seem to know any better.

Definitely NOT the connotation I'd want applied to this aspect of being.

And, I certainly respect those for whom it doesn't matter, or is just wording. But, for me, and society-at-large, words are so important as a starting point - obviously, subtlely or subconsciously - especially in this situation which is so intangible to begin with - that I feel strongly about working this through.

Many wrongs must be righted by at least using a word or phrase that doesn't further encumber this challenge to living our best lives.

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