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Common causes, triggers, symptoms and the effects of medication
The causes and triggers of mental illness can be as many and varied as the symptoms a client has. The effect of medication on a client who has a mental health condition can also affect how they engage with you and your organisation.
Common causes
A mental health condition (neurotic or psychotic) may develop from one or a combination of the following common issues:
    childhood abuse/neglect;
    social isolation;
    homelessness;
    unemployment;
    long-time caring for a family member;
    a long-term physical health condition;
    significant trauma – eg, from an accident or crime.
For psychotic disorders only, other causes are:
    susceptibility to a genetic hereditary condition;
    body chemistry;
    drug misuse.
Triggers
A trigger is something which can affect a person’s emotional state, sometimes significantly, and can cause overwhelming distress. A trigger may affect a person’s ability to remain in the moment, bring up specific thought patterns or influence their behaviour. Common triggers include:
    stress;
    lack of communication within families;
    isolation;
    pressure to succeed/deliver;
    belief that you are what you achieve;
    unrecognised grief following many forms of loss;
    substance misuse;
    a particular place or type of environment.
Symptoms of mental illness
The signs and symptoms of mental illness differ according to the type and severity of condition. A symptom can also sometimes be mild and at other times more severe. A client may be focused and involved in one meeting but be unable to engage at the next.
Some common symptoms of mental illness are:
    a change in thinking or perception;
    reduced level of social functioning – eg, stops going to work, never returns calls, does not turn up to social events;
    changes in sleep patterns – eg, too much or too little;
    personal neglect – eg, unwashed hair, dirty clothes;
    feelings of hopelessness;
    suicidal thoughts;
    low mood;
    catastrophising;
    undue worry;
    self-harm.
Effects of medication
Medication can help to stabilise a mental condition, but may have side effects for the person taking it. These may prove challenging for a client and their adviser, and more time may be needed in a meeting, or a different approach may be required from the agency’s standard protocols.
Some common side effects of medication taken for a mental health condition are:
    feeling flat and disconnected;
    weight gain – this can increase feelings of not being worthwhile or feeling ‘less’ than others;
    agitation and/or violence – anti-psychotic medications may cause this, as can medications for Alzheimer’s disease;
    stomach upsets/nausea and indigestion – this can be a common side effect of depression or anti-psychotic medications;
    hyper-salivation/sweating, shaking – also common with anti-psychotic medication.