The Numbers Don’t Lie: Mental Illness in America

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~Mental Illness in America, 2016

Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1

When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1

In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1

In the U.S., mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-V).4

Mood Disorders

Mood disorders include major depressive disorder, dysthymic disorder, and bipolar disorder.

  • Approximately 20.9 million American adults, or about 9.5 percent of the U.S. population age 18 and older in a given year, have a mood disorder.1,2
  • The median age of onset for mood disorders is 30 years.5
  • Depressive disorders often co-occur with anxiety disorders and substance abuse.5

Major Depressive Disorder

  • Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
  • Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
  • While major depressive disorder can develop at any age, the median age at onset is 32.5
  • Major depressive disorder is more prevalent in women than in men.6

Dysthymic Disorder

  • Symptoms of dysthymic disorder (chronic, mild depression) must persist for at least two years in adults (one year in children) to meet criteria for the diagnosis. Dysthymic disorder affects approximately 1.5 percent of the U.S. population age 18 and older in a given year.1, This figure translates to about 3.3 million American adults.2
  • The median age of onset of dysthymic disorder is 31.1

Bipolar Disorder

  • Bipolar disorder affects approximately 5.7 million American adults, or about 2.6 percent of the U.S. population age 18 and older in a given year.1, 2
  • The median age of onset for bipolar disorders is 25 years.5

Suicide

  • In 2006, 33,300 (approximately 11 per 100,000) people died by suicide in the U.S.7
  • More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder.8
  • The highest suicide rates in the U.S. are found in white men over age 85.9
  • Four times as many men as women die by suicide9; however, women attempt suicide two to three times as often as men.10

Schizophrenia

  • Approximately 2.4 million American adults, or about 1.1 percent of the population age 18 and older in a given year,11, 2 have schizophrenia.
  • Schizophrenia affects men and women with equal frequency.12
  • Schizophrenia often first appears in men in their late teens or early twenties. In contrast, women are generally affected in their twenties or early thirties.12

Anxiety Disorders

Anxiety disorders include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias (social phobia, agoraphobia, and specific phobia).

  • Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.1,2
  • Anxiety disorders frequently co-occur with depressive disorders or substance abuse.1
  • Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.5 5

Panic Disorder

  • Approximately 6 million American adults ages 18 and older, or about 2.7 percent of people in this age group in a given year, have panic disorder.1, 2
  • Panic disorder typically develops in early adulthood (median age of onset is 24), but the age of onset extends throughout adulthood.5
  • About one in three people with panic disorder develops agoraphobia, a condition in which the individual becomes afraid of being in any place or situation where escape might be difficult or help unavailable in the event of a panic attack.12

Obsessive-Compulsive Disorder (OCD)

  • Approximately 2.2 million American adults age 18 and older, or about 1.0 percent of people in this age group in a given year, have OCD.1, 2
  • The first symptoms of OCD often begin during childhood or adolescence, however, the median age of onset is 19.5

Post-Traumatic Stress Disorder (PTSD)

  • Approximately 7.7 million American adults age 18 and older, or about 3.5 percent of people in this age group in a given year, have PTSD.1, 2
  • PTSD can develop at any age, including childhood, but research shows that the median age of onset is 23 years.5
  • About 19 percent of Vietnam veterans experienced PTSD at some point after the war.13 The disorder also frequently occurs after violent personal assaults such as rape, mugging, or domestic violence; terrorism; natural or human-caused disasters; and accidents.

Generalized Anxiety Disorder (GAD)

  • Approximately 6.8 million American adults, or about 3.1 percent of people age 18 and over, have GAD in a given year.1, 2
  • GAD can begin across the life cycle, though the median age of onset is 31 years old.5
To finish reading this article, you will need to go to its source at:

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml  

 

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The Hours

When clinical depression is “on-the-clock” it can be sheer agony. It resists and lingers, sometimes for days and days. (It can last for months if untreated.) But it seems that it is these “hours” that are scarcely endurable. It’s truly all this “wasted” time that can seem most unbearable to the afflicted.

“I was mute and silent,
I refrained even from good,
And my sorrow grew worse.”

–Psalm 39:2, NASB

Depressed people tend to suffer in silence and isolate themselves from the outside world. When you’re depressed, you feel less motivated to go out, make contact, socialize or participate in activities, or doing anything at all. It’s all you can do just to get out of bed.

Days, even weeks can go by without wanting to see anyone or talk to anyone. This aggravates feelings of isolation. Often depressed people do not want to talk about their problem or simply feel misunderstood.

Similarly, prolonged and intense feelings of depression can lead to loneliness. Treating the symptoms of depression may help resolve the problem but it isn’t a sure thing. Finding good relationships can push you out of a depression. Loneliness often fuels my depression. Find understanding friends that you can talk with.

unbelieving-believersBeating depression or loneliness does not start with having more friends, or a relationship, although it can help. It really starts from within and is a process that takes time and care. We can be tempted to scrap friendships because they’re a lot of work. But they maybe one of the keys to healing. Experience has taught me that humans go through life in patterns. (We ‘ll do the same thing over and over again.) Even in different situations, these patterns will be repeated and simply generate the same results. A friend can be a new and strategic solution to breaking free.

It is a good thing to know that Jesus Christ sees and understands. 

But it’s also good to have someone with “skin on.”  Someone you can see and touch.  That’s precisely why we have the Church.  People who believe and touch each other deeply, helping each other up.  Depression does not do very well in the true Body of Christ.

“Brethren, even if anyone is caught in any trespass, you who are spiritual, restore such a one in a spirit of gentleness; each one looking to yourself, so that you too will not be tempted. Bear one another’s burdens, and thereby fulfill the law of Christ.”

Galatians 6:1-2

Dear broken believer, take solace in the people in the church. Learn to confide with those who understand. Sometimes I wonder if God has arranged my mental illness so that I will reach out to others. Perhaps He allows it to bless His Church?

“The church is not a select circle of the immaculate, but a home where the outcast may come in. It is not a palace with gate attendants and challenging sentinels along the entrance-ways holding off at arm’s-length the stranger, but rather a hospital where the broken-hearted may be healed, and where all the weary and troubled may find rest and take counsel together.” 

–James H. Aughey

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Meeting Samson

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The story of Samson (Judges 13-16) is painful. It ranks as one of the saddest tales in Biblical history, and reading it through again only frustrates me. Have you ever seen a piece of fraying cloth. Threads have worked loose and the edges no longer hold together. The mid section maybe fine, but hem is coming apart. The issue is one of integrity.

That is what I think the judge Samson was like. Incredibly gifted, but irrevocably flawed, he was ordained to be a deliverer. Think of him as a “freedom fighter,” called and equipped to set his people free. He was a man of intense contrasts:

  1. uncommonly gifted, yet strangely unconsecrated,
  2. incredibly strong, yet spiritually weak,
  3. called to deliver, but yet died as a captive

You might say he could never conquer himself. Forbidden things became permissible. He never could really say the most important word– No! Lust drove him as often as the Spirit of God did. Samson became a tragic figure in the history of Israel, known more for his failures than his victories.

“Then she called, “Samson, the Philistines are upon you!” He awoke from his sleep and thought, “I’ll go out as before and shake myself free.” But he did not know that the Lord had left him” (Judges 16:20, NIV).

This is perhaps the most tragic verse in Scripture. Samson had compromised to the point of being released from his gift. His attitude was that it would always be there for him, but that wasn’t the case anymore. They would gouge out his eyes, and chain him to a millstone to grind out grain.

Interestingly, in Hebrews 11:32 Samson is mentioned as an example of faith. But how much pain was afflicted on him, and how more brightly would’ve been if he would’ve learned to resist his appetites.

I have a tendency to fray at the edges myself, leaving me with an unsettled feeling. The hems don’t always hold. They come apart. The story of Samson reminds me of my need to watch myself closely. The lesson is loud and clear. Perhaps there is a Samson in everyone of us.

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O Hang On, Dear One!

“He comes to us in the brokenness of our health, in the shipwreck of our family lives, in the loss of all possible peace of mind, even in the very thick of our sins. He saves us in our disasters, not from them. He emphatically does not promise to meet only the odd winner of the self-improvement lottery: He meets us all in our endless and inescapable losing.”

Robert Farrar Capon

For most of us, life is not an ecstasy of really wonderful things that roll unceasingly over us. Sometimes it attacks us. It can have teeth. Goblins and giants begin to encircle us, pressing to our very door. Several friends of mine have faced down divorce lately. Others have gotten very sick. I have some dear ones who battle with mental illnesses. Pain, pain, and more pain.

I certainly don’t intend to be excessively bleak. It was Job who described us as, “Man is born to trouble, as the ‘sparks’ fly upward.” Job was no pessimist, but he was neither an optimist. But he fully grasped that bad things will happen to good people. And I suppose sitting quietly, grieving with friends will adjust your perspective.

“Paul and Barnabas returned to Lystra, Iconium, and Antioch of Pisidia, 22 where they strengthened the believers. They encouraged them to continue in the faith, reminding them that we must suffer many hardships to enter the Kingdom of God.”

Acts 14:21, 22, NLT

These two heroes of the faith, Paul and Barnabas visit these cities. They now have an awareness of what their message is to be. It was one of encouragement, and of endurance, and of the ways of God. They both had the physical evidence to show that they “understood” the scope of their teaching.

Suffering is like learning another language. It is then you can minister deeply.

When I learned Spanish it was a new and vital way of communicating to millions of other people. Learning to speak “fluent” suffering will open up the world to billions of people. Learning to speak the language of pain will unlock many closed doors. Broken believers are in high demand for this “kind of work.”

A lot of us will never learn. We are sold on this exotic idea that God wants us healthy and wealthy. But health and wealth were never supposed to be ends in themselves. Jesus is to be all we seek and desire. When the bottom drops out, will Jesus be enough for you? Will you be encouraged by this revelation of suffering to enter the Kingdom?

“So do not throw away this confident trust in the Lord. Remember the great reward it brings you! Patient endurance is what you need now, so that you will continue to do God’s will. Then you will receive all that he has promised.”

Hebrews 10:36, NLT

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“You will know more of Jesus in one sanctified trial, than in wading through a library of volumes, or listening to a lifetime of sermons.” 

Octavius Winslow

“Adversity is always unexpected and unwelcomed. It is an intruder and a thief, and yet in the hands of God, adversity becomes the means through which His supernatural power is demonstrated.” 

Charles Stanley

“He knows when we go into the storm, He watches over us in the storm, and He can bring us out of the storm when His purposes have been fulfilled.” 

Warren W. Wiersbe

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