MANAGING MENTAL HEALTH REQUIRES HOLISTIC APPROACHES

 MANAGING MENTAL HEALTH REQUIRES HOLISTIC APPROACHES


Scientists call for holistic mental health care that combines physical and psychological well-being.



    


Clinicians often default to treating mental health conditions with a variety of medications. This approach, however, largely ignores the role of environment, lifestyle, and social factors. Mental health professionals must work toward a more holistic management picture, Sidarta Ribeiro, Ana Paula Pimentel, Paulo Amarante, and colleagues at the Federal University of Rio Grande do Norte, the Federal University of Rio de Janeiro, and FIOCRUZ in Brazil argue in the new open-access journal PLOS Mental Health.

More people than ever are being diagnosed with mental health conditions—particularly children and young adults. The World Health Organization estimates that mental health conditions affect at least one in eight people around the world. While pharmaceutical treatments are improving, Ribeiro and colleagues argue that psychiatry has become overmedicalized, focusing on using medicines to manage mental health. A better path, they say, involves integrating medication with a deeper understanding of all psychological and physical factors that can affect mental health.

More holistic treatment, Ribeiro and colleagues note, starts with the rights and dignity of the individual. They note that peer support models and strengthening communities can improve outcomes for people in acute mental crises. In addition, they suggest that psychiatric treatment could integrate lifestyle changes to improve sleep, nutrition, and exercise (such as yoga and Capoeira). Finally, holistic mental health management involves engaging with "inner dialogues," using approaches such as psychotherapy, art therapy, and nature exposure. Psychiatry, the scientists argue, must engage not just with the individual's biology but also with their social settings, environments, and lives as a whole.

The authors add: "Deficits in sleep, nutrition, exercise, introspection, and other pillars of good mental health do not occur in a vacuum; they are produced by how we live." It is time to strive toward a more naturalistic and benign approach to promoting mental well-being by strengthening connections to one's body, nature, and community.

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