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Mental Health Day, by Dr. Zach Levine, ER Physician

BT Montreal | posted Wednesday, Oct 10th, 2018

More info: www.drzach.ca 


Institut national de santé publique du québec: annual prevalence of mental disorders is 20%

Fewer than 50% of people with mental disorders see a doctor for these problems

Increasing prevalence in children and adolescents.


Mental illness in Canada

  • In any given year, 1 in 5 people in Canada will personally experience a mental health problem or illness.
  • Mental illness affects people of all ages, education, income levels, and cultures.
  • Approximately 8% of adults will experience major depression at some time in their lives.
  • About 1% of Canadians will experience bipolar disorder (or “manic depression”).
  • By age 40, about 50% of the population will have or have had a mental illness.
  • Schizophrenia affects 1% of the Canadian population.
  • Anxiety disorders affect 5% of the household population, causing mild to severe impairment.
  • Suicide accounts for 24% of all deaths among 15-24 year olds and 16% among 25-44 year olds.
  • Suicide is one of the leading causes of death in both men and women from adolescence to middle age.
  • The mortality rate due to suicide among men is four times the rate among women.
  • Almost one half (49%) of those who feel they have suffered from depression or anxiety have never gone to see a doctor about this problem.
  • Stigma or discrimination attached to mental illnesses presents a serious barrier, not only to diagnosis and treatment but also to acceptance in the community.
  • Mental illnesses can be treated effectively.




Biological — neurotransmitter imbalance — serotonin, norepinephrine

Psychological — worldview, thoughts

Social — Life events



Emotional Symptoms:

  • Constant sadness, almost every day
  • Feeling of worthlessness, of excessive or inappropriate guilt
  • Dark or suicidal thoughts
  • Loss of interest or pleasure in favourite activities

Physical Symptoms

  • Low energy
  • Aches and pains
  • Insomnia or its opposite, hypersomnia
  • Change in weight

Behavioural Symptoms

  • Change in appetite
  • Impression of restlessness
  • Difficulty making decisions or focusing


  • Therapy
  • Exercise
  • Sleep (both a result and a cause of anxiety and mood disorders)
  • Diet (studies on diet and mood are ongoing)
  • Medication


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