Mental Distress – Mood Disorders

Mental distress is a spiritual, emotional suffering different from pain of physiological origin. Social suffering results from the failure of a family connection or from the effect of humiliation, exclusion or mistreatment. The individual feels an inability to project himself into the future or to use social relationships, he feels emotional and relational loneliness, withdraws into himself, often with an underestimation of himself. He finds himself in a situation of mental handicap and is no longer able to face his obligations of autonomy to ensure his basic needs in a given social environment. He risks having suicidal thoughts that can actually lead him to suicide.

The causes of these disorders can be psychological, genetic, physical or environmental. Events during pregnancy and birth, head trauma, inappropriate medications and viral infections can also be involved. In neuroimaging, there is evidence of neural networks common to moral pain and physical pain. The areas involved are: hypothalamus, anterior and posterior cingulate cortex, prefrontal cortex, cerebellum and gyrus.

Psychic pain is sometimes experienced as real physical pain, 60% of depressives have muscle pain and 48% have lower back pain.

Several tests are proposed to position the patient’s feelings on a scale of moral pain. This is done in order to assess the risk of suicidality.

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