Models of Mental Health
Bio-medical and Psychological Models of Mental Health
There are two prominent models of mental health within the Westernised cultures that regard mental illness as either caused by chemical imbalances within a person’s brain, known as the psychiatric or bio-medical model, and the the psychological model in which mental ill health is regarded as a product of a persons’s social, economic and relational life.
The Bio-medical Model
In the bio-medical model, conventional medical approaches are applied on the basis that a person suffering mental health problems is in some way ‘ill’ and requires a medical solution which is most often associated with the prescribing of some sort of drug or another.
In the UK, most of the drugs that are prescribed by GPs are either anti-depressants, which are supposed to address the proposed chemical imbalances that ’cause’ depression, or they are the anti-anxiety drugs which are suposed to moderate the production of anxiety related chemicals such as Adrenalin.
The main problem with this model is that feelings of depression, or prolonged sadness, and anxiety are both completely normal human reactions to life situations which psychologists (including ourselves) argue are being pathologised (modelled as illness) unnecessarily.
Whilst many people do receive beneficial effects from taking psychotropic medications (drugs which effect the brain), artificially reducing normal human emotions does NOT mean that mental problems are caused by a ‘brain disease’, but only that drugs are able to reduce the intensity of emotional feelings.
Furthermore, if a depressed person’s brain shows high levels of Serotonin when using an MRI scanner (Magnetic Resonance Imaging) does this mean that these chemical imbalances are the CAUSE of depressed feelings, or are the RESULT of depressed feelings?
To date (2020) there has not been a single piece of research evidence that demonstrates chemical imbalances as the cause of mental health problems, only that they are present when people feel this way.
What this means is that feeling depressed (or persistently anxiuous) has a direct effect on the brains chemistry rather than the other way around!
The Psychological Model
Psychological models of mental health argue that people feel depressed or anxious as a result of the way that they percieve, process or make-sense of different life experiences which may be dependent on a wide range of factors.
One of the key factors that affects how people create meanings about any given situation, are the core values and beliefs that a person has developed or learned over their lifetimes, which act as ‘filters’ through which meaning is made.
To explain what this means consider the following:
If a youngster is taught that being ‘thought-of’ (or evaluated) negatively by other people is incredibly ‘bad’ then this could lead to a range of behaviours designed to minimise the chances of being negatively evaluated such as trying to never make a mistake.
This belief would most likely lead to this person feeling very socially anxious, which, based on their core belief (that negative evaulations are bad) would be completely logical.
The questions to ask here though, are:
- Is this person mentally ill?
- Have they really got a ‘brain disease’?
- Or, are they simply acting in a way that is consistent with what they believe to be true?
It seems obvious that if there is a problem here, it is not what they think or how they behave, but what they fundamentally believe to be ‘true’ that leads to those thoughts and behaviours.
If anything can truly be considered to be the ’cause’ of their social anxiety, it is clearly a ‘belief’ and this is where it makes most sense to target any change processes and not to administer a drug based on the pathologically classified ‘Social Anxiety Disorder‘ found in the psychiatric literature.
Here at Tranceform, we subscribe to the psychological model of mental health problems and do not agree with the bio-medical modelling of human distress.
It is perfectly normal to feel sad, and maybe depressed, at the loss of a close relative or loved-one. Chemically, there is ZERO difference between a depressed mind and a grieving mind, but the medical model seems to imply that one is normal and the other is a brain disease which is clearly nonsense.
Nobody doubts the fact that these types of feelings can have a profound effect on a person’s day-to-day life, they do, however, medical practitioners (including psychiatrists) and psychologists consider the causes of these feelings to be completely different things, either problematic biology or experiential.
Problematic biology tends to be treated with drugs whilst experiential problems tend to be addressed using talking therapies.
Research shows that psychotherapies are MORE effective in treating these problems than drugs, and in general, psychotherapy has no negative side-effects.
Our Tranceformental CBT programme is an advanced form of therapy designed to exceed the effectiveness of conventional CBT through the recognition that most negative thoughts and behaviours that people exhibit are ‘coherent’ (and therefore completely logical) based on the underlying core beliefs and values.
Unlike conventional CBT, which considers ‘negative automatic thoughts’ (NATs) as errors which should be changed or substituted, our programme seeks to understand and then change the core beliefs which ‘create’ the NAT’s in the first place.
If you don’t change the beliefs and only focus on modifying thoughts, a different set of equally negative thoughts will replace the old ones because the underlying beliefs are still the same!
We offer all prospective clients an initial consultation to discuss your problems prior to commencing any treatment plans.
The cost is £50 and lasts around 50 minutes.
Why not drop us an e-mail to find out if we can help before paying for your initial consultation or, if you prefer, pay now and we’ll get back to you to arrange a mutual date and time.
During this consultation we will discuss the various options that are available to you and make a considered recommendation based on your individual personal circumstances.
Initial consultations are also available as part of our online therapy service.
At TranceForm Psychology we recognise the importance of the therapeutic relationship in helping people to bring about effective change, so its important to be able to ‘meet’ to discuss our change programmes BEFORE proceeding.
Our policy is to help people make a fully balanced & considered decision about undertaking work with us, including both the financial and personal implications.
For most mental health issues we recommend following our 10 session Tranceformental CBT Programme (an advanced version of empirically established Cognitive Behavioural Therapy) to overcome a wide range of mental health and behavioural problems.
CBT is a proven, evidence-based form of therapy for developing a fundamental level of understanding into the dynamics of your problem, but also for learning new coping skills and strategies for sustainable change over your life.
The full course costs £795 which you can pay for on our fees page.
Tranceformental CBT is available On-line as well as a one-to-one format in the clinic.
Visit Online Counselling for more details.