There are two fundamental ways in which the crisis can affect mental health. The first is by creating a climate of uncertainty, worry and generalized pessimism. The second is through the direct consequences of the greatest scourge associated with the crisis: unemployment and losses associated therewith. In both cases, it is complex and diffuse factors working more on the most vulnerable people and with fewer resources: poorer, less sociocultural level, the most isolated, and already sick. Unemployment causes a deterioration of general health, both mental health and physical health – in fact, there are two types of health are the same. Psychiatric implications of unemployment focus on males aged between 30 and 50 years.
Unemployment brings many consequences, not just economic. In our society, work sets the tone for our time arrangements, in our relationships, and our personal identity. To overcome the loss of employment, the person has to work especially not allowing such loss would destabilize completely: it must be a person with an employment problem, not a “stopped”. It is essential to maintain the pace of life, physical activity, job search, training, and especially, social relations. Man is essentially a social being. All that isolates us, we just destroyed.
The crisis and unemployment are nonspecific stress factors which affect mainly people who already have other risk factors. The specific conditions are anxiety disorders, sleep disorders, and depressive disorders. But in particular people may precipitate more severe, or even be a determining factor for suicidal behavior paintings. However, it has not yet produced a significant increase in the number of suicides related to the economic crisis.
Although there are no national figures published of psychiatric morbidity or treated prevalence, the impression is that the number of psychiatric consultations in the public sector is increasing. The increase is recorded on the growth of consultations revision, not the first cases, which remain unchanged. This increase could be influenced by the crisis. No changes in the levels of psychiatric hospitalization. Also keep in mind that most patients suffering from the more related pathology crisis – affective disorders such as depression or anxiety – it caters especially in primary care, and we have data on the number of people served by such a diagnosis has grown substantially since the beginning of the crisis. The use of antidepressants has a progressive increase for more than a decade, masking a possible effect of the crisis. We have no concrete data, but in my opinion it is unlikely that increased self-medication, given the ease of access to primary care.
In the private sector a greater number of unjustified consultation and a decrease in the frequency of consultation, which can be replaced by a telephone consultation or email absences is especially appreciated. But overall, the patient does not lose contact with your doctor.
As for the consequences of the crisis in the long term, it is difficult to make predictions. But studies in previous crises shows that acute health consequences tend to stabilize. If the crisis becomes chronic, then we no longer talk about the effects of it, but the consequences of economic hardship: poverty, marginalization, migration, endemic unemployment. Of course, they all have negative effects on health. Acute impact but tends to be lessened. Human beings have an enormous capacity for resistance. After all, humanity has survived a long series of disasters of all kinds, some much worse than this crisis.