Mental Health - Clinical by Population & Age

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Health Chatter 51 min 5 speakers transcribed
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Clarence Jones 0:13
Hello, everybody. Welcome to Health Chatter and today's second show of a trifecta with our great guest, Mike Trangle, who will be addressing mental health more from a clinical component and also the effects on certain populations. Mike has, you know, wealth and knowledge behind this. So we'll get to that in a minute. We have a great crew that keeps our show hopping all the time. And that includes Maddie Levine-Wolf, Aaron Collins, and Deandra Howard, who do our great background research for us. Matthew Campbell is our production manager. Sheridan Nygaard also helps with research, but also with our marketing. And then, of course, there's I couldn't do this at all without my great colleague, Clarence Jones.
Clarence Jones 1:08
We had a great lunch just last week and it was really, it's always special to get together face to face, but we do talk and we do chat and we have done that well these years. So thanks Clarence to your great, great expertise. So today, mental health clinical by population and age, we got Dr. Mike Trango with us once again, He served as a health partner, senior medical director for behavioral health, president of the Minnesota Psychiatric Society. He's a lifetime fellow of the American Psychiatric Association. He's a member of the National Quality Forum on Standards for Behavioral Health. serves as a clinical assistant professor of psychiatry at the University of Minnesota School and Department of Psychiatry, and also works on Governor Walz's in the state of Minnesota advisory panel for mental health. So he comes with a wealth of knowledge.
Dr. Mike Trangle 2:08
I did my term there and I'm no longer on that.
Clarence Jones 2:13
Well, you're no longer, but we'll still claim that you were.
Dr. Mike Trangle 2:18
Well, I was. I was the chair.
Clarence Jones 2:20
Yeah, yeah, right. So thank you. Thank you. Thank you for being with us. Mike's been a longtime friend, know each other for years and has some great insights into the mental health arena. So today we're really going to get a little bit more into the clinical aspects of mental health. And, you know, it's interesting. Years ago, I was a psychiatric technician at Fairview on Riverside Avenue as when I was going to school. And it's really interesting that the types of patients that we saw and like paranoid schizophrenics. We saw paranoia in general. We saw what was called behavior problems. socialization problems, anxiety, depression. And this was just, you know, we were dealing with adolescents.
Clarence Jones 3:31
some of these kids had severe mental health issues. And well these years, it has stuck with me how any of us can be affected so dramatically by mental health issues. So let's get the show going here by saying, all right, can you give us kind of Mike, the gestalt of all the clinical aspects or the clinical diagnoses of mental health that certainly you've seen in your career?
Stan 4:16
Let me back you up a step. Sure. People talk about mental health. Some people talk about behavioral health.
Dr. Mike Trangle 4:28
Correct. And if we go back a step, if you start with behavioral health, it's a bit broader. And the two subcategories that are generally thought of as part of it are mental health disorders and or substance use disorders. I think there's so much overlap between the two that it's a little bit arbitrary to say, let's just talk about one and not the other, as they sort of interact between and influence each other. And sometimes they're comorbid, sometimes one causes another, et cetera, and so forth.
Deandra Howard 5:09
I think that was why I was going to start off my questioning by asking this question, because I thought what you just said speaks so well to it, is that according to the research that we have, that there are more than 200 types of mental health disorders. And I think that most people, when they think about mental health, they only think about maybe one or two. What are your comments about that? I mean, you're speaking to the fact that there are a lot that we don't even think about.
Dr. Mike Trangle 5:40
Right. And to some extent, I'm going to go back to my major as an undergrad, which was philosophy. And how do you when do you say it's a discrete, separate entity? And when is it sort of one thing merges into another? To some extent, the guiding light is folks in the American Psychiatric Association who come up with the definitions in something called the DSM. Now it's five text revised.

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