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Mind the treatment gap | Oskar Blakstad | TEDxArendal


five people have a mental health problem

five people have a mental health problem right this moment

right this moment

right this moment that’s 1.5 billion people how many of

that’s 1.5 billion people how many of

that’s 1.5 billion people how many of them do you think will get any help from

them do you think will get any help from

them do you think will get any help from a mental health professional for the

a mental health professional for the

a mental health professional for the next 12 months in a Western world it’s

next 12 months in a Western world it’s

next 12 months in a Western world it’s about 10% they’re just not enough health

about 10% they’re just not enough health

about 10% they’re just not enough health professionals to help everybody so take

professionals to help everybody so take

professionals to help everybody so take one example panic attacks it’s an

one example panic attacks it’s an

one example panic attacks it’s an anxiety disorder it it happens out of

anxiety disorder it it happens out of

anxiety disorder it it happens out of the blue you get intense fear your heart

the blue you get intense fear your heart

the blue you get intense fear your heart is racing

is racing

is racing you start shivering it’s difficult to

you start shivering it’s difficult to

you start shivering it’s difficult to breathe

breathe

breathe many think they will become crazy or I

many think they will become crazy or I

many think they will become crazy or I will die it kind of destroys your life

will die it kind of destroys your life

will die it kind of destroys your life because you start to avoid normal

because you start to avoid normal

because you start to avoid normal activities because you’re afraid when

activities because you’re afraid when

activities because you’re afraid when will it will happen again it takes on

will it will happen again it takes on

will it will happen again it takes on average seven years before you get any

average seven years before you get any

average seven years before you get any treatment from the start of the symptoms

treatment from the start of the symptoms

treatment from the start of the symptoms and then this for this for something

and then this for this for something

and then this for this for something that you could treat yourself in just

that you could treat yourself in just

that you could treat yourself in just weeks if you just knew what to do mental

weeks if you just knew what to do mental

weeks if you just knew what to do mental health professionals are well aware of

health professionals are well aware of

health professionals are well aware of this treatment gap so they tried to do a

this treatment gap so they tried to do a

this treatment gap so they tried to do a lot of different things to scale it up

lot of different things to scale it up

lot of different things to scale it up and most notable they’ve done it with

and most notable they’ve done it with

and most notable they’ve done it with the self-help books so they tried to

the self-help books so they tried to

the self-help books so they tried to create books that mannequin can use and

create books that mannequin can use and

create books that mannequin can use and but they’re not really that engaging

but they’re not really that engaging

but they’re not really that engaging it’s kind of like one size fits none and

it’s kind of like one size fits none and

it’s kind of like one size fits none and and the recent years they have been

and the recent years they have been

and the recent years they have been development of apps trying to use the

development of apps trying to use the

development of apps trying to use the internet but they kind of do the same

internet but they kind of do the same

internet but they kind of do the same thing that scanned books and they put it

thing that scanned books and they put it

thing that scanned books and they put it online it’s not really engaging it and

online it’s not really engaging it and

online it’s not really engaging it and it just helps a fraction of people so

it just helps a fraction of people so

it just helps a fraction of people so it’s not as good as cycles

it’s not as good as cycles

it’s not as good as cycles I think it’s time for psychology to take

I think it’s time for psychology to take

I think it’s time for psychology to take a leap into a new world to use

a leap into a new world to use

a leap into a new world to use technology to try to use the engaging

technology to try to use the engaging

technology to try to use the engaging technologies that we all know and try to

technologies that we all know and try to

technologies that we all know and try to integrate that with internet assisted

integrate that with internet assisted

integrate that with internet assisted treatment what if we could create

treatment what if we could create

treatment what if we could create internet treatments that were as

internet treatments that were as

internet treatments that were as engaging as Facebook what if we could

engaging as Facebook what if we could

engaging as Facebook what if we could reach out to all those in a treatment to

reach out to all those in a treatment to

reach out to all those in a treatment to really help them so I created an auto

really help them so I created an auto

really help them so I created an auto tool together with a few engineers and

tool together with a few engineers and

tool together with a few engineers and mental health professionals and we’re a

mental health professionals and we’re a

mental health professionals and we’re a small community who are developing

small community who are developing

small community who are developing different interventions with activities

different interventions with activities

different interventions with activities techniques and homework that you can do

techniques and homework that you can do

techniques and homework that you can do online and the group has secreted quite

online and the group has secreted quite

online and the group has secreted quite a few internet programs for gambling for

a few internet programs for gambling for

a few internet programs for gambling for depression anxiety fear of seeing blood

depression anxiety fear of seeing blood

depression anxiety fear of seeing blood and they’re seeing someone who’s created

and they’re seeing someone who’s created

and they’re seeing someone who’s created a computer game addiction program

a computer game addiction program

a computer game addiction program delivered by computer so imagine one day

delivered by computer so imagine one day

delivered by computer so imagine one day that you get suddenly intense chest pain

that you get suddenly intense chest pain

that you get suddenly intense chest pain you’re wondering could it be a heart

you’re wondering could it be a heart

you’re wondering could it be a heart attack it’s really scary right so I call

attack it’s really scary right so I call

attack it’s really scary right so I call an ambulance and at the hospital they’ll

an ambulance and at the hospital they’ll

an ambulance and at the hospital they’ll do a bunch of tests they’ll check ECG

do a bunch of tests they’ll check ECG

do a bunch of tests they’ll check ECG blood samples CT angiography and whatnot

blood samples CT angiography and whatnot

blood samples CT angiography and whatnot in about 20% of the cases they will find

in about 20% of the cases they will find

in about 20% of the cases they will find a heart problem or another underlying

a heart problem or another underlying

a heart problem or another underlying physical problem for those patient they

physical problem for those patient they

physical problem for those patient they will get quite expensive treatment but

will get quite expensive treatment but

will get quite expensive treatment but they have their health bill on average

they have their health bill on average

they have their health bill on average be improved or the next year and their

be improved or the next year and their

be improved or the next year and their life equality will also be improved for

life equality will also be improved for

life equality will also be improved for the rest part the 80% they will not find

the rest part the 80% they will not find

the rest part the 80% they will not find anything so they will send you home

anything so they will send you home

anything so they will send you home often the same day

under an arrest part it’s really strange

under an arrest part it’s really strange because their health for next year will

because their health for next year will

because their health for next year will get worse they will actually spend

get worse they will actually spend

get worse they will actually spend almost as much health resources on the

almost as much health resources on the

almost as much health resources on the next year as the heart patients and they

next year as the heart patients and they

next year as the heart patients and they will spend it on treatment that really

will spend it on treatment that really

will spend it on treatment that really doesn’t work for them they should have

doesn’t work for them they should have

doesn’t work for them they should have told you that in the ambulance that hope

told you that in the ambulance that hope

told you that in the ambulance that hope you have a heart problem it turns out

you have a heart problem it turns out

you have a heart problem it turns out that a big portion of this rest group

that a big portion of this rest group

that a big portion of this rest group have panic attacks and they are right

have panic attacks and they are right

have panic attacks and they are right there in the beginning and many don’t

there in the beginning and many don’t

there in the beginning and many don’t even know about it yet they have years

even know about it yet they have years

even know about it yet they have years before they’re gonna see someone like me

before they’re gonna see someone like me

before they’re gonna see someone like me so we thought a bit about that and we

so we thought a bit about that and we

so we thought a bit about that and we said to gather a group and we created a

said to gather a group and we created a

said to gather a group and we created a chest pain program so we focus on chest

chest pain program so we focus on chest

chest pain program so we focus on chest pain not on panic attacks and it’s a

pain not on panic attacks and it’s a

pain not on panic attacks and it’s a six-week internet delivered program

six-week internet delivered program

six-week internet delivered program which you get the first part right

which you get the first part right

which you get the first part right before you are released from the

before you are released from the

before you are released from the hospital and you get homework and

hospital and you get homework and

hospital and you get homework and activities to do and each week a

activities to do and each week a

activities to do and each week a friendly doctor will call you for five

friendly doctor will call you for five

friendly doctor will call you for five minutes and ask you how your or how your

minutes and ask you how your or how your

minutes and ask you how your or how your week went and how had you did you have

week went and how had you did you have

week went and how had you did you have any problems with the homework and how

any problems with the homework and how

any problems with the homework and how work is really just the physical

work is really just the physical

work is really just the physical activity even if you have chest pain so

activity even if you have chest pain so

activity even if you have chest pain so it’s an exposure therapy what we

it’s an exposure therapy what we

it’s an exposure therapy what we psychologists would call it and it

psychologists would call it and it

psychologists would call it and it worked really well you know our pilot a

worked really well you know our pilot a

worked really well you know our pilot a pilot we had eighty percent who in those

pilot we had eighty percent who in those

pilot we had eighty percent who in those six weeks had either completely the

six weeks had either completely the

six weeks had either completely the symptoms were completely gone or they

symptoms were completely gone or they

symptoms were completely gone or they were on the way on the trail of being

were on the way on the trail of being

were on the way on the trail of being getting rid of the symptoms and it also

getting rid of the symptoms and it also

getting rid of the symptoms and it also helps up for the long term for one year

helps up for the long term for one year

helps up for the long term for one year measurement and I think there are a lot

measurement and I think there are a lot

measurement and I think there are a lot of opportunities in mental health care

of opportunities in mental health care

of opportunities in mental health care where we could detect problems

where we could detect problems

where we could detect problems long long long before we actually see

long long long before we actually see

long long long before we actually see them as therapists and I think both in

them as therapists and I think both in

them as therapists and I think both in healthcare or by searching Google we

healthcare or by searching Google we

healthcare or by searching Google we should seek ways to reach out to people

should seek ways to reach out to people

should seek ways to reach out to people and help them with Internet treatment

and help them with Internet treatment

and help them with Internet treatment and I believe that could be part of

and I believe that could be part of

and I believe that could be part of reaching or closing that treatment gap

reaching or closing that treatment gap

reaching or closing that treatment gap that we all have problems of fixing

that we all have problems of fixing

that we all have problems of fixing thank you

thank you

thank you [Applause]

”

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