With the turn of the century, psychiatry has witnessed a major shift from long-term institutional care to community-based care. This article outlines the current approaches to providing mental health care in general practice, focusing on adults aged 18–65 years. Epidemiology and Need for Services Understanding the demand for mental health services requires examining: Prevalence of mental disorders in the population. Severity and functional impact of these conditions. Pathways to care—how patients access health services.

Service engagement and effectiveness—the types of care people find helpful. Factors Influencing Help-Seeking A person’s decision to seek medical advice depends on multiple factors: Severity and duration of the disorder. Personal attitudes—shame or embarrassment may prevent disclosure. Family and social attitudes—lack of support can delay help-seeking. Awareness of…