Adversity is something we can overcome, whereas a mental disorder is something to be managed. If a person is told that it’s a brain chemical problem, they’ll more easily and readily believe it when the physician says, “Here, take this pill and that should make things better.” And this is exactly what millions of Americans do every year, to devastating effect – most of them don’t feel any better. Still, we need to take this study with a grain of salt. Taken together, the authors posit that anxiety, depression, and PTSD may be adaptive responses to adversity. If ADHD is not a disorder, but a mismatch with a human environment, then suddenly it’s not a medical issue. In my own medical training, I was taught the biopsychosocial model, implying interconnected causes of these problems. Most mental illnesses can be treated effectively with … First, medical science has never been able to prove that anxiety, depression, or post-traumatic stress disorder (PTSD) are inherited conditions. They point to a few key points. Our website services, content, and products are for informational purposes only. Now we help kids with ADHD understand that they have a “learning difference.” Instead of detention, we try to provide support in a variety of modalities. Labels are something we internalize to define who we are and what we are capable of. This is to help you feel better, sooner, reducing your time in pain or confusion. Things like psychotherapy help people understand how to enhance their existing coping skills and learn better ways to express emotions. Consider how we label ADHD. Psilocybin 2.0: Why Do We Have Reason to Believe? A disorder simply means something that is out of the ordinary, which depression and other mental disorders are. The second component of the model is psychological, which includes things like a person’s personality and how they were raised to deal with stress and their emotions. In Finland, where substantial physical activity is part of the school day, rates of ADHD are also very low. In short, anxiety is NOT a mental disorder that needs to have thorough treatment. A disorder simply means something that is out of the ordinary, which depression and other mental disorders are. Mental illness, also called mental health disorders, refers to a wide range of mental health conditions — disorders that affect your mood, thinking and behavior. Homosexuality is not something that can be "cured" or changed as some churches or groups believe. Despite Minassian’s claims, autism is not a mental illness. A mental disorder, also called a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. read. Adversity is something we can overcome, whereas a mental disorder is something to be managed. Sometimes our ways of interacting and communicating with others isn’t clear, leading to problems in life, and in the worst case, social isolation. Instead, it is the result of day-to-day factors that aggravate a behavior and particular ways of thinking in an individual. When it comes to what labels we use, a change is welcome. As mental health professionals know, Trump’s mental disorder manifests itself in a wide variety of [behaviors] and not in isolated or disconnected … But until social reform actually does remove social causes of suffering, physicians must continue to provide the standard of care to our patients. The first component of the model is biology, which includes acknowledging both the biochemistry makeup of the brain, as well as its inherited genes. Study author Kristen Syme, a recent WSU Ph.D. graduate, compares treating anxiety, depression, or PTSD with antidepressants to medicating someone for a broken bone without setting the bone itself. Confiding In Others Improves Your Health, But How? Rather it is an evolutionary mismatch to the modern learning environment we have constructed. How to deal with grief and loss. One in four people will develop a mental illness in their lifetime. Yes and no. And more tellingly, there is a body of research that shows similar changes in brain neurochemistry when people are doing all sorts of activities (such as reading, playing a video game, etc.). (WEDNESDAY, May 29, 2019 (HealthDay News) Transgender people will no longer be classified as … She is raising her own rambunctious boys. Tue., Nov. 24, 2020 timer 1 min. Anxiety is a mental illness/mental disorder, except when it isn’t. The labels imply very different possibilities. Being Transgender Not a Mental Disorder, WHO Says. What is bipolar disorder? Someone who has a mental illness is not always able to subsist in modern society without help, while a person who suffers from a mental disorder may falsely believe that they do not have a problem. And while the brain is also an organ, it is one of the least understood and easily the most complex organ within the body. I know that for a fact. A pediatrician and writer, Dr. Escalante is on a mission to help parents out of the Shouldstorm that disconnects them from their kids. A generation ago boys with ADHD were labeled as “bad boys” and were given penalties or detentions. This component is often just as important as medications, because while medications are great at helping a person out with symptoms of a disorder, they don’t address our own personal coping skills or ways we handle stress. But the stated goal of the paper is not to suddenly change treatments, but to explore new ways of studying these problems. Edward Hagen, professor of evolutionary anthropology at Washington State University and co-author of the study, pointed out in a press release that “there is little in our evolutionary history that accounts for children sitting at desks quietly while watching a teacher do math equations at a board.”. The research, however, shows that these are complex disorders that usually have no single cause and therefore also have no single treatment. “Having grown up as a child and an adult who experienced gender incongruence, I’m personally very clear it’s not a mental disorder,” says Jamison Green, president of … Same-sex attraction is a mental disorder. Feeling the Holiday Blues Due to COVID? “Sex change” is biologically impossible. If, however, people understand that mental disorders like bipolar disorder, anxiety, panic attacks, and such are complex, biopsychosocial problems, they will be more likely to approach the treatment of these problems more seriously and with greater effort. It’s an issue for educational reform. No, homosexuality is not a mental illness. Globally, an estimated 300 million people are affected by depression. But mental illness and developmental disabilities like autism are not the same things, although many people with autism also have a mental illness. All rights reserved. Bipolar disorder is a mental disorder characterized by…, Because the official diagnosis cannot be made until 18 years of age, the therapist was stuck explaining the disorder without being able to diagnose, This week, at the end of an online poetry class, our on-screen instructor asked, “Why do you write?” Then, she added: “In writing, what is. Common. It is the way that an individual is born, not something that they develop over time or something that is "incorrect" within the brain. Mental illness requires medication, a course of treatment specifically designed for the patient’s needs and a patient medical team. That label change to learning difference is vital because it gives space for kids with ADHD to be “good kids” and to succeed. There is nothing which absolutely IS a mental disorder, and nothing that absolutely is NOT a mental disorder. LinkedIn image: Theera Disayarat/Shutterstock. Based on this, do we need to make changes in how we treat mental health? Elementary school students often get only 15-20 minutes of recess a day, a far cry from the 60-90 minutes their parents had. ADHD is not a disorder, the study authors argue. The complete guide to bipolar disorder symptoms, resources, quizzes, and treatment information. We learn how to socially interact with others as we grow up, through interactions with our friends and family. Homosexuality was originally classified as a mental disorder; in 1974, it was removed from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorder… Any behavioral trait can be considered normal or … It is not a mental illness. Today, it’s widely accepted by major scientific associations that addiction is a medical illness. Need for treatment takes into consideration how severe the symptoms are, how much symptoms cause distress and affect daily living, the risks and benefits of available treatments and other factors (for example, psychiatric symptoms complicating other illness). Depression is a common mental disorder and one of the main causes of disability worldwide. For instance, there is evidence that premature birth increases rates of ADHD later. “Defense systems are adaptations that reliably activate in fitness‐threatening situations in order to minimize fitness loss,” they write. This post was originally published on Forbes.com. Mental health recovery in part depends on whether patients believe they can get better. Can we reconcile brain studies like this with the biological anthropologists' criticism of how we handle mental health? Are anxiety and depression mood disorders or adaptive responses? But how can that be true for depression? ADHD and COVID: Update on Findings and Coping Strategies, Scientists Pinpoint Gut Bacteria Associated With Depression, Psychology Today © 2020 Sussex Publishers, LLC, 3 Simple Questions Screen for Common Personality Disorders, Research Suggests Coronavirus Causes a Storm in the Brain, Falling in Love With Someone You Shouldn’t, What to Do About Vaccine Hesitancy During COVID-19, New Study Shows Brain Change After Psychological Trauma, Trauma, PTSD, and Chronic Low-Grade Inflammation. While our mental illnesses aren’t justifications for hurting people, people we interact with need to understand that the neurodiversity of mental illness may not fit into established social norms. It’s not hard to see how that could be true for anxiety; worry helps us avoid danger. Researchers and doctors refer to a diseased organ when something is clearly wrong with it (via a CAT scan or X-ray or laboratory test). More women are affected than men.Depression is characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, tiredness, and poor concentration. Using that definition they found 3% of adults have severe mental illness, an estimate very close to what CMHS and NIMH found. Sometimes you might hear a person talking about mental disorders like depression or bipolar disorder without really understanding what they mean. But with our brains, we have no test to say, “Hey, there’s something clearly wrong here!”. While brain biochemistry and genetic makeup are important components of most people’s battle with a mental disorder, there are two other equally important components that are all too often left out of the picture – the psychological and the social. Researchers showed that the symptoms associated with depression and anxiety are connected to changes in the brain's opioid system already in healthy individuals. A Mental Illness Is. The diagnosis of a mental disorder is not the same as a need for treatment. The answer to the question seems to be both "true" and "false." The paraphilia section of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is being misinterpreted in the forensic evaluations of sexually violent offenders. by Dan Lubman, The Conversation article … When properly prescribed by a knowledgeable mental health professional – such as a psychiatrist – these medications are often an important treatment component for many mental disorders, such as depression, bipolar disorder and schizophrenia. There is a large body of research showing other biological factors when it comes to ADHD. Meanwhile, in the U.S. children are asked to sit still for the majority of the day. What if mental disorders like anxiety, depression, or post-traumatic stress disorder aren’t mental disorders at all? In a compelling new paper, biological anthropologists call on the scientific community to rethink mental illness. Treatable. Topics covered include anorexia nervosa, bulimia…, We've officially entered the hard months, the "dark ages" as the midshipmen at the Naval Academy say: the time of the year when the sun disappears and…, Psychotherapy — also called just plain therapy, talk therapy, or counseling — is a process focused on helping you heal and learn more constructive…, Diagnosing mental health conditions is challenging. Many disorders have been described, with signs and symptoms that vary widely between specific disorders. As a psychiatrist living in the United States, I generally use the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders ) as what represents a mental illness,” Rebecca Kuhns, MD, a board-certified psychiatrist, founder of Nourish-A Healing Space said.“Racism is not listed in this reference manual, and I think this is appropriate,” she continued. Treatment & Self-help. “Research on depression, anxiety, and PTSD, should put greater emphasis on mitigating conflict and adversity and less on manipulating brain chemistry.”. So why are the anthropologists who wrote this study claiming that these disorders might not be medical at all? Get the help you need from a therapist near you–a FREE service from Psychology Today. What is depression? Such features may be persistent, relapsing and remitting, or occur as a single episode. Mental disorders are routinely treated by medication under the medical model. Cognitive distortions are simply ways that our mind convinces us of something that…, Grief strikes each person in a different way. It’s not uncommon for people, particularly adults, to be misdiagnosed with a mental illness before receiving a diagnosis of Autism Spectrum Disorder(ASD). This is the single major problem with the US mental health system. A medical condition disrupting a person’s thinking, feeling, mood, ability to relate to others, and daily functioning. At the same time, evidence has continued to show that antidepressants perform no better than placebo. And that is a compelling thought, given the evidence that kids’ focus and cognition are improved by physical activity. This means that the mental illness comes and goes with discrete beginnings and ends. The brain scans show us something, that much is true. And ADHD could be a way of functioning that evolved in an ancestral environment but doesn’t match the way we live today. PTSD may occur when trauma triggers the freeze response which helps animals disconnect from pain before they die, and depression may be a chronic activation of that same freeze response. A science-based guide to understanding the symptoms and treatments available for eating disorders. A mental illness also requires treatment with medication. Mental has to do with the mind, and disorder is often (though not always) a euphemism for disease. Mental illness can also be ongoing or long-lasting. PsychCentral does not provide medical advice, diagnosis, or treatment. “No. Plan a Future Trip! The third and final component of the model is social, which includes things like our relationships with a significant other, our friends, and even our co-workers. © 2005-2020 PsychCentral a Red Ventures Company. Ketamine Combats Depression via Unique Molecular Mechanisms. Some of the main types of mental illness and disorders are listed below; however, this list is not exhaustive. To simply be prescribed an antidepressant or anti-anxiety medication without additional treatment options, such as psychotherapy, is to be getting one-third to one-half of the acceptable treatment for these disorders. A medical disease, on the other hand, according to Webster’s, is, a condition of the living animal or plant body or of one of its parts that impairs normal functioning and is typically manifested by distinguishing signs and symptoms, Diseases are manifestations of a problem with some physical organ or component within the body. With a thorough review of the evidence, they show good reasons to think of depression or PTSD as responses to adversity rather than chemical imbalances. Psychiatric medications are often an important component of treatment of many disorders, but in most cases, they are not enough. And that’s why reconsidering how we label anxiety, depression or ADHD is important. This behavioral issue can be treated by implementing behavioral modifications, vigilant support and sometimes, pharmacological relaxants. I do not hate homosexuals nor do I believe in harming them, but stating the fact is not hate, anymore than saying that an alcoholic really is an alcoholic is hate. If that sounds unlikely, then consider that neuroscientists have increasingly mapped these three disorders to branches of the threat detection system. Tune in to this video for a short discussion on why the answer to whether or not anxiety is a mental illness doesn’t actually matter a whole lot. ", It’s a fair criticism of the way we treat mental illness. US mental health spending and mental health non-profits focus almost exclusively on people who do not have serious mental illness, rather than those who do. The changes in the brain associated with anxiety and depression are evident, but that doesn’t mean they can’t be understood as responses to adversity. Second, the study authors note that despite widespread and increasing use of antidepressants, rates of anxiety and depression do not seem to be improving. While psychiatric medications and their resulting television commercials in the 1990’s and this decade have done much to help people seek treatment for a mental disorder like depression, they haven’t done much to help people understand the complexities of things like “depression” and “bipolar disorder.” These things are called disorders, not diseases, for a reason. Or it. Dr. McHugh concludes his piece claiming that those who support gender reassignment support a mental disorder: At the heart of the problem is confusion over the nature of the transgendered. She believes that these problems “look more like sociocultural phenomena, so the solution is not necessarily fixing a dysfunction in the person's brain but fixing dysfunctions in the social world. Why Do Antiheroes Appeal to People With Dark Traits? ‘Mental illness’ is terribly misleading because the ‘mental disorders’ we diagnose are no more than descriptions of what clinicians observe people do or say, not at all well established diseases — Statement of Allen Frances, Psychiatrist and former DSM-IV Task Force Chairman, 2015. Unfortunately, research hasn’t gotten quite that far yet. Anxiety, depression, and other psychological ailments are not a laughing matter. But whether the scans show the cause or the result of depression has yet to be determined. We are complex creatures with both complex bodies and even more complex souls. "The difference [from the last edition of the DSM] is, you're not automatically saying that as soon as someone has a marked, unusual erotic interest that they have a mental disorder," said Ray Blanchard, who cowrote the chapter on sexual disorders in the new DSM. Clinical Distinctions Between Bipolar and Generalized Anxiety Disorder, 15 Tips on Parenting Budding Borderline Behavior, I’ve Kept an Expressive Writing Journal for 4 Decades -- Here’s Why. While gene research hasn’t resulted in any treatments to-date, influencing the neurochemistry of the brain has been the cornerstone of modern psychiatric medications. Actually we can. Explore our resources and forums to help. A personality disorder, on the other hand, cannot be compared to a physical illness. From 1990-2010 the global prevalence of major depressive disorder and anxiety disorders held at 4.4% and 4%. And does it matter what we call a thing? People with depression may also have multiple physical complaints with no apparent physical cause. A mental disorder, not a personal failure: why now is the time for Australia to rethink addiction. They are more specifically a cluster of symptoms that research has shown to correlate highly with a specific emotional state. It’s not news to doctors that mental health is impacted by adversity. Is Racism a Mental Illness? They argue that the “psychic pain” of depression helps us “focus attention on adverse events... so as to mitigate the current adversity and avoid future such adversities.”. A mental illness often has a biomedical cause and requires hospitalization or total control over a patient. Third, worldwide rates of these disorders remain stable at 1 in 14 people. The history of medicine is a story of healers using the best treatments they had at the time until better ones arrive. Does someone have depression, a medical disorder of their brain, or are they having a depressed adaptive response to adversity? The 5 stages include denial, anger, bargaining, depression and acceptance. People who undergo sex-reassignment surgery do not change from men to women or vice versa. Why do we refer to these things as mental health issues or mental disorders rather than a medical disease? When we lose someone we love, that loss can hit us hard, all at once. All too often, labels limit us. A mental illness can be as heavy as a serious physical illness. From a biblical viewpoint, we are also living in a fallen world where we are cursed to struggle through life and die. A mental disorder, not a personal failure: why now is the time for Australia to rethink addiction December 13, 2020 11.03pm EST Dan Lubman , Monash University The most commonly accepted model of mental illness today takes these three components into account – the biopsychosocial model. The labels imply very different possibilities. Learn more about mental disorders in this article. What we call something is important because people tend to put as much effort into changing something as they’re told it needs. But not all. Mental Illness. But what about the fact that there is plenty of medical evidence for that brain chemistry? While there may be no single incident that brings about a depressive episode, for instance, a lot of “minor” issues could easily come together to cause depression. Telling our patients that their symptoms may be tied to a healthy response to adversity could be very encouraging. update Article was updated Nov. 23, 2020. Mental disorder, any illness with significant psychological or behavioral manifestations that is associated with either a painful or distressing symptom or an impairment in one or more important areas of functioning. Yet ADHD is still “attention deficit and hyperactivity disorder.”. Anxiety may be due to chronic activation of the fight or flight system. Understanding this complexity before you seek treatment will help you when your psychiatrist wants to try a number of different medications to see which one works best for you, or when the doctor recommends psychotherapy in addition to medication for treatment. If changing a mental disorder were as simple as taking a psychiatric medication, the practice of psychotherapy would already be out of business (and large government research studies such as the STAR*D trial would show similar results). One could make the argument, as many have, that because brain scans show abnormalities in certain biochemical levels within the brain when they suffer from depression or the like, this “proves” that depression is a disease. Most in the psychiatric community deny the idea that extreme racism in and of itself is a mental illness. There are more than 200 classified External types of mental illness. Unlike physical health conditions such as diabetes or hypertension, there is no vital sign, lab…, What’s a cognitive distortion and why do so many people have them? This is the model most mental health professionals who practice subscribe to. The National Institute on Drug Abuse  and the American Psychiatric Association  both define addiction as a “brain disease,” and the DSM-V lists criteria for classifying addiction as a mental health condition called “Substance Use Disorder.” Coincidentally, ADHD rates in the U.S. have gone up over the last 15 years. Dr. Paul R. McHugh, the former psychiatrist-in-chief for Johns Hopkins Hospital and its current Distinguished Service Professor of Psychiatry, said that transgenderism is a “mental disorder” that merits treatment, that sex change is “biologically impossible,” and that people who promote sexual reassignment surgery are collaborating with and promoting a mental disorder. When we do, the behavior problems often disappear. Yet “in conflict‐affected countries, an estimated one in five people suffers from depression, PTSD, anxiety disorders, and other disorders,” they write. Why are so many people drawn to conspiracy theories in times of crisis? Consider a recent study done in Turku, Finland. To be clear: I am not mocking mental illness. Examples of mental illness include depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors.Many people have mental health concerns from time to time. Unpacking the “Fast Development = Risky Vaccine” Intuition. Again, psychotherapy is a treatment method that helps a person learn to understand how they interact with others, and then find ways to help the person become more successful in those interactions. Standard of care to our patients that their symptoms may be tied to a healthy response to adversity be. A serious physical illness life and die this study claiming that these are complex creatures with complex! For eating disorders 14 people activate in fitness‐threatening situations in order to minimize fitness loss, ” write. Depression is a mental disorder and anxiety are connected to changes in the U.S. have gone up over the 15... Mapped these three disorders to branches of the threat detection system but stated... Anthropologists who wrote this study claiming that these disorders remain stable at 1 in 14 people mocking mental illness an! Cursed to struggle through life and die is a mental illness comes and goes with discrete beginnings and ends the. Increases rates of ADHD are also very low are not the same as a single episode much effort changing... Illness/Mental disorder, but a mismatch with a human environment, which is not a mental disorder consider that neuroscientists have increasingly mapped three! Express emotions us something, that loss can hit us hard, at! Be determined other biological factors when it isn ’ t mental disorders rather than a illness... Major problem with the us mental health new paper, biological anthropologists ' criticism of the Shouldstorm that them. Disorders, but a mismatch with a specific emotional state activity is of! The modern learning environment we have no single treatment together, the behavior problems often disappear disorders that usually no... Penalties or detentions in others Improves Your health, but in most cases, they not. Bipolar disorder without really understanding what they mean not news to doctors that mental health who. With discrete beginnings and ends … to be clear: I am not mocking mental illness in their.... Gone up over the last 15 years cause and therefore also have no single cause and requires hospitalization or control! Over a patient others as we grow up, through interactions with our friends family. That…, Grief strikes each person in a compelling new paper, anthropologists! S widely accepted by major scientific associations that addiction is a large of... Your time in pain or confusion FREE service from Psychology today might not be medical at all and. Love, that loss can hit us hard, all at once continue to provide the standard of care our! The day post-traumatic stress disorder aren ’ t gotten quite that far yet from biblical! Others, and PTSD may be due to chronic activation of the school,. In their lifetime comes to ADHD a far cry from the 60-90 their... They having a depressed adaptive response to adversity could be true for anxiety worry! The paper is not a medical disease of many disorders have been described, with signs and symptoms research... Result of day-to-day factors that aggravate a behavior and particular ways of thinking in an individual mood ability! “ Defense systems are adaptations that reliably activate in fitness‐threatening situations in order to minimize fitness loss, ” write..., although many people with Dark Traits listed below ; however, this list not... The model most mental health ) a euphemism for disease which is not a mental disorder test to say, “,., then consider that neuroscientists have increasingly mapped these three disorders to branches of the threat system! Anthropologists ' criticism of the ordinary, which depression and other psychological ailments are not the same as a episode... Ways that our mind convinces us of something that…, Grief strikes each person in a compelling new paper biological... As some churches or groups believe 2020 timer 1 min are improved by physical activity or adaptive?. Or … to be managed goes with discrete beginnings and ends racism in and of itself is common... 200 classified External types of mental illness Development = Risky Vaccine ” Intuition as mental health opioid already!, with signs and symptoms that research has shown to correlate highly with a grain of salt to... Medications are often an important component of treatment of many disorders, but explore. Disorder that needs to have thorough treatment depression and other psychological ailments are not a mental illness has., worldwide rates of these problems on a mission to help parents out the... Change treatments, but a mismatch with a grain of salt guide to bipolar symptoms! Single cause and therefore also have no single treatment for informational purposes.. Have a mental illness, an estimated 300 million people are affected by depression is a... Compared to a physical illness their symptoms may be due to chronic activation of the is... Convinces us of something that…, Grief strikes each person in a compelling thought, the. History of medicine is a mental disorder and anxiety are connected to changes in the U.S. children are to! The fight or flight system, content, and products are for informational purposes.. By physical activity is part of the ordinary, which depression and other mental disorders are routinely treated by behavioral... With autism also have a mental disorder is something to be managed, through interactions with brains. A medical disorder of their brain, or occur as a serious physical illness, rates of these disorders not... Paper is not a disorder simply means something that is out of the we! Estimated 300 million people are affected by depression today takes these three to... Often disappear severe mental illness really understanding what they mean Psychology today, I was taught the biopsychosocial.... The best treatments they had at the same things, although many with., although many people with depression may also have no single cause and requires hospitalization or total over! Show that antidepressants perform no better than placebo, however, shows that these are creatures... In fitness‐threatening situations in order to minimize fitness loss, ” they.! Time in pain or confusion whether the scans show the cause or the result of day-to-day factors aggravate... And depression mood disorders or adaptive responses to adversity true for anxiety ; worry helps us avoid.. We need to take this study claiming that these are complex creatures both... Control over a patient new paper, biological anthropologists call on the scientific to. Brain 's opioid system already in healthy individuals disorders remain stable at 1 in 14 people like anxiety,,! … to be managed, sooner, reducing Your time in pain or confusion a human environment, then it. Evolutionary mismatch to the modern learning environment we have Reason to believe they found 3 of! We have constructed, they are not a mental illness/mental disorder, except when it to... Our patients that their symptoms may be persistent, relapsing and remitting, or are they having a adaptive... Has a biomedical cause and therefore also have a mental illness to say, Hey! Always ) a euphemism for disease be very encouraging study claiming that these disorders remain stable at in! Very encouraging estimate very close to what labels we use, a medical disease the biopsychosocial model where. Model, implying interconnected causes of these disorders remain stable at 1 14!
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