mental health awareness Archives

May 24, 2023 By Divya Thampi 1 Comment

Making Sense of Schizophrenia

Schizophrenia is one of the most misunderstood mental disorders in our society. Hence, let’s start with what Schizophrenia is NOT:

It is not split personality or multiple personality disorder
People dealing with schizophrenia are not “Mad”
A vast majority of them are not violent and do not pose a threat to others

With that out of the way,

Let’s Understand What Schizophrenia Is:

It is a major psychotic illness that impacts thoughts, feelings and behavior of individuals. Schizophrenia is in fact, an umbrella like diagnosis used for categorizing a wide range of symptoms, all of which may or may not be experienced by people with this condition.

The experience of schizophrenia is unique to each person. It impacts about 1.1% of the world population i.e. about 51 million people worldwide and symptoms generally start showing up during adolescence or early adulthood.

The Symptoms Include:

Social withdrawal: The person may avoid spending time with others and may prefer being alone.
Loss of Interest & Enthusiasm: There may be reduced sense of enjoyment. Things and activities that used to interest them may no longer give them pleasure.
Disorganized Thinking: Here, the individual switches from one track of thought to another abruptly and without warning. This may seem bizarre and illogical to the listener, and is one of the defining features of schizophrenia.
Delusions: These are beliefs and impressions that seem disconnected with reality. For example, the person may believe that they are part of royalty or in a position of power with special abilities, or that people are plotting revenge against them, or that a catastrophe is about to occur, or that someone is in love with them.
Hallucination: This refers to seeing or hearing things that don’t exist, but for the person experiencing it, it feels very real and vivid. While it could involve the sense of sight, hearing or smell, the most common hallucinations include hearing voices speaking, murmuring or whispering.
Emotional Blunting: This refers to reduced expression of emotion on face, speech and bodily movements. It may appear that there is reduced interest and personal warmth in the individual dealing with schizophrenia.
Cognitive problems: They may have difficulty focusing on any one thing for longer durations and may quickly lose interest when someone is speaking to them. They may forget to do routine things which most of us take for granted and the lack of attention could impact their performance at work, studies and other areas.

Like mentioned earlier, people dealing with Schizophrenia may experience some of the symptoms and may not experience others. Also, the frequency and severity of the symptoms varies from person to person. There may be psychotic episodes where the severity of the symptoms may be more and continue to be severe for the duration of the episode.

The exact cause of schizophrenia has not yet been established. Studies indicate that a combination of genetics, environmental factors and brain chemistry contributes to the development of the disorder.

Schizophrenia is a chronic disorder that requires life-long management, just like in the case of diabetes and blood pressure. While there is no known cure for it, with the right treatment, symptoms can be managed and the individual can lead an independent, productive and meaningful life.

Early diagnosis, the right treatment and adhering to the treatment plan, go a long way in helping people manage the symptoms and live a functional life. A psychiatrist is qualified to diagnose the disorder and treatment is generally a combination of medication and therapy. In many cases the impacted individual may not have the insight that the changes in their behavior are due to a disorder and the family may have to take the initiative to take them for a diagnosis and treatment.

However, the stereotypes about this disorder compounded by the stigma around mental illnesses, often prevent families from reaching out for help, thus aggravating the condition. The impact of the ignorance of this illness is obvious in the statistics which show that 1 out of 10 people who deal with schizophrenia commit suicide and 4 out of 10, at the least attempt suicide.

Being aware of the diagnosis of schizophrenia can be deeply distressing for the individual and they require a supportive environment for recovery. Due to fear, ignorance or awkwardness, friends, family members and others, may be overcautious or insensitive to people who may be dealing with the disorder.

If you have a colleague, friend or a known person who is dealing with the condition, educate yourself about the condition, talk to them, treat them normally and also let them know that you are there to help and support them. The illness can cause the individual to become socially withdrawn and isolated, hence it is important for them to have contact and connection with others.

Initiating conversations with the individuals dealing with schizophrenia, whether it is purely to discuss practicalities or for fostering a connection, is critical for them to be able to lead a normal life and overcome isolation.

October 10, 2022 By Divya Thampi 5 Comments

Let’s Talk About Mental Health

In 2020, we released a study that revealed how 43% Indians are plagued with depression. But surprisingly, even in large metros like Mumbai, awareness of mental health is low, stigma is high and discrimination against people with mental health concerns is a harsh reality. The very recommendation that one should see a therapist or a mental health professional is received with distaste at best and anger at worst.

What is Mental Health?

The world over ‘Mental Health’ week is being observed but do we understand ‘Mental Health’? It is important that we first understand what “Mental Health” means. It does not just refer to the absence of illness, rather it denotes a state of mind that allows people to believe in their abilities, work productively, cope effectively with day to day stressors, reach out for help when feeling overwhelmed, relate to others, and to work towards their highest potential.

While the mental health condition of a person is established by the individual’s ability to manage his/her thoughts, feelings, actions and interactions with others, mental illnesses and disorders are often caused by a combination of factors including social discrimination, lack of protective policies, poor working conditions, poverty, lack of education, below average living standards, abuse (verbal, physical and sexual) and absence of familial or/and social support systems. It is true that certain genetics and specific personality attributes can make people more vulnerable to mental health issues, however contrary to popular belief, these are neither the only nor the most significant contributors to mental illnesses or disorders.

According to a survey conducted nationally, in 2018, on the attitudes towards people affected by mental health concerns, the top three attitudes prevalent in India were found to be the following:

People with mental illness should not be given any responsibility
One of the main causes of mental illness is a lack of self-discipline and will-power
Mentally unhealthy people should have their own groups – healthy people need not be contaminated by them.

If one is diagnosed with cancer or with Malaria, would we ask them to get their act together and get better or expect them to use will-power to cure themselves? In terms of its prevalence and the number of people impacted by it, mental health issues are no different to physical health concerns and they need to be addressed with the same care and concern that is adapted to tackle a physical ailment, rather than with disdain and scorn.

With the existing attitudes, it comes as no surprise that the affected people, as well as the families, refrain from talking about their concerns or seeking the support they need due to the fear of being judged or labelled. But there are changes each of us can make that will help in creating an environment that promotes positive mental health.

Here are four steps you could take to do your bit in reducing social stigma attached to mental health concerns:

1. Educate Yourself About Mental Illnesses

General beliefs that people with mental illness are dangerous or are violent are myths which have unfortunately been propagated by movies. Often people with mental illnesses are victims of violence and abuse themselves. Question every stereotype and treat people with respect, irrespective of their diagnoses.

2. Stop Using Labels

Often people say things like ‘she is depressed’ or ‘he is schizophrenic’. The mental illness that someone deals with, is just one aspect of their lives and not their identity. Hence use language that separates the person from the health issue. For example, we could say “she deals with depression” or “he’s been diagnosed with schizophrenia”. Use language that’s respectful and sensitive.

3. Support People

Remember that people who deal with mental health issues make important contributions to the world. Did you know that Mr. Kjell Magne Bondevik, the ex-Prime Minister of Norway had suffered from a depressive episode in August 1998 while he was still in power? He took some time out to recover and continued as PM till March 2000. Do not judge people to be incompetent or dismiss their capabilities based on a mental health condition they may be suffering from. Treat people with dignity, just like you would like to be treated yourself, had you been in their position. Encourage the actions that your own family members and friends take to overcome mental illness, support their efforts to get well and lead productive lives.

4. Encourage & Initiate Open Discussions

If you yourself have dealt with or are dealing with mental health issues, talk about it. Your courage will help in creating awareness and empower many others. If it is a family member or friend who is dealing with it, talk openly regarding the illness with their permission and in doing so, you will take away the shame attached to it.

The first Director-General of the World Health Organization (WHO), Dr. Brock Chisholm, in 1954, had quite aptly declared that “without mental health, there can be no true physical health.” On this very important day, let’s pledge to do our bit by becoming advocates to reducing the stigma surrounding mental health concerns and promote a world of inclusion and sensitivity.

For more on Mental Health, check out Healthy Reads or tune in to Emotional Wellness Expert Divya Thampi’s classes on GOQii Play.

#BeTheForce

September 11, 2019 By Divya Thampi Leave a Comment

Understanding Suicidal Thoughts & How to Provide Support

In the first part of the article, we discussed common myths associated with suicidal thinking. In this article, we look to delve deeper into understanding suicidal thoughts and how you can support a person having suicidal thoughts.

According to Dr. Thomas Joiner, author of the book “Why people die by suicide”, people are motivated to die when two psychological experiences come together. One is “Perceived Burdensomeness”, the perception of being a burden to others. Here people feel that their death would be of more use to others than their life. The word “perception” is key here because the perception of the individual may be distorted by poor mental health or other life experiences.

The second is what he refers to as “Thwarted Belongingness” – the feeling of disconnection from something bigger than themselves. We humans are hardwired to be in relationships and when we lose one or more of the critical relationships in our life, whether it be with a child, partner, parent or colleague or lose a job or get separated, we experience a deep sense of distress that can make death seem desirable.

Thus, suicidal thinking is almost a problem-solving behavior, from the perspective of the person considering it (as uncomfortable as that sounds). Looking at suicide this way does not mean that we endorse suicide, instead it makes it possible for us to empathize with what may be going on with a person considering suicide. They are trying to stop the psychological pain.

Providing Support to a Person Having Suicidal Thoughts

Here are some ways in which we can provide support to people dealing with suicidal ideation:

Stop using the term “Committing” with suicide because suicide is a public health crisis and not a criminal act.
Let the person know that you care for them and want them safe.
If you suspect that they may be suicidal, ask them directly, to establish if they have had suicidal thoughts.
Listen to them non-judgmentally, allowing them to express themselves fully and acknowledge the feelings they may be experiencing, even if you don’t agree with their reasoning.
Resist the temptation to prove them wrong.
Avoid advising them to look at the brighter side of things or advising them to stop being pessimistic. This will only add to their feelings of isolation and distress.
Assure them that they are not alone.
Provide them support by helping in setting appointments with a professional or spending time with them or doing things with them that may help them feel better.
Identify the strengths of the person and factors that contribute to their well-being and resilience, like certain daily practices or relationships, that can be drawn on, to give them hope.
Help them to focus on things that help them feel a sense of control.
Remove any objects that they could use to harm themselves.

Suicide is a highly complex problem with multiple factors leading to it. Interventions for preventing suicide are not always simple. But it is important to remember that suicide is nearly always preventable and each one of us can play a role. Understanding suicidal thoughts and providing the right support can help us prevent the suicide of a family member, friend, colleague, classmate or neighbor. All it requires is for us to be alert and empathetic.

Know someone who should read this? Share it with them and keep your loved ones close!

#BeTheForce