Cigarette buds. Substance abuse. Sleeved shirts to shut out speculations about the cause of the scars on your wrists.
Some posts have to be written from the heart. Some posts need not be perfect in terms of grammar or structure. Some posts need not suffuse the eerie charm that it ought to have held. Some posts are essential nevertheless.
I spoke to a friend yesterday. Given the peculiar drop in the level of my conversations over the past six months, I must say that we had a fairly long conversation. We spoke about the bad cripples caused by depression and about the worse cripples caused by a lack of understanding about mental health.
For those who lack awareness, depression is a feigned escape from personal responsibilities. It is a self induced state of mind where a creature is seen to be desperately craving for attention and support for problems that are apparently illusory.
Those who are sensible enough to understand that depression, like asthma or cancer is yet another disease plaguing human survival again seem to place themselves at the ends of multiples bifurcations within the common head titled ‘The aware lot’.Majority of the people fall under the sub-head where they visualize depression to be a mental state of mind which holds an ambience equivalent to hell. The insides are layered lavishly in a combination of darkness, sadness, helplessness, tiredness, substance abuse and suicide attempts.
The sufferer has been portrayed in a constant state of abuse and is seen to be self harming himself or herself endlessly. There is an abject lack of interest in waking up, doing your daily chores and survival in general.
This notion about depression reminds me of a post I read yesterday. The post spoke about feminism and equality. It said that most men when asked to imagine female liberation often visualized a reversal of roles where the woman holds the baton of a chauvinist in place of the male. The post went on to make an interesting observation that a man seems to have either a constraint in terms of imagination or he must be too apprehensive about the repercussions that he would be facing upon the reversal of roles.
An ample majority of people have the same limitation when it comes to understanding depression.Unlike the above example where it is completely erroneous to imagine equality along the lines of an inverted power structure, it isn’t completely preposterous to imagine depression as an equivalent to what we could call as the pinnacle of agony. Neither is it completely logical to compare the illness to such an extremity always. To put it simply, like fever, depression too can be measured in degrees. A severed wrist isn’t a mandate when it comes to diagnosing depression. There are less life-threatening yet painful symptoms that could be possible signs of depression.
The friend seated next to you with bleary eyes which you assume to be a result of a late night football match. Did you stop for a moment to ask him if he actually enjoys watching soccer? What if he went to bed at 9 pm in the night and fell asleep only at 4? What if it is a routine in his survival?
The colleague seated opposite your cubicle is unable to control his urge to masturbate. While your gang teases him for being a lecherous asshole, did any of you pause for a moment to contemplate the possibility of it being a serotonin imbalance?
Your girlfriend wakes up at 12 am in the night to binge on a packet of chips. She goes on to visit the restroom with two bottles full of water. A few moments later she falls back on bed content that the taste of the chips would linger just in her mouth and not as an additional layer of fat between her thighs. Master plan ain’t it? Or is it one? Have you ever read up on Bulimia ? Have you let those consequences scare you?
Your next door neighbor sleeps ten hours a day. Yet at the mid-morning get together on a warm Sunday, you see him tired. This week. The week before. Two weeks back. Endless loop. Is he just a sleepy head?A manifestation of Kumbhakarna as his father casually jokes around? Have you ever lost sleep about him? At least towards the fag end of the night when the burden of your suffering has exhausted its share of rants completely? What if maybe, it is hypersomnia? What if he actually wants to be active but isn’t able to?
Your own sister sleeping over your shoulder. Perfect job. Dream car. Childhood sweetheart. About to be married. You glance at her every night. A long jealous glance at her thick stock of hair. Her back facing you as she has curled up to sleep on the other side. What if despite this all, there is still a void. A void wrenching the depths of her existence. Dysthymia in medical terms. High functioning depression in layman terms. Wait. You are shocked ain’t you. You can’t believe that depression and high-functioning can be used together except with a punctuation mark separating them.
Have you ever tried to roll her over to your side? Maybe the tears are flowing down her eyes. Have you even contemplated giving it a single try?
I am not trying to say that every person we see might be suffering from mental illnesses irrespective of the magnitude. I am only trying to open your eyes to the possibility that there is more to a mental illness than the portrait of a bearded man scoring weed endlessly with several deep cuts across his wrists. In terms of awareness, you are far ahead in the ladder when compared to truckloads of your counterparts who don’t even possess an iota of awareness about the distress. Yet, I believe that it isn’t enough and there is still a long way to go in order to shatter the stigma effectively.
“As I sit in my room on a particularly dark afternoon, life seems all but a melancholic drone of has been’s and would be’s, mechanically wheezing into a nightmarish scenario where shadows are friends and humans seem unfriendly. The clock ticks like it is the harbinger of my doomsday, my mind screams, wanting everything to stop! Gears slip into motion, my monsters crawl out of my own mind and sing me the most painful soliloquy. My life squishes like a squandered set of useless paraphernalia while my mind keeps telling me to just not do it anymore.”
This is not an excerpt from a Stephen King novel, albeit it may be very scary. It is the rant of a mind suffering from anxiety, one of the many mental health illnesses plaguing the human population. Sadly, most people do not care.
A report by the World Health Organisation (WHO) shows that one in four people in the world will be affected by mental or neurological disorders at some point in their lives. Around 450 million people currently suffer from such conditions, placing mental disorders among the leading causes of ill-health and disability worldwide.
Yet, major sovereign states have failed to provide justifiable legislation for the same, or have refused to put enough stress on it. To provide a particular example, let’s take India, the country of my birth and the subject of my patriotism. India is a nation of 1.34 billion people, constituting the world’s largest youth population and second largest population overall.
Statistical reports from the WHO show us that almost 7.5% of the population of India suffers from mental health disorders, with the number growing by the passing day.
These disorders constitute depression, anxiety, hypertension, obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD) and post-traumatic stress disorder (PTSD), to name a few.
People suffering from such disorders require expert intervention and regular treatment for improvement, so as to ensure that a large part of the global population is not only physically fit, but mentally as well. However, a particular case study will show that might not be the case.
Mental health treatment institutions in India are mostly three-fold: private high-end facilities, government facilities and religious facilities. While the first case scenario is only for an elite segment of the population, it is mostly the other two which most people can avail.
However, India is facing a mental health crisis. With only 43 government-run mental hospitals serving a population of 1.3 billion, resources are spread thin. Moreover, mental illness is highly stigmatised in India, especially among women, who are typically committed to mental health facilities with no legal rights, and receive involuntary treatment sometimes without a proper diagnosis.
The worst-case scenario are religious institutions and independent cult leaders who proceed to treat mental health illness on their own with confounding, unscientific practices including the likes of black magic and sacrificial rituals.
Yet, however unsatisfactory the medical practices surrounding mental health or the interest shown in it from a professional aid perspective may be, the worst problem for mental health illness is social stigma.
Stigma is officially defined as a mark of disgrace associated with a particular circumstance, quality, or person. Mental health issues have often been deemed weak and disgraceful, a mark of wasteful elitism and a rotten excuse by people in human civilisation since time immemorial.
Because of this, a huge number of people still go on to ask a depressed person to just “forget it and move on”, call someone with ADHD or similar issues to be making excuses or being ‘elitist’ and ‘wasteful’, and not to forget, pin any behaviour deviating from the norm upon one strategic word, ‘madness’. Like a disease, not one which needs to be treated, but one which is disgraceful and needs to be exterminated.
When such levels of stigma exist as norms in the human society for centuries, people suffering from mental health illnesses hesitate to acknowledge their issues and seek public help for fear of having no personal comfort, and for being ostracised with mean, dispirited comments, along the lines of ‘weak’, ‘disgraceful’ and ‘loser’, to name just a few.
Corporate policies surrounding mental health illnesses are far too few, recognition of the same as a legitimate health concern is astoundingly low, even for educated individuals, and social acceptance for mental health illnesses are catastrophic. All of this does not cut a pretty picture for something we should definitely not be ignoring or castigating.
Of course, not everything is bleak. Many developed nations have constitutional laws and legislative precedence for acceptance of mental health issues and protection of those suffering from related causes. Developing countries are following suit, with India having recently passed a law to decriminalize suicide attempts and provide better healthcare for patients of mental health disorders.
Yet, until a higher number of facilities are provided at a sovereign level, and the social stigma surrounding the same is not shattered, progress, however promising, will seem unconvincing.
Sovereign improvements require better political philosophy, a discussion beyond the mandate of this article. However, no amount of legal or political support will matter till social acceptance for these issues do not improve, a conundrum which requires more education about the same, grassroots movements and an altogether improved level of awareness, thus leading to amicable acceptances.
Although this does seem a long way off, many local non-profits and popular public personalities have taken up this cause and have launched a crusade to improve circumstances surrounding it.
One particular initiative I absolutely love and am involved with is ‘Lonepack’. As a small, up and coming non-profit organisation based in India, we have been fighting the stigma surrounding mental health for over a year now through multiple campaigns.
Our latest campaign, ‘Save The Whale‘ challenge, is an attempt to increase positivity over the internet and provide a challenge to the despicable ‘Blue Whale‘ game. Many other organisations exist who engage in similar work.
However, it cannot just be institutions fighting the good fight, it has to be everyone. Only then will this crusade actually mean something and be successful in making a difference.
Maybe there is a future better than the situation we are in today, but that will never be possible without enough awareness. Next time you meet someone suffering from a mental health disorder, do not attempt to jeer or advice. Reach out a hand and be there for them with nothing but silent support.
Let us make this world a better and more acceptable place, one person at a time. Till then, all we have is hope. Surely, we can do better than that?