Wednesday 31 October 2018

Some thoughts on Mental Health Issues

Do you know anyone who suffers from a form of mental illness? Maybe anxiety, depression, or one of many serious conditions that impacts on their lifestyle. The answer is a guaranteed “yes”, whether they show it or not and whether you know it or not. About one in four people in this country is affected by some form of mental illness during a year, so we all know someone.

Because of the stigma attached to mental illness and the legacy of much casual language about it, many sufferers just cope in silence - they don’t and won’t talk about or show what is going on in their heads and in their lives. They function like anyone else, hold down often powerful, responsible jobs (e.g. Winston Churchill), they may often smile and say they are fine in public. But all this comes at a huge personal cost of fatigue, inner turmoil and sometimes difficulty with relationships. The daily struggle can result in serious collapse and sometimes, sadly, self-harm or suicide.
Let’s think for a moment, if somebody has an obvious physical disability, even if temporary, for example a broken leg, we all make allowances and sympathise. They may take longer to do something, they may need to rest more because of the effort involved in getting around, they may need help to carry out some tasks, they may have to miss out on some social activities. We don’t exacerbate the situation by taking away their crutches or by kicking the leg that is broken. They may seek help and follow a course of treatment. Some physical disabilities are only short-lived, some are life-long.
Mental illness is absolutely no different, except it is usually invisible. It is not a weakness or cry for help, any more that getting a bout of the ‘flu is. It doesn’t have an instant solution any more than does a broken leg.
Those who suffer have a real, day by day battle to function in a world that demands so much of them to smile and conform, to put on a brave face. They often live in fear that revealing their struggle will be interpreted as an inability to take responsibility, resulting in reduced prospects, and that it may damage personal relationships, because of prejudice or fear. If they do speak out, many well-meaning friends, not knowing how to respond, may suggest easy ways to “snap out of it”, emphasising the existing feelings of inadequacy.
People have campaigned for years for equality of access for the physically disabled and on gender issues. We are getting somewhere slowly. But there is a very long way to go for mental health equality. We do not seem to show the same understanding as for physical ailments when someone, through a mental health crisis, must have a day off from work, is late or fails to keep an appointment, has to leave a meeting or party early because they are fatigued, or behaves irrationally. Mental illness is as real as a physical problem.
If you suspect someone has mental health issues, be prepared to listen non-judgmentally. Be there for them, and, above all, do not give advice or pressure them to conform. They may need to be encouraged to seek good professional help to find their road to well-being. Their illness may be acute, and it may be chronic and life-long. The way may be rough and demanding. Walk with them, unconditionally, on that journey, reassuring them and supporting any self-help strategies they may have.
For further information see organisations such as Mind, Rethink and more on the internet. There is also a very good Metro article by our daughter, Frances, “Mental Health First Aid – what is it and how can I do it?” at www.metro.co.uk – just go to this link and type the title in the search box.

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