The World Health Organization defines it as “a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well, and contribute to their community”.

Mental well-being is a state of thriving in various areas of life such as school, work, play, relationships and more despite the challenges life throws at us.

It is important to understand that mental well-being is not the absence of mental illness or the lack of problems, challenges and adversity. It is our ability to cope and brave through in the face of all these in the best healthy way.

These are health conditions that involve changes in one’s emotion, thinking or behaviour (or a combination of these). Mental illness is usually associated with distress and/or problems functioning in social, work or family activities.

Some of these common conditions include Depression, Bipolar Disorder, Anxiety disorder, Schizophrenia, Eating disorders, Addiction etc.

There are no known causes of mental health problems. However, there are several factors that have been identified as increasing one’s risk to developing such challenges. Some of these are life events, underlying physical illness, stress, family history of mental health problems, poverty, unemployment, substance use etc.

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There are no known cures for mental health problems (including mental well-being challenges and mental illnesses).

With respect to mental well-being, it is more realistic and helpful to identify what helps with the issues you face. Additionally engaging in healthy activities such as exercise, counselling, talking to a friend, therapy etc are a good way to deal with some of these problems.

Regarding mental illness, the above is equally useful but early identification and intervention by a medical professional is important to minimize further deterioration.

Mental illnesses are classified as chronic conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Examples of chronic conditions include hypertension, diabetes, sickle cell, Asthma etc. Therefore, mental illnesses usually require long term treatment with medications and/or therapy to manage symptoms and improve the overall quality of life.

Mental health challenges can affect everyone, but developing our well-being, healthy coping skills and seeking help early can help prevent serious problems.

If you notice any changes in your thoughts, feelings, behaviour or beliefs that impair your ability to function in what might be considered your normal/ordinary way, it would be important to seek some help.

This also applies in the case of someone you know.

A useful initial step is to talk to someone you trust. Furthermore, a first point of medical contact is to see a general practitioner or visit the nearest medical facility to talk to a professional.
Also, if possible, speak to a specialized medical practitioner as in a psychiatrist or clinical psychologist.

The same applies in case you want to seek help for someone other than yourself who may be experiencing some mental health challenges.

The Mental Health Index (MHI) is a digitally based support system that pools knowledge, talent and teams of health professionals from across the globe, to deliver quality care to everyone.
The Mental Health Index makes it possible for everyone to experience mental wellbeing. With the touch of a button, everyone can access quality care in the privacy of their preferred spaces and be able to identify potential upsets before they become serious issues.

It is a well-resourced, user-friendly and educative platform that allows its users, access to information pertinent to their needs or requirements and serves as a one-stop shop for mental wellness.
MHI creates access to Mental health care through a digital platform and is supported by a series of awareness creation campaigns across all media channels, and outreach programmes to help change the mental health narrative in our communities.

It is also a platform that creates opportunity to raise funds to provide the well needed financial and technical support to our existing Mental Health facilities.

As part of its resource and team, the project has qualified medical professionals in the areas of psychiatry and psychology, renowned media and sports personalities, and other relevant stakeholders on hand to provide the necessary education and context to encourage the desired behaviour change.

The singular mission of MHI, in essence, is to positively impact the mental health space both locally and internationally with measurable success in the medium to long term.

There are a myriad of mental health conditions which have been diagnosed using the International Classification of Diseases (ICD10-11) or the Diagnostic Statistical Manual (DSM 5). Based on these diagnostic criteria, mental health conditions are graded under mild, moderate and severe. The decision to prescribe medication depends on the type of condition, the degree of impairment, distress to the person, individual patient factors and patient choice.

In mild cases with minimal distress, therapy without medications is considered but should there be any deterioration, medications may then be prescribed.

In severe conditions with significant distress, treatment options are almost always medications and therapy.

The decision to taper or stop medication, is largely dependent on treatment outcomes and patient choice. However, it is advisable to adhere to treatment once prescribed for a good outcome.

Here are some suggestions:

  • Encourage them to seek help. You can do this through reassurance, find available services and share with them and be very patient with them.
  • Don’t be afraid to bring up your concerns but do so empathetically and constructively.
  • Don’t blame them or make them feel bad for their situation.
  • Look after yourself too. You cannot pour from an empty cup so when you take care of yourself, you can take care of someone else too. 

  • Problems in concentration
  • Long-lasting sadness or irritability
  • Recurrent changes in energy
  • Extremely high and low moods
  • Excessive fear, worry or anxiety
  • Social withdrawal
  • Dramatic changes in eating or sleeping habits
  • Strong feelings of anger
  • Delusions or hallucinations (seeing or hearing things that are not really there)
  • Increasing inability to cope with daily problems and activities
  • Suicidal thoughts
  • Many unexplained physical problems
  • Confused thinking
  • Abuse of drugs and/or alcohol

While both psychiatrists and psychologists are mental health professionals, the big difference is that psychiatrists are medical physicians who specialize in Psychiatry while psychologists are not. However, some medical doctors have additional qualifications in clinical psychology. Because they are licensed physicians, psychiatrists conduct comprehensive assessments, make a diagnosis and can prescribe drugs. Psychologists are not allowed to do that. Psychologists on the other hand, use psychotherapy as a treatment method.

Parents are usually the first to observe changes in their children’s behavior and emotions. Still, the decision to seek professional help can be difficult and painful for a parent. The first step is to gently try to talk to the child.
An honest open talk about feelings can often help.
Parents may choose to consult with their children's physicians, teachers or other adults who know the child well.
These steps may resolve the problems for the child and family.

Below are some few signs which may indicate that a child and adolescent psychiatric evaluation will be useful.

YOUNGER CHILDREN

  • Notable decline in school performance
  • Poor grades in school despite trying very hard
  • Severe worry or anxiety, as shown by regular refusal to go to school, go to sleep or take part in activities that are normal for the child's age
  • Frequent physical complaints
  • Hyperactivity, fidgeting, constant movement beyond regular playing with or without difficulty paying attention
  • Persistent nightmares
  • Persistent disobedience or aggression (longer than 6 months) and provocative opposition to authority figures
  • Frequent, unexplainable temper tantrums
  • Threats to harm or kill oneself

 

PRE-ADOLESCENTS AND ADOLESCENTS

  • Marked decline in school performance
  • Inability to cope with problems and daily activities
  • Marked changes in sleeping and/or eating habits
  • Extreme difficulties in concentrating that get in the way at school or at home
  • Sexual acting out
  • Depression shown by sustained, prolonged negative mood and attitude, often accompanied by poor appetite, difficulty sleeping or thoughts of death
  • Severe mood swings
  • Strong worries or anxieties that get in the way of daily life, such as at school or socializing
  • Repeated use of alcohol and/or drugs

 

Stress and anxiety are commonly used interchangeably as there is an overlap between them.

Stress and anxiety relate to the same “fight, flight or freeze” response and they both have similar physical sensations. However, the causes are different.

Stress focuses on external pressures/factors on us that we struggle to cope with. The underlying cause of the stress is usually known and when it is resolved, the symptoms of stress typically disappear.

On the other hand, anxiety is not so clear cut or easy to figure out. Anxiety focuses on worries and fears that are often irrational about things that threaten us and even anxiety about the anxiety itself.

Stress and anxiety may not always be a health problem but if they last for a long time or have an impact on our ability to function or carry out our daily living activities, then it is prudent to seek professional help.