*Durgesh Nanda Jha*

*January 22, 2011*

*NEW DELHI*: City life has its own trials. Stress at work and in social life
has resulted in an increase in the number of people suffering from
psychiatric illnesses and sub-syndromes of diseases like headache, tension
and insomnia, says a survey conducted by the Indian Council of Medical
Research (ICMR) on urban mental health.
According to the survey conducted across three cities in the country,
including Delhi, 8-10% people suffer from psychiatric illnesses like
depression, anxiety, and schizophrenia, among others.

Sub-syndrome mental illnesses - psychological problems that do not qualify
as mental illness - were found to be more common. "Total 3,600 people in
Delhi from different socio-economic strata were included in this study,
which was conducted between 2004 and 2009. It was found that even in a city
like Delhi, where medical facilities are available and there is greater
awareness about psychiatric illnesses, only 10-20% receive treatment. There
is a stigma attached to mental illness and people tend to avoid
institutional health facilities available," said Dr Nimesh Desai, director
of the Institute of Human Behaviour and Allied Sciences (IHBAS), who led the
urban mental health survey in Delhi. He said focus group meetings conducted
to analyse the results showed that many people - mostly young adults - used
tranquilizers and sleeping pills.

"There appeared to be an interface between one's physical medical condition
and his state of mind. People suffering from diabetes, cardiovascular
diseases and neurological disorders were found to have psychological
problems in common," Desai added.

Depression was found to be the most common mental illness in the survey.
"There is rift in social life of the urban populace. People communicate
barely in families. Personal dissatisfaction, disinterest in work, lack of
motivation, domestic problems and marital discord were major reasons behind
the mental problems," said another researcher.

It is assumed that in the next 10 years, these problems will escalate
further. Lack of experts such as psychiatrists, psychiatric nurses, social
workers and clinical psychologists was another big hindrance. There is a
lack of beds in mental institutions, too. "There is shortage of about 8,000
psychiatrists, 17,000 clinical psychologists and 9,000 nurses," said Desai.

Delhi health minister Kiran Walia said the government is taking measures to
fill in the gap in screening and treatment of mental disorders. "We are
going to introduce mental health programme under the National Rural Health
Mission (NRHM). Under this initiative, doctors will make door-to-door visits
and provide counselling and necessary treatment. The ASHA workers will be
trained on how to screen psychiatric disorders and provide basic guidance to
the people," said Walia.

The government plans to have one mobile clinic in each district, which will
have basic treatment facilities for mental illness by the end of this year.
"Many times, families are not able to bring the mentally ill patient to
hospital due to their adamant behaviour and non-cooperation. The mobile vans
will see such patients at home in emergency circumstances and will take the
help of local police to bring them to the hospital," said the IHBAS
director.

http://timesofindia.indiatimes.com/articleshow/7349447.cms

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