*April 17, 2011*

*New Delhi* : Most of us know about it but are either too nervous or too
ignorant to speak about it. So, it took the horrific plight of two sisters
in Noida who had gone over the edge to highlight the growing incidence of
mental illness among Indians. That the sisters did not seek help as their
descent into severe mental illness began is not surprising, few Indians will
do so for fear of being labelled mad and ridiculed or shunned by society.
Two out of five Indians suffer from depression which in its most virulent
form can lead to self-harm, even suicide. Millions suffer from anxiety, mood
disorders, schizophrenia and paranoia without quite realising that they need
help. Such illnesses are often dismissed as the blues which can be overcome
by simplistic remedies.

In urban areas, loneliness or a competitive work environment often act as
triggers to mental illness without either the person affected or those
around him being even aware that the condition warrants medical help. The
prospect of going to a psychiatrist is usually met with resistance by the
person and his family often leading to a worsening of mental health. It is
heartening that mental illness is to be mapped in the second phase of Census
2011. If the extent of the problem is ascertained, perhaps, suitable
provisions could be incorporated in the draft Mental Health Care Bill 2010
which, at present, leaves much to be desired on this front. An Indian
Council for Medical Research study revealed that more and more people are
suffering from a decline in mental health as a result of stress caused in
the workplace as also social pressure.

The trend is no less in rural areas where such illnesses are often thought
to be the result of possession by evil spirits and treated by quacks or
godmen. The stigma attached to mental illness is so great that families
prefer to shut those with overt signs of mental deterioration away from
public sight.

The administration of most mental asylums in India is not designed to cure
the patient but rather to obliterate their existence. The lack of importance
given to this discipline is clear from the fact that there is a severe
shortage of psychiatrists, psychiatric nurses, counselors, social workers
and psychologists in this field. The mentally ill person should not be
viewed as an object of derision or pity, most such problems can be managed
through proper medical care. Often, timely counseling and the assurance of
help can prevent those like the Noida sisters from crossing the line into
mental illness.

http://www.hindustantimes.com/It-s-not-all-in-the-mind/Article1-686468.aspx

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