*14 January 2012*

*SHASTRY V. MALLADY*
*
*
[image: Meera Narasimhan, psychiatrist, University of South Carolina, US,
in Madurai on Friday. Photo: S. James]

*MADURAI* : A US-based psychiatrist of Indian origin, Meera Narasimhan, has
advocated more investments in mental health initiatives in India because
depression has become a silent killer like diabetes.

“A country with over one billion people has just 4,000 psychiatrists. The
mental health needs should not be ignored and India has to do a lot in
detecting mental illness early among its people, both in urban and rural
areas,” she stressed.

Dr. Meera Narasimhan, Chairperson and Professor of Department of
Neuropsychiatry and Behavioural Science, School of Medicine, University of
South Carolina at Columbia, US, in an interview to “The Hindu” here on
Friday, called for using telemedicine for rural and semi-urban people to
have quick and easy access to psychiatrists/social workers and
psychologists at affordable cost.

She felt that despite all the progress made in understanding and treating
mental illnesses, unfortunately people still grappled with the stigma
attached to it.

“Depression is the second leading public health concern next to heart
diseases according to a World Health Organisation report. In the current
scenario of spate of suicides and mental depression, prompt intervention
and accurate diagnosis are very crucial. Let us recognise that brain is
also a vital part of human body,” the psychiatrist, who has won three
national awards in the US, said.

There is no point in talking about physical health when people's mental
health is at stake due to various factors. “There is no health without
mental health. We need to do much more in creating awareness and the
governments too need to understand the implications of mental illness and
its ramifications on quality of life of citizens, their families and
society,” Dr. Meera said.

While depression due to social factors is leading people to commit suicides
on one side, there is also a bidirectional relationship between medical and
mental illness. She points out that cardiovascular diseases, cancer, stroke
and Parkinson's disease also lead to prevalence of comorbid depression
among those patients.

The US-based psychiatrist was in Madurai to have informal discussions with
experts of M. S. Chellamuthu Trust and Foundation here and psychiatrist C.
Ramasubramanian whom she had described as “champion of mental health.'

She has called for more funding allocations for mental health programmes
just like what is being done for cancer prevention and HIV-AIDS. “You just
can't ignore the connection between mind and body. Unless you appreciate
that link, there is no point in being healthy with a weak mind,” she felt.

Important symptoms that a person could be under depression are sleeping
difficulty, loss of interest in his works, appetite loss, guilt feeling,
poor concentration, low energy feeling and alcohol addiction. If a person
has these for 15 days at a stretch, it indicates something is wrong/
impaired mentally and he or she should get psychiatrist's attention.

“Those with mental illness will have 20 years shorter life expectancy
compared to others. We also need to sensitise teachers and parents to be
able to recognise mental disorder early on in children. It will be
effective if mental health is included in school curriculum and every
school needs to focus on this aspect,” she suggested.

She is keen to have an association with the Tamil Nadu Government to design
projects for strengthening mental health network in the State, and would
meet the Health Secretary during her next visit in August.

“There are many issues to be addressed in mental health for people of all
age groups. I would suggest a public-private partnership model and a
tele-health initiative like what we did in South Carolina in the US. Mental
and neurological disorders should be tackled then and there,” she said. The
psychiatrist can be reached on her e-mail: [email protected].

http://www.thehindu.com/health/policy-and-issues/article2799264.ece

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