12 May 2014
Murali Krishnan

SRINAGAR : India's health experts are reporting a surge in the number of people 
seeking treatment for mental health issues in the state of Jammu and Kashmir.
Years of separatist-related violence in the region have taken a toll on 
residents, with many people suffering from mental health disorders as a result.
On any given day, hundreds of people line up at the dilapidated Rainawari 
Psychiatric Hospital in Kashmir's summer capital, Srinagar.
It is one of the few facilities in the region that offers treatment for mental 
health disorders.
To offset the rush, the Indian government recently opened another counselling 
centre at the Shri Maharaja Hari Singh (SMHS) Hospital, which is equally 
populated.
Majid Shafi, a doctor at SMHS, listens to young patients scarred by the 
region's conflict.
Dr Shafi says most patients suffer from depression, chronic post-traumatic 
stress disorder, drug addiction and suicidal tendencies in numbers that are 
shockingly high.
"The prevailing situation over the last two decades is contributing to 
psychiatric disorders," he said.
"In the early 90's, we had about 2,000 patients visit us in our psychiatric 
diseases hospital.
"Currently we are having more than 100,000 visitors per year. The patients that 
we see are just the tip of the iceberg."
Mental health ailments have emerged as one of the most pressing public health 
concerns in Kashmir.
One of Kashmir Valley's leading psychiatrists, Arshad Hussain, says mental 
health issues in the region are coming to the fore as awareness of psychiatric 
help grows.
"When we had a huge mental morbidity particularly post-traumatic stress, all of 
them did not come to psychiatrists," he said.
"Much of that mental health morbidity went to faith-healing and spiritual 
places in Kashmir.
"But now psychiatry and shrinks have become a reality in Kashmir and I see 
mental health issues increasing with time rather than decreasing."
Shutdowns and frequent curfews in the Valley have also affected locals 
psychologically.
Doctors say the true story of those suffering from trauma or anxiety-related 
disorders is hard to understand.
Difficult to access
Remote villages have been bearing the brunt of regional violence for years on 
end, and many who live in the rural outback have little access to counselling.
Abdul Bhatt, 64, a labourer from the rural hinterland of Tangmarg takes a 40 
kilometre journey to meet with doctors at the psychiatric hospital.
For over eight years, Mr Bhatt has been diagnosed with psychotic depression and 
is on a cocktail of drugs for anxiety, emotional liability, and recurring 
nightmares.
"I am tired and can't keep coming here. It is difficult to get a bus and that 
is why I want more medicines to last me much longer," he said.
Although the number of doctors and psychiatrists working across the state has 
increased, Shazia, a medical student says it is still far from adequate to 
address pressing mental health issues.
"Obviously, I do get unhappy about it ... there are so many people," she said.
"We are all doctors but apart from the physical work we do, this is a huge 
emotional burden."
Najeeb Wani from the rural district of Anantnag, about 60 kilometres from 
Srinagar, says the situation will only improve when the violence stops.
"All of us know what is happening in Kashmir for more than two decades and 
these things will happen," he said.
"Things will only become better if normalcy returns. But killings happen 
regularly here and only Allah is with us."
With no end to the separatist conflict in sight, the mental health of many more 
in Jammu and Kashmir is likely to be affected in the months and years to come.

http://www.abc.net.au/news/2014-05-12/an-surge-in-mental-health-patients-in-india27s-jammu-and-kashm/5448254

                                                                                
  

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