Mental Health Crisis in India

More than 50 million people in India suffer from a mental illness.  In 2011, India recorded the highest rate of major depression in the world at 36 per cent.  According to doctors, roughly 10 per cent of India’s population suffers from depression – MGMH

 

Women with mental illness are treated as less than human.  They are dumped, abandoned and abused.  If there are any signs of mental illness, a woman is put in a mental hospital with no chance of getting out.  Men can go back home while women are there for life.  In the following video, we meet a woman whose husband had her institutionalized although she had no history of mental illness.  Here’s a story of a mentally ill woman whose husband built a case against her so that he could get custody of their children after divorcing her.

It is not surprising that women suffer from depression at higher rates than men.  They have to deal with gender inequality, violence, lack of paid employment, lack of education, excessive spousal alcohol use and poverty.  Mothers are blamed for the birth of a female child and many face pressure to have male children.  Women are diagnosed with schizophrenia later in life, oftentimes, following the birth of their children.  The children are often removed from the ill mother’s care and this results in further distress for her. Indian women have higher rates of suicide than women in most developed countries and a higher rate of suicide compared to men in India.  Depression is one of the most common reasons for suicide among Indian women.

Mental health in India carries with it a stigma, especially if the person suffering from mental illness is a woman.  According to MGMH (Movement for Global Mental Health), in rural India, it is common to see people taking their children to temples and faith-healers instead of hospitals and doctors, especially in cases of mental health.  Mental health was something that was talked about in hushed tones.  Thankfully, it is no longer being swept under the rug.  People are coming forward.  Deepika Padukone stunned her fans last year when she admitted that she suffered from anxiety and depression.

At the time the news broke, she was one of the most sought after actresses in Bollywood. It took tremendous courage for her to disclose her illness, especially since people diagnosed with mental illness face discrimination.  Deepika has since launched the Live Love Laugh Foundation to raise awareness about mental health issues and as a result many celebrities were inspired to come out in the open and address the need to talk about mental health.  Varun Dhawan admitted that he was depressed during the making of Badlapur and Honey Singh revealed that he has been undergoing therapy for bipolar disorder.

Sadly, those living with mental illness are victims of a cruel fate.  They are often locked away and stripped of their basic human rights in state-run institutions that are under-staffed. In an article, titled Mentally Ill Suffer a Horrible Fate in India posted on the site for Deutsche Welle (DW), most state run mental hospitals are in deplorable conditions. The National Human Rights Commission (NHRC) reported that out of the 43 government mental hospitals in India, less than half a dozen are in a “livable” condition”.

There are doctors in charge of these hospitals who have no business being there.  “These doctors don’t understand the intricacies of a psychiatric illnesses and the comprehensive care the patients require,” said a psychiatrist working in a state-run mental hospital in Uttar Pradesh.

And in the midst of the crisis of hospitals not providing the conditions and care the patients need, are quack healers who are profiting from this.  According to a study by Dr. Shiv Gautam, former superintendent of Jaipur Mental Hospital, 68 per cent of the mentally ill are taken to faith healers before a psychiatrist.  “The reason, besides superstition, is that most general medicine doctors fail to diagnose psychiatric illness,” Gautam said. “A mentally ill patient displays symptoms which superstitious people believe are paranormal,” he added. “Such patients are tortured, chained and used for extracting money from their families.”  Hema, who was suffering from Schizophrenia was believed to have an evil spirit.  Her family took her to Datar Sharif Dargah where she spent a year locked up.  It wasn’t until her condition deteriorated that she was brought to Dr. Gautam.  In 15 days, she began to improve and a month later she was normal.

In other cases, the mentally ill are subjected to one of these horrific ordeals:  whipping, caning, inhaling burnt chili smoke, having their eyes smeared with chili paste or having their eyes branded with red, hot coins.  There are laws banning this practice, however, many dargahs and temples keep the patients chained.  Some of them spend the rest of their lives like this.  In 2001, 26 patients perished in a fire at a dargah in a coastal village because they couldn’t escape the blaze since they were chained.  What a horrific and senseless tragedy.

Families of mentally ill people opt for dumping them.  This means that they are dumped into an asylum where the conditions are not fit for a human.  When an illegal asylum was raided, they found thirty-five men and six boys living in inhuman conditions.  The stench from their unwashed bodies and the excrement drove neighbors to alert the health department.  Naked and chained inmates were discovered, dumped there by their families after they paid the asylum owner.  Some of these poor souls were found crawling in their excrement, some even consuming it.  On their bodies were marks of torture.  Some had surgical scars on their backs, leading to allegations that the asylum had links to kidney theft.  78 patients had entered the asylum but only 41 were found during the raid.

Other patients are dumped in jungles or forests ranges.  Their families pay lorry drivers to drop them.  Women and children are among these victims and in some cases, the females are raped by the drivers before being dumped.  Social activist Murugan S. who has rescued countless mentally ill people from the streets, cautions us not to judge the families by calling them cruel.  Instead we are to examine what forced them to take such extreme measures.  He believes that system needs to change.

Part of the solution is raising awareness.  The suffering of the mentally ill has been brought to our attention. It is out in the open.  The next thing that needs to be done is to show the superstitious and fearful society that mental illness is nothing to run away from or to be ashamed of.  The person suffering from mental illness needs love, support and most importantly, proper care so that he or she can live a normal life.

The government needs to put something place to ensure that patients are placed in reputable, sanitary facilities that will provide the care that they need and to ban the operation of illegal asylums and the practice of dumping.  Quack healers should be banned from profiting from other people’s suffering.  Husbands should not be allowed to institutionalize their wives if there is no record that they have mental illness.

No one wants to be mentally ill but it is a reality for many people and what they need is to know that they have a platform where they can talk about what is happening with them. Here in Canada, we have Bell Let’s Talk, a wide-reaching, multi-year program designed to break the silence around mental illness and support mental health all across the country. It has done so much to fight the stigma of mental illness and encourage people to get involved in educating themselves and others.

It is my sincere hope and prayer that something will be put in place in India so that attitudes toward mental illness would change and those suffering from it will have a platform where they would not be judged, dumped, abandoned or discriminated but supported and be treated with dignity and open minds.  In the meantime, let’s keep talking and raising awareness.

Talking is the best way to start breaking down the barriers associated with mental illness – Bell, Let’s Talk

 

Sources:  Vice News; Movement of Global Mental Health; Wikipedia; Deutsche Welle

Star’s Baby-Weight Criticism

I first learned about this story about Bollywood actress Aishwarya Rai who silenced and stunned her critics when she showed up at Cannes, flaunting her post pregnancy body on Yahoo.  I couldn’t believe that she was criticized for not losing weight fast enough like Victoria Beckham and Angelina Jolie.  It should not be a matter of how fast you lose the baby weight but how you lose it.  And why is having baby weight such a bad thing?  Only shallow people would have a problem with it.

Imagine commentators blasted her for letting her fans down because of her weight gain.  Many went as far as suggesting that the star has a ‘duty’ to her fans to regain her pre-pregnancy figure.  One website posted a video of the star called ‘Aishwarya Rai’s shocking weight gain.  The clip was  accompanied by elephant sound effects and has been seen more than 500,000 times.  The comments left after the video were unsympathetic and insensitive.

“She is a Bollywood actress and it is her duty to look good and fit,” the Daily Mail quoted one comment.

“She needs to learn from people like Victoria Beckham who are back to size zero weeks after their delivery,” another said.

This kind of attitude is explained by show business columnist Shobhaa De in the New York Daily News.  Aishwarya is like a goddess.  She is held up as the ideal of beauty and so there is an expectation on her to look perfect at all times.”  Shobhaa makes  a good point when she adds, “The role models being held up are Angelina Jolie and Victoria Beckham, but our body frames are different ?” we have wider hips and curves ?” so this whole business of looking desperately skinny two weeks after giving birth is a western import.”

Aishwarya saw no reason to go back to her pre-pregnancy state soon after the birth of her daughter.  She wanted to enjoy motherhood and that is her right.  No one should dictate to her how she should or should not look.  She’s a mother now.  She’s putting that role first.  As some supporters stated, the focus should be on the baby not her weight.  Aishwarya proves that she is not selfish, thinking only of herself and her looks.  And as one smart person pointed out, “She is a real women looking after a baby. We should be concern for her health and happiness especially if she is nursing the baby. Not the Western belief of expecting people in the spot light to lose all weight in month. If she dieted what will happen to the baby’s diet,” one said.

Notes to Women applaud Aishwarya Rai for showing such grace under fire and for standing up to the critics.  She is proud to be a mother and not ashamed of the weight gain.  Aishwarya, congratulations on being a Mom and we wish you and your family well.

‘Haters don’t matter’
I’ve always said that haters are a drop in the ocean. There’s that much more love. Any kind of negativity in any case just doesn’t stick, it drops off and it doesn’t matter. People have given me so much love throughout my career, my life in the public eye, at every phase.

I’ve never endorsed size zero’
This is who I am. I am a mother. This can happen and it has happened with me and it’s fine (weight gain). I’ve never been the one who endorse size zero anyway. You guys speculated I was pregnant way before I actually was. It goes to show that I have lived real life in the public eye. That continues.

‘Only reality matters’
There are lot of people out there who recognise that, see that, and share that energy with me. And that’s what matters – reality

Aishwarya Rai