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

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Driven for Change

All I did was ask for rights. I didn’t attack anyone. I didn’t harass anyone. I didn’t oppose the system or the country or the authority. All I said is, ‘Why can’t I drive?’

I was born and grew up in a country where it was nothing out of the ordinary for women to drive.  My mother drove.  My aunt drove her own car.  And now I live in a country where women drive cars, buses and vans.  Imagine not being about to drive to work, drop your kids off to school or run errands.  This was the reality for women in Saudi Arabia and it was the ban on women driving which drove Manal al-Sharif to help to help start a women’s right to drive campaign in 2011.

Manal was filmed driving a car as part of the campaign.  In May 2011, she was detained and released but was arrested again the following day.  Her arrest helped rather than defeated her cause.  It showed that no matter what the cost, she was determined to stand up for what she believed.

Watch Manal share her story and try to imagine what it would be like to receive death threats because you dared to get behind the wheel of a car and have the video of this posted on Facebook.

In the video Manal declared what the purpose of the campaign was. “This is a volunteer campaign to help the girls of this country [learn to drive]. At least for times of emergency, God forbid. What if whoever is driving them gets a heart attack?” These were valid points.  The other day one of my co-workers had to go leave work for a doctor’s appointment.  Imagine if she were living in Saudi Arabia.  She would have to call her husband to go and pick her up from work, take her to the doctor’s office.  The husband would either have to wait until the appointment was over or if this wasn’t an option, he would have to go back to work and then back to the doctor’s office.  What an inconvenience!

Read this personal experience of a woman who currently lives in Saudi Arabia.  Not being able to drive is just one of the restrictions women face.  Under Saudi law, all females must have a male guardian such a father, brother, husband or son.  Girls and women are forbidden from travelling, conducting official business, or undergoing certain medical procedures without permission from their male guardians.  Depending on the guardian, women may also need permission to marry, divorce, to get an education, get a job or open a bank account.

Mandal is working to have male guardianship annulled.  And I hope that she succeeds.  Women are not children.  They are adults, capable of making their own decisions.  Women and girls should not have to get permission to be educated. Education is a privilege that everyone should have a right to enjoy.  And women should have to right to employment, earning their own money and opening a bank account where they can deposit their earnings.

There as some women, however, who defend male guardianship.  One such woman was Noura Abdulrahman, a female employee of the Saudi Ministry of Education. In a 2010 interview with the New York Times, she declared that male guardianship provided protection and love.  

In Saudi culture, women have their integrity and a special life that is separate from men. As a Saudi woman, I demand to have a guardian. My work requires me to go to different regions of Saudi Arabia, and during my business trips I always bring my husband or my brother. They ask nothing in return—they only want to be with me.

The image in the West is that we are dominated by men, but they always forget the aspect of love. People who aren’t familiar with Shariah often have the wrong idea. If you want stability and safety in your life, if you want a husband who takes care of you, you won’t find it except in Islam.

Men can love and protect women without taking away their rights to be independent, free-thinking individuals who should be treated as equals.  God created women in His image and never intended them to be treated as second class citizens with no rights.  Opponents of male guardianship cite cases in which women’s careers were ended by their guardians or they lost their children due to a lack of custody rights.  In 2009, there was the case of a father who vetoed several of his daughter’s attempts to marry outside their tribe and punished her by sending her to a mental institution.  Activist Wajeha Al-Huwaider agrees that while most Saudi men are caring, “it’s the same kind of feeling they have for handicapped people or for animals. The kindness comes from pity, from lack of respect.” She compares male guardianship to slavery.

The ownership of a woman is passed from one man to another. Ownership of the woman is passed from the father or the brother to another man, the husband. The woman is merely a piece of merchandise, which is passed over to someone else—her guardian … Ultimately, I think women are greatly feared. When I compare the Saudi man with other Arab men, I can say that the Saudi is the only man who could not compete with the woman. He could not compete, so what did he do with her? … The woman has capabilities. When women study, they compete with the men for jobs. All jobs are open to men. 90% of them are open to men. You do not feel any competition … If you do not face competition from the Saudi woman … you have the entire scene for yourself. All positions and jobs are reserved for you. Therefore, you are a spoiled and self-indulged man – Wajeha Al-Huwaider

Notes to Women would like to recognize Manal, a fearless woman who is continuing to fight for the rights of Saudi women. She remains an active critic of the Saudi government.  She started a Twitter campaign called “Faraj” to release Saudi, Filipino and Indonesian women prisoners in the Dammam women’s prison who “are locked up just because they owe a small sum of money but cannot afford to pay the debt”.  She tweeted about the lack of elections for the Shura Council, and the murder of Lama al-Ghamdi.  Her work has been recognized by Foreign Policy, Time, and the Oslo Freedom Forum.  Hers is a voice that refuses to be silenced until there is change.

Today, let us stand with Manal and the women of Saudi Arabia.  Let us take action.  Let us raise our voices and call for change.  And let us be thankful that we live in countries where we have access to education, employment, our own bank accounts and have a say in matters that concern us.

We won’t stop until the first Saudi license is issued to a woman.

When women break that taboo and they’re not afraid to drive that car by herself – that’s it. Now she has the guts to speak up for herself and take action.

Women tell me they are different since 21 May – the day I was arrested – it’s a positive change, they believe now.

Sources:  Wikipedia; TED; Brainy Quotes; Women’s Rights

Stress

What is stress?  For some it is trying to prioritise the many projects they have undertaken and making decisions.  For others it is moving to another apartment; raising a family; going for a job interview; meeting their future in-laws.  Stress is knowing that the deadline for an article is fast approaching and you just can’t seem to find the time to sit down and write it.  Stress is having to wait another 15 minutes for a bus because the first driver did not stop even though he saw you dashing across the street, your arms flailing.

Then there is good stress like having a child; getting married or getting that promotion you always wanted.  These are stressful because they are big chances.  For each there are greater responsibilities and a lot of adjustments to make.

Stress can result from an overactive imagination.  Take Susan for example.  She invited her boyfriend for lunch for the first time.   She worried that she wouldn’t get home from church in time to prepare the meal.  She worried that he wouldn’t get a parking space.  She worried that he wouldn’t be able to eat chicken or turkey because she wasn’t sure if he was a vegetarian.  She worried that she would be so nervous that she would spill or break something.  Well, her boyfriend got a parking space as soon as he arrived.  Not only did he eat the chicken and the turkey but he had seconds.  Lunch went very well.  The only setback was that it was not long enough.  Susan had allowed herself to get stressed out because she imagined the worst.  Stress robs us of a peace of mind and rest.

Many of us have spent sleepless nights because of stress.  We lie awake worrying about that presentation we have to make to very important clients; a job interview or final exams.  A lot of times stress is self-induced.  We worry and fret unnecessarily and only succeed in giving ourselves high blood pressure. 

How do we cope with stress?  Taking time out is always a good idea and doing something else such as going for walks in the neighbourhood or in the park.  Around this time of year it is especially nice because of the changing colours of the leaves and the air is fresh.  Fresh air helps to clear the mind.  Exercise is another option.  Walk off the stress on the treadmill or pump it out of your system as you lift weights.  Read a book or flip through a magazine.  Pick up the phone and call a friend.  It helps to talk to someone. 

The Benefits of Education

I am so thankful that I was born and raised in a country where education was easily accessible.  My gender was not a factor in the quality of education I received as it is, unfortunately in some countries.  I learned History, Geography, Social Studies, French and I loved English.  My interest in writing began when I was in school. 

I read a post today about the benefits of education.  On a recent visit to the UAE, Penny Low, Singapore’s People Action Party member, explained how women can become productive members of the society through “education, empowerment and enhancement” that will benefit the community at large.

She said it is the realisation that what one makes of circumstances and situation that makes life fulfilling, especially changes for the betterment of all, specifically the marginalised.

Low then explained what social innovation is and how women can contribute to the social cause to strengthen the community and the civil society. 

Low said that women can only contribute to the social cause when they are open to their surrounding and observe what is going around them, adding that there is a rise of a global concern for “green and ecologically-friendly” lifestyle. 

Low used Florence Nightingale, a celebrated English nurse, to demonstrate how her nursing care during the 1850s Crimean War evolved into the nursing profession today.  I can think of another example–Eva Smith. 

Eva Smith was a community outreach worker and counsellor who knew and understood people in despair, particularly youth. She was a woman of action, determination and persistence.

In 1987, she helped to found the North York Emergency Home for Youth. Her work and advocacy resulted in the construction of our first shelter, Eva’s Place, which was named in her honour. Eva Smith’s mission was to use her skills and her knowledge of how the social services system works to help people find solutions to their problems (http://evasinitiatives.com/who.php). 

“Each one of us has potentials inside,” Low said, pointing out that with social innovation comes the responsibility to propagate the three “D’s” namely education, empowerment and enhancement.  She urged women to use their potential.  “People work for a living and live for a cause. Woman or man, find your cause, and live it to the fullest.” (http://gulftoday.ae/portal/1cb93e89-b52a-444a-80d0-0b3cdb88fbe3.aspx).

There is the old adage that “a mind is a terrible thing to waste”.  I urge the women to educate themselves, find interests, passions, causes, keeping in mind that they are building themselves up to be pillars of strength and inspiration for their communities.  Take Eva’s initiative and use your skills and knowledge to make a difference.