Five ways of managing Mental Health

Five ways of managing Mental Health



joining me now is the consultant psychiatrist dr. Kavya oh gosh Allah is nice to have you join me right now thank you let's talk about the issue of mental health a lot of people talk about mental health and and then you know I everyday thinking the moment you mentioned mental health one thing comes to mind yeah ma it's so called mad person that we will put it which is certainly doesn't qualify the way it is but doctor was what really constitutes mental health or the lack of it okay so you know your mental health is having all your mental functions intact the mental domains of an individual would include areas of perception that's how you perceive stimuli coming from the environment your thought pattern how you think you know it should be you I mean it's interesting folk you know when we analyze people's thinking pattern I to know how important it is how your thinking and how you can actually affect your behavior on your action you also include your speech because your speech is a reflection of your thoughts so when you have a person who has a disorganized foot pattern it manifests as an abnormal speaking pattern so the person might be speaking out of context or you are saying one thing and the person is saying another thing entirely okay it also has to do with your behavior and that's this thing that is most apparent and most obvious to people so you see the person behaving abnormally but it is a you know a whole lot of other things together manifesting in the abnormal behavior that we see so you have an obsessive or an abnormality in any of these domains so for example if you have abnormalities in areas of your perception that's perceiving stimuli that is absence you talked about hallucinations well you have abnormal thought patterns or when you have you know we hold on tenaciously to a belief that is that something is this way when there is no evidence back in that and despite you know evidence the contrary and it's not in keeping with your video so sure but you know educational background becomes a delusion so for instance I mean somebody a banker wakes up one morning and decides that his mother is which I wants to kill him and there is nothing to suggest that you know that a delusion of persecution so along those lines are you know things that when you talk about these abnormality what what triggers are an abnormal situation to this thinking or behavioral pattern okay so we now need to understand that just like we have so many medical conditions mental disorders are a medical condition unfortunately because people did not know before and people were not out we see psychiatry became something that you know was self-service services that were available in teaching hospitals around the 70s other specialties have been present much earlier you know so it's not something a lot of people are very familiar with I like you know people say awareness it hasn't you know gone very widespread you know so if I did not go to school to study this I wouldn't know this much around about psychiatry this the America the rest of us are still in the dark when it comes to you know you know health care workers even our colleagues in the hospital it's just a few that is beginning to open up any of course it has to open up in the next few years because of you know the demand for psychiatrists right now so their medical conditions they have biological you know basis to them the same way you can have an objective measure of somebody's blood pressure to be elevated is the same way we can say that certain chemicals are short or abnormally increased in people who manifested this behavior so there are there are there are levels of discussions yes it is at the peak of its that you see someone roaming the streets yes there are levels of distortions like you see I need to manifest as different disorders so for someone not that level now oh so I always say we have because sometimes we we might behave very irrationally sometimes he could lead into anger or snapping at someone so no more human behavior loci trigger all of these check out mental disorders you know like I mentioned before you know there is a medical there's a biological on the lane underlying series you can also have an environmental factors you see people talk about things that happen to them with much earlier in childhood so I mean it's a contribution from genetic factors so a history of it being in the family as well as acquired factors environmental factors so people who have had traumatic experiences particularly in childhood these are things I remain in your unconscious and can act out little you know when you mean adulthood Wow yeah okay so much to learn about this thank you very much that's what a fire goosal I thank you for coming thank you so joining us now is a consultant psychiatrist dr. kay fire who Angela and we also have here the founder mind and mental health community dr. – Lu share Francis is nice to have you join us thank you for having right all right I'll start with you dr. Koh fire now at what point can we see that someone has a mental health challenge okay so you know when individuals manifest certain symptoms you know the norm you know who this person is once you find changes in this person when the changes in the form of symptoms so for example this person begins to isolate themselves they're not eating well they're not sleeping well they're not interested in going to work or not motivated to you know just interacting it becomes persistent you find that it's occurring in different you know phases of this person's life like different first phase so we call it I it comes in during you know and it becomes a distress to them even though they might not be able to see it but people around them can see then it is said to be disorder so it's not just a change you know because I mean if it's just something I just changed suddenly I mean exactly I mean all of us would have trying times may be times when you are struggling to cope but when you notice that this is begin to persist there is this joy not as a result of a situation around them yes so you can have them it can have situations because as triggers and that's what we need to know you know many people manifest these things because of shige's so it's something that is going to bring it to the phone it might be the loss of a job loss of a loved one it might be pregnancy it may be marriage so this thing's you know yes triggers can be positive or they can be negative any life event that requires an individual to add just significantly can be stressful or a trigger as we as we call it a psychiatrist and mental health experts call it interesting yes all right let me let me come to you dr. Frances the polonaise first of all their routine or the habits of checkups is one thing Nigerians are not very gifted with or maybe they have it and it's not something to take very seriously talk to us about how Nigerians are reacting to the issue of mental checkups generally all right so basically I think why would care attention to physical health you're weak you can't get out of bed a lot of times people don't look at their mind health as the case may be you can still get hope you can go to work so if you are fine but the moment you realize I can not get hope nobody tells you to go see a doctor so that might say that idea of I can still work every when internally in your mind you are not healthy you look for ways to adjust your servant yourself I'll be fine this too will pass you know but again it's also because people have come to see that if I tell this person now I feel how will they look at me so stigmatization is one reason why a lot of people do decide to keep to themselves and then listen to music or talk to friends tell them out they feel whereas that help so it helps but it so if you ask a number of persons why they are listening to the song they at least need to most time the songs may be uglier admirably which they reflect what they are going through at the moment but those songs uplifting other songs moving you out of that data bit of mind that you are is it deepening the issue but how about the issue of going even if you call it secretly to see you know a specialist and a doctor wouldn't that help because this is a one-on-one thing where you just not necessarily put out there so it's ELPS it helps because you're able to walk in just like what you are for for HIV where you have a voluntary counseling and testing when nobody really needs to know what you're going for and another thing that has come up knives you can't talk to sound virtually I mean if you're able to walk into a clinic a real good walk into a treatment center or cons Counseling Center you can chat up someone say hey I have an issue can we talk how often should we actually go for checks as as well as uh Funes as often as it can because like dr. Karev said it is not solely the happens overnight I mean for depression for example is arises from consistent sadness so you've been sad consistently so you should actually begin to pay attention to when your sadness becomes a regular fee not until that point where you are non-compliant depress them you cannot even do anything all right bring dr. fire in now unlike regular hospitals where you go in and you can do your regular checks perhaps your blood pressure and all of that we rarely find that in hospitals where you get to know the state of the mental health of a patient such that you can refer them to you know this treatment centers how do we begin to bridge that gap and also what would it take to have a mentally aware Nigeria okay so um the truth is is because the conversation on mental health just started gaining ground that's why it's as though that these services are not that had been there I mean for instance I did my residency training at the negation vestige in hospital I know psychiatry has been there since the seventies but it was shrouded in so much mystery and hush-hush nobody wanted to talk about it they've always had a clinical psychologist they've always had medical you know social workers who also you know manage life stressors and you know every manipulate environments for patients so it's not like it's a new thing but right now our wellness has to start from you want but we don't have that replicated in all hospitals we do not not necessarily teaching tools you know yes there are other Hospital definitely so there are private you know mental health facilities but you know it's not a downside per se but you know we have to remember the cost implications of going into private psychiatric services however you have them it's I mean I need to do right now is go and inside you know internet and all of those things what would it take to have a mentally aware Nigeria like I said it's from advocacy and you can see that the conversation in the last five you know six years was something was totally different from what we had you know about ten years ago the conversation in the last one year two years has really really amps so you can become Bashara in the next five six years or even less than that I mean we're going to have like an explosion so it's a gradual gradual thing but this thing starts from you and I I mean everybody right now we should start talking about it and we should get comfortable talking about it because there is no immunity to this thing even the specialists were aware of that we know that even though we don't we ourselves were not immune to this sort of interesting doctor cafe Oh Coachella thank you for your time on t v– c breakfast and dilute solution francis thank you so much for coming thank you so much for having

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