It is said that once you know the ins and outs of any issue, its resolution is in sight, because we know the parameters. May this be so with mental health.
The issues of mental health and suicide prevention, two topics which were categorised as ‘taboo’ in many cultures, is now being openly discussed in Guyana.
In September 2022, just one month after its passage in the National Assembly, President Dr Irfaan Ali signed the Mental Health Protection and Promotion Act 2022 into law.
The Mental Health Protection and Promotion Act, which was passed on August 10, 2022, paves the way for mental health services to be more accessible to Guyanese.
As part of the Bill, the Government is now required to give mental health patients access to care.
In his presentation on the Bill, Health Minister, Dr Frank Anthony had said that local statistics show that 15-20 per cent of Guyanese have a form of mental health illness – mild, severe or acute.
Due to the lack of resources, many countries are unable to mount the kind of response that is needed to address the mental health challenges of their populations or many are forced to scale back the level of response needed due to other areas competing for scarce resources.
As Hamlet had stated in his writings, “I have of late – but wherefore I know not – lost all my mirth, forgone all custom of exercise; and, indeed, it goes so heavily with my disposition that this goodly frame, the earth, seems to me a sterile promontory…”
Depression is part of the human condition and Hamlet’s description of its symptoms matches those in a modern medical textbook. The categorisation has become more precise, the treatments more advanced, but the illness is still badly understood and its consequences often hidden. Depression remains if not a source of shame, then at least bewilderment to those who suffer from it and those around them. Yet it is on the increase, neurotic disorders affecting one in six adults at some point in their lives. Society, and medical science, needs a better response.
Back in 2010, UK Journalist and the Guardian’s head of special projects, who led a team of Journalists investigating international trends and issues, Mark Rice-Oxley wrote powerfully of his “decline from unremarkable working dad of three to stranded depressive sitting on the floor doing simple jigsaws”.
His shock was not just at the crushing effect of a condition that seemed to come from nowhere, but the confusion about how to overcome it.
The truth is medical advances have controlled many diseases, but depression in its different forms is either becoming more common or being detected more often – and perhaps both. Pharmaceutical treatments, while restricted in their effectiveness, are being used much more widely.
However, part of the challenge is defining what is it to be depressed. The term has such a wide common meaning that it can be used to cover anything from passing grief to long-term illness. The Royal College of Psychiatrists lists typical symptoms: feeling utterly tired; feeling useless, inadequate and hopeless; and feeling unhappy most of the time among them. But there can be no medical exactitude to an illness experienced in different degrees and different ways by different people – only that you know it when it comes.
The human mind is the most extraordinary and least understood part of the body, the source of joy and creativity. It can also, as Hamlet knew, create the horror of depression: “This brave o’erhanging firmament, this majestical roof fretted with golden fire, why, it appears no other thing to me than a foul and pestilent congregation of vapours.”
