It is an illness spoken in harsh tones and whispers. It is surrounded by shame and stigma you would be forgiven to think it is contagious. Mental illness. Unlike popular belief mental illness does not mean going cuckoo and collecting rubbish on the road as Nigerian movies would have you believe. According to Mayo clinic mental illness refers to a wide range of health conditions or disorders that affect your mood, thinking and behavior. Examples include depression, anxiety, eating disorders and addictive behaviors. The rich and famous have not been spared either like Jim Carrey, John Hamm and Angelina Jolie who have suffered from depression, Catherine Zeta and Demi Lovato from bio polar disorder and the list goes on and on to our family members and friends. I will be the first to own up to having suffered from depression some years back after the loss of a loved one and it is a dark place to be, even darker if you have no support system in place.
So why do many cases of mental illnesses pass through the cracks and go undetected? To start with very few African countries have mental health policies and mental health illness is at the bottom of most governments priorities. Mental illness is considered a silent crisis. Some could argue we have more urgent things to handle like malaria, HIV & AIDS, hunger and I agree but mental health should be on top of the list of any country seeking to ensure maximum productivity of its people. The situation across Africa is traumatizing and there is not mush data to go on, take for example South Sudan where no mental illness hospital existed up until 2012 and those thought to be mentally ill were put in jail. In some parts of Ghana and East Africa those suffering from mental disabilities are chained to trees or inside the house with little to no care. Psychiatric institutions are like a scene from a horror movie. The patients lack basic sanitation and care and sadly there is no one to follow up on their therapy and treatment routines. They have been stripped off their human dignity.
Families of those suffering from mental illness or disability are considered outcasts in the community and some hide their children out of shame and in a bid to fit in. Most of the African cultures associate mental illness to curses, witchcraft, and punishment form the gods or plain bad lack. Patients are taken through healing rituals that demean them and bleed their families financially dry as they seek answers to what could be ailing their loved one. I am sure you have also seen countless religious ceremonies meant to cast out demons.
Africa is developing and we are getting more exposed to the outside world. As this happens we are continuously under pressure to perform and outdo others which could result into high stress, anxiety disorder and other addictive behaviors. Therefore, we need to provide a safe place for those suffering from mental illnesses to heal or to lead normal lives as much as possible. Governments and health officials need to be proactive in ensuring human rights are observed in psychiatric centers. We need to pour more resources into training health workers in this field and equipping the centers available. The idea of working together with religious and traditional healers should not entirely be dismissed but should be regulated and coordinated to ensure that there is no exploitation of the families or abuse of those in need of care. They should act as the bridge between the sick and professional care givers. Such a model has been tried in Kenya under the partnership of traditional healers and the African Association of Psychiatrists and Allied Professionals and they have witnessed a rise in the number of patients refereed to the psychiatric centers by traditional healers.
At a personal level we need to check on our families and friends. There are those who are always laughing but are in pain untold. There are those who drop off the grid and we don’t really care enough to check on what is going on. Sometimes when it comes to illnesses like depression, anxiety and eating disorders the best cure is knowing you have a strong support system. When the darkness seems to want to swallow you whole you hold on because others believe you can. I think those who suffer from mental illnesses are the strongest people we have because they have to fight every single day to remain anchored in the present when all they want is an escape.