World Health Day: Dismiss depression at your own peril
Updated: Apr 07, 2017 15:15 IST
By Aayushi Pratap, Hindustan Times
“It started nearly a year ago. I would shut myself in the room and cry for hours together. I felt this strange urge to bang my head against the wall. Inflicting physical pain on myself was a way to get relief from the emotional pain.” This is how 26-year old Aarushi (name changed), a resident of Khar, who moved to Mumbai in 2014 for work, describes her recurrent episodes of depression.
“When I would start to feel better, there was revulsion, guilt and self-blame. In my struggle to find solace I have tried cutting my wrist at least thrice,” she adds.
Her parents, who live miles away in Ahmedabad, Gujarat, says she would cry frequently while speaking to them on the phone, but to them she only sounded homesick.
“She cried every day, but we blamed it on the long work hours and the fast life of Mumbai,” says her father, Paresh Shah (45), who admits he misunderstood his daughter’s emotional agony.
After nearly a year of this “abnormal living”, as Shah terms it, she sought help from a local physician, who directed her to a psychiatrist.
Shah is fortunate to have found a willing ear and medical treatment but many others, like 23-year old student Arjun Bharadwaj, who committed suicide earlier this week, aren’t as lucky. Arjun jumped off the 19th floor of a five-star hotel in Bandra while apparently intoxicated, after live-streaming a video of himself, which he termed a “suicide tutorial”, on Facebook.
He left several notes for friends and family, including one addressed to his mother that read: “Mom, this has happened because you never took my health problems seriously.”
Depression and anxiety-related disorders are most common of all mental health disorders, and affect women more than men, said doctors.
According to the World Health Organisation (WHO), more than five crore Indians – 4.5% of the population – suffers from depression while more than three crore – 3% of the population – suffers from anxiety disorders.
Mental health disorders are classified into two types. The first type includes major psychiatric disorders such as schizophrenia and bipolar disorders, which are largely genetic. The second category includes more common disorders such as depression and anxiety-related ones, says Dr Nimesh Desai, director of the Institute of Human Behaviour and Allied Sciences (IHBAS) in New Delhi.
“Unlike major psychiatric disorders, common mental disorders involve across both genetic and environmental factors. Depression caused by genetic factors does not vary much across cultures and socio-economic classes.
However, depression can also be triggered by socio-cultural and economic factors, such as the loss of a loved one, and stress at work and in relationships,” he said.
Stress of urban living
International studies have shown that depression is one-and-a-half times more prevalent in urban areas than rural areas, said Dr Desai. “The day-to-day stress of life, time pressure, work pressure, inter-personal relationships and pent-up frustrations all increase a person’s odds of having an episode of depression,” he said. Dr Dr Nilesh Shah, head of the psychiatry department at Lokmaniya Tilak Municipal General Hospital, Sion, said, “While some external causes are associated with depression, we still don’t understand the exact cause of it.”
Mumbai, with a population of 20 million people, has just 300 psychiatrists, according to data from the Bombay Psychiatry Association. This translates to one psychiatrist for roughly every 6.5 lakh people.
“It is clear that we do not have enough psychiatrists, cognitive therapists and counsellors, according to international standards,” said Dr Vihang Vahia, a psychia