Tuesday, September 30, 2014

MENTAL HEALTH –THE PRAGMATIC INTERPRETATION, R.Manoj Clinical Psychologist, Psychotherapist and Counselor, Chennai



10th of this month (October) we are celebrating world mental health day. Mental health is important at every stage of life, from childhood and adolescence through adulthood. World Mental Health Day incepted in 1992, is a day for global mental health education, awareness and advocacy. But even after 22 years of celebrating this day, whenever I ask anyone, I come across, whether they know the real meaning of Mental health, nearly every one answer is “if you don’t have any mental illness or mental problems then you are mentally healthy”. This just conveys the meaning that mental health is just being devoid of mental illness. But even the World health organization has categorically said the being healthy is not just being devoid of illness. I also tried to search the web to check whether there is comprehensible explanation of mental health only to find that most of the sites give brief statement of mental health and just shifts to the content of symptoms of mental problems and illnesses which only emphasizes that efforts have not been taken to give a well-structured idea about mental health.
The obvious fact is that mental health is not just being devoid of mental illness and lack of mental health or poor mental health need not necessarily mean that a person has mental problems or illness. Mental health includes our emotional, psychological, and social well-being. Mental health is characterized by mental functions that result in productive activities, fulfilling relationship with others and the ability to adapt to changes and cope with adversity. It is determined by how we think, feel, and act. It is also determined by, how we handle stress, relate to others, and make choices. In other words mental health is the status which is before the onset of mental problems or illnesses or lack of mental health or poor mental health is a status what can be termed as “prone to mental problem or illness”.
Being Mentally Healthy is a status that allows people to:
·         Realize their full potential
·         Cope with the stresses of life effectively
·         Work productively
·         Make meaningful contributions to themselves their families and communities
·         Connect with others without barriers
·         Stay positive
·         Maintain adequate physical activity
·         Have no reservations in Helping others
·         Act in an emotionally balanced way even in demanding situations
People who are mentally healthy have:
·         A sense of contentment.
·         A zest for living and the ability to laugh and have fun.
·         The ability to deal with stress and bounce back from adversity.
·         A sense of meaning and purpose, in both their activities and their relationships.
·         The flexibility to learn new things and adapt to change.
·         A balance between work and play, rest and activity, etc.
·         The ability to build and maintain fulfilling relationships.
·         Self-confidence and high self-esteem.
There is still a lot of confusion related to understanding the symptoms of mental illness and lack of mental health. Many a times identifying mental problems or illness has been based of deterioration from the pre-morbid state in the functional levels, sleep, interests, appetite, and various other behavior and cognitive symptoms. But in the dynamically opposite paradigm the status of mental health is determined by how a person is able to achieve the fullest of his potential “ the self actualized state”. The lack of mental health is determined by how much he is lagging behind both in his focus on achieving the state and the actual lagging which means the synptoms of mental illness will not be the same as symptoms of lack of mental health. Some of the symtoms which indicate poor mental health are
·         Unproductive, under productive  lifestyle
·         Laziness and lethargy in activities due to poor motivation
·         Poor work - life – relationship - relaxation balance
·         Poor self confidence and self motivation
·         Excessive dependency and need for support to do even very simple tasks
·         Frequent complaints of victimization
·         Frequent seeking of approval of others
·         Expression of feelings of insecurity and fear of failure
·         Uncontrolled anger and aggressive attitudes
·         Tendency to blame others environment and society for their failures
·         Irrational arguments with the intention to protect their self esteem
·         Poor listening skills
·         Inability to reach out for help and support whenever necessary
·         Antisocial behavior
But just like the causes of mental illness the causes of poor mental health can also be put in a bio-psycho- social framework. Some of the important causes are
·         Regression to “survival of the fittest” attitude and trying to achieve by hook or crook, to be in a better position than others, rather than focusing on achieving one’s own goal.
·         Consistent unhealthy lifestyle both on the personal and social front,
·         Consistent physical ill-health
·         Discrimination and perceived discrimination or exclusion based on social status, gender, education, performance
·         Ineffective parenting
·         Traumatic incidents in life and experiences of human rights violations.
·         Rapid social change
·         Physical emotional and sexual abuse including bullying or harassment during childhood or adolescence
·         Poor connection or attachment to the primary caretaker early in life. 
·         Feeling lonely, isolated, unsafe, confused, or abused as an infant or young child.
·         The absence of one or more confiding relationships,
·         Learned helplessness, the negative experiences that lead to a belief that you’re helpless and that you have little control over the situations in your life.
Come let’s understand the real meaning of mental health and celebrate the world mental health. While we take out our time to create  awareness about mental disorders, lets assign more time to preserve  and enhance our mental health and that of all others around us. On this important day let’s vow to
·         Take proactive initiative starting from ourselves to bring about the required change.
·         Overcome the tendency to survive and start living our life
·         Dedicate adequate time self and for every other role we take be it parent, child, sibling, friend and social being
·         Seeking supports to solve our limitations and problems and reach out to people to help them to solve theirs
·         Develop productive goals and start pursuing it without allowing the barriers to stop our venture.
·         Pursue our goals not with a sense of winning but enjoy the course and achieving happiness with our success
·         Focus on developing and expressing positive emotions
·         Avoid suppressing our negative emotions and find appropriate ventilation to our negative emotions,
·         Create empathetic understandings of others and develop effective workable relationships.
·         Avoid blaming others for our problems and develop problem solving and decision making abilities,
·         Stop discriminating or ill-treating others to gain dominance and focus on respecting others to maintain our self esteem.
·         Avoid criticizing others instead motivate them
·         Stop blaming the ills in the society, take a collective responsibility for all those issues which we feel as negative in the society
·         Enjoy the nature and its beauty
·         Bring out the creative talents within ourselves for the benefit of self and society
·         Take efforts to create the awareness about mental health and its importance
·         Overcome the stigma related to mental illness and help people with mental illness, psychological disorders and emotional problems
·         By being happy and making others happy

Preserving mental and social health is the best way to prevent mental disorders. Let start our journey in this direction with the slogan

“We are for ourself but we care for all”

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