Time To Worry – An Update

Three years ago today I wrote a piece called Time To Worry, in which I shared some horrific results from recent studies into our mental health. I reblogged the piece last year with a commentary, and as we are again approaching Time To Talk Day (7 February this year) I thought it right to share the post again, both for newer readers to see for the first time and also with an update for those who may have seen this before. Even if you have already read the original post I encourage you to read this update: our mental health is vitally important to us and we all need to be aware of this, and of how we can help ourselves and others. As is my usual practice I will give you the original words and then return to round things up after. This is the initial post:

A few days ago there was a report in the paper of a study conducted by the Health and Social Care Information Centre, as part of the Health Survey for England. More than 25% of the 5,000 respondents said that they had been given a diagnosis of mental illness at some point. 33% of the females and 19% of the males reported this, and the highest rate was found amongst the 55-64 age group, where the figures rose to 41% and 25% respectively. The most common diagnosis was for depression, at 19% overall – 24% for women and 13% for men. At the extreme, one in 14 women has attempted suicide, and one in 25 men, yet the male suicide rate is more than three times higher than for females. These are scary statistics! There has been a great deal of research showing that men are much less likely to recognise that they may need help for a mental health problem and to seek assistance for it. But it appears that we are much more successful at killing ourselves! This is apparently because men choose more lethal suicide methods, and because we are more impulsive and likely to act on a suicidal impulse, particularly when alcohol is involved.

A separate report has also found that the number of unexplained or sudden deaths (i.e. not from suicides) of mental health patients in England has risen by more than 20% in the past three years, a total of 1,713 in 2014-5 up from 1,412 in 2012-3. Unsurprisingly, there are many now jumping on the bandwagon of blaming the Government and the NHS for underfunding mental health services to the point where there are insufficient resources to cope. They may well have a point: I know from my own time spent working for an NHS Trust providing mental health services just how much of a Cinderella service it was and still is, and how the large general hospitals took up a huge part of the funding.

But whilst that is clearly a major issue it is not my point today. I’ve quoted numbers which may or may not mean much to you. Does 1,713 deaths in a population of around 50 million seem all that many? Is this something we should expect and somehow accept as the norm? Should we heck as like! Every single one of those who make up those statistics is an individual tragedy. Every single one of them had family and friends who cared about them and who are affected by their loss. And I wouldn’t mind betting that most of them had at some stage been stigmatised by their diagnosis of mental illness – assuming that they had sought help, as not all of them will have done. I mentioned earlier that men are slower to seek help, if they ever do. I know this to be true, as I did it myself and subsequently found that I was far from alone in doing so. Looking back on the time when I was diagnosed with depression (described in the Story of my Illness see the menu above) it is very easy to trace a long, slow decline in my health until I reached the point at which I recognised my need for help. I eventually saw my doctor in October 2011 but can recall events from April that year which were clearly related to this, and no doubt there were others before then: I had been off work for three months some five years earlier with what was termed ‘stress’, so it was lurking in my make up. Although I worked for an organisation which provided treatment for these kinds of illness I didn’t want to accept that maybe this is what was happening to me. Part of that may be the stereotypical male lack of insight, but there is more to it than that. A major factor is that mental illness is stigmatised. From the simple, everyday “pull yourself together” type of comments, which betray a lack of understanding and empathy, to the much more malicious type which can often be found in real life bullying and in social media, people with a mental illness are somehow made to feel ashamed of their problem, that they should in some way get over it as they aren’t really ill, are they: others can’t see anything wrong with them in the same way that they could if they were on crutches, for example. If I can’t see it, you don’t have it!

This is compounded in all sorts of ways. Often these are quite innocently done, such as the everyday use of phrases like “it all went mental” or “he’s a nutter.” But if I look back to when I was a child, a common playground insult was to call someone a “spastic” if they did something clumsy. We have learned how offensive this really is and it is no longer used, to my knowledge. Political correctness may be guilty of many stupidities but one of the successes of the past forty years or so since it became a force is a better understanding of some of the derogatory language we use and how we can improve on it. But has it had any real impact in the world of mental illness?

Sadly, I think not. Although we still have much to do, e.g. in the likes of public buildings and public transport, we have come quite a way in recognising both the needs of physically disabled people and the way we talk about their illnesses. I may be biased in my outlook but I don’t see the same progress having been made in respect of mental illness. Whilst part of the answer is to provide more funding for treatment, there is a much wider issue: we need to educate ourselves better about mental illnesses and how we respond to them and deal with them in others. Unless we do, those statistics I quoted are likely to get worse before they can start getting better. To me, this is very much the time when we should worry about this and ask ourselves if we are doing enough about it, not just as a society but as individuals within it, in our own approach to people with mental illness and how we deal with them. We should have been doing this already, and we shouldn’t hold back from doing it now.

And now back to today. Unfortunately, I don’t see any real change in the situation since I wrote this piece. The UK government has recently proclaimed a new healthcare initiative which includes some much needed improvements to mental health support and treatment. My problem with it, though, is that the government has sidetracked itself in a major way with the issues surrounding the EU and our relations with other countries, particularly the US. Worryingly, with all that has been going on over there to destroy healthcare, there are signs that our government wants to move towards ever greater involvement of the private sector in the National Health Service (NHS). Funding for mental health care needs to be increased significantly, to meet the need for much better training for, and provision of, services. Everything I said in that original piece is still germane and will, I fear, continue to be. The government has been making noises about improving mental health care for several years but has yet to deliver in a major way. Yes, there have been improvements but, to an observer, these don’t yet appear to have been fully co-ordinated, thereby diminishing their potential effectiveness. Add to that the almost daily reports of the impact of Brexit uncertainty on the NHS – massive losses of staff from overseas, difficulties in persuading workers to move to this country (and who can blame them?) – and the need for large increases in staff with suitable training to support the government’s stated objective. It doesn’t look promising, does it? We can but hope that the intended service enhancements deliver on the government’s objective, and that the dire forecasts for the financial impact on the country of leaving the EU don’t manifest themselves in a retrenchment and budget cuts. We’ve had ten years of austerity, we don’t need to be further damaged by political decisions.

As I’ve often said, I started this blog to share my experience of mental ill health, and although I veer away from that as a subject it is still something which is hugely significant for me. This is the first – a trailer, if you like – of what I plan to be a series of posts on mental health, which will include more detail on the most recent government initiative and the mental health of children and young people. These are topics that should concern us all, and I hope my small voice can help in widening awareness of mental health issues.

 

30 thoughts on “Time To Worry – An Update

  1. Hi Clive mental health is a topic society can no longer ignore so many left with long waiting times or in correct support , I know this as my family are affected by it, there is only one thing in this article that you said is a big no and doesn’t happen and that is names that are used ‘spastic ‘ and others like retard they are very much still easily slipping out of kids mouths on play grounds so there is still so much work on highlight the impact this has on kids who are called it.
    I not only want to see change in mental health services but in the way mental health in others is seen.
    To be honest it’s the whole person that needs help physical mental and emotional, helping those with mental health on all of these things will help them thirve.💗 Great post

    Liked by 1 person

    • Hi Faye, many thanks for finding me, reading and commenting. I agree with you on all counts, though it is sad to hear that kids are still using words like that. It was commonplace 50 or so years ago when I was at school and I’d hoped that the passing of time and better education would have helped rid us of that. Clearly more still needs to be done. Thanks for following, I’ll return the compliment 😊

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      • It is my pleasure , the biggest issue on words are, as adults we always tell kids to take no notice and ignore it , but that doesn’t stop people from saying it and learning it isn’t acceptable in this day to treat people like that,

        Liked by 1 person

      • It’s a necessary part of the ongoing process of education, isn’t it. Words can be hurtful even when no hurt is intended, and somehow we need to help people understand that.

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  2. I have never directly been affected by suicide, BUT I can certainly summon a few people from the past I knew well who I have subsequently heard about, what on earth went wrong? Then there are the others such as the cheerful delivery driver at work. Strangest – a girl I was good friends with as teenagers, her family were a bit strange, her brother let slip he had had an older brother, but didn’t want to talk about it… later I heard third or fourth hand that the brother had commited suicide. Now my friend had never mentioned she even had another brother – the whole family sworn to secrecy I guess.

    Liked by 2 people

    • Those are tragic stories and they reflect the stigma that mental health issues attract. The first I knew of suicide was a friend at university, and at that young time in life it was deeply shocking. Sadly it is far more common than people will admit. Many thanks for reading and commenting, much appreciated.

      Liked by 1 person

  3. Mental Health Services at our hospital has wards for patients in its own separate building, with attendant psychiatrists at hand. I’m not sure how this compares to other hospitals? I think people on the whole don’t like to admit that they cannot cope, and perhaps this is another reason why they might not seek help at first. My own mother took Valium for years for depression. She could never come to terms with her dysfunctional childhood, even in old age.

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    • Very similar, from what I’ve seen. There are also specialist mental health trusts, like the one I used to work for, with their own facilities on separate sites away from acute hospitals. That fear of being honest with ourselves is a huge part of the problems we suffer – it’s how it was for me and became the beginnings of my blog. I’m sorry your mum suffered, it’s horrible to go through it.

      Liked by 1 person

  4. Such an important topic that deserves to be widely spoken about. I think it’s more openly discussed today here in Australia but I’m not sure how much funding is going into research and improving those alarming suicide rates. Good on you for keeping the discussions going on WP Clive.

    Liked by 1 person

  5. This is an important topic, Clive. So many suffer from mental illness here in the U.S. and substance abuse disorder. Still such a stigma attached and resources are not readily available for treatment. All too often the mentally ill end up in jails without treatment. Suicides among our veterans are an epidemic. So much work left to do to remove the stigma.

    Liked by 1 person

    • Thank you, Molly. I fear that it is the same in most countries, regardless of their healthcare system. A lack of resources for treatment and a lack of understanding and compassion amongst those who have never suffered. You’re absolutely right: there is still so much to be done.

      Liked by 1 person

  6. This is a most interesting post, Clive. Your point about the number of people in the total population who suffer from metal illness is very small, less than 1%, does make a big difference, unfortunately, in the statistics used by the people allocating the money. Less than 1% is very dispensable. The same applies for children that suffer adverse effects from vaccinations. 1% is an acceptable statistic except, of course, if you are the parent of the child in the 1% group.

    Liked by 1 person

    • Thanks Robbie. The very small number actually relates just to suicides: the figure rises to more than 25% in total who have been diagnosed with a mental illness, which is why the problem is so urgent. We can but hope that things change but, as I said in the piece, it is difficult to see how that might happen given the general situation here.

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