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World Mental Health Day 2019

October 10, 2019 16 comments


Not that I needed the reminders, but my inbox has been receiving a steady flow of emails about World Mental Health Day (WMHD), which is marked each year on 10 October. This date is recognised by the World Health Organisation and the theme for the year is set by the World Federation for Mental Health. This year’s theme is suicide prevention.

Having had mental health problems myself – mostly depression and anxiety-related – I feel very lucky that I have never once had the remotest hint of a suicidal thought. Others are, sadly, far worse off than I in this respect, and I am pleased that this subject is receiving so much attention. For so long it has been one of those taboo subjects of which we dare not speak, choosing instead to brush it under the figurative carpet.

This week has seen the launch of the Every Mind Matters campaign by Public Health England and the NHS, to encourage people to be more aware of the early signs of mental health issues. Their website can be found  here and is full of loads of useful advice and resources. I strongly encourage you to take a look if you or anyone you know might benefit from getting some good help and advice. The campaign is being supported by the younger royals – the Cambridges  and Sussexes – and is generating good publicity. Many companies and organisations, such as the England and Wales Cricket Board (ECB) have also pledged support.

Today I’ve seen a piece on breakfast tv about Ellie Soutter, a snowboarder champion who took her own life last year on her 18th birthday. It featured an interview with Ellie’s mother and was heartbreaking, really bringing home the devastation caused in the lives of loved ones, families and friends when someone commits suicide. The gaping hole that they leave, all those unanswered questions about what drove them to do it, the guilt about whether their family, friends or anyone could have seen signs of their unhappiness and done something – anything – to help. There are, sadly, no easy answers to any of those questions. None of us wants to be in poor Ellie’s mum’s situation, but we don’t have hindsight to know what we might have done in her circumstances. We shouldn’t need things like Every Mind Matters to remind us of this, but the reality is that we do. The importance of spreading this word, and of sharing awareness of what we can do to help ourselves and our loved ones, cannot be understated.


One of the organisations which supports people with mental health issues is Time To Change. I’ve spoken about them before, and have recently signed up to be a ‘Time To Change Champion,’ which means that I have committed to spreading the word about what we can do to help. This isn’t a big announcement, and isn’t anything for which qualifications are needed. Anyone can do it – the more who do, the more widespread the message becomes. If you’re interested, do visit the Time To Change website. Here you’ll also find lots of good advice, including their campaign for this year’s WMHD, ‘Ask Twice,’ as you can see from the image above. This is the simple thought that, rather than accepting the usual ‘I’m fine’ answer to the ‘how are you?’ question, we might delve a little deeper. Here is the link: you’ll find a good little video about it to encourage you to think more about this, along with more advice on how to start that conversation. I’ll be posting more as a ‘Time To Change Champion’ in the months to come, and I hope some of you will sign up too.

I’m aware that this post reflects the fact that I am in the UK, but this is World Mental Health Day. Wherever you are from, this is an important day. In the column to the right you will see a box labelled ‘Stand Up For Mental Health.’ If you click on this it takes you to the website of HealthyPlace.com, whose campaign this is. They are US-based, and I know that there are many similar initiatives around the world. Wherever you are, please take a few moments to find out what is available to you and what you can do to help. And if you think you might need some support, please do seek assistance, and don’t be afraid to ask.

’How are you?’

‘I’m fine thanks.’

‘Are you sure? You don’t seem quite like yourself…’

‘Well, actually…’

That wasn’t too hard, was it? If you know someone you think might be struggling, #AskTwice today and every day. You may be saving a life.

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Time To Change: My Pledge

February 12, 2019 7 comments

I was looking back through my previous posts, trying to find something I wrote in the early days. As you do, I stumbled across something I didn’t recall writing – old age can be such a pain sometimes! This post is from November 2014 and, rather than being specifically written for #TimeToTalkDay, as I did last week, this is an explanatory piece about the organisation behind that day: Time To Change. It struck me that this would be a good follow up to last week’s post, so here it is. Unusually for a post dating so far back, all of the links still work.

I hope you can find a few moments to read this previous post and to follow the links and find out more. This is why I started blogging and, despite occasional appearances to the contrary, is why I am still doing this. We can never underestimate how important it is to look after our mental health, and to support and promote those who are sharing this message.

Take care.

Take It Easy

Time To Talk

You may not have heard of the Time To Change initiative, which is led by Mind and Rethink Mental Illness, two of the leading mental health organisations in the UK, and is funded by the Department of Health, Comic Relief and the National Lottery.

Time to Change began seven years ago and is England’s biggest programme to challenge mental health stigma and discrimination. It aims to start a conversation – or thousands of conversations – about aspects of mental health, to help people become more comfortable talking about it. They have a range of activities in progress, which you can read about here on their website. There is also plenty of useful information there, so it is well worth a visit. You can follow them on Facebook and Twitter, and if you use the hashtag for their campaign – #TimeToTalk – you should see what people are saying and doing.

Estimates usually suggest that around…

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Time To Worry – An Update

January 27, 2019 30 comments

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.

 

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