I think that World Mental Health Awareness Day might be a more appropriate name, but I don’t get to decide these things. I suppose the fact that the day is named and acknowledged at all means that there is awareness brought to mental health. Not so long ago, people in Ireland didn’t mention mental health at all. It was stigmatised almost as much as being an unmarried mother. And that’s saying something.
Sadly, both states – being a lone mother, and having mental health difficulties – are still stigmatised in today’s Ireland. It’s no wonder that so many women who parent alone report having mental health difficulties. As a proud member of the steering group of S.P.A.R.K., I conducted research among our members and will be presenting my findings at our First National Conference on November 3rd, next.
Campaigns such as the Green Ribbon Campaign have certainly helped get people talking, but it’s not enough to get adults talking to each other about how they are feeling. We need to give our children the language to talk about their emotions, too, and – just as importantly – we need to listen. I am often struck by how the reaction to our high rates of suicide among young men, our response is to encourage them to talk. I honestly feel that that’s a case of ‘too little, too late’. As a nation, we spend their entire formative years telling our children to ‘shut up’, to ‘be quiet’, to ‘speak when they’re spoken to’, to ‘mind their own business’ when they ask questions, to do things ‘because I say so’, to ‘stop crying’ when they are upset etc. etc. How can we, then, reasonably expect these same children – when they are teenagers and adolescents – to talk about how they are feeling?
I must also point out that it’s all very well encouraging people to have conversations, to open up about their mental health, and to stop hiding how they really feel, but it’s a bit irresponsible if there isn’t also information around how to receive and react to the information once it has been expressed. What should you do or say to someone who reveals, in the course of a conversation, that they do want to die? Or even that they are teetering on the edge of a depression? Or that their anxiety is so bad that they aren’t sure they’ll be able to make it home from work?
Unfortunately, one of the biggest problems we have with regard to mental and emotional health and their effective treatment is access to appropriate supports. In Ireland, a child in acute crisis (eg at risk of dying by suicide) could be waiting months to be seen by a member of the CAMHS – the Child and Adolescent Mental Health Services. That’s if they’re lucky. Thankfully, Pieta House will see those who are suicidal much, much quicker. Adult services aren’t much better – with just six sessions of ‘talking therapy’ being offered to medical card holders in crisis; preceded, of course, by a good long wait on a waiting list. For those who would benefit from therapies such as CBT or DBT, a catchment area lottery applies. You may or may not be offered a treatment that has good success rates for your particular difficulty if it is not provided by the HSE in your area. This is hardly a person-centric model of care.
Even with a sympathetic GP, the help and support vista around mental health is rather grim. GPs often have little to offer beyond chemical intervention (pills don’t suit everyone, and the side-effects can be horrific; including increased anxiety and suicidal ideation), and general advice to exercise, drink less alcohol and caffeine, and avoid stressful situations.
I’m not saying anything new. I’m not saying anything you don’t already know. I’m just bringing attention (again) to the dire state of mental health services and care in Ireland, and the damage lack of access to care brings to the lives of those suffering.