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Low self-reporting of mental health issues in India is a multidimensional phenomenon that is deeply linked to cultural, social and systemic factors. To understand this issue, we need to understand the scientific and realistic approach that underlies its complexities.
In an interview with HT Lifestyle, Dr Navodita Kumar, Clinical Psychologist at Apollo Clinic in Chandanagar, revealed, “Cultural factors play an important role in shaping attitudes towards mental health. In India, traditional beliefs often view mental illness as a result of moral failure or past karma, leading to stigma and discrimination. For example, conditions such as depression and anxiety may be viewed as signs of weakness rather than legitimate health concerns. This cultural narrative discourages individuals from acknowledging their struggles and seeking professional help.
He shared, “Social pressure also contributes to low self-reporting of mental health issues. The emphasis on success and achievement can create an environment where admitting vulnerability is seen as a sign of failure. For example, high academic expectations in schools can increase stress and anxiety among students, yet asking for support is often seen as a sign of inadequacy. Evidence-based interventions based on scientific principles are needed to address this complex issue. This involves implementing community-based mental health programs that prioritize early intervention and prevention efforts. For example, school-based initiatives that teach coping skills and resilience-building strategies can promote mental well-being from an early age.
“In addition, integrating mental health services into primary care settings can improve access and reduce stigma,” the expert said. By incorporating mental health screenings and interventions into routine health care visits, individuals may feel more comfortable addressing their concerns and receiving support.
According to Dr Valli Kiran, consultant psychiatrist at Sparsh Hospital, Bangalore, under-reporting of mental health issues is a problem because many people do not realize they have a problem or are embarrassed to seek help. He said, “Even though more people are now aware about mental health, many still do not know much about the different disorders. Sometimes, people only realize they have a problem when they go to the doctor. People are still afraid to talk about mental health because of what other people will think. They may have trouble talking to a counselor, but not taking medication or admitting that they have a serious problem. “This makes it difficult for them to get the help they need.”
Saying that lack of reporting has a big impact on healthcare, Dr Valli Kiran said, “Some people do not get help at all, so their problems become worse. Others go to the doctor for physical symptoms caused by stress or depression, making their mental health issues harder to treat. This puts more pressure on hospitals and delays treatment for everyone. Our health care system needs to focus more on helping people stay mentally healthy, not just treating them when they are sick. Things like yoga and meditation can help, but we need to do more to prevent mental health problems. We should also pay attention to signs of trouble, such as changes in behavior or problems in relationships. If someone needs help, they should immediately seek help from a doctor who knows how to treat mental health problems. We need to work together to ensure that everyone can live happy, healthy lives.”
Bringing in his expertise, Dr. Ravi Kumar CP, Consultant, Pediatric Neurology at Aster CMI Hospital, Bangalore, shed light on why self-reporting of mental illness is low despite so much awareness and said, “For centuries Mental illness has been stigmatized globally, across borders and genders. This widespread stigma creates barriers for individuals to openly share their experiences and feelings. Even when they muster the courage to speak out, there is still a fear of breach of confidentiality or discrimination. Teenagers especially struggle with the fear of bullying and ostracism from peers. Similarly, professionals are concerned about job security amid negative perceptions around mental health issues. These challenges collectively prevent individuals from getting the support they need.”
Stating that this indicates that the actual burden is higher than mentioned, he explained how this impacts the healthcare system and said, “The existing healthcare infrastructure is ill-equipped to address the growing challenges posed by mental illness.” Is. Despite the popular belief that minor difficulties can be managed through resilience and support, many individuals struggle with serious mental health conditions without adequate support. A large portion of the population silently endures mental health problems without seeking help or experiencing improvement. In a country of millions, this marginalized group faces detrimental effects on their well-being and career trajectory. Additionally, it may impact future generations, perpetuating a cycle of untreated mental health problems.”
Talking about ways to overcome this burden, Dr. Ravi Kumar CP suggested, “Removing the stigma associated with mental health and overcoming barriers such as high insurance costs are important efforts. The government must accept mental health disorders as legitimate medical conditions. Additionally, authorities should intervene to reduce the financial burden by providing assistance with insurance expenses and supporting individuals struggling with mental illness. These reforms are urgently needed to ensure that individuals receive the support and care they need without delay.
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