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suffering in silence: mental health

One can’t simply ask, ‘Do you feel you suffer from depression?’ and hope to get any kind of truthful response. In 2013, the American Psychiatric Association specifically included to its definition of PTSD work-related, repeated and indirect exposure to distressing material. Please read the entire Privacy Policy and Terms of Use. In his 14 years on the job, Wasay claims to have covered “thousands of violent incidents”. The centre recently published an analysis of over two dozen studies conducted between 2001 and 2014, which included journalists from all over the world and across mediums. All these events create lasting memories, some more crippling than others. A new nationwide poll, the GeneSight Mental Health Monitor, shows that nearly two-thirds (61%) of Americans age 65 or older who have concerns about having depression will not seek treatment. During those sessions, Wasay says the psychologist repeatedly asked him questions related to his competency at work: “Don’t you want to leave your job? In Pakistan, little to no research has been done on the impact of prolonged reporting on violent and traumatic events as well as the extreme stress of newsrooms have on journalists. Although the old phrase don't suffer in silence is equally as fitting in alleviating these perceived challenges. The unfortunate impact of poor self-health on patient care is well known. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies. As much as journalists like to believe that they are immune to the impact of violence and tragedy, the reality is sometimes different. Although multifactorial, the source of this reluctance appears to be closely related to concerns around licensure and the stigma of mental illness within the medical community. : Do physicians preach what they practice? : A longitudinal study of students' depression at one medical school. Given that almost 50% of Americans will meet diagnostic criteria for a mental health disorder during their lifetime (1), yet only 40% of individuals receive treatment for their illness (2), this increased awareness of mental illness is timely and valuable. And graduate medical education programs abide by work-hour restrictions to improve sleep and decrease fatigue, although this does not prohibit residents from underreporting the amount of time spent in-hospital. He never saw him again. He believes he is immune to the hard realities of the job, but admits that perhaps this is his way of rationalising his experiences. Researchers in the field of traumatic stress in the West are only beginning to examine the toll this profession may have on the mental health of journalists. Depression, for example, has been shown to be more prevalent in resident and early-career trainee cohorts when compared with similarly aged college graduates in other careers, as are burnout, suicidal ideation, suicide attempts, and deaths by suicide (12). Acad Med 1997; 72:542–546 Crossref, Google Scholar, 10. Reporters, assignment editors, desk editors, photojournalists, cameramen and other members of the newsroom are involved in the coverage of many tragedies and traumatic events, including natural disasters. It was not until 15 years ago that Post-Traumatic Stress Disorder (PTSD) was acknowledged in the field of journalism — one of the last professions to recognise the serious disorder. The survey shows that 66% of respondents had faced both a security threat and knew a colleague who was attacked. 8, 25 May 2020 | Medical Teacher, Vol. “Family members are affected in many cases, as journalists return home appearing irritable and aggressive, losing their temper more frequently.”. Gold KJ, Andrew LB, Goldman EB, et al. After three days, the psychologist gave Wasay a clean bill of mental health. The writer is a staffer at the Herald. Rescue workers, officials and journalists gather at a bomb blast site in Lahore on March 27, 2016. Credit: M. Arif, White Star. For those suffering from mental ill-health the experience can be an extremely painful one, as it drains and damages the individual who is going through it. Although state dependent, the repercussions of full mental health disclosure can include being asked to appear before state board examiners or to pay for a board-appointed physician examination. regular source of care and use of preventive health services among physicians, "I would never want to have a mental health diagnosis on my record": a survey of female physicians on mental health diagnosis, treatment, and reporting, Do physicians preach what they practice? Schwenk TL, Gorenflo DW, Leja LM: A survey on the impact of being depressed on the professional status and mental health care of physicians. Local charity Bristol Black Carers (BBC) does outstanding work supporting carers. When Asif noticed he was still alive, a gunman prevented him from helping the bleeding man. While covering the funeral of a local cleric, Wasay was caught in the crossfire and sustained four bullets in his arm. The video is online. “I still remember those golden curls sticking out from under the rubble. Russell T, Satele D, Rummans T, et al. She has been involved in therapy treatment of over 20 journalists; in her opinion, many of those who seek help suffer from the psychological impact of working 24/7 and receiving poor compensation. Suffering in silence: age inequality in older people’s mental health care. The facility of having an in-house counsellor may be a long way coming, but journalists should at least feel safe enough to approach their supervisor and request a different assignment in times of distress. JAMA 2003; 289:3161–3166 Crossref, Google Scholar, 16. On that day, 144 people, most of them children, were brutally gunned down by the Taliban. Ali speaks out on the issue often and has even been involved with trainings at the trauma centre at Peshawar University. Part of the failure to adequately address mental health care may reflect physicians' own unwillingness to engage with mental health treatment. Mayo Clin Proc 2017; 92:1486–1493 Crossref, Google Scholar, 17. UK students suffer in silence when it comes to mental health. Suffering in Silence. Studies have found that about 35% of physicians do not seek regular health care for themselves (4). Ann Intern Med 2002; 136:358–367 Crossref, Google Scholar, 14. The symptoms, she says, include anxiety, sleep deprivation, depression and, in some cases, PTSD. Young people suffering in silence. Shanafelt TD, Bradley KA, Wipf JE, et al. Lack of information and misunderstanding about mental health. Suffering in silence: age inequality in older people’s mental health care CR221, November 2018. View mental health poster.jpg from FSW 5028 at Humber College. Anthony Feinstein at the University of Toronto is a pioneer in this research and has dedicated his career to studying journalists and PTSD since he first discovered this connection 15 years ago. The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. : Burnout and self-reported patient care in an internal medicine residency program. In response to these issues, there has been an increase in activity around improving mental health for physicians and trainees. While it’s important to have external resources such as the trauma centre at University of Peshawar and a group of peers to turn to, the support of media organisations is instrumental in bringing about real change. The Dart Centre at Columbia University in New York is a resource hub on the topic of journalism and trauma. February 26th, 2020. Studies have consistently demonstrated that physicians' own health habits affect their health and prevention counseling (7) and that depression among providers is associated with lower-quality medical treatment (8). In many cases, this can range from depression, phobia, anxiety, obsessive-compulsive disorder and panic disorder. : Rates of medication errors among depressed and burnt out residents: prospective cohort study. … “I spoke about it [trauma] with my inner circle of close friends and colleagues, but never publicly — not like this,” says Asif. Suffering in Silence: Journalists and Mental Health Afraid of being judged, some journalists avoid reaching out, while others don’t even know the problem exists. He wouldn’t be the first, or the last. by Martin Fullard December 18, 2020. published by Martin Fullard December 18, 2020. : Do state medical board applications violate the Americans with Disabilities Act? According to BITC, the culture of silence must be broken and employers need to be actively asking … Moreover, medical students who associate depression with personal weakness often perceive their academic environment as more competitive and psychotropic medications as less efficacious (12). They live secret lives marked by depression, anxiety, ADHD, social phobias, bipolar disorder and other debilitating psychiatric conditions. 10, Journal of Environmental and Public Health, Vol. Can you still do reporting? Reporting on violence was not new to Asif, who now has 15 years of experience in the field. Prevalence rates of depression and anxiety among medical students have been recorded as between 25% and 56%, which is greater than the estimated prevalence in both age-matched cohorts and the general population (10). According to the National Alliance of Mental Illness (NAMI): Many African-Americans have difficulty recognizing the signs and symptoms of mental health conditions, leading to underestimating the effects and impact of mental health conditions. In a male-dominated profession like journalism, people hesitate to talk about their emotions — especially related to the job. BMJ 2008; 336:488–491 Crossref, Google Scholar, 9. Or it can be more than one. On Tuesday, ahead of Maternal Mental Health Awareness Day on May 6, the NSPCC hosted a virtual roundtable with health visitors, as well as a midwife and psychiatrist, and the chairman of the Maternal Mental Health Alliance, Dr Alain … JAMA 1984; 252:2846–2848 Crossref, Google Scholar, 8. … Like others who have addressed this topic, we recommend comprehensive programming that recognizes the importance of mental health to physicians and that provides them with healthy tools to overcome the demands of the profession. They most likely belonged to a dead girl whose body was still trapped underneath,” says Khan, recalling his experience of covering the 2005 Kashmir earthquake that claimed more than 80,000 lives. So when 40 journalists came through the doors in 2015, those involved with the centre knew they were making a difference. Most journalists don’t even know the problem exists. The formation of stigma depends on multiple factors such as inadequate knowledge about mental illness, personal or family experiences with mental disorder and people’s attitude … He was trying to cover his face. Suffering in Silence: Two-Thirds of Older Adults Say They Won’t Treat Their Depression Myriad Genetics, Inc. November 17, 2020 GMT SALT LAKE CITY, Nov. 17, 2020 (GLOBE NEWSWIRE) -- A new nationwide poll, the GeneSight® Mental Health Monitor, shows that nearly two-thirds (61%) of Americans age 65 or older who have concerns about having depression will not seek treatment. Is it not too dangerous?”, “I felt like a stray dog. I just don’t feel anything,” says Wasay. This access is also intended to be delivered in a wider range of places. The stakes of physicians' poor self-health are dramatic, given that the suicide rate among physicians is 1.4–2.3 times higher than that of the general population (6). Although much of the explanation for the 25% increase in the suicide rate over the past 20 years has focused on poor access to and financing of mental health care, cultural and societal stigma around mental illness have remained largely unchanged over the past two decades (3). : Medical licensure questions and physician reluctance to seek care for mental health conditions. However, a rapidly growing body of literature highlights the impact of mental health on medical outcomes such as pain, postoperative opioid use, and other chronic health conditions, including diabetes and heart disease (20). Gross CP, Mead LA, Ford DE, et al. Mental health: don"t suffer in silence Mental health: don"t suffer in silence Martin Fullard Fri, 12/18/2020 - 09:26...; A message from the One Industry One Voice Taskforce A message from the One Industry One Voice Taskforce Martin Fullard Fri, 12/18/2020 - 09:20...; Furlough scheme extended to 30 April 2021 Furlough scheme extended to 30 April 2021 Martin Fullard … Furthermore, more students believed that disclosing mental illness could adversely affect their professional advancement. Furthermore, in a study of 4,287 students across seven medical schools, the burnout rate was estimated to be as high as 49.6%, with only 26.5% having recovered at the 1-year follow-up (11). I like adventure and danger,” says Wasay*, a crime reporter. Similar to their full-fledged physician counterparts, few medical students seek medical treatment. Not to give me counselling, but to assess if I was still capable of working,” says Wasay. Over the years, Ali desensitised herself to headless corpses and the smell of blood, something which made her gag previously. regular source of care and use of preventive health services among physicians. There is a macho culture and deeply-rooted stigma surrounding matters of the mind which permeate through newsrooms and reporting fields all over the country. Statistics have shown that mental health problems cost the UK economy over US$28 billion a year, through lost days working, staff turnover and low productivity. As with medical students' reluctance to seek help, the source of physician hesitancy involves fears about licensing, a medical culture that can sometimes view help-seeking behavior as a marker of weakness rather than empowerment, discrimination in hospital credentialing, and consequences pertaining to personal and liability insurance due to disclosure of mental health diagnoses (15). Some were still alive, but there was no one around to help them. She did not include direct questions related to mental health as she feels that many journalists still don’t know how to talk about the subject. Christmas will be a difficult time for some of our events family this year. “The well-being of a reporter is more important than news,” says Farzana Ali, who has 19 years of experience in journalism. Suffering in Silence: Journalists and Mental Health. Apart from the more dramatic ones – bomb blasts and riots – he estimates reporting on two or three killings on a typical day. I don’t get extremely happy on happy occasions and I don’t get too upset when someone close to me dies. For journalists all over the world, especially Pakistan, witnessing a cold-blooded murder – as was the case with Asif – or being exposed to killings regularly – as was Wasay – is not uncommon. As the bureau chief for Aaj TV in Peshawar, where militancy is a major security threat, Ali and her 23-member team have seen a fair share of violent incidents. “We were not expecting more than four or five people in the first month of operation,” says Professor Altafullah Khan, chairman of the department of journalism and mass communication at the University of Peshawar . While Asif was trying to negotiate a safe passage for as many people as he could, the gunmen suddenly opened fire at a group of people they believed to be supporters of the rival political party. Licensing and physician mental health: problems and possibilities, A survey on the impact of being depressed on the professional status and mental health care of physicians, Preoperative depression, lumbar fusion and opioid use: an assessment of postoperative prescription, quality, and economic outcomes, https://doi.org/10.1176/appi.ajp-rj.2018.131101, https://afsp.org/our-work/education/healthcare-professional-burnout-depression-suicide-prevention, Osteopathic Medical Licensing Compliance With the Americans With Disabilities Act of 1990, Physician well-being amidst COVID-19: An analysis of online resource provision by the 123 national medical specialty societies in the AMA house of delegates, Stress among Portuguese Medical Students: A National Cross-Sectional Study, Prevalence of anxiety and depressive symptoms among emergency physicians in Libya after civil war: a cross-sectional study, Optimizing resilience and wellbeing for healthcare professions trainees and healthcare professionals during public health crises – Practical tips for an ‘integrative resilience’ approach, Physician Experience: Impact of Discrimination on Physician Wellness, Alive and Well: Encouraging Long Term Health Habits Through Implementation of Student Driven Wellness Programs in Medical Schools. The centre receives referrals for journalists who seek counselling through the Peshawar Press Club and the Khyber Union of Journalists. “These responses are similar to those that I received 15 years ago, when I first began my research,” he says. “Maybe there is a dormant virus inside us; one never knows when it will surface,” he says. The stigma attached to mental illness is very real and it causes many people to suffer in silence. Mental health: don’t suffer in silence. There are still some, though, who have spoken about their experience publicly in order to raise awareness about the issue. Even in the absence of any medical evaluation of what he went through, it is obvious that he suffered. What happened in the following moments still haunts the 45-year-old journalist to this day. Rosal MC, Ockene IS, Ockene JK, et al. Pakistan was ranked the fourth deadliest for journalists in the world in a report published by the International Federation of Journalists this year. 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