A Cry for Help: Dismantling the Stigma Around Mental Health

Ten years ago, at the tender age of fourteen, I found myself in the depths of despair, resorting to self-harm in a desperate attempt to be heard. As I sat numb on the classroom floor, surrounded by the commotion of concerned classmates, I realized I wasn't seeking death – I craved help. I yearned for someone to understand the silent screams echoing within me, someone to acknowledge the invisible pain I was enduring. In essence, I yearned for access to mental healthcare.

Credit: Sam Moghadam Khamseh

Mental health has gained significant prominence in recent years. However, the fight to dismantle the stigma surrounding it continues. In 2019, the World Health Organization launched the "Universal Health Coverage for Mental Health" initiative, aiming to reduce suicide rates among adolescents and young adults by 20% by 2030. While this initiative brought mental health awareness to the forefront, its effectiveness in combating stigma remains questionable.

A Global Crisis with Local Repercussions

In Kenya, where I am from, the perception of mental health struggles remains shrouded in negativity. As stated in a report published in the National Library of Medicine, "stigma surrounding Mental and Neurological Disorders is a pervasive problem in Kenya." This translates to a healthcare system ill-equipped to address this critical global issue.

My personal experience is a stark reminder of the consequences of this stigma. When I sought help after self-harm, the initial response from my surroundings was rooted in superstition, with some attributing my struggles to demonic possession. Thankfully, I eventually received professional help, allowing me to navigate back to health and become a public health professional. But what about countless others?

I yearned for someone to understand the silent screams echoing within me, someone to acknowledge the invisible pain I was enduring. In essence, I yearned for access to mental healthcare.

A System Failing Its People

The BBC Africa Eye documentary "What Is Eating My Mind" paints a harrowing picture of a young man, Nick Odhiambo Osir, chained by his family, who believed him to be possessed, despite the legal repercussions of such actions. Another instance involves a mentally ill patient recounting the dehumanizing experiences of being labeled and ostracized when seeking help. These are grim realities born from a healthcare system crippled by stigma.

Education: The Key to Change

So, how do we break this cycle? Echoing the words of Leana Wen, Former Baltimore City Health Department Commissioner, "Public health depends on winning over hearts and minds." Simply having good policies isn't enough; we need to change mindsets.

The solution lies in persistent and multifaceted education. We need to advocate for effective mental health awareness programs targeting the public, healthcare professionals, and those involved in primary healthcare services. This education should empower individuals to understand mental health conditions, dismantle harmful stereotypes, and seek help without fear of judgment.

Breaking the Silence: A Collective Responsibility

Eradicating the silence surrounding mental health is a social duty. The government has a crucial role to play in initiating this change. However, where silence persists, the public must step up and champion the fundamental human right to access mental health care free from stigma and discrimination. By joining forces and amplifying our voices, we can create a world where individuals like my younger self are not met with silence but with compassion and support. Remember, mental health matters, and everyone deserves the chance to heal.

Esther Anyona

Esther Anyona is a public health professional with three years of experience in health promotion and advocacy. She currently serves as the Program Lead for the Immunization Department within the Kenya Malaria Youth Corps.

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