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HEALTH TALK: Mental illness and stigmatization in Nigeria (Part 2)

 

By Suleiman Tajudeen

 

continued from last week

 

mental health conditions, leading to discrimination, social exclusion, and marginalization.

Major Causes of Stigmatization 

Cultural and traditional beliefs: Many Nigerians attribute mental illness to supernatural causes or spiritual problems

Lack of knowledge and awareness: Limited understanding of mental health issues contributes to stigma

Societal attitudes and misconceptions: Viewing mental illness as a sign of weakness or a personal failing

Fear and discomfort: Fear of people with mental health conditions can lead to avoidance and exclusion

Media portrayal: Sensationalized media coverage can perpetuate negative stereotypes

Stigma in healthcare: Healthcare providers may hold stigmatizing attitudes, affecting care quality

Social and economic factors: Poverty, unemployment, and social inequality can exacerbate stigma

Lack of mental health infrastructure: Inadequate mental health resources contribute to stigma

Human rights abuses: Reports of human rights abuses in traditional mental health treatment settings

Policy and Legislation: Inadequate policies and law to safeguard the interest of the patient can perpetuate stigma.

Prevention of stigmatization 

Education and awareness: Educate the public about mental health to dispel misconceptions

Positive media representation: Encourage accurate and respectful media coverage

Community-based initiatives: Organize community events and campaigns to promote mental health awareness

School-based programs: Integrate mental health education into school curricula will help to reduce the rate of stigmatization in Nigeria.

Workplace Initiatives: Implement mental health-friendly policies and practices in workplaces and other public facilities.

Training: Train healthcare providers to address stigma

Advocacy: Support advocacy groups and organizations promoting mental health (i.e. NGOs)

Policy reform: Advocate for policy reforms promoting mental health and reducing the rate of stigma in our society.

Research and evaluation: Conduct research to understand stigma and evaluate interventions

Empower individuals: Empower individuals with mental health conditions to share their experiences and there should be no any form of stigmatization in the area of job opportunities.

Modern ways to maintain good mental health

Mindfulness and Meditation: Practice milndfulness and meditation to reduce stress

Exercise and physical activity: Engage in regular exercise for mental health benefits

Social connections: Nurture social connections and build strong relationships

Healthy sleep habits: Prioritize sleep and maintain a healthy sleep schedule

Nutrition and diet: Focus on a balanced diet for mental health

Mental health Apps: Utilize mental health apps for support and resources

Psychotherapy and counseling: Seek professional help when needed

Self-care: Prioritize self-care activities, such as hobbies and relaxation

Stress management: Develop effective stress management techniques in order to reduce any form of stressors in our life

Leisure activities: Engage in enjoyable leisure activities that will reduce the rate of stress.

Effects of stigmatization

Social isolation: People with mental illness may experience social avoidance, rejection, and isolation due to negative stereotypes and prejudices held by others.

Low self-esteem: Internalized stigma can lead to decreased self-esteem, self-efficacy, and confidence, making it harder for individuals to seek help and recover.

Discrimination: Stigma can result in discriminatory behaviors, such as withholding help, avoidance, and coercive treatment, affecting patients’ access to employment, housing, and healthcare.

Poor treatment Adherence: Fear of stigma can lead to non-adherence to treatment plans, worsening symptoms and outcomes that can lead to repeated relapses.

Increased symptoms: Stigma can exacerbate symptoms of mental illness, such as anxiety and depression.

Reduced opportunities: Stigma can limit opportunities for education, employment, and social participation.

Family burden: Families may experience emotional distress, social isolation, and financial strain due to stigmatization.

Caregiver burden: Caregivers may feel overwhelmed, anxious, or depressed due to the stigma associated with caring for a loved one with mental illness.

Social exclusion: Patients and their families may feel excluded from social activities and other community events.

Mental health impact: Stigma can worsen mental health outcomes, including increased risk of suicidal behaviors and frequent relapses.

Reducing stigmatization among people living with mental illness in Nigeria

Education and awareness: Educate the public about mental health to dispel misconceptions and promote understanding about mental illness and how it can be managed effectively.

Promote positive media representation: Encourage accurate and respectful media coverage to reduce negative stereotypes in our society.

Community-based initiatives: Organize community events and campaigns to promote mental health awareness and reduce the rate of stigma in our society.

School-based programs: Integrate mental health education into school curricula to promote awareness and understanding among secondary school students and other institution of higher learning.

Workplace: Implement mental health-friendly policies and practices in workplaces to support employees with mental health conditions.

Training: Train healthcare providers to address stigma and provide culturally sensitive care.

Advocacy: Support advocacy groups and organizations promoting mental health in reducing the rate of stigma in our society.

Policy reform: Advocate for policy reforms promoting mental health and reducing stigma in Nigeria.

Empowerment: Empower individuals with mental health conditions to share their experiences and promote awareness.

Research and evaluation: Conduct research to understand the rate of stigma in our society and evaluate interventions to reduce the stigma accordingly.

Management of Mental Illness in Nigeria

Professional help: Consult mental health professionals for diagnosis and treatment accordingly

Medication and therapy: Utilize medication and therapy for treatment as prescribed by medical expert and psychologist respectively

Support groups: Join support groups for connection and community

Lifestyle changes: Implement healthy lifestyle changes, such as exercise and nutrition

Family support: Engage family members in care and support for patient concern

Community-based care: Leverage community-based initiatives for support

Cultural sensitivity: Consider cultural factors in treatment and care (i.e. Community members should be psycho-educated on mental illness and how it can be managed medically)

Access to care: Improve access to mental health services (i.e. mental health facilities should be brought closer to the community)

Early intervention: Prioritize early intervention and prevention (i.e. psycho-educate member of the public on early sign/warning of mental illness)

Research and Innovation: Encourage research and innovation in mental health care.

References

Alexander, L. A., & Link, B. G. (2008). The impact of contact on stigmatizing attitudes toward people with mental illness. JMH. 12:271–289.

Crisp, A., Gelder, M., Rix, S., Meltzer, H., & Rowlands, O. (2000). Stigmatisation of people with mental illness. Br. J. Psychiatry., 177:4–7.

 

Dr Suleiman Tajudeen is CEO and Director of clinical psychology, Clear Mind Psychological Consult, Km 15, Badagry Expressway, Ojo, Lagos.

+234 803 402 4457

 

 

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