Fears surrounding medical licensing are well founded in many cases. A recent survey commissioned by Priory Group reveals that a shocking one in four students are too uncomfortable to reveal their mental health problems to their friends for fear of being mistreated. “It was the first time we realised that we are human beings, and not above having an emotional reaction,” she says. Yet, even the senior professionals acknowledge tremendous amount of pressure that comes with working in the field. Asif had never seen anything like it. For our NCS social action project, we decided to create a short film on mental health. Moreover, many analysts argue that the remaining state licensures are in violation of the Americans with Disabilities Act (17). Rescue workers, officials and journalists gather at a bomb blast site in Lahore on March 27, 2016. Credit: M. Arif, White Star. While covering the funeral of a local cleric, Wasay was caught in the crossfire and sustained four bullets in his arm. Perhaps in response to these perceptions, many medical trainees adopt a survival mentality to cope with stress and anticipate that their mental distress will decrease after training (13). Arch Intern Med 2000; 160:27–31 Crossref, Google Scholar, 5. By training physicians to better understand mental illness as integrated with medicine, the medical community can work to destigmatize its own perceptions surrounding mental health. The unfortunate impact of poor self-health on patient care is well known. Please read the entire Privacy Policy and Terms of Use. The Dart Centre at Columbia University in New York is a resource hub on the topic of journalism and trauma. Reporting on violence was not new to Asif, who now has 15 years of experience in the field. The subject of mental health is a hard one to broach in Pakistani society to begin with — least of all, among a group of seasoned male journalists. Despite concerns from the American Psychiatric Association that licensing questions focused on the diagnosis or treatment of mental illness (as opposed to current impairment) would deter physicians from seeking help, recent studies indicate that only one-third of states have licensing and renewal questions that either inquire only about current impairment from a mental health condition or did not ask about mental health conditions altogether (16). “Maybe there is a dormant virus inside us; one never knows when it will surface,” he says. 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. Journalists gather in the auditorium of the Army Public School in Peshawar after the massacre on 16 December, 2014. Credit: Abdul Majeed Goraya, White Star. In a male-dominated profession like journalism, people hesitate to talk about their emotions — especially related to the job. : Burnout and suicidal ideation among US medical students. In the absence of quantifiable evidence to shed light on journalists and their mental health, along with the reluctance of most media houses to invest in the emotional – and physical – well-being of their daily reporters, there are still some who are working to break the silence on the issue and help journalists cope. On May 12, 2007, Karachi’s residents stayed indoors. When Asif noticed he was still alive, a gunman prevented him from helping the bleeding man. Acad Med 2009; 84:776–781 Crossref, Google Scholar, 18. Depression affects nearly 16 million Americans every year. When they arrived, they saw bodies strewn around the vicinity. 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. This was originally published in the Herald, Pakistan. In addition, the Liaison Committee on Medical Education has mandated that all U.S. medical schools monitor students for fatigue, sleep deprivation, and duty hours. Local charity Bristol Black Carers (BBC) does outstanding work supporting carers. This report shows there is a new way forward - by working together as sponsors, football clubs and wider health services we have a huge opportunity to change things for the better using the … Afraid of being judged by their peers and superiors, they try and process the feelings on their own. “The way these people were shot in cold blood remains etched in my memory,” he says. She is now a media consultant and is also studying to be a counsellor herself. People do continue to care. Shanafelt TD, Bradley KA, Wipf JE, et al. “There is a serious need to build a vocabulary around trauma in Pakistani newsrooms,” says Sehrish Shaban, who has worked in newsrooms in the United States, Pakistan and India. These findings reflect an increased understanding of the developmental, physiologic, and neurobiological basis of disease. Some were still alive, but there was no one around to help them. Gold KJ, Andrew LB, Goldman EB, et al. UK students suffer in silence when it comes to mental health. Schwenk TL, Gorenflo DW, Leja LM: A survey on the impact of being depressed on the professional status and mental health care of physicians. He threw me in the lock up and beat me. Many students suffer in silence while bearing social isolation and discrimination. Center C, Davis M, Detre T: Confronting depression and suicide in physicians: a consensus statement. This Report highlights the need for urgent action to address the poorer outcomes experienced by older people in mental health services compared to other age groups. Exposure to violence in Pakistan is far more frequent compared to most other countries and many journalists fear for their jobs as well as their lives. “These responses are similar to those that I received 15 years ago, when I first began my research,” he says. Emma, November 21, 2018. There is currently no evidence to suggest that a physician's mental health diagnosis and treatment per se imply impairment or increased risk of harm to patients. If not through first-hand contact, many experience these events second-hand. Nick Clegg, the Deputy Prime Minister, will announce today that up to £22m will be spent on a pioneering programme to allow children with mental health problems access to the very best services available. 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. Mental health: don’t suffer in silence. Traditional teaching on this subject has used a dualistic framework that separates issues of the mind from the body. Dyrbye LN, Thomas MR, Massie FS, et al. Acad Med 1997; 72:542–546 Crossref, Google Scholar, 10. While some journalists build a robust coping mechanism to deal with the emotional effects of their line of work over time, there are others who are more vulnerable and suffer in silence. The stigma attached to mental illness is very real and it causes many people to suffer in silence. Suffering in Silence: Journalists and Mental Health. 10, Journal of Environmental and Public Health, Vol. 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). 8, 25 May 2020 | Medical Teacher, Vol. 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. 10, No. After experiencing traumatic events through their work, some journalists get flashbacks and suffer nightmares regularly. : Physician, heal thyself? Part of the failure to adequately address mental health care may reflect physicians' own unwillingness to engage with mental health treatment. EVER WONDER WHY PEOPLE LIVING WITH MENTAL ILLNESS SUFFER IN SILENCE? : Licensing and physician mental health: problems and possibilities. a decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Pescosolido BA, Martin JK, Long S, et al. Recent posts from Conference News - CN. Hendin H, Reynolds C, Fox D, et al. In some cases, licensing bodies may impose restrictions on a physician's practice (5). Like their medical student counterparts, however, practicing physicians and residents only rarely seek mental health care. On that day, 144 people, most of them children, were brutally gunned down by the Taliban. “Pakistan’s relatively young, privately-owned television and online news industry lacks regulatory standards that safeguard professionals,” says Shaban. … “It broke me,” says Asif. He feared his superiors would stop giving him “hard core” assignments. Physician reluctance to seek mental health care is shaped by the stigma of mental illness in the medical community and fears of professional discrimination, including potential consequences of disclosing mental health diagnoses for obtaining a medical license. To gather material on how pervasive the problem is, Shaban recently conducted an online survey of 500 journalists across Pakistan. Almost 60% of respondents reported routinely working overtime, 65% feared job security and almost all respondents struggled with poor compensation and ethical dilemmas. Suffering in silence: age inequality in older people’s mental health care CR221, November 2018. I am not good enough. Shaban is now in the process of approaching newsrooms with training programmes to help journalists understand trauma and deal with stress. 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. I am not successful enough. Unfortunately, the stigma around mental health for physicians begins early in medical training. : "A disease like any other"? As much as journalists like to believe that they are immune to the impact of violence and tragedy, the reality is sometimes different. IN BANGLADESH, the stigma and prejudices associated with mental health have adverse effects on the suffering people. “There is a universality to trauma and people react in similar ways,” he adds. There was no training on how to cover militancy or bomb blasts. 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. Trainees may engender this stigma into their clinical careers. Arch Gen Psychiatry 2005; 62:593–602 Crossref, Google Scholar, 2. “Too many young people suffer in silence with mental health problems. If you are struggling with depression, addiction or the impact of suicide, please do not suffer in silence. They will be experiencing much greater challenges than others. BMJ 2008; 336:488–491 Crossref, Google Scholar, 9. Afraid of being judged, some journalists avoid reaching out, while others don’t even know the problem exists. “It is important to raise awareness and support at all levels of the newsroom,” stresses Shaban. These include fires, murders, disasters, war and mass casualties. There are still some, though, who have spoken about their experience publicly in order to raise awareness about the issue. Acad Psychiatry 2008; 32:44–53 Crossref, Google Scholar, 11. But without professional psychiatric evaluation, Wasay’s statements remain just that — statements. It is alarming that medical systems have been slow to respond to the growing mental health crisis. Physician reluctance to seek mental health care is shaped by the stigma of mental illness in the medical community and fears of professional discrimination, including potential consequences of disclosing mental health diagnoses for obtaining a medical license. 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). 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. Can you still do reporting? All these events create lasting memories, some more crippling than others. For there is the idea that journalists are observers, reporting on the suffering of others is their job – which somehow renders their own suffering irrelevant. : A longitudinal study of students' depression at one medical school. 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). Furthermore, more students believed that disclosing mental illness could adversely affect their professional advancement. 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. Schroeder R, Brazeau CM, Zackin F, et al. 1. 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. New York, American Foundation for Suicide Prevention. I just don’t feel anything,” says Wasay. JAMA 1984; 252:2846–2848 Crossref, Google Scholar, 8. Almost everyone has somebody they know either personally or through friends who is currently dealing with depression, anxiety, addiction, and other forms of mental health struggles. Physician concerns about the consequences of mental health disclosure on licensing applications are barriers to mental health care that may affect their mental health and professional well-being. Dr. Edwards is a second-year resident in the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, Calif., and a Deputy Editor of the, The Journal of the American Osteopathic Association, Vol. “A significant minority of those exposed are at risk for long-term psychological problems, including PTSD, depression and substance abuse.”. A man was lying on the ground with a bullet in his stomach. : Medical licensure questions and physician reluctance to seek care for mental health conditions. Beginning 2007, when there was a massive spike in violence across the region, Ali says they had no idea what was happening to them at the time. 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). Do state medical board applications violate the Americans with Disabilities Act? Being around dead bodies was part of the job. Unfortunately, mental distress often continues beyond medical school. “The main issue is how quickly these journalists get burnt out due to stress,” says Farhat Naz, a psychotherapist who worked at the centre during its first year of operation. If members of the medical community cannot feel empowered to seek mental health care for themselves, it is perhaps naive to expect them to adequately address and treat serious mental illness in their patients (7). Recognising the needs of hundreds of journalists in the embattled region of Khyber-Pakhtunkhwa and the tribal belt, the journalism and psychology departments at the University of Peshawar established a Competence and Trauma Centre for Journalists in November 2014 in collaboration with DW Akademie, a German media company. According to BITC, the culture of silence must be broken and employers need to be actively asking … “My family says I’m no longer a human being. 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. 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. Illustration by Zara Contractor. Suffering in Silence. In many cases, this can range from depression, phobia, anxiety, obsessive-compulsive disorder and panic disorder. To our knowledge, there are no programs that require comprehensive and mandated coursework for medical trainees focusing on the prevalence of mental illness within the medical community while simultaneously teaching a range of coping skills and techniques. IT'S REALLY NOT A BIG DEAL. Regulator steps to address mental health and substance use issues; Tips for lawyers, firms and regulators to address mental health and substance use issues; Listen to “18 Brook Greenberg – Mental Health, Substance Use and an End to Suffering in Silence” on Spreaker. Word had gotten to him that a cameraman was hiding under a car to protect himself from the hired thugs of a local political party who were on a killing rampage nearby. : Burnout and self-reported patient care in an internal medicine residency program. As a television reporter for a major news channel, he did not have the option to stay away. Her findings speak of the occupational stress that is inherent across newsrooms all over the country, especially in television news. Mayo Clin Proc 2017; 92:1486–1493 Crossref, Google Scholar, 17. Many men and women in the world today are suffering in silence with mental illnesses. 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). After almost paying the ultimate price in the name of my profession, I felt my employers had disowned me.”, *The names of some journalists have been changed to protect their identity. They must be equipped to meet the needs of a rapidly rising population of older people, among whom … 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. 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 … https://afsp.org/our-work/education/healthcare-professional-burnout-depression-suicide-prevention Google Scholar, 7. Gen Hosp Psychiatry 2016; 43:51–7 Crossref, Google Scholar, 6. February 26th, 2020. 2018 The Royal College of Psychiatrists The Royal College of Psychiatrists is a charity registered in England and Wales (228636) and in Scotland (SC038369). Rosal MC, Ockene IS, Ockene JK, et al. : Do state medical board applications violate the Americans with Disabilities Act? In one study, most medical students at a Midwestern medical school cited potential embarrassment if their peers knew that they had a mental illness (12). 7, 18 November 2020 | Global Advances in Health and Medicine, Vol. Young people suffering in silence. 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 … 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. Although medical students enter training with similar rates of depression as their nonmedical peers (9), their mental health worsens, on average, throughout the course of their careers. Mental Health and Suffering in Silence Fueling Addiction. Lack of information and misunderstanding about mental health. At least at first. He was to be left for the dead. It was the first time, says Ali, that many of them cried during live coverage — both men and women. 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. This is especially true for men. Fahrenkopf AM, Sectish TC, Barger LK, et al. They will be experiencing much greater challenges than others. The Army Public School (APS) massacre in Peshawar on December 16, 2014 was a turning point for Ali and many of her colleagues. : Preoperative depression, lumbar fusion and opioid use: an assessment of postoperative prescription, quality, and economic outcomes. Christmas will be a difficult time for some of our events family this year. They are acutely aware if they show any ‘weakness’ or vulnerability, somebody else will be more than willing to step up. Neurosurg Focus 2018; 44:E5 Crossref, Google Scholar, Mr. Swapnil S. Mehta is a fourth-year medical student at Stanford University School of Medicine, Stanford, Calif., interested in novel treatments for chronic psychiatric conditions such as depression and anxiety. by Martin Fullard December 18, 2020. published by Martin Fullard December 18, 2020. : Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. 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. The video is online. Although the old phrase don't suffer in silence is equally as fitting in alleviating these perceived challenges. The centre receives referrals for journalists who seek counselling through the Peshawar Press Club and the Khyber Union of Journalists. Most reporters are probably happy just to have jobs. “I still remember those golden curls sticking out from under the rubble. Most journalists don’t even know the problem exists. a study of physicians' health habits and counseling practices. 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? The growing national discussion around mental health care has exposed mental illness as the leading cause of disability in the United States. 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. Ann Intern Med 2008; 149:334–341 Crossref, Google Scholar, 12. The consequences of mental health disclosure on licensing applications—both actual and perceived—pose formidable barriers for physicians who are experiencing mental illness. A children’s charity fears new parents are “suffering in silence” during lockdown, as it reports an increase in calls to its helpline about parental mental health. The research collectively showed that 80 to 100% of journalists have been exposed to work-related traumatic events. 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. Suffering in silence: Mental health and stigma in policing Cops are dying by their own hand and many suffer in silence for fear of the stigma they may face from their department Within a period of two months we were approached by two police chiefs, from two different regions of the country, after a brother in blue had died from suicide. 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