Suffering in Silence: Journalists and Mental Health. I don’t get extremely happy on happy occasions and I don’t get too upset when someone close to me dies. American Foundation for Suicide Prevention: Healthcare professional burnout, depression and suicide prevention. The centre receives referrals for journalists who seek counselling through the Peshawar Press Club and the Khyber Union of Journalists. I am not pretty enough. In the initial stages of introducing counselling at the local press club, Khan recalled what he feels is a normal first response from journalists: “You are making this place sound like a mental asylum.”. Some were still alive, but there was no one around to help them. Campaigns to encourage physicians to seek treatment will likely go unheeded without concomitant legal safeguards for physicians' professional well-being and practice. Therefore, many organisations and psychologists have asked us all to continue to break taboos, stimulate conversations, and especially for men to open up about our mental health even if it must happen socially distanced. The growing national discussion around mental health care has exposed mental illness as the leading cause of disability in the United States. “These responses are similar to those that I received 15 years ago, when I first began my research,” he says. They live secret lives marked by depression, anxiety, ADHD, social phobias, bipolar disorder and other debilitating psychiatric conditions. Suffering in Silence. 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. 8, 25 May 2020 | Medical Teacher, Vol. But this was different. Lastly, reconsideration of mental health questions on state licensing boards is a necessity, given the clear adverse effects of licensing fears on physician health. For a while, he could not sleep without all the lights on. On another occasion, I was also beaten by the Rangers,” he says. All these events create lasting memories, some more crippling than others. Center C, Davis M, Detre T: Confronting depression and suicide in physicians: a consensus statement. Ann Intern Med 2002; 136:358–367 Crossref, Google Scholar, 14. Making matters worse, a 2007 study found that more than one-third of state medical licensing board executive directors believed that a mental health diagnosis alone was sufficient to impose sanctions on health care providers (18). Her findings speak of the occupational stress that is inherent across newsrooms all over the country, especially in television news. Quiz The Quiz for this episode is here. Connell CO, Azad TD, Mittal V, et al. Pressure comes from various sources, including intelligence agencies and political parties, as well as criminal/terrorist networks. Suffering in silence: age inequality in older people’s mental health care CR221, November 2018. That, though, is not the worst of it. “One time, I caught an SHO taking bribes. “The way these people were shot in cold blood remains etched in my memory,” he says. I am one of the 1 in 4 people who suffer from mental illness. “It was the first time we realised that we are human beings, and not above having an emotional reaction,” she says. A rangers’ office nearby had its shutters down too. Not to give me counselling, but to assess if I was still capable of working,” says Wasay. 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. 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). Gen Hosp Psychiatry 2016; 43:51–7 Crossref, Google Scholar, 6. Although the old phrase don't suffer in silence is equally as fitting in alleviating these perceived challenges. “Pakistan’s relatively young, privately-owned television and online news industry lacks regulatory standards that safeguard professionals,” says Shaban. IT'S REALLY NOT A BIG DEAL. Unfortunately, mental distress often continues beyond medical school. 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. ... At this point, everyone knows someone who’s suffering in silence. I am not successful enough. The violence was prompted by the arrival of the recently suspended Chief Justice of Pakistan Iftikhar Muhammad Chaudhry. Rosal MC, Ockene IS, Ockene JK, et al. 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. If you are struggling with depression, addiction or the impact of suicide, please do not suffer in silence. “I feel fine. 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 … Regarding the inability of many journalists in Pakistan to recognise psychological symptoms or the dismissive attitude of seniors in this profession, Feinstein was not surprised. 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. Schroeder R, Brazeau CM, Zackin F, et al. People do continue to care. Christmas will be a difficult time for some of our events family this year. 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. “A significant minority of those exposed are at risk for long-term psychological problems, including PTSD, depression and substance abuse.”. … Trainees may engender this stigma into their clinical careers. 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. Arch Intern Med 2000; 160:27–31 Crossref, Google Scholar, 5. The aftermath of the Kashmir earthquake, 2005. Credit: White Star. They will be experiencing much greater challenges than others. These include fires, murders, disasters, war and mass casualties. Fahrenkopf AM, Sectish TC, Barger LK, et al. 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. Yet, even the senior professionals acknowledge tremendous amount of pressure that comes with working in the field. : Do physicians preach what they practice? It sets out the evidence to support this assertion and makes a number of recommendations on how the needs of older people could and should be … 1. Acad Psychiatry 2008; 32:44–53 Crossref, Google Scholar, 11. They are acutely aware if they show any ‘weakness’ or vulnerability, somebody else will be more than willing to step up. Challenges of mental health can take many forms in today’s society. He was trying to cover his face. 2020, 27 August 2020 | BMJ Open, Vol. I am one of the 1 in 4 people who suffer from mental illness. In a male-dominated profession like journalism, people hesitate to talk about their emotions — especially related to the job. Mayo Clin Proc 2017; 92:1486–1493 Crossref, Google Scholar, 17. 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. 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. : Burnout and suicidal ideation among US medical students. JAMA 2003; 289:3161–3166 Crossref, Google Scholar, 16. Many men and women in the world today are suffering in silence with mental illnesses. They must be equipped to meet the needs of a rapidly rising population of older people, among whom … 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. “There is a universality to trauma and people react in similar ways,” he adds. 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). 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). regular source of care and use of preventive health services among physicians. By Liz Lockhart. One can’t simply ask, ‘Do you feel you suffer from depression?’ and hope to get any kind of truthful response. The Army Public School (APS) massacre in Peshawar on December 16, 2014 was a turning point for Ali and many of her colleagues. 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 … 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? … : Burnout and self-reported patient care in an internal medicine residency program. The writer is a staffer at the Herald. a study of physicians' health habits and counseling practices. There are still some, though, who have spoken about their experience publicly in order to raise awareness about the issue. : Medical licensure questions and physician reluctance to seek care for mental health conditions. 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. 10, Journal of Environmental and Public Health, Vol. It was the first time, says Ali, that many of them cried during live coverage — both men and women. In fact many of us are caring for loved ones with mental health struggles behind the scenes; it’s just not acknowledged in public, and our community’s culture of silence makes it harder. When Asif noticed he was still alive, a gunman prevented him from helping the bleeding man. 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. 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). 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. Wimsatt LA, Schwenk TL, Sen A: Predictors of depression stigma in medical students: potential targets for prevention and education. There was no training on how to cover militancy or bomb blasts. Afraid of being judged, some journalists avoid reaching out, while others don’t even know the problem exists. In 2013, the American Psychiatric Association specifically included to its definition of PTSD work-related, repeated and indirect exposure to distressing material. They will be experiencing much greater challenges than others. 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. IN BANGLADESH, the stigma and prejudices associated with mental health have adverse effects on the suffering people. Over the years, Ali desensitised herself to headless corpses and the smell of blood, something which made her gag previously. In some cases, licensing bodies may impose restrictions on a physician's practice (5). Enter your email address below and we will send you the reset instructions, If the address matches an existing account you will receive an email with instructions to reset your password, Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. 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. Moreover, many analysts argue that the remaining state licensures are in violation of the Americans with Disabilities Act (17). 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. 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. Medical schools are now required to have student wellness programs. Kessler RC, Berglund P, Demler O, et al. 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). In many cases, this can range from depression, phobia, anxiety, obsessive-compulsive disorder and panic disorder. Is it not too dangerous?”, “I felt like a stray dog. At a speech given on World Mental Health Day in October 2016, Prince Harry said: “Too often we think mental health problems are things that happen to other people, not us. The consequences of mental health disclosure on licensing applications—both actual and perceived—pose formidable barriers for physicians who are experiencing mental illness. EVER WONDER WHY PEOPLE LIVING WITH MENTAL ILLNESS SUFFER IN SILENCE? 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. Dyrbye LN, Thomas MR, Massie FS, et al. The Dart Centre at Columbia University in New York is a resource hub on the topic of journalism and trauma. She is now a media consultant and is also studying to be a counsellor herself. “It’s a natural part of the job,” says Wusatullah Khan, a senior journalist associated with the BBC and Dawn News, as he sips a cup of tea in the lawns of the Karachi Press Club. They were given an assignment and that was that. ... Clearly, mental health services are facing a great number of chal-lenges. 7, 18 November 2020 | Global Advances in Health and Medicine, Vol. Hendin H, Reynolds C, Fox D, et al. I like adventure and danger,” says Wasay*, a crime reporter. 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). 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. Lack of information and misunderstanding about mental health. : Special report: suicidal ideation among American surgeons. : Do state medical board applications violate the Americans with Disabilities Act? Schwenk TL, Gorenflo DW, Leja LM: A survey on the impact of being depressed on the professional status and mental health care of physicians. 2018 The Royal College of Psychiatrists The Royal College of Psychiatrists is a charity registered in England and Wales (228636) and in Scotland (SC038369). I am not slim enough. Can you still do reporting? This access is also intended to be delivered in a wider range of places. 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. 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. : Licensing and physician mental health: problems and possibilities. ... » Breaking the silence around mental health; Breaking the silence around mental health. Asif and a colleague of his made their way to Malir Halt area where the cameraman was trapped. Like their medical student counterparts, however, practicing physicians and residents only rarely seek mental health care. Although these advancements in addressing mental health and wellness within the medical profession are commendable, there are still many opportunities for improvement. Shaban is now in the process of approaching newsrooms with training programmes to help journalists understand trauma and deal with stress. Do state medical board applications violate the Americans with Disabilities Act? He threw me in the lock up and beat me. Recent posts from Conference News - CN. They also aim to help those who suffer in silence from an array of mental health issues. In fact, nearly 1 in 3 (33%) seniors who are concerned they might be suffering from depression believe they can “snap out” of it on their own. 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. Physician reluctance to seek treatment for mental health care may begin as early in training as college and medical school. by Martin Fullard December 18, 2020. published by Martin Fullard December 18, 2020. https://afsp.org/our-work/education/healthcare-professional-burnout-depression-suicide-prevention Google Scholar, 7. These factors exclude daily workplace stressors, such as deadlines and long work hours. 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. 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. 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. February 26th, 2020. Suffering in silence: age inequality in older people’s mental health care. UK students suffer in silence when it comes to mental health. Ann Intern Med 2008; 149:334–341 Crossref, Google Scholar, 12. Apart from the more dramatic ones – bomb blasts and riots – he estimates reporting on two or three killings on a typical day. Ali speaks out on the issue often and has even been involved with trainings at the trauma centre at Peshawar University. For our NCS social action project, we decided to create a short film on mental health. He feared his superiors would stop giving him “hard core” assignments. Arch Surg 2011; 146:​54–62 Crossref, Google Scholar, 15. 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. We would love if you could share this everyone to help raise awareness. 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. “Family members are affected in many cases, as journalists return home appearing irritable and aggressive, losing their temper more frequently.”. All of the event industry campaigns, associations and organisations are coming together to share this one key message: “If you need help, … The unfortunate impact of poor self-health on patient care is well known. He could not sleep for three days and it took him years to shake off the effect the incident had on his daily life. Please read the entire Privacy Policy and Terms of Use. BMJ 2008; 336:488–491 Crossref, Google Scholar, 9. Mental health: don’t suffer in silence. J Med Licens Discipl 2007; 93:6–11 Google Scholar, 19. 120, No. As much as journalists like to believe that they are immune to the impact of violence and tragedy, the reality is sometimes different. Mental Health and Suffering in Silence Fueling Addiction. Currently a professor of psychiatry, he has conducted numerous studies on journalists who have reported on the genocide in Rwanda, the civil wars in the Balkans, 9/11, the wars in Iraq and Afghanistan and drug-related violence in Mexico. In his 14 years on the job, Wasay claims to have covered “thousands of violent incidents”. Reporting on violence was not new to Asif, who now has 15 years of experience in the field. According to BITC, the culture of silence must be broken and employers need to be actively asking … 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. In contrast, physicians reporting moderate to severe untreated depression, compared with those with mild depression, are 2–3 times more likely to report substantial effect on both their productivity and work satisfaction (19). 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. 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. 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. Am J Public Health 2002; 92:92–98 Crossref, Google Scholar, 3. Dunn LB, Iglewicz A, Moutier C: A conceptual model of medical student well-being: promoting resilience and preventing burnout. The APS attack struck a deep chord with journalists. This was originally published in the Herald, Pakistan. 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. But without professional psychiatric evaluation, Wasay’s statements remain just that — statements. 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. 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