Therapy is free for journalists. Traditional teaching on this subject has used a dualistic framework that separates issues of the mind from the body. Gen Hosp Psychiatry 2016; 43:51–7 Crossref, Google Scholar, 6. “The main problem is the misconception that people who struggle with the psychological effects of reporting on violence are crazy.”. While covering the funeral of a local cleric, Wasay was caught in the crossfire and sustained four bullets in his arm. : Special report: suicidal ideation among American surgeons. These include fires, murders, disasters, war and mass casualties. If you are struggling with depression, addiction or the impact of suicide, please do not suffer in silence. Wimsatt LA, Schwenk TL, Sen A: Predictors of depression stigma in medical students: potential targets for prevention and education. 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. 2020, 27 August 2020 | BMJ Open, Vol. These findings reflect an increased understanding of the developmental, physiologic, and neurobiological basis of disease. He threw me in the lock up and beat me. 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. 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. 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 … This was originally published in the Herald, Pakistan. Unfortunately, the stigma around mental health for physicians begins early in medical training. The writer is a staffer at the Herald. Some physicians may be required to provide testimony from primary care providers as to their fitness to practice, detailed medical records, or documentation of continued medical care (some of which may be stipulated). 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. In his 14 years on the job, Wasay claims to have covered “thousands of violent incidents”. Emma, November 21, 2018. Suffering in silence: age inequality in older people’s mental health care CR221, November 2018. 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). Suffering in silence: age inequality in older people’s mental health care. They will be experiencing much greater challenges than others. The violence was prompted by the arrival of the recently suspended Chief Justice of Pakistan Iftikhar Muhammad Chaudhry. 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). Medical schools are now required to have student wellness programs. 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. Most reporters are probably happy just to have jobs. Lastly, reconsideration of mental health questions on state licensing boards is a necessity, given the clear adverse effects of licensing fears on physician health. The APS attack struck a deep chord with journalists. “The way these people were shot in cold blood remains etched in my memory,” he says. I am not smart enough. Kessler RC, Berglund P, Demler O, et al. Campaigns to encourage physicians to seek treatment will likely go unheeded without concomitant legal safeguards for physicians' professional well-being and practice. Rosal MC, Ockene IS, Ockene JK, et al. Arch Surg 2011; 146:​54–62 Crossref, Google Scholar, 15. : "A disease like any other"? He feared his superiors would stop giving him “hard core” assignments. 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. 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. 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. : Medical licensure questions and physician reluctance to seek care for mental health conditions. Pressure comes from various sources, including intelligence agencies and political parties, as well as criminal/terrorist networks. The aftermath of the Kashmir earthquake, 2005. Credit: White Star. a study of physicians' health habits and counseling practices. J Clin Psychiatry 2008; 69:617–620 Crossref, Google Scholar, 20. I am not slim enough. 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. A common reason for not doing so appears to be fear of professional consequences associated with disclosing mental illness. 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. Ann Intern Med 2002; 136:358–367 Crossref, Google Scholar, 14. Recent posts from Conference News - CN. 42, No. STOP THE STIGMA, LET'S TALK Lack of information and misunderstanding about mental health. Unfortunately, mental distress often continues beyond medical school. The American Foundation of Suicide Prevention estimates that between 300 and 400 physicians die by suicide each year (6). The growing national discussion around mental health care has exposed mental illness as the leading cause of disability in the United States. They live secret lives marked by depression, anxiety, ADHD, social phobias, bipolar disorder and other debilitating psychiatric conditions. So when 40 journalists came through the doors in 2015, those involved with the centre knew they were making a difference. “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. 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. Moreover, many analysts argue that the remaining state licensures are in violation of the Americans with Disabilities Act (17). 8, 25 May 2020 | Medical Teacher, Vol. Apart from the more dramatic ones – bomb blasts and riots – he estimates reporting on two or three killings on a typical day. 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 … Almost 60% of respondents reported routinely working overtime, 65% feared job security and almost all respondents struggled with poor compensation and ethical dilemmas. Christmas will be a difficult time for some of our events family this year. But without professional psychiatric evaluation, Wasay’s statements remain just that — statements. In some cases, licensing bodies may impose restrictions on a physician's practice (5). “I feel fine. 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. 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. Connell CO, Azad TD, Mittal V, et al. Gold KJ, Andrew LB, Goldman EB, et al. 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 … Afraid of being judged, some journalists avoid reaching out, while others don’t even know the problem exists. EVER WONDER WHY PEOPLE LIVING WITH MENTAL ILLNESS SUFFER IN SILENCE? 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. 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. : Licensing and physician mental health: problems and possibilities. Fahrenkopf AM, Sectish TC, Barger LK, et al. To gather material on how pervasive the problem is, Shaban recently conducted an online survey of 500 journalists across Pakistan. 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. For example, in a 2011 survey on suicidal ideation among American surgeons ≥45 years old, the authors reported that although suicidal ideation was 1.5–3.0 times more prevalent in this population compared with the general population, only 26.0% of respondents sought psychiatric help (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). Challenges of mental health can take many forms in today’s society. 1. 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. 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). Ali speaks out on the issue often and has even been involved with trainings at the trauma centre at Peshawar University. Dunn LB, Iglewicz A, Moutier C: A conceptual model of medical student well-being: promoting resilience and preventing burnout. 120, No. : Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Gunfights and riots erupted across the city as Pakistan Peoples Party and Awami National Party activists, who supported Chaudhry, clashed with workers of the pro-government Muttahida Qaumi Movement. “I spoke about it [trauma] with my inner circle of close friends and colleagues, but never publicly — not like this,” says Asif. JAMA 1984; 252:2846–2848 Crossref, Google Scholar, 8. 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). “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. 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. Many men and women in the world today are suffering in silence with mental illnesses. In an environment where senior journalists and newsroom managers pay little heed to the emotional well-being of reporters, it is no wonder that so few come forward with their problems. As much as journalists like to believe that they are immune to the impact of violence and tragedy, the reality is sometimes different. That, though, is not the worst of it. Mental health: don’t suffer in silence Christmas will be a difficult time for some of our events family this year. The centre receives referrals for journalists who seek counselling through the Peshawar Press Club and the Khyber Union of Journalists. He never saw him again. A man was lying on the ground with a bullet in his stomach. Please read the entire Privacy Policy and Terms of Use. Fears surrounding medical licensing are well founded in many cases. Asif and a colleague of his made their way to Malir Halt area where the cameraman was trapped. “We were pleased to see some senior journalists breaking the stigma and coming forward,” says Altafullah Khan. Young people suffering in silence. 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. Russell T, Satele D, Rummans T, et al. She is now a media consultant and is also studying to be a counsellor herself. The unfortunate impact of poor self-health on patient care is well known. 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. 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. Women tend to be more open in discussing their feelings and emotions, whereas men have a tendency to keep it to themselves and suffer in silence. 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). A rangers’ office nearby had its shutters down too. I just don’t feel anything,” says Wasay. On another occasion, I was also beaten by the Rangers,” he says. Center C, Davis M, Detre T: Confronting depression and suicide in physicians: a consensus statement. Am J Public Health 2002; 92:92–98 Crossref, Google Scholar, 3. : Burnout and self-reported patient care in an internal medicine residency program. … The Dart Centre at Columbia University in New York is a resource hub on the topic of journalism and trauma. Although the old phrase don't suffer in silence is equally as fitting in alleviating these perceived challenges. Studies have found that about 35% of physicians do not seek regular health care for themselves (4). Am J Psychiatry 2010; 167:1321–1330 Link, Google Scholar, 4. Not to give me counselling, but to assess if I was still capable of working,” says Wasay. If not through first-hand contact, many experience these events second-hand. We Can Turn Self-Harm Into Self-Healing The summer after my sophomore year, I was able to start seeing a … 10, No. Reporting on violence was not new to Asif, who now has 15 years of experience in the field. 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. For a while, he could not sleep without all the lights on. 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). Her findings speak of the occupational stress that is inherent across newsrooms all over the country, especially in television news. Wang PS, Demler O, Kessler RC: Adequacy of treatment for serious mental Illness in the United States. “Pakistan’s relatively young, privately-owned television and online news industry lacks regulatory standards that safeguard professionals,” says Shaban. There was no training on how to cover militancy or bomb blasts. : "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. He wouldn’t be the first, or the last. They will be experiencing much greater challenges than others. https://afsp.org/our-work/education/healthcare-professional-burnout-depression-suicide-prevention Google Scholar, 7. It was the first time, says Ali, that many of them cried during live coverage — both men and women. The video is online. “My family says I’m no longer a human being. 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. “It broke me,” says Asif. 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. Even in the absence of any medical evaluation of what he went through, it is obvious that he suffered. 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. Dyrbye LN, Thomas MR, Massie FS, et al. Although these advancements in addressing mental health and wellness within the medical profession are commendable, there are still many opportunities for improvement. On that day, 144 people, most of them children, were brutally gunned down by the Taliban. Schroeder R, Brazeau CM, Zackin F, et al. “After I was shot, my organisation sent a psychologist to see me. 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. Can you still do reporting? “Maybe there is a dormant virus inside us; one never knows when it will surface,” he says. : A longitudinal study of students' depression at one medical school. 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? It is alarming that medical systems have been slow to respond to the growing mental health crisis. Suffering in Silence. He believes he is immune to the hard realities of the job, but admits that perhaps this is his way of rationalising his experiences. Acad Med 2009; 84:776–781 Crossref, Google Scholar, 18. 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? Am J Prev Med 2015; 49:703–714 Crossref, Google Scholar, 13. IT'S REALLY NOT A BIG DEAL. They must be equipped to meet the needs of a rapidly rising population of older people, among whom … Mayo Clin Proc 2017; 92:1486–1493 Crossref, Google Scholar, 17. : Physician, heal thyself? In a male-dominated profession like journalism, people hesitate to talk about their emotions — especially related to the job. Wells KB, Lewis CE, Leake B, et al. 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. 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. 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. 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. “It is important to raise awareness and support at all levels of the newsroom,” stresses Shaban. Do state medical board applications violate the Americans with Disabilities Act? 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. 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. They were given an assignment and that was that. This access is also intended to be delivered in a wider range of places. Illustration by Zara Contractor. “Too many young people suffer in silence with mental health problems. regular source of care and use of preventive health services among physicians. American Foundation for Suicide Prevention: Healthcare professional burnout, depression and suicide prevention. Mental Health and Suffering in Silence Fueling Addiction. : Do state medical board applications violate the Americans with Disabilities Act? Arch Gen Psychiatry 2005; 62:593–602 Crossref, Google Scholar, 2. I am not pretty enough. I like adventure and danger,” says Wasay*, a crime reporter. These factors exclude daily workplace stressors, such as deadlines and long work hours. : Rates of medication errors among depressed and burnt out residents: prospective cohort study. 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. I am one of the 1 in 4 people who suffer from mental illness. 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. In many cases, this can range from depression, phobia, anxiety, obsessive-compulsive disorder and panic disorder. In response to these issues, there has been an increase in activity around improving mental health for physicians and trainees. 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. 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. J Med Licens Discipl 2007; 93:6–11 Google Scholar, 19. 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. Is it not too dangerous?”, “I felt like a stray dog. Yet, even the senior professionals acknowledge tremendous amount of pressure that comes with working in the field. Local charity Bristol Black Carers (BBC) does outstanding work supporting carers. Moreover, medical students who associate depression with personal weakness often perceive their academic environment as more competitive and psychotropic medications as less efficacious (12). After three days, the psychologist gave Wasay a clean bill of mental health. Hendin H, Reynolds C, Fox D, et al. At least at first. Some were still alive, but there was no one around to help them. UK students suffer in silence when it comes to mental health. 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. February 26th, 2020. Gross CP, Mead LA, Ford DE, et al. Pescosolido BA, Martin JK, Long S, et al. 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. Mental health: don’t suffer in silence. 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. All of the event industry campaigns, associations and organisations are coming together to share this one key message: “If you need help, … Other individuals do not suffer from psychiatric disorders, but struggle with making their thoughts and opinions known. Like their medical student counterparts, however, practicing physicians and residents only rarely seek mental health care. The stigma attached to mental illness is very real and it causes many people to suffer in silence. : Preoperative depression, lumbar fusion and opioid use: an assessment of postoperative prescription, quality, and economic outcomes. I don’t get extremely happy on happy occasions and I don’t get too upset when someone close to me dies. ... » Breaking the silence around mental health; Breaking the silence around mental health. “Family members are affected in many cases, as journalists return home appearing irritable and aggressive, losing their temper more frequently.”. After experiencing traumatic events through their work, some journalists get flashbacks and suffer nightmares regularly. Over the years, Ali desensitised herself to headless corpses and the smell of blood, something which made her gag previously. When Asif noticed he was still alive, a gunman prevented him from helping the bleeding man. Dyrbye LN, West CP, Sinsky CA, et al. 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