DEPRESSION- LET'S TALK

By Dr Njeri Karianjahi, Gertrude's All stars Clinic

I remember a day not too long ago when I sat in the salon getting my hair ready for a function. All of a sudden, my hairdresser and other people in the salon were drawn to some commotion occurring in the street where the salon overlooked. There was a lot of shouting going on and it took me a moment before I realised that there was a young man standing on the edge of the roof across from us and he wanted to jump. The response from those who noticed him was not the reaction we often see depicted on Western films- ‘please…do not jump…we can talk about this; It is not too late.’ It was the complete opposite. Many passers-by on foot were egging him to jump. Others implored him to jump quickly so that they can get back to their business of the day. ruka! Unajiskia kuhepa mashida…ruka tena mara mbili! Mwoga wewe! Sasa nini wewe?’ (Jump, so you want to escape your problems; jump, you coward!)

It has been the myth that Kenyans have 99 problems but depression isn’t one of them. I mean what could be worse than corruption really? For a long time our society has ascribed to stoicism in the face of any ailment that has no physical manifestation. For a lot of people in our country, if stoicism does not work, they turn to religion and traditional remedies as a cure for the unseen and the little understood. If that does not work, it is blamed on one’s age- teenagers have unpredictable emotions and tend to be withdrawn and of course if you are middle aged, you must go through a crisis, right?

* Depression is a common mental illness characterised by persistent sadness and a loss of interest in activities that people normally enjoy, accompanied by an inability to carry out daily activities, for 14 days or longer. In addition, people with depression normally have several of the following:

  • loss of energy; 
  • change in appetite; 
  • sleeping more or sleeping less than usual; 
  • anxiety; 
  • reduced concentration; 
  • indecisiveness; 
  • restlessness; 
  • feelings of worthlessness, guilt, or hopelessness;
  • thoughts of self-harm or suicide.

 

*WHO Depression: Let’s Talk website

Depression is one of those disorders that are so stigmatised in our society, that it has for a long time been discussed only in hushed tones. According to the World Health Organisation, more than 300 million people of all ages suffer from depression all over the world. It is the leading cause of ill health and disability worldwide. Depression is a risk factor of suicide and it has been noted that suicide is the 2nd leading cause of death in persons aged 15-29 years of age. 

Kenya is noted to have a predominantly young population and we cannot afford to ignore depression. If you notice two or more of the symptoms mentioned above in yourself, a friend or a family member, kindly have an assessment by a mental health practitioner- a psychologist, a professionally trained counsellor or a psychiatrist. 

As for the young man mentioned earlier…he did not die, but he was tackled off the roof and once he was brought down to the street, some of the men in the crowd gave him a beating within an inch of his life. I now know, as a society we should have started by talking to him and facilitated him to get professional help and follow-up through counselling services.

 *Gertrude’s Children's Hospital counselling department caters to the needs of persons aged 10 to 21 years of age as well as parents and caregivers.