Tag: depression

  • Body emerges to curb depression, suicide

    A regulatory body for consellors and psychotherapists has been inaugurated. Its members hope to help curb depression, reduce suicide and help with mental health issues.

    Known as the Association for Counseling, Matchmaking & Psychotherapy, it has been accredited by the Corporate Affairs Commission (CAC).

    The group, at a news conference, said: “The Association for Counsellors, Matchmaking & Psychotherapy of Nigeria (ACMPN) is established to identify, develop and maintain professional standards of excellence in counselling, matchmaking and psychotherapy.

    “Our work promotes best practice and the development of the profession as well as safeguard the public. We are the link between those who are looking for services in the areas of counselling, matchmaking & psychotherapy, and those who provide such professional services. In addition, we set and maintain practice and training standards, and provide a forum where members may exchange ideas, information, techniques and methodologies.

    “Establishing itself apart from the rest as a multi-disciplined association, which specialises in holistic techniques, ACMPN’s membership also includes medical practitioners, psychologists, clinical social workers, coaches, stress consultants, NLP practitioners, clergy, educators, mental health therapists, students of counseling & psychotherapy, and others in the helping, healing sector, as well as those providing matchmaking services, which is crucial for relationship health and wellbeing.”

    Officials of the association are  Dr. Laila St. Matthew-Daniel (President),

    Dr. Joy Ogbonna  (Vice President), Pastor Egrah Akpofure  (Treasurer) and Dr. Tolulope Oko-Igaire (Secretary).

  • Depression and rising cases of suicide in Nigeria

    Controversy is still trailing the death of Nigerian Navy’s Rear Admiral Teikumo Daniel Ikoli, who was originally thought to be Nigeria’s latest suicide case. The late Rear Admiral Ikoli was the fleet commander of the Western command of the Nigerian Navy, and was thought to be on President Mohammadu Buhari’s shopping list for the next Chief of Naval staff. Admiral Ikoli was promoted to the western command after his tenure in the military arms probe.

    In the first reports about his death, he was said to have shot himself three times with his service pistol in the head and heart. But a follow-up report by the news Agency of Nigeria (NAN) says “authoritative sources” dispelled the speculation. The NAN report was grossly at variance with an earlier report which claimed that many people in Admiral Ikoli’s office remembered him as always lamenting that he was “tired of life.”

    Whatever was the cause of Admiral Ikoli’s death, Time would tell. But the first reports have set a stage for suicide which has increased public awareness that suicide is becoming rampant in Nigeria, and led to enquiries about what may make a person take his or her life.

    The suicide of 35-year old Dr. Allwell Orji, a medical practitioner, set the ball rolling. About two weeks later, a young man who worked with a telephone service provider reportedly jumped into the water near FESTAC town, Lagos. Then came the reports of Admiral Ikoli’s death.

    In the course of these events, the police in seven States have released information which shows that 67 suicides took place in their states in six months. One of them was that of a 500 Level student of Urban and Regional planning of Ladoke Akintola University, (LAUTECH), Ogbomosho. Another suicide was that of a student at Babcock University, Ilisan.

    A common feature of suicide in Nigeria is that the suicides do not leave behind suicide notes which, in Europe or the United States for example, help their society to understand why they killed themselves and to learn from it. This has led to many speculations that Nigeria’s economic recession may be the cause, in contradiction of a United Nations rating that Nigerians are the sixth happiest people in Africa and 95th in the world.

    I took an opposite stand, as I intend to do here, in my posts on www.olufemikusa.com titled: “Dr Orji, sickle cell and brain disorder, jaundice (1) and (2). The health challenges he was said to face, namely sickle cell crisis and epilepsy, were explored as possible causes of his suicide. In the cases mentioned by the police, possible economic distress did not appear to be a common denominator. There was a case of a young woman who was jilted.Another young person complained about ill treatment by her grandmother. I listened to a suicide bid story at a branch of Zenith bank about two years ago. A young male worker of the bank was jilted by his girlfriend. On the Saturday morning she was to be married to another man, he sprayed the inside of his car with petrol, sat in and set the car ablaze. He was lucky that some people saw the car burning and rushed in to put out the fire. They dragged his severely burnt body out and took him to hospital. He survived and was glad to have been rescued. His friends told him how happy the girl would have felt, not marrying a man “without liver”, as we say colloquially.

    Now that suicides in Nigeria are becoming public events, questions have arisen about their possible causes and the relationships with mental health. I did say in the second Dr. Orji post in www.olufemikusa.com that almost all of us suffer from one mental condition or the other, and that it would appear that the government and the medical establishment are not paying sufficient attention to mental health. Ophthalmologists waited for too long while almost every-one was going blind before they made vision issues public matters. So did Oncologists until cancer became a public question. So did Urologists until men in their forties began to develop kidney and prostate diseases, some of them irreversible. So, how does a lay person suspect if he has signs of mental illness, so he or she can immediately see his doctor or a psychiatric doctor?

    Depression

    Every physician who treats mental disorder or illness, be it a psychiatric doctor, clinical psychologist, nutritionist or health-care giver starts from a baseline of depression. We do not have to search far for the meaning of the word in Nigeria. we have had a buoyant economy, and we are currently in a depressed economy. So, the differences should be clear between a buoyant brain and a depressed brain. Many healers approach mental depression from different angles. While the clinical psychologists tries to talk the patient out of his or troubles, the psychiatric doctor tries to medicate the problems away. These problems have to do with the insufficiency of neuro-transmitters such as Serotonin, Melatonin and Dopamine and their precursor amino acids. But for a doctor like Dr. F. Batmanghelidj, author of YOUR BODY’S MANY CRIES FOR WATER; YOU’RE NOT SICK, YOU’RE ONLY THIRSTY; and OBESITY, CANCER and DEPRESSION subtitled “their common cause and natural cure”, it is all about dehydration in the brain. He likens brain cells to green grass. He says that, if the grass is not watered in hot weather, it would suffer from “brown grass disease”, initially turn yellow, then brownish and die. That’s exactly what happens in the brain, he says.

    Before we return to this versatile doctor, I would like to first visit herbal medicine which comes to the same conclusions about hormonal disturbances in the brain as does orthodox medicine, although they part ways in therapeutic approaches to healing.

    Depression has its origins in sadness. Many events of life make us sad. This may be the inability to find a boyfriend or a husband when they feel time is running out for such matters. We may be married but there are no children to seal the bond tighter. We may have children who are misbehaving. We may have no job in our hands and hate to be dependent. Divorce may be crippling. We may find it difficult to recover from the death of a loved one. Business may fail. We may be unable to pay our children’s school fees or pay the house rent. Our families may be able to afford no more than one meal everyday. At the work place, someone may be favoured with the promotion we believe is our due. In these anti-corruption days, we may have been exposed in one deal or another or expect that the whistle blowers would soon tell on us.

    It is not all sadness which end up in clinical depression. But when sadness is prolonged for months or even years, it begins to take its toll on the brain, literally consuming those brain chemicals called neuro-transmitters without which, in the right amounts and ratios, the brain cannot effectively and efficiently function.

    Symptoms

    The following symptoms are worth watching out for, to suspect or rule out depression. According to Robert Rister in JAPANESE HERBAL MEDICINE.

    “These symptoms include depressed mood on a consistent basis, in younger people irritability; the loss of interest or pleasure in all or nearly all activities; either sleeplessness or the desire to sleep all the time; persistent feeling of guilt or worthlessness; decreased energy and fatigue; difficulty in concentration;  either decreased or increased appetite; agitation or retardation of motor reflexes or suicidal thoughts.”

    Many authorities say depression is caused by a shortage of a chemical substance in the brain called serotonin. This substance transports nerve impulses from one nerve cell to another, that is as a neuro-transmitter. It is made from an amino acid called Tryptophan by the brain and other tissues in the body. The body may run out of Tryptophan if not enough of it is present in the diet, if stress blocks its production or if, for whatever reason, it cannot cross from the bloodstream into the brain.

    Every branch of medicine classifies depression. The psychiatric doctor may speak of sub clinical or clinical depression, or of unipolar and bi-polar depression. The Asians, like Western herbalists, talk of problems of the heart (mind, in Europe). In Japan, for example, too little nutritive energy reaching the heart was thought to cause one type of depression in which are present “insomnia, nervous unrest and night sweats”, according to Robert Rister. Too much nutritive energy in the heart would cause “blazing heart fire” and produce “acute mental illness”, with depression alternating with “mania, nightmares, palpitations, redness in the face, restlessness and ulcer of the mouth and tongue.” Restrained anger is seen as causing another type of depression…liver oppression, which may present, “acid reflux or heart burn, anxiety, bloating, the fullness in the chest and pain in the side.”

    To these symptoms, James F. Balch, M.D., and Mark Stengler N.D., add the following: in their PRESCRIPTIONS FOR NATURAL CURES:

    “…mood swings at times characterised by unexplained weeping, feelings of apathy, worthlessness, hopelessness and helplessness, irritability or guilt, sleep problems either insomnia or sleeping too much, appetite disturbances (eating too little or too much), headaches, backaches and digestive problems, difficulty concentrating or making decisions, increased anxiety, decreased sex drive, avoiding social situations, recurrent thoughts of death or suicide…”

    I find the aspect of “recurring thoughts of suicide” alarming because some people with emotional problems who speak with me say they often hear inner voices asking them, for example, to jump from pedestrian bridges into fast moving traffic below. When it comes to this, or when a woman is cutting beef in the kitchen and feels like stabbing herself with the knife, a case of “possession” is not too far away. Many doctors have no answer to this question. For it is a case in which the blood radiation of the subject has fallen so low to the point at which a disembodied entity has ridden on this weakened radiation bridge to the soul of this person, in order to control the blood radiation and brain of the affected person. It requires a deft combination of green foods to normalise the blood radiation and make the body unusable to the invading or possessing ethereal entity, which then takes its exit. Temporarily a psychiatric doctor may help a possessed person by putting him or her to sleep over a prolonged period. Finding the brain and body of this possessed person physically unusable, the possessing entity takes it leave only to return when the “soil” is fertile again. This is a reason why relapses may occur after a seeming cure.

    Let’s return to Alternative Medicine. Balch and Stengler advice us of the possible root causes of depression:

    “Tension and stress, unresolved emotional issues, chronic illness or pain, neuro-transmitter imbalance, hormonal imbalance especially after childbirth or as a result of oral contraceptive and other synthetic hormone medications commonly occurs with PMS and menopause. Pre-existing conditions, most commonly- hypoglycemia, anaemia, sleep apnea, low adrenal function and thyroid gland malfunction, alcoholic and recreational drug use, poor diet, food allergies, nutritional deficiencies, (particularily of B12, folic acid, B6, B1, Tyrosine, and Tryptophan), lack of sunlight, medications, including corticosteroids, anti-histamines, blood pressure medications, anti-inflammatory drugs, narcotics and some pharmaceutical anti-depressants, heavy metal toxicity, candidiasis, sleep disturbances…”

    Remedies

    It is amazing how small, seemingly inconsequential events can dispose us to depression and even suicide when we may have avoided them through lifestyle changes and the diet. Detoxification is a major first step to take to reverse this condition. Next is the re-balancing of brain chemistry. This column often mention NONI juice which supports the making of Serotonin and Dopamine, two major brain neuro-transmitters. On the Nigerian natural health market are, also, such useful proprietary formulas as BEHAVIOUR BALANCE and MOOD SUPPORT. Walnut and walnut leaf powder tea support brain health and normalcy. When the black walnut is split into its two lobes, it reminds us of the two lobes of the brain. Even the membrane which separates them and is often discarded by some people but is good for making heart wine reminds us of a similar membrane in the brain. The two lobes of the black walnut and its membrane partition should remind us of a similar architecture of the brain which gives this up as the signature tune of the walnut as a brain herb.

    S-Adenosyl-methionine (SAMe) is reported to increase concentration of brain neuro-transmitters which balance the mood. B complex vitamins support SAMe metabolism and, so, are important too. It is often suggested that, in bi-polar disorder, SAMe should be taken under a doctor’s supervision.  In some health shops or pharmacies, you may find (5-HTP) (5-hydroxyl tryptophan) on the shelf. It is the chemical substance from which SEROTONIN is made. The B complex vitamins, (especially vitamin B6) are, again, useful in the making of 5-HTP. In mild to moderate depression, St.John’s Wort has been of great value to therapy and validated as such in many standard studies. We cannot do away with the B complex vitamins, especially Vitamin B1, B6 and folic acid, which are also good for cleaning the blood vessels of Homocysteine blockages. They support the body’s production of neuro-transmitters. The body does not store them. So they have to be included in the diet everyday. Fish oil, especially DHA, is another important collaborator in the production of neuro-transmitters. People who eat Titus fish everyday should have lots of it.

    Dr. Batmanghelidj

    He puts depression all down to dehydration in the brain’s nine trillion cells which are about 85 percent water and about nine percent of the hundred trillion cells which are said to inhabit the mature adult physical body. He speaks elaborately about the essential and non-essential amino acid and the crucial roles of Histidine and Histamine to the watering of the brain. Histidine gets converted to Histamine during dehydration. Histamine ensures the brain has enough water. But we produce less Histidine as we age. Water energises mineral (calcium/magnesium) and salt (sodium/potassium) pumps in the brain. In dehydration, Histamine takes over the functions of water. But the brain function becomes inefficient if it has to rely on Histamin and not water for a long time in the production of hydro-electric energy for the cells. This is the situation medicine labels as depression.

    Dr. Batmanghelidj says it is “criminal” for a doctor to give a depressed person anti-histamine, when histamine is stand-by for water, and the patient is not given water and helped to retain it. He describes the tricyclic psychiatric anti-depressant drugs and their modern successors as anti-histamines.

    He explains in the way lay people will understand it the relationship between Tryptophan, Serotonin and Melatonin, and why serotonin is found in short supplies in the nerves of depressed people…special cells just cannot deliver Tryptophan for conversion to Serotonin. In dehydration, he says, acidosis increases, and amino acids such as Tryptophan, Tyrosine, Cysteine, Methionine and more are “sacrificed” to keep the body slightly alkaline and healthier. Coffee and many other popular beverages dehydrate brain cells and cause acidosis. But water rehydrates and transports Tryptophan into the brain for its conversion to Serotonin. Water is like a river. There are many vehicles or boats (transport systems) on this river. Tryptophan shares a transport system to the brain with some other amino acids and neuro-transmitters. In times of stress, the passenger load of these others grows and Tryptophan may be crowded out of the boat, reducing its quantum in the brain. Similarly, Tyrosine may be crowded out of its transport vehicle, creating a shortage of Dopamine in the brain. Dr. Batmanghelidj’s book provides some case histories which validate his arguments derived from clinical work and research of more than 25 years.

    Many people who show signs of depression and suicide tendencies can be helped out of them through a change of diet and life style which remove poisons from the body, pumps into it minerals, vitamins and all the amino acids (essential and non-essential) and, above all normalises the blood radiation.

  • Recession fueling depression, suicide – Commissioner

    Recession fueling depression, suicide – Commissioner

    The current recession in the country has been identified as a factor fueling depression and provoking suicidal tendencies among Nigerians.

    The Lagos State Commissioner of Health Dr Jide Idris stated this while joining the world to mark this year’s World Health Day.

    With the theme: ‘Depression: Let’s talk’, Dr Idris said the on-going recession is a huge concern at a time when joblessness, homelessness, and hopelessness affect so many with the current economic down.

    “Depression was estimated to cost at least US$800 billion globally in 2010 which is a huge loss in economic output all because of mental, neurological, and substance use disorders. The loss globally is in trillions of dollars,” he said.

    He said mental health disorders impose an enormous disease burden in societies globally.

    Dr Idris said: “WHO shows that more than 300 million people are now living with depression, an increase of more than 18 percent between 2005 and 2015. Lack of support for people with mental disorders, coupled with a fear of stigma; prevent many from accessing the treatment that need to live healthy, productive lives.

    “The new cases of suicide in the state have further substantiated that Mental health deserves much higher strategic priority and it is a signal, with an articulate and unified voice behind it. So we must Talk.”

    To this end, the state is working on repealing the existing Mental Health Law to meet with the current global realities. It is collaborating with the Department of Behavioural Medicine, LASUTH, Ikeja; Ministry  of Youth and Social Development, and the Ministry of Justice.

    “We now have a draft of the new Mental Health Bill. The bill is presently at an advanced stage, with renewed efforts, the bill should be presented as an executive bill to the Lagos State House of Assembly,” he stated.

    Dr Idris said with data collected from over 11, 000 adult residents of Lagos State, a study was done and it revealed a rate of clinically significant common mental disorders including anxiety, depression, suicidal ideation, alcohol and psychoactive substance use disorders and disability.

    “These disorders affect the functioning ability of the affected individual, that are unreported by these individuals and may be unrecognised by attending health workers”, he noted.

    He appealed that people should call these Help lines: 08058820777; or 09030000741 to seek help, ask questions, or report anybody who has tendency to commit suicide because the strongest risk factor for suicide is a previous suicide attempt.

  • “Depression as deadly as HIV/AIDS”

    Depression has been described as the most devastating illness in the world and next only to HIV/AIDS. A Consultant Psychiatrist with the Lagos State University Teaching Hospital. Ikeja, Lagos, Dr. Rotimi Coker, made this disclosure in an interview with The Nation in Lagos.

    According to Dr. Coker, depression is a dangerous form of mental illness because it is difficult to recognise by medical officers or family physicians in the private hospitals, general hospitals and primary health care settings.

    “Sometimes, depression can be masked and may manifest with physical health conditions such as chest pain, back pain, sleep disturbances, and weight loss. These signs are not quite suggestive of depression thus, making depression to be difficult to diagnose even by medical doctors. That is one reason why those suffering from depression will be diagnosed as having frequent malaria or typhoid fever”, he warned.

    Speaking on causes of depression Coker explained that any significant loss can bring about depression. “Significant loses such as the loss of parent, child, spouse, job or fortune; loss of huge sum of money as we witnessed recently with MMM. Depression can also be caused by social problems such as poverty, living in houses that are not quite conducive with difficult neighbours; family problems between husbands and wives, those who cannot communicate adequately and appropriately, separation or divorce”, the cause is endless.

    Coker however revealed that depression can be treated, cured and managed with psychotherapy.

  • How to prevent depression

    How to prevent depression

    Alarmed by the increase in cases of depression, the World Health Organisation (WHO) has launched a one-year campaign- Depression: let’s talk. OYEYEMI GBENGA-MUSTAPHA details the tips to treat the monster in adults (over 60s), women of childbearing age, adolescents and young adults.

    The life changes that come with ageing, childbirth or adolescence can lead to depression. According to the World Health Organisation (WHO), depression is an illness characterised by persistent sadness and a loss of interest in activities that you normally enjoy. This is accompanied by an inability to carry out daily activities, for at least two weeks. ‘

    The World Health Organisation said depression is an illness that can happen to anybody- of any age, sex, or social status. It causes mental anguish and affects people’s ability to carry out everyday tasks, with sometimes devastating consequences for relationships with family and friends. At worst, depression can lead to suicide. Fortunately, depression can be prevented and treated.

    It said in addition to the above, people with depression normally have several of the following: a loss of energy; a change in appetite; sleeping more or less; anxiety; reduced concentration; indecisiveness; restlessness; feelings of worthlessness, guilt, or hopelessness; and thoughts of self-harm or suicide.

    The global health watch said it has noted with concern the high incidence of depression which is common in older people but often overlooked and untreated.

    It noted: “Depression among older people is often associated with physical conditions, such as heart disease, high blood pressure, diabetes or chronic pain; difficult life events, such as losing a partner; and a reduced ability to do things that were possible when younger.”

    Contributing factors and prevention

     Depression results from a complex interaction of social, psychological and biological factors. People who have gone through adverse life events (unemployment, bereavement, psychological trauma) are more likely to develop depression. Depression can, in turn, lead to more stress and dysfunction and worsen the affected person’s life situation and depression itself.

    There are interrelationships between depression and physical health. For example, cardiovascular disease can lead to depression and vice versa.

    Prevention programmes have been shown to reduce depression. Effective community approaches to prevent depression include school-based programmes to enhance a pattern of positive thinking in children and adolescents. Interventions for parents of children with behavioural problems may reduce parental depressive symptoms and improve outcomes for their children. Exercise programmes for the elderly can also be effective in depression prevention.

    Sadly, it said older people are at a high risk of suicide, yet depression is treatable, with talking therapies or antidepressant medication or a combination of these.

    Adolescense and young adulthood present many opportunities – for meeting new people, visiting new places and finding a direction in life. These years can also be a time of stress. If you are feeling overwhelmed rather than excited by these challenges. Having a baby is a major life event and can cause worry, tiredness and sadness. Usually these feelings don’t last long, but if they persist you may be suffering from depression.

    It said depression following childbirth is very common. It affects one in six women who have given birth. Depression is an illness characterised by persistent sadness and a loss of interest in activities that you normally enjoy, accompanied by an inability to carry out daily activities, for at least two weeks.

    “Symptoms of depression after childbirth also include: a feeling of being overwhelmed; persistent crying for no apparent reason; lack of bonding with your baby; and doubt about being able to care for yourself and your baby. Depression after childbirth can be treated with professional help. Talking treatments and medicines can help. Some medicines can be taken safely while breastfeeding. Without treatment, depression following childbirth can last for months or even years. It can affect your health and the development of your baby,” it stated.

    Cheery news is that depression is treatable, with talking therapies or antidepressant medication or a combination of these.

    WHO recommends what you can do if you are feeling down, or think you may be depressed: Talk to someone you trust about your feelings. Most people feel better after talking to someone who cares about them. If you think you are depressed, seek professional help.

    Your local health-care worker or doctor is a good place to start. Remember that with the right help, you can get better.

    Keep up with activities that you have always enjoyed, or find alternatives if previous activities are no longer possible. Stay connected. Keep in contact with family and friends. Eat at regular intervals and get enough sleep. Exercise regularly if you can, even if it’s just a short walk.

    Also avoid or restrict alcohol intake and refrain from using illicit drugs; they can worsen depression. Only take medicine as prescribed by your health-care provider. Exercise regularly, even if it’s just a short walk. Stick to regular eating and sleeping habits. Accept that you might have depression and adjust your expectations. You may not be able to accomplish as much as you do usually. If you feel suicidal, contact someone for help immediately.

  • ‘Nigeria heading from recession to depression’

    ‘Nigeria heading from recession to depression’

    A professor of Economics, Innocent Eleazu has warned that the current economic recession could turn into depression if the Federal Government fails to find and apply the right solution to the problem.

    Eleazu speaking to newsmen in Aba, the commercial hub of Abia State, urged state governors to pay their workers’ salaries, look inwards to develop the mineral and agricultural resources in their states to encourage spending among civil servants and increase local production as a means of improving their Internally Generated Revenue (IGR).

    According to him, the economic solution many people are proffering in solving the problem of recession is not what should be done in order to come out of the economic quagmire.

    He warned that further borrowing could further deepen the situation.

    The professor who was due to deliver a lecture in Aba titled, “Recession in a Mono Economy: Challenges, Consequences” on November 15, said he feared that Nigeria does not have the foreign reserve to fall back to should the economy go into depression.

    Eleazu debunked the notion that the current recession was caused by the Buhari administration, saying that the economy started depleting about four years ago.

    He said that the only solution was the diversification of the economy, as did the United States of America (USA) when they faced a similar situation between 2007 and 2009.

    “Since the end of the Second World War, USA has had 12 recessions, the hardest and most severe was the one in 2011 which ended in 2012. In all, they learned from the recessions and came out better.

    “In our own case, we have to truly go back to land, get the grassroots farmers well mobilised, not the political or civil servants farmers. Government should not be involved beyond this level because no government agricultural policy has worked over the years”.

    He also urged government to assist entrepreneurs and artisans in order to increase productivity.

    The economist said he was sceptical about Nigeria’s borrowing from the International Monetary Fund (IMF) to solve the present economic problem, stressing that such steps would increase the debt profile of the country.

    He said, “Since some people in the country are richer than Nigeria, the Federal Government should raise the needed funds internally instead of external borrowing with its attendant high interest rates”.

    Prof Eleazu who claimed that he was one of the economists in USA the Democrat party used their input to evaluate their economic policies, however regretted that policy makers in Nigeria have not made use of reports experts submitted during the ousted President Jonathan’s regime which he said if implemented, would help to turn the economy around.

    “In 2007, the past administration in the country invited me to Abuja and gave me the task of exploring the talents in the youth. After a thorough research, I submitted my report on May 29, 2007, but nothing was done on that till this moment,” he said.

     

  • Reading against depression

    Nigerians were sensitised to the dangers of the scourge of depression recently as an author, Vivian Ikem, blew the whistle on it. She raised this awareness at a special reading from her book, “Shadows in the Mirror: The many Faces of Depression”, at the Quintessence Gallery in Ikoyi, Lagos.

    Having experienced a bout of depression herself, Ikem said that depression is so deadly that one in five people are likely to suffer from it without knowing. She also urged against intolerant conduct towards people who complain about depression because it is as well a medical condition as malaria or typhoid.

    She said: “Ignorance is killing way too many people. Everyone is prone to depression. All it takes is a little trigger. We need to speak out now, without having to wait for it to get bad. We should enlighten people before they end up in the psychiatric ward.”

    While the book reading took on a congenial and jovial bearing, nuggets of informative material prevalently seeped forth from the speakers, including a psychiatric doctor, Ayomide Adebayo, who declaimed extensively on where and how help can be rendered to people suffering from depression at all levels.

    Adebayo rued the reality that people tend to keep mum about issues of suicide instead of tackling the issue and campaigning against depression. He said: “How come people don’t talk about depression? In a statistical situation where one in five people are suffering from depression in one form or the other, it is almost certain that you know at least one person suffering from it. How come you don’t know who they are?”

    He also noted that depression is currently rated as the second most widespread burden disease and is pitched to top that ignominious list by 2020. He explained further that burden diseases are those which impede maximum functionality of individuals in whatever endeavours they pursue.

    He added that the irony was that treatment for depression was not as arduous as many people were given to assume, especially seeing as the drugs usually prescribed for the treatment of depression are cheap and easily affordable.

    The treatment begins with every individual, the practitioner explained. To complement this, Ikem urged individuals to be tolerant and approachable to their friends and anyone who they perceive is depressed. She said: “It takes us going out of our ways to help people. Oftentimes, it is until the damage has been done that people start singing. The important question is what you do when you notice someone in that situation.”

  • How to check bad mood, depression

    How to check bad mood, depression

    Being in a foul mood is not the same as having a chronic medical condition, such as depression. A little diversion may help you feel fine again. OYEYEMI GBENGA-MUSTAPHA writes that if you are down, step away for some time and do something else to avoid depression.

    Are you experiencing sleep disorders; either sleeping more or less? It may be symptoms of depression. Other indications are loss of interest or pleasure in activities you used to enjoy; feelings of guilt, hopelessness and worthlessness, suicidal thoughts or recurrent thoughts of death, appetite and weight changes, difficulty in concentrating and fatigue.

    According to a practitioner, Dr Godwin Ihesie, the above are confirmations that a person is depressed, which root can be social, psychological, biological or hormonal.

    Dr Ihesie, who was the right hand-man to the late Elizabeth Kafaru, said social factors play a part in causing depression, along with lifestyle and relationships. The factors may include: marital or relationship problems; balancing the pressures of career and home life, family responsibilities, such as caring for children, spouse, or aging parents, discrimination at work or not attaining important goals, losing or changing a job, retirement, or embarking on military service, persistent money problems or death of a loved one or other stressful events that leave one feeling useless, helpless, alone or profoundly sad.

    Explaining the biological and hormonal causes in women, Ihesie said hormonal fluctuations during the menstrual cycle can cause premenstrual syndrome (PMS), such as bloating, irritability, fatigue, and emotional reactivity.

    “For many women, PMS is mild. But for some others, it is severe enough to disrupt their lives and a diagnosis of premenstrual dysphoric disorder (PMDD) is recommended. The many hormonal changes that occur during pregnancy can also contribute to depression, particularly, in women already at high risk.

    Other issues relating to pregnancy, such as miscarriage, unwanted pregnancy and infertility, can also play a role in depression.

    “Married men should pay attention to their nursing wives as postpartum depression is a reality. This is because many new mothers experience the ‘baby blues’. This is a normal reaction that tends to subside within a few weeks. However, some women experience severe, lasting depression. This condition is known as postpartum depression. Postpartum depression is believed to be influenced, at least in part, by hormonal fluctuations. In the same vein, some women may be at increased risk for depression during peri-menopause, the stage leading to menopause when reproductive hormones rapidly fluctuate. Women with past histories of depression are at an increased risk of depression during menopause as well. Health problems including chronic illness, injury, or disability can lead to depression in women, as can crash dieting or quitting smoking.”

    Focusing on and rehashing negative feelings are psychological causes of depression as well in women. This is because women are more likely to ruminate when they are depressed.This includes crying to relieve emotional tension, trying to figure out why you’re depressed, and talking to your friends about your depression.However, rumination has been found to maintain depression and even make it worse. Men, on the other hand, tend to distract themselves when they are depressed. Unlike rumination, distraction can reduce depression.

    “Overwhelming stress at work, school, or home can induce depression. This is because the female physiological response to stress is different. Women produce more stress hormones than men do, and the female sex hormone progesterone prevents the stress hormone system from turning itself off as it does in men,” he explained.

     

    Way out

    Ihesie said depressed people generally can make a huge difference by self help with simple lifestyle changes: exercising every day, avoiding the urge to isolate, eating healthy food instead of the junk you crave, and carving out time for rest and relaxation. Feeling better takes time, but you can get there if you make positive choices for yourself each day and draw on the support of others. “Expose yourself to a little sunlight every day, as sunlight can help boost your mood. Take a short walk outdoors, have your drinks outside, enjoy a healthy meal, while you watch people-go about their daily lives, or sit out in the garden. Aim for at least 15 minutes of sunlight a day. If it is during the wet season you can use a light therapy box.

    Spiritual aspect should also be explored, “Find purpose. Meditate because meditating produces brain changes that promote positive emotions and reduce negative emotions such as fear and anger. It can lower your heart rate, blood pressure, breathing rate, oxygen consumption, adrenaline levels, and levels of cortisol, a hormone released in response to stress. Exercise is healthful right down to the cellular level. It improves circulation and nerve function, it helps to regulate mood, and it makes you feel better about yourself.

    “Socialise. Being isolated can lead to loneliness, which can make you sad. Spending time with others helps improve mood. We’re wired to be social. Focusing on others can move you off a preoccupation with self-defeating thoughts.Avoid isolation.Get together with a friend, family member,or group at least once a month.Visit friends at home. Get out of your house, go to a movie, or check out an art exhibit. If you don’t have someone to spend time with, go to church or take a class,” said Dr Ihesie.

     

    Herbal solution

    Dr Ihesie said traditional herbal practitioners that know their onions abound in the country and can be sought out. “Herbal plants such as Valerian root is considered a calming herb, used as a muscle relaxant and sedative. Chamomile traditionally has been used as an evening time infusion to induce relaxation and bring on sleep. Passion flower has been used to reduce anxiety and insomnia, making very suitable for those who suffer from any anxiety-induced feeling.

    “Do some more research or talk to a registered herbalist before you commit to an herbal supplement programme.  Herbs can be very powerful and have many complicated effects, so use them wisely. They can be a strong ally to helping you achieve your health goals when used wisely,” he stated.

    Mentioning some of the herbal plants, he said: “Adaptogens are a particularly appealing classification of herbs. Look for licorice (a supporter to other herbs and not suitable for everyone), Gynostemma (Jiao Gu Lan), Astragalus, Ginseng, or Maca (for hormonal strength). Ashwagandha – A traditional Ayurveda herb that has recently become mainstream, ashwangandha is a superb herb for reducing the effects of stress on the hormonal system and helping to restore hormonal balance. Rhodiola is a balancing herb, it prevents fatigue, relieve depression, and enhance performance. It tastes and smells like dirty gym socks so I recommend getting it in in capsule or tincture blend.

    ”Eleuthero – Formerly Siberian Ginseng, Eleuthero was discovered and used by Soviet (Russian) Olympic athletes to quicken workout recovery, improve muscle gains and performance. So, if stress has run you down, this might be the adaptogen for you. Tulsi or Holy Basil is another Ayurvedic herb that has recently become popular. It can fall into either the relaxing or balancing herb category as it is used for tranquility, stress relief, and stamina. Schisandra is a five flavour berry. It is a nourishing tonic in Chinese medicine used to build the body’s resistance to stress, maintain immune and liver function, reduce anxiety, maintain energy, and prevent adrenal fatigue.”

  • ‘How women can avoid depression’

    ‘How women can avoid depression’

    Ngozi Okafor is an entrepreneur, motivational speaker and TV presenter. In this interview with Yetunde Oladeinde, she talks about women switching roles, how to cope with challenges and more. 

    Why are you passionate about women? It is an organisation that has compassion on women and the youths.

    Over the years, we have been helping to create awareness about the different opportunities available for our women, how they can maximise their potential as well as be efficient at home by nurturing children that are healthy and intelligent.

    If you look around now, you would find that there is a lot of tension in our society today. People are aggressive at the slightest provocation and you find more cases of violence. So women need to understand their environment as well as how they can thrive in a difficult society by learning a couple of ways to survive unemployment.

    Developing entrepreneurial skills in women and young people is very important because unemployment rates are on the increase. You can actually do something apart from working for somebody. First, you must know what you have a passion for, then we let them know that they must work for it to be successful. Also for a woman you must know how to carry yourself.

    All this has to do with your mindset. So, we work with our women and help them to transform their mindset. We help them to unlearn the things that they have been taught through the environment that they lived in while growing up. We tell them that they can make it and that they can reach their goal as a women.

    What is the essence of the connect programme?

    The essence of the connect programme is to bring women together. I want to say that so many people and so many women are already doing a lot. However, I would say that the effort is still not enough and we need to do much more. Most times, I looked at my own environment and found out that so many things and so many women are really being depressed because of the challenges that they are passing through in their marriages. I also looked at myself and asked what I should do.

    I have got to a stage where, spiritually, I have received messages concerning the kind of things that we pass through. Personally, when I am passing through certain stages, I advise myself and I often hear voices that would tell me the next step to take. Each time I take the next step and I am able to overcome, I see that the voice tells me, “you were able to overcome, I took you through this path because some other people are passing through same and that someone needs to talk to them.” You might not be able to hear the voice, everybody may not hear the voice but someone needs to reach them.

    So the essence of the connection is to bring women together, speak with them. I hope that the women who need to connect would therefore make use of the opportunities available. Interestingly, I have found that most women usually don’t connect with such people. They worry about so many things, especially things that border on self esteem.

    Instead of connecting with someone that can help, they would say: “She is a big woman, who knows she would not answer me when I greet her.” No matter your level in life, you must have it in your mind that you were created by God and He has a purpose for you. I also say that someone needs you and the person who needs you is someone who needs a cleaner. So no matter where you find yourself as a woman, you are very important. God cannot make all of us the same.

    Apart from the dialogue, how else do you interact with them?

    We have a website and a magazine online where we have people contribute to issues and certain things that are going on in the society. We want people to tell us what they are passing through and we are also planning to have a counselling session where we can meet people physically and talk to us. We want to encourage ourselves; I think it is not good to just sit and suffer when God has deposited your solution in someone, not just your pastor. Most times, what the pastor does is the spiritual thing but there are so many other things that need to be done. Here you can find solutions from those who have passed through some of the physical things and they can also help you.

    They have passed through it physically because God is trying to raise that person to be able to raise other people. I want us to always look at the physical and spiritual aspect. It is important to work on the physical, spiritual, psychological and emotional life. For instance, some women go to church from Monday to Sunday and say ‘God bless me’, what do you want him to bless, when you are not doing anything? Is He going to throw money from heaven or look for business for you to do? The bottom line is, don’t give up.

    What inspired the project?

    I have this concern for women and I have always had this concern. Maybe because I grew up in a good family where everything is organised, but when I heard people say certain things I used to wonder. It was later in life that I knew that every family is not as organised as I used to know it. I discovered that some people came from broken homes and some lost their parents early in life. Their life is not always wonderful and they pass through a lot. I also realised that sometimes, it is those other things that make them think the other way.

    I have great concerns for womanhood. Whenever I see a woman up there, it makes me happy. Conversely, when I see women down or depressed I am sad. I look at some people and I know that they have some gifts in them but they do not know. Someone actually needs to tell them, encourage them and make them rediscover themselves.

    For us, the most important thing is to open your eyes to opportunities, learn about how to develop themselves as well as be friends with people that can open doors for them. There is no point hanging around people who would take away from you instead of adding value to your life. I also believe that everything is possible and that there is always a way out of every problem. We need to be connected, we need to help ourselves and stand out in whatever we are doing. In addition, I would also want to stress that integrity is very crucial in whatever we do. For instance, if someone helps us and we do the wrong thing, then we may just close the door for someone else.

    If you had to advise Nigerian women, what would you tell them?

    As Nigerian women, I believe that we have a great role to play in the nation’s development. We have a lot of women who are talented and those who should mentor others. We don’t have to sit on the fence because there is so much to do. We just have to come out of our shell because God has given us potentialities and we are expected to use them to develop this nation. If you do not talk to your sister next door, if you do not help to build and develop her potentialities, then you have failed in your life’s journey.

  • Depression affects daily activities

    Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depression, major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and depression may make you feel as if life isn’t worth living.

    More than just a bout of the blues, depression isn’t a weakness, nor is it something that you can simply “snap out” of. Depression may require long-term treatment. But don’t get discouraged. Most people with depression feel better with medication, psychological counseling or both. Other treatments also may help.

    Although depression may occur only one time during your life, usually people have multiple episodes of depression. During these episodes, symptoms occur most of the day, nearly every day and may include:

    •Feelings of sadness, emptiness or unhappiness.

    •Angry outbursts, irritability or frustration, even over small matters

    •Loss of interest or pleasure in normal activities, such as sex.

    •Sleep disturbances, including insomnia or sleeping too much

    •Tiredness and lack of energy, so that even small tasks take extra effort

    •Changes in appetite — often reduced appetite and weight loss, but increased cravings for food and weight gain in some people.

    •Anxiety, agitation or restlessness — for example, excessive worrying, pacing, hand-wringing or an inability to sit still.

    •Slowed thinking, speaking or body movements.

    Source: www.mayoclinic.org