Wednesday, August 9, 2017

Stemming soaring cases of mental illness in Nigeria

So many strange things are happening in Nigeria today that give goose pimples. Oftentimes, I ask myself if those who indulge in many heinous crimes reported in the country are normal. There is tendency for many people to think that only those in hospitals or invalids are sick. Indeed, there are millions of sick people who appear normal. They go to school, work and seem to be okay until when something snap in them and they commit a crime that many thought they are incapable of perpetrating. Then their true health status is revealed. Indeed, many Nigerians are mentally sick.
According to information gathered from the website of MedicineNet, ”Mental illness is any disease or condition that influences the way a person thinks, feels, behaves, and/or relates to others and to his or her surroundings. Although the symptoms of mental illness can range from mild to severe and are different depending on the type of mental illness, a person with an untreated mental illness often is unable to cope with life's daily routines and demands.” Medical researchers have revealed that mental illnesses are caused by a combination of genetic, biological, psychological, and environmental factors.
The serenity of the  town of  Ozubulu in  Ekwusigo Local Government Area of Anambra State was shattered last Sunday when a lone gunman marched into St. Philip Catholic Church in the town while the early morning mass was on. By the time the merchant of death fled the premises, he had  killed 11 worshipers and injured 18 others. Can the murderer be said to be mentally fit? Those who rape minors, I mean pedophiles, can they be said to be mentally stable? Can the fathers who are raping their daughters be said to be in full control of their senses? What about the parents that the Nigerian Army claimed are donating their daughters to insurgents as suicide bombers, are they okay?
So many things are happening all around us today that buttress the fact that we live in odd world full of lunatics in decent attires. There have been many reported cases of parents selling off their children because of hunger, people feigning their own kidnap, husbands using their wives for money rituals, servants organising kidnapping and robbery of their bosses among several other crimes.
One of the several mental disorders is depression. According to American Psychiatrist Association, depression is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. It causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home. Last Saturday, Federal Medical Centre Lokoja, Kogi State held its 2017 Annual General Meeting and the Scientific Conference Week of the Nigerian Medical Association of the state chapter. The theme of the conference was: “Economic Recession and The Rise of Depression”. At the event, a Consultant Psychiatrist, Dr.  Adeyemi Egbeola, decried the increasing rate of recession-associated clinical depression in Nigeria.
According to him, a significant association has been demonstrated between macroeconomic indicators in recession and clinical depression as a mental illness. He was quoted as saying that: “For every suicide committed, there is an average of 20 attempts (ratio 1:20), due to unemployment, self-rated mental health, debts, financial difficulties and other common mental health issues. Depressive disorder account for 80 per cent suicide and hopelessness is the most predictive indicator of suicide, a depressive thought pattern.
The psychiatrist asserted that “In 2015 from January to November, record show that 25, 267 patients were treated on mental health at the Federal Neuro-Psychiatric Hospital, Yaba Lagos, while the number increased to 53,287 in 2016 within the same period”. That is more than 100 per cent increase. Note that these are those who came to hospitals to receive treatment. There are millions of other people suffering from mental illness that are living in denial or lack family care to support their treatment. There are several unaccounted for who are patients at many herbal homes and faith clinics with the hope of getting cured there of their mental problems.
Am sure that by next year when statistics from all our Neuro-psychiatrist hospitals would be out, the number of patients may have quadruple from the current statistics. Why? Starting from July 1, 2017, the Federal Road Safety Commission, worried by the astronomic rate of vehicle accidents in the country, has commenced referral of certain categories of traffic offenders for  psychological evaluation. According to a statement issued on behalf of FRSC Corps Marshal, Dr.  Boboye Oyeyemi by Bisi Kazeem, the FRSC Corps Public Education Officer, the test would focus on four areas of violations including use of phone while driving, traffic light and route violations as well as dangerous driving.  The move, according to him, was necessitated by continued violations in the identified four areas despite efforts by the corps to change the behaviour of motorists through education and enforcement. Truth be told, many Nigerian motorists have become incorrigible on these traffic offences. 
The step by FRSC is therefore in the right direction. However, FRSC should also encourage relevant authorities to make sure that there are properly installed road signs. Many a time, motorists are not notified about roads that are ‘one way’. Many traffic lights are also malfunctioning and in need of repairs.
The phenomenal increase in the number of people with mental illness should worry our government at all levels. This economic recession is biting hard on Nigerian masses and they need succor. There is need to reduce the high level of unemployment and poverty ravaging the land. Many people are today taking solace in crimes and criminality due to inability to meet basic needs such as food, clothing and shelter. Many have become hypertensive and suffered stroke due to these aforementioned predisposing factors. There are those who have committed suicide due to too much economic pressure from their families.

Am also in agreement with the suggestions of Dr. Egbeola that government should also provide cheap, but effective medications while individuals are enjoined to live  healthy lifestyle, take adequate sleep, exercise, eat nourishing balanced diet, avoid smoking and consume alcohol moderately. Above all, there is need for family and friends to help those perceived to have mental illness by taking them to hospital for treatment while not stigmatising them.