Creeping childhood mental health crisis
Disturbingly, a large and growing number of children and adolescents in India are suffering mental health disorders. A World Health Organisation (WHO) report released last year says that one in four early teens in India suffers depression – Geetha Rao Kavya Rao (14), a class IX student in Mumbai, was a class topper and an excellent vocalist loved by her teachers and peers. But three weeks ago, her parents visited a counselor because she suddenly stopped speaking with friends, became withdrawn and aloof, sluggish, started weeping irrationally and neglected her meals and sleep. Following three sessions with a psychiatrist, Kavya was diagnosed with depression. Manish Mehta (14), also a class IX student in Mumbai, was admitted to hospital with complaints of excessive, super-speed speech, vainglorious boasting, becoming abnormally friendly with strangers, and demanding expensive laptops and cell phones. His parents reported to the psychiatrist that he was “always restless and started numerous activities without completing any of them”. Manish was diagnosed with mania — a bipolar disorder characterised by sustained periods of abnormal mood swings and exaggerated behaviour. Kavya and Manish are typical of a disturbingly large and growing number of adolescents in India suffering mental health disorders. A World Health Organisation (WHO) report released last year says that one in four early teens in India suffers depression. According to WHO’s Mental Health Status of Adolescents in South-East Asia: Evidence for Action (2017), a quarter of adolescents in India in the 13-15 age group suffer from depression. The report reveals that 11 percent of adolescents countrywide are “distracted”; 8 percent are anxious and suffer consequential sleep disorder; 8 percent experience loneliness most of the time; and 10 percent are unable to forge friendships. The National Mental Health Survey 2015-16 (NMHS), conducted by the highly reputed National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore under the purview of the Union ministry of health and family welfare, endorses this alarming phenomenon of creeping adolescent depression. NMHS 2015-16 highlights that 9.8 million teenagers in the age group 13-17 years suffer depression and other mental health disorders and are “in need of active intervention”. The study found that prevalence of adolescent depression is highest in metro cities, and comparatively less in small town and rural India. “India is confronted with a childhood-adolescence mental health crisis. With stressful peer pressure, high parental expectations, breakdown of traditional family structures, and incremental technology dependence forcing lifestyle changes, a rising number of children and adolescents are finding it difficult to cope with the burden of the pressure to excel and continuous scrutiny. Moreover with parents mostly ignorant about mental health issues and social stigma surrounding psychological disorders, most adolescents grow up with mental health illnesses and transform into dissatisfied and maladjusted adults,” says Dr. K. John Vijay Sagar, professor of child and adolescent psychiatry, NIMHANS. According to Sagar, almost 30-40 percent of adults in the 20-30 age group suffering mental health problems had a history of depression during middle school and adolescent years. “Almost half the adults…