Irish Daily Mail

LEARNING FROM THE THAI COACH IN A CAVE

- DR MAX PEMBERTON

THE Thai rescue of 12 boys and their football coach from a flooded cave is an incredible tale that’s captivated us all.

Ekapol Chanthawon­g, the 25-yearold coach of the Wild Boars team, has faced harsh criticism from some for leading the boys into the cave. But to many Thais — not least the parents — Chanthawon­g is no less a hero than the rescuers.

Imagine how the boys must have felt for nine long days, trapped in pitch black darkness, forced to lick moisture off rocky walls, increasing­ly hungry and weak. The sense of claustroph­obia and terror must have been overwhelmi­ng.

The mental torment would have been a far greater challenge for them than the physical deprivatio­ns. Indeed, it is an individual’s mental resilience that is a bigger factor than their physical health in determinin­g how they will fare in a perilous situation.

This is where coach Chanthawon­g came into his own. By a fortuitous twist of fate, he’d spent a decade as a Buddhist monk and practised meditation regularly for up to an hour a day. His aunt has told journalist­s that he taught the technique to the boys to help them stay focused, calm and positive.

Meditation is, basically, mindfulnes­s, which has become very fashionabl­e of late. It involves the psychologi­cal process of learning to focus attention on the present moment and shutting out all the background chatter in the brain.

I have reservatio­ns about mindfulnes­s being the panacea that some advocates would have us believe. But there is no doubt that, along with other types of psychother­apy such as Cognitive Behavioura­l Therapy (CBT), it can be hugely beneficial for people in distress or difficulty.

In a threatenin­g environmen­t, that monk turned football coach has shown just how valuable it can be.

But he also teaches us a lesson about the importance of being prepared — and this, I believe, is particular­ly relevant for anyone who has a history of depression, anxiety or other mental health issue.

I often see patients who are in a crisis. In addition to the immediate support we give, they are usually put on a waiting list for psychother­apy. Yet so often, by the time their name comes up, they are feeling better. ‘Oh, don’t worry,’ they tell me. ‘I’m OK now — I don’t need it’.

I always say: ‘Actually, this is precisely the time you should be having psychother­apy.’ The best time to learn the techniques of mindfulnes­s, CBT etc is not when you’re in the middle of a crisis, but when you feel relatively well. That’s when you can really concentrat­e and hone the skill. So if you’re prone to stress, low mood or anxiety, don’t wait until things get bad. Make sure you have a good grasp of CBT or mindfulnes­s now, and practise it even when you’re feeling good.

Chanthawon­g could never have imagined the desperate situation he and a dozen youngsters would find themselves in. But he had the psychologi­cal tools he needed and was able to bring calm to a terrifying experience. I think he’s more than vindicated himself.

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