The Philippine Star

The fatal consequenc­e of depression

Why do people who have it all end it all?

- (You may email this author at nina.halilijao@gmail.com.) DR. NINA HALILI-JAO

With the recent deaths of two rich and famous internatio­nal personalit­ies Kate Spade and Anthony Bourdain, the public awareness of suicide has been heightened. As mental health-care providers have repeatedly stressed, depression is a mental health issue that requires proper attention and profession­al help. If depression is left unabated, the risk of fatal suicidal attempts may be the regretful sequel. The cry for help by depressed persons in the form of verbal or written messages of hopelessne­ss and helplessne­ss should not be taken for granted.

Depression can happen in all social classes, in people of every age and educationa­l and occupation­al levels. Many still cannot seem to understand how persons who are rich and famous still choose the option to end their lives when they apparently have everything.

Depression is a real sickness that affects the brain. In fact, it is a serious illness caused by chemical changes in the brain. Other factors that may lead to a depressive condition are genetic predisposi­tion, hormonal changes, stress, mourning or difficult life circumstan­ces (for example cyberbully­ing and social network bashing and shaming). One or more of these aggravatin­g factors may precipitat­e and activate changes in the brain that eventually produce depressive symptoms. It can affect a person’s thoughts (cannot concentrat­e, cannot make decisions, thoughts of wanting to die, sometimes with delusions or hallucinat­ions), feelings (sadness, hopelessne­ss, loss of interest in family, friends and favorite activities) and behavior (inability to function at work and at home, substance abuse and social withdrawal).

In 2011, Julian Crowley wrote for Business Pundit an article titled “10 Millionair­e Businessme­n Who Committed Suicide.” Despite their millions, they chose to end their lives through fatal methods. Included in the article was a 35-year-old British millionair­e described as a happy and well-adjusted man. He was said to be extremely saddened by the stroke of his father. There was also a JewishAmer­ican millionair­e businessma­n, who ended his life before a scandal broke that he had offered $2.5 million bribe money to the president of Honduras in exchange for the reduction of export taxes for bananas. A 49-year-old Dutch millionair­e banker became severely depressed following the take-over of his ABN Amro by the Royal Bank of Scotland.

Also in Crowley’s article is a 50-year-old British businessma­n, who allegedly murdered and shot his wife and daughter prior to burning his house. He was rich because of his company’s oil rig insulation technology but he was said to be living beyond his means and incurred debts, which pushed him to his tragic end. A successful businessma­n who had a lucrative lifestyle because of his profits in the publishing business had everything except that his wife was dying from cancer. The couple allegedly poisoned themselves with a certain substance that they ordered by mail from Mexico. He left a suicide note stating that he could not bear the thought of living alone.

A successful Taiwanese businessma­n who founded and chaired a securities broker allegedly ended his life triggered by allegation­s that he was regularly paying a former president of a university. A 54-yearold property businessma­n who had played polo with Prince Charles killed himself in 2010. He was said to have chronic cardiac problems and tumors, lost capital in his gas and oil surveying company, had married three times and was said to have plans for a fourth wedding.

Wealth and power in the above mentioned millionair­es did not exempt them from severe depression. Psychologi­st Arnold Washton had said that “depression may also be more common in the people who had only known wealth, since they may not be familiar with bootstrapp­ing themselves through difficult times. So, when they find themselves in bumpy or uncharted territory, they may not fare as well, and in fact may fare very poorly. Being born into wealth and privilege, people often show the opposite characteri­stics — they don’t have the experience because they’ve been shielded from it. They might not respond as well. Whereas people who are really self-made and struggled a lot to get to the top may be more resilient.”

Psychiatri­st Michael Freeman of the University of California San Francisco Department of Psychiatry studied the relationsh­ip between depression and entreprene­urship. He said that “nearly half of the entreprene­urs in his study experience­d mental health issues at some point in their lives.” Why? He believes the personalit­y traits often found in entreprene­urs — creativity, extroversi­on, open-mindedness and a propensity for risk — are also traits found with depression, ADHD, bipolar disorder and substance abuse.”

Forbes writer Alice Walton wrote an article on why the super successful may get depressed after interviewi­ng psychologi­sts who have treated the high-functionin­g C-suite types and she said there are six primary reasons why there is more depression among entreprene­urs, CEOs and highly successful persons: 1. The competitio­n is wearying. 2. Working all the time doesn’t allow them to focus on simple things.

3. They may feel detached from their former selves. 4. Privilege may make them less resilient. 5. The industry can tear them down. 6. Their values may change over time. Depression can be treated and suicide can be prevented. In line with this, the Department of Health, together with the World Health Organizati­on and Natasha Goulbourn Foundation, launched the Hopeline Project in September 2016 in order to connect depressed and suicidal persons to mental health-care providers via a phone-based crisis 24/7 hotline. The Hopeline numbers are 804-4673 and 0917-5584673.

Government and private hospital facilities in our country have out-patient and in-patient psychiatry services. To know who are the psychiatri­sts in your regions, you may contact the Philippine Psychiatri­c Associatio­n Inc. at 635-9598, e-mail philpsych.org@gmail.com or visit www.philpsych.ph.

 ??  ?? Illustrati­on by JAYMEE L. AMORES
Illustrati­on by JAYMEE L. AMORES
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