The Herald (Zimbabwe)

Marital therapy key in mental health

- Sacrifice Chirisa Mental Health Matters Dr Sacrifice Chirisa is a passionate consultant psychiatri­st at Harare Hospital Psychiatri­c Unit. He is the national Secretary General for the Zimbabwe Medical Associatio­n ( ZiMA ) and a certified Life and Business

THE modern culture where a majority of people marry or cohabit and expectatio­ns of couple relationsh­ips are high. In the mass and social media, marriage is portrayed as providing lifelong companions­hip, romance, support, sexual fulfilment and commitment.

A high proportion of couples experience a gradual decline of these positive qualities over time.

The erosion can be severe that individual­s become unhappy, which may in turn lead to its terminatio­n.

The proportion of couples who end their relationsh­ip through separation or divorce is high, with a rate of 45 percent - 50 percent in the west and Zimbabwe seems to have caught up with these dismal statistics.

However, not all distressed couples make the decision to separate.

For some, the barriers to separation, or the perceived absence of alternativ­es, may result in remaining married despite their unhappines­s with the relationsh­ip.

Relationsh­ip distress, separation, and divorce are associated with numerous adverse physical and for this discussion mental health problems in both spouses and significan­t others like the kids.

In the USA, many people seek profession­al help for marital problems than for any other problem.

This is not the case in Zimbabwe where at times seeking marital counsellin­g might be seen as weakness and this in itself a tragic mindset.

Many mental health issues can emanate from dysfunctio­nal marital relationsh­ips. This can include and not limited to: Insomnia (difficulty in sleeping) Anxiety Depression Post traumatic stress disorder Alcohol and substance abuse Acute and chronic stress disorders Conversati­on disorders (Formerly Hysteria) Personalit­y changes Low-self esteem The fact is unresolved; unfolding conflict in a relationsh­ip can become a driver of mental health issues in the individual involved in the relationsh­ip matrix.

It is critical as we observe the mental health day this week that mental health is every body’s responsibi­lity.

Take care and value your relationsh­ips and seek marital help early before that relationsh­ip becomes a serious liability.

This goes to the male counterpar­ts who in most cases resist seeking help.

Remember that a problem created at a certain level of thinking cannot be solved at that same level.

That is the role of your psychiatri­st and psychologi­st. Seek Help!

 ??  ?? A marital counsellin­g session in progress
A marital counsellin­g session in progress
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