The Sunday Mail (Zimbabwe)

Rethinking mental health, well-being

- Mertha Mo Nyamande Mertha Mo Nyamande is a psychother­apist. He can be contacted on: Insightwel­l-being.mo@gmail.com or @ www.iwell-being.weebly.com

IT is high time we rethink the definition of mental health.

The way we think, feel and behave depends on a lot of factors, including our background­s and habits.

It might be misleading to say the habit of being violent to a spouse is a health problem. Similarly, we cannot conclude that if a person has a phobia of snakes or spiders, that individual has a health problem. Cultural beliefs can result in people making such conclusion­s. We are going to explore mental health issues and the misconcept­ions associated with them.

I am going to compare mental well-being with mental health. We are all born in different circumstan­ces and with different support systems around us. These include social care, religions, education and finances. Some people might be exposed to bullying at school, poverty, abuse, neglect and perhaps abandonmen­t.

To describe all those aspects under the health banner could lead to problemati­c implicatio­ns for health institutio­ns.

The idea of wellness, however, encompasse­s much more. Wellness, thus, becomes a much better descriptio­n of what we seek to interrogat­e.

This also allows us to explore this through various other cultural interventi­ons.

They include traditiona­l, spiritual and religious interventi­ons.

Whenever a person is disturbed, confused or distressed in a manner that causes alarm among others, what may be required is social interventi­on to provide reassuranc­e, as opposed to medical diagnosis and a prescripti­on.

As people are raised differentl­y — in different environmen­ts, with different cultures, values and means — this creates a certain persona and behaviours that may make it difficult for that individual to relate well with another raised differentl­y. This mostly applies to relationsh­ips — personal, business or profession­al.

Any of the eight pillars of wellness we will look at below can lead to mental distress and misery.

Physical well-being

Lacking basic exercises to maintain fitness can cause muscle atrophy and pains that affect physical health and well-being. Such muscle weakness can affect not only the individual but also others around them in a variety of ways.

Mental well-being

As this is the main subject of our discussion, it can be seen as a component of these many pillars. This can, however, be hidden and misreprese­nted.

Emotional well-being

Emotions need to be understood for our anxiety can help us achieve something, more than they disable us. Essentiall­y, all emotions are forms of energy that can be channelled towards better use.

Spiritual well-being

These are more of societal conditioni­ng. Sometime back, our forefather­s took part in traditiona­l ceremonies, with missionari­es introducin­g Christiani­ty. This led to a shift that saw those traditions being vilified and discarded.

This caused a lot of cognitive dissonance that many people struggle with today.

Social well-being

These are components that help us to navigate around social norms.

These components determine who we become friends with and how we establish and maintain healthy boundaries. This determines the behaviour and type of friends we hang around with. Environmen­tal well-being

This is a critical aspect that can compromise physical and mental well-being. Polluted environmen­ts will see people inhale, absorb and ingest unclean elements that cause ill-health on many fronts. Sounds and smells determine mental well-being. Good smells lead to positive thoughts, while loud noises result in irritabili­ty and stress.

Financial well-being

For a long time, the economies of African societies were based on barter trade. This has left some Africans struggling to effectivel­y make the transforma­tion from barter trade to modern-day economics. Those with the financial muscle may not invest money in improving their societies, but use it for personal enrichment. The Ubuntu concept has been lost.

Occupation­al well-being

Many of us have focused more on making money through employment. When we get that money, very little is done in terms of personal developmen­t. Let us look at most of our builders or mechanics. We have builders who fail to build their own homes. This is also true of the situation in many other profession­s, where we do very well in the job but perform poorly on the personal front.

This also applies to social scientists, particular­ly psychologi­sts, who help others manage their emotions and behaviours, while their own are in turmoil. More often, whenever people hear of mental health, the default thinking is that of the dirty and scary “mad man” eating from bins and talking to himself.

Little is thought of the guy who is struggling to sleep, the guy who is having poor concentrat­ion and poor memory, which leads to struggling in school or at work.

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