Vikram Patel: It is easy to lay the blame on successive governments fo...

Aspirations are at a much higher level and society around them is not always keeping pace, so the disappointment is much greater.

Vikram Patel

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Mental health can improve overall well-being and prevent other illnesses. And since mental health problems have a serious economic impact on vulnerable communities, making them a priority can save lives and markedly improve people's quality of life.

Vikram Patel

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There is no health without mental health; mental health is too important to be left to the professionals alone, and mental health is everyone's business.

Vikram Patel

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Most of the people who make decisions about global health are in the U.S. and Western Europe. There, the mental health care system is dominated by highly trained, expensive professionals in big hospitals, who often see patients over long periods of time. This simply can't be done in rural Africa or India. Who the hell can afford that kind of care?

Vikram Patel

health time long people

In my mind, depression is, like all non-communicable diseases, a physiologically expressed condition which is profoundly influenced by our social and cultural environments. Depression is a global crisis not only because it is common and universal, but because the vast majority of affected people suffer in silence or receive inappropriate care.

Vikram Patel

silence mind depression people

In many parts of the world, chaining of people with mental illnesses is not uncommon, nor is seeing people walking around in clearly an unwell state, half naked, and no one takes any notice of them. It is tragic. There is a basic human right, which is not about just healthcare, but it is about the right to life with dignity, a right to citizenship.

Vikram Patel

walking life people world

There is no evidence to show that prohibition has ever had its intended impact. Of course, just as banning beef has reduced beef consumption, banning alcohol will lead to reduced alcohol consumption. But, there appears to be little or no correlation between, say, domestic violence or household impoverishment and prohibition.

Vikram Patel

say will alcohol violence

In 1993, when I landed in Zimbabwe, there were just 10 psychiatrists in that country of 10 million people. Nine of the 10 were foreigners who spoke no regional language.

Vikram Patel

just language country people

If our children are becoming teenagers who are abusive, have mental health issues, and are committing heinous crime, it only means that we have failed them as a society. We have failed to give them a safe, nurturing environment to ensure that they are well-balanced, useful persons in the society.

Vikram Patel

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Children have to be provided a nurturing environment to grow. Sadly, in India we don't have a robust mental health programme for children. There is also a lack of accountability in the public system.

Vikram Patel

grow mental-health health children

Prohibition, like so many other policies imposed from the moral high ground, typically by those who do not drink, disproportionately affects the poor who resort to illegally brewed alcohol when they want a drink, not infrequently leading to their death, and are more likely to be harassed by the police.

Vikram Patel

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Prohibition of substances which give pleasure to people does not work. Addiction is a health problem, not a moral one, and there are many proven strategies which can reduce its burden.

Vikram Patel

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The difference in the quality of medical care received by people with mental illness is one of the reasons why they live shorter lives than people without mental illness. Even in the best-resourced countries in the world, this life expectancy gap is as much as 20 years. In the developing countries of the world, this gap is even larger.

Vikram Patel

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I trained in medicine in India, and after that, I chose psychiatry as my specialty, much to the dismay of my mother and all my family members who kind of thought neurosurgery would be a more respectable option for their brilliant son.

Vikram Patel

thought family mother son

Those who believe that health is a commodity, on par with cars or computers, fail to grasp the basic economic lesson that health is very vulnerable to exposure to the markets, not least due to the profound asymmetries in power between the providers and consumers.

Vikram Patel

computers health power believe

I think the government must recognise that the wounds of conflict are even more grievous on the mind than the body, and indeed may even serve to fuel further conflict. Where conflict cannot be avoided, provision of adequate psychosocial services to prevent the adverse mental health consequences should take priority.

Vikram Patel

mental-health health government mind

No matter where you are, depression responds to the same treatment.

Vikram Patel

same you matter depression

I used to be one of the lead actors of a theatre group called Hetu when I was in medical school. Prithvi Theatre was our stomping ground. I'd got many positive reviews.

Vikram Patel

group medical positive school

The current approach that psychiatry takes almost ignores social worlds in which mental health problems arise and tries to become highly biomedical like other branches of medicine such as cardiology or oncology. But psychiatry has to be far more embedded in people's personal and social worlds.

Vikram Patel

problems mental-health health people

I am passionate about swimming, which I try to do at least five times a week.

Vikram Patel

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It is easy to lay the blame on successive governments for failing to address health as a fundamental right for the Indian people. But the real tragedy is that we, the people of India, have not taken our government to task for this catastrophic failure.