Under-reporting of mental health problems in India is a multidimensional phenomenon deeply intertwined with cultural, social, and institutional factors. Understanding this issue requires delving into the scientific and practical perspectives that underpin its complexity.
In an interview with HT Lifestyle, Dr. Nabodita Kumar, a clinical psychologist at Apollo Clinic, Chandanagar, revealed, “The idea of HT Lifestyle is that it is important to be aware of the fact that women are suffering from anxiety. In India, traditional beliefs view mental illness as a moral deficiency or the result of past karma, often leading to prejudice and discrimination. For example, conditions such as depression and anxiety may be perceived as signs of debilitation rather than legitimate health concerns. This cultural narrative discourages individuals from acknowledging their struggles and seeking professional help. ”
She said: “Social pressures also contribute to low self-reports of mental health problems. A focus on success and achievement can create an environment where admitting weakness is seen as a sign of failure. For example: High academic expectations in school can exacerbate stress and anxiety for students, while seeking support is often seen as a sign of inadequacy. To address this complex issue, Evidence-based interventions based on scientific principles are essential, including the implementation of community-based mental health programs that prioritize early intervention and prevention efforts, such as strategies to build coping skills and resilience. School-based initiatives that teach children can promote mental health from an early age.”
Experts further added, “Furthermore, integrating mental health services into primary care settings can improve accessibility and reduce stigma. Mental health screening and interventions during routine health exams. By incorporating , individuals may feel more comfortable addressing their concerns and seeking support.”
Dr Valli Kiran, Consultant Psychiatrist at SPARSH Hospital, Bangalore, says many people are unaware of their mental health problems because they are either unaware that they have a problem or are too embarrassed to seek help. The problem is that there are few reports. She said: ‘More people are now aware of mental health, but many people still don’t know much about the different disorders. Some people only realize they have a problem after seeing a doctor. People are still afraid to talk about their mental health because they are concerned about what others will think. They may feel comfortable talking to a counselor, but they may be afraid to take medication or reveal that they have a serious problem. They may feel comfortable admitting it. This makes it difficult for them to get the help they need.”
Arguing that this lack of reporting has a major impact on healthcare, Dr Valli Kiran said: “Some people get no help at all and their problems get worse. Others go to the doctor for physical symptoms caused by stress or depression, which makes it difficult to treat mental health problems. This increases the burden on hospitals and delays treatment for everyone. Our health system not only treats people when they get sick, but also helps them stay mentally healthy. Things like yoga and meditation can help, but we need to do more to prevent mental health problems. We also need to put more emphasis on things like behavioral changes and relationship problems, which can lead to trouble. You should also be careful. If someone needs help, they should get it right away from a doctor who knows how to treat mental health problems. So that everyone can live a happy and healthy life. , we need to work together.”
Dr Ravi Kumar CP, Consultant Pediatric Neurology, Aster CMI Hospital, Bangalore, similarly brings his expertise to the table and explains why self-reporting of mental illness is low despite so much awareness now. He emphasized that: It is criticized all over the world, regardless of nationality or gender. This pervasive stigma creates barriers for individuals to openly share their experiences and feelings. Even if you muster up the courage to speak out, the fear of breach of confidentiality and discrimination remains. Teenagers in particular struggle with bullying and fear of being left out by their peers. Similarly, professionals are concerned about job security amid negative perceptions surrounding mental health issues. Collectively, these challenges prevent individuals from seeking the support they need. ”
It revealed that this shows the real burden is higher than indicated, and explained how it would impact the health system, saying: “The existing health infrastructure does not support the Despite the common notion that mild difficulties can be managed with resilience and support, many people develop severe mental health problems without receiving appropriate support. A large proportion of the population endures mental health problems in silence, without seeking help or experiencing improvement. In a country with a population of millions, this neglected segment are having a negative impact on their well-being and career trajectories. Moreover, the impact can extend to future generations, perpetuating a cycle of untreated mental health problems.”
On how to overcome this burden, Dr Ravi Kumar CP suggested: “Addressing the stigma surrounding mental health and overcoming barriers such as high insurance premiums is an important initiative. Governments should recognize mental disorders as legitimate medical conditions. These reforms are urgently needed to ensure that individuals receive the support and care they need without delay. It has been.”
