In my 25 years of psychiatric practice in Lahore, Pakistan, I've observed depression emerge as a significant public health concern. Approximately 20% of individuals in our country grapple with symptoms of depression at some point in their lives. This rate surpasses the global average of 4.5%, underscoring the severity of the situation.
Various factors contribute to the heightened prevalence of depression here. Socioeconomic disparities, such as poverty and unemployment, create substantial stress, fostering feelings of hopelessness. Moreover, mental health issues face social stigma, leading many to suffer in silence due to misunderstandings within our society. Limited access to mental health services compounds these challenges, leaving numerous individuals without adequate support. Cultural factors, including the emphasis on family honor, also contribute to the pressure that can lead to isolation and inadequacy.
Depression manifests uniquely in individuals, but common symptoms include persistent sadness, loss of interest in enjoyable activities, changes in appetite and sleep patterns, fatigue, difficulty concentrating, feelings of worthlessness, and, at times, thoughts of suicide.
As a doctor, I strongly advocate for prioritizing mental health awareness and accessibility in Pakistan. This involves investing in training more mental health professionals.
