 Genya katantinu, aida namikia hii nuirini yu tozi, ya kutisikwa mwa niyana mwen communities matu chuja mwizu msa, kwa wimika kwa msi katia mlehi ktaka yu tuzi, kubini kutu mwizi kwa wika wike mweni. Tmwisikwa mawe ka, mawe nkini yu jyuriashitare, mwa kumili기�isi. Kona mawe mawe kutbu yu tuzi, mas intoi mawe kuhetini mawe kuhetini kakia, kutipu kwa mwisi kia, mwisi kia. Tendeke ja kutu miku, a keyboardia mawe, soko maikwama maika maiki weiwi kwa maikwama maika maiki Niki wakaboutu maiki weiwi saetya na maikwama maiki kwa maiki weiwi wa lahakwa huwetia soki maiki wakb إfa maiki yaa maiki weiwi bapitia kwa maiki wa lakubi Swa yama akwenikia kwa maiki weiwi kwama maiki weiwi kwa maiki weiwi thank you maikwama maiki maika maikwama Na qawokia mwēzu wna jatuni na m twantima wakama mwēusa Mai hwata mwēzupi wakama mwa mwēxu hwata mwēzu wanili wakama mwēri kisti kuw говорю mwēzu mwēzu k compra mwēzu Nya hamu wa mwēzu kwenaho Kwenahu Ya, he was our first born, he has been more of a mentor and an inspiration to me. I think he is the one who made me to really seek this career, though I was not aware. But the struggles that we had with him, when he developed the depression, it has been a pira to making me to go deeper, even to understand more about mental health and mental illnesses and how to manage them. I never believed that our family can have madness. Yes, it was in the community. Yes, it's madness. It's true. We do not know the difference between madness and depression. Exactly. I don't know that kind of a thing. And I understand because it's a Kenyan way of saying it. In fact, anybody who talks about mental health right now, and hence I'm suspecting where there's this stigma on mental health is because everybody thinks that if you're struggling with mental health, you must be mad. In fact, even you passed by Mathare, you're told, and the reality is you go in there and you find very calm people. Correct. They will talk to you normally, but the reality is they are suffering. Sure. Now, let's talk about stigma on mental health. I know you experienced this in your practice. Could you give us a view into the world through your eyes as a professional in terms of stigma? Thank you. Now, as we observe the end of the mental health month, issue to do with the mental health and the stigma, it has got a very, very long history. And this begins even in the biblical times. Right. The religious background right now, the world could not be able to understand this thing about mental health. They could not be able to understand. Right. I was doing some study about how long condom has been the market and why condom was in event. As I was reading about now, the issue to do with HIV and AIDS. Yes, yes. Condom has been the market for more than five hundred years. Oh, okay, okay. And the reason condom was made is because it was discovered, people were very sexually active would end up becoming mad. Right. They show about SPI was never known. Yes, yes. They were never known that they have got a direct correlation with the mental break it down. Okay. Until later on. Uh-huh. So, people were careful even to engage in sexual activities because if you become very active, you end up becoming mad. Becoming mad, yes, yes. Little did they understand what was causing mental illness not about being sexually active. It was because of the STIs. Wow. Like SPI and GONORIA. Okay. So the stigma has been there in the religious times when somebody get a mental break it down they will be taken to the monasteries and places of worship so that now the priests could be able to exorcize the demons. Yes, yes. And sometimes this process the stigma has been high much because in historical times sometimes when people become we will get mental illnesses. Yes. They will be drilled on their skull a process known as trefining because it was believed that there were some spirits. It is the spirit that was making people to behave that way in a bizarre behavior. True, true, true. And as a result we need now to create an opening so that we can be able to come out. Yes. Then there was the flogging of the people putting people in caves and smoking that place mutilating the bodies so that the demons Can escape. They don't get a beautiful body to habitate and cause to that kind of problem. I see. So this stigma has got a long, long history. Wow. When now your body is mutilating the demons will not get a place to a bowl so you become it was a belief that when you are angry demons cannot attack you. Right. So it is a long, long, long history and then the same history has come and it has now been mixed with the politics of the times to an extent that people when you get somebody who is mentally ill which can be a genetic condition like you look at the causes. Yes, yes. People are not very comfortable so you tend to hide that individual who has gotten a mental breakdown and sometimes even tying them on a tree on the shamba you hide them so that they cannot tamper with your body with your self-concept. Yes, yes, yes. So this stigma has been there. Nobody wants to stand and say that a tree is one of our family members is insane or has got a mental issue. We all want to look super when in reality we cannot escape from having these conditions as long as we are human beings. Mental condition even during Jesus' time even during his time. Mental illnesses were there and some of them is a sort of genetic predisposition some of them do come because of the environmental factors that work against us and therefore our genes cannot be able to have a series to manage them so we will break it down especially when we don't manage. Like when you look at the case of now COVID-19 people lost jobs and they went to depression that is not in mind which is genetic it is an environmental factor that is made to go down so it will be there. Right and it is a good thing that you brought in the genetic aspect because for the first time in my life I asked myself could it be genetic and what particular mental issues are genetic could you just break it down for us? No, genetic mental issues they are many and sometimes there is a very thin line between understanding whether the condition is genetic and whether it is environmental and that's why there is an ending that we are all mind except the degree of madness. I see, I like putting it this way we all need a bit of therapy Right, so it's a degree we are all in the same boat exactly we are all predisposed we are predisposed and as you continue answering that maybe you can also break down to us the types of mental health that people or rather we are dealing with Thank you No, so genetic conditions these conditions are drawn within the family from the time of conception these conditions they are called genetic factors from the time of conception the genes we inherit from our parents if our parents were in a lineage whereby there was a genetic factor that was carrying mental illnesses it can land in two ways in one generation it can be recessive in the other generation it can become dominant it can even escape to generation when it is still recessive then on the third generation it resurfaces again it is something landing within the family and the genetic conditions they have got no cure per se the world of science the medical field has not gotten the cure for genetic condition what they do is they manage through medication now with the way the world is evolving and knowledge is increasing now it has been discovered that now when we integrate now medical management together with the cancelling and the long-term procedure normally called psychotherapy that can be able to stabilise somebody you might be depressed you might be having a genetic condition it can be managed and you work like a normal human being throughout your life because it is a balance of management you stabilise completely but the moment you escape drugs that's it you relax you become even worse than the way you were before could you also again and we still have the question whereby maybe you can break us you can break down to us types of mental health but since you've already touched on medication maybe and I know this because I've taken medication myself and when the doctor was explaining to me he said Maureen we are attacking the chemical imbalances correct in your body by balancing them entering up I've been able to function like every other normal person could you maybe just explain to people how that works how that works is that when you look at the word in biology baroji means body plus the body hormones the body God gave us is a wonderful body this is really fear-free the problem with this body is the hormones inside the body the hormones inside the body the bio, BIO, the hormones now the chemicals within the body is a challenge and these chemicals there are so many factors that can imbalance them one of the factors that can imbalance them is the food you are eating that is a very interesting notion for instance if you take it's range time now right now it's going to be range time you want to take your food and also escort your food with a bottle of beer as we meet out there will you be with me like the madam orin? orin de the food you've eaten as a tamper with the balance of the hormones within your system true true is now so the food we eat that's why we look at something called the basic aid when you're conducting an assessment you look at the behaviors of a person the feelings they affect the sensorium yes yes the images that the individual is seeing the cognitions that there's a lot and then the in the past relationship how are you relating to other people and then the food the drugs so the seven aspects of assessment the basic aid is very important so the drugs or the nutrition has got a lot through the bodies then of course is the environment it might be very very very ok but we expose you to a very very very stress right a wajin make up the resilience of wajin is different from yours ok and therefore I control it a very very very severe condition for another person not severe the same they will go down so our resilience there's something we normally call this stress module where we look at the relationship between our genes plus the environmental stress those can break you down true the environmental factors they are very very very stress they can make you down and they will affect our genetic composition then we also looking at also the current stressors are you the kind of person who lost a job last year because of COVID-19 at the same time the only cow you had in both diet then the only chicken you had given it was eaten by whatever then some stressors are coming beside that you've gotten a healthy condition those stressors will also affect our genetic resilience then also the genetic abnormality in the process of the inheritance if there is a gene that has got any abnormality what you call chromosome monosomy that one it will affect our health completely the abnormality in the genes that we inherited from our parents they will also affect our mental conditions I see and maybe the environmental factors and the stressors perfect when do you discover this is it when you're diagnising somebody no well let me put it this way the first mental condition we have got about 20 in the world we've got over 20 based on the diagnostic and statistical model of mental disorders we have about 20 crasters 20 crasters not 20 conditions but 20 crasters groups 20 groups of mental health conditions 20 crasters I can't even think of more than four in my head because even you have got eating disorders I have to get that so many of them so they also mental conditions so we have got about 20 crasters of mental health conditions which have been currently diagnosed according to the American Psychological Association Psychiatric Association DSM Manu the fifth edition there are about 20 crasters and within that crasters there are so many conditions there which affect the people so it's a complex field could you give us maybe on top of your head maybe four or five other than depression one of them I can talk about personality disorders personality disorders there is no person that does not have a personality disorder there are about 10 conditions and even me I have one of them so there are so many personality disorders then of course we have got gender identity disorders which are now making us to go to the world of R&D, BTI we have got the homosexuals it's a gender identity disorders we have got also childhood disorders there are some condition ayang chan which is a mental health condition after they finish the period of childhood that condition disappear there is also andoresis disorders so we have got childhood andoresis disorders after the injury of andoresis over those conditions disappear they disappear completely wow yes we have got those kind of conditions then we have got of course the normal schizophrenia which initially we had the six subtypes but right now they have been combined into one so we had the six types of schizophrenia which now we call the madness proper although it's not okay to use the term it is diplomatic in the purposes of our audience it's good to use the language that they understand the best because schizophrenia is a spread mind then of course we have got anxiety disorders which are five in number and the anxiety disorder actually depression is one of the condition is one of the in the crust of anxiety disorders is a subtype of an anxiety disorder and the depression by the way is also a type of anger then we have got post-traumatic stress disorders then many wounds we are encountering which are physical and psychological because trauma is an injury which is physical or psychological exactly then there is the phobic disorders of course there are some phobias which will attack you then you have got the generalized anxiety disorders whereby you are having some homesick or you had to breathe properly and if you don't go home or this this kind of condition whereby you have got simple and complex phobias like now there are some people who cannot stand in front of other people they actually could they can even faint I see what you mean wow this is so educative I'm curious then we have got also the eating disorders like the illumination disorders those sexual disorders that's why I've grown up like a 2-year-old child yes and I enjoy the 2-year-old child and my wife and my pediment and she is really going to be there those are sexual disorders we call them paraphilic disorders paraphilic disorders there are so many and this one these are a kind disorder for men majority of paraphilias paraphilias are men those who even want to enjoy sex with the dead bodies with the animals those are paraphilic disorders they are mental disorders so many of them that really affect the people and then of course I've also talked about the eating disorders we have got also the developmental disorders developmental disorders are also quite many we have got problems in our development there are some people who are tired to grow there are people who move fast those disorders so it is a complex field of mental health conditions so having an understanding of how to manage them is the most important thing the management is the most important thing and on that note and wow honestly I feel so much knowledge to our audience today say somebody is at home and they are suspecting that either their child, their sister, their brother their parents could be experiencing this what would be the first step to take in terms of it's them versus this thing now first of all is to identify where the ring started beating us and I want me to say especially for the parents and the children the child is manifesting some certain bizarre behavior we might think it is a child who has got a challenge but those bizarre behavior they might be triggered by these parents and that's why in the field of cancelling we normally talk about making a paradigm shift from the the system, the families the families are coming with the directors with the supervisor, with the department so stopping to focus on you who is manifesting like now in your case I take your case for the purpose of the audience you are diagnosed with depression to be precise now that is depression you might not have been the cause of the problem it might have been your family which triggered your career but you are not the cause of the problem you are going to become the identified patient the whole secret is in the system with the family and it is the system that has made you to be sick which is still blaming you and ridiculing you so for treatment to be done appropriately we need to move the system because when you treat the individual and you have not treated the system the individual you have not treated because they treat you and you are going back to the same world very true and the cycle continues and therefore it will be a cycle that will continue forever and ever and the cycle will stand at the fence and they will be speaking in harsh voices that this is the family of mentally ill people if a man come and want to get a lady there or a lady want to burn in there so the first cause for the device that is the man the family see now the sticky man becoming very very very we are even known even when I am trying to identify you with your family members who are very different from that family which has not always man the people so wow it is something that we need so now the parents now first of all what they need to pick first of all is when they see some behaviors they need to first of all check whether this child of theirs is either abusing drugs or whether there is something either from the home if they are school going to that school going child has got two environment the home and the school and in between even transportation the community to check whether the stress is coming from the environment which is home or school or these systems of socialization which is that motorbike man that tax man that friend in the neighborhood who might have affected this particular person because the environment might be a predator which is causing this problem and they remember especially issues to do with the sexuality these are few we have not overcome the bear is crutching even to one day to bring it and pick it in and out because that's an area which we are calling tabu topic many kids are meeting children who bought sexual abuse between two years to six years they have never done it in one day now they are people's wives it is coming out in kansai room when they are already wives and they have done a lot of mess even their marriages because there is nobody who could be able to give them the hearing and they are ready to understand the want of this particular person so they are brought from marriage and this particular person is telling you that I did a church wedding and I have never told my spouse what happened to me and they are going to heaven by faith it's true and it's unfortunate because we can admit that it's mostly the boy child that suffers and they are taught to be strong not to be vulnerable and before you know it and that's why a former president former president sometimes he beat us back when I was in school that in every market place there is always a man in man not a man real man because now we are never allowed to develop our emotions and actually strictly when you think about it even on a normal day to day circumstances indeed you will always see the mad man yes even within this period of this man to the extent of Nairobi man not women because men have not learned how to deal with emotions and it's a very sensitive area yet we need to tell them that we need to come out and tell them about the value of tears right it's true that's what we never have even in the service I went through the value of tears it's only a doctor waiting who used to teach sometimes back when he was with the men talking about the value of tears the value of tears and basically just shortening the time of being vulnerable talk it out and feel okay because that's the beginning of healing after all you cannot be man enough than Jesus who cried in a field right wow wow I'm blown away I'm learning so much I had this thought of actually studying a bit of psychology and I feel a push now I will join you so that I can learn more not for myself as well and for my boys and also the people around me I want to thank you deeply for allowing us to have you here and for your time and endless pot of knowledge and I can tell there's so many topics that we need to address along the way and it's my hope that you can be able to honor us with your presence and your knowledge thank you wow guys I hope you've heard what the people had to say about mental health I hope you've been able to hear what Mr. Jelias had to say about mental health in fact it's a deeper topic than what meets the eye mental health is not just about madness it's about over 20 clusters of situations that could be grouped as mental illness so next time you see anything happening around a person you love a person near you don't be quick to judge how about asking them if they are okay and if they say they are not please do sick help there's a lot of help out there and all you need to do is just accept and say hey this is not okay like I did sick help and you'll be on the other side of the mental health or mental illness again thank you Afrika thank you my amazing crew thank you bold collections for dressing me up tonight and I hope to see you again next week simply same time for now have a good night bye bye