Serious mental illness

Drained of all colour: What is depression?

Depression is a difficult concept to understand. We use the term loosely every day: “that movie was so depressing,” or, “I feel so depressed when I think of Cape Town’s water situation”. In this context depression is a normal, healthy part of the human experience. From an evolutionary perspective, depression could even be normal and necessary. Consider the baby bear who lost his mother. First, there is crying and wailing  (separation anxiety), in the hope of calling the mother to him. Then there is silent resignation and withdrawal (depression). The cub curls into a ball and barely moves, so as…

Suicide – the truth about Romeo and Juliet

Suicide Prevention Day was 10 September. Since then there have been an average of 23 reported suicides in South Africa per day. Tragically, teens are increasingly at risk, as Cape Town recently bore witness. I am happy to see that recent suicide media coverage is mostly compassionate and sensitive. The message behind Suicide Prevention Day was “a minute to save a life” – that you can save someone’s life by checking in on them. Unfortunately, suicide is also a magnet for sensationalism. Facebook and social media flare up when a suicide occurs within a community. Excessive coverage of celebrity suicides…

The public’s guide to dealing with psychosis

I was speaking to a friend recently. She said that she was accosted by someone while walking on the greenbelt. He was delusional and feverishly trying to engage her in a grand scheme. She felt uncomfortable and was unsure of how to deal with him. A patient of mine works in a bank. She dreads when a particular client comes in because he always demands to speak to her outside, “where the cameras aren’t watching”. She too feels uncomfortable and is unsure how to respond. One of my medical colleagues was giving a talk at a restaurant which opened onto a…

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