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The Mental Health System – A Call for Change | Nora Blum | TEDxZurich


when I was a little girl I suffered from

toothache I woke up one day with this

sharp stabbing pain around my tooth Bert

the day I got worse and worse until it

felt like millions of hot burning

needles being pushed into my flesh

underneath my tooth I couldn’t sleep I

couldn’t eat I couldn’t think although

was was pain so the next morning I told

my parents and they took me by the hand

and they drove me to the dentist I

didn’t have an appointment so I had to

wait for hours but I remember these

hours felt like an eternity to me when I

was finding my turn to see the dentist

it was horrible there was drilling that

was cleaning that was crying but after a

few days the pain was gone so this is

how I grew up

I grew up with the understanding of

living in a world where this is how it

works when you’re in pain you tell your

loved ones they hold you by the hand you

go see a doctor and you get helped

growing older I found out that this is

not always how it goes couple of years

ago I had a friend who was one might say

in a similar situation to the one that I

was in back when I was little she was in

severe pain my friend did not suffer

from a tooth ache though my friend was

suffering from a depression what this

means is that her pain was not limited

to her tooth but it was also in her legs

and in her stomach and in her head it

was sitting on her chest and inside her

heart the millions of thought burning

needles

I felt so strongly back when I was

little they were everywhere to her just

like me she couldn’t eat she couldn’t

sleep she couldn’t think although was

was pain yet when my friend called for

help no one took her by the hand and

when she went to see a doctor she was

sent away she went from Doctor to doctor

to doctor and from waiting list to

waiting list to waiting list and in the

end it took her five months before she

got a care thinking back to the hours

that I had to wait at the dentist I

cannot imagine what five months would

have done to me and since then I kept

asking myself why what was the

difference in the situation that I was

in compared to the situation that my

friend was in we were both in pain we

both needed help why did I with the pain

of a toothache receive felt Woltz my

friend who were suffering from something

just as real and just as painful though

maybe not as visible was neglected by

the healthcare system and I tell you

something and this is scary part now my

friend she’s not the exception

she’s the rule it is across the world

and so-called developed countries that

people with mental health disorders like

a depression like an anxiety are being

neglected by health care systems my old

view of a world where if you need help

you receive help was wrong instead we

are living in a world where if you have

a broken arm or tooth ache on open wound

you have people holding your hands and

you get help straight away whilst when

you suffer from the severe agony of a

depression of an anxiety people run away

from you and you wait months before you

receive care and I’m here to say today

that I do not understand and that I

definitely do not approve there’s 600

million people out there in this world

who suffer from

depression of an anxiety which is almost

a tenth of the population and the number

keeps rising and still mental illness

remains in the shadow so I’m asking what

do you people need to take mental

illness seriously what do you need to

finally treat depression as a proper

illness do you need some sort of

physical effects because look at an fMRI

scan of a person with depression you

will see that there is changes to the

brain of a person with depression and

that there’s loads of physical symptoms

being associated with it like back pain

like an in pain like joint pain or do

you need financial impacts because then

I tell you that the lack of treatment of

depression and anxiety costs the global

economy one trillion dollars each year

which is just as much as cancer costs us

or do you need deadly consequences

because then I tell you that more people

die because they kill themselves due to

depression then they die because of

homicide or because of car accidents it

is now the second leading cause of death

in the United States among the youth and

in fact since I’ve started giving this

talk about 15 people somewhere around

this world will have taken their own

lives due to an untreated depression so

I say it’s time to change it’s time to

change the way we think about mental

illness it’s time to change the way we

treat mental illness there’s so many new

possibilities nowadays there’s so many

new treatment options why do we not take

advantage one example is technology I

studied psychology at the University of

Cambridge where I learned there’s so

many new ways in which technology can

help to provide better care to people so

this year we founded our own company

called self appeal with which we provide

online psychotherapy to people with

depression with Barnard and with anxiety

disorders our psychologists they work

around the clock so that people who need

help can actually get helped with the

24 hours what we do is we developed

online courses with which we teach the

patients the strategies of cognitive

behavioral therapy so eventually they

will be able to help themselves because

they know the techniques our

psychologists also speak to them on the

phone

weekly so they have someone to speak to

and talk about their problems and we’re

creating a community where people can

learn to support each other where people

can speak to each other where people

know that there’s others out there who

feel just like them where people know

that it’s okay not always to be ok since

we started we had thousands of people

signing up and I think that this is

great and I’m happy about it but here’s

what I also want to say it also makes me

sad it makes me sad that so many people

have to come to us because they’re not

given help by the traditional healthcare

system it makes me sad that so many

people have to come to us because

they’re on the 10th waiting list because

the insurance doesn’t cover the costs

because they’ve only been medicated for

years and now finally need someone to

talk to because they cannot go to your

doctor because they’re too afraid of

what others might think about them it

makes me sad that so many of them are

under 18 and it makes me sad that so

many of them have the concrete plans to

take their own lives because this tells

me that it is real but the stigma is

real that the intolerance is real that

the shame is real and that treatment

options are appalling still I do believe

that there is hope with self appeal with

our online psychotherapy we’re now in

the process of integrating our service

with general practitioners with sulphur

groups and with insurances and I see

that things like that are happening

somewhere around the world in course

Europe so I say that there is hope but

also that so much more needs to change

because it’s not enough something

fundamental

needs to change and people’s heads so

that we do take mental illness seriously

so that we treat depression as a proper

illness so I’m calling out for more

psychotherapists I’m calling out for

shorter waiting times I’m calling out

for less pure medication treatment I’m

calling out for insurances to cover

costs and calling out for more people to

hold each other’s hands and to the

politicians who sit there deciding who

gets treatment and who doesn’t make

mental health a policy priority treat

depression as a proper illness give it

the attention that it needs to have

thank

[Applause]

you [Music]

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