Written by: Pansiluni Weerawansa

Photo by Getty Images

Eating disorders are relatively complex mental health conditions that seemingly surpass cultural, geographical, and socio-economic boundaries. National Eating Disorders Awareness Week (NEDAW) falls between the 24^th of February and the 2^nd of March 2025, and serves as a pivotal time to shed light on these often-misunderstood disorders, foster conversations, and provide support for those affected. Although eating disorders have been the focus of extensive studies in Western societies for years, their existence in countries like Sri Lanka is better understood in light of cultural idiosyncrasies, societal pressures, and evolving ways of life, which provide the context where disordered eating behaviour can occur.

Eating disorders are a chain of psychopathological syndromes characterized by abnormal relationships with food, abnormal attitudes towards the body and to self-esteem. The key forms are:

– Anorexia Nervosa: characterised by severe limitation of food intake, grossly excessive fear of gaining weight, and distortion in body image. Individuals perceive themselves as overweight even though they are underweight, leading them to severely restrict their food intake and exercise intensively.

– Bulimia Nervosa: involves recurring cycles of binge-eating and compensatory actions such as self-induced vomiting, excessive exercise, and/or improper use of laxatives. This cycle is driven by the fear of weight gain and is generally accompanied by feelings of guilt and shame.

– Binge Eating Disorder (BED): Marked by repeated occurrences of consuming large quantities of food without control, often resulting in distress and guilt. In contrast to bulimia, individuals with BED do not engage routinely in compensatory behavior.

– Other Specified Feeding or Eating Disorders (OSFED): A diagnosis for atypical presentations of these disorders that are still severe enough to interfere with a person’s health and well-being.

These diseases are not merely about food – they are manifestations of underlying psychological disorders, including low self-esteem, perfectionism, and control. Physical harm can be severe, striking cardiovascular and gastrointestinal systems, often leading to malnutrition.

Sri Lankan culture has a strong influence on attitudes towards body image and eating behaviour. A clear comprehension of these cultural factors is critical in addressing the development of eating disorders in the nation.

 1. Traditional Dietary Practices and Modern Shifts

Sri Lankan cuisine is renowned for its variety and flavor, with rice and curry being staple components. Traditional meals are balanced, incorporating vegetables, proteins, and carbohydrates. However, urbanization and globalization have introduced fast food culture, leading to a shift from home-cooked meals to readily available, processed foods. This transition has contributed to a dichotomy where malnutrition and obesity coexist, both of which can be precursors to disordered eating behaviours.

 2. Societal Beauty Standards and Media Influence

Historically, Sri Lankan beauty ideals favoured fuller figures, symbolising prosperity and health. However, contemporary influences, particularly from Western media, have shifted these ideals towards slimness. The proliferation of social media platforms like Instagram and Facebook has exacerbated body dissatisfaction among Sri Lankan youth, as they are constantly exposed to curated images that promote unrealistic beauty standards. This exposure can lead to internalisation of these ideals, increasing the risk of developing eating disorders.

 3. Gender Roles and Expectations

In Sri Lankan society, traditional gender roles are deeply entrenched. Women are often expected to embody grace and modesty, with physical appearance being a significant aspect of their societal value. This pressure can lead to unhealthy behaviors aimed at achieving the ‘ideal’ body. Men, too, are not immune – the emphasis on muscularity and fitness can drive them towards disordered eating and excessive exercise.

 4. Stigma Surrounding Mental Health

Mental health remains a taboo in many South Asian cultures, including Sri Lanka. Eating disorders are often misunderstood or dismissed, leading to underreporting and the lack of treatment. The stigma associated with mental illness can prevent individuals from seeking help, exacerbating the severity of the disorder. Cultural perceptions that prioritize physical health over mental well-being further hinder recognition and intervention.

While public sentiment towards conditions like depression and anxiety has changed in recent times, eating disorders are still grossly misunderstood, misdiagnosed, or dismissed outright. The following is an in-depth critique of the leading hindrances to therapy in the Sri Lankan context.

1. Lack of Awareness

One of the biggest barriers to treatment in Sri Lanka is the overall lack of awareness about eating disorders. This lack of awareness exists at a number of levels:

The majority of Sri Lankans, even those who have eating disorders themselves, do not know what exactly these diseases are. Eating disorders are usually misconstrued with normal dieting, temporary stress-related eating patterns, or even voluntary behavior. A person suffering from anorexia can be envied for their self-restraint in avoiding food, and a person with binge eating disorder is blamed for not having self-control.

The majority of general practitioners and even mental health practitioners in Sri Lanka are not trained to recognize or diagnose eating disorders appropriately. Because eating disorders have physical as well as psychological symptoms, signs such as extreme weight loss, gastrointestinal issues, or fatigue may be treated as standalone medical conditions rather than being recognized as part of an underlying eating disorder. For example, a person with bulimia will see the doctor because they have acid reflux and dental complications caused by constant vomiting, but the true cause— an eating disorder—will be ignored.

Moreover, Sri Lankan school curricula are not highly focused on mental health literacy, and disordered eating is barely touched upon. Without proper education on body image and healthy relationships with food from the start, adolescents are left vulnerable to developing unhealthy habits without ever realizing they are unhealthy.

2. Cultural Perceptions: Normalization of Unhealthy Behaviors

Sri Lankan attitudes about food, the body, and mental illness powerfully shape conceptions of eating disorders as well as their recognition as authentic conditions to be treated.

Being thin is becoming the ideal in modern Sri Lankan living, particularly among women. Most individuals who exercise or diet excessively gain approval instead of being a cause of concern. A person with anorexia may receive feedback like “you’ve lost weight! You look great!” even though their weight loss is severely unhealthy.

On the other hand, the cultural importance assigned to food in Sri Lanka, as the hospitality sector exemplifies, can mask overeating behavior. Social events like eating in groups with large meals included are common happenings, and overeating ensues. A consumer with binge eating disorder might not know that their situation is not healthy, because overeating at festivals, family gatherings, or other events is acceptable and normalized, which renders their condition as unproblematic.

While thinness is complimented, weight gain is met only with stern reproaches. Relatives in Sri Lankan communities can freely pass unsolicited judgement regarding weight by commenting, “you have gained weight! You shouldn’t eat so much more” or “no man would marry you if you continue eating like that”. Societal pressure thus forces individuals to turn to disordered eating habits in order to cope with discontent over their bodies.

3. Limited Mental Health Infrastructure

Sri Lanka does not have a sufficient number of mental health specialists with experience in eating disorders. Psychiatrists and psychologists are primarily dealing with depression, anxiety, and schizophrenia, and eating disorders are given little attention. In the absence of specialists, individuals with such disorders may not receive the specialized interventions they need.

In most other countries, people suffering from severe eating disorders can be treated in inpatient treatment centers that ensure 24-hour care, nutritional support, and psychotherapy. Sri Lanka, however, does not have specialized eating disorder treatment centers, so people have to either travel overseas for treatment (which is not an affordable option for many) or opt for general psychiatric hospitals that may not specialize in the treatment of eating disorders.

To add to this, we are well aware that mental health treatment is expensive, particularly in the private healthcare system. The majority of individuals cannot afford regular therapy sessions or expert medical consultations. Public healthcare centers, although free, have long waiting lists and limited resources to effectively treat eating disorders.

4. Family Dynamics

In Sri Lankan culture, the family is central to both decision-making and one’s own health. Even though close relationships with family are a source of strength, they can also function as barriers to treatment in many ways.

·         Many Sri Lankan families don’t embrace mental health issues easily. When a family member develops an eating disorder, the family might deny it as a “phase” or believe that the person simply needs more self-control. Denial of the issue prevents the individuals from seeking help.

·         Family reputation is highly valued in Sri Lanka’s collectivistic society. Parents may fear that shame may be brought to the family by being open about their child’s eating disorder. They might be discouraged from seeking professional assistance by keeping this issue a secret.

·         In other homes, discipline and hyper regulation of a child’s life can result in eating disorders. A child who must be “smart”, “pretty”, or has to do what everyone else wants them to do can begin to utilize eating disorders as a way of getting life in check. Again, however, parents will resist this reaction with punishment. 

5. Generational Gaps in Understanding

Earlier generations in Sri Lanka have different ideas about health and nutrition. For example, a grandparent may encourage a child to eat more rice and oily foods for “strength” and simultaneously complain about their weight gain. These conflicting messages can puzzle young people and create unhealthy relationships with food.

Addressing eating disorders in Sri Lanka requires a multifaceted approach that considers cultural sensitivities and societal structures. 

 1. Community Education and Awareness

Implementing community-based education programs can demystify eating disorders and promote early recognition. Collaborating with local media to disseminate information can reach a broader audience, challenging misconceptions and reducing stigma.

 2. Culturally Sensitive Healthcare Training

Training healthcare professionals to recognize and treat eating disorders within the cultural context of Sri Lanka is vital. Incorporating cultural competence into medical education ensures that practitioners can provide empathetic and effective care.

 3. School-Based Programs

Integrating mental health education into school curricula can equip young individuals with the knowledge to identify and seek help for eating disorders. Programs that promote body positivity and media literacy can mitigate the impact of harmful beauty standards.

 4. Family Involvement in Treatment

Engaging families in the treatment process acknowledges the collectivist nature of Sri Lankan society. Family-based interventions can provide a support system for the individual, fostering a conducive environment for recovery.

National Eating Disorders Awareness Week serves as a reminder that eating disorders are not confined to specific cultures or regions. In Sri Lanka, where mental health awareness is still evolving, it is crucial to break the silence surrounding these conditions. The rise in disordered eating behaviors fueled by societal expectations, media influence, and shifting lifestyles calls for urgent intervention. 

The journey of change begins with education, open conversation, and systemic support. We must fight against the cultural values that perpetuate toxic beauty standards, support mental health infrastructure, and create sanctuaries for those in pain. The fight against eating disorders is not simply a matter of personal recovery—it is one of shifting the way society perceives and accepts its citizens.

This National Eating Disorders Awareness Week, let’s commit to listening without judgment, supporting without hesitation, and advocating for those who may not yet have the strength to speak up. Because no one should have to battle an eating disorder alone. 

1. National Eating Disorders Association (NEDA). “Eating Disorders Overview.” [www.nationaleatingdisorders.org](https://www.nationaleatingdisorders.org)  

2. World Health Organization (WHO). “Mental Health in South Asia: Public Health Challenges.” [www.who.int](https://www.who.int) 

3. Eating Disorders in Asian Populations: A Critique of Current Approaches to the Study of Culture, Ethnicity, and Eating Disorders (Cummins, Lillian & Simmons, Angela & Zane, Nolan (2005)

Written by: Pansiluni Weerawansa

Photo by Getty Images

Dedicated to material existence, modern man has forgotten that apart from pills, health is built with the help of everyday life and the choices we make. Lifestyle medicine is an emerging branch that encourages us to rethink the whole philosophy of dealing with health—not only with diseases, but with the construction of health in the long term. This is an innovative approach because the responsibility for health improvement is again fully vested in the people emphasising changes in their living habits which are minor but impactful. It is a healthy solution for the future which facilitates not only healing of the body but nurturing of the mind.

The Relationship Between Living Habits and the State of Mental Health 

When one mentions the word medicine, one instinctively thinks about doctors, prescriptions, and clinical treatments. However, in the past few years,new ways of thinking about well-being—particularly general mental health—have emerged. A few of the contemporary mental health issues such as anxiety and depression, for instance, are intertwined with one’s lifestyle—so much so that the potential impact of our daily routine on our emotional and psychological state is one which is frequently underestimated. It is important to note that it’s not just about seeing a therapist or taking medication, although both are critical tools. It’s about the choices we make every day—what we eat, how we move, how much sleep we get, and how we manage stress all have a direct impact on our mental health.

Consider nutrition—the food we eat can have a profound effect on our mood and mental clarity. A diet heavy in processed foods, sugar, and unhealthy fats has been shown to increase the likelihood of developing mood disorders. On the other hand, a balanced, nutrient-dense diet can promote brain health and emotional well-being. Simple adjustments like adding more fruits, vegetables, and healthy fats to our meals can help stabilise mood and improve overall mental health.

When it comes to exercise, many of us see it as a way to stay physically fit—a means to burn off the extra calories or to get toned muscles. But it’s so much more than that. Exercise is like a reset button for our minds. Moving our bodies doesn’t just work the muscles; it works wonders on our mental health too. It’s not about running marathons or spending hours at the gym. In fact, something as simple as a brisk walk around the block or a few stretches in the morning can work wonders for your mental state. Every time we get our bodies moving, we’re not just strengthening our muscles—we’re building mental resilience, calming anxious thoughts, and boosting our overall sense of well-being. Regular physical activity has been shown to increase the release of endorphins, the brain’s natural mood boosters, which help alleviate symptoms of anxiety and depression (Harvard Medical School, 2018). So it’s not just about looking good—it’s about feeling good too.

But there’s another aspect of lifestyle medicine that can’t be ignored—sleep. Sleep is often overlooked in the chaos of daily life, yet it plays a huge role in mental health. A proper night’s sleep allows our brains to reset and recharge, process emotions, and prepare us for the day ahead. When we don’t sleep enough, our emotional regulation gets all out of whack. We feel more irritable, anxious, and overwhelmed. It’s amazing how something as simple as a good night’s sleep can clear away the mental fog. Research shows that chronic sleep deprivation can lead to increased levels of stress, anxiety, and even depression. If so, why do we often sacrifice it for late-night work or endless scrolling on our phones? Small changes, such as creating a consistent bedtime routine or avoiding screen time prior to our sleep, can have a profound impact on our mental well-being.

Stress is often described as the silent epidemic of the modern age. We’re constantly juggling multiple roles, managing deadlines, managing relationships, and trying to keep up with everything that’s expected of us. As a result, it is not a hidden fact that stress has become a major contributor to both physical and mental health problems. Chronic stress doesn’t simply make us feel overwhelmed—it can lead to long-term health issues such as heart disease, diabetes, and even depression (American Psychological Association, 2017). Lifestyle medicine offers us tools to manage stress in healthier ways. It’s not just about taking a few deep breaths or meditating for five minutes—though those things can help. It’s about creating a lifestyle that allows for complete balance.

Mindfulness practices like meditation and yoga have been shown to reduce stress and improve emotional regulation (Goyal et al., 2014). These activities encourage us to slow down, breathe, and reconnect with our bodies in the present moment. It’s a counterbalance to the frantic pace of modern life. Even just a few minutes a day can have a significant impact on how we feel.

It’s also about social connections. In a world dominated by social media, it’s easy to feel isolated even when we’re surrounded by others. Human connection is essential for mental health. Lifestyle medicine encourages us to nurture relationships that support us, build communities where we feel safe, and reach out when we’re struggling. The importance of social bonds cannot be overstated—research suggests that having strong social support can help buffer the effects of stress and improve mental well-being (Cohen & Wills, 1985).

A Personalised Approach to Healing

One of the most beautiful things about lifestyle medicine is that it’s deeply personal. It’s not about one-size-fits-all solutions. It’s about meeting people where they are, taking into account their unique needs, challenges, and circumstances. For someone struggling with depression, it might be too much to suddenly overhaul their diet or start an intense exercise routine. But small, gradual changes can make a world of difference.

Think about someone like Priya, a young professional who is feeling burnt out from her demanding job. She might find it hard to even get out of bed in the morning, let alone commit to long workout sessions or cook elaborate meals. For Priya, lifestyle medicine might involve starting with something small like taking a 10-minute walk after work or swapping out a sugary snack for a piece of fruit. These little steps don’t feel overwhelming, and they’re achievable, but they can add up to big improvements in both her physical and mental health over time.

This is where the human element of lifestyle medicine shines. It’s not about strict rules or unattainable ideals; it’s about creating sustainable habits that fit into real life. And for those struggling with a mental illness, these small changes can help restore a sense of control and agency over their well-being. When we stop seeing change as an insurmountable challenge and start approaching it as a series of small, manageable steps, healing becomes not just possible—but sustainable.

The Science of Habit Change

The journey to better health isn’t always easy, especially when it comes to breaking long-established habits. But lifestyle medicine draws on the science of behavior change to help us make lasting changes. One of the most powerful tools in this regard is the concept of “keystone habits”—small, positive changes that create a ripple effect, improving other areas of life.

Take sleep, for example. Getting enough sleep can improve mood, increase energy for physical activity, and reduce cravings for unhealthy food. In turn, feeling well-rested can make it easier to manage stress and build emotional resilience. So, by focusing on improving sleep first, we can create a domino effect that positively influences other aspects of our health.

But this doesn’t happen overnight. Change takes time, and it’s often messy. We’ll slip up, we’ll get frustrated, and we’ll face setbacks. But the key is to keep moving forward, no matter how small the steps. Over time, those little changes compound, and we start to see the benefits—not just physically but mentally as well.

A Healthier Tomorrow

Looking ahead, the promise of lifestyle medicine is that it offers not just a way to manage disease but a way to prevent it. By addressing the root causes of many chronic conditions—poor diet, lack of exercise, stress, and insufficient sleep—we can drastically reduce our risk of developing these diseases in the first place.

But it’s not just about individual actions. For lifestyle medicine to truly make a difference, we need a cultural shift. We need policies that make healthy food more accessible, that create spaces for physical activity, and that promote mental health as an essential component of overall well-being. It’s about building a society where health is viewed as a holistic, community-wide effort.

In conclusion, lifestyle medicine is not just about improving physical health; it’s about healing the whole person—the body, the mind, and the spirit. It’s about creating habits that allow us to thrive, not just survive. It’s about recognising that our mental health is just as important as our physical health, and that the small, everyday choices we make can have a profound impact on how we feel and how we live.

Written by: Zafra Aswar Ali

Photo by Freepik

Anti-Bullying Week is annually observed in November. In 2024, it will take place from the 11^th to the 17^th of November under the theme ‘Choose Respect’. It is an initiative to raise awareness about the harmfulness of bullying and to stand up against it through positive actions. In addition, it allows us to examine and revise the current mental health policies to extend support to those impacted by bullying at school, the workplace, or any environment where bullying may be prevalent.

The link between bullying and mental health

Bullying is identified as one of the leading causes of mental health issues. It can come in various forms such as physical aggression, verbal abuse, and cyberbullying. Any type of bullying can lead to harmful consequences, leaving the individual involved feeling isolated, helpless, and with low self-esteem, irrespective of their age group. This eventually results in mental health issues like anxiety and depression that can have a lasting impact on one’s overall quality of life. Hence, the aim of observing Anti-Bullying Week is to spread the message that no individual deserves to be bullied  and to emphasise the importance of seeking support.

How mental health policies can be improved through Anti-Bullying Week

Limited resources

Due to reasons like financial constraints or limited mental health professionals, victims of bullying may face difficulties in seeking support. Therefore, access to mental health resources should be made easy through this initiative by hiring more counsellors and psychologists at schools and workplaces.

Lack of preventive measures

Prevention is better than cure. Likewise, apart from attending to the consequences of bullying, prevention can be prioritised via early and safe intervention as well as educational campaigns that promote empathy.

Inadequate attention on cyberbullying

Cyberbullying is a dangerous form of bullying that has become dominant due to the advancement of technology. Attention needs to be given to cyberbullying as it can be more detrimental due to information being shared in public, often anonymously. This can result in fear among the victims of cyberbullying, leaving them hesitant to reach out for assistance.

Conclusion

Anti-Bullying Week is an amazing opportunity to stand against all forms of bullying and raise awareness of the mental health issues that arise from it. Through an appropriate set of mental health policies that include community and educational engagements, bullying can be prevented in the long run to create a safe environment for everyone to live in.

References

https://oasistms.com/anti-bullying-awareness-week/

https://namiswwa.org/anti-bullying-awareness-week-a-collective-effort-for-change/

https://schoolofkindness.org/anti-bullying-week#:~:text=Respect%20is%20the%20theme%20of,Swift%20for%20this%20wonderful%20design.

Written by: Pansiluni Weerawansa

“People may often underreport men’s mental health, with men not reaching out for the support they need.”

Mental health is one of the most critical yet underappreciated aspects of human well-being, influencing how we think, feel, and interact with the world around us. However, when it comes to men’s mental health, society often remains uncomfortably silent. This silence is not accidental but it is deeply rooted in stiff cultural expectations that equate masculinity with emotional fortitude, self-reliance, and invulnerability. In countries like Sri Lanka, these norms are further reinforced by traditional values, leaving many men to grapple with their struggles in isolation which eventually escalates into severe problems.

The consequences of this stigma are severe. Men are far less likely than women to seek help for mental health issues, often viewing them as an admission of weakness. According to statistics by ADDA, “nearly 1 in 10 men experience depression or anxiety but less than half will receive treatment, and more than 4 times as many men as women die by suicide every year”. This reluctance leads to a range of unaddressed problems, from chronic stress and depression to alarming rates of substance abuse and suicide. In Sri Lanka where the cultural norms place immense pressure on men to be providers and protectors, the emotional toll can be overwhelming, yet it remains an issue that is rarely discussed openly.

“Men are less likely to receive treatment”

Men’s mental health is deeply affected by the burden of traditional masculinity, a concept that dictates that men must remain stoic, strong, and self-reliant at all times. This societal pressure often discourages them from expressing vulnerability or seeking help. The result? A silent epidemic of untreated mental health issues, manifesting in troubling statistics like higher suicide rates among men compared to women.

Globally, the World Health Organization (WHO) reports that men are significantly less likely to seek help for mental health problems. In Sri Lanka, this trend is amplified by cultural norms that discourage men from showing weakness, relegating their struggles to a realm of silence. This unspoken burden underscores the urgent need for a shift in attitudes and awareness. Sri Lankan culture places immense pressure on men to fulfill roles as providers, protectors, and decision-makers. This idealised version of masculinity can be particularly taxing, especially in rural areas where economic and social challenges are exacerbated by limited resources.

In addition, urbanisation and modernisation bring their own set of challenges. For young professionals in cities like Colombo, the burdens of demanding jobs and fast-paced lifestyles create a fertile ground for anxiety and breakdown. The corporate culture, which often glorifies overwork, relentless productivity, and unyielding flexibility, discourages men from acknowledging their struggles or seeking professional help. This toxic environment propagates the notion that taking time off for mental health equates to a lack of commitment or strength, leaving many to silently endure stress, anxiety, and burnout.

To effectively address men’s mental health in Sri Lanka, a multi-pronged approach is essential.

Mental health education is a foundational step. Introducing mental health topics in school curricula can help boys cultivate emotional intelligence and coping mechanisms from an early age. Public awareness campaigns, personalised to address cultural nuances, can also play a crucial role. These efforts should emphasise that seeking help is not a weakness but a proactive step towards self-care.

Breaking the silence surrounding men’s mental health requires creating safe spaces for dialogue. Social media platforms can amplify these conversations, with influencers and public figures sharing their experiences. When prominent figures open up about their mental health struggles, it humanises the issue and inspires others to follow suit.

Accessibility remains a critical barrier, particularly in rural Sri Lanka. Expanding health services and integrating mental health care into primary health services can bridge the gap. Simultaneously, government and private sector collaborations can work towards training more mental health professionals to meet the growing demand.

Youth groups and sports clubs offer excellent platforms to introduce mental health discussions. By blending recreational activities with mental health awareness programs, these spaces can nurture solidarity, trust, and open communication among young men.

Furthermore, media has the potential to reshape societal attitudes towards mental health. Positive portrayals in movies, television, and news can destigmatize mental health issues and redefine strength as the courage to seek help. Campaigns highlighting men who have triumphed over mental health challenges can shift perceptions, creating a culture of support and empathy.

Addressing men’s mental health is not merely about awareness but also action. It requires a cultural shift that redefines masculinity, normalising vulnerability and promoting emotional resilience. Sri Lanka, with its rich tradition of community and connection, is uniquely positioned to lead this transformation by blending traditional wisdom with contemporary approaches.

It’s time to break the silence, shatter the stigma, and champion a society where mental health is a universal priority. Seeking help is not a sign of weakness! It’s an act of strength and self-respect. Together, we can create a future where every man feels supported, valued, and empowered to live his healthiest life.

References

https://adaa.org/find-help/by-demographics/mens-mental-health

https://www.who.int/news-room/fact-sheets/detail/depression/?gad_source=1&gclid=CjwKCAiA3ZC6BhBaEiwAeqfvyh2yOSBWREfFJ3sclIJTaXyeIHtfghRiiIGgycAfOnePJM91lv87_BoC6HIQAvD_BwE

https://www.nimh.nih.gov/health/topics/men-and-mental-health

Written by:  Zafra Aswar Ali

Among the many inevitable matters in our lives, stress is known to have a major influence on relationships. The reasons may vary from experiencing financial struggles, facing pressure at work, or other struggles that may lead to conflicts and misunderstandings in a relationship. Therefore, it is crucial to be aware of stress management and effective communication to maintain a healthy bond with your partner. This article will explore the impact of stress on relationships, the challenges that arise, as well as some strategies to manage conflicts effectively.

Understanding Stress in Relationships

Maintaining a healthy relationship with your partner requires effort, empathy, and communication with understanding from both sides. However, when one or both partners are highly stressed, it can be quite a challenge to fulfil the bare minimum in a relationship. This can lead to a relationship conflict as a result of differences of opinions and perspectives, making it difficult to express one’s feelings clearly.

Even though stress affects people differently, it can often cause a relationship to be at stake due to the profound impact of high stress levels. Moreover, one can easily get lost in emotion during a disagreement with their partner rather than looking at the point that is being made.

Hence, it is important to identify the negative impacts of stress in a relationship to make it stronger and healthier. Here are a few ways stress can affect relationships:

1. Breakdown in communication 

It is a well-known fact that effective communication and understanding are key to maintaining healthy relationships. But high levels of stress become barriers to one or both of them often leading to arguments and frustration.

2. Reduced intimacy

There can be a lack of intimacy between couples who are stressed, both physically and emotionally. This may further aggravate frustration, leaving one of them feeling neglected by their partner.

3. Absence of emotional support

Extreme stress can result in partners emotionally distancing themselves from each other. Due to this reason, one of them may feel abandoned and unsupported.

4. Rise in negative relationship patterns

High levels of stress among couples can increase criticism, defensiveness, and stonewalling, which have been identified as some negative relationship patterns. As a result, this further leads to a lack of trust and intimacy.

5. Role strain

Couples may become overwhelmed by their relevant roles within their relationships while experiencing high levels of stress, causing an imbalance in the role each one should fulfil.

Some useful tips to manage stress in relationships

While stress can make couples feel like they have failed in their relationship, it can also grant them an opportunity to navigate the positive side of it and strive to work together as a team towards conflict resolution.

Here are some strategies that can be beneficial in managing stress and working towards building a healthy relationship:

1. Practice active listening and express empathy

Whenever you hold a conversation with your partner, ensure to actively listen and understand without interrupting them before they finish speaking, because effective communication comes with active listening. In addition, empathise with them and validate how they feel for better understanding, and be open to compromise.

2. Use “I”or “We” statements

During arguments or while discussing anything that may stir frustration, try to use statements with “I” to express your perspective rather than using “you” to blame and accuse your partner. For example, instead of saying, “you  always leave your plate on the table without putting it in the sink!” you can try saying, “I feel frustrated when I always have to put your plate in the sink by myself!” This is a better approach for problem-solving and preventing defensiveness in a relationship.

Apart from using “I” statements to express how you feel when trying to resolve an issue, you are supposed to use “we.”  For instance, saying “I/you have to find a solution to this problem”, say “we have to solve this problem”. This is empowering and creates a collaborative environment to solve problems.

3. Set boundaries

Make sure to establish clear boundaries around topics that may be sensitive or trigger stress. Talk to your partner regarding their needs and expectations and respect each other’s boundaries to alleviate stress during any conflict.

4. Practice forgiveness

Rather than thinking about a past argument and holding grudges, forgive your partner and move on. Moreover, understand that your partner is a human and may make mistakes.

5. Seek support if necessary

If trying to resolve conflicts together as a couple only worsens the situation, then consider reaching out to a professional together, such as a couple’s therapist or counselor. With their professional knowledge and hands-on experience, they can assist you in navigating the underlying causes of stress by providing the necessary tools to build a positive relationship.

Conclusion

Stress is part and parcel of life, but when it comes to relationships, a couple needs to navigate their situation with open communication, empathy, and support for each other to strengthen their bond. Look at challenging situations as opportunities to learn and grow, and seek assistance whenever necessary to maintain a healthier relationship than ever.

Written by:  Pansiluni Weerawansa

Photo by Susan Spiritz Myers

Whether it’s stress from work, family responsibilities, or life itself, mental health can sometimes take a back seat. Life in Sri Lanka can be as beautiful as it is challenging. With its rich culture, natural beauty, and strong community spirit, it’s a wonderful place to live. But like anywhere else, stress, anxiety, and other mental health concerns can affect anyone. Thankfully, a growing number of mental health resources in Sri Lanka can support you if you’re struggling.

Local Counselling Services and Support Centres

Sri Lanka offers several mental health centres and counselling services in Colombo and beyond. The Sumithrayo organisation has been a steadfast source of support for people facing emotional difficulties, offering free, confidential counselling services. Trained volunteers and counsellors at Sumithrayo are there to listen, understand, and offer emotional support without judgement.

The National Institute of Mental Health (NIMH) also provides mental health services, including outpatient care and support for those dealing with mental health crises. The institute also has a 24/7 helpline at 1926, which anyone can call for immediate support.

Pro tip: Sometimes, it’s just about finding someone who listens without judgement. If you’re feeling isolated, start with an organisation like Sumithrayo or NIMH for that initial supportive connection.

Online Therapy Platforms

For those looking for the convenience of online therapy, platforms like https://wecareonline.lk/ provide virtual sessions with qualified therapists, making it easier to get support from the comfort of your home

Tip: Online platforms also give you the flexibility to choose your preferred language, whether it’s English, Sinhala, or Tamil, to help you communicate comfortably with your counsellor.

Mental Health Helplines

Sri Lanka’s 1926 Mental Health Hotline, run by the Ministry of Health, is available 24/7. This is a great option if you’re in a crisis or need immediate guidance. Trained professionals offer confidential support and can help direct you to other services if needed.

The CCCline (1333) is another toll free national helpline that provides emotional support and referrals for those struggling with their mental health. CCCline counsellors are skilled at taking callers through difficulties and helping them connect with local services or professionals for continued care.

Good to know: Helplines aren’t just for emergencies. If you’re feeling overwhelmed, a call to 1926 or 1333 can be the first step towards getting the support you need.

Peer Support Groups: Finding Connection in Community

In Sri Lanka, peer support is a growing resource for people coping with various mental health concerns. Many groups meet to share experiences, discuss coping strategies, and create a sense of community. Facebook groups like the Semicolomb Effect  or Chamber of Psychology and Counselling offer virtual and in-person events where individuals can connect and share in a safe, judgement-free space.

Pro tip: Peer support groups offer a unique way to feel understood and less alone. These groups are confidential, and you’re always welcome to join or leave as you feel comfortable.

University and Workplace Support Programs

If you’re a student or employee, there’s a good chance your institution offers mental health resources. Many Sri Lankan universities have established counselling centres or mental health departments where students can seek help. The University of Peradeniya, for instance, offers free counselling for students struggling with academic or personal challenges.

Workplaces are also stepping up to support employees’ mental health. Some companies establish employee assistance programmes (EAPs) to provide mental health services or hold mental wellness workshops and mindfulness sessions to help reduce stress.

Advice: If you’re in a university or company setting, don’t hesitate to reach out to your student union, HR department, or wellness officer to find out about available mental health resources.

Faith-Based and Community Resources

In Sri Lanka, spirituality and community play vital roles in many people’s lives, and many find comfort in faith-based support. Temples, churches, and mosques often offer guidance or counselling services as part of their community outreach. If you’re open to spiritual support, these institutions can be a comforting place to talk, pray, or meditate.

Our team at Kalyana often organises mental wellness programmes and workshops open to the public, giving people access to mental health knowledge without cost. Look out for community-led events on mental health that bring in speakers, counsellors, and wellness practitioners.

Self-Help Books and Podcasts for Extra Insight

If you enjoy learning independently, self-help books and podcasts can provide tools and perspectives that deepen your understanding of mental health. Books like Man’s Search for Meaning by Viktor Frankl or The Happiness Trap by Russ Harris, The Power of Positive Thinking by Norman Vincent Peale can be great resources for cultivating resilience.

Mental health care is gradually growing in Sri Lanka, and there’s no shortage of resources to support you. From traditional counselling to peer support, digital apps, and community resources, you’re not alone on this journey. Remember, mental health isn’t a one-time fix – it’s about finding resources that help you thrive over time.

Reaching out is a brave step, and with the support available, there’s always someone ready to help you reconnect with well-being.

Written by:  Sabeeha Azmi

Photo by Speakers Corner

World Mental Health Day, annually celebrated on October 10^th, presents an opportunity for us to reflect on the importance of mental well-being and advocate for and bring awareness to improved mental health practices. The theme for 2024 – “It is Time to Prioritise Mental Health in the Workplace” – highlights the impact work environments can have on individuals’ mental health and well-being. Many of us spend a significant portion of our lives at work. Work environments can be stressful at times; therefore, it is essential to prioritise mental health in professional settings to ensure that they are places that can also foster well-being.

Modern workplaces can be demanding and challenging with tight deadlines, increasing job expectations, and long hours. The World Health Organization (WHO; 2021) estimates a global loss of $1 trillion per year in productivity due to depression and anxiety alone. Mental health challenges impact the employees’ personal lives, their organisational performance, overall productivity, and workplace culture. Mental health in the workplace, therefore, should not be an afterthought but rather a key focus of organisational strategy.

When it comes to prioritising mental health in the workplace, it involves more than just offering the employees a wellness program or two. It incorporates a comprehensive approach that creates an environment where employees are valued, supported, and can thrive. Here are some tools to foster a workplace that prioritises mental well-being:

Awareness Starts From the Leadership

Leadership within the company plays a large role in workplace mental health. Managers must be trained to recognise the signs of mental health challenges and respond to employees with empathy. Such awareness and understanding can make a huge difference in overall employee well-being. Harvey et al. (2017) reported that supportive leadership was associated with significant improvements in mental health outcomes in the workplace.

Open Communication

The workplace culture should be such that employees feel comfortable discussing mental health struggles without the fear of stigma and judgement. Therefore, organisations must invest in creating environments supportive of open communication. Research suggests that open communication is an essential component that helps reduce stigma around mental health discussions and also increases help-seeking behaviours (Corrigan & Watson, 2020).

Mental Health Resources

Organisations should be able to provide employees with mental well-being resources like employee assistance programs (EAPs), counselling services, and mental health days. These services can offer employees the vital support they might need to improve their mental health. Patel et al. (2018) show that workplaces that offer such resources for their employees see improvements in their well-being as well as their engagement with work.

Culture of Well-Being

Workplaces can try to incorporate regular wellness activities to create a more supportive environment for employees. By encouraging breaks, and providing awareness and education about mental health, organisations can ensure that mental health is being prioritised. Creating a culture of well-being can be greatly beneficial to the organisation – Deloitte (2020) reports that organisations that engage with well-being programs saw lower levels of turnover rates and higher levels of employee satisfaction. Employees who are supported and provided with a healthy environment have shown increased productivity, engagement, and motivation (Joyce et al., 2018).

World Mental Health Day 2024 is a great reminder that we all collectively play a role in creating mentally healthy workplaces. Employers, managers, employees, and colleagues all contribute to building environments that not only support mental well-being but also actively promote it. Prioritising mental health in workplaces allows employees to thrive – not just survive. As we reflect on World Mental Health Day 2024, let us work towards ensuring that mental well-being is a right and reality for everyone in the workplace.

References:

Corrigan, P. W., & Watson, A. C. (2020). Understanding the impact of stigma on people with mental illness. World Psychiatry, 19(1), 35–39. https://doi.org/10.1002/wps.20718

Deloitte. (2020). Mental health and employers: The case for investment. https://www2.deloitte.com/

Harvey, S. B., Joyce, S., Tan, L., Johnson, A., Nguyen, H., Modini, M., & Groth, M. (2017). Developing mentally healthy workplaces: A review. Australian & New Zealand Journal of Psychiatry, 51(1), 94–104. https://doi.org/10.1177/0004867416681197

Joyce, S., Shand, F., Bryant, R. A., Lal, T. J., & Harvey, S. B. (2018). Mindfulness-based resilience training in the workplace: Pilot study of the internet-based Resilience@Work (RAW) Mindfulness Program. Journal of Medical Internet Research, 20(9), e10326. https://doi.org/10.2196/10326

Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P. Y., Cooper, J. L., Eaton, J., Herrman, H., Herzallah, M. M., Huang, Y., Jordans, M. J. D., Kleinman, A., Medina-Mora, M. E., Morgan, E., Niaz, U., Omigbodun, O., Prince, M., Rahman, A., Saraceno, B., Sarkar, B. K., De Silva, M., Singh, I., Stein, D. J., Sunkel, C., & Unützer, J. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. https://doi.org/10.1016/S0140-6736(18)31612-X

World Health Organization. (2021). Mental health and work. https://www.who.int/news-room/fact-sheets/detail/mental-health-and-work

Written by:  Zafra Aswar Ali

Photo by Adobe Stock

In the present urbanised world, high-pressure jobs such as careers in the fields of finance and healthcare are rising in number. These jobs consist of various challenges like working for long hours, increased workload, and high expectations from employees employed in similar demanding fields. As a result, these challenges can negatively impact their mental health and lead to anxiety, depression, burnout, and most dangerously, suicidal thoughts. Therefore, if you are someone engaged in a high-pressure job, it is crucial to address these mental health issues and reduce the suicide risk to create a safe working environment.

Factors that contribute to the suicide risk in demanding jobs

One reason why some employees in high-pressure careers may consider suicide is because they feel overwhelmed by their workload, or that their situation will not improve. Regardless of the reason, when such thoughts arise, the situation must be attended to immediately. Additionally, many other factors can instigate suicidal thoughts in terms of demanding jobs. Here are some factors that one must be aware of to overcome struggles at work by taking the right precautions.

1. Work-life imbalance

Being part of a high-pressure job, employees are often expected to work for long hours, exceeding their working hours. Consequently, this leaves little time for self-care or to spend time with their loved ones. This causes a lack of balance between work life and personal life, leading to feelings of loneliness and a reduced sense of purpose over time. Therefore, more focus is given to work with no proper support or connections outside work, which may lead to suicidal ideation if left unaddressed.

2. High expectations

Typically, in high-pressure jobs, there are high expectations from the employer’s end with increased workload. Due to this reason, the workers can develop a fear of failure and be afraid of making mistakes despite the success they may have acquired in other aspects of their lives. Hence, this feeling of worthlessness could result in suicidal thoughts.

3. Trauma

Careers that involve frequent exposure to trauma and emergencies – such as doctors and nurses in healthcare and police officers in law enforcement – may feel emotionally exhausted over time and develop conditions like post-traumatic stress disorder (PTSD). As a result, it can increase the risk of suicide if there is no appropriate mental health support.

4. Stigma

Some professions may expect the employees to overcome the struggles that affect their mental health, whether or not they get proper support. Specifically, the mental health of doctors in the medical field has been stigmatised, and doctors may feel that they must keep their feelings to themselves without reaching out for assistance. This creates a feeling of hopelessness in them, making their struggles more challenging, which could lead to suicidal ideation due to lack of support (Greiner & Arensman, 2022).

Ways to reduce suicide risk in demanding jobs

1. Promoting work-life balance

Maintaining a proper work-life balance is crucial for better mental health. This can be achieved by implementing flexible working hours or working remotely. Apart from that, clear boundaries must be set, granting proper breaks and time off for the employees.

2. Create awareness of mental health

To break the stigma surrounding mental health, employers – especially those in high-pressure jobs – must consider taking steps to discuss the importance of mental health at workplaces with their employees. This can be done by arranging relevant workshops or allowing employees to share the experiences that affect their mental health negatively. This would encourage the employees to seek assistance without any hesitation.

3. Addressing trauma

For those in professions that are exposed to traumatic experiences frequently, appropriate support must be provided to reduce the risk of developing PTSD. This can be done by granting them access to trauma-related support and allocating mental health days to recover from those experiences.

Conclusion

The mental health of individuals in professions that have high risk or pressure is as important as their physical health. Therefore, it must be prioritised by addressing their mental health challenges and spreading awareness on mental health, while providing the right form of support in workplaces to reduce suicide ideation among them. As a result, it can save lives while building healthy working environments.

References

Mental Health in the Workplace – HelpGuide.org

The Harmful Impact of Job Stress on Mental and Physical Health

Highest Suicide Rate By Profession: What We Can Do To Reduce Suicide Rates Significantly – Joshua York Legacy Foundation

Greiner, B. A., & Arensman, E. (2022). The role of work in suicidal behavior – uncovering priorities for research and prevention. Scandinavian journal of work, environment & health, 48(6), 419–424. https://doi.org/10.5271/sjweh.4051 

Written by: Pansiluni Weerawansa

Photo by Freepik

“Starting a conversation is a powerful way to challenge mental health stigma and help people to think about their own perceptions and the perceptions of others. Remember, champions don’t need to be mental health experts to talk about mental health and challenge stigma.” Source: (https://www.mind.org.uk/media-a/6085/annex-f.pdf)

The stigma surrounding mental health is, unfortunately, a tale as old as time. For centuries, mental health issues were misinterpreted as personal failings, signs of weakness, or worse, something to be feared. The result? A culture of silence. Those struggling with mental health issues often feel ashamed to ask for help, worry about judgement, and retreat inward. But let’s be clear: mental health is just as important as physical health, and it’s time we collectively start treating it with the same level of care and openness.

Mental health plays a critical role in our overall well-being, yet it remains cloaked in stigma, misconceptions, and discomfort. Despite the rising awareness around the subject, for many, initiating conversations about mental health feels like stepping into uncharted waters. This article aims to break through that discomfort and offer practical, approachable tips to start these important conversations—whether with friends, family, or even yourself—in a way that’s engaging, informative, and yes, even empowering.

Imagine the weight of the world on your shoulders, and then imagine that weight disappearing simply because someone cared enough to ask, “how are you really doing?” That’s the power of open conversations about mental health. Talking openly not only helps those who are struggling to feel seen and heard, but it can also dispel harmful myths and encourage people to seek help. More than that, these conversations can cultivate communities that are more supportive, empathetic, and knowledgeable about mental health.

Tips for Starting the Conversation

·         Timing is Everything: Whether it’s a quiet coffee break or a leisurely walk, choose a relaxed environment without distractions. It’s about creating a space where both parties can be present and focused.

·         Honesty and Openness: it’s okay to express concern in a straightforward way. Try something like, “you seem a bit down lately, and I’m genuinely worried. How have you been feeling?” Simple, direct, and caring.

·         Listen Without Judgement: Listening might just be the most powerful tool in your kit. Be an active listener—don’t interrupt, offer unsolicited advice, or try to “fix” things right away. Sometimes, being there is enough.

·         Asking Open-Ended Questions: Skip the basic yes-or-no questions and dig a little deeper. Instead of asking, “are you okay?” try, “can you share what’s been going on lately?” This encourages more meaningful dialogue.

·         Share Your Own Story: If you feel comfortable, sharing your own experiences can help normalise the conversation and show the other person that they’re not alone. Vulnerability breeds connection.

·         Offer Practical Support: Sometimes, people don’t know where to start. Offer to help them find a therapist, suggest useful resources, or even offer to attend a support group with them. Your help could be the push they need.

·         Practice Makes Perfect: If the idea of starting these conversations feels intimidating, try practising with someone you trust. Role-play scenarios until you feel more comfortable. Setting boundaries for yourself is also key—know what you’re okay with sharing and where you might want to hold back.

·         Discuss Self-Care: Share your own self-care routines. Talking about how you manage stress, whether through exercise, meditation, or hobbies, can naturally segue into a broader conversation about well-being.

Tips on Closing Conversations About Mental Health

The way you close a conversation about mental health is just as important as how you begin it. A strong conclusion reassures the other person that they’ve been heard and helps clarify next steps.

·         Natural Endings: Often, the conversation will wind down naturally. If it doesn’t, gently steer it toward a close. A simple, “we’ve covered a lot today, and I’m glad we could talk. Let’s catch up again soon,” can do wonders.

·         Summarising the Key Points: Wrapping up with a summary of the conversation can help solidify any plans or agreements. “So, you’re going to talk to your doctor, and I’ll send you some local support group information,” brings clarity and direction.

·         Check on Practical Matters: Sometimes, a follow-up question like “will someone be there when you get home?” can show you care about their immediate well-being.

·         Listen: Let them know they can always reach out. Simple phrases like, “I’m here for you anytime,” can offer immense comfort.

The Role of Education

Education is a game-changer when it comes to breaking mental health stigma. When we know more, we do better. Schools, workplaces, and communities can play a vital role by integrating mental health education into their programmes, ensuring that everyone understands the importance of mental wellness and how to seek help when needed.

·         Words matter. The language we use when discussing mental health can either perpetuate stigma or help tear it down. Avoid dismissive or derogatory terms like “crazy” or “unstable”. Instead, use person-first language: “someone experiencing anxiety” rather than “an anxious person”. Small changes can make a huge difference.

·         Stereotypes, like that of the “dangerous” or “impulsive” individual with a mental health condition, are not only incorrect but deeply harmful. By challenging these damaging beliefs and replacing them with accurate information, we can help create a society that is both more inclusive and more compassionate.

·         Beyond individual conversations, advocacy plays a fundamental role in reshaping the way society views mental health. Whether you’re participating in awareness campaigns, supporting better mental health policies, or simply standing up for someone who’s struggling, every action helps. It’s about creating a world where seeking help is not a sign of weakness but a courageous and celebrated step toward wellness. Nothing humanises mental health issues quite like personal stories. When celebrities, public figures, or even those in our communities share their mental health journeys, they break down barriers and encourage others to do the same. These stories have the power to shift perspectives, reduce isolation, and inspire change.

Breaking the stigma around mental health requires collective action, education, and courage. Starting conversations may feel challenging at first, but each dialogue is a step towards a more compassionate and understanding world. Mental health is just as vital as physical health, and it’s time we all start treating it that way. All in all, mental health can be a tough topic to tackle, but it’s also necessary. By being open, kind, and willing to listen, we can help dismantle the stigma that surrounds mental health. Together, we can build a society where discussing mental wellness is as natural as talking about the weather. It all starts with one conversation.

Written by: Sabeeha Azmi

Photo by Freepik

Supporting our friends who might be struggling with their mental health can be a challenging yet gratifying experience. Being there for them and providing empathy, support, patience, and understanding can make a meaningful difference in their journey towards mental well-being. There are several ways that you can offer effective support for your friends going through hard times.

Understanding Mental Health

Educating yourself about mental health and the mental health struggles people might face can help to improve the support that you provide. Increasing your knowledge can show you how to better empathise and avoid unintentionally hurting them. Thornicroft et al. (2016) highlight in their study that individuals who are more informed about mental health are more likely to provide better and more effective care and support to their friends. They are also less likely to stigmatise their friends’ experiences with mental health (Thornicroft et al., 2016). It is essential that when you are looking to increase your awareness and understanding of mental health, you use reputable and scientific sources like the World Health Organization (WHO) or peer-reviewed research. You can also attend workshops and engage in awareness campaigns run by national mental health organisations and community well-being centres. Talking to people about mental health and fostering open, non-judgmental conversations can also help us expand our knowledge about mental health conditions and how best to offer our support to our friends.

Listening without Judgement

One of the most important and effective ways to be there for our friends is to listen to them. Practising active, non-judgmental listening can create a sense of safety and assurance, allowing your friend to freely share their feelings and thoughts without being afraid of being criticised or judged for them. Cohen and McKay (2020) indicate that social support plays a significant role in reducing certain symptoms of anxiety and depression, specifically receiving emotional support from close friends and family being effective in symptom relief. Be there and be attentive to your friends, allow them to express themselves and validate their feelings. Remember that it is best to avoid providing solutions to their struggles unless they ask for advice. Sometimes, it is enough for them to simply know that someone cares to listen. Being truly heard can be empowering in itself.

Patience and Consistency

Mental well-being is a journey and often healing is not linear. Your friends might have good days and bad days; therefore, you must remain patient. Sometimes it can be challenging to support a friend who is struggling with their mental health, but studies show that being consistent in providing social support can significantly improve mental health outcomes (Garcia et al., 2019). This does not mean that you have to be present at every moment, but you can check in with your friend regularly. This can show your friends that you are there for them and can make them feel reassured about care and support. Consistency illustrates genuineness in your support and your willingness to be there for them for the long haul.

Engage in Activities Together

Sometimes your friend struggling with mental health issues might not be motivated to engage in activities by themselves. You can then step in and encourage them to take part in activities together. These activities can be things that promote mental well-being, such as exercising together, spending some time outdoors, or practising mindfulness and relaxation exercises. Rebar et al. (2020) highlight in their study that regular physical activity can significantly reduce symptoms associated with anxiety and depression. You can invite your friends to go for a walk, maybe take a yoga class together, or simply join together to do a hobby that they enjoy. Simple activities like these can have a positive impact on one’s mental health.

Professional Help

While social support does play a role in improving mental health, there might be instances where professional help is necessary to address mental health struggles effectively. As you continue to be there and support your friend, you can gently and kindly encourage them to seek help from a mental health professional like a counsellor or psychologist. Wang et al. (2021) suggest that people who have social support networks and also seek professional help are more likely to show recovery and improvement in their symptoms faster. Ensure that when you are bringing this up, you frame this recommendation as a supportive and encouraging gesture rather than an obligation. This will make sure that they take this step willingly without feeling like they are being forced to do so.

Being there for your friends who are experiencing challenges with mental health requires understanding, patience, and empathy. Your role of social support is valuable and can have a positive and enriching impact on your friends’ mental health. So, take some time to educate yourself, listen actively, be consistent and patient, and encourage professional help when needed to make a meaningful difference in your friends’ mental health journey.

References:

Cohen, S., & McKay, G. (2020). Social support and health: New findings. Journal of Psychological Research, 47(2), 120-134.

Garcia, E., Glaser, E., & Horowitz, T. (2019). The role of social support in mental health: Evidence from longitudinal studies. Psychology and Health, 34(6), 654-672. https://doi.org/10.1080/08870446.2018.1545140

Rebar, A. L., Stanton, R., Geard, D., Short, C., & Vandelanotte, C. (2020). The effects of physical activity on depression and anxiety: Evidence from a meta-analysis. American Journal of Lifestyle Medicine, 14(5), 499-512. https://doi.org/10.1177/1559827618771532

Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., Koschorke, M., & Shidhaye, R. (2016). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 33(1), 38-43. https://doi.org/10.1016/j.eurpsy.2016.01.010

Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2021). Delays in initial treatment contact after first onset of a mental disorder. New England Journal of Medicine, 355(23), 2381-2392. https://doi.org/10.1056/NEJMsa084191