thank you for having me it’s hard to follow an accolade bocklage or because
follow an accolade bocklage or because
follow an accolade bocklage or because every time I’ve achieved a zet state of
every time I’ve achieved a zet state of
every time I’ve achieved a zet state of giving you talk my heart rate goes up
giving you talk my heart rate goes up
giving you talk my heart rate goes up with the drums and so right now it’s
with the drums and so right now it’s
with the drums and so right now it’s like it’s hitting with the treatment of
like it’s hitting with the treatment of
like it’s hitting with the treatment of drops okay so excuse me if I just take a
drops okay so excuse me if I just take a
drops okay so excuse me if I just take a moment to relax so most people know me
moment to relax so most people know me
moment to relax so most people know me and say clinical psychologist a
and say clinical psychologist a
and say clinical psychologist a researcher a lecturer I know myself
researcher a lecturer I know myself
researcher a lecturer I know myself that’s really cool it’s funny person you
that’s really cool it’s funny person you
that’s really cool it’s funny person you may not but few people know my personal
may not but few people know my personal
may not but few people know my personal struggle with depression
struggle with depression
struggle with depression it’s actually really hard to convey what
it’s actually really hard to convey what
it’s actually really hard to convey what it felt like the feelings of sadness the
it felt like the feelings of sadness the
it felt like the feelings of sadness the thoughts of condemnation the sense of
thoughts of condemnation the sense of
thoughts of condemnation the sense of urgency to end it all as soon as
urgency to end it all as soon as
urgency to end it all as soon as possible
possible
possible depression one of the most common mental
depression one of the most common mental
depression one of the most common mental illnesses I’m trained to diagnose at the
illnesses I’m trained to diagnose at the
illnesses I’m trained to diagnose at the low move lots of pleasure insomnia
low move lots of pleasure insomnia
low move lots of pleasure insomnia fatigue low self-worth and even the
fatigue low self-worth and even the
fatigue low self-worth and even the suicidal ideation but it’s hard to
suicidal ideation but it’s hard to
suicidal ideation but it’s hard to recognize the signs when you find
recognize the signs when you find
recognize the signs when you find yourself and its grip it happens so
yourself and its grip it happens so
yourself and its grip it happens so slowly and sedulously I activated it to
slowly and sedulously I activated it to
slowly and sedulously I activated it to everything but depression the stress
everything but depression the stress
everything but depression the stress workload you know transition from Canada
workload you know transition from Canada
workload you know transition from Canada to Malaysia my family would ask me are
to Malaysia my family would ask me are
to Malaysia my family would ask me are you okay I said of course I’m okay why
you okay I said of course I’m okay why
you okay I said of course I’m okay why wouldn’t I be life is good I’ve got a
wouldn’t I be life is good I’ve got a
wouldn’t I be life is good I’ve got a job I got friends and show that I’m
job I got friends and show that I’m
job I got friends and show that I’m stressed
stressed
stressed but everyone is also stressed right so
but everyone is also stressed right so
but everyone is also stressed right so there was nothing wrong but something
there was nothing wrong but something
there was nothing wrong but something wasn’t right I wasn’t happy but I should
wasn’t right I wasn’t happy but I should
wasn’t right I wasn’t happy but I should be happy right made me
be happy right made me
be happy right made me I was just ungrateful maybe I was
I was just ungrateful maybe I was
I was just ungrateful maybe I was expecting too much I started feeling bad
expecting too much I started feeling bad
expecting too much I started feeling bad for feeling bad eventually it dawned
for feeling bad eventually it dawned
for feeling bad eventually it dawned upon me that made me under pressed so I
upon me that made me under pressed so I
upon me that made me under pressed so I took several self-report measure I added
took several self-report measure I added
took several self-report measure I added a report of my symptoms and downplayed
a report of my symptoms and downplayed
a report of my symptoms and downplayed everything but I had to face the fact
everything but I had to face the fact
everything but I had to face the fact that I was it took me six months to
that I was it took me six months to
that I was it took me six months to recover from my depression and in
recover from my depression and in
recover from my depression and in several years to work through the
several years to work through the
several years to work through the consequences of it undiscovered the
consequences of it undiscovered the
consequences of it undiscovered the recovery it’s a lonely road is this
recovery it’s a lonely road is this
recovery it’s a lonely road is this doing more have happened but rejoicing
doing more have happened but rejoicing
doing more have happened but rejoicing that the ghosts have fallen silent is
that the ghosts have fallen silent is
that the ghosts have fallen silent is premature because actually walked back
premature because actually walked back
premature because actually walked back to the life you once had you see the
to the life you once had you see the
to the life you once had you see the destructive effects of the illness even
destructive effects of the illness even
destructive effects of the illness even broken relationships the ill health
broken relationships the ill health
broken relationships the ill health contrary to my profession as a clinical
contrary to my profession as a clinical
contrary to my profession as a clinical psychologist my belief in the importance
psychologist my belief in the importance
psychologist my belief in the importance of mental well-being and treatment I did
of mental well-being and treatment I did
of mental well-being and treatment I did not seek professional help
not seek professional help
not seek professional help to be honest I was afraid afraid of it
to be honest I was afraid afraid of it
to be honest I was afraid afraid of it being official afraid of what people
being official afraid of what people
being official afraid of what people would say afraid of with how society
would say afraid of with how society
would say afraid of with how society would treat me I decided that today I
would treat me I decided that today I
would treat me I decided that today I don’t want to be afraid anymore so will
don’t want to be afraid anymore so will
don’t want to be afraid anymore so will not be a favorable one because
not be a favorable one because
not be a favorable one because depression is only part of a story it
depression is only part of a story it
depression is only part of a story it does not define me it is also part of
does not define me it is also part of
does not define me it is also part of the untold story of millions of
the untold story of millions of
the untold story of millions of Malaysians in 2015 the national health
Malaysians in 2015 the national health
Malaysians in 2015 the national health and mobility serving found that 30
and mobility serving found that 30
and mobility serving found that 30 percent of Malaysia’s have a mental
percent of Malaysia’s have a mental
percent of Malaysia’s have a mental health condition at any one point in
health condition at any one point in
health condition at any one point in time that’s 90 million or 1 in 3
time that’s 90 million or 1 in 3
time that’s 90 million or 1 in 3 Malaysians have poor mental well-being
Malaysians have poor mental well-being
Malaysians have poor mental well-being at this very moment the fifth edition of
at this very moment the fifth edition of
at this very moment the fifth edition of the diagnostic Statistical mental which
the diagnostic Statistical mental which
the diagnostic Statistical mental which you see clinical Manual of Mental
you see clinical Manual of Mental
you see clinical Manual of Mental Disorders defines mental
Disorders defines mental
Disorders defines mental as a behavioral or psychological
as a behavioral or psychological
as a behavioral or psychological syndrome of pattern that occurs in an
syndrome of pattern that occurs in an
syndrome of pattern that occurs in an individual that reflects an underlying
individual that reflects an underlying
individual that reflects an underlying psychobiological dysfunction the
psychobiological dysfunction the
psychobiological dysfunction the consequences of which are clinically
consequences of which are clinically
consequences of which are clinically significant distress for example painful
significant distress for example painful
significant distress for example painful symptom or disability that is impairment
symptom or disability that is impairment
symptom or disability that is impairment in one or more important areas of
in one or more important areas of
in one or more important areas of functioning mental illness in short is a
functioning mental illness in short is a
functioning mental illness in short is a group of behavioral or psychological
group of behavioral or psychological
group of behavioral or psychological science that indicate you as something
science that indicate you as something
science that indicate you as something it’s not quite right psychologically and
it’s not quite right psychologically and
it’s not quite right psychologically and biologically the consequences of which
biologically the consequences of which
biologically the consequences of which is we cannot thrive or cheat well-being
is we cannot thrive or cheat well-being
is we cannot thrive or cheat well-being and the most common mental illness is
and the most common mental illness is
and the most common mental illness is depression which we will be the primary
depression which we will be the primary
depression which we will be the primary focus of my talk today although much of
focus of my talk today although much of
focus of my talk today although much of what I say can be applied to many of the
what I say can be applied to many of the
what I say can be applied to many of the other mental illnesses so depression a
other mental illnesses so depression a
other mental illnesses so depression a mental illness is characterized by low
mental illness is characterized by low
mental illness is characterized by low mood and/or loss of pleasure or interest
mood and/or loss of pleasure or interest
mood and/or loss of pleasure or interest most of the day nearly every day for two
most of the day nearly every day for two
most of the day nearly every day for two weeks or more it interferes
weeks or more it interferes
weeks or more it interferes significantly when you’re functioning in
significantly when you’re functioning in
significantly when you’re functioning in life one in ten Malaysians are depressed
life one in ten Malaysians are depressed
life one in ten Malaysians are depressed that’s 3 million on average it takes
that’s 3 million on average it takes
that’s 3 million on average it takes someone with depression for years to
someone with depression for years to
someone with depression for years to seek help if they ever do assuming
seek help if they ever do assuming
seek help if they ever do assuming office available to them unfortunately
office available to them unfortunately
office available to them unfortunately for many Malaysians
for many Malaysians
for many Malaysians there is no help available to them we
there is no help available to them we
there is no help available to them we have 300 psychiatrists in Malaysia to
meet the minimal World Health
meet the minimal World Health Organization recommendations for a
Organization recommendations for a
Organization recommendations for a population of this size we would need
population of this size we would need
population of this size we would need 3,000 psychiatrist we have even fewer
3,000 psychiatrist we have even fewer
3,000 psychiatrist we have even fewer clinical psychologists approximately
clinical psychologists approximately
clinical psychologists approximately I am a rare breed
I am a rare breed
I am a rare breed welcome no I’m just kidding we have
welcome no I’m just kidding we have
welcome no I’m just kidding we have about a hundred fifty clinical
about a hundred fifty clinical
about a hundred fifty clinical psychologists three hundred psychiatrist
psychologists three hundred psychiatrist
psychologists three hundred psychiatrist three million Asians with depression
three million Asians with depression
three million Asians with depression that works out to be one psychiatrist
that works out to be one psychiatrist
that works out to be one psychiatrist pratense
pratense
pratense thousand Malaysians with depression and
thousand Malaysians with depression and
thousand Malaysians with depression and one clinical psychologist for 20,000
one clinical psychologist for 20,000
one clinical psychologist for 20,000 Malaysians with depression maybe be
Malaysians with depression maybe be
Malaysians with depression maybe be urging me to increase our resources is
urging me to increase our resources is
urging me to increase our resources is not apparent until we consider the cost
not apparent until we consider the cost
not apparent until we consider the cost of the elders so a cost of any illness
of the elders so a cost of any illness
of the elders so a cost of any illness can be computed in terms of years the
can be computed in terms of years the
can be computed in terms of years the number of years healthy life years we
number of years healthy life years we
number of years healthy life years we lose to an illness the number of years
lose to an illness the number of years
lose to an illness the number of years he spent living with a disability the
he spent living with a disability the
he spent living with a disability the number of years lost due to a shortened
number of years lost due to a shortened
number of years lost due to a shortened lifespan the Ministry of Health
lifespan the Ministry of Health
lifespan the Ministry of Health estimates that we lose more than 100,000
estimates that we lose more than 100,000
estimates that we lose more than 100,000 healthy life years every year to
healthy life years every year to
healthy life years every year to depression let’s think about it this way
depression let’s think about it this way
depression let’s think about it this way imagine a typical day you get up go to
imagine a typical day you get up go to
imagine a typical day you get up go to work put in your 95 have dinner with a
work put in your 95 have dinner with a
work put in your 95 have dinner with a loved one that’s time spent in your job
loved one that’s time spent in your job
loved one that’s time spent in your job and time spent with the people you care
and time spent with the people you care
and time spent with the people you care about
about
about now imagine a day with depression you
now imagine a day with depression you
now imagine a day with depression you struggle to get out of bed maybe you
struggle to get out of bed maybe you
struggle to get out of bed maybe you make it to work at any difficulty
make it to work at any difficulty
make it to work at any difficulty concentrating you’re tired you can’t
concentrating you’re tired you can’t
concentrating you’re tired you can’t wait till it’s 5:00 p.m. you touch back
wait till it’s 5:00 p.m. you touch back
wait till it’s 5:00 p.m. you touch back home go right back into that you isolate
home go right back into that you isolate
home go right back into that you isolate yourself from important relationships in
yourself from important relationships in
yourself from important relationships in life cause it’s time lost to an illness
life cause it’s time lost to an illness
life cause it’s time lost to an illness to do the financial costs to it
to do the financial costs to it
to do the financial costs to it depression cost milena 1.9 billion
depression cost milena 1.9 billion
depression cost milena 1.9 billion ringgit every year and much of that does
ringgit every year and much of that does
ringgit every year and much of that does not actually go towards treatment but
not actually go towards treatment but
not actually go towards treatment but it’s encourage you to loss of an
it’s encourage you to loss of an
it’s encourage you to loss of an employment
employment
employment lots of productivity even loss of life
lots of productivity even loss of life
lots of productivity even loss of life the cause of depression are many and
the cause of depression are many and
the cause of depression are many and complex biological and psychological
complex biological and psychological
complex biological and psychological and there is no one single cause of
and there is no one single cause of
and there is no one single cause of oppression but let me just highlight
oppression but let me just highlight
oppression but let me just highlight five common ones the first negative life
five common ones the first negative life
five common ones the first negative life stress for example losing a job or
stress for example losing a job or
stress for example losing a job or losing an important relationship second
losing an important relationship second
losing an important relationship second negative thinking styles such as
negative thinking styles such as
negative thinking styles such as believing that you are the cause of all
believing that you are the cause of all
believing that you are the cause of all bad things that have happened to you and
bad things that have happened to you and
bad things that have happened to you and nothing will ever change the third euro
nothing will ever change the third euro
nothing will ever change the third euro chemical imbalance such as serotonin and
chemical imbalance such as serotonin and
chemical imbalance such as serotonin and the fourth neural net we go
the fourth neural net we go
the fourth neural net we go abnormalities in key structures of the
abnormalities in key structures of the
abnormalities in key structures of the brain and finally genetics the
brain and finally genetics the
brain and finally genetics the heritability of depression is
heritability of depression is
heritability of depression is approximately 37% now the good news the
approximately 37% now the good news the
approximately 37% now the good news the good news is that we have many effective
good news is that we have many effective
good news is that we have many effective ways to help reduce the risk of
ways to help reduce the risk of
ways to help reduce the risk of depression and other illnesses we are
depression and other illnesses we are
depression and other illnesses we are also effective treatments that can help
also effective treatments that can help
also effective treatments that can help improve symptoms and help people live
improve symptoms and help people live
improve symptoms and help people live more meaningful and happier lives but
more meaningful and happier lives but
more meaningful and happier lives but here’s a first key problem we need more
here’s a first key problem we need more
here’s a first key problem we need more than two health resources in Malaysia we
than two health resources in Malaysia we
than two health resources in Malaysia we need more mental health professionals in
need more mental health professionals in
need more mental health professionals in Malaysia we need more accessible
Malaysia we need more accessible
Malaysia we need more accessible effective sorry from is life accessible
effective sorry from is life accessible
effective sorry from is life accessible effective and affordable intervention
effective and affordable intervention
effective and affordable intervention and prevention programs in Malaysia now
and prevention programs in Malaysia now
and prevention programs in Malaysia now even if we do increase the resources who
even if we do increase the resources who
even if we do increase the resources who you go who would go that’s the second
you go who would go that’s the second
you go who would go that’s the second problem
problem
problem mental illness is heavily stigmatized
mental illness is heavily stigmatized
mental illness is heavily stigmatized and stigma stops people from seeking
and stigma stops people from seeking
and stigma stops people from seeking help only about 50% of people with
help only about 50% of people with
help only about 50% of people with depression ever see call and even though
depression ever see call and even though
depression ever see call and even though it takes them an average of four years
it takes them an average of four years
it takes them an average of four years to do so in 1999 the first surgeon
to do so in 1999 the first surgeon
to do so in 1999 the first surgeon general’s report on mental health was
general’s report on mental health was
general’s report on mental health was released the Surgeon General identify
released the Surgeon General identify
released the Surgeon General identify stigma as being one of the major
stigma as being one of the major
stigma as being one of the major barriers that stop people from seeking
barriers that stop people from seeking
barriers that stop people from seeking home stigma is a Greek word
home stigma is a Greek word
home stigma is a Greek word reverser can it’s a to mark that was
reverser can it’s a to mark that was
reverser can it’s a to mark that was burned into the skins as criminals
burned into the skins as criminals
burned into the skins as criminals slaves traders to identify them as
slaves traders to identify them as
slaves traders to identify them as blemished a warning commuted individuals
blemished a warning commuted individuals
blemished a warning commuted individuals today instead of a physical mark we grab
today instead of a physical mark we grab
today instead of a physical mark we grab people with mental illnesses as weak
people with mental illnesses as weak
people with mental illnesses as weak dangerous the lack of understanding of
dangerous the lack of understanding of
dangerous the lack of understanding of what mental illness is and what causes
what mental illness is and what causes
what mental illness is and what causes it contributes is fear and so here is
it contributes is fear and so here is
it contributes is fear and so here is how signal works we perpetuate negative
how signal works we perpetuate negative
how signal works we perpetuate negative stereotypes of mental illness we treat
stereotypes of mental illness we treat
stereotypes of mental illness we treat people with mental illnesses accordingly
people with mental illnesses accordingly
people with mental illnesses accordingly as if they are weak dangerous or crazy
as if they are weak dangerous or crazy
as if they are weak dangerous or crazy consequently over time they begin to
consequently over time they begin to
consequently over time they begin to accept these labels as true and see
accept these labels as true and see
accept these labels as true and see themselves as such unfortunately many of
themselves as such unfortunately many of
themselves as such unfortunately many of these navels are lifelong and continue
these navels are lifelong and continue
these navels are lifelong and continue even after the person has recovered
even after the person has recovered
even after the person has recovered is it anyone monitor but my wife will
is it anyone monitor but my wife will
is it anyone monitor but my wife will don’t want to seek help because
don’t want to seek help because
don’t want to seek help because admitting to having an illness would be
admitting to having an illness would be
admitting to having an illness would be like admitting to being all of those
like admitting to being all of those
like admitting to being all of those negative associations changing this
negative associations changing this
negative associations changing this culture of change starts with changing
culture of change starts with changing
culture of change starts with changing the way you and I see mental health we
the way you and I see mental health we
the way you and I see mental health we need to invest in mental health the same
need to invest in mental health the same
need to invest in mental health the same way we invest in physical health we need
way we invest in physical health we need
way we invest in physical health we need to stop seeing mental illness as a
to stop seeing mental illness as a
to stop seeing mental illness as a weakness of failure we need to extend
weakness of failure we need to extend
weakness of failure we need to extend the same rights and considerations to
the same rights and considerations to
the same rights and considerations to people with mental illnesses as we do
people with mental illnesses as we do
people with mental illnesses as we do people with physical illnesses we need
people with physical illnesses we need
people with physical illnesses we need to come together to build a mentally
to come together to build a mentally
to come together to build a mentally healthy society one characterized by
healthy society one characterized by
healthy society one characterized by compassion acceptance and openness the
compassion acceptance and openness the
compassion acceptance and openness the research has shown that the most
research has shown that the most
research has shown that the most effective ways to reduce the stigma on
effective ways to reduce the stigma on
effective ways to reduce the stigma on mental illness
mental illness
mental illness to understand what mental illnesses and
to understand what mental illnesses and
to understand what mental illnesses and to know someone with an if experience so
to know someone with an if experience so
to know someone with an if experience so let me take my stand and this fight
let me take my stand and this fight
let me take my stand and this fight against the stigmatization of mental
against the stigmatization of mental
against the stigmatization of mental illness so Who am I
illness so Who am I
illness so Who am I my name is cha sickening and yes I’ve
my name is cha sickening and yes I’ve
my name is cha sickening and yes I’ve had depression maybe I will be depressed
had depression maybe I will be depressed
had depression maybe I will be depressed again the depression is only part of my
again the depression is only part of my
again the depression is only part of my story
story
story it does not define me I’m a clinical
it does not define me I’m a clinical
it does not define me I’m a clinical psychologist a lecturer and researcher
psychologist a lecturer and researcher
psychologist a lecturer and researcher I’m a Christian I’m the sister a
I’m a Christian I’m the sister a
I’m a Christian I’m the sister a daughter or friend I love baking to my
daughter or friend I love baking to my
daughter or friend I love baking to my shame I play the violin very badly I’m
shame I play the violin very badly I’m
shame I play the violin very badly I’m valuing kindness openness and courage so
valuing kindness openness and courage so
valuing kindness openness and courage so to the 30% of the majors currently
to the 30% of the majors currently
to the 30% of the majors currently living with a mental health condition
living with a mental health condition
living with a mental health condition don’t lose hope remember who you are at
don’t lose hope remember who you are at
don’t lose hope remember who you are at the very core of your being and please
the very core of your being and please
the very core of your being and please do get the help that you need and
do get the help that you need and
do get the help that you need and deserve and to the 70% of Malaysians
deserve and to the 70% of Malaysians
deserve and to the 70% of Malaysians with a loved one living with a mental
with a loved one living with a mental
with a loved one living with a mental health condition continue to love and
health condition continue to love and
health condition continue to love and support them and remember who they are
support them and remember who they are
support them and remember who they are at the very core to being beyond their
at the very core to being beyond their
at the very core to being beyond their mental illness let us treat one another
mental illness let us treat one another
mental illness let us treat one another with kindness and dignity without fear
with kindness and dignity without fear
with kindness and dignity without fear or discrimination for our mental health
or discrimination for our mental health
or discrimination for our mental health matters thank you
”
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