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Why Africa needs culturally sensitive talk therapy? | Etheldreda Nakimuli-Mpungu | TEDxEuston


[Music]

[Music] raise your hand if you have seen a

raise your hand if you have seen a

raise your hand if you have seen a psychiatrist this week

one person well everyone’s hand should

one person well everyone’s hand should be up right now because you’re looking

be up right now because you’re looking

be up right now because you’re looking at one

I am a psychiatrist born and raised in

I am a psychiatrist born and raised in Uganda besides taking care of persons

Uganda besides taking care of persons

Uganda besides taking care of persons with mental health problems I research

with mental health problems I research

with mental health problems I research and teach mental health in the School of

and teach mental health in the School of

and teach mental health in the School of Medicine at Meharry University in my

Medicine at Meharry University in my

Medicine at Meharry University in my career I’ve had the privilege of being

career I’ve had the privilege of being

career I’ve had the privilege of being on both sides of a mental hospital bed

on both sides of a mental hospital bed

on both sides of a mental hospital bed what do I mean by that on one side of

what do I mean by that on one side of

what do I mean by that on one side of the bed I have been a caregiver to a lap

the bed I have been a caregiver to a lap

the bed I have been a caregiver to a lap one with mental illness my brother Luke

one with mental illness my brother Luke

one with mental illness my brother Luke had grown into a handsome intelligent

had grown into a handsome intelligent

had grown into a handsome intelligent hard-working young man at age 16 he was

hard-working young man at age 16 he was

hard-working young man at age 16 he was diagnosed with the severe mental illness

diagnosed with the severe mental illness

diagnosed with the severe mental illness as a family we took care of him the best

as a family we took care of him the best

as a family we took care of him the best way that we could but after struggling

way that we could but after struggling

way that we could but after struggling with his illness for 10 years he gave up

with his illness for 10 years he gave up

with his illness for 10 years he gave up and he took his own life

on the other side of the bed I have been

on the other side of the bed I have been B psychiatrist taking care of persons

B psychiatrist taking care of persons

B psychiatrist taking care of persons with mental health problems given that

with mental health problems given that

with mental health problems given that experience I know how hard a diagnosis

experience I know how hard a diagnosis

experience I know how hard a diagnosis of mental illness hits the affected

of mental illness hits the affected

of mental illness hits the affected individual and the family I have lived

individual and the family I have lived

individual and the family I have lived the pain the anger and the shame the

the pain the anger and the shame the

the pain the anger and the shame the denial the guilt and the blame despite

denial the guilt and the blame despite

denial the guilt and the blame despite the fear we must act on mental health

the fear we must act on mental health

the fear we must act on mental health issues we must act in spite of the fear

issues we must act in spite of the fear

issues we must act in spite of the fear yesterday was World AIDS Day now you may

yesterday was World AIDS Day now you may

yesterday was World AIDS Day now you may wonder what is the connection between

wonder what is the connection between

wonder what is the connection between hiv/aids and mental health but it is the

hiv/aids and mental health but it is the

hiv/aids and mental health but it is the people living with hiv/aids that drew me

people living with hiv/aids that drew me

people living with hiv/aids that drew me into the mental health field and I want

into the mental health field and I want

into the mental health field and I want you to meet two of these people living

you to meet two of these people living

you to meet two of these people living in northern Uganda where conduct my

in northern Uganda where conduct my

in northern Uganda where conduct my research this is

research this is

research this is Severino he lives in an AAMCO village

Severino he lives in an AAMCO village

Severino he lives in an AAMCO village cake industry when I met him in 2013 he

cake industry when I met him in 2013 he

cake industry when I met him in 2013 he could not work in his garden because he

could not work in his garden because he

could not work in his garden because he lacked energy all the time as a result

lacked energy all the time as a result

lacked energy all the time as a result he did not have enough food for his

he did not have enough food for his

he did not have enough food for his household when he was hungry

household when he was hungry

household when he was hungry he could not take his medication

he could not take his medication

he could not take his medication consequently he was sick all the time

consequently he was sick all the time

consequently he was sick all the time unable to work he felt useless worthless

unable to work he felt useless worthless

unable to work he felt useless worthless and hopeless and he felt he should die

and hopeless and he felt he should die

and hopeless and he felt he should die Betty here I lived in piranha village in

Betty here I lived in piranha village in

Betty here I lived in piranha village in paraty street when I met her last year

paraty street when I met her last year

paraty street when I met her last year she was too weak to even sit up she was

she was too weak to even sit up she was

she was too weak to even sit up she was faced with multiple challenges including

faced with multiple challenges including

faced with multiple challenges including raising three children all by herself

raising three children all by herself

raising three children all by herself she was angry at her situation and she

she was angry at her situation and she

she was angry at her situation and she did not want to talk to her neighbors

she preferred to lock herself up in her

she preferred to lock herself up in her hut with her children she too saw death

hut with her children she too saw death

hut with her children she too saw death as the only option these two people

as the only option these two people

as the only option these two people Betty and suberino were struggling with

Betty and suberino were struggling with

Betty and suberino were struggling with depression but they did not know this

depression but they did not know this

depression but they did not know this depression is the commonest mental

depression is the commonest mental

depression is the commonest mental health problem in the world and

health problem in the world and

health problem in the world and according to the World Health

according to the World Health

according to the World Health Organization these are the numbers 350

Organization these are the numbers 350

Organization these are the numbers 350 million people around the world suffer

million people around the world suffer

million people around the world suffer from depression 7 out of 10 are living

from depression 7 out of 10 are living

from depression 7 out of 10 are living in poverty in poor areas and about five

in poverty in poor areas and about five

in poverty in poor areas and about five of those seven do not have access to

of those seven do not have access to

of those seven do not have access to treatment a Leone in my career as a

treatment a Leone in my career as a

treatment a Leone in my career as a young doctor used to be ashamed of the

young doctor used to be ashamed of the

young doctor used to be ashamed of the fact that I did not know how to treat

fact that I did not know how to treat

fact that I did not know how to treat someone who had hiv/aids and a mental

someone who had hiv/aids and a mental

someone who had hiv/aids and a mental health problem the senior doctors I

health problem the senior doctors I

health problem the senior doctors I worked with they used to prescribe the

worked with they used to prescribe the

worked with they used to prescribe the usual treatments but for persons with

usual treatments but for persons with

usual treatments but for persons with hiv/aids they would get severe

hiv/aids they would get severe

hiv/aids they would get severe complications suggesting that their

complications suggesting that their

complications suggesting that their management had to be different

management had to be different

management had to be different so in search of answers I went to a

so in search of answers I went to a

so in search of answers I went to a bookstore in Kampala and I bought myself

bookstore in Kampala and I bought myself

bookstore in Kampala and I bought myself a textbook on mental health so that I

a textbook on mental health so that I

a textbook on mental health so that I could educate myself and offer the

could educate myself and offer the

could educate myself and offer the appropriate care so I read this book

appropriate care so I read this book

appropriate care so I read this book from cover to cover

from cover to cover

from cover to cover and I really over and over again I

and I really over and over again I

and I really over and over again I couldn’t find a single sentence with the

couldn’t find a single sentence with the

couldn’t find a single sentence with the words each IV and mental health this was

words each IV and mental health this was

words each IV and mental health this was a Eureka moment for me I had stumbled on

a Eureka moment for me I had stumbled on

a Eureka moment for me I had stumbled on a major treatment gap in the care of

a major treatment gap in the care of

a major treatment gap in the care of persons with hiv/aids in Africa now I

persons with hiv/aids in Africa now I

persons with hiv/aids in Africa now I did not know how I would change this

did not know how I would change this

did not know how I would change this state has core but I thought a good

state has core but I thought a good

state has core but I thought a good place to start was to pursue a master’s

place to start was to pursue a master’s

place to start was to pursue a master’s degree in psychiatry at the end of that

degree in psychiatry at the end of that

degree in psychiatry at the end of that program a paper from my thesis was

program a paper from my thesis was

program a paper from my thesis was published in the American Journal of

published in the American Journal of

published in the American Journal of Psychiatry drawing attention to the

Psychiatry drawing attention to the

Psychiatry drawing attention to the burden of mental health problems in

burden of mental health problems in

burden of mental health problems in persons living with hiv/aids in Africa

persons living with hiv/aids in Africa

persons living with hiv/aids in Africa the editor-in-chief of that journal sent

the editor-in-chief of that journal sent

the editor-in-chief of that journal sent me a personal email that read as all

me a personal email that read as all

me a personal email that read as all congratulations on the nice piece of

congratulations on the nice piece of

congratulations on the nice piece of psychiatry I was so excited I was on the

psychiatry I was so excited I was on the

psychiatry I was so excited I was on the cover page I thought I was going to be

cover page I thought I was going to be

cover page I thought I was going to be famous but no I did not become famous

famous but no I did not become famous

famous but no I did not become famous but that achievement and me Fulbright

but that achievement and me Fulbright

but that achievement and me Fulbright Science and Technology award to pursue

Science and Technology award to pursue

Science and Technology award to pursue doctoral studies in the United States

while in the United States before I knew

while in the United States before I knew what had hit me

what had hit me

what had hit me they hunt her for solutions to

they hunt her for solutions to

they hunt her for solutions to depression had become hunted I was in a

depression had become hunted I was in a

depression had become hunted I was in a foreign land with a four month old baby

foreign land with a four month old baby

foreign land with a four month old baby I had left to other children aged four

I had left to other children aged four

I had left to other children aged four and five with my husband at home as I

and five with my husband at home as I

and five with my husband at home as I tried to adjust to a new way of life my

tried to adjust to a new way of life my

tried to adjust to a new way of life my thoughts became increasingly naked

thoughts became increasingly naked

thoughts became increasingly naked I was a bad mother I was a bad wife to

I was a bad mother I was a bad wife to

I was a bad mother I was a bad wife to make matters worse I was failing to

make matters worse I was failing to

make matters worse I was failing to attain the grades required of a doctoral

attain the grades required of a doctoral

attain the grades required of a doctoral student so I was a bad student and to

student so I was a bad student and to

student so I was a bad student and to add insult to injury my my academic

add insult to injury my my academic

add insult to injury my my academic advisor had told me that his only

advisor had told me that his only

advisor had told me that his only responsibility towards my academics was

responsibility towards my academics was

responsibility towards my academics was to sign my official documents when the

to sign my official documents when the

to sign my official documents when the need arose given my experience in mental

need arose given my experience in mental

need arose given my experience in mental health I knew I was sliding into

health I knew I was sliding into

health I knew I was sliding into depression so I told myself I so you

depression so I told myself I so you

depression so I told myself I so you must reverse the situation immediately I

must reverse the situation immediately I

must reverse the situation immediately I mustered all the courage I could and I

mustered all the courage I could and I

mustered all the courage I could and I went to the students Assistance Program

went to the students Assistance Program

went to the students Assistance Program to get help

to get help

to get help I was commended for seeking their

I was commended for seeking their

I was commended for seeking their services and they asked me to share my

services and they asked me to share my

services and they asked me to share my problems and I did and afterwards I felt

problems and I did and afterwards I felt

problems and I did and afterwards I felt like a heaven Lord had been lifted off

like a heaven Lord had been lifted off

like a heaven Lord had been lifted off my chest I was feeling better already

my chest I was feeling better already

my chest I was feeling better already I knew I had come to the right place and

I knew I had come to the right place and

I knew I had come to the right place and more help was on the way but then this

more help was on the way but then this

more help was on the way but then this is what I heard your insurance is the

is what I heard your insurance is the

is what I heard your insurance is the wrong type for this facility you need to

wrong type for this facility you need to

wrong type for this facility you need to change that at the moment there is not

change that at the moment there is not

change that at the moment there is not therapist who is a good fit for you when

therapist who is a good fit for you when

therapist who is a good fit for you when we find one we’ll get back to you in the

we find one we’ll get back to you in the

we find one we’ll get back to you in the meantime go to the Dean of studies and

meantime go to the Dean of studies and

meantime go to the Dean of studies and declare your disability so that you can

declare your disability so that you can

declare your disability so that you can get consideration in your examinations

get consideration in your examinations

get consideration in your examinations and if you get any thought of trying to

and if you get any thought of trying to

and if you get any thought of trying to kill yourself

kill yourself

kill yourself quickly run to the emergency room

now think about that for a moment I

now think about that for a moment I realized I had to help myself

realized I had to help myself

realized I had to help myself and this is what I did number one I

and this is what I did number one I

and this is what I did number one I continued to share my problems my

continued to share my problems my

continued to share my problems my difficult situations with people I trust

difficult situations with people I trust

difficult situations with people I trust in my network I called home more often I

in my network I called home more often I

in my network I called home more often I talked to my husband about the children

talked to my husband about the children

talked to my husband about the children my worries and he responded by sending

my worries and he responded by sending

my worries and he responded by sending me their report cards my children were

me their report cards my children were

me their report cards my children were scoring great a and money was going

scoring great a and money was going

scoring great a and money was going great see this was a wake-up call to

great see this was a wake-up call to

great see this was a wake-up call to stop my excessive worrying my children

stop my excessive worrying my children

stop my excessive worrying my children were fine they were thriving I recall

were fine they were thriving I recall

were fine they were thriving I recall spending hours on the phone with my

spending hours on the phone with my

spending hours on the phone with my brother Gonza offloading my problems

brother Gonza offloading my problems

brother Gonza offloading my problems onto him and I’d feel much better

onto him and I’d feel much better

onto him and I’d feel much better afterwards the point is if you remain

afterwards the point is if you remain

afterwards the point is if you remain silent you cannot get the help or the

silent you cannot get the help or the

silent you cannot get the help or the support that you need the second thing I

support that you need the second thing I

support that you need the second thing I did was to proactively increase my

did was to proactively increase my

did was to proactively increase my social support and network I forced

social support and network I forced

social support and network I forced myself to make friends with anyone who

myself to make friends with anyone who

myself to make friends with anyone who was willing to talk to me I made friends

was willing to talk to me I made friends

was willing to talk to me I made friends with academic coordinator and I learned

with academic coordinator and I learned

with academic coordinator and I learned that as a doctoral student I was

that as a doctoral student I was

that as a doctoral student I was entitled to a tutor so I took up that

entitled to a tutor so I took up that

entitled to a tutor so I took up that option and I improved my grades I also

option and I improved my grades I also

option and I improved my grades I also learnt I could change my advisor and I

learnt I could change my advisor and I

learnt I could change my advisor and I did

[Applause]

[Applause] I also learned that I could reach out to

I also learned that I could reach out to

I also learned that I could reach out to as many professors as I could in other

as many professors as I could in other

as many professors as I could in other departments who could help and guide me

departments who could help and guide me

departments who could help and guide me in my research research has shown that

in my research research has shown that

in my research research has shown that social support and connections are the

social support and connections are the

social support and connections are the strongest protectors against depression

strongest protectors against depression

strongest protectors against depression the third thing I did was to learn and

the third thing I did was to learn and

the third thing I did was to learn and practice positive coping skills in

practice positive coping skills in

practice positive coping skills in particular those required to deal with

particular those required to deal with

particular those required to deal with stigma and discrimination in the

stigma and discrimination in the

stigma and discrimination in the communities where I lived

communities where I lived

communities where I lived I was regarded different I mean I was

I was regarded different I mean I was

I was regarded different I mean I was reading books all the time I just didn’t

reading books all the time I just didn’t

reading books all the time I just didn’t seem to know how to have fun so no one

seem to know how to have fun so no one

seem to know how to have fun so no one wanted to associate with me I had to

wanted to associate with me I had to

wanted to associate with me I had to learn to accept those things about

learn to accept those things about

learn to accept those things about myself that I cannot change and to also

myself that I cannot change and to also

myself that I cannot change and to also surround myself with those people that

surround myself with those people that

surround myself with those people that support me what am I saying here I’m

support me what am I saying here I’m

support me what am I saying here I’m saying that positive coping skills

saying that positive coping skills

saying that positive coping skills protect against depression the last

protect against depression the last

protect against depression the last thing I did I increased my income

[Applause]

[Applause] I got an online job as part of a project

I got an online job as part of a project

I got an online job as part of a project in Uganda and as a result I could afford

in Uganda and as a result I could afford

in Uganda and as a result I could afford to buy an air ticket and fly home at the

to buy an air ticket and fly home at the

to buy an air ticket and fly home at the end of each semester to be with my

end of each semester to be with my

end of each semester to be with my family and friends research has shown

family and friends research has shown

family and friends research has shown that poverty is highly associated with

that poverty is highly associated with

that poverty is highly associated with depression and in the African context

depression and in the African context

depression and in the African context any intervention for depression must

any intervention for depression must

any intervention for depression must address the issue of poverty these four

address the issue of poverty these four

address the issue of poverty these four actions I took saved my life

actions I took saved my life

actions I took saved my life unfortunately for my colleague also a

unfortunately for my colleague also a

unfortunately for my colleague also a Fulbright Scholar in the same graduate

Fulbright Scholar in the same graduate

Fulbright Scholar in the same graduate program and as I did not survive her

program and as I did not survive her

program and as I did not survive her depression while in Uganda enjoying the

depression while in Uganda enjoying the

depression while in Uganda enjoying the comfort and the family the comfort of my

comfort and the family the comfort of my

comfort and the family the comfort of my family and friends I received an email

family and friends I received an email

family and friends I received an email from her and she said also I am

from her and she said also I am

from her and she said also I am overwhelmed I need to talk to you

overwhelmed I need to talk to you

overwhelmed I need to talk to you immediately I knew this was trouble and

immediately I knew this was trouble and

immediately I knew this was trouble and I’m so far away I told her I promise I’m

I’m so far away I told her I promise I’m

I’m so far away I told her I promise I’m going to be back within one week and

going to be back within one week and

going to be back within one week and I’ll come and see you the day after I

I’ll come and see you the day after I

I’ll come and see you the day after I arrived before I had a chance to talk to

arrived before I had a chance to talk to

arrived before I had a chance to talk to her she killed herself she took her own

her she killed herself she took her own

her she killed herself she took her own life just like I was devastated I

life just like I was devastated I

life just like I was devastated I thought I could teach my colleague the

thought I could teach my colleague the

thought I could teach my colleague the actions I took to push back depression

actions I took to push back depression

actions I took to push back depression but I didn’t get a chance I thought

but I didn’t get a chance I thought

but I didn’t get a chance I thought about the people living with hiv/aids in

about the people living with hiv/aids in

about the people living with hiv/aids in Uganda struggling with depression with

Uganda struggling with depression with

Uganda struggling with depression with no access to treatment and I made a

no access to treatment and I made a

no access to treatment and I made a decision I was going to help them after

decision I was going to help them after

decision I was going to help them after completing my doctoral studies I

completing my doctoral studies I

completing my doctoral studies I searched for an HIV program

searched for an HIV program

searched for an HIV program to work with me to fight depression the

to work with me to fight depression the

to work with me to fight depression the aid support organization tassel I agree

aid support organization tassel I agree

aid support organization tassel I agree to work with me

to work with me

to work with me I then come up with a bold idea to

I then come up with a bold idea to

I then come up with a bold idea to develop a culturally sensitive group

develop a culturally sensitive group

develop a culturally sensitive group therapy program to treat depression and

therapy program to treat depression and

therapy program to treat depression and these are the four aspects of that

these are the four aspects of that

these are the four aspects of that program number one the program uses talk

program number one the program uses talk

program number one the program uses talk therapy to treat depression according to

therapy to treat depression according to

therapy to treat depression according to the World Health Organization talk

the World Health Organization talk

the World Health Organization talk therapies should be the first treatment

therapies should be the first treatment

therapies should be the first treatment for mild to moderate depression number

for mild to moderate depression number

for mild to moderate depression number two the program uses a group approach to

two the program uses a group approach to

two the program uses a group approach to deliver these talk therapy from the

deliver these talk therapy from the

deliver these talk therapy from the works of Steven Biko it is well

works of Steven Biko it is well

works of Steven Biko it is well documented that Bantu Africans have a

documented that Bantu Africans have a

documented that Bantu Africans have a natural tendency to form group

natural tendency to form group

natural tendency to form group friendships as Africans we see our

friendships as Africans we see our

friendships as Africans we see our community as an extension of ourselves

community as an extension of ourselves

community as an extension of ourselves so our group approach is not only a good

so our group approach is not only a good

so our group approach is not only a good fit for our culture but also allows

fit for our culture but also allows

fit for our culture but also allows greater access to the program number

greater access to the program number

greater access to the program number three the program provides knowledge and

three the program provides knowledge and

three the program provides knowledge and skills as opposed to handouts

skills as opposed to handouts

skills as opposed to handouts participants are told how to seek social

participants are told how to seek social

participants are told how to seek social and emotional support they taught how to

and emotional support they taught how to

and emotional support they taught how to practice positive coping skills we teach

practice positive coping skills we teach

practice positive coping skills we teach them how to identify and initiate small

them how to identify and initiate small

them how to identify and initiate small viable income generating projects we

viable income generating projects we

viable income generating projects we provide them with basic financial skills

provide them with basic financial skills

provide them with basic financial skills like how to get the money how to budget

like how to get the money how to budget

like how to get the money how to budget for that money how to find market for

for that money how to find market for

for that money how to find market for the product the last thing is that in

the product the last thing is that in

the product the last thing is that in this program will ensure that the group

this program will ensure that the group

this program will ensure that the group sessions are culturally appropriate what

sessions are culturally appropriate what

sessions are culturally appropriate what do I mean by that

do I mean by that

do I mean by that participants attending this program are

participants attending this program are

participants attending this program are put in gender specific groups that means

put in gender specific groups that means

put in gender specific groups that means women meet alone and the men meet alone

women meet alone and the men meet alone

women meet alone and the men meet alone cause the issues are different the

cause the issues are different the

cause the issues are different the facilitators of these groups must be the

facilitators of these groups must be the

facilitators of these groups must be the same gender as the group participants

same gender as the group participants

same gender as the group participants the group facilitators guide the

the group facilitators guide the

the group facilitators guide the sessions using a manual in the local

sessions using a manual in the local

sessions using a manual in the local language

language

language local rituals are inserted within each

local rituals are inserted within each

local rituals are inserted within each group sessions and in between sessions

group sessions and in between sessions

group sessions and in between sessions participants are given assignments that

participants are given assignments that

participants are given assignments that increase social norms and values the

increase social norms and values the

increase social norms and values the women in this program prefer to sit on a

women in this program prefer to sit on a

women in this program prefer to sit on a mat and they allowed to do so and

mat and they allowed to do so and

mat and they allowed to do so and they’ve nicknamed is matched the pain

they’ve nicknamed is matched the pain

they’ve nicknamed is matched the pain reliever a clear testimony that whatever

reliever a clear testimony that whatever

reliever a clear testimony that whatever they discuss on that mat relieves their

they discuss on that mat relieves their

they discuss on that mat relieves their pain this program has received both

pain this program has received both

pain this program has received both national and international praise we

national and international praise we

national and international praise we have been supported by the Canadian

have been supported by the Canadian

have been supported by the Canadian government through Grand Challenges

government through Grand Challenges

government through Grand Challenges Canada as well as MQ transforming mental

Canada as well as MQ transforming mental

Canada as well as MQ transforming mental health a charity based here in London so

health a charity based here in London so

health a charity based here in London so what happened the outcomes of this

what happened the outcomes of this

what happened the outcomes of this program women liked better

program women liked better

program women liked better the one with the red sock Oh Betty now

the one with the red sock Oh Betty now

the one with the red sock Oh Betty now report feeling more empowered and more

report feeling more empowered and more

report feeling more empowered and more in control of their emotions they speak

in control of their emotions they speak

in control of their emotions they speak up taking better care of their children

up taking better care of their children

up taking better care of their children Betty gained friends hope and motivation

Betty gained friends hope and motivation

Betty gained friends hope and motivation to continue to live and contribute to

to continue to live and contribute to

to continue to live and contribute to her community today but it has a sweet

her community today but it has a sweet

her community today but it has a sweet potato garden and also a herd of God’s

potato garden and also a herd of God’s

potato garden and also a herd of God’s from which she gets money to meet her

from which she gets money to meet her

from which she gets money to meet her basic needs Sabrina who was who felt he

basic needs Sabrina who was who felt he

basic needs Sabrina who was who felt he should die prior to joining the program

should die prior to joining the program

should die prior to joining the program teamed up with his group members and

teamed up with his group members and

teamed up with his group members and they started a project of growing

they started a project of growing

they started a project of growing vegetables for sell his share of the

vegetables for sell his share of the

vegetables for sell his share of the proceeds

proceeds

proceeds he used to set up a for a custom garden

he used to set up a for a custom garden

he used to set up a for a custom garden from which he and millions of uganda

from which he and millions of uganda

from which he and millions of uganda shillings he also acquired a herd of

shillings he also acquired a herd of

shillings he also acquired a herd of God’s today sabrina is a clan leader and

God’s today sabrina is a clan leader and

God’s today sabrina is a clan leader and he’s a treasurer at the primary school

when we interviewed Severino two years

when we interviewed Severino two years after participating in this program he

after participating in this program he

after participating in this program he referred to the group sessions as the

referred to the group sessions as the

referred to the group sessions as the best talk of living his own words my

best talk of living his own words my

best talk of living his own words my colleague at the Graduate School never

colleague at the Graduate School never

colleague at the Graduate School never had the chance to share in the best talk

had the chance to share in the best talk

had the chance to share in the best talk of living perhaps if she had she would

of living perhaps if she had she would

of living perhaps if she had she would have felt as empowered as the men and

have felt as empowered as the men and

have felt as empowered as the men and women we have supported since then there

women we have supported since then there

women we have supported since then there are millions like her without access to

are millions like her without access to

are millions like her without access to culturally sensitive talk therapy I’m

culturally sensitive talk therapy I’m

culturally sensitive talk therapy I’m sure you all know someone who might be

sure you all know someone who might be

sure you all know someone who might be struggling with depression what can we

struggling with depression what can we

struggling with depression what can we do about it what can you do about it we

do about it what can you do about it we

do about it what can you do about it we have a formula here that works a formula

have a formula here that works a formula

have a formula here that works a formula that has been published in the lancet

that has been published in the lancet

that has been published in the lancet HIV journal you can spread the good news

HIV journal you can spread the good news

HIV journal you can spread the good news my dream is to see this program embedded

my dream is to see this program embedded

my dream is to see this program embedded in other health programs not only in

in other health programs not only in

in other health programs not only in Uganda but also in communities across

Uganda but also in communities across

Uganda but also in communities across Africa we will not only save lives but

Africa we will not only save lives but

Africa we will not only save lives but will help people thrive I believe that

will help people thrive I believe that

will help people thrive I believe that together we can give so many more the

together we can give so many more the

together we can give so many more the best talk of living

best talk of living

best talk of living [Applause]

”

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