health and safety mental health At a glance ▸▸ 3 million Australians are living with anxiety or depression ▸▸ 45% of Australians will experience a mental health condition in their lifetime out assistance early on. “You don’t have to wait until things are really bad. We prefer people to contact our service, or any other mental health service that they’d prefer early in the piece, because we know if problems are nipped in the bud, there’s a quicker recovery. Whereas, if things drag on, people can become quite unwell and it can take just that little bit longer to turn things around and recover. “It’s never too early to contact a service ▸▸ Mental health and suicide rates tend to be higher in regional areas A brighter light shone on mental health Mental health is often overlooked, but addressing symptoms of depression and anxiety early on can be extremely beneficial. Jessica Strauss looks what mental health issues are prevalent and what to do if you find yourself dealing with overwhelming stress, anxiety or depression. B eyondblue’s policy, research and evaluation leader Dr Stephen Carbone said two of the most critical signs of depression were persistent low mood, generally for more than two weeks. The other common symptom was a feeling of loss of interest or pleasure in life. “There’s a range of other symptoms too. Often people can have physical changes. They may experience trouble with their sleep, either getting to sleep or waking up earlier than they want to. They might lose their appetite and as a consequence they might lose weight,” Carbone said. “Mentally or psychologically they often start to develop very negative and pessimistic thinking. They might be quite self-critical. They may think they’re a failure and think that everything they do doesn’t work. They may look at their life and think ‘I haven’t achieved what I wanted to’. They’re tending to be always picking holes in things and finding the faults. When they look at their future they think things are bleak and are never going to change.” Most people would have a variety of those physical and psychological symptoms, accompanied by that persistent low mood and loss of pleasure, Carbone said. anxiety and DEPRESSION go hand in hand While depression is arguably the most well-known when it comes to mental health issues, there is a range of other mental health problems which people might be less familiar with. Carbone said there was a range of anxiety conditions such as phobias, panic disorders, generalised anxiety where the main feature of the condition would be a tension, anxiety or nervousness. 32 Farming Ahead July 2015 No. 282 “Quite commonly, anxiety and depression can go hand in hand and the two often occur together. Those who experience depression often also experience anxiety and vice versa,” he said. “So anxiety and depression are both quite common and then you’ve got a range of others, such as alcohol and drug problems which are considered as mental health conditions. There are also conditions like as psychotic schizophrenia, eating disorders and several more. Studies on RURAL versus metro differ The studies vary on the status of mental health in rural areas, compared to metropolitan ones, according to Carbone. “There have been surveys looking at what we call psychological distress, which includes symptoms of stress and strain. There are examples of where we’ve seen psychological distress levels being higher in people living in rural and remote communities, compared to metropolitan areas. “Some studies have also shown rates of depression and anxiety is a bit higher. Certainly these conditions are common across the whole country, but they do seem to be of somewhat higher prevalence in rural and remote areas. Certainly we know suicide rates are higher in rural and remote areas, compared to the metro areas.” SEEKING OUT ASSITANCE Social isolation can be one of the risk factors for developing depression and anxiety. With many people living in rural areas often not in close proximity to other people in their community, it is really important to be involved in social occasions, according to Carbone. Having a social and support network is really important for everyone to have. “Sometimes just staying in touch with others is one of the things which buffers you and helps to protect you against those hard times, depression and anxiety.” TREATMENT Carbone said nowadays we have the benefit of a lot of services being out our disposal, either as telephone services or through online. “There’s a variety of telephone help lines, referral lines and advice lines, including the beyondblue support service. People can ring our number and talk to a trained mental health professional and discuss their situation and get some advice,” he said. “There are also a lot of online programs. So people can look at these models which have been researched and proven to help learn the strategies to overcome depression and anxiety. Some of those combine telephone counselling with online. So you’ve got a therapist over the phone and a module you do online. “Some people like that, but some people prefer face-to-face consultations with a therapist or counsellor. A good place to start is your local GP and either the GP can help you themselves, or than can refer you onto social works, psychologists, or other people who can provide the sort of counselling therapies which are good for anxiety and depression. “ SQUASHING THE STIGMA While attitudes toward depression and anxiety have improved in leaps and bounds in recent years, there is still stigma attached to these disorders, which may prevent people seeking out help when they really need it or would benefit from it. An important point is you do not have to wait until you have a crisis to seek out help, with it often being more beneficial to seek www.farmingahead.com.au stress management techniques we can employ when necessary. People can learn these techniques and skills through books and online, without having to go and see a trained professional. Those sorts of things build your resilience and can help protect you against depression and anxiety,” Carbone said. “People of the land can sometimes feel like they’re alone, but we want them to be assured that help is only a phone call see funds directed through our Community Investment Program and almost half of the growers surveyed saw mental health as the highest priority for our support.” Crane said the CBH Black Dog Mental Wellness Program built on the existing work already in place by a variety of organisations that offered resources to regional people and reduced the stigma of mental illness. “The program will support the delivery “It’s never too early to contact a service for help in a sense. If you’re not sure and you want to just test the waters, just give beyondblue a call. We’d like to encourage people to learn about their condition, help and manage themselves. What we see, is some people feel as though they’re embarrassed, ashamed or may feel they don’t qualify for help as they don’t believe they’re sick enough. We want to quash that and say that it’s always ok to seek assistance. Come whenever you want to, is the message.” – Dr Stephen Carbone for help in a sense. If you’re not sure and you want to just test the waters, just give beyondblue a call. We’d like to encourage people to learn about their condition, help and manage themselves. What we see, is some people feel as though they’re embarrassed, ashamed or may feel they don’t qualify for help as they don’t believe they’re sick enough. We want to quash that and say that it’s always okay to seek assistance. Come whenever you want to, is the message.” how lifestyle can help divert the issues There are protective factors which reduce the chance that someone would develop depression or an anxiety condition, according to Carbone. “Some of those factors are practical lifestyle choices like healthy eating, regular physical activity and good sleep patterns. Having pleasurable and enjoyable things in your life, as well as taking the time to relax and unwind are all important.” Carbone could not stress enough, the importance of having people around you, saying one of the biggest protective factors is a good support network of people who you can turn to in times of difficulty, or just to have a laugh and socialise. Being a part of a club or association, or just being involved in your community all can help build and sustain those social networks. “There are some personal skills which can help too. We can all benefit from learning how to solve problems effectively, communicate well with others and have www.farmingahead.com.au away and whilst it can be difficult travelwise, there are people who can help you work around these things if you need some extra help to get through a difficulty you’re experiencing.” CBH SUPPORTS black dog institute TARGETING GROWERS in wa Mental health continues to get a brighter light shone upon it, with corporations and communities stepping up their game when it comes to addressing it in their communities and workplaces. The Black Dog Institute recently announced a partnership with Western Australian-based grain cooperative CBH Group to provide additional mental health services to grain growing communities. Recent statistics show Australian men in regional areas are up to 2.5 times more likely to die by suicide than their urban counterparts. Women and young people living regionally are also significantly affected by mental illness. CBH Group CEO Dr Andy Crane said this partnership was a great opportunity to offer resources to regional communities dealing with mental health issues. “CBH has a strong focus on safety, sustainability, health and wellness,” Crane said. “The aim of this program is to provide grain growing communities with greater access to services that help address this very important and serious issue. “We surveyed growers at the beginning of 2014 about where they would like to of workshops for communities, health professionals, farm businesses and high school students,” he said. According to Black Dog Institute director Professor Helen Christensen, the education and awareness programs had been designed to ensure a maximum benefit for the communities involved with a focus on three key areas. “The first target group are community GP’s and health professionals, they are often the first port of call for people experiencing mental health issues,” she said. “We will be providing this group with evidence-based training to ensure they are armed with the best possible tools for diagnosis, treatment and ongoing management. We will be engaging with 120 farm businesses to improve mental health literacy and encourage conversation. “Finally, we often say that prevention is the best cure [and] with this in mind, we will also be empowering around 9000 high school students across the Wheatbelt to recognise the signs and symptoms of poor mental health in themselves and others.” The program has been funded by the CBH Group and will be delivered by Black Dog Institute clinicians and volunteers in partnership with local presenters. Contact Beyondblue www.beyondblue.org.au Help line 1300 22 4636 Lifeline www.lifeline.org.au 13 11 14 No. 282 July 2015 Farming Ahead 33
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