To commemorate World Mental Health Day, which falls on the 10th of October, and as part of ongoing efforts to promote mental health awareness, the latest episode of Baguio Chronicle podcast Health Matters is dedicated to shedding light on a sensitive topic oft discussed in whispers: mental health concerns and the increasing need to address these, especially in the workplace.
With the expertise of Dr. Gwendolyn Cayad, the chairperson of the Department of Psychiatry at Baguio General Hospital and Medical Center (BGHMC), podcast hosts Doc Tong Untalan and Manang Lucy discussed the state of mental health in Baguio and the steps being taken to combat the stigma surrounding it.
How mental health is misunderstood and stigmatized
Mental health is often misunderstood, and Dr. Cayad wasted no time in clarifying its importance.
She explained that mental health is integral to one’s overall wellbeing, much like physical health. The stigma surrounding mental illness often leads people to ignore or avoid addressing issues like depression, anxiety, bipolar disorder, or schizophrenia—conditions that, like diabetes or hypertension, require medical intervention and treatment.
“One commonly discussed topic today is the rising incidence of suicide, particularly among the youth. This became more apparent during the pandemic, when cases of depression spiked due to the isolation and uncertainty brought about by the lockdowns,” Dr. Cayad shared.
While severe mental disorders like schizophrenia and bipolar disorder affect a smaller percentage of the population, conditions like depression and anxiety are far more common and require greater attention.
The role of the Mental Health Law
In recent years, the passing of the Mental Health Law has played a significant role in addressing these concerns.
According to Dr. Cayad, the law has been instrumental in breaking down barriers to mental healthcare, ensuring that services are accessible even at the community level. Under this law, comprehensive care centers have been established across the country, with BGHMC serving as an advanced comprehensive care center for the Cordillera region.
“We have a 40-bed capacity for inpatient care, which allows us to manage mental health cases from all over the region,” Dr. Cayad explained.
However, the process of seeking help begins at the local barangay health centers, where initial consultations can be made. From there, patients may be referred to higher-level facilities like BGHMC, if further care is needed.
Recognizing the symptoms of mental health issues
One of the key challenges in addressing mental health issues is recognizing the symptoms early.
Dr. Cayad outlined several signs that may indicate the need for professional help, including difficulty sleeping, lack of interest in activities, withdrawal from social interactions, and auditory hallucinations (hearing voices). More serious symptoms, like suicidal thoughts, require immediate attention.
“If someone used to enjoy watching TV or socializing with friends but suddenly loses interest, this could be a sign of depression,” she said. “Suicidal thoughts are also a major red flag. It’s important for family members and friends to be vigilant and supportive when they notice these changes.”
The impact of genes
Dr. Cayad also touched on the role genetics can play in mental health disorders, comparing them to conditions like diabetes that may run in families.
However, she stressed that genetics is only one factor, and environmental triggers like stress, trauma, and lifestyle choices can also contribute to the onset of mental health issues.
Mental health in the workplace
This year’s Mental Health Week theme centers around mental health in the workplace, a timely focus given the increasing incidence of workplace burnout.
Dr. Cayad explained the difference between burnout and more serious mental health conditions, such as depression.
“Burnout happens when work demands exceed your available resources, leading to stress. If the stress is removed and you feel better, then it’s simply burnout. But if the stress is gone and you still can’t return to your normal self, it could be a deeper mental health issue.”
Dr. Cayad emphasized the importance of proper stress management techniques in preventing burnout. While taking breaks, setting boundaries, and practicing self-care can mitigate burnout, more severe cases may require professional intervention, including therapy or medication.
The importance of seeking treatment
For those suffering from mental health disorders, Dr. Cayad pointed out that treatment often involves a combination of medication and therapy.
She used depression as an example: “With depression, serotonin levels in the brain may be low. Medications can help increase serotonin, but it takes about two weeks for patients to feel the effect. Treatment must be sustained for a longer period to restore mental balance.”
In addition to medication, therapy plays a critical role in recovery. Therapy helps patients navigate their thoughts and emotions, so they have the tools they need to manage their conditions more effectively.
However, Dr. Cayad noted that there is still a shortage of mental health professionals in the Philippines, especially in rural areas. This shortage makes it even more important to utilize resources like local barangay health centers, where initial help can be accessed.
Mental health awareness in Baguio
Happening every second week of October, Mental Health Week is an annual event that promotes greater awareness and understanding of mental health issues.
Baguio General Hospital, along with other healthcare institutions, is spearheading activities to engage the community and reduce the stigma associated with mental health disorders.
The week culminates in a fun run open to the public, which aims to highlight the importance of mental well-being through physical activity—a reminder that mental health is as crucial as physical health.
Dr. Cayad encourages the public to participate in these events and take part in the conversation about mental health.
“It’s important that we all do our part in reducing the stigma. Mental health is not something to be ashamed of. Early intervention can make a big difference, and help is available,” she said.
Getting help—where to start
For individuals experiencing symptoms of mental health issues or those who know someone who might need help, taking the first step is often the most difficult.
However, Dr. Cayad reassures listeners that mental health services are readily available.
Local barangay health centers can provide initial consultations, and for more serious cases, referrals can be made to BGHMC or other comprehensive care centers. Additionally, Baguio’s mental health crisis hotline can be accessed easily for immediate assistance, especially for urgent cases.
Dr. Cayad’s final message to listeners is simple yet impactful: “Mental health is just as important as physical health. If you or someone you know is experiencing symptoms like lack of sleep, loss of interest in activities, or extreme mood changes, don’t hesitate to seek help. We have many doctors here in Baguio who can assist you.”
With this in mind, the community is reminded that awareness, understanding, and early intervention can significantly improve the quality of life of people dealing with mental health issues and that of their loved ones.
