Challenges of anti-HIV drugs
With improvements in anti-HIV drugs since 1996, many of those we interviewed reported coping very well with their medication. They said they only had mild...
Depression and anxiety were common problems for the people we interviewed. Depression affects the way you think, your feelings, behaviour and physical wellbeing. Depressed people can feel sad, lose interest in life and lack energy. They may also feel guilty and worthless, lack confidence, have poor concentration, sleep badly, feel fearful and have thoughts of suicide. A number of people pointed out that depression can creep up on you, so your friends may notice your depression before you do.
People also talked about other problems including grief, loneliness, insomnia, isolation, manic-depression, phobias (e.g. of leaving the house), panic attacks and being suicidal.
The World Health Organisation (WHO) says that mental health is: ‘A state of wellbeing in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.’ (May 2017) Mental health problems involve the lack or loss of these abilities. Nearly everyone we talked to faced such issues at one time or another and many said there should be no shame in having an emotional problem.
Even if people could not understand their problems at the time, they usually gave reasons for their difficulties. Some people had a family history of emotional problems and most people’s stories described how life problems affected their wellbeing. When problems multiplied or seemed overwhelming, their health could suffer. One man said, “I mean I just cracked up. I just found I’d had too much stress for too long, from too many sources.”
People talked about a number of different things that made them feel depressed or anxious, including:
Compared to white people born in the UK, people from Black and minority ethnic backgrounds often face more pressures. Black Africans we spoke to had a range of extraordinary pressures to deal with including seeking asylum, financial problems, difficulties in getting work and cultural differences.
It is more difficult to look after yourself when you have a mental health problem. Many people also thought that too much stress was not good for your immune system once you had HIV. While some people found it hard to ask for help, people frequently needed help to overcome their emotional difficulties.
Either the GP or the HIV doctor is a good place to start. Doctors can prescribe medication for mental health problems e.g. an antidepressant, discuss options available, mobilise more support within the health system e.g. psychiatrists, sign a person off work, and some have good counselling skills. A range of other professionals can also help. For instance, HIV clinics and hospitals usually have counsellors, nurses and social workers available in who can help.
People find their own way of dealing with their emotional problems: there is no one right way. While there are many professionals and people who can help along the way, you have to do a lot of the work yourself. The good news though is that for conditions like depression, people do tend to recover, even if things seem very bad at the time.
Apart from getting good treatment for HIV and so feeling better physically, people mentioned several other things that helped them:
With improvements in anti-HIV drugs since 1996, many of those we interviewed reported coping very well with their medication. They said they only had mild...
"There is light at the end of the tunnel, but you have got to live life positively." Positive attitude One thing many people told us...