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mental health care

A map of the human nervous system and a stressed woman.

There has been an alarming increase in the number of Americans who experience chronic pain, disease, and mental illness. According to the White House, six in 10 Americans have at least one chronic disease, and four in 10 have two or more chronic diseases. A 2023 CNN survey found that 90% of Americans feel we are in a mental health crisis, and according to Pew Research, 38% more people are in mental health care since the onset of the pandemic than before.

What’s the cause of this rising tide of poor physical and mental health in the U.S.? Brittany Piper, a 36-year-old Somatic Experiencing practitioner and author of Body-First Healing, believes there is a single cause for this destructive trend. "It is my personal and professional belief that the drastic rise we are seeing in chronic physical and mental illness can be attributed to this one thing. Basically, we have created a world that our nervous system no longer wants to live in,” she said in a TikTok video with over 900,000 views.

@healwithbritt

We created a world our nervous system doesn't want to live in #survivalmode #chronicillness #anxietyrelief #chronicpain #mentalillness #nervoussystemregulation #fightflightfreeze

To explain her theory, she said we should look at our nervous system—the body’s command center that transmits brain signals throughout the body—as a security system. Whenever this system detects a perceived threat, it releases survival hormones into the body, such as adrenaline and cortisol, to prepare you for battle. “Now, as survival becomes priority number one, all of the other working systems within the brain and body, like your hormones, your immune system, digestion, muscular, skeletal, etc. These all fall to the back burner and become disrupted,” Piper posits.

Piper argues that prolonged exposure to these stressors means that we continue to produce stress hormones, creating a vicious cycle. “Walk through the doors of my practice every single day with my clients. Symptoms like anxiety, depression, burnout, fatigue, chronic illness, chronic pain, digestive issues, fibromyalgia, migraines, TMJ, dissociation, and so much more,” she said.

 nervous system, stress, human body, healing, work, pain, chronic illness, therapy A stressed woman talking to her therapist.via Canva/Photos

Piper outlined six reasons why we are stuck in survival mode:

1. Pressure to succeed

2. Divisive political climate

3. A culture of emotional suppression

4. Unhealthy environment

5. Constant catastrophic news

6. Personal guilt

The good news is that Piper didn’t just describe the problem, but also shared six ways to heal our stressed nervous systems.

Six ways to heal a stressed nervous system

 feet, water, hike, stream, healing, nature, boots A woman crossing a pond.via Canva/Photos

Step 1: Slow down

Permit yourself to slow down to the slowest part of you.

Step 2: Get into your body

Get out of your head and into your body, which is where your nervous system lives, operates, and constantly communicates with you through your emotions, feelings, and sensations.

Step 3: Become present

Your nervous system is always being pulled into the past or to the future. Instead, when you slow down, take the time to be present in the moment with your body and senses.

Step 4: Take time to validate

Acknowledge what sucks, what's hard in your life, what triggers you. But also take time to acknowledge the positive parts of your life.

Step 5: Focus on what you can control

Give more power to what you actually can control and influence.

Step 6: Regulate the chaos

Identify what regulates your nervous system. These could include activities such as nature play, co-regulation, spending time with family, music, expression, dance, and other forms of creative engagement.


Piper’s post brings up a very important question in American life: Has our dependence on technology, high-pressure work ethic, disconnection from nature, and culture, obsessed with negative news and division, finally reached the tipping point where the society we’ve created no longer bears any resemblance to the world in which we evolved to thrive? If so, how can we create a more harmonious way of living that fosters both health and material abundance?

Getting mental health care in America can be difficult. In Zimbabwe, it's near impossible.

The country is home to 15 million people and only about 10 psychiatrists. For comparison, the United States has at least 24,000 psychiatrists. But depression and anxiety are not just a first world problem.

"Common mental disorders impose a huge burden on all countries of sub-Saharan Africa," said health researcher Dr. Dixon Chibanda in a press release.


Zimbabwe has a secret weapon though: the Friendship Bench.

Image from The Friendship Bench Project, used with permission.

Developed from over 20 years of community research, The Friendship Bench Project is a different and smart way to tackle mental health care.

You can find one of the inviting benches outside some of Zimbabwe's many health clinics. Sitting down, you might get a visit from an older woman. These women are known as golden ladies or grandmothers. You can talk to them. They listen. Then, they might help you identify problems in your life or give you advice to help you feel positive and in control.

Its might seem simple, but these grandmothers are health workers — and very effective.

Photo from Grand Challenges Canada/Flickr, used with permission.

They're not just dispensing random advice. The grandmothers are health care workers who've have been trained in what's called problem-solving therapy. And it turns out it could be a pretty effective strategy.

A recent study published in the Journal of the American Medical Association compared the grandmothers against the usual care options, including a nurse assessment or optional medications. The study found that after six visits to the Friendship Bench, visitors were three times less likely to have the symptoms of depression six months later (50% versus 14%). The results were even more striking for anxiety or suicidal thoughts.

There were, of course, a few limitations to the study. Not a lot of men signed up, for example. And there's some more nuance, like exactly how the comparison was done. If you're interested, the full text is here. But the bottom line is that it seems to have worked.

Better mental health care is important for everyone, but low- and middle-income countries may need it especially badly.

"In many parts of Africa, if you are poor and mentally ill, your chances of getting adequate treatment are close to zero," said Karlee Silver in a press release about the Friendship Bench Project. Worse still, in many places in Africa, there's still a stigma — sometimes very serious stigma — around mental disorders and mental health care.

And all this adds up. In addition to adding to human suffering, the cost of treating mental health problems and lost productivity are estimated to cost low- and middle-income countries $870 billion a year. The number may grow to more than $2 trillion by 2030.

That's why it's so heartening to see clever programs like The Friendship Bench Project at work.

Photo from Grand Challenges Canada / ZAPP.

So far, over 27,500 people have used The Friendship Bench Project.  

The program's been working with a number of other organizations too, such as the Zimbabwe Ministry and Health and Grand Challenges Canada. They are currently located in a few of Zimbabwe's cities, including Harare, the capital, but are planning to expand to even more clinics.

They also plan to reach out to more vulnerable populations, such as youth or refugees, in the future.