Essential Grace Magazine September Issue

Essential Grace Magazine September, 2020

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Grace essential for the mind, body, and soul

Vol. 1 Issue No. 2

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We are all about promoting positive mental health!

Look out for different themes every month related to raising awareness, conversations, actions, and finding practical solutions to the many mental health challenges we face as Malawians both within and beyond our borders.

We explore nutrition, exercise, skin and hair care, rest, alternative therapies for good health, and many more practices to keep the mind, body, and spirit going strong.

The goal? To create and promote sustainable, holistic health for our readers!

Although we at Essential Grace are Christian creatives, we do not limit our content to one specific faith audience.

Our platform has been created for all religions, faiths, and personal spiritual choices.

Our aim is to inspire positive lifestyles and to educate each other on what works and on what hinders positive change.

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Dear Reader, Dear Reader, Welcome to the second issue of Essential Grace Magazine. This month our focus is on spirituality and mental health. A topic that is too broad to go through in a just a few pages. As you will discover in the articles; spirituality is not the same as religion or faith. There is faith based spirituality, which is widely practiced and considered the only form of spirituality. However, there are many ways through which human beings are spiritual. We take a look at the Christian perspective through an article from Pastor C. Suya, an Islam based perspective from our online feature; and a traditional medicine based perspective from a healer based in Ekwendeni, Malawi.

Spirituality can and does form a crucial part of mental health as evidenced through the story of the Prophet Elijah in the Bible. He suffered much trauma and times of what we can call depression in modern western terms. What treatment did God provide to heal Elijah’s suffering? Food and rest. That was all it took in that particular crisis to restore him to sound mind. Sometimes all we need in times of mental and/or emotional distress is some good rest, some wholesome food, to be out in nature, to be in a quiet place, and sometimes to be in really good company. All these are spiritual practices, they feed our soul and when regularly practiced can help to ease the heavy burden that comes through living with mental illness.

Lastly, although September is suicide prevention month, that does not limit us from being continuously mindful of this huge problem in our society and actively doing something to help those that are suffering around us.

Happy reading!

Julie Soko Managing Editor Essential Grace Magazine essentialgrace@zoho.com / @essentialgracemagazine2020 4|Essential Grace Magazine

Meet the team Julie Soko, Managing Editor

Special Thanks to: Mtendere Kishindo: Sub-Editor Naomi Msusa: Editorial Assistant Art and Design Thandi Soko De-Jong: Editorial Assistant W. Gondwe: Editorial Assistant Contributors Pastor Umodzi Mizere, Habiba Khanom, Pastor Christopher Suya, Dumisa Mbano, Yoschabel Nkonosawa, Julie Soko We welcome feedback, comments, letters, questions, and contributions from our readers.

Essential grace Magazine is a registered publication focusing on promoting mental health and wellness in Malawi and beyond.

Contact us for information at 0991 938 203 Comments and feedback on any of our articles or contributors can be addressed to essentialgrace@zoho.com / essentialgrace.submissions@yandex.com or through the contributors personal contact information.

Our postal address is P.O. Box 323, Zomba, Malawi

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In this Issue Have you ever wondered how mental health is perceived by a traditional healer in Malawi?

Read more in the What’s the Story section to find out more.

My Story features the story of a Blantyre based Pastor who gives an account of his experiences as a Christian living with Bipolar Disorder.

Learn about the healing powers found in the humble mango leaf in our Wellness section.

Recipe for mango leaf tea included.

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Mental Health Focus The month of September is a significant one in the world of mental health. It is world suicide prevention month, with world suicide prevention day falling on the 10th of September. Look out for this theme throughout the magazine, along with contact details of therapists within Malawi who would be able to help should you need support. We also remind each other on COVID 19 highlights in the year through animation.

My Story:

Featured Articles on pages 9 and 16

What’s the Story?

spirituality and mental health articles from page 18 to 37.

Christian spirituality.

Spirituality from the Biblical

perspective on page 38

Suicide prevention month:

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Suicide in Malawi on page 44

Cover Feature

Our cover features an orchid found on Zomba Plateau called Satyrium rynchantoides this beauty is found at Orchid Rock, one of the few sites within Zomba where you can appreciate the rare and beautiful wild orchid. These are some photos taken during the blooming season of 2019.

Satyrium crassicaule found at Orchid Rock on Zomba Plateau

Although the flowers themselves are beautiful to look at, they are not the only thing to appreciate. Nature, plants, and the fresh mountain air can provide many healing spiritual benefits.

In fact, just being outdoors looking for and identifying these rare orchids is refreshing and a great outing for family and friends.

Disa Erubescens found at Orchid Rock on Zomba Plateau

As you will discover in this issue, spirituality and religion are not one and the same thing.

Some of the positive spiritual exercises you can practice can be done right where you are, with very little cost. What matters is knowing what you are looking for and learning to appreciate the beauty around you.

Disa Saxicola found at Orchid Rock on Zomba

Find out more about these flowers and their blooming seasons in Malawi at www.malawiflora.com or purchase a book on Zomba Orchids from Zomba Forest Lodge on +265 0997 317 09 8|Essential Grace Magazine

Since that diagnosis, I have really struggled with depression and all sorts of negative emotions. I struggled with self-pity, anger, and sadness. As I mentioned earlier; I struggled - and still battle with - suicidal thoughts. Various

By Pastor Umodzi times I tried to stab Mizere myself with a knife or electrocute myself by My diagnosis putting a metal I was diagnosed with object in the socket, Bipolar Disorder II in 2009. hoping that I would I have always had mental die. For some reason health problems for as long I never went through as I can remember. with it. I would However, it was an always think of the incident that happened in consequences, and 2009 that brought on a how it would hurt major change in my life. It others especially my started when I sprained my friends and family.

Pastor Mizere ministers to ankle while playing football On one occasion, a the Bvumbwe Baptist with my classmates. I then close friend stopped congregation in Blantyre, developed intense pain in me just as I tried to Malawi. A church my right foot and the doctor strangle myself with a established in July, 2019. diagnosed me with gout. belt. I considered that After that, I began to slip He is passionate about to be God’s grace. into a severe depression. spreading the Gospel and Throughout the sharing his story to promote My injury preceded rest of 2009 I better mental health my selection to study at the struggled with awareness in society.

African Bible College. I was depression. not only depressed, but I Sometimes I wished I was angry and suicidal and on various was dead. What kept me going in those occasions I tried to take my life. That times was my faith in Christ, friends was the beginning of my battle with and some of my family members. At Bipolar Disorder II. I pulled out of first I suffered in silence, I was afraid to college and headed back home to start tell people how I felt for fear of judgment meeting with a psychologist in Blantyre and rejection. But by the grace of God, recommended by my mother. It was my close friends and some members of then that I was diagnosed Bipolar Disorder II.

My Story

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my family stood by me and encouraged me.

The pain in my injured ankle became a real problem for me. This pain led to bouts of severe depression throughout the rest of 2009. Often I would wish that I could die because of the intense pain in my foot due to the gout. The gout eventually cleared up but there remained a chronic pain in my right foot which was so bad that I struggled to walk and begun to use crutches. I entered the year 2010 still using crutches and still in great pain.

The pain in my right foot had left me temporarily handicapped and dependent on crutches. I started to go to physiotherapy, as recommended by my doctor. It was then I began to improve, and regain the use of my right leg. As the pain improved so did my mental health. It was not easy living with chronic pain and depression; as the two were connected. When the pain was bad, which it constantly was, it would affect me mentally, I would become withdrawn, shout at people and lose my temper often. Fortunately, my friends and family never gave up on me.

In the middle of 2010, I regained use of my leg. I began to do what I love and was called to do, to preach and share about Christ. As months went by I went for therapy with my psychologist every week. I improved and was mentally stable until I had a setback.

The pain in my foot returned with a vengeance, and so did the depression!

I fell into severe depression, and became suicidal once more. I just could not understand why this was happening 10 | E s s e n t i a l G r a c e M a g a z i n e

to me again! The depression, low moods, and sadness were overwhelming. For about two weeks in 2010 I remained in my bedroom, not talking much and very downhearted.

This setback happened just as I was about to return to college to repeat my freshman year. I was reluctant to return to college because of it. I still remember it like it was yesterday, my pastor called me and said if you don’t return to college your future will be doomed.

Those words both encouraged and challenged me. I decided to take a step of faith and return to college, handicapped and still battling with depression.

The College Years My college years were not easy. I struggled with extreme pain in my foot and depression so that sometimes I would miss classes. Sometimes I would even spend days in bed.

The Lord was gracious towards me and enabled me to have favor with my professors, I shared with them that I struggle with extreme pain in my leg and about the bipolar disorder. During those times I would go to talk to my professors in their offices and they would talk with me, love me, and pray with me. They were so supportive and showed me much love and grace that it greatly encouraged me. As a result, I flourished in my studies in spite of frequent absences from classes. This gave me the strength to carry on with my studies in spite of the challenges I had. God raised up people who were for me at college and not against me.

I continued to struggle throughout my years in college but the Lord, gave me a strong support system in my friends and professors. Without God, and this extra support, I would not have made it through college. Being temporally handicapped, enduring chronic pain and depression, was all a heavy burden to bear but the Lord saw me through those dark days and for that I am so thankful. I graduated from African Bible College in 2014 and got my degree in Biblical Studies. After I graduated the pain in my foot got worse, and as a result I again experienced frequent bouts of depression and sleepless nights. I would wrestle with God in prayer to heal me, sometimes I would cry myself to sleep. This condition affected my whole life; body, mind and spirit. Imagine, I had a girlfriend during this battle and my relationship with her was greatly affected.

Healing at last!

God answered my prayer towards the end of 2014, the doctor diagnosed the problem with the pain in my leg as complex pain syndrome. I was put on medication and the doctor said that I would need to resume physiotherapy.

He recommended that I see psychiatrist because the pain was greatly affecting me mentally. I did as the doctor advised and I started on the road to recovery.

Not only did I turn to the doctors for medical assistance, I also turned to my faith in Christ to sustain me. During the years that followed, God healed me and I was able to walk again. God healed me in 2017 and I am thankful for that healing.

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Not only did my faith in Christ sustain but the promises of Scriptures sustained me. I refer to one Scripture in particular found in Jeremiah 30:17.

Through this Scripture God promised that He would heal me. Not only that but I would dream often of walking again and so did my friends, and this gave me hope.

When I look back so many things helped me in those dark days, when I couldn’t walk and struggled with depression, low moods, sadness and suicide. It was Christ, support of some of my family members, friends, my pastors at church and most importantly the Bible. Therapy also helped me by providing me a place where I could express myself without being criticized or judged.

I still struggle with depression sometimes since there is no cure for Bipolar Disorder. I go for therapy religiously at the psychiatric clinic at Queen Elizabeth Central Hospital. Not only do I do that but I still depend on the Lord and the prayers of my family members and friends. As well as on the scriptural promises found throughout the Bible.

I talk to my friends, my therapist, and family members like my cousin who relates very well with me because she too battles with depression. Talking to my cousin helps a lot because it makes me feel like I am not alone. I also pray, prayer really helps, living with bipolar has taught me to never underestimate the power of prayer, because God hears and answers us.

Last year I had a bout of depression that lasted for four months, the longest I have ever had to struggle with it. I did not give up, I still trusted in the Lord because I would look back to times in the past that God stood by me, and helped me. During that time, I went for therapy regularly at Queen Elizabeth hospital. Again my faith in Christ was there to sustain me.

Sharing my journey I once shared with my church that I have bipolar disorder and no one judged me. I was also invited to Capital FM early this year to share my story about living with bipolar. I am so fortunate that I have been able to speak freely about my condition and have not experienced prejudice because of it. God has surrounded me with people that stand by me, love me, pray for me and support me. They show me unconditional love.

I feel free to share my story because I want people to find hope in Christ while living with bipolar disorder.

I want people to know there is hope even if you should have relapses. When I experience a relapse, I continue to take my medication faithfully and I make sure to contact my psychologist. I also still go for therapy at Queen Elizabeth Central Hospital for regular checkups. Exercising every morning and going for walks helps me a great deal. Besides those self-care measures, I continue to claim the promises of God in the Bible, the prayers of devout Christian friends and my own personal prayers to God. My spirituality 12 | E s s e n t i a l G r a c e M a g a z i n e

Throughout my dark times I turned to God, and my faith in Christ.

What helped me to cope especially through college was listening to a lot of good Christian music, some praise and worship songs. Not only that but I read the Bible a lot, and did a lot of writing.

In fact, my best written work came out of those difficult times. I mostly wrote about suffering. However, I leant heavily on God and on the prayers of Christian friends as well as some of my family members.

I see my bipolar condition as a cross to bear, something that will draw me closer to Christ and it really has drawn me closer to Christ in awesome ways. It has taught me to trust in Him, be sensitive to others and not judge them. It has left me in place where I am free to talk about my condition publically and without shame. It is Christ that inspires me to do this because He hung on the cross for us naked, for our sins. And because Jesus did that, surely I can share my story so that others find hope in Christ just I have found hope in Christ. It is Christ who has stood by me and still does as I battle my thorn in the flesh, bipolar disorder.

One of the major challenges I have had with living with bipolar is who to talk to and who to share with about my struggles with bipolar disorder. I would often wonder how people would view me. To be frank I sometimes still do struggle with how people would react if they found out that I had bipolar. But I thank God for the people I can talk to.

I strongly believe it is my faith in Christ that continues to see me through

and support from friends. They would just love me, pray for me, send verses and encourage me. They would either visit me or call me, and what helped a lot was that they were familiar with bipolar so when I would have manic episodes or depressive episodes they would know how to handle me. I have also found that certain Scriptures that dealt with depression have been a source of hope for me during my dark

times, and I would read them continuously and still do!

___________________________

If you would like to find out more about bipolar disorder or any other mental illness, please visit the nearest clinic or hospital and ask what treatment services are available to you.

Alternatively, contact one of the counsellors listed in our Resource List.

Did you know that people living with chronic mental health conditions can live a productive and healthy life?

With the right kind of treatment, medication, and ongoing therapeutic and social support; people with conditions such as bipolar disorder, schizophrenia, depression, and even learning disabilities can live a healthy and positive life.

Contact the counsellors in our Resources List to find out more.

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What is Bipolar Disorder?

Bipolar is a condition that many people know very little about. Some people with bipolar may have symptoms while others may have none at all. The cause of bipolar is largely unknown although it is believed that genetic factors, alcohol and substance abuse, and stress can be contributing factors to this condition. Here are 5 types of Bipolar to be aware of: Bipolar I disorder: characterized by one or more manic episodes preceded by mild manic symptoms (hypomania) or by a major depressive episode. One may experience psychotic episodes where they suffer detachment from reality.

Bipolar II disorder: characterized by one or more major depressive episodes alternating with hypomania, but this type does not experience full-blown manic episodes.

Cyclothymic disorder: characterized by alternating hypomania and depressive symptoms. Usually, this condition is diagnosed when this alternation lasts for two years or more in adults or one year or more in children.

Sometimes, bipolar can be part of a medical condition such as stroke, multiple sclerosis or some types of substance abuse. People living with bipolar can live successful and productive lives. They can access a combination of medication and therapy from mental health professionals. It is always a good idea to manage one’s health properly in order to improve mental health. For example, keeping physically, emotionally and mentally fit will improve the quality of life for someone living with this condition.

If you would like to know more about this condition and treatment options available, get in touch with a therapist or medical professional near you, and they should be able to advise you on the right course of action. Hospitals in Malawi will be able to direct you to appropriate psychiatric care.

Find this article and more information on bipolar and other mental conditions at www.mindfulurgentcare..com

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Disclosing an illness like bipolar disorder might be really challenging for someone. Therefore, be compassionate, educate yourself, and more than anything‌do not judge!

This cartoon strip is part of a book written by cartoonist Ellen Forney as part of her memoir on the experience of bipolar disorder, woven with stories of other famous bipolar artists and writers. Find it on amazon titled Marbles: Mania, Depression, Michelangelo, and Me: A Graphic Memoir 15 | E s s e n t i a l G r a c e M a g a z i n e

My Story

For me, this has always been the case. I did not open up to family members about this issue for a long time because I was ashamed to even admit it to them.

By Habiba Khanom

I have always struggled to talk to my family about my mental health problems openly because I was scared I would not get the support that I need but obviously when you live in the same house, you cannot hide it from them. I live with an eating disorder, social anxiety disorder and depression, which my family find hard to take in. I am left feeling like I am fighting this by myself and unfortunately, because I have very little support from loved ones, I am not getting any better.

In my experience,

Habiba Khanom is a British journalist and blogger. She is passionate about mental health and often writes about her own experience with an eating disorder amongst other mental health issues.

She is also passionate about fashion, beauty, and health and fitness. Get in touch …

mental illness is a very

habz_k@hotmail.co.uk

taboo subject in Islam

habiba.khanom@itn.co.uk

In my experience, mental illness is a very taboo subject in Islam. You could argue that it is a taboo subject in general, specifically in Islam.

I have found that it can be incredibly difficult for family members to understand.

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I was afraid of their reaction and thought they would neglect me.

So, after speaking to my eating disorder treatment team about being afraid to speak to my family, they offered to sit down with my family and explain to them about why I have this condition and what they are doing to help me, which has helped my family understand a little bit and reassured them that I can get better. I was surprised by their reaction. It was not as bad as I thought it would be. Now, it is easier for me to talk to my family about it but they still find it hard to understand fully.

Support is what I need

An eating disorder affects the whole family, not just the sufferer. If I could control it, I would stop this right now and decide to get better to put my family at rest but it is not simple as that. To my family, I am the one who is “crazy” because I have mental health issues. I

know they care and they do not understand the reasons behind why things are so hard for me. If they did, they would not think like they do.

Support is what I need. They do not like to admit that I am suffering. It is very much like I am a different person to them, whom they wish was not abnormal. I seem to have become such a burden to my family and that makes me feel incredibly guilty.

This stigma has left me feeling rather lost and alone and like I have no one to turn to. Family is an important part in recovery and when you feel like you cannot talk to the people who you live with, your world seems even darker than it already is.

There is nothing wrong in asking for help I think some Muslim families neglect the issue of mental illness because of a feeling that it brings shame on them and the reputation of the family. In Islam, we rely on God to heal us. If we are depressed or ill, we pray to God to make us better. We do our five prayers every day and make Du’aa (invocation) whenever possible. If you are a spiritual and faithful person and rely on God to make you better, then there is nothing wrong with that at all. I think that believing in a higher power when feeling down is the most amazing thing to have in you. However, combining proper treatment to get to the root of the illness will make the sufferer see things in a new light. God will always be there to turn to but, sometimes, we need to talk openly about our problems to someone who can help us practically as well as 17 | E s s e n t i a l G r a c e M a g a z i n e

emotionally and create a support network of friends and family.

There is nothing wrong in asking for help. There is nothing wrong in going to your GP and admitting that you are experiencing a mental health problem and that you need psychological help.

I live within a big Muslim community and there is hardly any talk about mental illness. It is as if the problem does not exist. In fact, it seems like it should not exist because people are so ashamed of it and that makes me feel ashamed to even have an illness.

We need to start talking!

This is the personal account of a young Muslim woman on her experience with poor mental health. What is your experience? Can you relate to these sentiments from your own faith community or religion?

Send in your comments or feedback through essentialgrace@zoho.com

Religion vs Spirituality As we have highlighted in this issue, there is a distinct difference between religion and spirituality.

While religion is an organized, community based system of beliefs, spirituality is something internal and linked to a person’s unique beliefs. Both religion and spirituality can have a positive impact on mental health. For example, qualities such as peace, forgiveness and kindness can belong to one’s religious convictions while also being part of their basic values.

Religion gives people something to believe in, providing structure and a sense of community with people of similar beliefs. Religion is both a spiritual and social support structure that can be essential in times of illness and poor mental health. Consider the following ways through which religion help ease mental health problems. Religion can;

build a sense of community and social support provide ritual and routine vs chaotic or unpredictable lifestyle teach and instruct on guidelines which provide direction and ideal behaviour for followers to adhere to Spirituality is described as a deep connection with something bigger than ourselves. It can also be the process through which one looks introspectively at themselves with the aim of becoming a better person, and to know their place in the world-their life purpose. This process can include healthy eating, exercise, slowing down a busy lifestyle, changing unhealthy thought patterns.

Consider the following ways through which spirituality can improve mental health. Spirituality can;

promote individuality and a strong sense of self which can help a person become more accepting of themselves and others (non-judgmental attitude) develop mindfulness, which encourages self-reflection, meditation on meaningful scriptures or writings. his often leads to a more meaningful life philosophy (such as caring for the environment, health eating, even serving others). It can even lead to expression such as music, art, and poetry as part of one’s spirituality. promote unity with one’s surroundings through a renewed and inspired sense of belonging to the world. This can be expressed through service to the community, advocating for valued causes, getting involved in efforts to improve the world around you due to a deep sense of responsibility and care for people and the environment.

These factors mentioned are just a small part of the benefits of religion and spirituality to mental health. There is much more that is only becoming evident as research is being conducted. More can be known as we learn from people who practice either one or both of these factors and find them significant in improving their mental health.

Find this article along with more information on religion, spirituality, and mental health at www.nami.org/faithnet

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Religion

Spirituality

May instill fear and encourages people to follow a set of rules

promotes the development of inner guidance and evolving through trust in God

Established belief system, you follow a road paved by others

Based on personal experience, you uncover meaning as you have your own experience

Exclusive, excludes anyone who does not accept the belief system

Inclusive, based on the idea that we are all imperfect and we share similar human experiences

May cause a sense of separation from God through extreme rules and regulations one has to follow in order to be accepted

by Him

Does not teach separation but teaches that God invites everyone into relationship with Him through his Son

If I obey, then I am accepted

I am accepted, therefore I obey

If I am good God will love me

I am a sinner but then Jesus came for sinners like me

Requires blind faith and tells you what to see

Removes the blindfold and tells you to see for yourself

If you change first, then you can join us

Come as you are and follow Jesus, change will come after that first step

Sourced from www.thegoldenculture.org

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Psychiatry and Spirituality

By Dr Holly Greer The relationship between psychiatry and spirituality is one that is often at risk of being misunderstood.

Historically psychiatrists may have turned away from the concept of spirituality, confusing it with organised religion, a practice that is uncommon in some high-income countries and therefore seems an unfamiliar concept. But I would argue that spirituality is itself the bread and butter of psychiatry. It is the study of the human soul, the quest for meaning, and belief in something greater than ourselves.

Psychiatrists are taught from day one that mental illness must be looked at holistically; that a person's treatment must not be purely medical. Infact, we often pride ourselves on looking at the patient 'as a whole'.

To illustrate this idea let's look at a case study of a lady called 'Agnes' who began to experience depressed when she was 28 years old. Depression can – among other things - be a symptom of a chemical imbalance in the brain that causes sadness, tearfulness, low energy, loss of appetite, and insomnia. This is what Agnes experienced. It would be easy to just provide a drug like an antidepressant to correct the chemical 20 | E s s e n t i a l G r a c e M a g a z i n e

imbalance in her brain, which would help her start feeling better within a few weeks. However, this wouldn’t help Agnes with the actual causes of her depression. Digging a little deeper into her story, we discovered that Agnes's last born son has just died, and that her husband has problems relating to alcohol abuse and is also abusive to her.

A prescription is not likely to fix Agnes’ condition and she will probably become depressed again.

Consider the following analogy to help you understand the concept.

Suppose a child has malaria, we can treat him with drugs for the illness but unless we give him a mosquito net to sleep under he will get malaria again.

Medication alone is not the answer.

It is known that in order to treat mental illness we need to look at a person's spirituality and ask questions like why are they mentally unwell, and why now? In psychiatry we call this the Biological-Psychological-Social approach. This sounds like a mouthful (in reality we shorten it to Bio-PsychoSocial!). It reminds us that we need to look at a patient in three dimensions when we diagnose and treat their mental illness.

So what does Bio-Psycho-Social mean?

Biological looks at a person's genetic make-up because sometimes, mental illness can run in families. It also looks at whether a person is using drugs like chamba, or abusing alcohol and/or drugs, as these can cause mental health problems when used excessively.

Biological also refers to medication that we give to treat mental illness, for example antidepressants for depression or antipsychotics for schizophrenia and bipolar disorder.

Psychological looks at difficult events and experiences a person has had throughout their life, and parts of their personality that could make them more likely to become unwell. For example, a parent might suffer terribly after the death of a child. A wife who is constantly put down by her partner will become more and more unhappy. A very fearful person may eventually find it difficult to leave the house. On a more academic level psychological care also looks at a patient's unconscious mind - the thoughts that go on below the surface that we do not realise are there. An example of this can be by looking at dream interpretation and detecting the deeper meaning of a patient's dreams. Psychological factors are things that a counsellor or psychologist can help with by allowing the patient to talk about their feelings, and helping them find coping strategies. Nowadays there are even online resources that teach people how to understand and cope with difficult feelings.

Social looks at stressful interactions, situations and relationships.

For example, the stress of being under lots of financial pressure, being in a land dispute, being rejected by friends, or shunned from the congregation of the church.

Although a biological approach to mental illness is extremely important, the psychological and social aspects are far more individualistic and often much 21 | E s s e n t i a l G r a c e M a g a z i n e

more significant to the patient.

Psychiatrists know that in order for a person to recover from mental illness, the bio-psycho-social approach should be used and each of these factors should carry weight. Sadly, the time pressures that doctors and nurses are under mean this part of patient care can be overlooked, which is why it is vital for psychiatrists work closely with other professionals like occupational therapists, psychologists, and chaplains from all faiths to give the patient the best possible chance of recovery.

Looking after the person as a whole - their body, mind, soul and spirit - is not just the responsibility of doctors and nurses. It is the responsibility of all of us as a society.

Let's look at our case study of Agnes one more time. We prescribe Agnes a drug to treat her depression.

She takes it for a few months then comes back to see the nurse. She says the drug made her less sad, it improved her appetite, and helped her to sleep.

But now she feels sad again and has no energy to look after the children, work, or cook. Her neighbours accuse her of being lazy for staying in bed all the time. They do not understand that this is a treatable illness. Her husband is still abusive and is causing all kinds of trouble in the village when he drinks.

Agnes's depression gets much worse and she starts to talk to herself.

Her neighbours avoid her because they are scared and think something strange is going on. They do not know that this

is a sign that Agnes's illness is becoming worse and she actually needs more support from them, not less. Agnes says to the nurse "of course I am still unwell, nothing has changed in my life!" How can Agnes ever recover from this?

Instead of stepping away from people with mental illness like Agnes we should step towards them and remember that simple kindnesses can help heal the soul. Instead of ignoring or avoiding Agnes, her neighbours could help her cook, and persuade her to go on short walks with them. Her doctor and nurse should let her talk about the problem with her husband, and the grief she feels about the death of her son. Her church should offer guidance and support. To quote the analogy I use earlier: Agnes needs a mosquito net.

It is worth remembering the example of Agnes when you are confronted with a friend or family member who appears unhappy or whose behaviour seems different.

By encouraging them to seek help from a medical professional and encouraging the community to step towards them, not away from them, we can come together to support their recovery - both medically and spiritually.

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Holly Greer is a British doctor who specialized in the field of psychiatry five years ago. She has spent time in Malawi teaching psychiatry to medical students and working with people suffering with mental health problems in a hospital setting.

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menoftomorrowmalawi@gmail.com www.facebook.com/motomalawi

Twitter:

@motomalawi

Instagram:

@motomalawi

23 | E s s e n t i a l G r a c e M a g a z i n e

What’s the Story?

of wellbeing in which an individual realizes their own abilities, can cope with the normal stresses of life, can work productively and is able to make

Mental health and spirituality

contributions to their community.

Now when a person is suffering

“I have no peace, no quietness, no rest.

from mental illness, it means that there

But only turmoil.”

Job 3 vs 26

is a condition which is infringing one or more elements of the above definition.

The scripture mentioned here depicts Job’s reaction to issues pertaining to mental health. From creation, it is clear that mental health has been a crucial element of our existence and it is affected by many factors happening on a daily basis.

Physical suffering affects our

It means that an individual is not in a state of wellbeing to be able to cope with the normal stresses of life and he is incapable of contributing to the day to day life of the community. The story of Job in the Bible gives us a scenario where one has been deprived of mental health through suffering. When you

mental health, so do spiritual

analyze the words of Job in chapter 3 vs

challenges and societal factors. When

26; you notice that he says he has no

one suffers physically, they are also

peace of mind, and his mind is not

affected mentally may be due to the

calm.

inability to accept their suffering and live with their problems. They may be torn on whether to fight against their problems or accepts them. This challenge on its own can cause poor mental health.

A quick background on the term

mental health The World Health Organisation (WHO) defines mental health as a state 24 | E s s e n t i a l G r a c e M a g a z i n e

This lack of peace and calmness of the mind is a serious condition and it demands more than medical attention.

Lack of peace can be a barrier to spiritual health and growth in that it goes against what the Bible says through the Apostle Paul in Phillipians 3 verse 7-8, where he prays for God’s peace to rule your heart and mind.

Peace may vanish in situations where one has more questions than answers

on their situation, with no hope of

discovered is a great tool that takes

resolution.

away peace of mind.

Another thing we must be quick to accept is that in religion when an individual has expectations which are

A Pastoral Approach In my opinion all mental illness

not being met over a prolonged time; it

needs pastoral care, no matter what the

affects them mentally. Expectations like

causes are. A pastor must open his

getting employed, getting married or

doors to accommodate victims of mental

even conception. If these needs are not

illness and other ministry to them if the

being met, they may cause poor mental

illness is still at a level where the victim

health and even mental illness.

can communicate or participate in a

Struggling to accept one’s life problems

conversation.

seems to be a contributor to poor mental health.

Now, the Christian faith seems to

A pastor must be able to know his client’s behaviour to be able to determine what type of mental illness

have answers for those who have

he is dealing with. For example, a

believed and expected to receive from

pastor may be counselling a couple

God. Isaiah 40 vs 31 encourages us to

where the husband feels his wife is a

the knowledge that there is power in

nag and does not feel loved no matter

waiting upon the Lord. The Bible is so

what effort the husband makes. If the

profitable in countering mental illness if

pastor as a counsellor probes more into

the individual victim turns to it or to a

the symptoms of both husband and wife

Christian counsellor for consistence.

to find out if there are any psychological

Another area responsible for mental illness can be one’s personal lifestyle of sin. When a person is living in sin and their conscious may start to

disorders, he may discover bi-polar disorder or PTSD from a major trauma in the past.

These factors will have a huge

convict them but they are stubborn

part to play in the symptoms presented

against it. The result is that their

for counselling, more than just

mental health is affected significantly.

addressing the symptoms, the pastor

Un-repented sin brings mental torture. The fear of having your sin 25 | E s s e n t i a l G r a c e M a g a z i n e

can offer guidance on what they can do about the actual mental illness in order

to help improve the relationship going forward.

Sometimes a pastor encounters a scenario where certain individual always comes with terrifying dreams or visions seeking spiritual interpretation.

Sometimes those dreams/visions are due to mental disorders and these need to be addresses as such, with the right information and guidance given to the person. In such cases, psychiatric intervention may be needed, along with spiritual support.

Sometimes mental illness manifests through excessive anxiety, denial, self-hatred, and bitterness against the self. When an individual has been over criticised, or is not receiving enough love and acceptance, or they don’t feel forgiven, they may become bitter towards themselves and this can lead to suicidal thoughts.

Contact our editing team if you would like to get in touch with Pastor Suya or a counsellor to help you with spiritual counselling. essentialgrace@zoho.com / 0991 938 203

26 | E s s e n t i a l G r a c e M a g a z i n e

Podcast alert Podcasts are digital audio files that are available on the internet through applications.

You can listen to podcasts through live stream or download them to your device. There are so many different types of podcast covering a wide variety of topics. For example, you will find many on mental health, wellness, and self-improvement. You will also find local podcasts that are relatable to Malawians. If you are not a podcast person then this segment is not for you. However, I would definitely encourage you to check out some of these local podcasts that I personally find very resourceful.

1. The Mental Health Project is produced by Collina, and it focuses on promotion and awareness of mental health issues. Find it on the Castbox application.

2. My Lane Podcast can be found on Castbox and Anchor. It is produced by Mavis Zaina Kanjadza where she presents a girl’s journey to greatness through faith, purpose, and entrepreneurship.

3. Figuring it out is a podcast produced by Emmanual Gareth with new episodes every Friday. Listen in as Emmanuel and his co-host hash out ideas, experiences, and stories on adulting. Find it on Castbox.

4. Twape’s Podcast is also available on Castbox. Produced by Twape Mtila, a motivational speaker who talks through issues that men face in Malawi from a male perspective.

5. I can relate with Allidah and Yolanda is also available on Castbox. Listen in on discussions to do with personal relationships, family dynamics, societal pressures, expectations, relating with others, and other day to day issues 6. Kicking it with Black is hosted by Trevor Malota, a mishmash of entertainment news and issues. Available on Castbox 7. Malawian Girls Rock (MGR) hosted by Hazel Makunganya on Castbox. A platform for all issues to do with celebrating women in Malawi.

There are likely more interesting Malawian podcasts out there that we are yet to discover. Look out for more podcast suggestions in our next issue!

Did you know that you can seek spiritual counselling in Malawi?

Spiritual counselling focuses on helping the person as a whole, on creating inner balance, and on gaining insight into how and why you are the way you are. This type of counselling is for those who want to create meaning out of their existence and live with purpose, with intention, and with conscious effort in their world.

Contact the counsellors in our Resources List for this type of service.

27 | E s s e n t i a l G r a c e M a g a z i n e

Covid 19 in Animation 28 | E s s e n t i a l G r a c e M a g a z i n e

Mental health A Traditional healer’s perspective Interview by Dumisa Mbano It was a hot Friday afternoon when I Dumisa Mbano is a Phd dropped off candidate with the a taxi at the University of KwazuluEkwendeni Natal. His interests C.C.A.P include Religion and Mission Social Transformation.

Hospital and set off on foot to Nyamubumuka’s house. I had heard of Nyamubumuka and her exceptional knowledge of traditional remedies, the numerous patients that visit her compound and the high esteem that people have for her in the community.

Her reputation really does precede her, I think this is because unlike many traditional healers who commercialise their services, she does not advertise or have fixed prices. Rather she lets her reputation grow through word of mouth and lets her patients pay according to their level of satisfaction in her services.

As I walked past the Ekwendeni C.C.A.P Church, I was reminded of the long complicated history of western churches and local traditional healers; a history that I believe has remained largely 29 | E s s e n t i a l G r a c e M a g a z i n e

untold. I passed Bokosi Private Secondary School and turned to the right on to a foot path leading to the house of Nyamubumuka. Arriving at the house, I politely said “Odi odi”, and an old man sitting on the veranda calmly welcomed me and invited us to take a seat together.

I was later informed that this was Gogo Lungu, Nyamubumuka’s husband.

Nyamubumuka herself joined us escorted by a young girl who was helping her walk.

She gave me ceremonious welcome and informed me that she was not well. She had recently been in hospital and was only discharged because she insisted on it. She wanted to look after her husband who is blind and would be almost helpless if she was not at home.

I informed her of the purpose of my visit. I wanted to interview her about her healing work, and how it relates to mental health. I offered to reschedule the interview since she wasn’t feeling well.

However, Nyamubumuka’s curiosity got the better of her and she began to inquire what the interview was about. Before we knew it, the interview was underway.

Interviewer: In your practice, do you treat people with mental health problems?

Nyamubumuka: Yes, but now generally I don’t consult and treat much. I just give advice. As you can see am old now and cannot go digging for herbs and roots.

Interviewer: What is the perception of mental health in Ekwendeni?

Nyamubumuka: People in Ekwendeni do not take at mental illness as a serious illness. Many people believe mentally ill patients are acting, or are behaving that way deliberately.

Interviewer: Do you think Ekwendeni has a mental health problem?

Nyamubumuka: Yes, there is a real mental health problem in Ekwendeni now. This is mainly because of substance abuse amongst the youth. Mental health problems have been exacerbated because of substance abuse. It wasn’t like this in the old days. The mental illness cases were fewer and mainly from spirit possession, bewitchment or extremely hard life circumstances.

Interviewer: How do you diagnose mental health patients?

Nyamubumuka: Firstly, I consider the description of the illness from the accompanying guardian. They are general signs of mental breakdown such as collecting litter, talking to oneself, violence, phobia to particular colours, not functioning in society or social anxiety.

After hearing the description of the guardian, I then observe the patient and from my observation I come to my diagnosis.

Interviewer: What is the impact of mental illness on Ekwendeni?

Nyamubumuka: The impact of mental illness on Ekwendeni is great. A lot of families face a huge burden when a family member suffers from a mental illness.

Also they is a constant threat of violence, especially with the rise of mental illness caused by substance abuse Interviewer: What methods do you use to treat mental illness?

Nyamubumuka: I haven’t treated mentally ill patients for a long time. This is because of I am advancing in age and have several health problems myself.

30 | E s s e n t i a l G r a c e M a g a z i n e

However, when I was younger and healthier I used to first go find the appropriate roots for the condition. These roots are called mulaswa wanthu. Then I would construct a temporary shelter for the patient. The patient would stay in the shelter while I cook the roots at the back of the shelter. When the roots were ready, I would extinguish the fire. This symbolised the extinguishing of the mental illness. I would then go and give the cooked roots to the patient to eat.

After this I would go and look for an herb that I would give the patient to use when washing his face and hair and it had the same effect as mulaswa wanthu.

Interviewer: Was this method effective?

Nyamubumuka: Yes! I would only release the patient when I had seen that they had recovered. Usually within a week most patients would be well. However, it took longer for patients who had vimbuza (spirit possession) as another mental health condition.

Interviewer: how would you treat patients with vimbuza? *at this point Nyamubumuka was reluctant to answer and only gave me an answer after her husband, Agogo Lungu, had reassured her that I was not from “the synod” or the CCAP church Nyamubumuka: we used to organise exorcism dances (vimbuza) for those patients.

Interviewer: What advice would you give to people impacted by mental illness?

Nyamubumuka: I would like to advise my fellow traditional healers to not discriminate against patients with mental health problems. They must treat these

patients just like the treat any other patients. I would also like to advise doctors and nurses at hospitals to work hand in hand with traditional healers and avoid prescribing medicine that make patients uncomfortable. For instance, I know that there are some medicines that are prescribed to mentally ill patients by hospitals that makes them grow abnormally fat. This is not good. I wish that medical people would refer their patients to traditional healers when the have failed to treat the patient.

Interviewer: Thank you very much for your time and for sharing this knowledge. I wish you a speedy recovery Nyamubumuka: Thank you for coming to chat with an old lady like me (laughing)

This interview was printed with the consent and blessings of Gogo Nyamubumuka. It was included in this issue in order to highlight one aspect of traditional Malawian beliefs when it comes to mental health issues. Mental illness is not a western concept. It may be articulated in western terms but it is a very much a global problem. Mental illness can and should be looked at from many different perspectives.

That being said, there needs to be more collaboration between traditional healers, alternative medicine practitioners, and mental health professionals so that there can be sharing of knowledge and understanding. A unified approach will go far in the efforts to manage and/or treat mental health conditions.

Julie Soko, Managing Editor

Gogo Nyamubumuka in her front yard

31 | E s s e n t i a l G r a c e M a g a z i n e

‘All people, whether young or old need to have access to psycho-social support in their hour of need’

Ruth Mkolesia (Counselling Psychologist) Seed of Hope Consultancy, Zomba 0993 110 993 / 0882 014 141 32 | E s s e n t i a l G r a c e M a g a z i n e

Traditional and Alternative medicine vs mental health Consider this, can African traditional medicine work effectively in treating mental illness? Well, there has been a growing debate amongst policy makers, health professionals and the general world of mental health on how culture is interconnected with mental health services in Africa.

For one thing, mental health services are not easily available to many people. Here in Malawi, there is only one government psychiatric hospital to which most people in the country are referred to. This is in the context of people who are not able to pay for private treatment and medication. Now consider the size of Malawi and the number of people who suffer mental illness and required in-patient treatment. Is this service reaching everyone?

Now consider the access and affordability of traditional and alternative medicine in Africa. There are plenty of herbs, treatments and remedies out there for different ailments that are taking away the dependence that we have had on pharmaceutical medicine. As Malawians, our response to alternative medicine has generally been positive, and there are many who still value the remedies of traditional herbalists.

A study done in Zimbabwe explored why some people prefer the use of traditional medicine for mental illness where they found the following: • • •

•

• •

Government facilities are very few and far between, and have very limited staff who are considered harsh and not dishonest.

Traditional medicine is favoured because it looks at both cultural and spiritual issues, taking into account the body, mind and spirit which conventional medicine does not treat.

Biomedicine or pharma looks at health in terms of biology and science, which most Africans consider modern (vs traditional), and western. Something that a deeply cultural person might consider foreign It was therefore suggested that more people would seek help for mental illness if they were able to access treatment that included cultural beliefs, spiritual beliefs along with the physical ailment because of the fact that supernatural and psycho-social factors play a major role in people seeking help for mental health problems.

Therefore, the general approach to mental health intervention should be holistic in order to reach more people rather than purely being medicine based.

The general consensus was that government should support alternative and traditional treatment and perhaps make it part of contemporary medicine accessible to mentally ill patients. This initiative has already been done in countries like Nigeria, South Africa, and Sudan with positive results.

Continued …

33 | E s s e n t i a l G r a c e M a g a z i n e

Traditional and Alternative medicine vs mental health The study interviewed 18 community members, 30 former patients and 30 traditional healers who are registered with the Zimbabwe National Traditional Healing Association.

About 80% expressed their conviction in mental illness being caused by ancestral spirits, unhappiness, confusion, and depression.

Most of the people said they preferred traditional medicine over contemporary medicine because traditional healers understood their culture, witchcraft, and other underlying supernatural causes The study pointed out that although biomedicine is evidence based, it is not culturally sensitive. This is why it is often not considered as the best treatment for mental health issues.

Bear in mind that this is in not only in the context of preference to traditional medicine, but in regards to religion as well. Most religions will prefer prayer, repentance, exercising faith, and even exorcism as methods of treatment rather than medication and modern psychotherapy. African people seldom view the human being as a purely one dimensional creature regardless of their religious convictions. There are always cultural beliefs, spirituality and faith to consider alongside the biological part of life.

The study suggests the incorporation of cultural knowledge into mental health treatment. This could be through adopting some traditional remedies through a multidisciplinary approach to mental health treatment. This could help strengthen the relationship between doctors and patients, remove stereotypes and promote a culture of shared knowledge.

In order for any of this to become reality, inclusivity must exist between anthropologists, public health practitioners, psychiatrists, and other mental health experts in working out an approach that works well and utilizes knowledge from both worlds of traditional and contemporary medicine.

The information in this discussion was excerpted from an article written in 2017 by Dr Lazarus Kajawu, a post-doctoral fellow at the University of Zimbabwe. Read the full article and more information on similar themes in The Conversation, an online academic journal at www.theconversation.com

34 | E s s e n t i a l G r a c e M a g a z i n e

Suicide Prevention in quotes…

Suicide doesn’t end the chances of life getting worse, it eliminates the possibility of it ever getting any better.

If you are looking for a sign not to kill yourself, this is it!

Unknown Anyone desperate enough for suicide should be desperate enough to go to creative extremes to solve problems; to do what they always wanted to do but were afraid to try.

Unknown To anyone out there who’s hurting – it’s not a sign of weakness to ask for help.

It’s a sign of strength.

Barack Obama The longer we dwell on our misfortunes, the greater is their power to harm us.

Voltaire

Richard Bach There are far better things ahead than anything we leave behind.

C.S. Lewis When it is darkest, we can see the stars!

Ralph Waldo Emerson The bravest thing I ever did was continuing my life when I wanted to die.

Juliette Lewis The world is a better place with you in it!

Unknown

35 | E s s e n t i a l G r a c e M a g a z i n e

Never give up, for that is just the place and time that the tide will turn.

Harriet Beecher Stowe Believe in yourself and all that you are.

Know that there is something inside you that is greater than any obstacles Christian D. Larson

“And after the fire came a gentle whisper.� 1 Kings 19: 12 Depression is really a family of disorders.

Major depression presents itself with the classical symptoms of depression, while chronic depression (Dysthymia) is less intense and has persisted over long periods of time.

Atypical depression symptoms are masked or present in unusual ways.

Bipolar depression was formerly referred to as manic-depression and is notable by elated highs and major depressive lows. Seasonal Depression (Seasonal Affective Disorder) is characterized by major symptoms of depression when the seasons change.

Postpartum depression effects new mothers after giving birth resulting from hormonal and circumstantial changes in the body.

Psychotic depression is accompanied by hallucinations, paranoia, or other psychotic symptoms.

Only a professional trained in the dynamics of depression is capable of making the proper diagnosis. Because each type manifests itself differently, it takes training to identify the kind of depression and suggest the appropriate treatment. You may need both your family doctor and a psychiatrist to manage your particular symptoms.

What are the causes of depression? No one knows. There appears to be a genetic component that predisposes us to depression. Sometimes circumstances trigger a depressive episode. Changes in brain chemistry may be the root cause, Depression is sometimes the side effect of circumstantial loss.

Sometimes elderly people become depressed from loneliness. Just as there are numerous types and causes of depression, there are a variety of treatment methods. Talk therapy and medicine seem more impactful together than by themselves.

Elijah, an Old Testament prophet, was a man of strong personality who suffered from depression.

You can read his story in 1 Kings 18:16-19:18.

After he experienced a great spiritual victory, Queen Jezebel threatened to kill him, and Elijah’s response was to run away. Eventually, resting under a tree, he prayed to die.

Falling into a spiritual low and running afraid, Elijah exhausted himself. This is a perfect example of spiritual burnout. God took care of him by sending an angel to feed him, not once, but twice.

36 | E s s e n t i a l G r a c e M a g a z i n e

An oil lamp burns brightly, as long as the oil is replenished. But without oil the light will die. It happened to Elijah. It can happen to you and me.

As the story of Elijah illustrates, even strong people suffer depression. Coming down from a mountain high experience, we often discover the valley is deep. It is not unusual to have a powerful experience with God and then drop to an all-time spiritual low.

When you are depressed, let others care for you to restore your strength, just as the angel did Elijah.

Receive God’s love. Receive your doctor’s care. Be real with your counselor. Follow their suggestions. Give your supportive friends the opportunity to help you.

You are not alone!

Let God and your friends refresh you.

Prayer: God refresh my spirit just as you did Elijah’s.

“Search me O God, and know my heart; test me and know my anxious thoughts.” Psalms 139:23 Question: God sent an angel to feed Elijah. Who are some of your angels?

This article is part of the book Bright spots in the Darkness written by Rick Qaulls. Find it at www.amazon.com It’s time for depression to come out of the church closet.

Often, the church’s reaction to those depressed is, just get over it / you have hidden sins in your life / just pray more / have greater faith or read your Bible more.

People world never say to a diabetic - this is all in your head / quit taking insulin. Nor would they say to someone with a broken leg, just get up and walk. People who are depressed hear these messages often and it makes them feel even guiltier instead of feeling understood. Driving them further from getting help.

Bright Spots in the Darkness offers inspiration, action points to manage depression and Bible promises. Bright Spots does not offer a quick and easy cure. Severe depression is not usually solved quickly or with self-help books. This book takes depression seriously and offers help along the journey.

37 | E s s e n t i a l G r a c e M a g a z i n e

Christian spirituality

By Yoschabel Nkonosawa

emotional,

relates

to

Christians

understand

conducts

the

the

words, into fruit

has something to do with some

involvement

their

In

other

life.

spiritual

life

is

which

seeds

are

of

the

Spirit

as

indicated in the Bible. This

putting into practice the beliefs

spirituality for the Christian

of

planted which produce the

definition of spirituality is the

As the name suggests,

these

meant to be the fertile soil

Biblical

both knowledge and action.

nature

spiritual

should live and maintain their

of the Christian faith using

through

with God and will reveal

how

guideline on how a Christian The

themselves

relationship that one has

their life. The Bible serves as a

life.

and

different aspects is are determined by the

Bible as the main authority of

spiritual

social,

behavioural aspects. The way a person

The definition of Christian spirituality

physical,

fruit includes love, joy, Yoschabel is a young writer from Zomba City.

She is a mom, a business woman, and a Master’s student at Unima.

and

peace, patience, kindness, goodness,

faithfulness,

gentleness,

and

self-

control Galatians 5:22:23.

These fruits manifest in order

to

show

that

a

connection with the Holy Spirit. There are

Christian has achieved a certain level of

several scriptures that illustrate how the

maturity in their faith which honors God.

Holy Spirit helps a Christian develop spiritually; for example, John 16:13 directs us to the spirit of the truth that is meant to help us discern deception in the world.

Ephesians 4:30 gives a clear picture of how a Christian must live in fellowship with and obedience to the Holy Spirit. To put it simply, Christian spirituality requires the power of God through the Holy Spirit and the Bible and not merely on human effort.

Along with growth and maturity of an individual, spirituality delves into the psyche of a person and particularly that of a Christian to reveal their mental and emotional state. One can understand that in the world we live in, there are so many things that an individual goes through on a daily basis and without the help of the Holy Spirit; they can be rendered hopeless.

These can vary from the usual challenges

Spirituality in general incorporates

faced by man, to spiritual warfare. The

the whole of a person’s life. Their financial,

perception of challenges and spiritual

38 | E s s e n t i a l G r a c e M a g a z i n e

warfare can be that of stages that a

lead to a very unstable life when there are

Christian must go through in order to grow.

quarrels, breakups and loss of loved ones.

Some Christians progress quickly and

The Christian in this situation can become

move through these stages, learning to

vulnerable to negative thoughts and they

master their spiritual practice while others

may even slip into depression and other

do not. Either way, the Christian is never

mental health problems that can prevent

guaranteed a life without challenges but

them from having a sound mind to process

rather to continuously face them in order

the situation. The ideal way would be to

to grow and mature in their faith.

have

The understanding of how the Holy Spirit works requires a person to meditate on and understand the scriptures, which for Christians this is a requirement. For one to understand their environment and the challenges they face; they need to have guidance and direction. Sickness, diseases, poverty, death and so many more problems

emotional

support

from

people

around you as well as seeking a more stable source of mental, emotional and spiritual support. This can happen when one has established a healthy and strong relationship with the Holy Spirit and with God.

Facing

life

through

a

spiritual

perspective in this way can create a life that is growing in positivity and joy.

negatively impact the Christian’s life. The

As a Christian grows and draws

Bible becomes a lifeline for a Christian and

closer to God there are certain practices

requires him/her to know it well and

that should be followed in order to remain

meditate on it while creating an intimate

established in their faith; a metaphor

relationship with God and with other

illustrated by the act of walking the path.

Christians.

This metaphorical path requires one to

The emotional side of every human being depends on the relationship they have with others, but it also depends on the state of their spirituality. One’s emotional support can be from loved ones, friends, family members and even neighbors. Some people create emotional attachments with the people around them to the point of being dependent on that support for emotional wellbeing. However, depending on people alone for emotional support can 39 | E s s e n t i a l G r a c e M a g a z i n e

pray regularly, to fast regularly, to read and study the Bible, meditating on God’s inspired Word for our lives, to fellowship with other believers regularly, to take communion with other believers as a testament

of

faith,

and

many

more

Christian practices. Walking this path must not become a matter of duty and habit, if it is being done as a spiritual practice

then

it

will

require

a

deep

conviction and a whole hearted willful desire to walk with God.

Practicing Christian spirituality is meant to help the Christian grow towards their journey of achieving the goal of salvation – which is to put God before all things. When it comes to mental and emotional stability, the Christian spiritual practice allows for a chance to free the mind through prayer where one can unburden stress and negative thoughts through prayer. Filling their minds with promises

of

hope,

joy,

peace

and

happiness, and a positive attitude to life.

Our mental health is connected to our emotions and to our spiritual being. It is through our spirit that we are able to connect to God. Once those connections are understood, the spiritual expression becomes exciting and gives one hope to look forward to the future.

The concept of grace can be related to this journey into our spirituality as children of God. Our ability to trust Him and rest upon His promises allows us to go day by day feeling happy and stress free not because we do not have problems but because we are assured that God is in control. The ability to trust in God allows us to be in a state of rest which then creates a healthy emotional and mental state, and allows for a mindset of reflection on the goodness of God in the world.

40 | E s s e n t i a l G r a c e M a g a z i n e

It may not be this simple to silence the voice of suicidal thoughts. Many people struggle with the desire to end their suffering and to leave their world. Death is not the answer!

Instead of keeping this struggle to yourself how about you ask ‘what is the alternative?’ Let people help you. There is always another way.

Wellness

•

anti-inflammatory compounds •

Mango Leaf Tea Worry and anxiety are common in our fast paced world. There has been so much happening in the recent years in Malawi alone to cause anxiety. The hostile cyclones from the Indian Ocean early last year, our turbulent political climate, the uncertainty of the future of our country, just to name a few. The year 2020 brought a fresh wave of stress inducing events with many people living in fear for themselves and their families. High blood pressure and diabetes became conditions that labelled people for a gloomy outlook in regards to the COVID 19 pandemic. The fear was real!

In that time, typical of the resilient and enterprising human race, many people came up with all sorts of concoctions and herbal remedies to help with COVID 19 symptoms and even to prevent infection.

One of the recipes that I discovered was the mango tea leaf remedy. I discovered it while searching for a herbal remedy for a family member who had suddenly developed high blood pressure as a result of stress and

They are rich in anti-oxidants and They contain compounds that help to Slow down early stage diabetes, and to relieve some symptoms of diabetes

•

They lower blood pressure and reduce the risk of hypertension

•

Relieves oral thrush/fungal infections and blisters

•

They help to dissolve gall and kidney stones

•

Help to relieve restlessness due to anxiety

•

Relieve respiratory ailments

•

Relieve dysentery and diarrhea

•

Provides relief from ear aches

•

Helps to heal burns

•

Gives energy and vitality

•

Prevents various stomach ailments

Please note, before you start to take any herbal remedies always consult with a physician to make sure you know the condition of your body.

These are just a few of the many uses of mango leaves. There are many different ways to use them including burning them to ash and using the ash for burns, squeezing the juice of the leaves for ear aches, adding the leaves to bath water to calm anxiety.

concern over the many deaths in the community.

First of all, what goodness lies in the mango leaf?

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Dried mango leaves

Making Mango leaf tea There are two ways you can make this tea. One way is to dry the leaves in the sun until they can be ground into a fine powder like the normal tea leaves you buy from the shops. Once it is in that powder form you can simply add it to your hot mug and enjoy with a little honey for taste.

You can make use of the leaves from any mango tree regardless of the type of mango. Although differences are there, they are not too significant, meaning you will still be getting these benefits.

Try it for yourself and see how you respond to the many medicinal benefits of mango leaves.

Make your own batch of dried mango leaves or find some to buy online through sites like

A glass pot with an inbuilt infuser like this one can be used for brewing your tea. Find these in most Chinese shops around the country.

Another way is to use the fresh

www.etsy.com

Remember that sometimes the cure to some our health problems lies right in

leaves. Wash your freshly picked leaves

front of our eyes. Our forefathers new

thoroughly with plain water, crush them and

this of course, and in the time before

add boiling water. Cook them until the water has reduce halfway. Strain the water and add honey to taste. Make sure to avoid the honey if you are diabetic.

Most Malawians do not need much encouragement to drink tea, especially if you come from the colder parts of the country.

Fortunately, many homes in Malawi have at least one mango tree, so you would not struggle to find these leaves in your neighborhood.

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modern medicine the knowledge was common. Let us re-learn how to heal through nature’s way.

Explore more delicious home remedy teas at; www.healthline.com www.diys.com www.wholefully.com

‘Reach out, all is not lost!

There is HOPE beyond today’s hopelessness!

Consider all the little victories you won in the past, you can surely do it again!

Take baby steps, one at a time!’

Catherine Limodzi (Psychotherapist) Accord Cognitive Counselling Services, Blantyre 0882 431 111

43 | E s s e n t i a l G r a c e M a g a z i n e

Suicide Prevention Month September is suicide prevention month in most countries around the world. The issue of suicide has become so common especially in the media, where we hear of a suicide case almost every day in Malawi.

Why has suicide become more common especially in Malawi?

There are just too many answers to this question. We can speculate on factors from socio-economic issues to chronic illness, to substance abuse, and more recently to COVID-19.

44 | E s s e n t i a l G r a c e M a g a z i n e

The issue is more likely to do with many people living with undiagnosed and untreated mental health conditions, especially the males in Malawi. As you may have noticed in the suicide trends in Malawi, most cases were related to financial problems, failed relationships or marital disputes, and in many cases it is often reported as a ‘sudden and impulsive’ suicide – of which there is no such thing.

We cannot conclude that the challenges assumed to be the precipitation of these suicides are as simple as they sound. A person does not wake up one day and decide to end their life. Such a decision takes time and much thought to put it into practice. Usually, by the time someone has ended their life, they had spent considerable time preparing for it in their minds, considering the options and consequences, and deciding on a method.

It is hardly an impulsive decision.

We can speculate that the main reason suicide is becoming a problem in Malawi is due to mental health being one of the least spoken of and the most misunderstood topic. To illustrate this fact, consider how much awareness we received during the COVID 19 outbreak, even the youngest child learnt how to wash their hands as the whole country got involved with prevention efforts. This initiative was done in a very short space of time with seemingly limited resources.

However, the efforts were very successful and continue to educate the country on all issue related to COVID 19.

Imagine if this same initiative was done to educate people about mental illness and the treatment that is available in the country through both private and public resources. Imagine how effective

such a project would be in reaching people with information on how to identify, manage, and treat mental illness so as to prevent the desperate outcome of suicide.

As of the middle of September, 2020, there were less than 200 COVID 19 related deaths in the country since the start of the pandemic. However, let’s look at the suicide numbers over the last few years, •

• •

•

•

•

In 2015, the country had recorded 947 suicides (728 males/218 women) In 2018 the country registered 669 suicides Between September 2018 and June 2019, 133 people were reported to have committed suicide (5 females) Between June and October 2019, 150 people committed suicide (121 males) There have been about 182 reported suicides since January 2020 almost as many as the recorded COVDI 19 fatalities Suicide accounts for the most likely cause of unnatural death in Malawi

These numbers are frightening. It is possible that there are some cases that went unreported, therefore the numbers could be much higher than these. The Malawi Police release these figures on a regular basis, and it is always disheartening to read. However, can you see how bad this situation is in relation to Covid 19? Not to compare the two, but it gives us a picture of the silent killer that we have been living with much longer than the pandemic, and one that we have done little if anything at all to address.

What is so appealing in suicide?

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Suicide in Malawi as in the rest of the world seems to favour the male population particularly those under 30 years of age.

Although this is not a restriction.

A few months ago a ten-year-old boy committed suicide after being disciplined at home. The age range is getting younger and it is becoming a socialized coping mechanism as more and more people are turning to this as a solution to life challenges.

A study included in the St John of God Annual Research day (2019) presented by C. Mafuta and C. Mwale indicated the following important social demographic factors: • • • •

80.3% of suicide cases were male Majority of the cases were between 21 and 30 years of age Majority of the cases were illiterate 97.3% were from rural areas

This study sampled two districts each in 3 regions of the country. The data was sourced from Police records in Karonga, Nkhatabay, Mchinji, Nkhotakota, Balaka, and Machinga.

It is important to note that males in rural areas were found to be more likely to commit suicide, and that it was among the uneducated population. So again, we can speculate that the country’s socioeconomic status is a causal factor to suicide.

Can the general attitude of society towards death be a contributor of suicide?

This may very well be a significant factor when it comes to suicide. It may not necessarily qualify as a cause. In Africa generally, people are accustomed to death, to the point where our perception of death is no longer of it being a distant tragedy that happens on the other side of the world. We have experienced many wars, natural disasters, famine, disease, and pandemics to become familiar with the painful experience of death. This may be why some do no find it hard to take their own life.

Although others succeed in an attempt to end their life, some may take a

up on life? Who seem to exist in automatic mode, no drive or passion for anything?

You will notice them among the reckless drivers, substance and alcohol abusers, hardened criminals, violent or aggressive people, and many others who do not seem to care whether they live or die. Even in such people, there is a sense of slow suicide happening within them, sometimes at such a deep level that they may not even be aware of it.

How do you spot a suicidal person?

The signs are not universal, mental health is tricky in that way. One person’s symptoms may not be the same as another’s. it is even trickier in Malawi since most suicide cases are amongst males who are least likely to sit down and share their challenges, there is no way of really knowing until it is too late.

Here are a few obvious signs you can be aware of just to give you an idea: Isolation and withdrawal Increased substance abuse Expressing hopelessness Securing lethal means Increased anxiety – leading to a sudden peaceful attitude once they have decided to go through with it Talking and posting about suicide Making plans for the suicide Putting their affairs in order Increased intense negative emotions Sleeping too much or too little Feeling unbearable pain

slower and more deliberate route to get to this result. Look around you, are there people that seem to have completely given 46 | E s s e n t i a l G r a c e M a g a z i n e

Feeling like a burden – expressing this Depression

What can we do to slow this crisis down?

No initiative is too small when it comes to suicide prevention. The semicolon tattoo is just an example of how a small action can count. The point of getting a tattoo like this is to promote discussion around suicide because of the strangeness of it. Once people ask what it means, you have the opportunity to talk to them about suicide.

3. Advocate for better policies around mental health issues and the public access to mental health care. Support initiatives and people that are working towards this. E.g. the MOTO ManUp campaign that promotes mental health among males in Malawi 4. Increase help-seeking behaviour by encouraging people to seek help for poor mental health such as counselling, psychiatric interventions and social support.

5. Do not minimize feelings, take what people say seriously especially when talking about suicide 6. Create a safe plan, this can be in the form of removing lethal objects or medication or even forming a suicide watch over the person. You can have a group of people that take shifts in keeping watch over the person at all times until they receive the treatment that they need

Other ways could be through; 1. Educating yourself, the more you know about the risks, symptoms and treatment for suicidal behaviour, the more useful you will be to help others 2. Fight the stigma around mental illness and cultural norms that promote shaming and judgment of poor mental health 47 | E s s e n t i a l G r a c e M a g a z i n e

Compiled by Julie Soko

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Counselling on emotional and behavioural issues, spiritual issues, identity confusion and formation, difficult life transitions, bereavement and loss, trauma and crisis situations.

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The Haven Counselling and Consulting Center Old Naisi, Zomba, Malawi.

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