The Hidden Epidemic of Toxic Work Environments: Cele's Reflection

Aseni, welcome to Celeste Reflection. I've missed you all so much. Did you come, mini miss? And we're back, back with another episode on mental health. The reason being, it's May, May we, May ni mental, Maybe it's the part where we talk about mental health. We raise greater awareness about mental health. On the island, people are talking about mental health, left, right, and center If it's not about talking about it, you're seeing someone. who is just experiencing a mental health issue, problem. Whether on social media, with family, or just alone. Where you live, so it's out there The more we talk about it, the more awareness we create about mental health. And today, since we miss the mental health expert I have a very wonderful guest. Her name is Nancy. But I want her to introduce herself more effectively. Welcome very much, Nancy Thank you very much, Celestine. I am truly honored to be on this platform today. As talking about mental health being Mental Health Awareness Month So to introduce myself, my name is Nancy Kihara. I am a clinical psychologist by profession. I am currently practicing. medical clinic For the past 18 years I have been working in the medical field. This is an area I'm deeply passionate about. I am also the founder of My Afia Africa. It is a mental health organization where we provide teletherapy services online. God of 18, God of the clinic. God of 18, God of the clinic. God of 18, the god of the clinic. God of 18, the God of the clinic. God of 18, the God of the clinic. God of 18, God of the clinic. What happens on the other side? So guys, as we keep saying, when you're not okay, seek Canceling services? Talk to someone you know. those things you say when you feel you're not okay Take a walk, talk to a counselor, hang out with your friends, so after If none of this is working, we advise you to go see Madam Nancy, a clinical Psychologist Psychologist This psychologist is available every hour. So if none of these things work out, if it turns serious, Now we advise you to go to the hospital. and see a clinical psychologist. Here are the questions. Out here, we've seen these people, whether it be critical cases or shallow cases. According to you, najo mbia kuna critical and... Yeah. Oh yes, so when we say this fall to come, I'm assuming Is it like a hospital? Uh, do I just walk in? because I can be like this, looking at all this, I'm like but I'm not okay mentally, yes, so I can choose to First of all, can I take myself? I might have to bring someone with me, mentally, just like you. If I'm not mentally okay There are two ways of looking at it And I'll provide two different settings So you can see Nancy In her own consultancy As a clinical psychologist Nancy also works at a facility. So it will depend on the scenarios. For example, if you're going through situations that they're really stressing you out And you really need to talk to a therapist, you can walk into either one. If you go to a hospital setup, they have an outpatient facility. And they have a therapist who will take care of you. If you're coming to, just like the way you see in a hospital setup, You can go to a doctor's office or a hospital. Either of them works. It depends on what is needed at that moment. To answer your question regarding whether it is voluntary or involuntary, again it depends. There are people. Who gets to a point and realizes, by the way, I'm tripping. I'm losing it. I need help. So I am going to turn myself in. So sometimes people don't know where, where do I need to go, but there are people who just go online, mental health facility, and the first one they see, they're like, I'm going there, or they call, and they turn themselves in, they come, they say, I'm going through this, this, and this, I really need someone's help. So I'm not okay, I'm not fine, there I'm not okay, Here, here, just a moment, doctor. I need help, I need to see a doctor. This is how I'm feeling—please help me, you all. To Indeed, with However, with Indeed, When you experience a relapse while undergoing treatment with or it's your first time and for whatever reason you experienced a trigger Indeed. And you've got yourself, you're not okay. So these people now, because you're not yourself at that point, They will be brought into the facility by their loved ones. We'll call that particular one involuntary admission. Yes. So now I'm thinking. I'm not feeling well, I'm not doing well at work, and I'm having a relapse at the office. Perhaps even my colleagues didn't know about whether I take meds, what's up. There's a certain image I have in the office. Relapse is coming, don't you know. It doesn't determine where I was. So let's say I'm putting on a show here all of a sudden. So they'll have to take me in against my will. Because it's not under my request. Yes, dear. Niki met Nancy. I look. I don't look sick. Mental health is something that is often overlooked. Like uangalie kidonda. Yes. So as we are having our conversation, Nancy, I'm like, Nancy, I'm sick. I was so many let up, I misi juu shidari kuhapi. Yes. How do you deal with these people? Because this fall they can't. Like ukimuangalia, na haumjui. But I'm telling you, I'm not sick. I was just in the office with them, and I'm not sick. Alright. There will also be two instances. In a clinical setting, there are two ways in which this can unfold. If, for example, my challenge is substance use, there is always denial. because of the shame that comes with me being in substance use, I'm probably Also trying to stop, and I still can't So these people will be in denial. So when they bring them, they'll say, "I'm okay; it's them." Who brought me, so they are still in that state of denial—now that's why I'm a trained psychologist I will try to work with you; first, just give you time to settle. And then we will have conversations now, trying now to help you understand your current situation why you're here, even in that state of denial. Because sometimes people are truly trying to combat the vice itself, but they are unable to, and they feel like failures anyway to society, to the family, to the spouse, to loved ones. So now it is up to you to become the person Who will be able to walk with them through this journey? Kwa Indeed, with However, with Indeed, with Yes. When taking the history, you'll identify certain patterns. Kwa and use these trends to reflect back to them. This is in an effort to help them understand where this is coming from. However, without having a reference to the people who brought them. with To try and show them, you as a person, How are you involved in this? What's happening to you? Indeed, And how can we help you to first also gain understanding, the awareness, even the ability to carry out behavioral activation. with Because if they are still in denial... Yes. I won't be able to help you even begin the journey itself. Now that works well when it comes to substance abuse. Now when I'm going through other medical clinical disorders, Let's say I have bipolar disorder, for example. And with bipolar disorder, there are times when I'll be manic or depressed. So if I'm in the manic stage, you know, I'm very active, I'm disruptive. The energy levels are usually very high at that point. So even when they are bringing you, You're not aware because your brain is firing very fast. So by the time you arrive at the facility, You might still be thinking, I don't think I'm, I think I'm okay. but you see, the first thing is to help you first, to settle you down and then we can start the conversation, so The first thing once you come for us is to welcome you. In a clinical setting, that is, we receive you. if we need to help you calm down quickly before we've even started engaging in conversation, so we'll Take the history from the person Who accompanies you to the facility, and from there, then we can walk the journey if we hadn't had if you came without someone who can give us the entire I mean history; we will begin with the known. If you're in the office setup and as you said, they do know. that you take your medication or something today might trigger it even in the office. You realize that you've been able to manage your condition, You've never told it to your colleagues, But let's say an explosion occurs outside the office. And you're coming from a place where you have had a traumatic experience So you have this anxiety that gets triggered by events, PTSD. So if a crash happens, the first thing for you to do is into anxiety mode before maybe it can get out of hand, so by the time you're being brought, you're Not aware of what happened, so if I settle you Now that we've settled in, we can begin the conversation journey. So um, their families, where most Most of where I come from, we first think of a rehab like Like, first rehab at Tumpeleke. That's rehab, like... Sorry to say, but we've been hearing that the rehab is closing down now, so we're being relocated. Like, being in a family is like, eh. Now this one is getting out of control, Tumpeleke Rehab. What is the difference between a mental health facility and a rehabilitation center? All right, they're all mental health facilities because we are taking care of people who need to stabilize their mental state due to the circumstances they are experiencing. So when you enter a regular psychiatric facility, that's where we We are going to stabilize you and provide you with treatment for a few days. Now, remember, if you have a disorder, For example, a clinical disorder. So, the need is to stabilize you. Then use therapy and also the necessary psychiatric interventions so that we can settle you. After that, once you are stabilized, You may continue your treatment as an outpatient, as you visit your therapist, get your medication refilled, and all that. Now, when it comes to substance abuse, remember the brain. Let me first take you a little bit about what happens to people who use substances. Because nobody is born as a user Because nobody is born a user, orBackColor, or an addict. So you start, little by little, little by little. So, and usually sometimes it's a, You go out with friends, you don't drink alcohol. They're like, no, it's also a kidogo. Or if it's a puff, just try kidogo. And they're generous—you're not buying, they're giving to you. So the first time you feel, ah, it wasn't nice. I repeat, start feeling, oh. That feels different. Oh, actually, that feels nice. The third time, you're even buying for yourself. Okay? Then you realize, every time I take this substance, Could be alcohol, could be a puff, I feel good. You know, my moods are lifting. I'm happier. Actually, forget my worries. So my wife was making me unhappy at home. For a moment, I'm happy. So if I'm going to forget her by this point, why not keep going? So what we do is activate the brain's reward circuit. There's a happiness hormone. So every time you take an active ingredient, it activates the brain. And then the reward circuit is that dopamine is released and you feel a happy emotion. That's why you keep going back and taking it. So what happens is that if I started with a glass, Over time, my body gets used to that glass. It doesn't produce the same effect on me. So to achieve the same effect, I have to take two. Then my body adjusts to that. It's not giving me the One puff, two puffs, just smoke the whole packet. There are people who ask, how many cigars do you smoke in a day? And they tell you eight. So you're saying a day has eight hours, so you get that, right? That's called tolerance. So your body keeps building up tolerance, building up tolerance. So that's more of you just continuing to take, take, and take. By the time you're becoming an addict, Your body has become tolerant, so that unless you take more, It cannot function in the same way it did before. Of course, it starts affecting other areas of your life. It affects relationships and finances, because you have to feed this habit. bit And the other thing is that if it doesn't affect your relationship or finances, your job, you'll be fired. So, this is what happens now in a situation for someone. Now, the reason why you need to be rehabilitated now. because you have fed your body with all these substances And you need to get them out. The longer you have used it, The more time we also need to help you return to normal. So when you arrive at the hospital, if you come to a clinical setting, The first thing we'll do is detoxification. In short, detox. Helping you not to withdraw. Now, you see when people are drinking alcohol and they are used to it or addicted to it, That's what people call Kutualok. Yeah. So, naturally, the same substance. Yes. It is due to physical dependence. The moment you stop using it, you experience some withdrawal effects. Shaking. You know, or just feeling like your body isn't acting like itself. So, since you still want to function for that day, itabidi. Just a little bit more so that you can function for the day. You see again how much it's affecting you. So now when you come to the facilities to help you first not to go through with the drugs. Because using drugs can be extremely dangerous. They can kill. So we perform detoxification to help you eliminate these substances. And now prepare yourself to begin your rehabilitation. The longer you've been in it, the longer time you'll also need. So it will be expensive to stay in such a facility. So a rehabilitation center where you have. To However, with Indeed, with Indeed, with Yes. If you're going for rehabilitation, you as a person Who is experiencing their substance addiction, you be ready. You need to have your mind, body, and soul ready for that process. Because if you're taken by your friends or your family, because you're honestly very tired. And they truly want the best for you. And the only way they think If we send you there, we want you back intact. Now there are people who go in there full of anger and come back bitter. So because they want to punish you without realizing it that they are harming their own body, On the first day they reached the gate, they went looking for this substance. So it is very important for even the person being rehabilitated. It's about you. You need to take ownership of the process. You need to realize that you are the one being helped. Then take responsibility because you'll find many people projecting it onto others. They want to make it difficult for me, but it's not a problem for me. But seriously. Finances, relationships, everything is going downhill. How can we help you return? We will affirm you, indeed. We will validate you, yes. But you have a role to play in this. So take your responsibility. We take our responsibility as caregivers and support system seriously. Then we help you get there. But some people come and say firmly, I'm done. I'm done, and I'm here for myself. I'll change. So that you will get positive results Because they have put in the work. Now I love, I love, I love And I love how you said, I lost my voice, my ears went deaf. Because out here most of... Most of the time, people like Minakanga and his family are the bad ones. According to the person who is not okay, Yes, my family, my mother and my father, are taking care of me. According to them, mwenya na msaidia, mwenya na mjali, are bad. So when they come to you guys, how do you get that person? Just like akusikize, everyone around you is bad. Unless you clearly understand these substances, or if you're deliberately trying to cause trouble, That's when you are the good person. But the person who is trying to rectify That behavior always belongs to the bad person. Yes, now I'm talking from the point of view that you're here now. and I want you to change. The focus is on you to take responsibility. But when I'm providing collective support to this person, I want to understand the interplay between nature and nurture. I'm talking about what environment you're coming from. I need to understand the environment of this person. It's probably triggering them as well. into the behavior of using the substances. Could it be, if it's a young person, It's because they got into the behavior because it's pure. If it's an adult, is it because they're going through something? They are unable to express themselves. They're looking for something to dull their experiences. Or there's a lot of violence in the house. And they have no way out. So they're looking for a way to cope. So, for my responsibility as a psychologist, as much as I want you to take responsibility because I want the best for you in the end, after all, you're The first person I want the best for is you—you're my client. So don't, I don't want you to leave this facility the way you came. but I have to be cognizant that It takes a lot more than that to bring you in. I want you too; there's more interplay there. things in your environment that make you get Is it your responsibility to get into that situation? Is it a family? Is it family? Responsibility? Is it a workplace? A stress issue? What's going on? So I need to understand what this person is going through. So in the cases I'll choose the family, The family may not even always be the problem. But since they are already frustrated, We call this compassion fatigue. Initially when you started, they will be, They'll try to talk you out of it. But then, over time, they realize it's getting nowhere. So they start getting frustrated with you. And at one point, they will even, to my great dismay, No, I mean, you don't want to do it, sumejaribuna. This person isn't sane enough to just snap out of it. as I have told you about how the brain keeps getting, Wanting to crave, the craving, the craving keeps coming. Even then, sometimes they go through the same guilt. and shame and embarrassment, am I even making sense here? But they can't just snap out of it. Addictions are things you simply can't get rid of on your own. And addictions could be anything related to substances, gambling. So these days, gambling is also a mental health issue, yes, like I have to in the morning I have to place Yeah, yeah, yeah, we have people admitted for gambling. and losing a lot of yeah, you know, things for the family or where they were employed or something like that, it could be pornography, you know, all These, and you know there are those you can talk about. then there are those that you can Talk about me, I even see people having a lot of the challenge in speaking about betting because of Someone looking at you and wondering, wait a minute, like you're betting until you're eating everything to this, So it also comes with its own shame and stigma. So over time now, you try to understand where the patient is coming from. Now, it is very important, and this is a practice—bring in the family. There are things you'll notice when the client tells you, And if you feel the family is needed here, you must bring them. so that they assist the patient in the recovery process. Because you know when people give up on you To stop doing, to do doing. They give up on you Like the expectation From doing, from doing. Take the road. Take the road. Take the road. But they also have a responsibility first. How do we reintegrate this person into their family when they're already there? Were they trained in terms of your relationships? So we need to tell you what they are going through. If it's a toxic workplace, you'll bring in the bosses. Now, in a toxic workplace, we have to equip you with strategies. What is causing you to feel the way you're feeling. Are there things that can be avoided or cannot be avoided? Now, if they are unavoidable, can you grow beyond them? If you are capable of managing it, is it about your behavior? because always there is always you'll be able to see is this person the person who is unable to cope or adopt a different way of interacting with the bosses or the colleagues or something because all of us have different temperamental issues so it might be my temperament That is a problem; it could be my personality. could be the problem, but it could Also be aware that the place is still toxic, so Do you have to be there? And if you have to be there, Are you able to have a strategy for transitioning elsewhere? And if_IND_ it is too bad, what would happen if you stepped out? So we cannot provide you with those decisions. We just explore and help you see what works for you. At least you get to start seeing the possibilities. What can I do? What plans can I implement to improve myself? Then you make the decision that is favorable to yourself. So in terms of coping, I know So in terms of coping, I know coping mechanisms, Most of them start drinking in workplaces, developing such habits. substance because it is toxic. I need this salary by the end of the day. but for me to survive, I need to take. I need something inside my body So if you try Maybe telling this person The situation has changed. Until it reaches the point where they come to you How do they How do they respond? Like, this person was a very nice person. I have finished the work. But along the way Who is coming late for the meeting? This river flows through the land. So you, as colleagues, as bosses, as friends, You've tried, tried, tried, until you finally gave up, Maybe voluntarily, or maybe someone brought them to you. So how is it for them, wakifika sasa kwako, like do they get to a point Now that I'm done denying it, I just need to report myself, right? To report yourself to the psychologist? Yes, you know when you're coming, you're coming, If you're coming voluntarily, you're already admitting you have a problem. Sometimes people don't know exactly, but I know I'm suffering. I'm struggling, but I really can't tell. But sometimes they also can't tell, yet they are blocked. For example, you give me a work-related situation. So I'll give you scenarios that I've come across. So you're married, and then it was bliss. Then one day you find out the guy has been cheating. And it strikes you like a thunderbolt, and all of a sudden, Your jovial behavior—this is not like you. I'm giving an example. It's not me. Yes. So, your concentration starts changing, you're more moody, you know. At the office now. At the office. Now, this is not something that I'm likely To discuss with you, Celestine. Why Indeed, Indeed, However, Indeed, Yes. Now, there is now, to deal with that, There are people who can choose to come, seek therapy, or there are people who first resort to maladaptive coping mechanisms. They start drinking alcohol, and then before they realize it, it becomes detrimental to their health. Yeah, so when they come again, it's about taking the history. Where are you coming from? And our history doesn't just begin with what brought you there. We go way back to your childhood. Sometimes we feel frustrated with ourselves as therapists. I came for why, what do you want from my childhood? for we select many trends and patterns and influences that originate all the way back to when you were a child and now how do you cope Things that trigger you probably made you go through a lot that you don't even know that were pushed into your subconscious and you just need one trigger, and they bring themselves to fall What has happened and I see a lot of, Now that we're in Mental Health Awareness Month and I see a lot of corporations being able to do this is that they bring Experts sometimes train people in leadership, or sometimes also in other areas. Employees need to understand when you begin changing how you communicate. Because if I'm a supervisor and I see Celestine, Celestine, you used to be Pancho all the time. You never had deadline issues. then all of a sudden this has changed before I start making it hard for you if I am able to approach you And say Celestine, is there something you need to discuss? You know, if I come to you in a way that I'm showing concern might make you feel the need to talk about it, but again, it also depends on the personality if I'm not able to talk about it but if I'm a supervisor, I'm able to support there's a problem I can actually tell you about I I want you to take a day off, no matter what. Please go sort it out, go figure it out. You know, if they have seen instances where corporations have brought People come to the facility and they're like, no, go, we'll pay for it. And that's where they're like, It's good that they pushed me here, but now I can work and heal. Yeah, so they'll come. They are sent either by the company or by their loved ones. Or sometimes they realize, saying, "I need help." And now, slowly, slowly, they begin to open up. When you start, you establish rapport. Assure them of their confidentiality. The journey begins. I'm curious to know, at the very end, have you ever met a patient, Well, now this is just, I just want to know, I'm just curious. Have you ever met a patient who was like, at first my family didn't care, but in the end, Aki mini wasumbua, usha ipata iyo? Like, aka Kubali, aka Sama Nye, my family is the one being targeted? Yes, yes, yes, yes, yes, yes. In fact, you'll find, um... Let me give you a scenario of a man. who would never be home at the time they expected to be home. They have children, so they don't have time to spend with them. And he was avoiding his wife because one, For some reason, his business stopped doing well. And so he was discovering himself; he didn't want to go home early. Probably not to answer questions or anything like that. And the company he was staying with was for people who drink. And sometimes he would come at the crack of dawn in the morning, Sometimes not drunk, sometimes drunk. And then over time you see now what this does is at first you're Spending too much time away from the family, including your children. Then your wife is getting agitated, irritable, and everything. So you get stressed. And eventually he started drinking. So it moved from just keeping away, Then he started drinking so that when he comes home, I'll be macho. So I'm able to, Nikiulizo aswali nitaeza kujibu. And he really became addicted and had to get, You know, he had to turn himself in. And always felt very bad. He would always feel bad about the first time his financial circumstances changed. And now that he is here. And imagining that the wife truly has to be the one also taking care of the largest amount that he's paying. And one of the things he was determined about. I mean, I'm going to rehab. I am ready. I want to go to that rehab. I want to go to rehab and come out a changed man. And of his own free will, he went to rehab. Today Today he has a very happy family. I got to see them sometime, and they came together. And you can see the radiance and them saying thank you. Thank you all for taking care of me. Yes, you've seen that we have success stories. We have success stories, and of course we have unsuccessful ones. That gives us hope. Yes. Yeah, that gives us so much hope because it's tough. Is there also a point where you get to... Talk to these people, who are the ones who have this person, like the people. who are trying to aki Aki tukupeleke tu jihabu. Do you ever talk to the people you call? the caregivers, the support, yes, yes, every time you're Doing, um, a therapy session; we try to do family sessions all the time. The time to bring in the family, yes One when I've already completed my history with the patient I also want to collaborate with the Where is the family coming from? Where is my patient coming from? Now, I need to combine these two so that I can provide a comprehensive care plan or treatment plan. Remember the treatment; my treatment doesn't have to be medicine. For me, it's more about behavior. For me, it's about the person being able to have the skill set, being able to have strategies to cope, to deal with, to change one's behavior, and all that entails. But once again, where is the family in all of this? So what happens is that sometimes the family does not fully understand what This person is going through it, or even that family is the cause of this person's suffering. So if I point it out in a very kind way, I'll be able to relay it back to the family to help them Also to understand, to have awareness. How to help this person once they are reintegrated after being there. Because some people, you guys, The family is bitter, the patient is bitter. What happens? Fight with determination. But where the family understands and begins to accommodate and you're ready to go out because they're ready for you, It will become easier for you to start again From wherever you find each other, find your growth again. Now where the family is adamant, Then we prepare you to have the strategies as well. Because they're already angry at you. Therefore, we need to do it. So what is it that you're going to change? so that they can also see that you're taking the personal responsibility towards your own healing Then, over time, they will also come on board. So you have to try to strike a balance. But family sessions and family therapy for every client It is very important because no one is an island. They need this support system. The caregivers also get into what we call the caregiver role. They get very tired. I'm looking for that word. When it comes, I'll tell you what it's called. Burnout. The caregiver burnout. They have taken care of you. But every time, Every time we are back there, every time we are back there. So sometimes they just get very tired. So sometimes you I also need to help them understand; perhaps go over this one more time. Could we change the way we've been doing it? to accommodate this recovery process? To However, You've seen so many mental health months. May, may, may. Many. Almost 19 May. with Is there any change, though? Is there anything you can see that could be improved? Yes, I know we are becoming, we are all becoming sick. We're all sick, just like that. with Everyone has their own mental health struggles. But do you notice any kind of change, Indeed. Whether positive or negative? Certainly. That's a very good question, Celestine. And what I have, what I appreciate, That there is a growing awareness being created around mental health. Sometimes I say thanks to COVID that now we are open to these conversations because COVID truly brought to the forefront the issues surrounding what we experienced when we were locked in together and a lot of mental health issues and now people come to appreciate. That is why even a large number of online conversations about mental health have increased and there is very good intake. I appreciate that something good came out of it, wow so since that time one there has been increase because when people are brought together A lot happened again, redundancies, it came with a lot. of things again now that also brought the appreciation of mental health and how it is important So these conversations have continued; now they have taken root. and they are now widespread every every male like now this year's theme is keeping moving beneficial for mental health, because once again After COVID, we realized that you can work from home sedentary. So we are shifting our problems to you. Always driving, getting seated, the whole day we are moving very little again, which is detrimental to my health, so I've seen a lot of awareness being created, I'm also seeing a significant increase Therapy wasn't very popular before, you know. Right now you tell someone, okay, there's still a A bit of a challenge for people not understanding so there's still a bit of that, but um The increase is better than in previous years. Mental health carried a great deal of stigma. Even when I was beginning to practice and become attached to those psychiatric units, You can tell when people feel isolated, even by society. when you have someone who is going through mental health issues So there was a lot of stigma. Stigma still exists. We are trying to combat it by raising awareness. But the stigma then and the stigma What you are experiencing now is different. People see it a lot differently. people are willing to even get People are willing to get involved just to advise you. or support you in finding where to get help. Insurance did not cover mental health before. Why However, We can see that it is also being appreciated. At the very least, you will receive a portion of your insurance payout. That contributes to that because it is a chronic condition. with That was not the case previously. Therapy also had its own intricacies, but now you see, so all, However, You know, in the corporate sector, you see that insurance has changed. in how they perceive, support, and finance those claims. with Yes. Individuals and families are now becoming increasingly aware. Of course it's still a challenge, People who still don't understand, people who think, tumerogwa. You know, it's understanding that it could be the people. who thinks, um, like when I was doing Recently, I was having university-level conversations about mental health. and this lady who said in our Nawa community Mental health is viewed as a general, it's like a curse. If someone commits suicide in a certain home, It seems that the house has a lineage of curses. You get. So having to keep up with continuous education, then we manage to reach those people That by the time I'm committing suicide, it's a cry for help. Yes. So that's how I would say I've seen a lot of changes. Of course, there are many treatment options available for different cases so that if you know different people react differently to drugs. So there's been a lot of that come up, and that's a good thing. We can all be accommodated. And we're going to keep talking about it until... I've arrived until where we want to Yes, yes, we have to Until we are able to do so now Everyone needs to understand how to help. Where to get help Who would need support? Because once again You also need to realize that You can be with someone in the house. And you don't realize they aren't okay Once again, you should be able to detect those changes. Even your own child At one time they are with the drone, they don't want to leave the room. You know, sometimes we assume, especially teenagers, they get to a point where now they are no longer in the family living room. They are almost always isolated in their rooms. Unlike saying, the name of a teenager Name the one who came to isolate, be very careful. They might also be going through something. or starting something. Always remain continuously involved in people's lives to notice When they start with the drone, they might be going through something. If they can't talk to you, don't you also have friends? be able to talk to them, the problem is why you have a family where people don't talk about their issues, and therefore until things get out of hand it's when they ask for help, yeah, so someone can be in Your own media, truly, here we are, there's a ratio of one out of hakuna one out of one out of one to ten people visiting the facility people people are almost having mental health issues In one thing, in one thing, in one thing, in one thing. 1 in 10 Has a mental health condition 1 in 10—that's a lot Here we are, really 10. Yes, and that is not what took them there. And it requires a great deal of screening to be identified. You know, like depression You know there are those other conditions I'm telling you about. Like bipolar, things just blow up out of nowhere. I can be so depressed, and I'm always reporting to the office. And going back home And you'll never notice Because sometimes depression is laughter I'm still laughing with you I'm still trying to do what I can do But I'm dying Inside. Now this is the part where we ask people to please speak up. The moment you arrive here, you're dying inside. Please speak up. Because an extrovert is always an extrovert. So they are always laughing. They are always smiling. Then tomorrow you hear the commuters you said you're like, eh? What happened? We never saw that coming. So in that case, the gospel is to be present in this awareness. Please speak up. Natasha Olusia, happy birthday. So, thank you so much, Madam Nancy. After all this, you know I've been talking like when you bring them to me, So when you bring them to me, now they want to bring them to you. Because now you've been talking as if they know where you are, So I want you to tell them where they can reach you. how they can find you. Alright. So if you go online, My Afia Africa, M-Y-A-F-R-I, M-Y-A-F-Y-A Not F-I-A. My Afia Africa. It's purely online. It's an online platform. You go to sign up and then there's a bit of a questionnaire asking A few questions that will help you match with a therapist. Then you match with a therapist of your choice. who meets your needs and criteria, as you will have answered. So it's very easy. Online, in 24 hours you have your therapist. You start your sessions. If you want to do it in person, that's where you are physically. There are people who don't truly appreciate the online world. The therapist you are matched with, physically, They will always have the option for in-person sessions. So don't feel stressed. Our platform is highly active, and we've even had the latest sign-up. The youngest was 8 years old. Yeah, and we thought it was a mistake, but because the form, Once you sign, and if you're under 18, a consent form appears—we know. To understand, we have consent, so there was a consent form, only. to learn that these parents were separating, and this child is feeling, So a child who is 8 years old, you can do talk therapy with them; they don't have the language, so we need to do art therapy, play therapy, Those ones can't be done online, so those ones will have to be seen. To see you in person, by going there online, we'll be able to see you. You can also contact us using the details provided on our website. Thank you so, so much. So this kid came with the parents? So this 8-year-old? Yes. Yes. Because they were ready to support the child. So you can't see the child alone. A child cannot give consent. Therefore, therefore, therefore, therefore, Sometimes you realize that brings back the parents together or gives them a better way to realize how they Therefore. are going to co-parent without punishing this child because the child has made no mistake they did. Wow, that's interesting. Thank you so much, Nancy. Thank you even for your time, taking your time. We are usually curious, kujua, how do you handle these people. How would you explain that to a mother, in a very serious manner? Well, you must prioritize your safety first. Alright, you must always be fully aware of your patient and their condition. So you must always ensure your safety is taken care of. Because I need to take care of you but at the same time in case it gets. So even the arrangement in a counseling room should be able to give you the ability to find your safety. So that can happen. Although it has never happened to me, you should always make sure that you use the proper counseling rooms provided to you. The ability to have your safety. Yes. Thank you so much. Thank you very much. We've learned more. We've learned a lot from you. Thank you for taking the time to come to our show. I hope it works out. Don't go forever. Please come back. No problem. Thank you so much. Thank you so much, everyone, for watching. That's it from us today. See you next week on Wednesday. Goodbye. Why Yes.