Showing posts with label Mental health. Show all posts
Showing posts with label Mental health. Show all posts

Saturday, May 24, 2025

The therapeutic benefits of forest bathing

The therapeutic benefits of forest bathing

By Photography by 

The Arashiyama Bamboo Grove, in Kyoto, Japan, is a haven of sylvan serenity.

When my editor asked if I’d be interested in writing about “forest bathing” for Rotary magazine, I assumed I heard him wrong. Florist raving? Tourist baiting? Some other goofy trendlet I was too old to know about? Had the editorial focus of Rotary shifted dramatically without my knowledge?

No, he assured me. Forest bathing. I envisioned something like a polar bear club, with more privacy and fewer clothes. I also envisioned increasing my freelance fee. But before I could respond that, when it came to matters of personal hygiene, I was just fine with my own bathroom, thank you very much, my editor proceeded to educate me. It’s not bathing, nor is it hiking — or even exercise, per se — but rather an experience in which people immerse themselves in nature, often guided as a group through meditation and sensory exercises that make use of all five senses. Think of it as outdoor mindfulness, he said.

Forest bathing, also known as forest therapy, started in 1982 as part of a national campaign in Japan that promoted visiting forests as a way to reduce work-related stress. The concept was called shinrin-yoku (yes, it translates as “forest bathing” or, if you wish, “bathing in the forest atmosphere”). The ritual has grown into a movement sparked by Japan’s Forest Therapy Society, which has certified 65 forest therapy sites in the country. Meanwhile, forest bathing has spread like gentle ripples in a pond, with thousands of guides leading retreats and themed events around the world. Eco-hotels catering to forest bathers have popped up everywhere from the Barrenjoey Peninsula near Sydney to the Pocono Mountains in eastern Pennsylvania. Closer to my home in Chicago’s Hyde Park neighborhood, organizations from the Morton Arboretum to the Chicago Park District offer some kind of forest therapy outing.

Some people have incorporated shinrin-yoku into their daily routines. “I work right next to a park with a famous shrine where there are lots of trees,” writes Qing Li, a leader of the forest bathing movement. “From my office window I can see beautiful scenery, and I walk in the shrine at lunchtime almost every day.”

Those comments appear in Li’s 2018 book, Forest Bathing: How Trees Can Help You Find Health and Happiness. The 310-page volume has become something akin to a holy scripture among forest bathers. In it, Li, a doctor at Nippon Medical School Hospital in Tokyo who has spent 20 years studying forest bathing’s benefits, implores readers to leave their phones behind and find a spot where they can open their senses to nature. If you don’t have a forest handy, any small green space will do. “It will improve your mood, reduce tension and anxiety, and help you focus and concentrate for the rest of the day,” he promises.

None of this feels entirely new. We’re living in an existentially fraught moment in time when the need for “self-care” is a constant refrain. The idea of self-care has evolved into a catchall encapsulating any pastime unrelated to work, from ballroom dancing to journaling to petting puppies. Not long ago, this was called “me time,” but now everyone — doctors, teachers, bartenders, barbers — recommends self-care interventions far and wide. It’s not hard to imagine the guys in my pickup basketball game recommending forest bathing the same way one might suggest, say, paintball.

I’ve always been wary of the line between self-care and self-indulgence, so before the knee-jerk cynicism kicked in, I had to see Dr. Li for myself. In a YouTube video, he appears as an unassuming middle-aged man in an orange North Face jacket strolling through the woods, periodically stopping to caress and sniff various moss-covered trees. In between, he warns viewers that Japan has a word, karoshi, that means, basically, “death from overwork.” As he lists the medical perks of forest bathing — reduction of stress hormones, lowered blood pressure, strengthened immune and cardiovascular systems — the whole enterprise gives off the vibe of a benign self-help video. But the message is clear: Unless you want to die at your desk, you need to take care of yourself.

Point taken. I’ve been living in Chicago for 26 years now, and I have raised three children here, with all the glories and miseries that entails. For nearly half my life, my brain has been bombarded with construction noise, horns honking, car stereos blaring, the dog barking, kids needing. The sound of sirens is so persistent from my home office that I don’t even notice it anymore until I’m on Zoom and someone asks if everything’s OK. I exist in a state of heightened stress and agitation. Of course, I’m not special: Nearly all of us are in danger of losing ourselves in the intermittent boops and bings of beckoning technology, a daily onslaught of headlines and deadlines and responsibilities that never end. Li would probably say we’re all candidates for a slow-motion karoshi.


As manager of adult learning programs at the Morton Arboretum outside of Chicago, Megan Dunning is on the lookout for opportunities to connect people with nature

There’s an old adage that it’s not the stress that kills us — it is our reaction to it. And even my most positive reactions to my stress — half-hearted stabs at meditation, podcasts, therapy, walking the dog — were obviously not cutting it. Maybe disappearing into the woods for a three-hour forest therapy walk at the Morton Arboretum would help. I called back my editor and signed up.

Located about 25 miles west of downtown Chicago, the Morton Arboretum feels like another planet. Calling itself “the champion of trees,” the sprawling suburban oasis boasts 16 miles of hiking trails, over 200 species of resident and migratory birds, and more than 100,000 live plants across woodland, wetland, prairie, and meadow habitats. It’s hard to imagine a more relaxing setting so close to one of the least relaxing cities in America.

Yet, as I arrive on a recent Saturday morning, late and lost, I am a mess. No amount of natural beauty or mindfulness can tamp down my anxiety as I wind along the botanical garden’s looping roads in search of the elusive parking lot P-29. By the time I find it, I feel my heart knocking against my ribcage like an angry neighbor. Nice start.

Ever forward-thinking, education staff members at the Morton Arboretum learned about the rise in forest bathing a decade ago and realized it dovetailed perfectly with their mission. “These experiences that get folks out into the forest and consciously tap into that power to help with mental and physical health — that’s what we’re all about, finding opportunities for folks to connect themselves with nature,” says Megan Dunning, the arboretum’s manager of adult learning programs.

Not far from Chicago's urban cacophony, Morton Arboretum's hushed tranquility prevails.

After working with the Association of Nature and Forest Therapy in 2015 to train and certify guides, the Morton Arboretum launched its own forest therapy program. Now, more than 500 guests participate annually in walks lasting two or three hours. Some are processing grief or trauma, others learning to live with disabilities — people who are at what Dunning calls transitional points in their lives. Many are simply seeking an emotional reboot.

No one asks what issues people are dealing with in my group, which includes 14 women, one man who appears to have been dragged along by his wife, and me. Our leader, the soft-spoken and preternaturally calming Beth Bengtson, describes the forthcoming encounter as a series of invitations to interact with nature and embrace the experience with all five senses. “I’m just a guide,” says Bengtson — actually, a certified forest therapy guide with more than a decade of experience leading education programs at the arboretum. “The forest is the one that provides the therapy.”

We are no more than a few hundred steps into the hiking trail when Bengtson hands out tiny mats and leads the group in a meditation session, right there in the dirt. I find her gentle entreaties to focus on the sounds of nature nearly impossible to carry out. First, a familiar old ache settles into its usual spot in my lower back. Then I feel distracted by noise from nearby traffic on Interstate 88 and the groups of curious hikers who keep passing. Just as I get into a groove, a plane screams across the sky, en route to O’Hare. Such is life when your forest preserve is just a few towns over from an international airport. After that “invitation” concludes, Bengtson passes around a talking stick so we can describe our experiences. I keep my mouth shut as my fellow bathers describe their experiences as grounding and restorative. Sounds like someone drank the herbal Kool-Aid awfully fast.

Forest bathing: What the science says

Scientific research into the practice of forest bathing, or shinrin-yoku, is confirming “what we have always known innately” about a walk in the woods: that it has real benefits for physical and mental well-being.

In his book Forest Bathing: How Trees Can Help You Find Health and Happiness, Dr. Qing Li of the Nippon Medical School Hospital in Tokyo says that what began with a “preliminary … speculative investigation” in 1990 among the pristine forests of the Japanese island of Yakushima has evolved into rigorous scientific inquiries in the decades since.

Li, who is considered a foremost authority on the practice, concludes that forest bathing can boost the immune system, increase energy, reduce stress, and decrease anger, anxiety, and depression. He notes that forest bathing has been linked to measurable decreases in levels of the stress hormones cortisol and adrenaline as well as blood pressure. (As an ancillary benefit, it also provides an incentive to preserve and enlarge our forests.)

Another sign of science’s acceptance: More and more doctors are prescribing forest bathing to improve their patients’ overall health and mental well-being.

I got a C in high school biology, but even I know that when a human experiences tension and anxiety, it sends a lightning bolt from the brain through the autonomic nervous system. Waves of stress hormones hitch a ride in your bloodstream until the stressor subsides. But if this happens too often, it can weaken the autonomic nervous system’s ability to stop the stress response, resulting in the production of even more stress hormones. Calling this process a vicious circle is not evocative enough. Imagine it as a traffic jam going in and out of a city in which the driver of every single car persuades another person to drive downtown, until every road leading in and out is a clogged thoroughfare of angst.

That is the image in my head when the next invitation begins. Bengtson challenges us to move at a snail’s pace and notice the world in motion around us, and, as if on cue, a rabbit bounds past, which seems a good omen. I observe a tree waving in the breeze and think about the way my shoes sink into the soft earth. The creeping bugs begin to appear less as nuisances than curiosities. Something is happening.

“Shinrin-yoku is like a bridge,” writes Li. “By opening our senses, it bridges the gap between us and the natural world.” It is during the third invitation that I officially cross the bridge. The goal this time is to find a quiet spot, sit down, and manipulate your surroundings to create a mini work of art in nature. Bengtson’s voice enters my thoughts: Try and access feelings that have always been there, like from when you were a kid, and you’d just play.

I admit that my attempt to stack pebbles does nothing for me, but as I feel the smooth soil in my fingers, something in my brain shifts. Or empties. All other sensations begin to fade, and the tactile sensation becomes everything. Regular life begins to feel farther and farther away, supplanted by the kind of heightened alertness and wonder that ordinary meditation never quite sparks in me. “These are feelings that we’ve lost as we become adults and stop being curious,” Bengtson explains.

Not long ago, my own therapist asked me to visualize myself sitting beside a gently flowing stream with leaves floating along the surface and told me to place every thought on a leaf, one by one, and let it float away. At the time, I protested that the exercise wouldn’t work, that I would always be running on the shoreline alongside the leaf to be sure it made it downstream. But during the next invitation in my forest bathing experience, as I climb onto a log that had fallen across a creek and dangle my feet into the cool water, I can barely remember feeling that way. With every leaf that floats past, I feel my heart rate slowing. It is the opposite of exercise, and I didn’t realize how badly I needed it.

A natural high carries me the rest of the way through the experience, during which I find inexplicable peace in simple observations such as a cauliflower-shaped cloud drifting by and fiery red leaves clinging to the base of a tree trunk as if unwilling to let go. The beauty around me is both granular and enormous at the same time, leaving me both exhilarated and exhausted. I forget the other members of the group entirely.



At the conclusion of a three-hour walk, Beth Bengtson, a certified forest therapy guide at the arboretum, serves a spruce-infused tea to the forest bathers.


The experience ends with a purifying group tea party in a sunny clearing, where Bengtson pours tea made with spruce tips that she had picked from trees a few hours back and brewed in filtered water. As she dumps a small amount into the dirt to “interweave it back into the natural ecosystem,” I feel a bittersweet tinge. I have to return to my regular life.

This time, when the talking stick comes to me, I’m not so dismissive. But I am too embarrassed to tell the truth: that I came in thinking this whole thing was ridiculous, and after three hours, I feel better than I had in years. I pass the stick to the next person and drive home in a state of suspended bliss, hoping it will last.

Did it? Yes and no. When I think back on my morning in the woods, it feels like it happened to someone else. Attempts to recapture those feelings of peace and awe have been elusive.

But sometimes now when I walk the dog, I close my eyes and concentrate on the wind whispering through the canopy of majestic oaks that line my street. It’s an old song, but it’s new to me. And I’m finally listening.

The former chief dining critic at Chicago magazine, Jeff Ruby graduates in June with a Master of Social Work from the University of Missouri; he described his dramatic career change in a November 2021 essay for the magazine.

This story originally appeared in the May 2024 issue of Rotary magazine.


Visit :-

https://www.rotary.org/en/arbor-daze-therapeutic-benefits-forest-bathing




Thursday, May 15, 2025

Rotary honors six members as People of Action: Champions of Impact

 

Rotary honors six members as People of Action: Champions of Impact

Members promoted mental health, protected mangrove forests, and helped Indigenous young people increase their economic opportunities

By 

Rita Aggarwal

Rotary Club of Nagpur, Maharashtra, India
Project: Wellness in a Box—Nagpur

Rita Aggarwal has been a consulting psychologist for 35 years. In 1992 she established Manodaya, a private mental health clinic in central India. She is an officer of the Mental Health Initiatives Rotary Action Group.

Both a community assessment by members of that Rotary Action Group and a study published in the Indian Journal of Psychological Medicine found that mental health literacy in young people in India was very low. To address the high number of students who showed signs of anxiety, depression, and other psychological problems, effective mental health services were needed.

The Mental Health Initiatives Rotary Action Group had developed a toolkit called Wellness in a Box, and Aggarwal applied it in her hometown of Nagpur. The project created a curriculum for 14-year-olds that covered depression awareness and coping skills, which helped counter the stigma that surrounds mental health care. It also taught teachers counseling skills and established sites for fieldwork, in cooperation with the Tirpude College of Social Work. Ten teachers have completed a yearlong counseling course, and another 10 are expected to complete it in March.

Wellness in a Box—Nagpur has trained 2,280 students and 768 parents and faculty members in the “Break Free From Depression” curriculum. One hundred young people have volunteered for further training as peer mentors.

Steve Dudenhoefer

Rotary Club of Puerto Barrios, Izabal, Guatemala
Project: Guatemalan Tomorrow Fund

Steve Dudenhoefer founded the Guatemalan Tomorrow Fund and Asociación Ak’ Tenamit 33 years ago, after selling his business in the US and moving to Guatemala to serve as a full-time volunteer accompanying rural Indigenous Central American communities in their sustainable development processes.

The Guatemalan Tomorrow Fund helped develop a program of work-based learning and job placement for young Indigenous people in the country. One thousand Indigenous girls and boys receive vocational training at rural residential schools. Community education promoters visited communities to recruit students and offer scholarships. Teachers were trained in improved methodologies and taught how to provide psychological support to students who had been abused. More than 4,000 students have graduated from the program, and 86% of them are gainfully employed.

Members of five Rotary clubs in Guatemala and 36 clubs in the United States worked with Asociación Ak’ Tenamit, the Guatemalan Ministry of Education, and local municipalities to ensure the project’s long-term financial and operational sustainability. The project is now managed by a board of directors composed of Indigenous graduates of the program.

Amal El-Sisi

Rotary Club of El Tahrir, Egypt
Project: Heart2Heart

Amal El-Sisi is a longtime Rotarian, professor of pediatrics, and a member of The Rotary Foundation Cadre of Technical Advisers. For four years, El-Sisi led Heart2Heart, which helps children in remote parts of Egypt, Kenya, Libya, and Yemen who have heart conditions. El-Sisi recruited 30 local Rotary clubs and 10 clubs in other countries to collaborate on the project. Rotary members also raised funds and secured global grants for the project and used surveys of community members and care providers to measure its success.

Heart2Heart treats children born with heart disease through state-of-the-art, less invasive catheterization procedures. Before it was started, patients and their families in remote areas of the region had to travel to cities to get these lifesaving procedures. Those who could not make the trip faced suffering and even death. .

Heart2Heart has used highly sophisticated catheterization procedures to treat 120 children in remote areas. It also trained 20 doctors and 50 nurses and technicians over four years. With El-Sisi’s leadership, Rotary members oversaw the monitoring and evaluation of all of Heart2Heart’s activities, including follow-up with patients and health care providers.

Evangeline Buella Mandia

Rotary Club of Marinduque North, Marinduque, Philippines
Project: Mangrove Rehabilitation and Aqua-silviculture Project

Evangeline Buella Mandia is the club Foundation chair and a past president of the Rotary Club of Marinduque North and dean of the College of Environmental Studies at Marinduque State College, in Marinduque, Philippines. She is a member of The Rotary Foundation Cadre of Technical Advisers.

Mandia’s project addressed the decline in mangrove populations in parts of Marinduque. This decline, caused by deforestation, pollution, and climate change, has increased coastal erosion, degraded water quality, and caused a loss of biodiversity. Rotary members raised funds to plant mangrove seedlings and rehabilitate established forests as well as train community members in mangrove propagation and aquaculture. The project also established a seedling nursery and a long-term mangrove conservation plan. Mandia oversaw daily operations, communicated with everyone who was involved, monitored progress, and ensured that the project’s objectives were met.

Local fishers and farmers gained better job prospects and higher earnings, while the entire community enjoyed a more dependable supply of fresh, local food. The revived mangroves protect against storm surges and reduce coastal erosion. Training improved community members’ understanding of their environment and their ability to take care of it. As a result, the whole community began working together to conserve local natural resources.

Bindi Rajasegaran

Rotary Club of Ipoh Central, Perak, Malaysia
Project: National Coalition for Mental Wellbeing

Bindi Rajasegaran is a past Rotary club president and past governor of District 3300. A member of the Advisory Council to Malaysia’s Ministry of Health, she helped establish the National Coalition for Mental Wellbeing in 2019. Rajasegaran’s project addressed youth mental health. A study found that more than 400,000 children in Malaysia have mental health problems, but many do not seek care. Family and societal pressures, bullying, and loneliness all contribute to poor mental health.

The project helped school counselors develop their crisis management skills through a Mental Health First Aid certification course. It also showed counselors how to foster supportive and inclusive school environments that promote mental wellness and reduce stigma. A series of awareness campaigns encouraged students to discuss mental health issues and seek help when they need it. The project also developed an online platform where counselors recorded case data so the results of their efforts could be measured.

Walley Temple

Rotary Club of Calgary, Alberta, Canada
Project: Towards the Elimination of Cervical Cancer in Guatemala

Walley J. Temple is a professor emeritus in the Department of Oncology at the University of Calgary and the Tom Baker Cancer Centre. He established a Royal College-approved training program in surgical oncology that has drawn trainees from around the world.

Temple’s project sought to identify and treat the conditions that lead to cervical cancer, a disease that one in 33 women in Guatemala will contract in their lifetime. Cervical cancer, which is caused by the human papillomavirus, can be prevented by vaccinating girls aged 9 to 14 and screening women aged 30 to 55. The equipment that is needed for screenings is low-cost and can be carried to even the most remote communities by mobile health care teams.

Under Temple’s leadership, teams of clinicians conducted training, did examinations, and provided treatment. Temple and his team purchased mobile screening equipment and trained nurses in its use. The project has screened more than 8,000 women, educated more than 3,000 women about cervical cancer, and trained and certified 65 health care practitioners.


Visit :-

https://www.rotary.org/en/rotary-honors-six-members-people-action-champions-impact







Wednesday, May 7, 2025

Stand by me: The value of peer-to-peer support

 

Stand by me: The value of peer-to-peer support

Mary Lawal, a 22-year-old psychology student, had to advocate for herself to access treatment for bipolar and borderline personality disorders that had gone undiagnosed for years. Today, she’s a mental health advocate, sharing her story with audiences and leading youth peer support groups.

Image credit: Richard Williams


On TikTok and on campus, students with mental health struggles are finding support among each other

By 

For years, Mary Lawal endured the dismissive remarks. She’s just a moody teenager. It’s just the hormones. She’s acting out for attention. Someone must have gotten her period. None of the adults in her life seemed to understand that her flashes of anger, intrusive thoughts, and even her attempts to take her own life were signs of a serious mental health condition.

But there were people who understood, plenty of them, other young people who had gone through similar experiences. And after what she describes as “so many years of struggle,” Lawal found them, on YouTube and all over social media. Her journey to recovery began there, with a sense of connection to people whose stories sounded like hers and who had found help. “I didn’t feel as alone,” she says. “I felt like someone saw me.”

Now 22, the college student living in the Washington, D.C., suburbs in Maryland is in treatment and recovery for bipolar and borderline personality disorders that had gone undiagnosed for years. She has become a mental health advocate, sharing her story with audiences and leading youth peer support groups, and she is working toward a psychology degree.

Like Lawal, many young people are turning to social media to share their mental health struggles and seek advice. It’s one form of peer-to-peer support gaining attention as a much-needed missing link between people with mental health needs and professional care. At high schools, on college campuses, on social media, and even within online video gaming platforms, young people are finding — and offering — support. Research is recognizing that peer support can be an important first step in overcoming barriers to care, including social isolation, mistrust of formal health care, and difficult home environments and other challenging circumstances.

Schools, nonprofits, and other types of community-based organizations, including Rotary clubs around the world, are tapping into that potential. “We need to focus on our youth,” says Dr. Geetha Jayaram, a professor of psychiatry at Johns Hopkins University School of Medicine and a member of the Rotary Action Group on Mental Health Initiatives. “That spirit of wanting to do something for somebody else, our youth have it, and I don’t think we’re harnessing it enough.”

Last fall, Jayaram’s club, Howard West in Maryland, and six other Rotary clubs in the area organized a youth mental health summit for students throughout the area. In an auditorium at Howard Community College, outside Baltimore, dozens of young people listened to speakers addressing topics related to peer support: suicide prevention; how to recognize, prevent, and find treatment for depression, anxiety, and substance use disorders; and how to administer naloxone, the opioid overdose reversal medicine.


The COVID-19 pandemic has had profound and lingering effects on young people’s mental health, throwing millions into isolation at a time when their development depends on interacting with their peers. Jayaram says the full impact of that may not even have emerged yet, since it can take years for mental health problems to manifest in ways that push someone to seek professional help.

In the U.S., about 20 percent of surveyed teens reported symptoms of major depressive disorder in 2021, the first full year of the pandemic, but fewer than half of those who needed treatment received it, according to an analysis of survey data published in JAMA Pediatrics. Adolescents belonging to racial and ethnic minority groups had the least access to treatment.

Lawal says that for a long time when she was growing up she didn’t realize mental health care was an option for an African American girl. There were no answers to be found in her schools, where guidance counselors, she says, were focused solely on academics.


Left: Lawal (left) testifies at a 2023 U.S. congressional hearing in support of a bill related to mental health services in schools. Right: Lawal (second from right) poses with House members and other participants in the hearing. She also testified before the Maryland Legislature in support of a bill related to the 988 crisis hotline. Images courtesy of Mary Lawal.

There were also barriers in her own family. She was only 8 years old when she first tried to take her life. Yet, she struggled to get her parents to understand what she was going through, a battle exacerbated by being shuttled between her father’s home in Nigeria and her mother’s in the United States. “They didn’t really understand,” she says. “Because of our cultural background, they had difficulties accepting my mental health struggle, so they would tell me to pray it away, to use my faith to overcome it,” she says. They also didn’t want her to talk about it with anyone outside of the house — they believed such things were best kept in the family.

Things reached a turning point at the start of the pandemic. “For two weeks, there were a lot of tears and I said, ‘If I’m your daughter and you love me, you should get me the help I need.’” Eventually, they understood, and she found a psychiatrist, who prescribed therapy and medication and taught her coping skills. Today, Lawal is an active advocate nationally, serving on a 10-member young adult advisory group at the National Alliance on Mental Illness, as well as in her community. She also has testified before the Maryland Legislature and the U.S. Congress in support of bills related to the 988 crisis hotline and mental health services in schools.


Examples of peer support in mental health go back several centuries with the periodic practice of hiring recovered patients as staff members at psychiatric hospitals. The concept has expanded globally in recent decades with a focus on young people, a vulnerable population that has been particularly hard to reach. As a result, peer support is showing up in some unexpected places.

Twitch, the livestreaming platform focused on video gaming, is home to a variety of channels hosted by young people who have experienced mental health challenges and who chat and exchange stories with others. One channel, called Anxiety Tonight, lightheartedly bills itself as “live mental breakdowns nightly.”

Nonprofit organizations also offer and promote peer-to-peer support groups. One of them, Youth Era, trains young people who have their own experiences of either drug use or issues like depression and suicidal ideation to reach out to other young people who may be suffering in isolation.

Martin Rafferty, the group’s founder, says the organization holds online forums and actively goes out to find at-risk groups, rather than waiting for people to come seeking help. “It’s scary out there right now for young people,” he said in a recent interview with KOIN-TV news in Portland, Oregon. “A lot of adults can understand that they didn’t grow up in the same world that young people are growing up in today. School shootings, addictions, climate change, these are things that are on the minds of all high school students, all middle school students. Our message is really clear: Don’t go it alone.”

And on TikTok and other popular social media platforms, influencers focused on mental health are practicing their own brand of peer support, offering viewers everything from advice on surviving breakups to personal accounts of depression narrated with wry humor.

In formalized programs, peer support specialists go through many hours of training. But even with the informal sharing communities online, the benefits seem to outweigh the risks, which include exposure to misleading information or hostile comments. For instance, people interacting online can remain anonymous if they choose, shielding them from the fear of judgment in face-to-face encounters.

Ultimately, peer sharing should be seen as a bridge to formal, professional care, cautions Dr. Karen Swartz, a Johns Hopkins professor of psychiatry and another of the presenters at the Rotary clubs’ youth mental health summit in September. Most young people will experience some periods of depression or anxiety, but when they recur frequently enough to affect a person’s lifestyle and choices, that is when they need to seek out professional help, Swartz says.

She notes that, without treatment, a depressive episode could last months. “In that time, you maybe decided you were not a good student, you were not a good athlete, maybe you shouldn’t try to do that program in college, says Swartz. “So it can change the trajectory people are on, change how they feel about their future.” Having a peer recognize the signs of struggle and encourage treatment could have a huge effect.

Though young people are successfully sifting through social channels to find credible mental health information, including from doctors explaining specific disorders and symptoms, the electronic devices can also decrease in-person connection. And persistent use has potential negative effects from “doomscrolling” and exposure to distressing images and other content. Nina Mezu-Nwaba, a longtime Rotarian and a pharmacist who demonstrated how to use the opioid overdose treatment at the September youth summit, says that during the pandemic she was advising young people to take breaks from the news and social media. “I’d have people call and say, ‘I’m crying, this is just too much, I can’t take it anymore, people are dying everywhere.’” Too much time spent on digital media or media multitasking are behaviors that friends and family in peer support roles can be on the lookout for.

It can be hard, however, for parents to spot signs of depression. Experts say that in young children, it can be especially difficult, since anxiety or depression can manifest itself in ways parents might not equate with mental health issues: headaches, stomachaches, not wanting to go to school, acting out in class, or fear of being away from their most trusted people.

Fellow students who are aware of the signs can help. At a basic level, these skills don’t require hours and hours of professional training. The Rotary Action Group on Mental Health Initiatives, for instance, developed a toolkit for use in schools called Wellness in a Box.

Through videos, workshops, and group discussions, Wellness in a Box presents information to students, parents, and teachers about depression and suicide, activities to foster coping skills, and how to seek help.



Left: Dr. Geetha Jayaram, a professor of psychiatry at Johns Hopkins University School of Medicine and a member of the Rotary Action Group on Mental Health Initiatives. Image credit: Richard Williams. Right: Last fall, Jayaram’s club, Howard West in Maryland, and six other Rotary clubs in the area organized a youth mental health summit. Dozens of young people listened to speakers addressing topics related to peer support, including suicide prevention and how to recognize signs of depression and anxiety. Courtesy of Geetha Jayaram.

Consulting psychologist Rita Aggarwal, an officer of the action group and a member of the Rotary Club of Nagpur, India, has applied the toolkit in her hometown. A community assessment carried out by members of the action group and a study published in the Indian Journal of Psychological Medicine both found that mental health literacy among young people in India was very low.

The project, which led to Aggarwal’s selection this year as one of Rotary’s People of Action: Champions of Impact, created a curriculum for 14-year-olds that covered depression awareness and ideas for coping. “Many of the students were unaware of counseling and how it works,” Aggarwal says. “But they had a desire to speak out, share, and be heard.” The project taught teachers counseling skills and educated parents, and 100 young people have volunteered for further training as peer mentors.


Lawal says that even after she was in therapy, her mother didn’t always seem to accept that her illness was real. It was only after hearing similar stories from other young people, including other young African American women, at Lawal’s speaking events that the idea finally seemed to click, she says. “She hadn’t understood that it’s something that can happen to anyone.” Some of her speaking engagements are focused on audiences of parents for just that reason.

Today, Lawal, who loves swimming, posting photos on Instagram, and podcasting, is planning to become a clinical psychologist. She is open about her mental health journey and says that she continues to rely on support. She sometimes calls 988 or texts the Crisis Text Line (741741 in the U.S.) when she needs help, someone to talk to, or a reminder about how to de-escalate.

Her biggest wish is to reach even just one young person at a support session or speaking event with words that could help them through their journey. “I want my story to be the difference.”

Most of all, she wants them to see in her a real-life example of recovery, to know it’s possible. “I tell them to know that you have a reason why you’re on this earth, you have a purpose, you have a plan, and your story isn’t over yet.”

This is an abridged version of a story that originally appeared in the May 2024 issue of Rotary magazine.

Visit :-

https://www.rotary.org/en/stand-me-value-peer-peer-support