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Asking the question

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Wednesday, 11 November 2009 by Administrator

Guest youth blogger Katherine Ngo is a Youth Ambassador for Reach Out. Katherine is also a medical student and former National Representative of the Australian Red Cross. She hopes to link people of all ages with opportunities for personal and community development.

Join her discussion...

Once there was a man who complained his house was too small and noisy.  He went to seek the advice of an old sage.  The sage seemed to know the answer but first asked the man to promise that he would follow the instructions precisely.  The man hesitated but then agreed.  The sage said, "The solution is to find yourself a chicken, some sheep, a horse and a cow, and keep them in your house."  The man was taken aback by the instructions but as he had made his promise, he went out to find the animals and brought them home.  Shortly thereafter, he returned to the old sage. "I need more room! The animals are so noisy I can't think!"  The sage replied, "Now remove the animals from your house."  The folktale ends with the man returning to his house (now sans animals) and realising that the house was indeed very large and quiet.  Problem solved!

Now, if only we (as young people) could have such clear-cut problems, creative therapies and treatment adherence could be so easy. Or do we already?

Do young people have clear-cut problems? It is pretty simple, everyone wants to be loved.  Wherever we are, we want to be loved.  Are we loved at home, at school/uni, at work, at our online space and in our relationship?  If we are not, then there is bound to be a feeling of dissatisfaction.  These days, we do not just have a physical presence, we have an online presence too.  And this leaves us vulnerable to more ways of feeling loved (even by people we have never met) as well as feeling insulted (by people we have never met).  One insult might cause no effect, but combine that with a broken family, poor body image and hence poor school friendships and you have a recipe for a mental health issue.  Importantly, do we love ourselves - do we eat well, sleep well and think well.

How can this be determined by healthcare professionals? Call it the HEADSS model or call it taking a psychosocial history.  If healthcare professionals don't ask the questions, then the true cause of the healthcare visit may never be found.  Everyone can do something because mental health issues can impacts on every part of our lives.  The person that comes in with a fractured jaw could be due to a drunk night which could be due to a relationship problem.  Is it part of the job description?  Well, it is part of helping the person today and preventing future recurrence of the same problem.  

Do we have creative therapies?  The answer is yes.  When it seems like there are a 100 people in the waiting room and only 99 magazines, it is easy to feel pushed for time.  But this is when online resources can be of service.  It is easy to google "cancer" but what about "friend is addicted, what do I do" or "I feel vague".  I just did it and the few hits I get are on Yahoo! Canada Answers or WikiAnswers.  But the topics that Reach Out Pro and the Reach Out website covers are extensive, ranging from schizophrenia to setting goals.  Young people just need to know that such help exists and we can recommend it to others too. And once we are introduced to the website, there's no going back.  It will be like realizing that Ctrl+C is shortcut for "copy".   And what is the best way to ask the question or provide the information to a young person? A Chinese saying goes: even the one hand has fingers of different lengths.  People have different personalities, healthcare professionals have different personalities too.  The way you talk resonates better with certain people, so just do it your way.  But just remember, like my mum's blood pressure that shoots up when she visits the medical centre for her well-woman health check, we can become a bit speechless (or vague) when questioned on the spot.  Just be patient.

Finally, treatment adherence easy? To find the answer to that question, we may have to first find ourselves a chicken, some sheep, a horse and a cow.