Public health experts have flagged a manifold increase in mental health cases amid the coronavirus pandemic, with many attributing the rising stress and anxiety levels to isolation, loss of loved ones, economic uncertainty and the fear of contracting the disease.

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According to a survey by the World Health Organisation (WHO), the pandemic disrupted critical mental health services in 93 percent of the countries worldwide. World Mental Health Day is observed on October 10 every year with the objective of raising awareness about mental health, global mental health education, awareness and advocacy against social stigma. During the pandemic people have been experiencing anxiety, fear, frustration, sadness and loneliness to the point that these feelings have become constant and overwhelming or promoting the urge to attempt suicide. Existing mental health conditions, including severe anxiety and major depression, have also worsened.

Dr. Jyoti Kapoor, Senior Psychiatrist at Gurugram's Paras hospital, said, "In the last three months, the cases of mental health illness have increased nearly two-fold, with 25 percent new cases of obsession and 50 percent more cases of anxiety in the psychiatry OPD. Psychosomatic manifestations are also on the rise." "The prolonged self-isolation and social-distancing measures have caused deterioration in the condition of old or pre-existing patients. Even depressive symptoms have recurred in patients who were otherwise stable," Kapoor added.

People are now taking the help of experts to tackle the situation as awareness about mental health has increased due to celebrities' endorsement of mental health concerns coupled with unfortunate events such as the death of the Bollywood actor. "There is an increase of 80 percent in patients. Most of the patients are between 19 and 40 years, and the predominant concerns they have include job loss, anxiety due to COVID-19 cases nearby, separation from near and dear ones and the inability to meet them or friends due to lockdown," said Dr Shweta Sharma, Consultant Clinical Psychologist, Columbia Asia hospital. Nearly half of these patients do not have any history of mental illness. Despite the lifting of lockdowns, the number of cases has remained largely the same, Sharma added.

Dr. Manu Tiwari, Consultant Psychiatrist at Noida's Fortis hospital, said, "With anxiety and insomnia in the beginning, now we are also seeing mood disturbances. The cases of substance abuse withdrawal and domestic violence have also increased substantially. One can identify and manage the triggers better as well as develop emotional-coping mechanisms."

A Delhi-based doctor said self-harm is one of the extreme manifestations of mental illness and emphasised the need to destigmatise mental health issues. "Right now approaching a mental health doctor or consultant is considered to be a major stigma."

Dr. Shuchin Bajaj, Founder-Director of Ujala Cygnus Group of hospitals, said there is a need to ensure that mental health counselling is available to each and every member of the community. "Telemedicine is playing a big role in providing high quality, low-cost mental healthcare to all citizens of the community and we need to promote it in a big way." According to a report by WHO it is estimated that nearly 36 percent of Indians are depressed or suffering from some kind of mental disorder, said Kartik Naidu, Transpersonal Therapist and Trainer at Green Aura Holistic.

"The problem with our society is that there is a stigma attached to mental health problems. People are dismissive and judgmental towards the victim which discourages him/her to seek therapy and professional help. It is considered to be a sign of weakness which is why many people would rather suffer than speak about it or get help," Naidu added. "Not only this, companies should start providing facilities for treating any kind of mental illness. A recent WHO study suggests that the financial returns are more than four times the investment made in treating mental health issues. We as a society should treat it as any physical illness," said Naidu.