NPC to Player

Yesterday I shared a blog post about the 5 major characters transformations my readers want to experience as we transition from 2019 to 2020.

After extracting those original 5 transformations, I pondered whether they could be compressed a bit further. Could they be summed up as a single transformation?

Each time we compress, we lose some detail, so it’s not going to be perfect if we squish this down to a single transformation. But one answer that Rachelle and I came up with together is that the transformation is about shifting from NPC to player mode.

Let me ‘splain.

In a video game, an NPC is a non-player character, so this simply refers to a computer-controlled character in the game. Most often I associate the term with role-playing or adventure games, but other game genres may feature NPCs as well.

So you might wander across a village in a game world, and there are farmers, merchants, and townsfolk who’ve been mostly waiting around for you to show up and engage with them. You might interact with them to get information, buy weapons or supplies, or receive invitations to perform mini-quests. These characters are all computer-controlled, so no human player is directly in charge of them. They do whatever their pre-programmed algorithms direct them to do, and they respond to your actions according to their programming.

The NPC’s job is mainly to be part of the story experience for the main player (or players, if it’s a multi-player game). In more sophisticated games, the NPCs may follow daily routines, including sleeping in their beds at night and tending to their shops or fields during the day.

An NPC doesn’t get to experience the main story. They don’t get to face dragons and go on adventures. They do whatever their programming directs them to do, like serving up coffee at the local Starbucks until the real adventurer – the true player – walks in. I’m over-simplifying here a bit, but I think you get the idea.

In terms of our original five transformations, each one connects with a transition from living an NPC type of life to growing into a more empowered player role.

When you’re playing a game and wander into an NPC-rich area like a village or camp, the NPCs will often complain about something when you talk to them. They have problems they can’t solve, so they fret and worry till you solve those problems for them. Some of them may act as if they’re traumatized by their current state of affairs. They need you to rescue them, save them, help them.

Notice that difference in attitude. An NPC waits to be rescued. A hero does the rescuing. If you’re not actively rescuing yourself from your own problems, are you giving people the impression that you’re waiting to be rescued? Are you like a traumatized villager surrounded by a bunch of other traumatized villagers, all hoping that life will somehow get better with the passage of time? What if instead of wasting energy on judgment and resistance, you accepted whatever problems are showing up in your life and decided to face them head on? Imagine a village of NPCs who finally decide to go slay the dragon themselves instead of waiting for a hero to show up.

While the NPCs may spin themselves in circles fussing over their problems, you the player have to get busy solving them. Even in a game world with lots of misalignments, somehow you’re able to create your own alignment as the player. You do this by working on subgoals one by one and taking lots of action. You don’t have to be confused and internally conflicted because there’s always something interesting to work on. You just keep chipping away at one quest after another. Resisting what the game offers up is obviously a complete waste of time. You can’t possibly progress if you rail against the game’s unfairness, lameness, or ridiculousness. Real life is the same in that respect, isn’t it?

In a game world with enough flexibility (Zelda: Breath of the Wild being a good example), there are nice opportunities for self-expression as the player, opportunities that the NPCs lack. If you feel like exploring, you can wander off into new territories. If you’re feeling aggressive, you can run boldly into battle and fight, fight, fight. If you’re feeling more chill, you can talk to some NPCs, cook some food, or do some simple side quests. Different people can play the game with very different styles and still win.

When Rachelle and I have played Zelda: BOTW (which we finished twice together), our playing styles were very different, especially when it comes to attacking a group of enemies. I like to rush in like a berserker, maybe toss a bomb into the middle of the group to get everyone’s attention. Sometimes I’ll verbally taunt them (even though they can’t hear me). Then I go toe to toe with as many as I can, doing only offense and rarely defense, never using shields or dodging. I’ll frequently take out a whole group in less than a minute. Of course I may take some damage, sometimes major damage. If I die, I just try again, perhaps a little more cautiously the next time. I only go in stealthily or strategically when I really have to, especially in situations where overt aggression is heavily punished. I don’t mind dying a bunch. I’d rather die a few times and learn a little more from each assault. To me it’s just a form of probing to figure out what works. I love being in the thick of combat with lots of action, having to make fast decisions in real-time to survive. I favor this style because it’s the most fun for me.

Rachelle, on the other hand, never plays like this, even if I prod her to try it. She prefers to assess a situation strategically first. She’ll pick off enemies from a distance first, selecting her targets carefully and cautiously. She’ll optimize her armor and weapon choice to appropriately suit each battle. She plays a lot more defensively, valuing every heart. She seems to feel disappointed if she loses 2 hearts out of 20 in a battle, whereas I’d still feel victorious if I lost 18 hearts and was still standing at the end.

I feel perfectly okay walking through the game world with less than half my hearts, whereas Rachelle feels uncomfortable if her hearts aren’t nearly fully (preferably completely full). So we have different styles of play – i.e. self-expression – and yet we still enjoy the player role in our own ways. We each have our own version of what it takes to create relaxed confidence and have a chill yet fun experience. If I tried to play the game like Rachelle does, I’d be bored. And I think if she tried to play like I do, she’d feel stressed or frustrated.

The way you play the game of life will undoubtedly be uniquely your own as well. You have many options for how to express yourself. The key is to find the modes of expression that feel most aligned to you, so the game of life is fun and stimulating but not overwhelming or boring. If you live too much like an NPC, you’re probably going to feel bored or frustrated a lot because NPCs have persistent problems they can’t solve.

How does this NPC to player analogy resonate with you so far? I imagine that if you’re a gamer, you may like it more than most. But if not, that’s okay. You can focus on the original five transformations, or you can challenge yourself to come up with your own single compressed version.

Which way did you lean most often throughout 2019? Would you say that you lived primarily as an NPC? Or do you feel that you really owned this year like a true player character? Did you play scared? Or did you play fiercely? Did you have a fun and stimulating year overall, or did you spend too much time in the realm of frustration, the kingdom of worry, or the dungeon of boredom?

Rachelle and I are both eagerly looking forward to Zelda: BOTW2 by the way. Zelda: BOTW was among the most impressive games I’ve ever played. Now let’s make 2020 your most impressive year. Just try not to play it too much like Rachelle because it’s not as fun to watch. You can still fight even when you only have 3 hearts, okay!

My character may lose a few hearts when she reads this. 😉

Share Button

Health24.com | WATCH: 71-year-old becomes fitness star on Instagram

25 December 2019

WATCH: 71-year-old becomes fitness star on Instagram

She used to hate sport, until a trend changed her mind.

A septuagenarian vegan gym bunny – frequently thought to be at least a decade younger – has become an unlikely Instagram star who delights fans with pictures and videos of her workouts and proudly boasts a following of “hot, muscled men”.

Image: iStock

NEXT ON HEALTH24X

Live healthier

Share Button

Health24.com | Most young vapers aren’t using e-cigs to quit smoking: Survey

Six out of 10 people reported that they vape to relax and they’d miss the stress relief of vaping if they quit, a new survey sponsored by the American Academy of Family Physicians (AAFP) shows.

“We’re hearing this narrative that people are vaping to quit smoking, and yet what we’re finding — especially in teenagers and young adults — is they’re vaping to socialize and vaping to reduce their stress,” said Dr. Natasha Bhuyan, a practicing family physician in Phoenix.

This extends to former tobacco smokers. Only about half of former smokers said they vape to quit or stay off tobacco, the survey found.

“I think this narrative that vaping is out there to help people quit smoking, we aren’t really seeing it pan out in reality,” Bhuyan added.

The AAFP said it commissioned this survey of 1,000 vapers to help its doctors better understand the vaping habits of their patients, and how the recent outbreak of vaping-related illnesses and deaths has impacted their attitudes and behaviors.

The survey found that young vapers view vaping as a social activity, as opposed to a means of quitting tobacco.

About one-third of teens and young adults aged 16 to 23 said they vape to socialize. They also are more than twice as likely to vape to fit in with their group than slightly older adults, 21% versus 10% of vapers aged 24 to 30.

“That’s important for parents to be aware of,” Bhuyan said. “Parents will ask their kids about alcohol use and drug use. My advice to parents is, ask your teenager if they have any friends or classmates that are vaping. It will give you an idea of what pressure your child might be facing to vape, and it will give you an idea of the secondhand vape our children are being exposed to.”

As far as the news about vaping-related illness, many e-cigarette users are struggling to understand the facts and the potential dangers that come from vaping.

There have been 54 deaths confirmed in 27 states and the District of Columbia related to vaping, as well as 2,506 cases of illness across the entire United States, according to the U.S. Centers for Disease Control and Prevention. The CDC has singled out THC-containing vape products containing vitamin E acetate as strongly linked to the outbreak. THC is the ingredient in marijuana that causes a person to get high.

The news has gotten through to vapers, the survey found.

About 93% of vapers said they are aware of the news regarding vaping-related illnesses and deaths, and about 71% said they are more careful about how they purchase vaping products.

But experts are concerned that misinformation might lead many vapers to assume that e-cigarettes are safer than they actually are.

A little more than half of vapers said only people who use e-liquids laced with marijuana are at risk of illness or death, and four out of five underestimated the number of injuries and deaths that resulted from the recent outbreak, the survey shows.

Three out of five vapers also stated that secondhand vapor is harmless.

“Many people think only cannabis-containing vape products are dangerous. Meanwhile, they’re not aware of the major health risks of even their blueberry flavored e-juice,” Bhuyan said.

Even people who only vape nicotine products are suffering lung problems, said Dr. Panagis Galiatsatos, an American Lung Association spokesman.

“I run the state of Maryland’s only tobacco treatment clinic and I promise you, people who vape are suffering lung issues from e-cigarettes,” said Galiatsatos, an assistant professor at Johns Hopkins in Baltimore. “They just aren’t lung issues that are going to get the media’s attention. Asthma isn’t as immediately grabbing as someone who’s on a mechanical ventilator in an ICU.”

There are a multitude of harmful chemicals contained in the vapor beyond vitamin E acetate, said Dr. Robert Glatter, an emergency physician at Lenox Hill Hospital in New York City.

“It’s vital to understand that there are harmful chemicals that are carried in the vapor that can still be inhaled as secondhand vapor that can damage the lungs,” including arsenic and metals like cadmium, nickel, chromium, copper and lead, Glatter said.

About 72% of vapers said they are likely to reduce their vaping over the next six months, but “it is distressing that they have not yet done so,” said Patricia Folan, director of the Center for Tobacco Control at Northwell Health in Great Neck, N.Y.

“The reason for their hesitancy may be associated with the challenges related to addressing their nicotine addiction, their fear of nicotine withdrawal and the associated discomfort, which could be overwhelming their concern about the reported vaping injuries and deaths,” Folan said.

Galiatsatos said he is most concerned that 67% of vapers see no reason to strengthen the regulation of e-cigarettes.

“We have a product that’s already unregulated, and that survey tells me that two-thirds of the population think we are fine where we are at, if not that we need to let go a little more,” said Galiatsatos.

The lack of regulation has made it difficult for doctors to know exactly which harmful toxins are contained in vapor, Galiatsatos said.

The AAFP Vaping Survey was conducted by Wakefield Research among 1,000 e-cigarette users aged 16 to 30 between December 2 and 10, using an e-mail invitation and an online survey.

Image: iStock

Share Button

We gave up Christmas to fight measles in Samoa

British doctors and nurses are battling to save children’s lives from measles on Christmas Day.

Share Button

5 Character Sculpting Transformations

Last month I asked my newsletter subscribers to share their biggest challenges and desires with respect to their current characters. This is because I’m working on a new character sculpting deep dive course (which will launch on January 1st, 2020), and I wanted to get clear about the real transformations that people want to experience. The questions helped people consider who they are now, who they desire to become, and the gap between those. In this post I’ll share what my readers said they wanted to improve about their characters (without revealing anything personal that people shared in confidence).

I received many revealing replies, and I took a lot of notes. Then I re-read the responses and my notes again and looked for deeper patterns. It takes me many hours whenever I do this, but I always find it worthwhile. If I’m going to invest in creating a new course, I want it to be impactful and beneficial to those who enroll, so I need to know where my readers are struggling specifically. Then I spend even more time figuring out how I can help.

Ultimately I condensed the responses down to five core transformations that people are seeking here.

Whether you expect to join us for the new deep dive or not, I think you’ll find these transformations interesting. See if any of them resonate with you.

1. More Acceptance of Self and Others

The first transformation is to become more accepting of self and others. Many people internally resent some aspect of their lives – painful memories, disappointments with their health or fitness, mental and emotional struggles, unproductive behavioral patterns, and more. Some people are concerned that they’ve become too judgmental all around, either beating themselves up internally or rejecting others too quickly. They realize that focusing too much on what they don’t want is only keeping them stuck. They’d like to relax and release some resentments and be more accepting of what they have to deal with, so they can progress to more interesting experiences in life instead of fussing so much with recurring problems. The excessive resistance often keeps them trapped in some form of experiential poverty, preventing them from accessing the most rewarding parts of life. They’re wasting energy resisting what is, and they see the benefit in freeing up this energy.

2. Commitment-Worthy Clarity

The second transformation is that people want more clarity and less confusion about their paths. Playing a confused and self-doubting character is getting tiresome for many people. They understand the importance of clarity, but they’re not sure how to create it for themselves, let alone getting it to stick with long-term consistency. Sometimes they feel envious of others who know what they want and are working to achieve it. At the same time, they also value freedom and flexibility and don’t want their lives to become too linear and predictable. Character-wise these people expressed a desire for more definition, meaning, richness, depth, purpose, and contribution in the roles they play in life. They seem frustrated with the random currents of life tossing them around so much, as well as their own indecision, and they’d like to steer and direct their lives more consciously, deliberately, and consistently. They struggle to make this a reality, however, partly because they have high standards for which paths are truly commitment worthy. It takes a lot for them to really commit to a path, yet when they do commit themselves fully, they’re capable of accomplishing a great deal. We could frame this transformation as the quest to find a worthy commitment.

3. Alignment Among Values, Actions, and Social Circle

The third transformation is to improve inner and outer alignment, especially among values, behaviors, and environment. Many people feel that different parts of themselves are internally fighting with each other. One part wants to be ambitious while another part encourages laziness. One part wants to make detailed plans while another part wants to relax and go with the flow. Many people also noted feeling misaligned with their environments, particularly their social circles. Some feel that no one in their life really gets them. When they try to express themselves authentically, they either hear cricket sounds in response or outright rejection of their ideas, which can be crushing. What they’d love to experience is a sense of internal and external teamwork. They want to stop wasting so much time and energy dealing with misalignments, so they can enjoy more flow and cooperation. The real challenge here is how to become a character who creates and maintains strong alignment inside and out.

4. Fierce and Fearless Self-Expression

The fourth transformation is to embrace authentic self-expression. People want to express themselves creatively through writing, music, art, speaking, coaching, making videos, deep conversations, and more. They want to feel free to speak their minds and not be overly concerned by others’ reactions. Many feel they’re being too quietly conforming, often keeping their opinions to themselves and not wanting to rock the boat. This challenge is often combined with a lack of social alignment since if they do share their opinions, they’re not likely to receive much support for doing so; rejection from family and peers is likely. But deep down these same people see themselves as very smart, and they dislike that they’re holding their brilliance in check. This also links with the third transformation about alignment. One mindset finds it prudent to stay quiet while another mindset wants to wield the courage to speak up and be heard (and feel respected for doing so). I found it interesting that several readers independently used the words “fierce” or “fierceness” to describe how they want to express themselves – all of them women.

5. Chill, Relaxed Confidence

The fifth transformation is to be more chill – to develop a sense of relaxed confidence both personally and professionally. People reported feeling stress, anxiety, and self-doubt with respect to certain challenges they feel they should otherwise be able to handle. Instead of feeling worried or overwhelmed, people want to say to themselves, “I’ve got this!” They’d like to build more trust in their abilities, intelligence, and instincts. They’d rather invest energy in taking action with trust and confidence to create meaningful lives instead of wasting energy on stress and worry. I detected some exasperation from those who feel they’ve been letting other people dictate the terms of life to them. I think they recognize that confidence is more energy efficient – not to mention more fun and rewarding.

Some people will resonate with all or most of these transformations because they tend to be connected. Others may only find one or two to be personally meaningful. I imagine that most of my readers will recognize their own situations in at least one of these.

Remember that these are compressed summaries of what people actually shared, so there’s a lot more to unpack here. In terms of alignment in particular, many people also shared specific values they want to elevate in their lives. Courage was a big one, along with fierceness, boldness, fearlessness, and more. I really got the sense that many readers want to step up and play stronger, bolder, fiercer characters for 2020 – no more holding back.

All five of these transformations have been a part of my personal growth journey as well, so I felt very connected to what people shared. Some of the messages were very moving, especially when people shared some of the events (often painful ones) that sculpted their current characters up to this point. I felt honored that people were willing to share such deep and intimate aspects of their lives, aspects that they usually keep to themselves.

These are difficult transformations indeed. So please don’t beat yourself up if you think your progress has been slow in the past. It takes a long-term investment in self-awareness and personal growth to work on these types of changes.

Moreover, we don’t just work through these transformations once – they come up multiple times as we go through life. There are many layers of acceptance, clarity, alignment, self-expression, and confidence to discover.

Time for a New Deep Dive

We’re going to work on these five transformations together in a new deep dive on character sculpting, which will launch on January 1st, 2020.

As usual there will be a significant discount during the launch week. This benefits my long-term blog readers and newsletter subscribers since they’re the ones who will learn about this first.

Our two previous deep dives (Deep Abundance Integration and Submersion) both saw several hundred people join during the first week, so I’d expect a similar sized group with this new one. That’s really good for the co-creative phase while the course is being developed since it gives me an abundance of quality feedback and suggestions. I don’t develop courses all alone and then surprise people with them. I personally create and record the lessons, but the topics are frequently based on questions and suggestions.

The main format of this course will be dozens of audio lessons, similar to Submersion. People really liked and appreciated that format since audio is so flexible and portable – you can listen while walking, driving, eating, etc – so we’re sticking with audio for this one.

I’ll share more details about this in the days ahead, so stay tuned…

In the meantime, if you want to be kept in the loop, make sure you’re signed up for my email newsletter. I normally don’t send many emails throughout the year, but I send plenty of invites and reminders during a launch week to give people ample opportunity to decide if they want to enroll while the launch discount is happening. This new deep dive will remain available indefinitely after the launch week, with a permanent presence in the Courses section, but after that first week, the launch discount will disappear, and the price will go up.

This is the first time we’ll be launching a new deep dive right at the start of a new year, which feels very aligned to me. I sense that a lot of people want the transition from 2019 to 2020 to invite some powerful personal shifts as well. Engaging in deep character transformation seems like a great way to start 2020 with abundant fierceness. 😉

Share Button

Health24.com | Why fast food is so addictive

24 December 2019

Why fast food is so addictive

An exploration of the science behind junk food cravings.

Stringr

What’s the secret behind why foods such as pizza, burgers, and potato chips are so irresistible? Watch the video to find out.

Article image: iStock

NEXT ON HEALTH24X

Live healthier

Share Button

Royal Berkshire Hospital vandals ‘putting lives at risk’

Damaged parking barriers Royal Berkshire Hospital are leading to “lengthy delays”.

Share Button

Health24.com | The biggest health stories of 2019

From damning reports on South Africa’s private healthcare system and the tabling of one of the most contested bills to revealing the results of a trial that has been anticipated for three decades, health news in 2019 was filled historic moments for South Africa that may outline the future of the country’s healthcare system. We rounded up some of the top stories that changed the game.

1. The tabling of the NHI bill and public hearings

Within three months of taking office as the Minister of Health, Dr Zweli Mkhize put forward the governing party’s policy on universal health coverage – the National Health Insurance (NHI) – to Parliament. Soon after Mkhize’s announcement to the National Assembly, curious South Africans started googling the NHI and the search engine saw a spike in people wanting to read more about the future of healthcare in the country. Mkhize said that the NHI will be fully implemented by 2026. Treasury estimates that rolling out the NHI would require an additional R33 billion annually from the beginning of the 2025/26 financial year.

This prompted President Cyril Ramaphosa to launch the Health Sector Anti-Corruption Forum. The body is a partnership between government, law enforcement agencies, civil society and health oversight bodies – including the National Department of Health, Special Investigating Unit, National Prosecutions Authority, Section 27 and Health Professions Council of South Africa (HPCSA). Ramaphosa said that the main objective of the forum is to uproot fraud and corruption. He hopes that this is a way of cleaning up the healthcare system.

Following the Mkhize’s move, Parliament’s portfolio committee on health embarked on a national tour to hear the views of ordinary South Africans on the NHI bill. The committee, led by the chairperson Dr Sibongiseni Dhlomo, has visited five provinces this year and will complete the NHI public hearings in early 2020. 

2. Health Market Inquiry report puts SA’s private healthcare on the spot 

After five years of investigations into South Africa’s private healthcare system, the Competition Commission released the Health Market Inquiry report in September. Former chief justice Sandile Ngcobo led the panel of experts probing the competition in private healthcare. 

Some of the findings tell that the lack of competitiveness in private healthcare is making private healthcare increasingly unaffordable with rising prices. The commission’s report revealed that private healthcare users were overtreated and forked out unnecessary money for medical care that they did not need. This included staying in hospital for longer than needed.

The report states that because of three hospital groups – Netcare, Life Healthcare and Mediclinic – dominate 90% of the market, it makes private healthcare more vulnerable to collusion and lack oversight processes that leads to unregulated prices of goods and services.

3. Study reveals how sugary drinks producers lied to National Treasury

Coca-Cola, the Beverage Association of South Africa (BevSA) and the American Chamber of Commerce in South Africa (AmCham) manipulated scientific data in their efforts to stop the national treasury from implementing a sugar tax, according to a recent study. 

The research found the three companies submitted “evidence” to the finance ministry stating that tax on sugar would lead to big job losses in retail and farming and have little impact on public health.

In the presentations that these companies made, researchers found that they misquoted peer-reviewed studies, selected quotes in favour of their agenda, omitted important information and exaggerated the economic impact of the sugar tax.

For instance, AmCham cited a 2013 report by Oxford Economics and the International Tax and Investment Center to claim the impact of sugary drinks “on health outcomes is uncertain and unproven”. But, according to the study, the quoted report did not examine the relationship between sugary drinks and health. Researchers also accuse Coca-Cola and BevSA of picking out phrases from peer-reviewed studies and “changing the emphasis and intended meaning of the original text to support their arguments”.

4. Reproductive justice in a time of HIV 

For almost three decades, scientists and activists had a question mark about the link between South Africa’s most used birth control Depot medroxyprogesterone acetate – commonly known as Depo Provera – and HIV. For years there were fears that the contraceptive may increase the risk of contracting HIV for women who use it. 

The verdict? 

According to the results of the Evidence for Contraceptive Options and HIV Outcomes (ECHO) Study, there is no increased risk of HIV acquisition among women who use Depo Provera as compared to two other contraception methods – a 10-year small copper IUD and a two-month progestin-only injection – which were also part of the trial. But the HIV infection rate among more than 7 800 women in eSwatini, South Africa, Zambia and Kenya was alarming. Researchers also found that about four in every 100 women who were part of the trial were infected with the virus each year. Additionally, almost 90% (345) of the women who contracted HIV during the ECHO trial were from South Africa.

Wits RHI Director for Network Trials Dr Thesla Palanee-Phillips said: “Our take-home message here is that South African women – and other African women – are still at an extremely high risk of HIV infection. We need integration in PrEP delivery and prevention methods for men and women to see a collective reduction in risk.”

5. Eshowe reaches 90-90-90 targets

Just over an hour’s drive from Richards Bay in KwaZulu Natal is a town called Eshowe. This is the first town in South Africa to reach United Nations Programme on HIV/Aids (UNAIDS)’s 90-90-90 targets a year ahead of the deadline, research from international medical humanitarian organisation Doctors Without Borders (MSF) found. The UNAIDS goals are that by 2020, 90% of all people living with HIV will know their status; 90% of those diagnosed with HIV will be on treatment; and 90% of those will also be virally suppressed – meaning that the virus is undetectable and untransmittable. Participants in Eshowe reached these targets, as announced at this year’s South African Aids Conference.

This week the National Department of Health has announced that Umkhanyakude District in the province has achieved the 90-90-90 goals. Umkhanyakude is one of the first three districts to reach 90-90-90 goals ahead of target in the country. The Umzinyathi and Ugu districts were certified for making the mark. The department projects that by March 2020 14 districts will have reached their 90-90-90 goals and “all 52 districts in the country will have epidemic control by the end of 2020”.

6. South Africa rolls out new three-in-one HIV pill

The National Department of Health launched a new fixed-dose combination antiretroviral (ARV) treatment called tenofovir/lamivudine/dolutegravir, or TLD in short, a three-in-one pill that is set to revolutionise the HIV scene and make it easier for people to stay on treatment and reduce the chances of resistance.

Studies have found that this new combination has fewer side effects than the current regimen that patients living with HIV are on. People have complained that the present drug combination causes depression and hallucinations in the first few months. These side effects could lead to people not staying on treatment.

TLD will be rolled out in public health facilities from this month.

Image credit: iStock

NEXT ON HEALTH24X

Share Button

Girl’s cancer treatment ‘best Christmas present’

An anonymous donor helps eight-year-old Anna Drysdale reach her cancer treatment funding target.

Share Button

Health24.com | Op-ed: Not feeling happy during the holiday? Why mental health awareness is important

The festive season is portrayed as a time for fun and family, gifts and celebration, indulgence and “treat yourself”. Merry jingles play in every aisle, all the ads are selling ‘happy holidays’ and social media is flooded with #sundowners with #friends.

Unfortunately, it’s not all that merry for everyone.

Why so gloomy?

The festive season can be a very difficult time for the recently bereaved, people with fractious family relationships, those who are under financial strain, people feeling burnt out, suffering from depression, or who feel disconnected from the world.

The stark contrast between their feelings and society’s projections of what December should be like often leads people to feel very isolated, because reality is so different from the world around them. It’s as if the images which flood our screens and malls are salt in the wound and a constant reminder of how they are lacking.

 And then there’s summer

South African summertime is, for many people, associated with the dreaded notion that only certain body-types are acceptable “beach bodies”, leading to the vast majority feeling inadequate. The social-media pressure of perfection can prohibit people from fully enjoying experiences and damage their sense of self-worth.

 A play that gets it

In 1985, British playwright Steven Berkoff wrote a one-man show, “Harry’s Christmas” about a man and his desperately alone week before Christmas. It opens with Harry counting the Christmas cards he’d received. He observes that the (small) number of cards depicts his worth in the world.

More than three decades after the inception of the original play, I will be performing a one-woman Afrikaans adaptation of the piece at the Woordfees festival in Stellenbosch in March. The play is still frighteningly relevant. These days we just measure our worth in the amount of ‘likes’ or ‘follows’ we get on social media, rather than Christmas cards.

The arts occupy a unique position to generate awareness and cultivate empathy. When people watch a play with a particular character to whom they can relate, they feel less alone because the play validates their feelings and experiences.

Have empathy 

If you see someone suffering on stage and recognise yourself in that person, it is both reassuring and, hopefully, encourages you to seek help. Alternatively, you may recognise an acquaintance or friend in the stories and reach out to them. Either way, art moves people to empathy and empathy helps us understand.

In the light of all the excitement surrounding the holidays, little attention is paid to those on the fringes. Offices close and the majority of people depart on leave to spend time with loved ones. For those who can’t do the same, their daily routine grinds to a halt, leaving them to face their loneliness. There is a line in the play that says “Christmas is like an avalanche coming… you want to run away, but you’ve nowhere to hide”.

Feelings of loneliness and unworthiness are often compounded and can lead to depression or anxiety. There is a lot of shame attached to loneliness and people like Harry think “loneliness is like a disease or smell… when you give off a whiff it puts people off”. Opening the discussion about people’s varying realities of the not-so festive season mitigates feelings of shame by helping people realise they are not alone and by broadening the perceptions of outsiders.

Why we are still so unaware of mental health 

Because of the stigma attached, mental health issues are not spoken about as openly as physical health issues, which results in ignorance. Shame and fear prevent people from seeking proper help or support – either professionally or by leaning on a personal support system.

Then there is the further issue of the lack of accessibility to professional help. There are only 2.75 clinical psychologists per 100,000 people in South Africa. Therapy is expensive and regarded as a luxury for a privileged few.

The South African Depression and Anxiety Group (SADAG) does a lot in terms of creating awareness, education, support groups, hotlines and making available counsellors through their website. One of their projects is a suicide and depression hotline, which typically records a spike in calls during December.

Know the signs

If you are worried about someone’s mental wellbeing, signs to look for are when people withdraw from social activities or show feelings of frustration, hopelessness or worthlessness. People may experience changes in the amount of sleep they get or their eating habits. It may be difficult for people to reach out, so try mentioning that you’ve noticed changes and are there to support them.

I hope to raise awareness of how important mental health is, especially at times when the levels of self-criticism, rejection and isolation are dangerously high. Being aware that it’s not “the most wonderful time of the year” for everyone is a step in the right direction.

 Important resources

SADAG: http://www.sadag.org

SADAG Mental Health Line

011 234 4837

Other contact information:

Suicide Crisis Line

0800 567 567

Cipla 24hr Mental Health Helpline

0800 456 789

Pharmadynamics Police &Trauma Line

0800 20 50 26

Adcock Ingram Depression and Anxiety Helpline

0800 70 80 90

Department of Social Development Substance Abuse Line 24hr helpline

0800 12 13 14

SMS 32312

Akeso Psychiatric Response Unit 24 Hour

0861 435 787

Share Button