Shushshsh…

In June 2020 Sher et al said “Social isolation, anxiety, fear of contagion, uncertainty, chronic stress and economic difficulties may lead to the development or exacerbation of depressive, anxiety, substance use and other psychiatric disorders in vulnerable populations including individuals with pre-existing psychiatric disorders and people who reside in high COVID-19 prevalence areas … COVID-19 crisis may increase suicide rates during and after the pandemic.”

This possibility is slowly starting to unfold. The number of calls being made to crisis help-lines of all kinds is up by about 40%. Economic uncertainty, insomnia, stress and suicidality feed into each other. The previous financial crisis of 2008 had a tragic outfall in terms of the toll taken on human life, essentially due to job losses. Now we are heading into another one. Unless governments all over the world wake up now, lives lost by suicide over the coming months and years could be more than those lost to COVID-19. As per the ONS data from last year, the England and Wales suicide rate remains statistically significantly higher than the rates seen in recent years.

Active outreach is necessary. If you know friends or family who might be struggling or worried, please do reach out to them with your time and open up supportive conversations. Sending a text or WhatsApp message is not enough. Having a proper check-in by telephonic or video link, possibly meeting up for a cup of tea or a drink fosters proper connection. If you find yourself in a tight spot, please know – this too shall pass. It is a temporary problem. Life still holds promise and beauty. Do reach out to your friends and family for support. More than ever before, in the present times suicide prevention is everybody’s business. Take care of you and yours.

Logotherapy

It was late 1930s. He was a young man in love. She was a young woman who was delighted to be asked by him. They were married. Soon she was to be a mother. But the clan they belonged to were not allowed to procreate. She was made to abandon the baby even before it was born. They both were sent to different concentration/death camps. But their love story did not end there.

Despite shoveling snow with no shoes on, going for months without proper food, constant beatings and humiliation, not knowing which instant he would be walked to his death, he carried on loving her. He did not know if she was dead or alive but he loved her every second. He hoped to see her again. His longing kept him alive.

Four years later, he was freed and he found out that his sweetheart had passed away soon after their separation, at the age of 24. His father, mother and brother had met the same fate in that ugly assault of humanity on itself. His sister had survived and moved to a faraway land.

Viktor E. Frankl was a Psychiatrist. He took 9 days to pen down his learning and thoughts which became a book – ‘Man’s Search for Meaning’ that sold millions of copies all over the world as it helped them transform their suffering .

He pioneered a new way of counselling patients called Logotherapy or ‘meaning-based-therapy’. When asked of the difference between Psychoanalysis and Logotherapy, he said, “In Psychoanalysis the patient must lie on a couch and tell you things which sometimes are very disagreeable to tell. In Logotherapy the patient may remain sitting erect but he must hear things which sometimes are very disagreeable to hear.”

It is a future focussed approach through which the patient is reoriented toward his unique and specific attributes aligned to a purpose which can be fulfilled by him/her alone. It is based on the premise of freedom – the freedom to choose our response to our experiences, the freedom to choose the stance we take when faced with a difficult and unchangeable situation.

Over the last 5 years I have read Frankl’s book at least 5 times, each time deriving new inspiration. Last week I had the good fortune of being able to share some of those insights on-line with a community close to my heart. The Compassionate Friends helped me discover that Frankl’s love story will never end. It is interwoven into yours and mine and with the love-stories of those yet to come across it.

Human rights issue – Families Matter

Hundreds of times, in waiting rooms outside Intensive Care Units I have looked into the eyes of sons and daughters, spouses and partners of patients, held their hands and said, “We did all we could. I am so sorry for your loss.”

When Saagar died, no one looked into my eyes and said that to me. They had not done all they could for him. The hospital carried out a sham investigation, a futile exercise in ‘being seen’ to be doing the right thing.

The GMC found everything to be hunky dory. The doctors ‘looking after’ Saagar had done their jobs to perfection. Just too bad the patient was dead. They did not deem Saagar’s case worthy of an investigation. GMC’s role in its own words:

We work to protect patient safety and support medical education and practice across the UK.”

The Coroner’s report shone some light on the holes in Saagar’s care. It clearly pointed out the things that South London and Maudsley (SLaM) Hospital got wrong.

  1. There was a general failure to identify the diagnosis on the discharge summary from the Home Treatment Team to the GP.
  2. There was a general failure to communicate thoroughly enough with the parents about the relapse symptoms, what to watch out for and where to go for help in the future.

Last June, I wrote to the CEO of SLaM, requesting an update on the changes that had been made in his organisation in response to the Coroner’s findings above. He said someone would get back to me and I heard nothing. This June, I sent him a reminder and again he said someone would get back to me and I am still waiting.

What are my rights as a parent? Is this too much to ask?

What were Saagar’s rights as a young man with a mental illness?

Are our lives not as important as anyone else’s? Black or white or brown? With Cancer or Diabetes? Or Bipolar Disorder?

Everyone deserves to be heard and seen. With respect.

It’s not charity. It’s a human rights issue.

Ref: Learning from deaths: Guidance for NHS trusts on working with bereaved families and carers

The man who loved yellow.

He dropped out of the security of an Engineering Course to enrol into the futility of a dance school. He carved his way through sheer hard work from a humble home in the north-east of India to the flashing lights at the heart of Bollywood. He personified simplicity. He had no god-fathers in this brutal industry known for its nepotism and ruthlessness. He stood on the sheer credibility of his talent.

Stars, moons and aliens took up a lot of space in his head. He spent hours on his beloved telescope which he called his ‘time-machine’.  He made new friends, kept old ones and his humility through the fame and the wealth of stardom. He stayed true to himself and his name which meant ‘Peaceful’.

His charm and talent won hearts all around. His youthful portrayal of his love of cricket came through in his films ‘KaiPoChe’ and “M.S Dhoni, the untold story“. But the media gave him a hard time as they saw him as an outsider. Of journalists he said, “First they’ll ignore you, then they’ll laugh at you and then they’ll fight with you. Right now, they’re laughing at me.”

Not anymore. Bollywood is in a state of shock. On the 14th of June 2020 Sushant Singh Rajput ended his life at the age of 34. It seems he had been on treatment for depression for the past 6 months. Police is frantically interviewing multiple people to establish a ‘cause’ for his death.  

Film contracts falling through? Not enough new offers of interesting roles? Disparaging remarks made by influential bitchy colleagues? Being bullied and ignored? Financial difficulties? A painful break-up? The death of his mother at the age of 16? The death of his young manager, Disha Salian 3 days prior to his? Unmet parental expectations? Inadequate treatment for Depression? Migration away from home? Loneliness? Stigma of having a mental illness? Not knowing how to ask for help? Being a man?

All of the above.  

RIP Sushant.

PS: India has the highest suicide rate in South-east Asia: 16.5 suicides per 100,000 people

Food, water, shelter and clothing.

That’s what it’s all about. Isn’t it? Our most basic needs.

For some, who were comfortable, these basics are threatened in the current climate. For some they have constantly been under threat. For the lucky ones, all is well. For now.

The fact remains that food needs to be grown by someone. Seeds need to be sown and nurtured. Given the right amount of nutrients, sun and water. Given time to mature and then harvested. Like Midas, even if everything else was made of gold, we could not eat it. Even if we put hundreds of satellites in space, we need our basic needs met.

Over the past few months I have appreciated growing a few things from seed. Sunflowers, mint, coriander and sage. Not enough to keep me alive but enough to give me a smug feel of being someone who grows stuff. I have little trays laid out by the windowsill and they fill me with pride each day they reach out for the sun, a few millimeters more than yesterday. What must it be like to be a real farmer!

In India, more than 11 thousand farmers ended their lives in the year 2016. Too much rain. Too little rain. Aberrant weather. Poor quality seeds. Exploitative middle men. Illness in the family. Monsanto. Easy access to pesticides. False promises of relief measures, incentivising a farmer suicide. The government promises money but fails to deliver again and again. It then blocks articles and videos that try to make this information public.

Kheyti is an organisation that helps small farmers design and implement low-cost farming interventions. “Greenhouse-in-a-Box” is a low-cost greenhouse bundled with end-to-end services. This greenhouse fits in 2-5% of a small farmer’s land, protects crops from environmental risks and grows 7 times more food using 90% less water.

This prolonged lockdown is going to affect many individuals and small businesses. Many are starting to worry about their very basic needs. Uncertainty, insecurity and the feeling of being stuck is rising everyday. Helplines are receiving more calls. Food banks have had to expand beyond capacity. The indirect and unintended consequences of the pandemic might be worse than the direct and predicted ones. As incomes fall away, despair in our communities will rise further.

Each of us needs to think of one person we know whose income might be affected by this and call them. We need to think of one person recently bereaved and call them. Not text. Not e-mail. Phone call. Speak. Directly. Ask questions. Connect, have a chat, come up with ideas and creative answers. Signpost to resources. Reassure. Give hope. Together, figure it out.

This too will pass but before that it will test us. All of us.

Kooth Infographics – suicidal thoughts rising. Highest in the Midlands.

Kooth Week 10 COVID infographics

Be the Change

Be the change

RIP George Floyd.

The waves of raging violence in one form or another, in the street, on the TV, on Twitter, on Facebook, against the government, against one section of society or another. It is present everywhere I look. It seems to be the problem and the solution. Cops carrying guns to control gun-carrying people. Knees as weapons. Cries for mercy falling on multiple pairs of stone-deaf ears. Rich countries indiscriminately bombing poor ones in the name of peace, to bring them ‘liberty’. International leaders goading each other on to continue expanding their defence budgets.

I was born in a country of huge contrasts. It won its independence from the Brits, who ruled by the gun, under the leadership of Mahatma Gandhi, who lived and led by non-violence which was the core of Gandhi’s contribution to the world. For him nonviolence was the greatest force at the disposal of mankind, mightier than any weapon, superior to brute force. A living force that no one has been or ever will be able to measure the limits or extent of, just like love. In fact, he translated the Sanskrit word, Ahimsa (which literally means non-violence) as love.

True nonviolence is dissociated from fear. Gandhi felt that possession of arms is not only cowardice but also lack of fearlessness or courage. Gandhi stressed this when he said, “I can imagine a fully armed man to be at heart a coward. Possession of arms implies an element of fear, if not cowardice but true nonviolence is an impossibility without the possession of unadulterated fearlessness.”

The same country, India, classes some people as ‘untouchables’ and treats them as such. The discrimination against dark skinned people is ugly to watch. You only need to watch an Indian film and look at the mountains of money spent on the skin-whitening cream, ‘Fair and lovely’.

Saagar and I knew what it means to look different, be different. We both suffered in our own ways because of people’s instant judgements, inability to look beyond our skin and their downright unkindness.

Let’s teach ourselves and our children a new alphabet:

A – Abundance of love

B – Belonging / Brotherhood

C – Compassion/Connection 

D – Diversity

E – Empathy

F – Forgiveness

G – Giving / Gratitude

H – Harmony / Healing

I – Intimacy

J – Joy

K – Kindness

L – Listening / Learning

M – Meaning

N – Non-violence

O – Openness / Oneness

P – Peace

Q – Quest

R – Remembrance

S – Self-compassion

T – Trust

U – Unity in Diversity / Understanding

V – Victory over our inner demons

W – Wisdom

X – Xanadu (an ideal place of magnificence and beauty)

Y – You matter.

Z – Zeal for love and life.

Thank you Ma’am.

She was just over 4 feet tall but her voice boomed across the workshop as if it was arising from a big Bose speaker. She spoke, taught, lived, breathed Ikenobo, the oldest discipline in Japanese flower arranging, broadly known as Ikebana. 1400 years, to be precise. It was her life, her passion and she generously gave it to us, her students.

Initially I couldn’t figure out what I should call her. In India, I would have called her ‘Aunty’, but it didn’t seem right. Some called her by name but I couldn’t do that. I tried it but it felt wrong. She was nearly my mum’s age. I dug out the word ‘Ma’am’ from my college days, a term used to address female teachers. It felt right to me and seemed fine by her.  

She drew schematic diagrams of arrangements on a white board in front of the class, explaining the name, function, quality and significance of each component. She emphasised the relationship between different parts of an arrangement but mostly, she spoke of the importance of spaces between them.

Wood symbolized mountains while grasses and flowers suggested water. A natural landscape, in a single vase. It was a meditation of sorts, exploring the relationship between the sky, humans and earth, between the outdoors and indoors. It had philosophical representations of the past, present and future. It was about harmony and the laws of nature, a welcome break from the cacophony of London.

After Saagar passed away, she gently encouraged me to join her classes. She knew this art form would help. Mondays became exciting because they were the day of the lessons. Couldn’t believe how little they cost. It definitely was not about money. I joined this community of aspiring flower-arrangers who like me, were constantly baffled by how minor changes made by her, transformed our arrangements into spectacular creations.

Ma’am was a walking-talking Encyclopaedia on all things garden. She had looked after award winning gardens for most of her life. She knew wholesale flower markets intimately and could predict and cherish the floral offerings of every month, every season accurately. But last week, an unfortunate accident suddenly took her away from us, from this earth.  

“Not only beautiful flowers but also buds and withered flowers have life, and each has its own beauty. By arranging flowers with reverence, one refines oneself”, she would say.  

We will miss you and your finesse, Ma’am. My head bows to the space left by you. Thank you for helping me see beauty in everything.

Freedom on a page

Writing is a friend. It sustains. It slowly pushes open the rusted, jammed doors of many hearts and allows for the gaping wounds in there to heal. Over the last few weeks it’s clear that it is not just possible but fun, to attend and host meetings remotely. Despite challenges, it can be enriching. A wise man/woman has identified 3 things one needs, to get through a day :

  1. Someone to love.
  2. Something to do.
  3. Something to look forward to.

No wonder people are gardening, baking, embroidering and doing various things, spending time or connecting in creative ways with people they love. We have been setting one episode of ‘The Crown’ as our carrot, to look forward to at the end of a long ‘working from home’ day. I have been writing some poetry and dreaming of putting a book together and getting it published some day. There goes my Ego …. again!

This seems like a good time to do something new. I would like to invite you to write with me. To connect with your hearts and bring a blank page to life. To find your own expression and share other people’s worlds through their words and prose. We would call ourselves “Freedom on a page”. In this time of partial captivity, this title seemed appropriate. If you have other suggestions, please bring them to the group. We would meet every Tuesday morning for an hour and a half – between 9 and 10.30 am on Zoom. We would write as much as we like during the week but have 200-300 words to read out to the group. If you would much rather only listen, that’s fine too. Join in. Don’t think so hard that you talk yourself out of it. You have done that before. Haven’t you? 😉

If you would like to join, please

(1) e-mail me at kidsaregifts20@gmail.com by Saturday, the 23rd of May. If you’d like more time to decide, take that time and send me the e-mail when you are ready.

(2) familiarise yourself with Zoom (https://zoom.us/) and download it on your computer/phone. It is free and easy. You can switch the video off if you don’t want to be seen. You can participate by writing on the ‘chat’ if you don’t want to speak.

I will send you an invite by e-mail on Monday, the 25th. I will start the meeting 15 minutes before 9 am, UK time (GMT+1) on Tuesday, the 26th of May and wait for you. Then we’ll see what happens. I have never done this before so I am a little bit nervous too. Shall we write about what ‘Freedom’ means to you? Feel free to pick any other subject. I look forward to this adventure. Depending on how you feel, we can continue to ‘meet-up’ every Tuesday.

Try it. Magic happens when the naked tip of a pen meets a nude blank page. The fingers holding that pen are deeply connected to the real you. So are the fingers typing on your keyboard.

Freedom on a page

Feathers fall from heavens like rain

A splash of sun-rays on the pavement lifts dust

Fills my senses with petrichor

The romance of which dances

In every gap, crack and crevice

I float up with the fragrance

And glide along the tops of trees

Breathe in bliss, touching green

Everything IS, as it IS

Watching its own ISNESS

Wrapped in a melodious silence.

This must be it

One moment of being fully alive.

— — — —

Vite Vine

Darling Saagar,

You learnt your English in the UK from English-speaking people. I learnt it in fits and starts from Hindi/Punjabi/Bengali-speaking folk in India. It was not a surprise that you were only 10 when you took it upon yourself to start correcting my English. All the time.

“Saagar, please would you close the vindow?”

“The parent’s meeting is on Vednesday. No?”

“Where does the best Vite Vine come from?”

You would be all over the floor. What was funny? These were simple questions. In Hindi, there is an equivalent for ‘v’. None for ‘w’. The sound of ‘w’ is learnt. I learnt it and can apply it to everything except nouns. Must be a genetic aberration. I had a huge sense of achievement when I made you laugh, given my sense of humour was nothing compared to yours.

Other words that I spoke wrongly were – rebel (re-bell), adolescence (a-doll-essence) and such.

Sometimes I knowingly uttered incorrect sentences, so you could correct me, playing with your predictable pleasures.

“Bought a really nice t-shirt today.” you said.

‘What colour?’

“Not ‘what colour’ Mamma. It’s ‘which colour’.”

‘Ah. Right. What colour?’ I asked again with a crooked smile.

Rolling-up your eyes, shaking your head from side to side.

“Parents!”

Laughter.

We’re in lockdown at present, Saagar. Long story! I can’t help thinking how fab it would be to have you home. We would have so much time together to try new recipes, to exercise and laugh, play carom and do some gardening, relax and watch funny cat-videos and so on…

Time … tic-toc, tic-toc … gone forever.

My mind plays silly monkey-tricks with me. The rascal. I watch it. Holding my own, I am not getting carried away with it. I am being the witness (vitness).

You are here, with me always.

I love you.

Yours,

Mamma.

What do people need?

Thanks for this N.

It finally got me. This wretched forced and voluntary isolation. No wonder solitary confinement is a well known punishment. Mon, Tues, Wed were very deep blue. A friend’s dad’s funeral, a very unwell teenager … but underneath it all, missing my people. The screen did not suffice any longer. It only frustrated me. The phone was a sordid excuse for ‘contact’. I wanted to be with real people in a real way. Feel the fabric of a friend’s scarf between my palms, share a pot of tea and a big slice of carrot cake at a local cafe and laugh till I cry and such simple pleasures.

For now, gotta hold my horses and know you are there and soon we’ll meet again. Thank you for being there for me, my people. I am here for you too.

“People need people,
To walk to
To talk to
To cry and rely on,
People will always need people.
To love and to miss
To hug and to kiss,
It’s useful to have other people.
To whom to moan
If you’re all alone,
It’s so hard to share
When no one is there.
There’s not much to do
When there’s no one but you.
People will always need people.

To please
To tease
To put you at ease,
People will always need people.
To make life appealing
And give life some meaning,
It’s useful to have other people.
It you need a change
To whom will you turn.
If you need a lesson
From whom will you learn.
If you need to play
You’ll know why I say
People will always need people.

As girlfriends
As boyfriends
From Bombay
To Ostend,
People will always need people-
To have friendly fights with
And share tasty bites with,
It’s useful to have other people.
People live in families
Gangs, posses and packs,
Its seems we need company
Before we relax,
So stop making enemies
And let’s face the facts,
People will always need people,
Yes
People will always need people.”

Benjamin Zephaniah