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“Mummy papa, I can’t do JEE, so suicide, I am (a ) loser worst Daughter, sorry mum my PaPa.” Suicide note by an 18 year old JEE aspirant, who committed suicide in Kota on 29th January 2024. She is the second aspirant to commit suicide in a week’s time. Suicide is not uncommon among JEE (engineering entrance test) or NEET ( medical entrance test) aspirants. There were 26 suicides in Kota alone, India’s coaching capital, infamous for tragic incidents. Why is this 18 year old girl had to commit suicide? Why this 18 year old girl had to leave this note for his parents? It’s not that the parents did not love her or would not love her if she failed JEE. Perhaps they could not communicate to her about their unconditional love. Every parent puts some pressure on children to perform. It is required as well. In case of this young girl there was an error of perception for the love of parents towards her. She thought that her life is valueless, that she will not be loved and valued by the parents, by her own self and by the society if she did not clear JEE. She thought she doesn’t deserve to live if she cannot clear JEE. Maybe she thought that she will be devoid of love, and she will be a burden on her parents without clearing JEE. These are usually the perceptions among adolescents who commit suicide. A timely detection of such perceptions, feelings and timely intervention to change these perceptions and feelings can stop many suicides. Children with dysfunctional stress often have following symptoms: Any of these symptoms should not be ignored. Initiate conversation and communication with your child. If required ask siblings or someone close to the child , preferably a professional psychologist or social worker, well trained in counselling skills, to talk to the child in a non-Judgementall, non-advising mode. Steps to prevent suicide among adolescents: Dr Manju AgrawalFounder, Mind Spa

INTRODUCTION Depression is one of the most common and devastating mental health conditions worldwide, affecting more than 264 million people. Marked by persistent sadness, hopelessness, and loss of interest in normal activities, depression can make even basic tasks feel monumentally difficult. At its worst, depression can become life-threatening, with suicide being the second leading cause of death among 15-29 year olds globally.  Yet despite its prevalence and severity, public knowledge about depression still lags behind many other widespread illnesses. Mystification and stigma surrounding depression propagate harmful myths and discourage people from seeking help. In reality, depression arises from complex changes in brain chemistry and structure that are not under conscious control. Just as we don’t blame someone for getting cancer, depression is not the fault of those affected. The more we understand depression’s symptoms, underlying causes, and treatments, the better equipped we become to address it compassionately and effectively. Knowledge is power when it comes to dismantling misconceptions and guiding people towards recovery. By learning about depression from scientific and personal perspectives, we gain tools to recognize it early, intervene with care, and stay resilient if faced with it ourselves. Hallmark Symptoms of Depression For a diagnosis of clinical depression, at least five of these symptoms must persist nearly every day for a minimum of two weeks. Symptoms cause significant distress and impairment in daily functioning at work, socially, and at home. Many who suffer from depression describe forgetting what “normal” feels like. However, each journey with depression is unique. One person may struggle to even get off the couch, while another forces themselves through the motions of daily life with inner anguish. Some withdraw socially while others become more clingy and desperate for company. The expression of depression differs, but unending melancholy persists. UNDERLYING CAUSES OF DEPRESSION Far from just having a “bad attitude” or “weak character,” major depressive disorder has definitive biological and environmental causes. The main factors believed to contribute to depression include: In most cases, depression arises from a combination of biological vulnerability coupled with environmental stressors or trauma. The prevalence of adverse childhood experiences among those with depression highlights the immense toll early trauma takes on lifelong mental health. However, genetics seem to play the largest role overall, accounting for around 40% of depression risk. PATH TO RECOVERY Despite its painful and often debilitating nature, depression is highly treatable, with 80-90% of people responding positively to interventions. Medication and psychotherapy are the cornerstones of treatment, with lifestyle changes like exercise and mindfulness also helping manage symptoms. While the path to recovery looks different for everyone, combining medication, therapy and lifestyle changes tailored to individual needs offers the best chance of remission. Patience and self-compassion are vital, as depression treatment is an ongoing process, not an instant fix. Consistent effort to maintain wellness can help prevent relapse and promote long-term management. IMPORTANCE OF COMPASSION AND UNDERSTANDING Battling the isolation and anguish of depression is a courageous struggle. The invisible illness puts up a convincing façade as personal weakness or laziness, amplifying the pain of those affected. Depressed individuals often have the hardest time being kind to themselves. Yet self-compassion is key to recovery. Judgment is an added burden that benefits no one.Loved ones can provide vital support through getting educated about depression’s many causes and risks factors. Understanding depression as the medical condition it is prevents hurtful assumptions. Offering unconditional listening and avoiding giving unsolicited advice also provides comfort. Helping with everyday tasks like meals, errands and childcare eases burdens when energy is low. Most importantly, never underestimating the healing power of human connection. On societal and political levels, we must continue destigmatizing mental illness and demanding healthcare policies that guarantee access to quality treatment. Financial barriers disproportionately affect vulnerable groups, allowing treatable depression to become tragic loss. Increasing funding for mental health research to better understand depression’s complexities is equally vital. DEBUNKING MYTHS WITH FACTS Misconceptions implying moral weakness or volition fuel stigma and prevent people from seeking help. Learning the facts about depression helps debunk myths. Fact: Depression primarily arises from genetic and neurobiological factors beyond conscious control. Fact: Compassionately discussing suicidal thoughts reduces shame and isolation. Preventing suicide depends on understanding risks. Fact: Antidepressants only help manage underlying imbalance; they don’t induce artificial euphoria. Fact: Depression physically alters brain structure and function. It is a legitimate medical condition. Fact: Depressive thoughts are a symptom of biochemical changes in the brain. Positivity alone cannot cure it. Equipped with greater knowledge, we can shift cultural narratives towards empathy and erase the stigma shrouding depression. Science illuminate’s truths, while compassion Kindles hope. CONCLUSION  Depression causes profound suffering and loss of quality of life for millions worldwide. Yet despite its prevalence and severity, demystifying depression remains a critical public health priority. Understanding depression’s hallmark symptoms, from profound sadness to loss of energy, reminds us that the illness is never the fault of those affected. Neurobiological and environmental factors beyond individual control disrupt regulation of mood, sleep, appetite, concentration and sense of self-worth. However, depression is a treatable medical condition, not a personal failing. Combining antidepressant medication, psychotherapy and lifestyle changes tailored to individual needs puts people on the path to recovery. Cultivating self-compassion and surrounding depressed loved ones with patient understanding fosters healing. Depression causes enduring pain but hope lives in education and compassion.

INTRODUCTION Mental health affects every aspect of our lives. From how we think, feel and act, to how we handle stress, relate to others, and make choices, our mental health influences our daily experiences. Yet, despite its central role, mental health is often overlooked and underprioritized compared to physical health. Just as we make an effort to eat well, exercise, and get sufficient sleep to maintain physical health, nurturing mental health requires active care and attention. When we face setbacks, stress, or emotional difficulties, it’s tempting to power through and think we’re strong enough to handle it. But just like an injury to the body needs care to heal properly, difficult thoughts and feelings that aren’t addressed can compound over time. Taking steps to get support can help prevent small issues from spiralling into larger ones. Mental health affects everything from productivity at work, to relationships with loved ones, to overall life satisfaction. Making mental health a priority isn’t a luxury or an act of self-indulgence – it’s a key component of overall health. Just as regular doctor’s appointments, healthy eating habits, and physical activity help us take care of our bodies, looking after mental health requires its own set of tools. From stress management techniques to building a support system, numerous strategies exist to care for our minds. Taking time for self-care is not selfish – it’s an act of self-love that allows us to function at our best. Read on to learn why mental health matters just as much as physical health, and simple ways to start prioritizing it. THE FAR-REACHING IMPACTS OF MENTAL HEALTH Mental health does not exist in a vacuum – it converges with nearly every aspect of life. From how we function at work to how we interact in relationships; our state of mind has wide-ranging impacts. Here are some key areas where mental health makes a difference: Overall, making mental health a priority benefits nearly every dimension of life. Just like eating nourishing foods provides us energy for an active lifestyle, tending to our emotional and psychological needs empowers us to live our best lives. The mind and body are integrally connected – caring for both is essential. SIMPLE HABITS TO IMPROVE MENTAL HEALTH Taking care of mental health doesn’t require dramatic gestures. Though seeking help from a therapist or counsellor is very beneficial for many people, numerous small steps can also make a difference. Here are some uncomplicated habits to nurture mental wellbeing every day: The most effective and sustainable mental health practices are those that can weave into daily routines. Even small steps to regularly care for the mind and spirit can make a big difference long-term. Just like regular exercise or nutritious meals become healthy habits, taking time for mental self-care can transform into a valued ritual. WHY THE MENTAL HEALTH STIGMA NEEDS TO END Despite increased awareness and acceptance regarding mental illness, a troubling stigma remains. Debilitating symptoms from conditions like depression or anxiety are still sometimes viewed as “just being dramatic” or something that can be willed away. Minimizing or dismissing mental illness often further discourages people from seeking help. Other times, well-meaning friends or family encourage those struggling to “just be positive” or “try harder,” without realizing the brain changes underlying many mental health conditions. Mental illnesses are complex conditions rooted in genetics, brain physiology, and environmental influences. They cannot be overcome solely by inner strength or sheer effort. Simply “thinking positive” fails to address the biological underpinnings of most mental health conditions. Mental illnesses also cannot be cured overnight – effective treatment often involves both therapy and medication over an extended period. Still, with proper treatment and lifestyle changes, mental health conditions can enter long-term remission. Eliminating stigma requires choosing compassion over judgment and understanding over criticism when interacting with those facing mental health challenges. If friends or family are struggling, offer to help connect them to a professional rather than present clichéd advice. For those dealing with mental illness themselves, give yourself permission to make health your number one priority, and seek any support needed. There is no shame in facing mental health difficulties. Given the right support and resources, most people can effectively manage symptoms and live full, vibrant lives. Overall, society must move away from dismissing mental illnesses as temporary setbacks or personal shortcomings. Like diabetes or cancer, mental illness arises from physiological causes, not personal weakness. Compassion and understanding are vital steps to help erase stigma. MENTAL HEALTHCARE DESERVES PARITY Though mental health issues are extremely prevalent worldwide, mental health services receive significantly less funding and attention than physical health. For instance, in the U.S., expenditures related to mental health treatment make up only around 5% of total healthcare spending, even though mental illness affects tens of millions of Americans. Lack of access due to underfunded services keeps many people from getting needed care. Without sufficient budgeting for mental health resources, conditions escalate to crisis points that could have been prevented with earlier intervention. Situations like incarceration, homelessness, or suicidal thinking could be reduced through greater access to quality mental healthcare. Prevention always costs less than crisis management. To build a healthier, more just society, we must infuse the healthcare system with funding proportional to the prevalence of mental illness. On an individual level, each of us can advocate for better mental health policies and services. Though transforming the system requires collective effort over time, our voices do matter. Practically speaking, donating to mental health charities, voting for candidates who prioritize mental health funding, and sharing personal stories about how better access could help are all small actions that contribute to destigmatization and change. Additionally, speaking up about mental health in our own social circles and workplaces can powerfully chip away at shame and judgment. The more people talk openly about their experiences, the more mental health crisis comes out of the shadows. All of us likely have close friends or family impacted by mental illness – by sharing our stories,