Crisis and its long-term impact on mental health in Nepal

Nepal is renowned for its diverse geography, spanning from the majestic Himalayas to the lush hills and the expansive Tarai region. Despite these natural wonders, Nepal is plagued by geographical challenges every year, leading to numerous crises that result in significant human and material losses. Disasters, whether they are natural or man-made, have become a recurrent occurrence in Nepal. From flooding and landslides to road accidents and earthquakes, these crises cause physical destruction that have lasting effects on people’s mental well-being. 

The term ‘disaster’ has become all too familiar to Nepalis. The aftermath of such events often leads to immeasurable, tangible and intangible losses. While the physical toll is readily apparent, the long-term mental health implications are frequently overlooked. Post-traumatic stress disorder (PTSD) is a prevalent mental health challenge that many individuals in Nepal grapple with following a crisis. As a counseling psychologist, I have witnessed numerous clients struggling with the repercussions of traumatic events. What initially presents as stress and irritability ultimately reveals deep-rooted trauma from past disasters. The enduring impact of these crises on mental health cannot be overstated.

Long after the physical signs of destruction have faded, individuals continue to battle the emotional and psychological scars. Despite the passage of time, the pain, stress, and disturbance persist, searing deep into their minds. It is imperative to acknowledge that seeking professional help is not a sign of weakness but a courageous effort to reclaim one's mental well-being. Engaging with a psychologist or counselor can provide the necessary support to navigate through the lingering effects of trauma. Not everyone has similar coping patterns; few people can cope with anything, whereas many can’t handle even a small amount of stress in daily life. Everyone is unique, and individual differences make society. One may be good in one way, and another is in the next way. Never think that we should be filled with everything in life. It wouldn’t be a good life if we had everything. Let’s make a culture of asking for help.

Recent tragic events, such as the plane crash and the bus accidents in the Trisuli River, have left an indelible mark on the Nepalese community. As we mourn the loss of lives, we must also recognize the profound impact on the mental health of the affected families and communities. In such trying times, the strength of our collective cultural practices becomes evident as individuals come together to offer support and solace. Amidst the grief and turmoil, fostering an environment where individuals feel empowered to seek help without fear of judgment is essential. In addition to creating a supportive environment for seeking help, a proactive approach to mental health education and awareness is pivotal in addressing the long-term impact of crises on mental well-being. By fostering a culture of openness and understanding from an early age, we can sow the seeds of empathy and resilience in the fabric of our society.

In the meantime, I want to request the government of Nepal to make an integrated approach to helping people who are in grief and who face disaster, man-made or natural. The collective effort of making people affected by the crisis is only a way toward healing. Otherwise, you may help them by providing first aid to physical health, but there is yet to solve their mental health issues, which may affect them in the long term. To avoid people from the long-term effects of crises and disasters, the government should focus on mental well-being and implement counseling practices if support is needed. 

Encouraging conversations, seeking support from friends, family, and mental health professionals, and embracing the power of collective compassion are pivotal steps in the journey towards healing and resilience. Together, we can strive to create a society where mental health concerns are met with empathy, understanding, and accessible support services. Let's stand united in addressing the long-term impact of crises on mental health and fostering a culture of healing and hope in Nepal.