PSYCHO SOCIAL SUPPORT WORKSHOP REPORT 25 FEBRUARY 2015 Page | 1 Contents INTRODUCTION ....................................................................................................................................... 3 OBJECTIVES OF THE WORKSHOP ............................................................................................................ 3 WELCOME REMARKS .............................................................................................................................. 3 MR NKOMO’S TALK ................................................................................................................................. 3 PRESENTATION ON DEPRESION .............................................................................................................. 3 DEPPRESSION .......................................................................................................................................... 4 PLENARY .................................................................................................................................................. 5 SIGN LANGUAGE SESSION....................................................................................................................... 5 EVALUATION OF THE WORKSHOP .......................................................................................................... 6 CLOSING REMARKS ................................................................................................................................. 7 Page | 2 INTRODUCTION On the 28th of February Deaf Zimbabwe Trust (DZT) held a psychosocial support workshop at their offices at number 12 Victory Avenue Greendale Harare. This was a continuation of the 31st January mental health workshop. The presentation focused on depression. Participants at the workshop were Deaf people, parents, friends and relatives of the Deaf. Student participants were from Danhiko Secondary school. Paidamoyo Chimhini presented on depression and Mr Nkomo facilitated the programme. Norman Mutete provided interpretation during the presentation and Mr Gomo took over during the sign language session and closing remarks. Number of participants recorded was 73. OBJECTIVES OF THE WORKSHOP The workshop sought to educate participants on the basics of depression including: Identifying causes of depression Myths about depression Signs and symptoms of depression How to deal with depression Where to get help when depressed WELCOME REMARKS DZT executive director Ms Barbra Nyangairi welcomed the participants and gave a brief outline of the work that the organisation is currently doing to improve the lives of the Deaf. She went on to ask participants attended the previous workshop were present. A few showed by lifting up their hands. Four participants gave feedback of the previous workshop. The director highlighted what the workshop would focus on and emphasised the need for participants to be attentive. MR NKOMO’S TALK Before the depression presentation, DZT Chairman Mr Lyndon Nkomo gave a motivational talk to the Deaf students that were present. He encouraged them to be always positive in their mind set. He encouraged the students to have a mentality of changing what they are to be better persons. Deaf participants were asked what they would like to be in the future. Their responses included professions such as lawyers, doctors, software engineers, business men and women as well as florists. These responses indicated that these Deaf students are optimistic about their future. Mr Nkomo applauded the students for their optimism and encouraged them to work hard in school to achieve their dreams. In closing the session, said, “A person who is afraid and weak will die like that but courageous people will achieve their goals through hard work.” PRESENTATION ON DEPRESION The presentation focused on depression, how to identify causes of depression, myths about depression, signs and symptoms of depression, dealing with depression and where to get help when depressed. Page | 3 DEPPRESSION As described by Paida, Depression refers to a feeling of deep sadness, hopelessness and inability to enjoy anything over a long period of time. Characteristics of depression include loss of appetite, over eating and changes in sleep patterns. One who is depressed has constant anxiety, unhappiness and loss of energy for no apparent reason. Depression affects thoughts, feelings and behaviour. It can cause a person to perfom poorly at work, school and home. Deep despair can make a person suicidal to escape the misery and pain of depression. Many people think depression is not a genuine illness. However it is actually a very complex illness that can be treated by taking prescribed medication. Depression is the leading cause of suicide in the world. It should be treated once discovered. Ignoring it will make it worse. Paida went on to share some interesting facts about depression she found on the World Health Organisation (WHO) fact sheet. Some of the facts are as follows: Depression is common, affecting about 121 million people world wide Depression is among the leading causes of disability world wide Can be reliably diagnosed and be treated in primary care Fewer than 5% of those affected have access to effective treatment Participants were also taught about the causes of depression. Significant life changes can cause depression. Examples include death of loved ones, birth of a child, chronic diseases, divorce, social isolation and unemployment. Domestic violence and other forms of abuse may also cause depression. Depression also runs in the family. If you have a relative who once had depression you may also develop it. Alcohol and drug abuse were also attributed as other causes of depression. After describing the causes of depression she continued to signs and symptoms of depression. Below are some of the symptoms of depression: Appetite or weight change Sleep changes Anger and irritability Reckless behaviour The presentation included depression in teenagers. The main source of depression in teenagers is life changes. These changes can make them moody. Being moody is normal but tends to be a cause for concern if the feelings are constant. Depression in teenagers is not always shown by extreme sadness. Most depressed teenagers seem to be more irritable than sad. Depressed teenagers tend to be hostile, grumpy or short tempered. They may also be very violent or suffer from unexplained aches and pains. If left unattended, depression in teens could lead to suicide. Depression can be dealt with through various ways. Ask for help and support from others when you discover that you are depressed. Talking to other people shows that you are aware of your problem and you are taking steps to improve your situation. It is also imperative to share your fears and Page | 4 problems with a friend or family members. People may not provide you with an effective solution to your problem but sharing your problem with someone will diminish the burden on you. Surrounding yourself with people who understand you is another way of dealing with depression. People who support you will help you overcome difficult situations. One should keep a strong supporting system in order to be assisted in dealing with depression. Isolation will make the situation worse. According to Paida’s presentation, depression can be dealt with through building emotional skills. This involves learning how to recognise and express your emotions. Dealing with depression appropriately enables a person to become stronger emotionally and allows you to bounce back from a difficult situation. Sometimes friends and family support may not effectively deal with depression. One may visit a doctor who will refer you to a mental health professional. One may also visit a psychologist or a counsellor who will assess your condition and find a treatment plan for you. Depending on how serious your depression is it maybe necessary for you to take medication that is antidepressants. Treatment also involves having regular therapy sessions with your counsellor or psychologist. PLENARY After the presentation the floor was opened for participants to ask questions. Paida and Mr Nkomo helped with answers. Q: You asked something about us going to see the doctor when I am depressed. It is difficult for me there is no good communication with the doctor. What can I do? A: (Mr Nkomo) There is no policy that allows health institutions to have the medical interpreter. The medical practitioners are also not trained sign language. My advice to you is that you find a sign language interpreter you trust until the government enacts a law that makes it mandatory for all health care centres to have interpreters. We are also drafting sign language bill. What we are asking government to do is to have a database of interpreters. We need to train a lot of people sign language. Q: When we go to see the counsellors, sometimes we fail to understand because the sentences they write are too long. Q: For example I have a sister and we always have quarrels. When we try to find help from others or an intermediate, the intermediate will always say the Deaf are heard strong. How can I get help then? A: (Paida) maybe there is a bigger problem between the Deaf and hearing sisters. We need to address the issue first and see how it can be solved. SIGN LANGUAGE SESSION The sign language session was done by Tendai and Kuda. They started with a recap of words learnt at the last workshop. They continued to words that describe body parts and clothes. Words which had controversial signs were underwear, pant, arm and jeans. The table below shows the words signed. Participants said that they would like to include biblical words. Page | 5 BODY PARTS Arm Nose Hand CLOTHES Jacket Dress Skirt Neck Toes Knees Elbow Shoulder Stomach Chin Mouth Teeth Backbone Finger Head Tongue Ears Forehead Naval Trousers Shorts Pyjamas Night dress Underwear Suit Tie Necklace Shoes Hat Cap Belt Sandals Shirt T-shirt Jeans EVALUATION OF THE WORKSHOP Evaluation At the end of the workshop, the participants were asked to fill in evaluation forms to assess the workshop. Most of the responses on the evaluation forms indicated that the participants appreciated the workshop and look forward to more similar sessions. A significant number of participants reported that the facility used for the workshop was small and uncomfortable. Some also felt that the presentation was not at a level that they could understand. Below are some of the responses given by the participants? Very helpful to me, have learnt a lot. Was happy about the presentation as well as sign language teachings. I want to learn more about mental health. I understand the programme, it is well organised. I do really appreciate all the presentations. The space is small for people to sit and learn. I was having difficulty communicating with my child but you helped me so much on most of the words. I can now communicate with other Deaf when we meet anywhere. I can now teach my child homework. The presentation was well researched and quite informing. Thank you very much for the work you are doing. God bless you. Thank you for your workshop we learn more. Very useful and informative. Good for the Deaf and hearing. This bridges the gap. Thank you for equipping us on how to communicate with our friends. Page | 6 Suggestions for future topics of discussion Many participants indicated that the next sign language lesson should focus on basic household items like pots and pans. Some expressed a keen interest in learning signs that are related to religion and the Bible. With regards to topics for future workshop presentations, participants suggested that reproductive health and the dangers of early marriage should be addressed. Recommendations The turnout for this workshop was lower than the previous one. Most of the participants who turned up were the Deaf and very few parents and guardians of Deaf children attended. It may be necessary to find other ways to advertise the workshop so that more parents of Deaf may attend. Deaf students constitute the majority of workshop participants. In order for them to benefit more from the workshops, there is need for more motivational talks similar to that given by Mr Nkomo at the last workshop. CLOSING REMARKS Mr Nkomo closed the business of the day. He encouraged everyone to go and revise what they had learnt. Deaf students were encouraged to go and work hard in their school work so that they will achieve their dreams. Children who were at the workshop were encouraged to learn sign language from their Deaf elders. A student from Danhiko gave a closing prayer before the participants departed. Page | 7