Two strong and relevant themes have emerged in the global literature for the 2025 World Mental Health Day observances.
The theme “Stronger Together: Nurturing Mental Health through Community” resonates deeper for me since supportive community has mostly been problematic for so many I know and counsel in the struggle with mental health disorders.
This year’s challenges have forced me to reflect on my own experiences over a lifetime, and I can attest to how difficult it is to build and hold a community that is abiding, non-judgemental, and non-prejudicial. In my decades-long advocacy, community has not been the best part of the mental ill health experience. But I am grateful for the few who stick it out–in good and bad well-being–to provide support.
When we describe T&T and we speak of our nation as “rich in community life”, we conjure a place of close-knit families and a culture of networks that are supportive and protective. This may be real for us, but to my mind, it does not exist at the depth that can provide the panoply of love, care, commitment, and dedication to those affected by illnesses of the mind.
Families here are not as tolerant as we pretend or imagine, churches are less tolerant than we need them to be, workplaces provide a dynamic of exclusion not unsimilar to school communities, and so on. Stigma, fear, lack of understanding, and silence on the issues remain rife.
As I read the literature promoting community and its benefits to those who are managing mental health disorders, trauma, stresses, and the pressures of life, I am aware of my cynicism as I recount the hurt I carry for almost never having the support I need. My faith in community is low.
Mental health should be a collective responsibility; we know that from the literature that shows what happens when strong communities exist and provide essential care and solidarity for those living with mental illnesses.
Here, where stigma remains unabated, resources are limited and the focus on community models is still a fledgling concept, isolation is more the norm.
Care is often limited to a few who make and keep personal commitments to the well-being of those struggling.
Community networks that (should) exist are vital avenues for the required social support of those who present with mental illnesses. These can help with alleviating the social anxieties, issues of isolation and feelings of alienation that people experience. And this is not only necessary for those diagnosed with or suspected of bad mental well-being, but is necessary for every person facing the stresses of life–emotional, financial, social, relational, and so on. People need people to remain well, and where illnesses are present, research has shown that strong social connections reduce relapses and improve recovery.
In T&T, there is still too much widespread stigma, shame and silence surrounding mental illnesses. More work is needed in national and community campaigns targeting stigma and normalising the issues and conversations. More people would be open to interventions and would be able to receive the needed early interventions and treatment if we were able to reduce discrimination, public, and self-stigma.
This speaks to a cultural change that global literature shows as having been achieved in societies that invest heavily and consistently in mental health, not as a section of a ministry’s outreach but as national conversations, campaigns, and interventions. Stigma prevents people from responding even when there is a visible need.
How community helps
• Reduced isolation and loneliness: Connecting with others helps combat feelings of isolation, which can negatively impact mental health. But connection is difficult for those struggling or in crisis, so this also requires people who are well to invest in those who need help.
• Sense of belonging: It is important to be included and to be part of a shared identity. Crucial to the mentally ill are people who remember to embrace them and not treat them as an anomaly.
• Increased support: A strong community network offers support during crises and everyday challenges, helping individuals feel more united and resilient. The family is a great place to start. Families with the depth of caring and support are extremely essential to those unwell.
• Enhanced self-esteem and purpose: For the mentally disordered, participating in community activities, such as volunteering, can boost confidence and provide a sense of purpose. Society must provide more opportunities for those struggling to serve, normalising the experience and embracing the service.
From my life experience, my best periods of improved mood, self-regulation, and resilience always come with the opportunity to be a part of community engagement, helping others, lecturing to schools, talking to churches, counselling families, and so on.
My own well-being depends on the level of involvement I have within the communities around me.
The evidence supports the idea that when communities stand together, mentally ill people gain hope, dignity, and opportunities for recovery. A stronger nation begins with stronger, more compassionate communities.
Happy Republic Day, T&T!
World Mental Health Day is observed on October 10 each year.