Counselling need in Nepal :
Out of dream, to make life better every year almost 4,00,000 of population specially youths in their productive age enters labour market abroad; specially in India and Middle East. Because of illiteracy and unskillfulness, Nepali labors become vulnerable to various forms of exploitations. The young women mostly become victims of trafficking. The spouse, children and parent of the migrants stay behind, live with socially and economically insecure environment. Thousands are reported to die overseas because of various forms of exploitations and large number of people return back with some kind of physical and mental problem.
Such disruption of family, affects women and children extremely. Moreover women in Nepal are vulnerable to Domestic Violence. The national record says almost 64% Nepali women suffer from Domestic abuse; 43 % is related sexual violence, 22% is related to spousal violence, 16% is related to emotional violence such as humiliation, threatening and insult. More than 55% experience social discrimination against boys.
Suicide has become a major national issue in Nepal. Nepal ranked in the 7th position by suicidal rate in the World. Yearly 7,000 cases of suicides are counted according to Nepal Police records; which are the only cases that are reported to the concerned authority, but in reality far more deaths occurs related to suicide every year. Another alarming fact is that, Suicide is the leading cause of death in Nepalese women of reproductive age which is 15-49 years of age. Among the total reported deaths 5% are counted to be children. According to Nepal Police the number of suicide cases has spiked by 41% after earthquake ….
Nepal Government and the Non-Governmental organizations have started giving attention to Mental Health and psychological need of its people. However, the services are mostly insufficient, and are confined to address the Severe Mental Illness, which includes treatments through Drugs and Psychiatric Therapies.
The understanding, of the need and impact of Counselling in the early distress is too little. Also because of the social stigma and a belief, that if a problem is spoken would bring dishonor to the family or to self; people tend to hide things until the problem gets severe and becomes apparent. Even the emotional or psychological distresses are suppressed till consequences becomes apparent in the person’s personality. Many people are reported or seek help only when such prominent Mental disorientation is seen.
Therefore, a huge awareness has to be raised against the cultural stigma…. and to encourage people to speak early-on about their emotional or psychological distress, so that through counselling people could find a ways and develop a mechanism to cope with their situation, and also to diagnose if there is presence of any kind of mental illness early on; which could hugely contribute to lessen the burden of Mental illness in Nepal. Nepal constitutes several risk factors which often contributes towards Mental Health such as poverty, education, social inequalities, and trauma. Nepal has a high prevalence of 37.5 % against that of 14 % of Global burden in account to Mental Health.
Therefore, the need of Counselling in Nepal is not seen as a luxury item, which is desired for the wellbeing of a person, but as a great need in-order to prevent people from having to suffer with Mental Illness.