Connection Between TB and Mental Health
TB is associated with deep stigma due to its perceived contagiousness, association with poverty, and unhealthy behavior.
Stigma causes both social and self-stigma, leading to mental health challenges such as hopelessness and depression.
Mental health issues can hinder treatment adherence, leading to poor outcomes and discontinuation of treatment.
Impact of TB Treatment on Mental Health
TB treatment is long and has severe side effects (e.g., rashes, psychosis), causing physical and mental toll.
Up to 84% of TB patients suffer from concomitant depression.
The prolonged treatment process and changes in physical appearance can lead to a loss of self-confidence.
Bidirectional Link Between TB and Mental Health
Mental health problems can make people more vulnerable to TB due to weakened immune systems.
Addiction to substances (e.g., tobacco, alcohol) related to mental health issues is linked to a higher risk of TB.
Mental health disorders are prevalent in India, making those affected a high-risk group for TB.
Need for Mental Health Screening in TB Care
TB care should include routine screening for mental health disorders, similar to how diabetes and HIV are screened.
India should adopt a comprehensive policy that integrates mental health screening and support during TB treatment.
Providing Psychological Support and Treatment
Psychological support should be part of TB care to improve adherence and treatment outcomes.
Remote digital therapies (e.g., cognitive behavior therapy via apps) can help patients with mild depression.
Community-based mental health interventions should be expanded, focusing on support groups and reducing stigma.
Strengthening Mental Health Services
There is a need for more psychiatrists in India to address the mental health care needs of TB patients.
Integrated policies and better resource allocation are needed to combine mental health support within TB programs.
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