Dr Tendai Zuze
Health Matters
MAY is Mental Health Awareness Month, a time to remind ourselves that health is, not just about the body, but also the mind.
In our communities, including here in Mutare and across Zimbabwe, many people are carrying very heavy burdens quietly.
Economic pressures, family responsibilities, chronic illness, and daily stresses, among other things, can take a toll on mental wellbeing.
What is often overlooked is how closely mental health is linked to physical health.
Stress, anxiety, and depression do not just affect how a person feels emotionally. They can contribute to real, measurable medical conditions.
High blood pressure is one of the most common examples. Many patients struggle to control their blood pressure despite medication, and ongoing stress is often a major factor.
The body remains in a constant fight or flight state, leading to persistently elevated blood pressure and increased risk of stroke and heart disease.
Mental health conditions also play a role in diabetes.
Stress hormones such as cortisol can raise blood sugar levels and make glucose control more difficult.
Patients may also struggle with adherence to medication, diet, and clinic visits when they are feeling low, overwhelmed, or anxious.
Over time, this worsens complications such as kidney disease, nerve damage, and vision problems.
Gastrointestinal conditions are another area where the mind and body are closely linked.
Many people experience gastritis, acid reflux, or irritable bowel symptoms that are triggered or worsened by stress. It is common to see patients whose abdominal pain, bloating, or altered bowel habits flare up during periods of emotional strain.
Chronic pain conditions, including back pain, neck pain, and headaches, are often influenced by mental health.
Tension headaches and migraines can become more frequent with stress and anxiety. Muscle tension increases, sleep is disturbed, and the body does not recover properly. This creates a cycle where pain worsens stress, and stress worsens pain.
Sleep disorders are also very common. Anxiety and depression can lead to difficulty falling asleep, frequent waking, or poor quality sleep.
In turn, lack of sleep affects concentration, mood, immune function, and overall health. Many people find themselves constantly tired but unable to rest properly.
Mental health also affects the immune system.
People under chronic stress may fall sick more often, take longer to recover, and may experience worsening of conditions such as asthma or skin disorders like eczema and psoriasis.
In our environment, it is important to recognise that mental health challenges are common and treatable.
Unfortunately, stigma remains a major barrier. Many people are reluctant to seek help or even talk about how they are feeling. Others present with physical symptoms, not realising that stress or anxiety may be contributing.
Simple steps can make a difference. Talking to someone you trust, whether a family member, friend, or healthcare provider, is a good starting point. Regular physical activity, even walking, helps reduce stress. Limiting alcohol intake, maintaining a routine, and getting adequate rest are also important. For those with more severe symptoms, professional support from a doctor, psychologist or psychiatrist, is essential.
Mental Health Awareness Month is a reminder to check is, not only on our patients, friends, and family, but also on ourselves.
Looking after mental health is not a luxury, it is a key part of overall health. When we take care of the mind, we are also protecting the body.
For help with mental health issues contact [email protected]
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