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When Andressa Duvique, 21, a resident of Guaianases, in the eastern part of the capital of São Paulo, confessed to an acquaintance of her church that she was depressed, she learned from the woman that the illness was a question of faith. "She asked me, 'Oh, but you pray?', As if it was a spiritual problem, but it's an emotional problem, so they say that it's Is fresh, "says the young evangelical.
Depression affects 11.5 million Brazilians (or nearly 6% of the population), according to 2015 data from the World Health Organization (WHO). Andressa found help to treat the disease during free therapy sessions offered by a psychologist. "After discovering that I had not pbaded the entrance exam, things got worse and I saw that I needed help, from 39 first because of a college entrance exam, but after the therapy, I discovered that it was my emotional problem, need to worry, "he says.
There are few national studies reporting depression and social clbad.According to an Ibope study, conducted at the behest of the Brazilian Association of Parents, Friends and Caregivers of Affective Disorders (Abrata ) ten years ago, clbades C and D are the most vulnerable to depression – research has identified depressive symptoms in 25% of people in this social clbad compared to 15% of clbades A and B.
conclusion is corroborated by US data that people living in poverty are twice as likely to be depressed. donations still make sense today? Teng Chei Tung, a psychiatrist member of the Scientific Council of Abrata, believes that "poor people suffer more depression, at least because of lack of access to appropriate treatments."
According to Teng, more recent data would be "very important for more effective public policies (in the fight against depression)".
– You applaud, I commit suicide & # 39;
In 2017, the bahianian rapper Diogo Moncorvo, Baco Exu des Bleus, had everything to live the best moment of his life. The musician has accumulated millions of views in his clips on YouTube. His album, Esú, was hailed by critics and highlighted the rap created on the Rio-São Paulo axis.
But one of the tracks of the album already showed that Bacchus was suffering. "Alcohol kills me / My anger kills me / Your expectation in me kills / The man does not cry / Fuck, I cry! / (…) / This is a call to l & # 39; help / You applaud / I killed myself. "
Bacchus was depressed.
"I'm killing you "(Photo: Carol Rocha / Ennis Agenois)
" I am a victim of crime "I think the rich and peripheral Negro is conditioned to depression because of his life story, you know? He is still excluded, he prejudices, all of which undermines your well-being, your self-confidence, your desires. If you let it affect you, you go into a crazy psychosis and you can not get out, "says rapper Baco, who lives in Salvador and whose audience in Bahia is mainly young people from the periphery. [19659014] In her thesis researcher at the State University of Feira de Santana (BA), American researcher Jenny Rose Smolen proposes a review of the relationship between race and mental disorders in Brazil
Analyzing 14 searches on mental disorders, she concludes that According to Smolen, this problem is not related to genetic factors.
One can find a clue to explain the problem in another study from the University of Texas, USA, concluded that daily discrimination has an impact on people's mental health.
There is also the biochemical impact, says social psychology specialist and writer Ga Briela Moura
"When you see yourself in danger, your cortisol levels increase you. It's just that our body has been done for this to happen in a period of five, ten minutes, which is the time for you to be alert and escape danger. In a situation of prejudice, of social violence, we see ourselves in this situation all the time, so the individual spends 24 hours in a state of alert, not knowing whether he will be well received, nor will he Not knowing if it will suffer police violence, urban violence, and this in the medium or long term, causes extreme fatigue in the body and mind. "
In conclusion, there is evidence that Blacks have more limited access to medical treatment and private health plans." According to the National Health Survey (NHS), published in 2015 and covering sectors public and private, 74.8% of whites had consulted a doctor in the last 12 months, compared to 69.5% of blacks and 67.8% of pardos, only 21.6% of blacks and 18.7% of Browns had a health plan, compared to 37.9% of whites
.
"The periphery is exposed to social vulnerability, is not it? Due to a history of slavery, greater difficulty (in relation) with the possibilities of studies, formal work, police violence, this is present, "says a psychologist of 39, a basic health unit (UBS), located on the outskirts of São Paulo, which requested anonymity: "Even in health equipment, it is sometimes difficult to find a reception, a recognition in the matter of racism. "
Gabriela Moura concludes:" For us, we must rethink how such care is provided, to the point that these people do not avoid and neglect their own health. "
Limitations of Care
The psychiatrist Laura Helena Andrade, coordinator of the core of Psychiatric Epidemiology, Clínicas Hospital of the USP School of Medicine, was one of the leaders of the Mental Health Survey of São Paulo's Megapolis, extensive research on mental health carried out
Andrade explains that such research (conducted between 2005 and 2007), with more than 5 thousand respondents in live sessions, with up to four hours of interview, is complex and takes a lot of time, hour to keep, compile and disclose their This would be one of the reasons for the lack of more recent data on the subject.
Lucia suffered from depression due to health problems and death in the family (Photo: Carol Rocha / Agency Enois)
And Rade sees with reservations the results of Ibope's research that poverty is a determining factor for a greater tendency to depression and stresses that cases of mental disorders are found in all social clbades. Nevertheless, the data collected by São Paulo Megacity have highlighted some of the effects of poverty on São Paulo's mental health, such as a higher incidence of anxiety disorders among people with a low level of education. and psychiatric disorders related to drug abuse. people living in neighborhoods where levels of social deprivation are higher.
Exposure to violence also appears as a trigger for mental disorders in research data.
According to the WHO, between 2005 and 2015, the number of patients with depression increased by 18.4%.
Despite the existence of treatments, few people – less than 10% of cases – receive medical help.
It takes time to be cared for by SUS
Lucia Figueiredo is 59 years old and lives in Jardim Brasil, north of São Paulo. She says that her first experience with depression dates back 26 years when she had a miscarriage, but the problem has got worse when she has had hypothyroidism and that a series of deaths have occurred. Is produced in his family.
"I was no longer playing piano, I did not participate in the things that were still working for me, and three months after losing my brother and my brother-in-law, I lost my mother," he says. . However, it took nine months to get treatment in São Paulo's public network.
"The problem with SUS is that from the moment one enters the system for an appointment, until he can go to a psychiatrist, it takes a lot of time, "explains Lucia. "The problem is not the professional service nor the psychological service, but the distance between the moment the problem is detected and the possibility of being followed." "SUS does not have the same range of drugs as the market" (Photo: Reproduction / PRC) "src =" date: image / jpeg; base64, / 9j / 4AAQSkZJRgABAQAAAQABAAD / 2wBDAAMCAgMCAgMDAwMEAwMEBQgFBQQEBQoHBwYIDAoMDAsKCwsNDhIQDQ4RDgsLEBYQERMUFRUVDA8XGBYUGBIUFRT / 2wBDAQMEBAUEBQkFBQkUDQsNFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBQUFBT / wgARCAAOABkDASIAAhEBAxEB / 8QAGAAAAgMAAAAAAAAAAAAAAAAABAcCAwb / xAAWAQEBAQAAAAAAAAAAAAAAAAAEAAH / 2gAMAwEAAhADEAAAAVzMm87jCM2tLf / EABwQAQACAgMBAAAAAAAAAAAAAAQDBQATAQIGEv / aAAgBAQABBQKPxhVdKfyUEp7eYnDdYMMfbWKk6BYw / wBV23P / xAAYEQADAQEAAAAAAAAAAAAAAAAAARESMf / aAAgBAwEBPwHCdo4un EABoRAQACAwEAAAAAAAAAAAAAAAEAIQIDERL // / // 2gAIAQIBAT8BHK + sNfspn EACcQAAIBAwIEBwEAAAAAAAAAAAECAwAEERMhIjEyURIjNGFxkaPR / 9oACAEBAAY / ApDb37F4xlw0YwDjuDUV091LrrIvkKnEDnn339qKDAx4slFPCeXFmvUfqf5TRrPKwSTSMcnSCRzFG1kjbVESCXSlIU7bH5xV08bNGtuMNg9YLbbV0D7Nf // EAB4QAAMAAgIDAQAAAAAAAAAAAAERIQAxQWFRgfDR / 9oACAEBAAE / IQsh0WipS JVp4M4AKDWEGwBEbH1ll6BIAkcgrZ8vO1iLHCc6GNX1xrFVM5Cw0Kdvg4LUQ4QGUivZz7 / pn aAAwDAQACAAMAAAAQuy // // xAAdEQEAAQMFAAAAAAAAAAAAAAABEQAhMUFhcYGh / 9oACAEDAQE / EAhWL9 TGjuZoiQnmZ8Sv / 8QAHBEAAgICAwAAAAAAAAAAAAAAAREAITGhUXGx / 9oACAECAQE / ECyLQ1SquUM6h7ELo g6n EABoQAQEBAQEBAQAAAAAAAAAAAAERIQAxQRD + // / // 2gAIAQEAAT8QLmy4 CkEeiwNd6kLbBNQIiG6T659Xg5uxIjWaG38mCFQgxgwjUmOviAMUETwBTyqgI3g0sMkKEguqu0 + BPE 9k = "/>
