Presenter：Christina Y W Chua
Listen to #Hashtag Hong Kong every Sunday morning at 8.15
Focusing on issues affecting civil society, we'll hear from representatives of NGOs, associations, statutory bodies, and non-profit groups.
(Sundays 8.15am - 8.25am)
Good morning, welcome to #Hashtag Hong Kong. As a clinical psychologist at the Mental Health Association of Hong Kong - which is a non-profit association dedicated to mental health awareness and services - I would like to shine a spotlight on a condition that affects many but is often misunderstood: psychosis.
Let me start with a brief introduction about this condition. Psychosis is a mental health condition characterized by a disconnection from reality. People experiencing psychosis may have difficulty differentiating what is real from what is not real. This can manifest through symptoms such as hallucinations. For example, you are seeing things or hearing things that aren’t there, and delusions – you are having strong beliefs that are not based in reality.
According to global estimates, approximately 3 in 100 people will experience psychosis at some point in their lives. It can occur at any age but is most commonly diagnosed in late adolescence to early adulthood. While it’s less common than other mental health conditions such as depression and anxiety, psychoeducation about psychosis and early intervention are crucial.
In general, symptoms can be categorized into positive symptoms and negative symptoms. Positive symptoms happen when a person is experiencing additional things that are originally not there. For example like delusional thoughts like somebody is spying on me or you are the president of a country, or having different types of hallucinations that pertain to our senses like auditory, visual and tactile. Or you may have disorganized speech and abnormal motor behaviors such as agitated movements or repetitive actions. On the other hand, negative symptoms refer to the absence or reduction of normal behaviors. For example like having flat affect, limited facial expressions, limited speech, changes in mood, lack of motivation, or lack of desire to engage in social activities.
Treatment typically involves a combination of antipsychotic medications, psychotherapy, and also psychosocial support groups. Early intervention is key—it can significantly improve outcomes. Psychotherapy such as Cognitive-behavioral therapy or we call CBT tailored for psychosis can help individuals to manage symptoms and to develop coping strategies. Support groups and community resources also play a vital role in recovery. There are a lot support groups tailored for individuals struggling with psychosis to target social skills improvement, self-care skills and independent living skills. The goal is to help them in skills building to decrease the functional impairments caused by psychosis, and hence resume a normal life and integrate back to the society.
On a personal level, I’ll say it’s crucial for individuals to maintain a structured daily routine, and to stay connected with supportive friends and family, and also follow with your treatment plans including medications and psychotherapy. It’s also important to explore interests and activities that bring you joy and purpose and to stay engaged with people around you.
I once had a client who’s been struggling with psychosis for over 10 years that he would cover his left ear whenever he hears voices. With proper treatment and skills building, he’s able to differentiate reality with his auditory hallucinations, so that he’s not being responsive or reactive to the voices, even if the voices are still there with him. Once he has become more stable with his symptoms, we started taking him to do volunteer work in the community where he would help dispatching lunch boxes to the homeless population. That volunteer work gave him opportunities to reconnect to people, to the community and also built a sense of accomplishment in him. Ultimately he’s able to live a fulfilling life despite his diagnosis.
I want to emphasize that psychosis is a treatable condition. If you or someone you know is experiencing symptoms, seeking help early can make a significant difference. Recovery is a journey, increasing awareness and reducing stigma are important steps to make sure everybody gets the right support they need. Last but not least, remember your mental health is just as important as your physical health, and no one should face these challenges alone.
Thank you so much for tuning in today and hope together we can build a more informed and supportive community.
Presenter：Christina Y W Chua
Dear Parents,
As we navigate the complexities of raising children in today's fast-paced world, it's essential to stay informed about the support systems available to promote their mental well-being. Since its establishment in 2000, The CEO Foundation has been committed to enhancing lives in Hong Kong and China, particularly through mental wellness initiatives. In 2018, we proudly launched a new endeavor focusing on Animal-Assisted Service (AAS), which harnesses the unique bond between humans and dogs to foster emotional resilience and personal growth.
Our therapy dogs, known as Social Work Canines, are more than just pets; they are pivotal partners in providing support and enhancing the emotional experience of our beneficiaries. These specially screened and trained dogs work alongside their owners and bonded handlers, engaging with diverse groups, including children, teens, and the elderly. Our initiative aims to create a safe and nurturing environment where individuals can find comfort and companionship during their most challenging moments.
In recent years, our community has faced significant mental health challenges, particularly among primary and secondary school students. Research from the last decade indicates a concerning trend in the mental wellness of our youth. According to data collected by the Hong Kong Student Mental Health Survey, approximately 24% of primary school students reported experiencing symptoms of anxiety, while this number rose to about 30% among secondary school students. This spike reflects the mounting pressures students face from academic expectations, peer interactions, and social media influences.
Perhaps even more troubling is the report to suicidal ideation among students. Over the last decade, the number of reported suicide cases among adolescents has increased, with the Hong Kong Mental Health Association noting a rise of 20% in the past five years alone. Moreover, data reveals that approximately 10% of students have considered taking their lives during their formative years, highlighting the urgent need for proactive measures to bolster mental health support.
Among youth, Social Anxiety Disorder (SAD) has become increasingly prevalent. Recent studies show that around 15% of adolescents in Hong Kong exhibit signs of SAD, creating barriers to healthy peer relationships and academic success. Additionally, conditions such as bipolar disorder and depression are affecting students at alarming rates, with recent statistics indicating that nearly 25,000 young people receive treatment for psychosomatic disorders each year.
In response to this escalating mental health crisis, The CEO Foundation initiated the HI (Human-Animal Interactive) Partner Program, a pioneering approach that utilizes the therapeutic benefits of AAS. Through our program, we aim to provide a multi-faceted support system for individuals across all age groups.
The presence of therapy dogs can alleviate anxiety and promote emotional healing in children and teens. Studies show that interactions with Social Work Canines can lead to lowered stress levels, increased feelings of happiness, and enhanced social interactions. These dogs offer kids a loving, non-judgmental source of comfort, allowing them to express themselves without fear.
For the elderly, the companionship of therapy dogs has proven to enhance their quality of life by reducing feelings of loneliness and providing motivation for physical activities. The HI Partner Program ensures that individuals from diverse backgrounds can access the mental health support they need through loving interaction with our Social Work Canines.
As we move forward, we invite you to partner with us in this important journey. Let’s come together as a community and advocate for mental wellness among our children and youth. By fostering connections through the amazing bond between humans and animals, we can help reduce anxiety, improve emotional regulation, and ultimately create a brighter future for our next generation.
We look forward to sharing more about the HI Partner Program and how you can get involved in supporting our mission to enhance mental wellness throughout Hong Kong.
Lastly, I would like to dedicate a song "You've got a friend" by Carole King, thanks and enjoy.
