depression and anxiety therapy for Muslims embraced religion !
Muslims with mental health issues could be helped by re embracing their beliefs and religious teachings, it is claimed.
raditionally, therapists have shied away from talking about religion as
part of treatment.
But an NHS project based on research by Leeds University is "showing
some individual signs of success".
Those behind the therapy say many Muslims do not get help because of stigma
attached to mental illness.
'"I was broken'"
Samia,.. who is in her late 40s, has struggled with depression and is taking
part in the project.
"I just felt like I had to constantly keep myself strong and put on a
brave face. Deep inside I was actually broken" she says.
"When I actually fell apart, when I was at my lowest, I felt that
there was something that I might have done to upset Allah, which is God"
Lead researcher Dr Ghazala Mir, of the university's Leeds Institute of
Health Sciences, says this is a common concern among Muslims, who are
under-referred for mental health treatment.
"This stigma does involve the idea that maybe if you need treatment,
there might be something wrong with your faith identity in the first
place" she says.
"Not only is there under referral but the outcomes for people who do
actually get referred are not as good as the general population"
NHS data assessing the people accessing psychological therapies found
depression can be more chronic for British Muslims, who tend to have lower
rates of improvement.
The NHS has a
statutory duty to provide culturally appropriate care for its patients, but
Prof Mir claims it often struggles to do so.
"There
are a lot of inconsistencies amongst practitioners about how they interpret
culturally appropriate" she adds.
Dr
Mir also believes many therapists are mistaken in not considering faith as part
of someone's culture.
"We
know that in Muslim populations people can get quicker results from
faith-sensitive therapies that have been tested elsewhere in the world. They
tend to use religion as a coping resource more than people in other religious
groups."
Dr Mir has helped to create a new treatment, based on an
existing form of cognitive behavioural therapy
(CBT) called
behavioural activation. Following a successful pilot involving 20 patients, it
is being provided by the NHS via a mental health charity in Leeds.
Patients
on the course are asked if faith was part of their life when they were well.
Those who stopped their religious practice because of depression
are re-introduced slowly using a self-help booklet,
which highlights passages from the Koran that illustrate "even people with
strong faith" can become depressed and that it does not mean God is
displeased.
Samia says her
treatment with a traditional therapist "felt like half a journey" but that when she started to use the new booklet her life began to change.
"There
are some teachings in here that help me reflect that the Koran actually
acknowledges there is depression, there is grief, there is hardship upon
you," she says.
"God
is actually giving me those tools. So it really strengthened my Iman, which is
my faith"
"I'm
happy that I can live my life with my religion and that I've got the support of
teachings from the Koran"
Therapists left trial
Richard
Garland runs the team at the Touchstone Mental Health Charity which is
providing the treatment to some of its Muslim clients.
He
says several therapists left the initial trial of the treatment for a number of
reasons.
Some
were worried about imposing religion on clients, others said they did not know
enough about Islam, were resistant to the idea of using religion in therapy at
all, or felt religion was not a helpful framework for treating depression.
However,
Mr Garland claims this type of religiously centred treatment can help.
"What
has been produced here is a type of therapy that takes full account of people's
faith, this particular faith, and links it to people's value framework. So it's
a very practical application of someone's belief system."
The
people behind the treatment say they hope it can be rolled out across the
country and be extended to other faith groups.
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