How to stop over-medicalising mental health

What the world could learn from Britain’s flawed approach


  • by
  • 12 7, 2023
  • in Leaders

FOR A PLACE NHSwith a reputation for buttoned-up stoicism, Britain is remarkably open about mental health. The British are more likely than people in any other rich country to think that mental illness is a disease like any other. Only the Swedes are more accepting of the idea that a history of mental-health problems should not disqualify someone from public office. The importance of good mental health is a cause vigorously championed by everyone from the Princess of Wales to the opposition leader, Sir Keir Starmer; employers preach the gospel of well-being. Britons were once encouraged to hide their feelings; now they are urged to seek support.Much of the rich world has struggled with rising rates of self-reported mental-health problems, particularly since the covid-19 pandemic. But the numbers in Britain are startling. Around 4.5m Britons were in contact with mental-health services in 2021-22, a rise of almost 1m in five years. In the past decade no other European country has seen a greater increase in the use of antidepressants. A National Health Service () survey in 2023 found that one in five 8- to 16-year-olds in England had a probable mental disorder, up from one in eight in 2017. In 17- to 19-year-olds the figure had increased from one in ten to one in four. The number of people who are out of work with mental-health conditions has risen by a third between 2019 and 2023.

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