Tag Archives: anxiety

Depressing Depression in France

As I watched yet another person walk by me in Paris muttering to himself tonight, I was reminded of a conversation I had not long ago with a psychologist friend about the French healthcare system. Considering it has one of the most inclusive and admirable ones in the developed world, I was shocked to find out that the social security – the near-full coverage that is given to all who live in France – does not cover mental health.

A visit with a psychologist in Paris costs around 80 euros for a one-hour session. That equals out to 80 euros once a week, or 320 euros per month – about half a month’s rent. If you’re lucky enough to warrant medication and thus, a psychiatrist (read: “doctor”), you can get your bill mostly covered by the social security. But what about all the others with anxiety, mild depression, or other illnesses that can be treated – oftentimes better – without medication?

Cognitive behavioral therapy, or talk therapy, has been proven effective alongside medication but also all on its own. Talking out problems, finding constructive ways to deal with difficult situations, reversing negative thinking, and learning techniques to calm the body and mind is what CBT is all about. It’s such a shame that the French government would rather pay for someone to pop a pill than to correct what is really at the root of his or her problems.

Young girl crying

And the government should take note. According to the NOP World Health’s Western European Depression and Anxiety Physician Study from 2004, France has the highest proportion of depressed people in Western Europe. It says:

Many sufferers are undiagnosed, however — and even those who are diagnosed are often not treated with prescription medications. This continues to be true, in spite of the fact that many established depression and anxiety therapies are available in Europe — several in generic form or recently re-launched with new formulations.”

Of course this isn’t just a French problem. Mental health is still a hush-hush issue in the most modern countries on the planet. In Japan, where suicide rates are among the highest in the world, killing oneself is seen as an act of nobility linked back to the days of the Samurai. Japanese have even been known to join internet suicide clubs to meet and talk about their planned deaths.

One nation attempting to fade the stigma is the U.S., which has paved the way with bestselling self-help books and pop-psychology. Seeing a therapist in America is trendy and a normal topic of conversation among friends. Billboards for depression and suicide line the highways, and Dr. Phil is a regular on afternoon TV. While the Obama administration struggles to find a solution to the healthcare crisis in the U.S., mental healthcare would most likely be included in a medical insurance plan as it is now under private insurance, with perhaps a slightly higher deductible.

Back in France, the general health insurance outlook is much better. Under the national social security, patients are covered up to about 60%, which is often supplemented by a 30-euro per month mutuelle plan, bringing that coverage to 100%. One would think then, logically, that mental health would be covered by some small percentage, if not the whole 60%.

Sadly, this is not the case. My psychologist friend says that they are working on it. But I wonder, what does that mean? And what needs to happen for the social stigma of mental health to once and for all, finally wear off so that people can get the help they deserve?

Whether it’s the depressing news about mental health in France or the depression itself, I have a feeling I know why the French never smile.

When Christmas abroad isn’t so merry

Family, gifts, travel and more – the holidays are always a time of hustle and bustle. But what happens when the stress becomes more than you can handle? Dordogne-based therapist Nikki Galleymore talks about coping with the holidays

Although Christmas is undoubtedly merry, it can wreak havoc on your stress and depression levels. Maybe you’re spending the holidays in France for the first time and are worried about being away from your family. Or perhaps you’ve got the opposite problem: all your loved ones are flying to France to experience the holidays in your new home, meaning you’ve got to play the perfect host or hostess. Either way, the weeks surrounding Christmas and New Year’s can put a damper on your mood during what should otherwise be a festive time. Do you know how to cope?

Just leave me.

Depression is one of the most widespread mental illnesses in France. According to a survey led by the INPES (Institut National de Prévention et d’Education pour la Santé) in 2005, 8% of French people (or 3 million) aged 15-75 had already experienced depression during the 12 months preceding the survey. Of those 15-75, 19% (or 8 million) of people suffer or will suffer from depression during their lifetimes. It is an illness that seems to affect women more than men – almost twice as often. Equally damaging is stress, which affects most people at some point in their lives, some experiencing it more often or severely than others.

Nikky Galleymore is a Zimbabwaen therapist in Eymet who sees primarily English-speaking clients. She says that the Christmas holidays can exacerbate stress and depression in already sensitive people, especially foreigners living abroad. “It is well known in the psychotherapy world that there is this problem, particularly in France,” says Galleyway. “Expats are separated from their family and social groups… or whole families are visiting France. People get incredibly stressed… There’s already huge stress when moving to a new country and holiday time is absolutely heightened.”

The three main issues that bring people to Galleymore for treatment are anxiety, depression and lack of confidence. Whereas expats may have had successful careers back home, now they are without work or doing a lower level job. Not understanding the French language can make simple tasks like going to the bank or post office stressful and affect one’s self-esteem. And financially, people may not be as viable in France as they were in their home country. “All of these things come together as a lack of confidence,” says Galleymore. So even before holiday stress comes into play, there are often new negative emotions for foreigners to deal with after a move abroad.

Galleyway says that another stressor during the holidays is the intense guilt some may feel from being away from home, especially those who have left elderly parents and aren’t able to return for a visit. “The other problem is financial pressure – to buy presents and airfares, to entertain, or having many people over to stay,” says Galleyway.

Every year she sees a similar scenario in her office: “During Christmas, it’s very quiet. It definitely slows down. Clients try to maintain the situation themselves, then their coping mechanisms shut down and that’s when they seek intervention.” Galleyway says that the depression and stress that come with the holidays won’t necessarily appear for those without previous symptoms and primarily exacerbate existing problems.

So what can you do to cope with holiday stress? Galleyway suggests dealing with negative emotions before they come to a head. “If it’s not possible to return home, I encourage clients to stay in contact in other ways,” she says. “There is also perceived ideas and reality, and the question of how people are perceiving their problems.”

In any case, take time out this Christmas for yourself to relax and reflect. And if you’re receiving therapy, be patient. “A lot of people expect immediate results from therapy,” says Galleymore. “It’s a heavy process. I can’t help anyone who won’t first help themselves.”


Looking for other ways to beat holiday stress? Try these techniques:

Use essential oils. Drop some lavender oil on a tissue and inhale deeply, or dab a bit on your wrists or even under your nose. Take several full breaths and feel your muscles relax.

Meditate. Pick a quiet spot in the house, light some incense and take 5 or 10 minutes just for yourself. Whether you choose to sit or lie down, the most important thing is to be comfortable – no need to twist and turn into awkward yoga poses. Breathe deeply and repeat a calming word silently while attempting to release all other thoughts from your mind.

Exercise. An oldie but goodie, working out ups your endorphin levels to make you feel happier and more at ease. Run, walk, do yoga or go ice-skating with your kids. Expending a bit of energy will relax your body and soul.

Jam out. Music, whether you play an instrument or listen to CDs, can have tremendous calming effects. Play some slow tunes, preferably something light like classical, slow jazz or chanting music, and lie down on the couch to enjoy.

Golden reflection

Visualise calm. Just like athletes or musicians do before a big game or performance, you too can “act as if”. Imagine yourself at the beach, on the top of a picturesque mountain or any other place that brings you calm. You’ll soon find that your body relaxes into the fantasy along with your mind.

Jump in the bath. When was the last time you opted for a long, hot bubble bath as opposed to your five minute shower before work? Fill up the tub, light some candles and let your mind – and stress – drift away.

Feel the love. Take a moment to give your spouse an extra hug, cuddle with your dog or cat, or have a chat with a friend. If you can’t be around family over the holidays, call them up for an impromptu pre-holiday conversation. Seeking human contact during an otherwise stressful moment will boost endorphins and help you calm down.

Eat well. The holidays are full of rich desserts, highly-caloric meats and cheeses, and the temptation to overeat. After all the big meals, you may be left feeling sluggish not only physically but mentally as well. Take a time out from the holiday food fest and fill up your plate with fresh fruits and veggies, nuts and low-fat yoghurt. Your body and mind will thank you for it.

Laugh. Do whatever you can to get at least one belly laugh per day, even during the stressful holidays. If your friends and family don’t get one out of you, pop in your favourite comedy, tune into a funny radio show host or re-watch family videos. Before you know it, you’ll be enjoying your holidays to the fullest.

Let go. Anxiety and stress can often lead to regrets and mental torture of what should have or could have been. Sometimes you need to accept that things are what they are and cannot be changed, even regarding negative situations. If this is the case, it’s probably time to let it go.