Rethinking Mental Health: A Personal Journey from Sierra Leone

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Mental health has always been a difficult topic in Sierra Leone. Growing up, I saw how people with mental health conditions were often misunderstood, ridiculed, or ignored. Throughout my childhood, discussions about mental well-being around me were rare, and when mental illness was acknowledged, it was often attributed to supernatural forces, curses, or personal weaknesses rather than medical conditions. Only the most severe cases such as schizophrenia or epilepsy were recognized, and even then, the response was often rooted in fear rather than care. Instead of seeking professional help, many turned to traditional healers, believing mental distress was a spiritual problem rather than a health issue. The lack of awareness, resources, and trained professionals meant that mental health was not seen as a priority.  

At the time, I did not question these beliefs. Like many in my community, I saw mental illness as something distant, something that affected “other people.” It never occurred to me that mental health was just as important as physical health, or that it affected everyone in diverse ways. However, with the career path that am on, and how I am always interested in topics such as mental health, I was open to change, learning and unlearning what I already knew. I was ready to gain more knowledge in this aspect. I also hoped that these beliefs will not determine how I would view the world for the rest of my life.  

A Shift in Perspective 

As I grew older, my understanding of mental health started to change. I began to see the deeper impact of mental distress on individuals and families, especially in a society where support systems were weak. I learned that mental health is not just about severe conditions, it includes anxiety, depression, trauma, and stress, all of which are common but often ignored. One of the biggest eye-openers for me was realizing how mental health is connected to everything, including poverty, violence, education, and even physical health. In Sierra Leone, many people face extreme hardships, and these struggles take a toll on their mental well-being. Yet, because mental health is so stigmatized, people suffer in silence, afraid of being judged or dismissed.  

One of the most inspiring mental health initiatives I have come across is the Friendship Bench in Zimbabwe. This program trains community health workers, people from the community (e.g. grandmothers), to provide mental health support in a simple and accessible way. Instead of waiting for people to visit clinics, these trained workers meet individuals in familiar spaces and offer a listening ear. This kind of approach could work in Sierra Leone, where access to mental health professionals is extremely limited. By equipping local people with basic skills, we can start breaking the stigma around mental health and ensuring that more people get the support they need. Another promising solution is the use of technology. Many people in Sierra Leone now have access to mobile phones, even if they live in remote areas. This opens possibilities for mental health awareness campaigns, helplines, and even virtual support groups. 

A Call for Change 

Looking back, I see how much my perspective on mental health has evolved. What I once saw as an individual problem, I now recognize as a societal issue that needs urgent attention. The stigma surrounding mental health does not just harm those who are struggling, it holds back entire communities. Change will not happen overnight, but it starts with conversations. It starts with recognizing that mental health matters, just as much as physical health. It starts with challenging harmful beliefs and advocating for better policies, services, and community support.  

If we want to create a healthier, stronger society, we must prioritize mental well-being. That means investing in education, training community members, and making mental health care accessible to everyone, regardless of their background or financial status. 

For those struggling with mental health, know that you are not alone. And for those who want to be part of the change, start by speaking up, listening without judgment, and supporting initiatives that bring mental health care to those who need it most. The journey ahead is challenging, but with awareness, action, and collective effort, we can create a future where mental health is recognized, valued, and supported.