How do you end the stigma around discussing mental health? You speak up, like these 2 Mind HK ambassadors

There is a higher incidence of mental health issues in individuals who identify as LGBTQ. Their most common struggles are with depression, anxiety and trauma, and, related to that, substance use and the risk of suicide.
There is a higher incidence of mental health issues in individuals who identify as LGBTQ. Photo: Shutterstock
When trans individuals are able to use their chosen name at school, home and in their social groups, studies show a huge decrease in their risk of suicide. This has to do with how society views the LGBTQ community and how accepted they feel.

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“This means not just tolerating, but celebrating the diversity in sexual orientation, the diversity in gender identity and in sexual preferences. Celebrating all of that as normal variations of being human,” says Thiang.

In Hong Kong, many of the struggles around coming out are within the family, so people often feel safer coming out at work, especially if they work in a multinational organisation where progressive views are more accepted.

Thiang encourages LGBTQ supporters to affirm that person’s identity and cautions against falling into the trap of saying things such as, “You need to give your parents time. You’ve got to think about how difficult it is for your parents to come to terms with your identity.”

Mind HK clinical adviser Odile Thiang says there is a higher incidence of mental health issues in individuals who identify as LGBTQ. Photo: Mind HK

“As well-meaning as that could be, it actually puts the burden on that person who is struggling with their identity or to come out,” says Thiang.

Instead, acknowledge how difficult the situation is. You might say, “That’s a really awful situation. I’m sorry that you’re going through this.”

Overcoming ‘disconnectedness’

Kirsteen’s parents emigrated to Hong Kong from the Philippines and she was born and raised in Hong Kong. The 30-year-old says many of the LGBTQ events in Hong Kong are geared towards Westerners.
She does not feel she can be part of those events. Nor does she connect with the local Cantonese community. And when she is in the Philippines, she feels the disconnectedness of being a “third culture kid”.

Kirsteen’s story

For Kirsteen, coming out was not a one-time thing, but a continuous process. Photo: Mind HK

“My mentor said I should think about my five-year plan. I realised none of this makes sense if I don’t come out to my parents. I came out to them in a fast-food restaurant in the Philippines on the way to the airport. My mum asked me, and I thought, ‘It’s now or never’.

“I feel they were playing out scripts of movies they’d seen, saying, ‘We wish for your happiness’ and that kind of thing.’ But there’s a difference between tolerance and being affirming.

“My parents were reaching the tolerance part. And at some point, they were asking, ‘Are you sure you’re a lesbian? Maybe you just haven’t found the right person.’

“For me, that was the final straw. I’d gone through so much emotional abuse from them. I thought, ‘I can’t handle this, I need some space’. That’s why I stopped talking to them.

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“It wasn’t easy. I was on a roller coaster. I love my family. If I cut off from my parents, does that mean I also have to cut off the rest of my family which is really important to me? I had to find mental health support for that.

“I found a therapist who specialises in LGBTQ and family issues and that really helped a lot, but it is expensive and hard to maintain.”

What she’s learned

“Coming out isn’t a one-time thing, it’s a continuous process. There will be little moments – someone asking, ‘Do you have a partner?’ [and answering] ‘My partner is a girl’. Or big moments, like telling your family.”

It is very important to find your support network, Kirsteen says.

“You will have to go through the ups and downs of people saying things that will trigger you. It’s important to have those people around you to affirm who you are and make sure that you always feel like yourself and you are maintaining that authenticity.”

Overcoming anxiety, depression

Mina, now a graphic designer in her 20s, existed in a perpetual state of anxiety when she was growing up. The fear of judgment from others weighed heavily on her young shoulders and she was troubled by insomnia.

People labelled her “strange” and “shy”. She believed these traits were intrinsic to being a creative person.

University life intensified the pressure. She juggled her demanding studies and part-time jobs. Then, on a crowded Hong Kong subway train, she experienced her first panic attack. That pushed her to seek counselling and learn to manage her anxiety.

Mina describes how she found it hard to get up for work and could not find joy in the simplest things. Photo: Mind HK

Years later, working as a graphic designer in a high-stress environment, her well-being began to crumble.

Mina’s story

“Work became my life and I began to dabble with drugs and alcohol. With all this going on, I became more absent when it came to my friends and family.

“During a night out, I was picked up by a stranger and experienced sexual assault. This was a tipping point for my mental health.

Mina sought therapy for depression, and started taking steps, to learn how to trust again and to manage her emotions. Photo: Mind HK

“I became very angry and distrustful of the world. Those feelings became directed to the people around me, my colleagues, parents, and friends. My moods became very intense and sometimes disproportionately explosive.

“What I didn’t know at that time was those were signs of borderline personality disorder, which manifests from either a single traumatic event or a period where emotional and safety needs are not met during childhood.
“My moods and behaviour caused me to lose my job and have falling outs with friends and family. Then Covid happened.
Seeking therapy helps people who are experiencing symptoms of depression, to start learning about their mental health issues and take actionable steps. Photo: Shutterstock
“I stayed at home keeping safe. Things quieted down and there was a turning point in my mental health because I found a healthier workplace, but I became seriously depressed. I couldn’t sleep.

“I found it hard to get up for work and couldn’t find joy in the simplest things because I thought, ‘What was the point?’”

Mina’s recovery

“I knew I was experiencing symptoms of depression, so once again I sought therapy. It was there where I started learning about my disorder and taking actionable steps.

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“I cut out smoking and drinking, I cut out friends who weren’t good for me, and started listening to podcasts and books and learning about my mental health. It helped me … realise that I was safe in my own body and realise that it’s not anyone else’s to judge.
Mindful movement helped me realise that I was safe. I found joy in returning to my body and realising my own talents and how interconnected the mind and body are.

“I slowly learned what it means to honour my feelings and emotions. I’m continuing to learn how to trust, but I’m much better than I was before. I’m no longer shy, no longer awkward.

“I’m becoming better at managing my emotions in the workplace without it being detrimental to those around me, and I’m creating art outside of work again.”

If you have suicidal thoughts or know someone who is experiencing them, help is available. In Hong Kong, you can dial 18111 for the government-run Mental Health Support Hotline. You can also call +852 2896 0000 for The Samaritans or +852 2382 0000 for Suicide Prevention Services. In the US, call or text 988 or chat at 988lifeline.org for the 988 Suicide & Crisis Lifeline. For a list of other nations’ helplines, see this page.

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