Aetna International launches new company and aims to destigmatise mental health in Hong Kong
Aetna has recently launched its new Hong Kong health insurance company, in order to tap into the region’s aging population. However, the organisation has also sought to provide further support in promoting mental health wellness in the territory.
Working with Mind HK, the company will undertake an essential study of the current perceptions around people who suffer from mental illness in Hong Kong, in conjunction with the Hong Kong University, King’s College London, as well as London-based non-profit, Time to Change UK.
“One in six people in Hong Kong at any one time have a diagnosable mental health problem. The problem is likely a lot bigger than that, as it’s still very much taboo to discuss mental health and emotional issues here,” explained Dr Hannah Reidy, Chief Executive Officer of Mind HK.
“I’m hopeful that when Hong Kong catches on that the solution to mental health is to start talking about it, it will make it easier for people to ask for help when they need it.”
Aetna and Mind HK will also work to introduce to Hong Kong best practices from places that have spent more time trying to improve mental health care on a population basis - countries such as the United Kingdom and Australia.
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The Mental Health Foundation’s report ‘Fundamental Facts about Mental Health 2016,’ has highlighted that in the UK in particular, the percentage of people with common mental health problems receiving treatment in 2000, 2007 and 2014 has risen steadily, from 23.1% in 2000, to 37.3% in 2014.
Better mental health support in the workplace can save UK businesses up to £8 billion a year, as in 2015, employees in the UK took 138.7mn working days due to illness.
Aetna’s award-winning Summit health plans for employers will therefore provide a built-in Employee Assistance Programme in Hong Kong - at no additional cost – to enable companies to support the mental wellbeing of their employees.
Aetna members will also gain access to confidential counselling from behavioural health experts in 180 countries worldwide; by phone call, email, web and even chat messaging via an app.
“As we work to raise awareness for mental health issues, we’re also equally focused on developing solutions for people who need help,” says Kevin Jones, Chief Executive of Aetna Insurance (Hong Kong) Limited.
“We’re looking into ways to drive early intervention – things like enhancing primary care offerings and using technology to make access to help more widely and easily available.”
Long haul Covid, the brain and digital therapies
It is estimated that around 10% of people who get Covid-19 develop long haul Covid, a debilitating condition that can last many months and cause breathlessness, exhaustion and pain.
Research is underway to find out who is more likely to get it and how to treat it. Here neuroplasticity expert and owner of Harley Street Solutions in London Ashok Gupta tells us how the condition affects the brain.
What is long Covid exactly?
Long Covid is when patients who have experienced Covid-19 go on to have continuing symptoms for weeks and months afterwards. These symptoms can include breathlessness, exhaustion, brain fog, gastric issues, pain, and post-exertional malaise. It is estimated that around 10% of Covid-19 infections may result in developing long haul symptoms, and in the USA, this may be affecting over 3 million people.
How does it affect the brain?
Here at our clinic, we hypothesise that it is due to a malfunction in the unconscious brain, creating a conditioned response that keeps the body in a hyper-aroused state of defensiveness. At the core of this hypothesis is the idea that we are here because our nervous system and immune system have evolved to survive. We are survival machines!
When we encounter something such as Covid-19, the brain perceives it as life threatening, and rightly so. And in the era of the pandemic, with more stress, anxiety and social isolation, our immunity may be compromised, and therefore it may take longer for the immune system to fight off the virus and recover.
If the brain makes the decision that this is potentially life threatening and we get to the stage where we’re overcoming the virus, a legacy is left in the brain; it keeps over-responding to anything that reminds us of the virus. Even if we’ve fought off the virus, the brain will react in a precautionary way to stimuli reminiscent of the virus.
The brain may get stuck in that overprotective response, and keeps stimulating our nervous system and our immune system, just in case the virus may still be present.
What symptoms does this cause?
These signals cause a cascade of symptoms including breathlessness, extreme fatigue, brain fog, loss of taste or smell, headaches, and many others. And these are caused by our own immunes system.
In the case of long-haul Covid, symptoms in the body get detected by a hypersensitive brain which thinks we’re still in danger. The brain then chronically stimulates the immune and nervous systems, and then we have a continuation of a chronic set of symptoms.
This isn’t unique to long-haul Covid. Many patients develop chronic fatigue syndrome, sometimes known as “ME”, for example, after the flu, a stomach bug, or respiratory illness. Covid-19 may be a severe trigger of a form of chronic fatigue syndrome or ME.
How does long-haul Covid affect mental health?
Anxiety is a very common symptom in long haulers. It can be frightening to wonder about what may be happening in your body, and what the prognosis is going to be for one’s long term health. Reaching out for support for mental health is crucial for long-haulers.
How does neuroplasticity treatment work for long-haul COVID patients?
We have been working with patients for two decades with a brain retraining programme using neuroplasticity or “limbic retraining.”
We believe that through neural rewiring, the brain can be “persuaded” that we are no longer in danger and to come back to homeostasis. But to be very clear, we are not saying it is psychological in any way, but we believe there are novel ways of accessing the unconscious brain.
We recently worked successfully with a 56-year-old male with long-haul Covid, who prior to contracting Covid-19 in March of 2020 was running half-marathons and cycling, but afterwards he struggled to get off the sofa for months. Within 3 months he’s now back to 100% and running half marathons again.
At our clinic, we train the patient to be able to recognise those subtle unconscious danger signals on the periphery of consciousness. This, coupled with supportive techniques and the natural hallmarks of good health such as sleep and diet help prepare the patient to respond to perceived threats that might trigger the response.
The natural state of our brain is to default to protection. The brain prioritises survival and passing on our genes to the next generation, over any other impulse. It cares more about that than you feeling healthy and well. Protective responses are evolutionary, and are the right thing for the brain to do – it’s survival.
What digital therapies or apps are proving effective at treating long-haul Covid?
It seems that long haul patients are availing themselves of many online therapies and services, including meditation apps and wellness websites. We have an online neuroplasticity “brain retraining” video course called the “Gupta Program” which hosts 15 interactive videos and many audio exercises. This is proving very popular with long haul patients, and we are currently conducting a trial to test the effectiveness of this therapy.
What is the danger of leaving long-haul Covid untreated?
The longer it goes untreated, we hypothesise that it may become more entrenched in the brain, and become chronic in the longer term. Therefore we advise all patients to get help and advice as soon as possible.