India remains one of the few nations which still focuses entirely on an archaic de-addiction model, administered by the ministry of social justice and empowerment, to address drinking problems, adhering to a centuries-old idea of these problems being a moral disorder rather than a health condition.

Vikram Patel

There is no health without mental health; mental health is too important to be left to the professionals alone, and mental health is everyone's business.

Vikram Patel

Prohibition of substances which give pleasure to people does not work. Addiction is a health problem, not a moral one, and there are many proven strategies which can reduce its burden.

Vikram Patel

In the end, I do not think we will find the neat boundary between 'normal sadness' and 'clinical depression,' if only because mood is an innate human characteristic, like weight or the length of our hair. However, to reject the very notion of depression as an illness on account of these difficulties is throwing the baby out with the bath water.

Vikram Patel

There seems little doubt in my mind that depression, in particular at the severe end of the experience of this condition, is as real a disorder as diabetes is at the severe end of blood glucose levels.

Vikram Patel

The current approach that psychiatry takes almost ignores social worlds in which mental health problems arise and tries to become highly biomedical like other branches of medicine such as cardiology or oncology. But psychiatry has to be far more embedded in people's personal and social worlds.

Vikram Patel

Most aid agencies do not even consider proposals to treat mental health problems; those that do think of it as a minor player, overshadowed by the pressing need to save lives by treating physical illness.

Vikram Patel

I learned so much in Zimbabwe, in particular about the need for humility in our ambition to extend mental health care in countries where there were very few psychiatrists and where the local culture harboured very different views about mental illness and healing. These experiences have profoundly influenced my thinking.

Vikram Patel

There is no evidence to show that prohibition has ever had its intended impact. Of course, just as banning beef has reduced beef consumption, banning alcohol will lead to reduced alcohol consumption. But, there appears to be little or no correlation between, say, domestic violence or household impoverishment and prohibition.

Vikram Patel

In my mind, depression is, like all non-communicable diseases, a physiologically expressed condition which is profoundly influenced by our social and cultural environments. Depression is a global crisis not only because it is common and universal, but because the vast majority of affected people suffer in silence or receive inappropriate care.

Vikram Patel

Those who believe that health is a commodity, on par with cars or computers, fail to grasp the basic economic lesson that health is very vulnerable to exposure to the markets, not least due to the profound asymmetries in power between the providers and consumers.

Vikram Patel

In 1993, when I landed in Zimbabwe, there were just 10 psychiatrists in that country of 10 million people. Nine of the 10 were foreigners who spoke no regional language.

Vikram Patel

I think the government must recognise that the wounds of conflict are even more grievous on the mind than the body, and indeed may even serve to fuel further conflict. Where conflict cannot be avoided, provision of adequate psychosocial services to prevent the adverse mental health consequences should take priority.

Vikram Patel

The difference in the quality of medical care received by people with mental illness is one of the reasons why they live shorter lives than people without mental illness. Even in the best-resourced countries in the world, this life expectancy gap is as much as 20 years. In the developing countries of the world, this gap is even larger.

Vikram Patel

Prohibition, like so many other policies imposed from the moral high ground, typically by those who do not drink, disproportionately affects the poor who resort to illegally brewed alcohol when they want a drink, not infrequently leading to their death, and are more likely to be harassed by the police.

Vikram Patel

India remains one of the few nations which still focuses entirely on an archaic de-addiction model, administered by the ministry of social justice and empowerment, to address drinking problems, adhering to a centuries-old idea of these problems being a moral disorder rather than a health condition.

Vikram Patel

In many parts of the world, chaining of people with mental illnesses is not uncommon, nor is seeing people walking around in clearly an unwell state, half naked, and no one takes any notice of them. It is tragic. There is a basic human right, which is not about just healthcare, but it is about the right to life with dignity, a right to citizenship.

Vikram Patel

I am passionate about swimming, which I try to do at least five times a week.

Vikram Patel

It is easy to lay the blame on successive governments for failing to address health as a fundamental right for the Indian people. But the real tragedy is that we, the people of India, have not taken our government to task for this catastrophic failure.

Vikram Patel

I trained in medicine in India, and after that, I chose psychiatry as my specialty, much to the dismay of my mother and all my family members who kind of thought neurosurgery would be a more respectable option for their brilliant son.

Vikram Patel

Most of the people who make decisions about global health are in the U.S. and Western Europe. There, the mental health care system is dominated by highly trained, expensive professionals in big hospitals, who often see patients over long periods of time. This simply can't be done in rural Africa or India. Who the hell can afford that kind of care?

Vikram Patel