The emergence of diseases such as monkeypox often brings not just physical symptoms but also profound mental health challenges. With public health systems primarily focused on controlling the outbreak, the psychological toll can be overlooked. As fear, anxiety, and stigma surrounding monkeypox rise, it’s essential to understand both the disease and its implications on mental health.

What Is Monkeypox?

Monkeypox is a zoonotic disease, meaning it is transmitted from animals to humans.

Origins and History of Monkeypox

Monkeypox is a zoonotic disease, meaning it is transmitted from animals to humans. First discovered in 1958 in monkeys used for research, monkeypox is caused by the monkeypox virus, a part of the orthopoxvirus family, the same group that includes the smallpox virus. Although it is less severe than smallpox, the disease has been sporadically reported in humans since the 1970s, mainly in Central and West Africa.

Transmission and Symptoms of Monkeypox

Monkeypox spreads primarily through close contact with an infected person or animal, or through contact with materials contaminated with the virus, such as bedding. It can also be transmitted via respiratory droplets. Symptoms usually begin with fever, headache, muscle aches, and swollen lymph nodes, followed by a rash that progresses through various stages before crusting and falling off. While most people recover within weeks, some cases can become severe, especially in individuals with compromised immune systems.

Monkeypox vs. Other Viral Diseases

Although monkeypox shares similarities with smallpox, such as the characteristic rash, it is generally less severe and has a lower mortality rate. However, it can be mistaken for other viral illnesses like chickenpox or measles, which underscores the importance of accurate diagnosis and public education.

The Global Impact of Monkeypox

Monkeypox Outbreaks and Public Health Responses

Recent global outbreaks, such as those in 2022, demonstrated how quickly monkeypox can spread outside its typical regions, creating new public health challenges. Swift responses, including quarantines and vaccination efforts, helped contain some of these outbreaks, but the need for global cooperation remains vital in preventing widespread infections.

The Role of Social Media and Misinformation

Misinformation about monkeypox on social media can intensify public fear, leading to unnecessary panic and confusion. False information about how the disease spreads, its effects, and treatment options can prevent people from seeking the care they need or lead them to follow unsafe practices.

The Psychological Toll of Monkeypox

Fear and Anxiety During Monkeypox Outbreaks

The fear of contracting monkeypox, combined with the uncertainty of how the disease will affect oneself or loved ones, can trigger intense anxiety. News reports of growing cases, especially during a time of heightened awareness from recent pandemics, may worsen these fears.

Social Stigmatization and Isolation

Stigma often surrounds infectious diseases, and monkeypox is no exception. Misunderstandings about how the disease spreads can lead to social stigmatization, causing individuals to be ostracized from their communities. Moreover, infected individuals may face isolation during quarantine, which can exacerbate feelings of loneliness and depression.

Survivor's Guilt and Post-Recovery Mental Health

For those who survive monkeypox, there may be lasting psychological effects. Survivor’s guilt, anxiety about reinfection, or lingering symptoms like visible scarring can affect one’s mental health long after recovery. It’s crucial to recognize that the mental recovery process can be just as important as physical healing.

Vulnerable Populations and Mental Health

Mental Health in Frontline Workers

Healthcare workers are at the frontline of every outbreak, and monkeypox is no exception. The prolonged stress of treating infected patients, witnessing suffering, and the fear of contracting the virus themselves can contribute to burnout, anxiety, and even post-traumatic stress disorder (PTSD).

Impact on Children and Adolescents

Children and adolescents may face unique mental health challenges during outbreaks. The sudden disruption of their routines, coupled with a lack of understanding about the disease, can increase feelings of fear and confusion. Additionally, children may be more vulnerable to the effects of social isolation if schools or social activities are restricted.

Coping Strategies and Support for Affected Individuals

Managing Anxiety and Fear

Managing anxiety related to monkeypox requires a multifaceted approach. This can include staying informed through credible sources, practicing relaxation techniques like mindfulness and deep breathing, and limiting exposure to distressing news. Establishing a routine can also provide a sense of control in uncertain times.

Mental Health Resources and Support Systems

Access to mental health resources, such as therapy and support groups, can provide essential support for those struggling with the emotional toll of the outbreak. Community-based programs, virtual counseling services, and hotlines can help individuals navigate their feelings and manage their mental health during such crises.

Building Resilience During and After Outbreaks

Building resilience involves learning to adapt to adversity and maintaining a positive outlook. Practices like gratitude journaling, exercise, and fostering strong social connections (even virtually) can help individuals bounce back from the stress of an outbreak and prepare for future challenges.

The Role of Governments and Healthcare Systems in Addressing Mental Health

Public Health Initiatives for Mental Well-Being

Governments play a critical role in addressing the mental health consequences of outbreaks like monkeypox. Public health initiatives that include mental health services, such as counseling hotlines or community outreach programs, can mitigate the psychological impact of the outbreak.

Integrating Mental Health into Disease Response Plans

Healthcare systems must integrate mental health services into their overall response to infectious diseases. Ensuring that mental health professionals are part of the emergency response teams can help address the psychological needs of both patients and healthcare workers, improving outcomes across the board.

Moving Forward: Lessons Learned

Strengthening Mental Health Services During Health Crises

The monkeypox outbreak highlights the need for stronger mental health services during times of crisis. Governments and organizations should focus on preparedness, ensuring that mental health support is readily available during and after outbreaks.

Reducing Stigma Through Public Education

Public education is key to reducing the stigma associated with monkeypox and other infectious diseases. Clear, accurate information about how the disease spreads and the importance of empathy can help reduce fear and discrimination.

Encouraging Open Conversations Around Mental Health

Encouraging open conversations about mental health, particularly during health crises, can reduce stigma and promote well-being. By normalizing discussions about anxiety, depression, and other challenges, we can create a more supportive environment for those affected.

FAQs

What is monkeypox and how is it transmitted?

Monkeypox is a zoonotic viral disease transmitted through close contact with infected individuals or animals, as well as contaminated materials.

Can monkeypox have long-term mental health effects?

Yes, survivors and those affected by the outbreak can experience long-term mental health challenges such as anxiety, depression, and survivor’s guilt.

How can I cope with anxiety related to monkeypox?

Practical strategies include staying informed from credible sources, practicing relaxation techniques, and seeking support through therapy or counseling.

What should I do if someone I know has monkeypox?

Encourage them to seek medical attention, offer emotional support, and help reduce the stigma by sharing accurate information about the disease.

How can governments help manage the mental health crisis during outbreaks?

Governments can integrate mental health services into their response plans, offer public education, and provide access to counseling and support systems.