Invisible Load: A Guide to Mental Health

Health with Dr. Donald Greig, The New Clinic.

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Mental health is something we all have, just as we all have physical health. It affects how we think, feel, work, relate to others, and cope with the pressures of daily life. Good mental health does not mean feeling happy all the time. Rather, it means having the capacity to manage normal stresses, maintain relationships, make decisions, recover from setbacks, and function in a way that feels meaningful.

Mental health difficulties are common and can affect anyone, regardless of age, profession, income, or background. In a busy city such as Hong Kong, where long working hours, family responsibilities, financial pressures, relocation, isolation, and high expectations can all overlap, it is not surprising that many people experience periods of anxiety, low mood, burnout, poor sleep, or emotional overwhelm. For some, these symptoms are temporary and improve with rest, support, and lifestyle changes. For others, they may persist and begin to interfere with work, relationships, and physical wellbeing.

Common mental health conditions include anxiety disorders, depression, stress-related illness, burnout, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, eating disorders, alcohol or substance misuse, and more severe conditions such as bipolar disorder or psychosis. These conditions are not signs of weakness or personal failure. They are health conditions influenced by a combination of biology, psychology, life experience, environment, and social support.

The seriousness of mental health problems lies not only in how they feel, but in how they can affect every part of life. Untreated mental health difficulties may lead to social withdrawal, reduced work performance, relationship strain, physical symptoms, increased alcohol use, self-harm, or suicidal thoughts. They can also worsen existing medical conditions such as heart disease, diabetes, chronic pain, and digestive problems. This is why early recognition and support matter.

Symptoms vary, but warning signs may include persistent sadness, anxiety, irritability, tearfulness, loss of interest in usual activities, poor concentration, exhaustion, sleep disturbance, appetite changes, feeling hopeless or overwhelmed, panic symptoms, unexplained physical complaints, or withdrawing from colleagues, friends, and family. In the workplace, signs may include repeated lateness, falling productivity, missed deadlines, increased conflict, emotional outbursts, presenteeism, frequent sick leave, or a noticeable change in personality or engagement.

For employers and colleagues, compassion is crucial. A supportive workplace does not require managers to become therapists, but it does require creating a culture where people feel safe to speak up. Simple steps can help: checking in privately, listening without judgement, encouraging use of annual leave or rest, signposting to professional support, offering flexibility where possible, and taking workload concerns seriously. Mental health awareness training, employee assistance programmes, clear anti-bullying policies, and confidential referral pathways can make a real difference.

Treatment depends on the person and the condition. A good starting point is often a conversation with a trusted doctor, counsellor, psychologist, or psychiatrist. Support may include psychological therapies such as cognitive behavioural therapy, lifestyle changes, sleep improvement, exercise, stress management, medication when appropriate, treatment of underlying physical problems, and strengthening social connections. For urgent concerns — especially thoughts of self-harm, suicide, psychosis, severe agitation, or inability to function safely — immediate medical help is essential.

Mental health is not separate from overall health. It belongs in families, workplaces, clinics, schools, and community conversations. The most important message is this: you do not need to wait until crisis point to ask for help. Recognising the signs early, speaking openly, and accessing support can change the course of someone’s life — perhaps your own, or that of someone beside you.

For immediate mental health support

18111 Mental Health Support Hotline Hong Kong’s government-run 24-hour mental health support hotline provides immediate support and referral for people with mental health needs. It can be accessed by phone and WhatsApp. (info.gov.hk)

Tel: 18111

The Samaritans Hong Kong A 24-hour multilingual emotional support hotline for people experiencing emotional distress, loneliness, crisis, or suicidal thoughts. (campaign.samaritans.org.hk)
Tel: 2896 0000

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About the Author

Dr. Donald Greig

Dr. Greig is a general surgeon with 28 years of experience in Hong Kong. He contributes to scientific literature, publishes weekly patient newsletters and serves as a well-being educator and communicator, collaborating with prominent institutions and companies. 

www.thenewclinic.info

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