Identifying Mental Health Disorders Onboard

Recognizing and Managing Mental Health Disorders Among Seafarers

Mental health disorders can affect anyone, including those working in high-pressure and isolated environments like seafarers. The unique challenges of life at sea, including prolonged periods away from family, erratic sleep patterns, and limited social interaction, can exacerbate or trigger mental health issues. Identifying and managing these conditions early is crucial for the wellbeing of the individual and the safety of the entire crew. This article aims to provide a comprehensive guide on the common signs of mental health disorders and practical advice on how to support a fellow seafarer experiencing mental health challenges.

Common Signs of Mental Health Disorders

Mental health disorders can manifest in various ways, but some signs are more common than others. Recognizing these early can be the key to providing timely support and intervention.

Emotional Signs:

• Persistent sadness or low mood

• Excessive fears or worries

• Extreme mood swings, including uncontrollable “highs” or euphoria

• Irritability or short temper

• Feeling of despair or hopelessness

Behavioral Signs:

• Withdrawal from social activities

• Significant changes in eating or sleeping patterns

• Neglecting personal welfare, leading to deteriorating personal hygiene

• Reckless or harmful behavior towards self or others

• Increased use of alcohol or drugs

Cognitive Signs:

• Difficulty concentrating or making decisions

• Constant feelings of tiredness or low energy

• Trouble understanding or relating to other people

• Problems with memory or logical thought and speech that are hard to explain

Physical Signs:

• Unexplained aches and pains

• Sudden weight loss or gain

• Disturbed sleep patterns

• Feeling constantly 'on edge' or physically tense

How to Identify Mental Health Illness in a Fellow Seafarer

Identifying mental health issues in a colleague involves observation, communication, and compassion. Here’s what you can do:

1. Observe Changes: Pay attention to any significant changes in behavior, mood, or social interaction. This could be a shift from being sociable to withdrawn or a change in work performance.

2. Listen Actively: If a colleague opens up about how they're feeling, listen without judgment. Sometimes, the act of listening can provide substantial support.

3. Offer Support: Let them know you're there for them. Offer your support while respecting their privacy and boundaries.

4. Encourage Professional Help: Gently suggest seeking help from onboard or external mental health professionals. Assure them there's no shame in seeking help.

Managing Mental Health Issues Onboard

Supportive Environment:

• Foster an inclusive and supportive crew culture where everyone feels safe to talk about their mental health.

• Organize crew activities that promote team cohesion and provide a break from the routine.

Promote Mental Health Awareness:

• Conduct regular mental health training and workshops to destigmatize mental health issues and educate the crew on how to support each other.

• Provide resources and access to mental health professionals, whether onboard or through telehealth services.

Implement a Peer Support System:

• Establish a peer support program where crew members can confidentially discuss their issues with trained colleagues.

• Encourage open dialogue about mental health, making it a regular part of health and safety meetings.

Personalized Support:

• Be adaptable in providing support, recognizing that what works for one person may not work for another.

• Respect privacy and confidentiality to maintain trust and ensure that seafarers feel comfortable seeking help.

Professional Intervention:

• Have protocols in place for immediate intervention if a crew member is in crisis or poses a risk to themselves or others.

• Ensure access to professional mental health support either onboard or remotely, and facilitate this support as needed.

Starting the Conversation

1. Finding the Right Moment: Choose a private and quiet moment to talk, ensuring there's enough time for an unhurried conversation. "I noticed you've seemed a bit down lately. Would you like to talk about it? I'm here for you."

2. Express Concern Without Assuming: It's important to express concern without making assumptions about what they're experiencing. "I've noticed you've been keeping to yourself a lot more these past few weeks. Is everything okay?"

3. Offer Support, Not Solutions: Resist the urge to offer quick fixes. Instead, let them know you're there to support them in any way they need. "I'm not sure what you're going through, but I want to help you in any way I can. What can I do?"

4. Encourage Sharing at Their Own Pace: Make it clear that you're willing to listen whenever they're ready to talk. "Whenever you feel like talking, I'm here. You don't have to go through this alone."

How to Help

• Listen Actively: When they do open up, listen attentively and with empathy. Avoid interrupting or offering advice unless they ask for it. The goal is to make them feel heard and validated.

• Normalize Their Feelings: Help them understand that what they're feeling is something many people experience and it's okay to feel this way. "It sounds like you're going through a really tough time. I want you to know you're not alone in feeling this way."

• Maintain Confidentiality: Assure them that what they share with you stays between you two, unless they're at risk of harm. Trust is crucial in these conversations.

• Encourage Professional Help: Gently suggest the idea of seeking help from a mental health professional. "Have you thought about talking to someone who specializes in helping with what you're going through? I can help you find information if you like."

• Follow Up: After your initial conversation, check in with them periodically to show you care and are there for ongoing support. "I've been thinking about our conversation. How have you been feeling since then?"

• Support Without Overstepping: Offer support in ways they find helpful, respecting their wishes and boundaries. "What's the best way I can support you right now?"

• Emergency Situations: If you believe they're in immediate danger or having thoughts of harming themselves or others, it's critical to seek help from a superior or medical professional onboard.

Mental health is as crucial as physical health, especially in challenging environments like the maritime industry. Recognizing the signs of mental health disorders and knowing how to offer support can make a significant difference in the lives of those affected. By fostering a culture of openness, support, and professional care, we can ensure that seafarers have the resources they need to manage their mental health effectively. Remember, creating a safe and supportive environment benefits not only the individual but the entire crew and the broader maritime community.