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October tenth is World Mental Health Day. This year’s observance centers on the relationship between mental health and chronic physical conditions like diabetes and cancer.
    The World Health Organization says more than 450 million people suffer from poor mental health. The most common disorders are depression and psychosis. Mental health experts also include other disorders like drug and alcohol abuse that affect millions of people.
    Elena Berger is with the World Federation for Mental Health. That organization, based in the United States, held the first World Mental Health Day in 1992.
    Mrs. Berger says mental health problems are most severe in poor countries that lack the resources to deal with them.
    She says in a report: "It’s an enormous issue. The World Health Organization is highlighting mental health as a neglected issue. In developing countries, a huge number of people, up to 85%, don’t have access to any form of mental health treatment. There are huge staffing needs. There are no services."
    Experts say about half of all mental health problems first appear before the age of 15. The countries with the highest percentages of young people are in the developing world. That means they are also the countries with the poorest levels of mental health resources.
    The WHO says many low- and middle-income countries have only one child psychiatrist for every one to four million people.
    Worldwide, depression is the leading mental health problem, and a leading cause of disability. In 2009, the World Health Organization estimated that more than 154 million people suffered from depression.
    But Elena Berger from the Mental Health Federation says other kinds of diseases often get more attention.
    She says: "People are more focused on communicable diseases and not paying enough attention to the amount of disability there is from mental health conditions. And these are real disabilities where people are not able to work to their full capacity, can’t earn an income. And there’s a big impact on families as well."
    Mrs. Berger says her organization and the WHO are pushing to have governments include mental health care in their development goals. She says this could greatly improve the availability of treatment and services worldwide.