“My mum thought it was something spiritual from her side of the family. So they took me for prayers with the hope that I’d be cured of whatever was wrong,” he told CNN.
“My aunt advised my dad that they should take me to camp for prayers against evil spirits. I remember I was laying down on the ground and people were all over me praying. I didn’t want to react but the prayer wasn’t working,” Godwin said.
He added that when they realized on the way back home from camp that the expected healing didn’t happen, they brought in another pastor to pray for him at home.
At the time Godwin was 18 and he recalls being overwhelmed with fear, hearing voices and crying in distress.
“I felt irritation all over my body. The sound of the fan in the room made me paranoid, I felt like it was rolling too fast and it would cut off and kill me. There were so many confusing voices talking to me in my head,” he said.
Godwin’s family doctor eventually referred him to a specialist after hearing about his symptoms, “that’s when we went to the psychiatric hospital,” he said.
In his case, he was later diagnosed with paranoid schizophrenia and placed on drugs. “I was so relieved to know what was going on with me. My parents too were relieved knowing it was nothing spiritual,” he said.
Chained and locked up
A 22-year-old woman who suffered a mental health crisis after her mother’s death told the human rights group that she had been held captive in a church for five months and denied food as part of a “spiritual cleanse” for her condition.
Dr. Nancy Orjinta, a resident psychiatrist at the Federal Neuropsychiatric Hospital in Lagos, said keeping people with mental illness in such facilities can impact their health negatively and damage their self-esteem.
“I have seen patients who were chained for months battle with self-esteem issues. Keeping someone locked up will not only harm them physically, but they will start to feel low and dehumanized too,” she said. She added that such conditions can lead to post-traumatic stress disorder (PTSD), an anxiety disorder caused by traumatic or distressing events.
Not enough psychiatrists
One of the reasons people visit religious and traditional healing centers for mental illness is a lack of understanding of mental health issues in the country, according to Dr. Orjinta.
However, delaying mental care by not immediately going to hospital prolongs the time the patient stays without appropriate care and “may create the worst outcome for the patient as they have more symptoms,” she said.
“There is still a stigma around mental illness. People perceive it in a negative light and as a result they don’t want to address it if they have symptoms. They want to keep on hiding it,” she explained.
“There is a disproportionate sharing of mental health professionals, we don’t really have them in rural areas. And if someone lives in such areas without mental health care, of course, they will find alternatives for care like traditional healers or churches,” Dr. Orjinta explained.
Clampdown on rehabilitation centers
In recent times, authorities in Nigeria have rescued hundreds of people held under inhumane conditions in a clampdown on religious rehabilitation centers.
But mental health advocates say this is not enough.
Hauwa Ojeifo, a mental health activist and coach told CNN that Nigeria needs strong legislation that will set the standards for psychiatric treatment.
Under the act, people with mental health conditions are allowed to be detained, even without the provision of medical treatment.
“I don’t just want any mental health bill to be passed. I am very particular about the content of the bill too. I want it to be respectful and accommodate the rights of persons with mental health conditions,” she told CNN.
Mental health awareness
Mental health awareness is needed to combat the widespread use of religious and traditional healing centers for mental care, according to Dr. Orjinta.
“The media needs to come in to report mental health without framing it in a bad or scary way like some do. The same way you can say someone has a problem with his leg, you should be able to say someone has a brain problem. It should be like every other illness,” she said.
She added that she is optimistic Nigeria will eventually get to a place where there is a minimal stigma regarding mental health. “It won’t be drastic and it will require many people like the government, media, and religious institutions putting in the effort, but I am optimistic.”
Godwin who was initially taken to church for prayers says care outside medical facilities should not be the first resort.
“There are drugs and medical facilities that can help with mental illness. I am not saying people who attribute it to spirituality are wrong, but I’d say there are other ways. Medicine is capable,” he said.
He added that in his case, he wished he was taken to the hospital first for quicker diagnosis, before being subjected to religious healing.