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Dahil sa mga nangyayaring insidente ng karahasan sa paaralan, marami ang nababahala sa mental health ng mga kabataan. Ngayong umaga, ON RECORD SA UNANG HIRIT na pinag-usapan natin ang isyung ‘yan — ano ba ang mga factor na nakaaapekto sa mental health ng isang bata at ano ang puwedeng gawin ng mga magulang?
Nakapanayam natin si Dr. Princess Gairanod ng Philippine Pediatric Society para ipaliwanag sa atin ang mga ito. Panoorin ang buong interview.
Nakapanayam natin si Dr. Princess Gairanod ng Philippine Pediatric Society para ipaliwanag sa atin ang mga ito. Panoorin ang buong interview.
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00:00So there are three Cs. First is change, second is communication, third is context.
00:05The most important part of communication is listening.
00:08And it's not just the active work of listening, it's also giving them that space to actually talk.
00:16Kailangan they feel safe.
00:17The parents, they have a role, right?
00:20Kasi sila yung nasa bahay, sila nagbabantay, sila yung pwede mag-impose ng rules.
00:24The schools also have a role.
00:30Pilipinas, gising na.
00:31Mga kapuso, sensitibong paksa po ang pag-uusapan natin ngayon nito na karaan.
00:36May insidente na naman po ng karahasan sa mga paaralan,
00:39kaya marami pong nababahala sa kalagayan ng mental health ngayon ng mga kabataan.
00:44Ang ating mga kapuso, may mga gusto rin itanong tungkol dyan?
00:48Paano po kaya maano yung anak ko sa sobrang tahini?
00:54Paano ko malalaman kung ano yung gusto niya, kung ano yung ayaw niya?
00:58Paano po ikaw-comfortyo o po kung mababa yung grades?
01:01Eh, hindi ko naman nasabihan kasi parang naaawa ako.
01:07Yan ang ating pag-uusapan, lilinawin at hihimayin.
01:11On record, sa unang hirit.
01:14At kauday po niyan, mga kausap natin ngayong umaga,
01:17Dr. Princess Guirano ng Philippine Pediatric Society at isang Child Protection Specialist.
01:22Doc Cess, welcome back. Thank you for joining us.
01:24Yes.
01:25We are on record now, Doc Cess.
01:27Una sa lahat, as a parent, gusto ko rin maintindihan,
01:30tulad ng mga nakausap natin kanina,
01:32yung mga nasa, isip sa loobin ng anak ko,
01:35ano-ano ba yung mga major factors that play into the mental health of our children?
01:40Okay, so, ngayon sobrang laking parang issue, no?
01:44We talk about mental health so much these days.
01:47And then, isipin nila, yung bata naman na yan, hindi naman siya ganun dati.
01:51Or it didn't give me parang warning signs.
01:54So, I just want to say that mental health problems or even violence, for example,
01:59wala siyang one face, wala isang muka ang karahasan, for example.
02:03But if there are things that we should look at, for me, there are three things.
02:07So, there are three Cs.
02:08First is change.
02:09Second is communication.
02:11Third is context.
02:12So, ano yung change?
02:13Kapag may nagbago sa galaw ng bata, dati masayahin siya,
02:16tapos ngayon nilang tahimik siya.
02:17Or pwedeng baliktad.
02:19So, we're talking about mga red flags na, no?
02:21Okay.
02:21So, any type of change in the normal or the usual behavior of the child
02:26is something that should make you think to look at the child more.
02:29Okay.
02:30Okay?
02:30Second is communication.
02:32Sometimes, pabiro sinasabi.
02:34Hindi natin sineseryoso masyado.
02:35Sometimes, it's the little things.
02:37Post sa Facebook.
02:38Yung may message nila sa inyo.
02:40Sometimes, maliit na pahiwatig na yun, eh.
02:43Those are things that we should look into.
02:45And third is the context.
02:46Ano ba yung environment ng bata?
02:48Right.
02:49Is the environment supportive?
02:51Is the environment appropriate para sa kanya?
02:54Is there exposure to certain kinds of bad things on the internet, for example?
02:59So, those three things.
03:00And kapag meron kahit isa sa tatlo na yun, hindi naman ibig sabihin na ilalabel na natin,
03:05ah, may sakit yung bata niyan.
03:06Okay.
03:06She's depressed or something.
03:07It's just a signal for us adults around the child to actually pay a closer attention to the child.
03:15Nabanggit niyo yung communication, Doc.
03:16I'd like to focus on that a bit more.
03:19Yung advice natin, advice na nakukuha namin, mga magulang, from the experts ay,
03:24kumustayin niyo mga anak niyo?
03:26Kausapin niyo.
03:26Be involved sa buhay nila.
03:28Be that best friend na nasasabihan nila ng sikreto.
03:31Pero, Doc, as a parent, alam natin yung reality.
03:35Mailap yung bata, nagkukulong sa kwarto, sinashutdown ka, sinusungitan ka, ina-eye roll ka.
03:41What approach do you recommend?
03:42How do we penetrate that shell ng ating mga anak?
03:47I think, let's start with how the family is set up.
03:51Hindi ko naman nila lahat.
03:52I don't want to generalize.
03:53Pero kasi tayo, medyo pinalaki tayo sa mundo na ako ang magulang, ako ang matanda, ako ang papakinggan.
04:00Authority structure siya.
04:01Authority structure siya.
04:02It's not necessarily wrong.
04:04Hindi naman mali na rumispeto sa nakakatanda.
04:07Pero, paminsan sinasabi ng mga magulang sa akin, hindi naman siya nagsasabi sa akin.
04:12Paminsan ang tanong ko rin, binigyan ba natin ang pagkakataon?
04:16One thing I've learned also from working with children,
04:20that the most important part of communication is listening.
04:24And it's not just the active work of listening,
04:28it's also giving them that space to actually talk.
04:32Kailangan they feel safe.
04:34Because sometimes, ang kulang lang is feeling nila pag nagsabi sila, mapapagalitan sila.
04:38Feeling nila pag nagsabi sila, nang maja-judge sila.
04:41So, part of listening is actually providing that safe space for conversation.
04:46Actually, ako, guilty rin ako dyan.
04:49Kasi parang ang iniisip ko, pag kinausap ko anak ko, kailangan pangaralan ko siya,
04:55kailangan bigyan ko siya ng payo.
04:56But sometimes, like you pointed out, importante, makinig tayo, pakinggan natin mga anak natin.
05:00Hindi to interrogation.
05:02Right.
05:03Hindi siya interrogation.
05:04Makinig, makinig.
05:05Yan, mga magulang ha, importanteng tip yan para sa ating lahat.
05:08Let's talk about yung inclination for violence, Doc.
05:10May mga magulang na sila mismo nagulat, o nagugulat,
05:14na yung how their children are changing.
05:17Masayahin to dati, mabait, malambing, clingy sa akin to.
05:20And then one day, yung anak nila, detached, mainitin ang ulo, and then ultimately, violent.
05:26Ano ho yung mga warning signs, red flags?
05:29And more importantly, when you start seeing those red flags,
05:32ano ho yung mga dapat mong gawin?
05:34Para unahan mo na, hindi na umantong doon sa kinatatakutan natin.
05:40It's hard to mention specific factors, for example.
05:42But we do see some trends.
05:45And hindi natin masabi na yun talaga yung cause.
05:48Sabi nila, yung iba, exposure to violent content on social media.
05:52But what we do know is exposure to early violence,
05:57kung may violence in the family, that affects the child's development.
06:00It affects the child's thinking from a very early stage.
06:03Akala niya normal lang sakitan sa bahay.
06:05Normal lang sakitan.
06:05Sigawan, violence in the family, adverse events in general,
06:09have effects on the way the brain develops.
06:12But I think when we have these conversations about violence involving children,
06:17importante na iisip rin natin na violence involving children
06:21is not always violence caused by children.
06:24Because there could be, it is possible that these children who are involved in these kinds of events
06:32are actually children victims themselves.
06:34They might be coerced by nefarious actors or bad people online to do these things.
06:40And their brains aren't, they can't cope to these kinds of peer pressure in the same way that adults do.
06:45So, hindi ko sinasabi na walang maling ginawa.
06:48Sinasabi ko lang ay, ito ay mga punto na pwede natin pag-usapan sa prevention and protection.
06:53So, as parents, siguro, let's start within our homes, ano?
06:56Yes.
06:57Na, itiyakin natin na hindi nanonormalize ang violence, sigawan.
07:03Yes, yes. That's definitely one part of it.
07:07Pero ang usually ina-advocate namin, it's really a whole-of-systems approach.
07:11So, the parents, they have a role, right?
07:14Kasi sila yung nasa bahay, sila nagbabantay, sila yung pwede mag-impose ng rules.
07:18The schools also have a role.
07:20Sometimes I wonder, ano ba yung pinapahalagahan natin sa school, no?
07:23We teach lessons, but do we teach life skills?
07:27Do we teach mindfulness?
07:29And do, parang, uy, honor yung anak ko.
07:31Sobrang proud natin eh, pag sobrang taas ng grade.
07:34Parang honor yung anak ko, pero mabait yung anak ko.
07:36Kinaka-proud ba natin yan?
07:38Pinopost ba natin sa Facebook yun?
07:40Right.
07:41So, those are things.
07:42Kasi children don't just learn from what we tell them.
07:44Children also learn from what we reward and what we praise.
07:48That's actually positive reinforcement.
07:50Ako, ang dami ko natututulan kay Doc.
07:52Let's talk about the school scenario, Doc.
07:54Para mas maintindihan natin yung sitwasyon na pinagdadaanan ng mga kabataan.
07:58Kasi, as we know, mas marami silang oras na sinu-spend in school with their friends.
08:03Ano ba yung mga pressures, influences that may affect their mental health pagdating sa school scenario?
08:10Well, it's actually the same pressures as all other things, no?
08:14So, affected pa rin children, especially yung mga adolescents, the older children.
08:20They're very much affected by the feeling of belongingness.
08:23So, kapag ginagawa ng ibang tao, feeling nila compelled sila to do it.
08:27Feeling nila kailangan nilang gawin.
08:29Kasi ayaw nilang maiba, ayaw nilang ma-ostracize, ayaw nilang ma-others, no?
08:34FOMO.
08:35Yeah, FOMO, exactly.
08:37And I think what that teaches us in terms of what we can do as a community,
08:42as parents, as people who care for children,
08:45is that it's not just the child.
08:47Hindi mo lang tuturuan yung child to cope,
08:50but you also learn about the systems around the child.
08:54So, actually, there's a local study, no?
08:55In the Philippines, it's called the Safe Schools for Teens.
08:58And it's about sexual violence, not about violence in general.
09:01But the results are actually very encouraging.
09:04And basically, ang sinabi lang dun,
09:06there are very good outcomes if first you empower the child.
09:09You teach them how to protect themselves.
09:10You teach them life skills, mindfulness, self-regulation, emotional regulation,
09:14which are actually skills that we should actually learn either way.
09:18Second is, you empower the adults around the child.
09:22You teach them how to respond when a child is in danger,
09:26or you respond how to respond to a child who is in emotional need.
09:31And then third is, you allow for communication.
09:35So, pag itong batang to, kailangan kuhari ng psychologist.
09:37You connect the child to the psychologist.
09:39And those three things lang na ginawa nila had very, very good effects
09:43on the children in that community.
09:44Dok, pag-usapan natin yung grades.
09:45Kasi marami sa mga bata ngayon, masyado silang under pressure
09:49to perform well in school.
09:50Kasi nga, alam nila, my mommy will be very proud of me
09:53pag mataas ang grade ko.
09:55Or, yun yung flex.
09:56Diba?
09:56Yun yung flex, mataas ang grade.
09:58How should parents teach the value of grades
10:02or performance in school?
10:03At ganun ba talaga dapat siya kahalaga
10:05na pagtuunan ng pansin ng mga bata?
10:07I think the first clarification is,
10:11grades are a measure of academic performance,
10:14but they are not the measure of the entire child.
10:18Yun yung pinakauna.
10:20And, syempre, kasi sabi nga natin,
10:22their brains aren't very much developed yet.
10:24So, heightened yung emotion.
10:27So, kung pari, nag-aral sila,
10:28tas hindi maganda yung grade nila.
10:29Syempre, normal lang naman malungkot.
10:30Kahit ikaw siguro malulungkot ka sa mga ganun mga bagay.
10:33So, how should you respond as a parent?
10:35First, ikaw yung calm.
10:36Kasi, ideally, well-developed na yung brains natin.
10:40So, dapat tayo yung calm.
10:41But, second also, again,
10:43it's reinforcing the type of values we teach children.
10:46And, that's not just for parents.
10:47I think it's also,
10:48it has something to do with the school structure.
10:50What are the things that the school reinforces?
10:53Sa school, kasi, very academic leaning, no?
10:57How about sports?
10:58How about socialization?
11:00How about teamwork?
11:01How do we teach those kinds of values in children?
11:04And, is there space in the school curriculum for that?
11:08Very well said.
11:09Let's talk about social media use.
11:10Doktor, pag-uusapan na naman ngayon.
11:12Stricter regulation,
11:13if not total ban sa mga social media platforms,
11:16or games, or messaging apps.
11:18What do you think of these proposals?
11:20Is it even possible to do something like that?
11:22And, kung sakali nga, effective kaya?
11:25Well, like, right now,
11:27in the news,
11:27nakikita naman natin,
11:29there has been some strides, no?
11:30In terms of policymaking,
11:32it's in the House,
11:33it's in Senate also.
11:35And, based on the experience of other countries,
11:37it is possible.
11:38What we might need more of
11:41is sustained political will.
11:44Because,
11:44hindi lang enough yung,
11:45you impose a regulation,
11:47you have to continuously enforce the regulation.
11:49And, why I think it's necessary,
11:53primarily,
11:53is because,
11:55ang magulang,
11:55kung talagang pibilitin,
11:57kaya magbantay.
11:58Pero,
12:00some things are beyond the control of the parents.
12:02For example,
12:03how the platforms themselves are designed
12:06are beyond the control of the parents.
12:08Ano man nabang alam ng magulang doon?
12:10So,
12:11ang analogy ko dito is playground, no?
12:13Now, social media, online world,
12:15is the playground of children.
12:17So, pag kunwari,
12:18kunwari din lang kayong,
12:19wala naman ako anak,
12:20pero,
12:20kunwari din lang kayong anak ko sa playground,
12:22tapos yung swing,
12:23medyo hindi safe,
12:24medyo parang malubang yung tornillo,
12:26at nahulog yung anak ko,
12:27sasabihin sa akin,
12:28well, dapat binantayan mo.
12:30But, at the same time,
12:31sasabihin tayo natin,
12:32dapat ayusin yung swing.
12:33So, in the same way,
12:34platforms should,
12:35which is the playground of children,
12:37platforms should enforce safe designs.
12:39And, it is the government's rule
12:41to actually ensure
12:42that those duties of platforms
12:44should be met.
12:46Ayan, sana nakikilig sila, no?
12:47Ito naman, Doc,
12:48may mga comment din tayo online,
12:50ang kwento ng isang netizen,
12:51yung grade 4 student niya,
12:52Rao,
12:53okay naman daw,
12:53nakikipaglaro,
12:54nakikipagkulitan after school,
12:55pero,
12:56bigla na lang daw
12:57nagkulong sa kwarto
12:58at nag-breakdown
12:59dahil daw sa bumagsak siya
13:01sa isang major subject.
13:02Halimbawa,
13:03ganyan yung sitwasyon, Doc,
13:04ano mismo yung dapat sabihin sa bata?
13:07I think,
13:08yun nga, no?
13:09Kasi,
13:09factor talaga dito yung brain development.
13:12Trying to make them voice out
13:14ano yung feelings nila.
13:15Okay,
13:16bumagsak ka,
13:17anong nararamdaman mo ngayon?
13:19So,
13:19bakit mo ito nararamdaman?
13:21And,
13:22sometimes,
13:22sobrang tempting for us
13:23to give them all the solutions.
13:25Pero yung mga bata,
13:26grade 4,
13:27grade 5,
13:27grade 6,
13:28medyo may sariling utak na rin yan.
13:29Alam nila kung anong gagawin nila.
13:30So,
13:31sometimes,
13:31just a listening atmosphere
13:33helps them.
13:34And then,
13:35bakit,
13:35bakit,
13:36bakit kanilungkot-tukol dito?
13:37Eh,
13:37kasi gusto ko mag-honor,
13:39kumari yung gusto niya.
13:40O,
13:40sige,
13:40nangyari na yan eh.
13:41Anong pwede natin gawin ngayon?
13:43Right.
13:44So simple.
13:45Ang daming natutunan,
13:46kung natutunan,
13:47ang daming natutunan
13:48ng mga manonood natin.
13:49I wish we had more time,
13:50but for now,
13:51maraming salamat.
13:51I hope this is not the last.
13:53Doko,
13:53napakahalaga po nito
13:54pinag-uusapan natin
13:55dahil we have to keep
14:00priority sa kanilang attention
14:02and all the things
14:03that they need to deal with.
14:05Dr. Princess Guairanod
14:06ng Philippine Pediatric Society
14:08at isang Child Protection Specialist.
14:10Thank you very much.
14:11Ang mga issue pinag-uusapan,
14:12lilinawin at hihimayin natin yan
14:14on record
14:15sa unang hirit.
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