In this exclusive Part - 2 of the interview with Dr. Rucha Arun Shete, conducted by Josna Lewis (M. Pharm student, Mangaluru, Karnataka) of MedBound Times, we delve into her impressive journey in the medical field.
Dr. Shete holds an MBBS degree from the Pravara Institute of Medical Sciences and an MD in Community Health and Preventive Medicine from Topiwala National Medical College in Mumbai.
With over a decade of experience, she’s at the forefront of initiatives improving healthcare accessibility, mental health awareness, and community well-being.
As the founder of Samvad—Make a Conversation Foundation, she leads initiatives aimed at promoting mental health awareness and providing support to individuals facing mental health challenges.
In addition to her work with Samvad, Dr. Shete serves as a member of the State Mental Health Authority (SMHA) under the Government of Maharashtra.
Josna Lewis: How do people in these communities respond to the idea of therapy?
Dr. Rucha Arun Shete: In the beginning, there was a lot of hesitation, as most people had never encountered these kinds of services. But once they realize that they have a confidential space to speak openly, without judgment, they begin to feel more comfortable. The acceptance is still gradual—only a few people are coming forward at the moment. However, I believe that as the word spreads and people start to see real improvements, this acceptance will grow through word of mouth. Over time, more people will understand that therapy can provide real help and start seeking it out.
Josna Lewis: That makes sense. Do you notice any differences in the stigma surrounding mental health in rural versus urban areas?
Dr. Rucha Arun Shete: Interestingly, the nature of mental health issues is very similar in both rural and urban areas, but the reasons behind them can vary. In urban areas, the causes might stem from factors like fast-paced living, job pressures, or relationship challenges. In rural areas, it could be more related to social isolation or economic hardships. However, one key difference is the stigma. In rural areas, mental health issues are often seen as a weakness or something to be ashamed of, making it harder for people to come forward. In contrast, in urban areas, there’s more awareness, even though stigma still exists, it’s less pronounced compared to rural regions.
Josna Lewis: You mentioned that mental health issues in rural areas are often seen as social or relationship problems, rather than medical ones. How do you address this misconception in your work?
Dr. Rucha Arun Shete: Yes, many people see mental health as a social issue, believing that their problems are rooted in financial, familial, or relationship struggles. They often think these issues can only be solved through social interventions. While it's true that external stressors like poverty or relationship issues can trigger mental health problems, people need to understand that mental health is a medical issue. It’s about how your brain functions and how it affects your overall well-being. Addressing mental health through medical support—therapy or medication—helps people build resilience, which in turn makes it easier for them to solve their social and personal issues.
Josna Lewis: That's interesting. How do you address mental health awareness and care with community health workers, like Asha workers?
Dr. Rucha Arun Shete: Asha workers play a crucial role in the mental health screening process, especially in rural areas. As part of the National Mental Health Program, they use the PHQ-2 scale, which includes two questions to screen for mental health issues while they go door-to-door in the community. If they identify someone who might be struggling, they refer them to a doctor or a mental health professional. This program has been implemented in many districts, but it’s still a work in progress in some parts of India. Ideally, it should be implemented everywhere to ensure that everyone has access to mental health screening and support.
Josna Lewis: Is the mental health screening through Asha workers something that’s happening across the country, or is it more focused in certain areas?
Dr. Rucha Arun Shete: It’s a nationwide program, but the implementation varies across districts. In some areas, it’s running smoothly, while in others, it may still be in the early stages. Ideally, all districts should have this mental health screening program in place, as part of the larger National Mental Health Program. The goal is to ensure that people in both urban and rural areas have access to mental health care, starting with screening and then referral to proper treatment or counseling.
Josna Lewis: You mentioned your own experience with mental health challenges. Could you share how your personal journey influenced your perspective on mental health care?
Dr. Rucha Arun Shete: My own eye-opening experience came when I realized that even as a doctor, I had taken my mental health for granted. I spiraled into mental illness, and while I had a lot of support and was diagnosed early, it was still a tough experience. The key for me was understanding that mental health issues are not a personal failure. I didn’t feel guilty about it but rather saw it as a medical issue that needed attention. My mother, also a doctor, helped me seek professional help quickly. It was clear to me that the stigma around mental health needed to be challenged, especially for those who feel isolated or ashamed. Early diagnosis, a supportive environment, and a healthy mindset helped me work through it.
Josna Lewis: It’s great that you had the support to overcome it. Shifting focus a bit, I understand you’re also a Bharatanatyam enthusiast. How did dance and the arts contribute to your mental and emotional well-being?
Dr. Rucha Arun Shete: Bharatanatyam played a significant role in my emotional and mental healing. While I had learned it as a child, I had stopped for a while but returned to it during a challenging period. Dance helped me reconnect with myself, and through expression, I began to heal. It was more than just the physical movement—it helped me rebuild my self-esteem and self-confidence. I also performed alongside younger students, which gave me a sense of belonging and accomplishment. Bharatanatyam is not just a dance form; it’s a way of expressing who you are, embracing your body, and finding peace within yourself. It was healing for me, and I strongly believe that engaging in hobbies or art forms can be a powerful part of mental health care.
Josna Lewis: How did your experience in community medicine shape your approach to healthcare?
Dr. Rucha Arun Shete: Community medicine didn’t drastically change my core perspective, but it reinforced my desire to help people on a larger scale. Initially, I was very focused on becoming a pediatrician and was fixated on achieving that rank. However, community medicine made me realize that I could create a more significant impact by working within the community. For instance, addressing issues like malnutrition or immunization on a large scale can be more impactful than treating individual cases as a pediatrician. It broadened my understanding of healthcare as not just a clinical practice but a broader social intervention that can create systemic change.
Josna Lewis: That's inspiring to hear. How do you balance your demanding profession with hobbies or personal interests?
Dr. Rucha Arun Shete: It’s crucial to find that balance. When you're deeply involved in a profession, especially something as intense as medicine, it’s easy to let your work define you. But you are more than just your profession. You need to maintain a personal life, engage in hobbies, and take time for yourself. For me, Bharatanatyam and connecting with people outside of my medical circle were essential. It helped me grow beyond just the clinical aspects of my life. As a doctor, we often focus solely on our medical knowledge, but we must also stay informed about the world around us—whether it’s finance, politics, or culture. Life is about being a well-rounded individual, and hobbies help nurture that holistic growth.
Josna Lewis: That’s such valuable advice for anyone struggling with work-life balance. Do you have any other tips for maintaining mental well-being while managing a professional life?
Dr. Rucha Arun Shete: One of the most important things is not to lose sight of yourself. Take breaks, be kind to yourself, and make sure you have a support system in place. Seek professional help when needed, whether it's therapy or counseling. And remember, mental health is as important as physical health—treat it with the same seriousness. Most importantly, keep nurturing your hobbies or interests that bring you joy, as they are a source of peace and healing.
Josna Lewis: You’ve also started an NGO. What is your vision for improving mental health in India through this initiative?
Dr. Rucha Arun Shete: My vision for improving mental health revolves around breaking the stigma and making mental health services more accessible, especially in underserved areas. I started my NGO to raise awareness about mental health and integrating mental health care into general healthcare practices. We aim to provide education and resources for both the general public and healthcare providers to ensure that mental health is seen as a critical component of overall health. I hope to see more people seeking help without the fear of judgment. Through this initiative, I also want to address the lack of mental health professionals in rural areas by training and supporting local workers, so they can become the first line of defense in mental health care.
As a patient who received excellent treatment and rehabilitation, I am now fully functional, which is a testament to the power of recovery. My vision is to spread the message that mental illness is not a life sentence. We need to shift the mindset around mental health and show people that recovery is possible. I work at various levels—from grassroots to managerial and policy-making—so I can help others understand that mental illness is treatable and that those affected can live fully functional lives. If I can make a difference in just one person's life, helping them recover and reintegrate into society, that would be the greatest achievement.
Josna Lewis: What advice would you give to young professionals aspiring to work in community health or mental health?
Dr. Rucha Arun Shete: If you're interested in community medicine, first and foremost, you need to understand what you are passionate about and what the community truly needs. Balancing both is crucial. It’s important to listen to the community—real listening. Don’t just offer solutions from your own perspective; understand the problems first. For any doctor, the ability to listen is essential. When you’re with someone sharing their issues, whether it’s for a few minutes or more, give them your full attention. Don’t rush. Focus on their words and really understand the problem at hand.
Moreover, don’t just work within your comfort zone. Go beyond the hospital walls, travel to the rural areas, meet people, live with them, observe their daily lives—how they cook, what they do, how they work. True understanding comes from immersion, not textbooks. The more you engage with people, the more you’ll learn. This firsthand experience is what shapes your approach to community health.
Josna Lewis: That’s incredible advice. Finally, do you have a personal motto or quote that you live by?
Dr. Rucha Arun Shete: In general, I would say: Don’t take yourself too seriously. It’s easy to get consumed by your work and feel that every task you do is monumental, but in the grand scheme of things, we all have limitations. We work hard, but true change happens at a larger scale over time. Don’t let the weight of responsibility overwhelm you. It’s important to take care of yourself and recognize that no single person can change everything.
A quote my grandfather taught me, "When you call a man of business, only upon the matters of business. Do your business go back to your business; that the man of business should do his business"
Josna Lewis: Your words are very comforting. I’m sure this will resonate with many people reading this, especially those who are struggling or feeling the weight of their responsibilities. Thank you for sharing your insights. It was an honor speaking with you. I wish you all the best in your mission, and I’m sure your work will inspire many others.
Dr. Rucha Arun Shete: Thank you! I’m glad to have had this conversation, and I hope it encourages people to speak up and seek help. Sharing our stories and experiences can help others open up as well. I appreciate you taking the time to have this conversation. I appreciate your kind words, and I wish you all the best in your own journey.
MedBound Times expresses sincere gratitude to Dr. Rucha Arun Shete for sharing her valuable insights on our platform.