Philippine Mental Health Association Cebu Chapter

Philippine Mental Health Association Cebu Chapter A non-profit non-sectarian organization dedicated to the promotion of mental health and prevention of mental disorders. The Phil.
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Mental health Association (PMHA) Cebu Chapter is a private, non-stock, non-sectarian, non-profit organization dedicated to the promotion of mental health and prevention of mental illness. It was formally organized on October 24, 1958.

๐—–๐—ผ๐—บ๐—ฝ๐—น๐—ฒ๐˜… ๐——๐—ฒ๐˜ƒ๐—ฒ๐—น๐—ผ๐—ฝ๐—บ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ ๐—ถ๐—ป ๐—Ÿ๐—ถ๐˜๐—ฒ๐—ฟ๐—ฎ๐˜๐˜‚๐—ฟ๐—ฒ: ๐—”๐—ป ๐—”๐—–๐—˜๐˜€ ๐—”๐—ป๐—ฎ๐—น๐˜†๐˜€๐—ถ๐˜€ ๐—ผ๐—ณ ๐—๐˜‚๐—ฑ๐—ฒ ๐—ฆ๐˜. ๐—™๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ถ๐˜€ ๐—ถ๐—ป ๐—” ๐—Ÿ๐—ถ๐˜๐˜๐—น๐—ฒ ๐—Ÿ๐—ถ๐—ณ๐—ฒ ๐—ฏ๐˜† ๐—›๐—ฎ๐—ป๐˜†๐—ฎ ๐—ฌ๐—ฎ๐—ป๐—ฎ๐—ด๐—ถ๐—ต๐—ฎ๐—ฟ๐—ฎJud...
02/01/2026

๐—–๐—ผ๐—บ๐—ฝ๐—น๐—ฒ๐˜… ๐——๐—ฒ๐˜ƒ๐—ฒ๐—น๐—ผ๐—ฝ๐—บ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ ๐—ถ๐—ป ๐—Ÿ๐—ถ๐˜๐—ฒ๐—ฟ๐—ฎ๐˜๐˜‚๐—ฟ๐—ฒ: ๐—”๐—ป ๐—”๐—–๐—˜๐˜€ ๐—”๐—ป๐—ฎ๐—น๐˜†๐˜€๐—ถ๐˜€ ๐—ผ๐—ณ ๐—๐˜‚๐—ฑ๐—ฒ ๐—ฆ๐˜. ๐—™๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ถ๐˜€ ๐—ถ๐—ป ๐—” ๐—Ÿ๐—ถ๐˜๐˜๐—น๐—ฒ ๐—Ÿ๐—ถ๐—ณ๐—ฒ ๐—ฏ๐˜† ๐—›๐—ฎ๐—ป๐˜†๐—ฎ ๐—ฌ๐—ฎ๐—ป๐—ฎ๐—ด๐—ถ๐—ต๐—ฎ๐—ฟ๐—ฎ

Jude St. Francis, the protagonist of A Little Life, is a highly intelligent and accomplished lawyer who begins his career at the U.S. Attorneyโ€™s Office and later becomes one of the most respected litigators in private practice.

Beneath this professional success, Jude represents a literary case example of an individual shaped by severe Adverse Childhood Experiences (ACEs). His life illustrates how early and repeated adversity can influence self-worth, emotional expression, relationships, and the mindโ€“body connection well into adulthood.

๐—˜๐—ฎ๐—ฟ๐—น๐˜† ๐—”๐—ฑ๐˜ƒ๐—ฒ๐—ฟ๐˜€๐—ถ๐˜๐˜† ๐—ฎ๐—ป๐—ฑ ๐——๐—ฒ๐˜ƒ๐—ฒ๐—น๐—ผ๐—ฝ๐—บ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ

Judeโ€™s early life is marked by profound instability. As an infant, he is abandoned by his parents and later taken in by a monastery in South Dakota. While the monastery provides shelter, it does not offer safety. Throughout his childhood, Jude experiences consistent emotional and physical mistreatment from authority figures meant to care for him. Growing up in such an environment teaches him that dependence often comes with harm.

Within the monastery, Jude forms a bond with Brother Luke, whom he initially perceives as a source of comfort and protection. This sense of security is later broken when Jude leaves the monastery with him and is exposed to experiences that profoundly disrupt his sense of trust and bodily autonomy. What makes this period especially damaging is not only the harm itself, but the betrayal of the one person Jude believed would keep him safe.

Even after being removed from this situation, Jude continues to encounter unsafe environments. While under institutional care, he experiences further boundary violations, and later, as an adolescent, he is harmed again by Dr. Traylor, whose actions leave Jude with lasting physical injuries. These repeated experiences reinforce a pattern of harm across multiple developmental stages rather than a single traumatic event.

Based on the original ACEs framework, Jude would score at the extreme end of cumulative risk. His childhood history includes multiple categories of adversity occurring repeatedly and across settings.

๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ ๐—ง๐—ต๐—ฒ๐—ผ๐—ฟ๐˜† ๐—ฎ๐—ป๐—ฑ ๐˜๐—ต๐—ฒ ๐——๐—ฒ๐˜ƒ๐—ฒ๐—น๐—ผ๐—ฝ๐—บ๐—ฒ๐—ป๐˜ ๐—ผ๐—ณ ๐—ช๐—ผ๐—ฟ๐˜๐—ต๐—น๐—ฒ๐˜€๐˜€๐—ป๐—ฒ๐˜€๐˜€

Trauma theory, particularly the concept of complex trauma, helps explain Judeโ€™s long-standing belief that he is inherently unworthy. Complex trauma occurs when distressing experiences are chronic, interpersonal, and occur during childhood, especially when the individuals involved hold power or authority. In these circumstances, children often lack the ability to place responsibility on the adults involved. Instead, they turn inward.

For Jude, repeated adversity becomes evidence that something is fundamentally wrong with him. Because harm occurs regardless of where he goes or who is supposed to protect him, he internalizes the idea that he deserves mistreatment. Over time, this belief hardens into a core part of his identity. ACEs do not only affect emotional regulation; they shape how individuals make sense of themselves and the world. Judeโ€™s sense of worth becomes defined by endurance rather than value.

This internalized worthlessness explains Judeโ€™s difficulty in sharing his past with others, including his adoptive parents, Harold and Julia, and his closest friends. His silence is not simply avoidance, but a reflection of deep-seated shame and fear that being known will lead to rejection or harm.

๐—ง๐—ต๐—ฒ ๐—•๐—ผ๐—ฑ๐˜† ๐—ฎ๐—ป๐—ฑ ๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ ๐— ๐—ฒ๐—บ๐—ผ๐—ฟ๐˜†

Judeโ€™s physical condition reflects the idea that unresolved trauma is often expressed through the body. His chronic pain and physical limitations serve as daily reminders of his early experiences. Trauma theory suggests that when emotional processing is overwhelmed, distress may be carried somatically. In Judeโ€™s case, his body becomes a record of experiences that words cannot easily contain.

His self-injurious behaviors can be understood as attempts to reclaim control over a body that has often felt unsafe or uncontrollable. These behaviors are not expressions of attention-seeking, but coping strategies that allow him to momentarily manage overwhelming internal states and reaffirm a sense of agency.

๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐—ฝ๐—ฒ๐—ฟ๐˜€๐—ผ๐—ป๐—ฎ๐—น ๐—ฃ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐—ป๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ ๐—ฅ๐—ฒ๐—ฒ๐—ป๐—ฎ๐—ฐ๐˜๐—บ๐—ฒ๐—ป๐˜

Judeโ€™s trauma also influences his adult relationships, particularly his involvement with Caleb Porter. This relationship reflects a pattern commonly described in trauma theory as repetition or reenactment, where survivors gravitate toward familiar emotional dynamics, even when they are harmful. For Jude, discomfort and instability feel recognizable, while care and consistency feel foreign.

Despite his success and intelligence, Jude struggles to recognize when he deserves safety and respect. His early experiences taught him that closeness often comes at a cost, and this belief continues to shape his choices.

๐—ก๐—ฎ๐—ฟ๐—ฟ๐—ฎ๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ฆ๐˜๐˜†๐—น๐—ฒ ๐—ฎ๐—ป๐—ฑ ๐˜๐—ต๐—ฒ ๐—ฅ๐—ฒ๐—ฝ๐—ฟ๐—ฒ๐˜€๐—ฒ๐—ป๐˜๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐—ณ ๐—ง๐—ฟ๐—ฎ๐˜‚๐—บ๐—ฎ

Yanagihara presents Judeโ€™s experiences through a narrative that alternates between restraint and directness. The emotional and physical consequences of Judeโ€™s past are conveyed with clarity, avoiding romanticization while allowing the reader to understand the weight of his pain. This stylistic approach mirrors Judeโ€™s own oscillation between control and vulnerability, resilience and surrender.

A Little Life moves between moments of symbolic reflection and plain narration, reflecting how trauma can be both unspeakable and ever-present. Judeโ€™s story shows how ACEs extend beyond childhood, shaping identity, relationships, and self-perception long after the original events have passed.

Judeโ€™s belief in his own worthlessness is not a personal failing, but the understandable outcome of a life shaped by persistent adversity.

Jude's character serves as a powerful literary case study on how early trauma can alter the way a person understands themselves, even in the presence of success, love, and care.


๐—ฆ๐˜๐—ฎ๐—ฟ๐˜๐—ถ๐—ป๐—ด ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฒ ๐˜„๐—ถ๐˜๐—ต ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—Ÿ๐—ถ๐˜๐—ฒ๐—ฟ๐—ฎ๐—ฐ๐˜†: ๐—ช๐—ต๐—ฎ๐˜ ๐—”๐—ฑ๐˜ƒ๐—ฒ๐—ฟ๐˜€๐—ฒ ๐—–๐—ต๐—ถ๐—น๐—ฑ๐—ต๐—ผ๐—ผ๐—ฑ ๐—˜๐˜…๐—ฝ๐—ฒ๐—ฟ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ๐˜€ (๐—”๐—–๐—˜๐˜€) ๐— ๐—ฒ๐—ฎ๐—ป ๐—”๐—ฐ๐—ฟ๐—ผ๐˜€๐˜€ ๐—ฎ ๐—Ÿ๐—ถ๐—ณ๐—ฒ๐˜๐—ถ๐—บ๐—ฒAdverse Child...
02/01/2026

๐—ฆ๐˜๐—ฎ๐—ฟ๐˜๐—ถ๐—ป๐—ด ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฒ ๐˜„๐—ถ๐˜๐—ต ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—Ÿ๐—ถ๐˜๐—ฒ๐—ฟ๐—ฎ๐—ฐ๐˜†: ๐—ช๐—ต๐—ฎ๐˜ ๐—”๐—ฑ๐˜ƒ๐—ฒ๐—ฟ๐˜€๐—ฒ ๐—–๐—ต๐—ถ๐—น๐—ฑ๐—ต๐—ผ๐—ผ๐—ฑ ๐—˜๐˜…๐—ฝ๐—ฒ๐—ฟ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ๐˜€ (๐—”๐—–๐—˜๐˜€) ๐— ๐—ฒ๐—ฎ๐—ป ๐—”๐—ฐ๐—ฟ๐—ผ๐˜€๐˜€ ๐—ฎ ๐—Ÿ๐—ถ๐—ณ๐—ฒ๐˜๐—ถ๐—บ๐—ฒ

Adverse Childhood Experiences (ACEs) are stressful or traumatic events that occur before the age of 18, and their impact does not end in childhood. Research shows that ACEs can shape how individuals think, feel, form relationships, and cope with stress across their lifespan. These experiences include different forms of abuse and neglect, as well as household challenges such as parental separation, domestic violence, substance use, mental illness, or incarceration within the family. ACEs are common, and their effects tend to accumulate over time, meaning that higher exposure is associated with greater psychological risk.

Growing evidence links ACEs to the formation of insecure attachment patterns. Negative caregiving experiences, emotional and physical abuse, and intrafamilial neglect have been associated with attachment anxiety, avoidance, and disorganized attachment in adulthood. Neurobiological research further suggests that early adversity can alter brain systems involved in attachment and emotional regulation, helping explain why these early experiences can have lasting effects.

ACEs are also strongly associated with depressive disorders in adulthood. Among the different forms of adversity, childhood emotional abuse shows one of the strongest and most consistent links to depression. Because ACEs often co-occur, their combined effects significantly increase the risk of both lifetime and current depressive symptoms. Importantly, research also highlights the protective role of social support. Consistent with the stress-buffering model, strong and supportive relationships can reduce the long-term mental health impact of childhood adversity.

Strengthening social support and trauma-informed care remains a crucial pathway toward healing and resilience for individuals with ACE histories.


Happy birthday to our esteemed Board Treasurer, Mrs. Gladys Ann C. Graham! ๐Ÿฅณ๐ŸŽ‚๐ŸฐThank you for your unwavering commitment, ...
01/01/2026

Happy birthday to our esteemed Board Treasurer, Mrs. Gladys Ann C. Graham! ๐Ÿฅณ๐ŸŽ‚๐Ÿฐ

Thank you for your unwavering commitment, wisdom and guidance keep our mission thriving! ๐Ÿ’™ Wishing you a joyous celebration filled with joy, love, and laughter! May this special day bring you endless happiness and cherished memories. ๐ŸŽ‰

Warm greetings from your PMHA Cebu Chapter family!

Another year is ending, but your story goes on. ๐Ÿ’™Let this closing chapter bring peace, knowing your journey is wide open...
31/12/2025

Another year is ending, but your story goes on. ๐Ÿ’™

Let this closing chapter bring peace, knowing your journey is wide open ahead. Hereโ€™s to strength and fresh beginnings in the year to come. ๐ŸŽ‡๐ŸŽ†

๐Ÿ“ Our 2025 gratitude list: pushing through the storms with resilience, the genuine warmth in smiles from the people we s...
30/12/2025

๐Ÿ“ Our 2025 gratitude list: pushing through the storms with resilience, the genuine warmth in smiles from the people we serve, and meaningful steps in mental health advocacy. This progress involves breaking down stigmas one conversation at a time, raising awareness, building stronger community support, and lighting paths to healing for those who need it most. ๐ŸŒฟ

Thank you for your support as we continue this important journey together. Here's to more breakthroughs ahead. ๐Ÿ’™

โ€œDepression and suicidal behavior are complex, multifactorial conditions. To single out antidepressants as a causal fact...
30/12/2025

โ€œDepression and suicidal behavior are complex, multifactorial conditions. To single out antidepressants as a causal factorโ€”absent proper clinical contextโ€”is medically unsound. Mental health must never be reduced to conjecture or narrative framing.โ€
โ€” Philippine Psychiatric Association

Sending warm birthday greetings to our esteemed board member, Dr. Dolores O Largo! ๐Ÿฅณ๐Ÿ’–๐ŸŽ‚Thank you for your enduring passio...
29/12/2025

Sending warm birthday greetings to our esteemed board member, Dr. Dolores O Largo! ๐Ÿฅณ๐Ÿ’–๐ŸŽ‚

Thank you for your enduring passion in fostering mental health for all. Wishing you a joyful new year rich with meaningful moments, lasting success and boundless happiness ahead! โœจ

From your PMHA Cebu Chapter family!

Letting go can be a powerful way to create space for new opportunities and personal growth. ๐Ÿƒ As you reflect on what you...
29/12/2025

Letting go can be a powerful way to create space for new opportunities and personal growth. ๐Ÿƒ

As you reflect on what you want to release this year, remember that itโ€™s about creating space for new experiences, relationships, and opportunities that align with your true self. Embrace the process, and enjoy the positive changes it brings! ๐Ÿฅณโœจ

This holiday season, fill your cup with meaningful self-care practices that nurture your well-being. Here are some ideas...
26/12/2025

This holiday season, fill your cup with meaningful self-care practices that nurture your well-being. Here are some ideas to help you recharge and enjoy the season. ๐Ÿ˜‰๐ŸŽ„

The holidays arenโ€™t perfect for everyone, and thatโ€™s okay. Sending you peace, healing, and hopeโ€”you're not alone.๐Ÿ’–๐ŸŽ„โœจIf t...
25/12/2025

The holidays arenโ€™t perfect for everyone, and thatโ€™s okay. Sending you peace, healing, and hopeโ€”you're not alone.๐Ÿ’–๐ŸŽ„โœจ

If this season feels heavy, remember itโ€™s okay to rest, to grieve, and to ask for help. ๐Ÿซ‚๐Ÿ’™

๐—ก๐—ผ๐˜ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ๐˜† ๐—–๐—ต๐—ฟ๐—ถ๐˜€๐˜๐—บ๐—ฎ๐˜€ ๐—ถ๐˜€ ๐—บ๐—ฒ๐—ฟ๐—ฟ๐˜†.In the past months, Cebu has been shaken by a powerful earthquake that left many families w...
24/12/2025

๐—ก๐—ผ๐˜ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ๐˜† ๐—–๐—ต๐—ฟ๐—ถ๐˜€๐˜๐—บ๐—ฎ๐˜€ ๐—ถ๐˜€ ๐—บ๐—ฒ๐—ฟ๐—ฟ๐˜†.

In the past months, Cebu has been shaken by a powerful earthquake that left many families without homes and, for some, without loved ones. The province was also struck by devastating flash floods brought by a typhoon, claiming lives and leaving entire communities destroyed beyond repair.

This holiday season, many of our fellow human beings are focused on getting through the day rather than celebrating it. For many, this time brings grief, loneliness, and exhaustion instead of joy.

And yet, even in loss and weariness, we hold space for hope.

May this Christmas gently restore what has been broken.
May it remind us that surviving is already an act of courage.
And may the year ahead meet us not with perfection, but with healing, compassion, and the strength to begin again.


๐‡๐จ๐ฅ๐ข๐๐š๐ฒ ๐‚๐ฅ๐จ๐ฌ๐ฎ๐ซ๐ž ๐๐จ๐ญ๐ข๐œ๐žIn spirit of the Holiday season, our Chapter will be closed from Wednesday, December 24, 2025 to F...
23/12/2025

๐‡๐จ๐ฅ๐ข๐๐š๐ฒ ๐‚๐ฅ๐จ๐ฌ๐ฎ๐ซ๐ž ๐๐จ๐ญ๐ข๐œ๐ž

In spirit of the Holiday season, our Chapter will be closed from Wednesday, December 24, 2025 to Friday, January 2, 2026. This time allows our dedicated team to recharge and spend meaningful moments during this special period.

We will reopen and resume full operations on Monday, January 5, 2026.
Thank you for your understanding and continued support throughout the year.

Wishing you, your family, and friends a blessed, peaceful, and joyful Holiday season! ๐ŸŽ„๐Ÿ’™

Address

Room 3H, 3rd Floor, VR Apartments, Sikatuna Street Zapatera
Cebu City
6000

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Tuesday 8am - 5pm
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Thursday 8am - 5pm
Friday 8am - 5pm

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About PMHA Cebu Chapter

The Phil. Mental Health Association, Inc. (PMHA) Cebu Chapter is a private, non-stock, non-sectarian, non-profit organization dedicated to the promotion of mental health and prevention of mental illness. It was formally organized on October 24, 1958.


  • PMHA National President DR. CORNELIO BANAAG, FPPA, FCAPPI

  • National Executive Director MRS. REGINA C. DE JESUS