Tony Mantor: Why Not Me ? - Weanne Estrada:Mental Health Without Borders: How Compassion, Culture, and Community Transform Lives Worldwide

Episode Date: July 15, 2026

Show Notes What does mental health look like when someone has lost everything? In this inspiring episode of Why Not Me?, Tony Mantor sits down with Weanne Estrada, Mental Health Specialist with ADRA International (Adventist Development and Relief Agency), to explore the realities of humanitarian work in more than 120 countries around the world. Together they discuss how mental health extends far beyond therapy, why culture matters in treatment, the resilience of refugees, and how communities recover after unimaginable loss. Wynne shares powerful stories from disaster zones, refugee camps, and conflict areas while offering hope through compassion, dignity, and human connection. This conversation challenges common misconceptions about refugees, humanitarian aid, serious mental illness, and recovery while reminding us that every person deserves to be seen first as a human being. Whether you're passionate about mental health, humanitarian work, autism advocacy, or simply understanding the human experience, this episode will leave a lasting impression. In This Episode What humanitarian mental health really looks like Why trauma is only part of the story The Mental Health and Psychosocial Support (MHPSS) model explained Supporting refugees with dignity and respect Cultural differences in mental health care Serious mental illness and psychosis around the world Building resilience after disaster and displacement Fighting stigma through education and lived experience The importance of community, hope, and purpose Why recovery is often found in ordinary moments Learn more about ADRA International at:https://adra.orgSee omnystudio.com/listener for privacy information.

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I'm Tony Mantor. This is where understanding begins. If this kind of conversation matters to you, then follow the show. So you don't miss what comes next. Joining us today is Wian Estrada. She is part of the Adventist Development and Relief Agency, known as Adra, a global organization serving communities in need. around the world. This is not about titles or roles. It's about lives touched, the challenges face,

and the moments that don't always get seen. Today we're going beyond the surface to talk about what it really means to serve and how those experiences shape the person behind the work. Thanks for joining us today. Of course. Now, thank you for having me. I've been looking forward to this, getting to talk about some of my favorite topics. So thank you for having me. Oh, it's my pleasure. If you would, give us a little background on what you do. Sure. So I am a mental health specialist at Adra International. So Adra, that's the Adventist Development and Relief Agency.

We are the global humanitarian arm of the Seventh-day Adventist Church, and we're currently operating in more than 120 countries. Worldwide, we have about a thousand different projects. And they're in the different fields of health, nutrition, water, education, livelihoods, or emergency. and across all that mental health is embedded into them. And so what I do as the mental health specialist is among a range of different roles. There's maybe two core ones. And one is I help design and implement our mental health and psychosocial support programs.

And so that involves making sure that these programs follow international guidelines, that they're delivered effectively and safely for our beneficiaries, that they're culturally adapted, they're relevant, and they're physical. And then the other part of the work that I do is also I support the staff that we deploy during emergencies. So there are certain occasions when a major humanitarian crisis might completely overwhelm the capacities of the local country office. And so what we do in the situations, for example, last year when Hurricane Melissa hit Jamaica or this year with a war in the Middle East, is that we deploy some of our personnel to help out those offices. And so what I do is because these staff members are going to be.

undergoing, you know, a new culture, a new environment, a very stressful job in these new placements. I make sure that they're well supported, that they have the tools in the toolkit to be able to maintain their resilience during deployment and that they have intended supports in place. So yeah, those are just like in a nutshell. You've had the opportunity to work in some of the more challenging environments in the world. Can you give us a moment that changed the way that you understand mental health? So, yeah, that's a great question. So I grew up in the Philippines.

I actually started out as a nurse there. When I was younger, I just knew that I wanted to work in the humanitarian field. And back then, it was because of a very simple reason, I wanted to travel for work and I wanted to help people. So I thought, why don't I travel for work while helping people? And I thought that was what a humanitarian would do. But then I think one formative experience for me was, you know, growing up in the Philippines, unfortunately, we're exposed to a lot of different typhoons, hurricane throughout the year. And so growing up, I was keenly aware of the effect that this had on people,

on children, on vulnerable populations. And so one time I volunteered to help out with this operation where basically this was during one of the major typhoons. And they were essentially airlifting people from a different province who had been affected by the typhoon and had lost everything, had lost their homes. They were airlifting them in military airplanes and bringing them to the capital Manila. And so my role was to welcome those people, give them psychological first aid. They had come in basically wearing the clothes that they had. So some of them were still wet. And so make sure that they were warm. They had food to eat. We would register them. And then we would essentially load them up into cars so that they could be either transported to some of them might

have had relatives to live within that area. But then others, I don't really know where they were, you know, shipped off to, for lack of a better word. And so that experience, it made me think of displacement. And what are we doing to follow up with these needs of these people? These people we've just, just a few days ago, they were safe and warm in their homes. And now they're essentially transplanted in different community. What effect does this have on their mental health? Is there any sort of follow-up available? So I think that was really formative to me wanting to go into this work. When people think about mental health, especially in humanitarian efforts, most always they will think about trauma. Most of the time, it's much more than that.

What are some of the things that they're missing when they think that way? I think that's a great question. And you're absolutely right, Tony. So one of the biggest misconceptions about mental health, especially in crisis settings, is that it's only about clinical care. But in humanitarian contexts, people are affected at many different levels. So yes, there are some people who are experienced severe mental health conditions, right, and they'll need therapy. But then many more are dealing with stress, disruption, with the loss of routine, and, you know, the breakdown of their social systems. So what we do, we call it MHPSS, right?

It stands for mental health and psychosocial support. It's just broader than mental health services. It includes everything from basic psychological support and community activities to more specialized care for people experiencing severe distress or mental health. conditions because the challenge in this field is that you need to triage. There's just a wide range of different needs and not everyone in crisis will need therapy but they will all need support of some kind and we need to be able to match the intervention with the need because if we give everybody therapy will overwhelm the specialist services. If we just give people basic care then we're leaving people with more significant needs out of the equation and so what we have for mental

health is we call it the MHPSS pyramid and each level of the pyramid provides a different type of support. So at the most basic level, we have basic services and security. At the most basic level, people need safety, right? They need stability. They need access to essential services because in crisis settings, stress is not just because of the trauma that they've experienced to get to this point, but it's also by ongoing conditions that they're living in. It's lack of shelter, food insecurity, and certainty.

So for Adra, one of the basic things we do is we make sure that we provide food, water, shelter, and health care first. And while those may not be traditionally seen as mental health interventions, they do have a direct impact on well-being. So like that's the first level. And then we go to the second level, which is all about community and family supports because crisis often disrupt social networks. Families may be separated. People's roles are lost. And so at Adra, we focus on rebuilding and strengthening those social systems. So things like reuniting families, maybe building child-friendly spaces so that children who have lost access to

schooling and safe places will have a safe space to play. Maybe that's making peer support groups so that women, youth can all support each other. So that's level two. And then level three, now we're getting to the more focused type of supports. These are for people who are experiencing more significant distress. They may be overwhelmed. They will need more structured support, but they're not necessarily needing psychiatric care at this point. So at this level, we provide psychological first aid. We teach them

problem-solving strategies. We teach them how to manage their stress. And these are often delivered by trained non-specialists. And then lastly, the top level of this pyramid, sorry, for this crash course, is the specialized services that we provide. And these are for people who are actually experiencing major depression, PTSD, psychosis that require clinical intervention. So at this point, we maybe have clinics, we have mobile clinics, and these clinics provide psychiatric care, medication management, or if they're not capable of doing those, they're at least capable of assessing these patients and then referring them to a higher level of care. Just this huge pyramid recognizing that in these settings, you're not just targeting one level of trauma or one level of need, but you're

targeting this whole layer, intricate interlayering need. Now, you just brought up psychosis, and that deals with serious mental illness. How do cultural differences shape the way that that is understood? Because when you get into psychosis and exignosia, many times that is so misunderstood. So what is the thought process when you're dealing with different countries around the world? Yeah, for sure. Culture really plays a huge role in mental health and it's not just psychosis, right? And one thing that I want to bring up is that culture, mental health manifests in many different ways. So cultural adaptation is absolutely essential in this work. We can apply just a one-size-fits-all model. So for example, sometimes when we come into a community, we need to start with listening

and understanding how communities describe distress, what coping mechanisms already exist, and what support systems are trusted. And so we first, we try to talk to the leaders in the community and understand who are the people in the community that people turn to when they want to talk about mental health? Where do they want to go? Is that in a health clinic or maybe it's just a school or community space? And then when we create the interventions, we want to make sure that we're using very locally relevant examples. Like maybe, you know, if we're working in a more Western context, maybe the stressors that people have are related to like their jobs or personal issues. but in these crisis settings, maybe their challenges would go around accessing water, livelihoods. And so we make sure that the examples we're using are locally relevant.

And then the way that we deliver support also changes. So in some contexts, individual counseling might feel unfamiliar or even uncomfortable, especially if people are used to more collective ways of coping. So group-based approaches like community support groups might actually be more effective, but then maybe in some settings they don't want to spill their personal problems. problems in front of the whole group. And so in those settings, we choose to do more individual therapy. And then also we have to recognize that some communities already have their coping mechanisms. You know, maybe in the more Western setting, we think, oh, journaling is a great way for people to improve their mental health.

But then in other cultural settings, what might be more effective for them are faith-based practices, maybe it's storytelling or community rituals. So we want to make sure that we respect those. cultural considerations. What does recovery look like when you're dealing with places around the world where resources are almost non-existent? Yeah, so this comes into my questions for me. It comes into my concepts related to resilience, right, and what it would look like in these settings. Oftentimes in these settings, resilience and recovery, it isn't this dramatic, heroic thing. It's not something that we immediately see. In humanitarian settings, resilience and recovery can look very ordinary.

Maybe it's apparent finding a way to comfort their child in a place that doesn't feel safe. It could be someone waking up and continuing daily life even when everything has changed. It could be a mother that chooses to, and I use this example because it's something that actually happens in real life. It could be a mother that decided to eat again after. giving birth. And let me share this example with you is we have this mobile clinic operating in Yemen, and we have postpartum mothers that are affected by conflict and displacement. And this mother, she had a child who had deformities. She had anemia. She had anxiety. She had insomnia. And she had insomnia.

And when she found out that her fourth baby was going to be another boy, she wanted a daughter, she got depressed, and she refused to eat. And so we had a midwife come and talk to her, visited her several different times, gave her psycho education, helped her reduce the size of the problem in her head. And then after this, she was able to recover, to accept that these are her circumstances and she was able to thrive. So recovery, it can look like a lot of things. It can look like people deciding to take their medications regularly, but it can also just look like people taking the first step and asking for help. Have you ever had a time when you're and you question to yourself, is enough being done here?

Then after you assess it, what conclusion did you come up with and how did you handle it? I think the question is the work is never going to be enough. The need is always going to be great. And I think especially these days, we have a lot of conflict that are going to definitely increase the number of people displaced to have wars. Just in 2024 alone, I think there were about 124 million people who were displaced. When I think about that number, I think of another statistic, which says that one in every five people who are displaced have a mental health condition. So when we think one in five of 122 million, we're thinking of millions of people who have just a

great need for mental health care. So when I think of that, it's easy to be. become discouraged. But I think what motivates me to really keep going in this field, I think is the progress that we've seen in how MHPSS has evolved over time. One of the biggest shifts I've seen is MHPSS and mental health. Previously, it was often treated as an add-on, something we addressed after immediate needs like food, shelter, or health. But now we're seeing a much stronger recognition that mental health is actually foundational to recovery and not. separate from it. So that gives me hope. But even then, one say, Tony, there's really so much that needs to be done in this field. We need sustained investment. That includes funding, but that also

includes political will and a broader shift in how we think about supporting people affected by crisis. Because the reality is in many of the places that we work, people already know what they need. Communities understand their challenges. They're capable, but they're missing the resources to actually deliver that support at the scale that's needed. So it's not all. always a question of what should we do, but a question of how do we sustain and expand and get investment for what we know already works. Eating well shouldn't be complicated, but somehow it turns into recipes, prep, cleanup, and half your Sunday gone. Factors solves all that. These are fresh, ready-to-eat meals designed by dieticians, delivered to your door and ready in just minutes. No prep,

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How do you build a trust with people that have every reason not to trust a system or professionals? That's, again, another great question. And this again goes into topics related to stigma. You know, when stigma is integrated into the system and people enter a healthcare clinic and they experience stigma, then it affects the way that they'll continue to engage with that system. And so what we do is we make sure that we train staff to communicate in a respectful, non-judgmental way and to avoid stigmatizing language. Because even small interactions can influence whether someone feels comfortable seeking support. So in many contexts, we make sure that when our staff speak, they might not necessarily say mental illness, they don't use words like crazy or phrases that can feel stigmatizing.

and tell them to use language that people already relate to, such as, you know, maybe stress, worry, feeling overwhelmed, or maybe the lack of sleep. So it's kind of translating mental health language into that. And then one of the things we also do is, again, I've alluded to this before, is making sure that we engage with trusted community actors. This could be religious leaders. They could be teachers, community health workers. Because then if trusted individuals model supportive language and then they can encourage help seeking, that can shift attitudes much more effectively than outside messaging and loan. And so we engage these trusted community leaders to speak openly about mental health.

And then we also really tap people with lived experience. When people hear stories that are responsibly and respectfully shared related to mental health, stigma often decreases. And so we also just normalize these conversations. We deliver support in a group setting, like in a parenting group, youth group, or community activity. it becomes normalized. We tell people that whatever they're experiencing,

their stress, their responses to these abnormal experiences, they are normal and they're safe to talk about. And that's how we address self-stigma and maybe distrust in the system as well. Okay, my next question is in two parts. When you step back and you look at your work, what gives you the most hope right now? And on the flip side, what still keeps you up at night? Let me think about that for a second.

What gives me hope? I think I briefly spoke about it. I think it's the shift that I'm starting to see in how people understand mental health. Again, for a long time, it's been treated as something secondary, something you address after everything else. But more and more, I'm seeing people recognize that mental health is foundational. And it's not separate from things like education, livelihoods, or recovery.

And it allows all of those things to work. And so when I see that shift from mental health being seen as a an afterthought to now being seen as a multiplier to all these different interventions, to all these different approaches. It makes me feel hopeful because it means that we're starting to understand people more holistically, not just in terms of what they need, but in terms of what helps them move forward. What keeps me awake at night, what really disheartens me sometimes is how people view refugees and a lot of these people that we serve. I think there's so many misconceptions that They are just people who are passive recipients of aid.

And I think that makes people view them as people who just suck resources or people who, you know, it kind of dehumanizes them. And so when I hear rhetoric about that, about these populations that we serve that are incredibly resourceful, who are capable or very resilient, it disheartens me a little bit because these people are people with so much resilience, who have overcome so much, and are trying to just recover and, you. use the tools that they have to live a normal life, the normal lives that we're living. And so I really stay up at night thinking of ways to help people care about these populations and see them as human. Okay, so now how do people find more about what you're doing? Yeah.

So if people who are interested in what we do, especially at Adra, you can go to our website. That's adra.org. That's adra.org. And you can learn more about our different programs there. There's also a tab up top on the website. that says ways to give or ways to help, I believe. And so if you are so inclined to do so, please feel free to click that tab. Okay, for the person listening right now who wants to help but doesn't know how,

what's the first step that they have to take? I think it's really just awareness. I did a study once on how we can make people more attuned to the needs of refugees and to their mental health. And it really starts with contact. So I would encourage people, their refugees in your community, there are people with mental health conditions who might be your neighbors, who might be your coworkers. And so I encourage you to talk to them, get to know them, get to know their needs, get to know their stories, what they've been through.

I have had the opportunity in my life to speak with refugees who have traveled from their original countries crossed oceans to get to where they are today and just hearing their stories of bravery and how they're now readjusting, but also just hearing about their normal lives and what they were back in their home countries of whether they were a doctor, a business professional, or a student. And it just like humanizes these people in my eyes. So I think really the first step is awareness and getting to know your neighbor and seeing them as human, I think is a great first step. What is one story that kind of sticks with you? And not because it was tragic, but because it reveals something very important.

Yeah. So this story is, it does turn out a little tragic. So I had the opportunity of interviewing some refugees who had been displaced. They had traveled to Greece. And this were because they were members of the LGBT community. And they came from countries where being part of that community was a death sentence. So this particular person, he was a refugee. And his story was that he was kicked out of his village because he was gay.

And then when he tried to return back to his village, and this is quite a little. tragic. He returned to his house being burnt by the villagers with his family inside the house. And he found out that because there was a misconception in that community that being gay can be infectious, they decided to kill his whole family. And so he escaped and he, you know, he made it through foot and then he rode on a dingy on a boat and made his way to Athens. But then he met a donor there who spoke to him about how do you want to move forward from here. And his story was that he decided I want to be able to help other people. I want to be able to help refugees in this area find shelter. I want to be able to give them language lessons. I want to be able to help them

find gainful employment. And so this man was able to take the pain from his experiences and transform it into a way to help other people. So I believe that that story really stuck with me. But also, I think another story that goes to your second question of, you know, what's something that was revealing. I remember asking one of the these refugees once, I asked them, you know, what is your hope from here now that you've received the supports? What do you want to be? And I came in asking that question, expecting something lofty like, oh, I want to change the world. Oh, I want to be able to become a doctor and things like that. And the person's response was, well, I want to go home eventually. Maybe I want to find work. It was just a

very simple answer that made me realize that I think I was being part of the narrative that refugee should be able to rationalize their existence and the help that we give them by becoming someone extraordinary when in reality they don't owe us that right they can be just like us and they have normal aspirations just like us and placing that expectation on them i think is a shift in perspective that i needed to change and so yeah that was revealing to me okay so one last question is how do you define dignity in mental health care, especially in the places where people tend to feel forgotten? Yeah. So again, I think this also goes back to the concepts of resilience. So resilience has four pillars. And these four pillars are social competence, problem solving, autonomy, and hope. So if a person has all four of those things, then they will have resilience. And I think your question of dignity, goes to the third one, and that is giving people autonomy or a sense of agency, the feeling that they

have control over their life, even in constrained environments. And so we see that in a lot of small, but important ways when people make decisions about their daily lives, when they contribute to their households, when they problem solve, when they decide how to manage their limited resources. So they're able to do that on their own, but I think for us, for people who are trying to help, We need to remember that when we design programs, we need to restore a sense of agency and make sure that these people whose control is often stripped from them have a voice in the interventions that we create. So supporting resilience means creating opportunities for people to make choices and have a voice. And that can be as simple as involving them in program design or as practical as giving people options in how they access services. We're not just giving them, hey, this is what we want you to do, but we give them a voice.

Maybe we even have seen refugee communities where the people, the refugees in the communities, they're actually given roles where they're the ones who provide training to people. Maybe they were teachers in the past. And so we give them opportunities to teach at these camps. And so giving them this sense of purpose, giving them this sense of agency is a big way to give them some dignity that they might have lost and the journey to them to get here. Okay. So in closing, what would you like people, the listeners, to know that you think,

think it's important that they hear from you. My message for listeners, I think, is to really reconsider how we think about people who are going through different circumstances. We often see refugees, displaced individuals in ways that are very one-dimensional. Like, they're just recipients of aid. But they're actually people who are incredibly resourceful, who are problem solving. Every day, who are supporting each other, who are actively trying to rebuild their lives. So I think when we start looking at people that way, that shift is really critical, not just for dignity, but also for effectiveness.

And I wanted actually, Tony, to quote, when preparing to speak to you of this podcast, I listened to your song that I believe like this podcast title was based on your song of Why Not Me. And I know that those lyrics that you have and that song you had specifically dedicated it to the autism community. But while I was listening to it, I couldn't help but think that you could have also just written this. this song about refugee communities as well. Because when you talk about mountains that have to be climbed or like motions that need to be crossed, these are literally and figuratively the things that refugees have to overcome, right? They need to get to the other side of the mountain. They literally have to cross oceans so they can see the dream that they have and realize and get away from the dangers that they have and experience the, you know, reach the goals that they have for

themselves. So I think looking at, you know, refugees from that perspective, as people who are overcomers rather than as people who are victims, I hope that's what listeners take away. Yeah, nice. I really appreciate you taking the time to join us. Thank you so much for having me. I appreciate you and the work that you're doing. Oh, it's my pleasure. Thanks again. A sincere thank you to our guests for sharing their journey with us today. We appreciate their honesty, courage, and willingness to open their heart in hopes of helping us. others. If today's conversation helped you see the world a little differently, then we've accomplished exactly what we set out to do. Until next time, keep believing, keep learning,

and most importantly, keep asking yourself, why not me? On Raiders of the Lost podcast, we explore cinema like no one else, including huge interviews with stars like Ryan Gosling on Project Hail Mary. It was like the Jaws shark. always work, came with its own problems. That's what made it great. The cast of obsession. On set, there was so much magic happening with each scene we were putting together. Deep dives into classics like 2001 of Space Odyssey or Fight Club, plus weekly episodes on all industry news. Listen to Raiders of the Lost podcast on the IHeart Radio app, Apple Podcasts, or wherever you get your podcasts. And for more, follow at Raiders of the Lost podcast and at TikTok podcast network.

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