Magazines
NON-FICTION: THE ROAD TO MENTAL WELLNESS
Mad Not Stupid: Living, Loving and Thriving with Bipolar Disorder
By Meezan Zahra Khwaja
Sang-e-Meel Publications
ISBN: 978-969-35-3704-8
186pp.
It is not every day that people with some sort of mental disorder declare the state of their mental health openly. What we see around us is that people with mental disorders and their families do not accept that there is a problem and, if they do so, they try to hide it from others, which often results in aggravating the problem.
However, there are brave people like Meezan Zahra Khwaja, who not only accepted her bipolar state but also did not hesitate in telling the world about it. In her book, Mad Not Stupid: Living, Loving and Thriving with Bipolar Disorder, which is part autobiography and part a discourse on the state of mental health in Pakistan, Khwaja discusses how the disorder affects her and how she deals with her problem.
Khwaja reveals that she had her first episode of mania — a state of bipolar type 1 — when she was 17 years old, when all of a sudden the world seemed to be a dangerous place to her, and there was a complete break from reality in her thoughts. She recalls that she was the subject of — often malicious — gossip as there was no awareness about bipolar patients, and there was a great deal of stigma surrounding mental illness.
She explains that bipolar disorder is of two types: bipolar type I and bipolar type II; then moves on to explain the various stages of bipolar type I (which she suffers from) — mania (highs), followed by depression (lows) and euthymias (normal periods). She writes, “As a bipolar patient, and possibly as a human being, life is a constant struggle, up and down, high and low.” She further says, “It is up to you how you control your manic phase and depression.”
She considers it an achievement that, despite being bipolar, she was able to acquire her Master’s degree from abroad. She worked in the development sector and even founded and ran her own NGO — the Ali Faateh Foundation — and opened and managed the AFF Barkat Jan Primary Girls’ School in Lahore, which provided free education to girls from underprivileged backgrounds for a decade.
A woman dealing with bipolar disorder pens a book that is part autobiography and part a discourse on the state of mental health in Pakistan
Khwaja considers herself lucky to have a supportive family and true friends who not just understood her but supported her and stood by her throughout her life. She thinks that the solid bond with the family and support of her friends enabled her to achieve all that she has.
The book explores the problems faced by the mental health sector in our country. In older days, the mentally ill were considered dysfunctional and not a part of society, but now “there is medicine and cognitive therapy, and if you have supportive family and friends, then that makes for a wonderful combination for a bipolar patient to return to functionality. It is functionality that every bipolar must aim for.”
In Pakistan, there is a massive lack of awareness about mental disorders and their treatment; most people do not know how to deal with mental health issues. There is also a stigma attached to mental illness. “It is all around us, yet mentioned nowhere. If it is mentioned, it is done in low tones and hushed whispers.” To add to the stigma, there are myths surrounding mental health. People believe in ‘dum darood’ and think that mental problems can be cured by exorcising evil spirits or applying herbal remedies. This is because of the lack of education in the country.
As there is not much awareness of mental health issues, there is little concept of cognitive therapy. People want instant results; they visit psychiatrists for medication and non-medication treatments, ie therapy, are often not thought about. They also feel that, if they are not getting any medicine, their money is being wasted. Since doctors are over-worked in the public sector hospitals, they cannot pay individual attention to each patient, which also causes dissatisfaction among patients.
Khwaja talks about the cultural issues related to therapy and is also conscious that there is a financial cost involved in seeking therapy. “Only people of a certain class can afford CBT [cognitive-based therapy] in Pakistan at present — which is problematic in itself.” Another issue she mentions is that mental health patients keep changing their doctors and therapists. “I would advise against this,” she writes.
Discussing her own experience, Khwaja recommends a combination of cognitive therapy and anti-psychotic medication and mood stabilisers. However, “therapy is another difficult domain. … Therapy is difficult the world over, because it is expensive and there is generally a long queue to get to a psychiatrist.”
To ascertain the state of mental health in the country, Khwaja held extensive conversations with several psychiatrists and therapists. She was told that, because of the heavy workload of doctors and nurses — both in the public and private sector — and the severe lack of financial resources for most people, patients often do not get the deserved care and attention.
The patients doctors mostly see at the public sector hospitals are the ones who cannot afford private fees or medication. These patients are often not happy with their experience, as there are long queues in the public sector hospitals because the ratio of psychiatrists to patients is one of the lowest in the world. Those who can afford it, visit private psychiatrists and therapists and often get “better” care. But awareness is lacking everywhere, even in cities, where information is more readily available.
Khwaja details various self-improvement techniques that she used and benefitted from, such as journalling, prayer, yoga, meditation and using apps like Headscape or Calm; she also advises patients to recognise and avoid triggers such as certain types of music or unpleasant company, pointing out that triggers are different for each person. She introduces the readers to online community interaction platforms for bipolar patients, such as PatientsLikeMe, which can be joined to help overcome the intensity of the disorder.
While she openly discusses her feelings and problems, Khwaja does not portray her life as a sob story. In a very simple narrative, she tells the readers what a bipolar patient’s life is like and how difficult it is for such an individual to cope with life. She emphasises the importance of removing the stigma associated with mental illness in Pakistan.
It is important to change the way society views mental health. While it may not be possible to change the mindset of the older generation, efforts can be made to create awareness so that the younger generation does not follow the old mindset and looks down upon the mentally ill and, instead, accepts them as one of them.
What the mentally ill need is kindness and empathy, not dissociation. Rather than being shut behind doors, they must be treated with kindness and included in everyday life. Khwaja wants a more harmonious and compassionate culture in our country, as mental health patients are very much members of our society. She firmly believes that the mental health situation in Pakistan can be improved if resources, time and attention are allotted to it by the government as well as the public and corporate sector.
The reviewer is a freelance journalist.
X: @naqviriz
Published in Dawn, Books & Authors, October 26th, 2025
Magazines
EXHIBITION: AGONY AND ECSTASY
Maliha Azami Aga’s paintings, recently showcased during the exhibition ‘Alternate Reality’ at the Ejaz Art Gallery in Lahore, are characterised by vivid colours, dynamic brushstrokes and profound emotional depth.
They offer more than just visual splendour, inviting viewers to see the world through her unique perspective. Her palette — vivid fuchsia pinks, charged blues and pulsating yellows — interacts in a kaleidoscopic manner that splashes across the canvas, seizing the space and holding the viewer’s attention.
Aga’s Midnight Sun captures the rare phenomenon of luminosity at night, symbolising the inner self that burns like a midnight sun — defiant and illuminating. In contrast, the vast black sky haunts as a silent witness to the eerie stillness of night. A rare and rhythmic orchestration of hues — fuchsia, turquoise, orange, bold reds and emerald — seem to vibrate across the canvas. There is a feeling of urgent movement and restlessness in the strokes.
I see two distinct metaphors emerge from this painting. One is a celebration — the radiant illumination of the inner self, shining like a midnight sun through darkness. The other is far more haunting: the blood of innocents spilled across the foreground, its hues so potent they seem to have moved the very skies to grief.
The vivid colours of Maliha Azami Aga’s paintings belie a deeper undercurrent of turmoil
Winter of Discontent explores emotional, political and existential tension. The title, borrowed from Shakespeare’s Richard III, suggests a deep inner or collective unrest, a season not just of cold, but of upheaval, sorrow and hardship. The trees stand stripped bare, their stems painted in red, blue orange and yellow — devoid of leaves, they suggest desolation and endurance.
The Promised Land carries an immense symbolic weight. I find great spiritual relief in this work that seems to say that those who endure pain, hold fast to truth and walk the path of righteousness in this world are not forgotten. Their suffering is not in vain. For them, there is a promise — a realm beyond this one, full of ease, mercy and reward. The turquoise and white sky, and the snow-capped mountains at the back, evokes peace, purity and the surreal beauty of a dreamlike realm.
There is a profound tension between the fiery, blood-red sky and the vibrant, almost celebratory, rhythmic daubs in the foreground — all in stark contrast with the title Fallen Angels (My Children of Gaza). Rendered in acrylic on canvas, the work merges abstraction with emotional symbolism. The vivid, scattered dots of colour resemble floating souls, evoking the loss of innocent lives in Gaza. The sky mourns — a visceral cry against genocide — while the luminous dots in the foreground seem to illuminate a darkened world.
Jewel Series by Aga struck a familiar chord — its raw energy and layered colour fields reminded me of an exhibition title I once came across: ‘Colourful Chaos.’ According to the artist, the charged strokes reflect the complexities of her entangled thoughts and are what she “could grasp and what she could eliminate.”
‘Alternate Reality’ was on display at the Ejaz Art Gallery in Lahore from September 3-13, 2025
The writer is an art critic, fine artist and educationist based in Lahore.
She can be reached at ayeshamajeed2015@gmail.com
Published in Dawn, EOS, October 26th, 2025
Magazines
EPICURIOUS: A DESSERT TO CHEER YOU UP
Literally translated as ‘pick me up’ or ‘cheer me up’ from Italian, tiramisu done well is a delight. In fact, this transcendent, layered dessert of cake, coffee and cream is so popular that it is Italy’s most famous dessert export.
While some food historians speculate that tiramisu was created in Siena in the 17th century in honour of a visit by the Grand Duke of Tuscany, Cosimo III de’Medici, others believe tiramisu may have evolved from the Italian dessert zuppa inglese, a cake layered with jam and custard, inspired by the English trifle. Tiramisu could have also branched out from another dish: since 1938, a Vetturino restaurant in Pieris in the Fruili-Venezia Giulia region has served a semi-frozen dessert called tiremesù.
Le Beccherie, a restaurant in Treviso in the Veneto region, claims that their chef Roberto Linguanotto and the restaurant owner’s wife, Alba di Pillo, invented tiramisu in 1969, with the dessert first appearing on its menu in 1972. However, a recipe published for the dish appears a decade earlier, in 1959 in Tolmezzo, Udine, in the Friuli-Venezia Giulia region. That recipe is attributed to Norma Pielli, who owned a restaurant popular with hikers and one of whom reportedly dubbed the dessert ‘tiramisu’.
Where tiramisu originated is fiercely disputed, with the regions of Tuscany, Piedmont, Friuli-Venezia Giulia and Veneto all sparring for the honour. The Italian government, however, has officially declared tiramisu to originate in the Friuli-Venezia Giulia region, with the country’s agriculture ministry listing the dessert as part of the region’s agri-food products.
Tiramisu is a decadent combination of coffee, cream and cake
Tiramisu
This decadent dessert can be prepared a day or two ahead of time and stored in the fridge: just make sure to store the dessert in an airtight container or cover well with cling film. If you’d like to make the cake way ahead of time, then it is best to freeze it on the same day you bake it, in an airtight container. The cake will stay well for up to two weeks. Thaw in the fridge for a few hours before defrosting it at room temperature.
While the original recipe calls for mascarpone cream, it can easily be substituted by cream cheese. Feel free to use your own recipe for a sponge cake instead of the one given.
Ingredients
For the sponge cake
1 cup white flour
1¼ teaspoon baking powder
¼ teaspoon salt
¼ cup butter
½ cup whole milk
2 eggs
¾ cup sugar
¾ teaspoon vanilla essence
For the filling
1 egg
1½ cups whole cream/malai
1½ cups mascarpone or cream cheese
2 tablespoons fine sugar
1 cup espresso or strong coffee
Topping
¼ cup cocoa powder
2 tablespoons icing sugar
Method
-
Make the sponge cake. Preheat oven to 180 degrees Celsius and grease an 8×8-inch baking tray (brush with melted butter and dust with flour).
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In a large bowl, mix the dry ingredients — the flour, salt and baking powder. Set aside.
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Add milk and butter to a sauce pan. Cook on medium heat, stirring occasionally until the butter has melted. Set aside.
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In a small separate bowl, whisk the eggs. Pour the whisked eggs into a large bowl. Add a little sugar at a time and constantly mix with an electric beater or by hand, until stiff peaks form.
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Add the vanilla essence and stir well. Add the butter-milk mixture, pouring a little in at a time. Then fold in the flour mixture. Mix well.
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Pour the cake batter in the baking pan. Bake for 20 minutes or until done.
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Make the filling while the cake is baking. Beat the eggs in a small bowl. In a large bowl, whisk the eggs, cream cheese, malai and sugar together until light and fluffy.
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Brew a cup of strong coffee or espresso. For espresso, you will need to cook the coffee in a moka pot or espresso maker but strong coffee will do too. In a saucepan, pour one and a half cup of water and one tablespoon of ground coffee. Brew on medium heat until coffee is boiling.
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Take the cake out when it is done and let it cool. Cut the cake length wise into three layers.
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In a nice serving dish, place the first layer cut side up. Brush or spoon 1/3 cup of the coffee on the cake. Then, generously spoon out 2/5 of the cream filling mixture. Place another layer of the sponge cake on top and repeat.
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Brush the top layer with coffee and cover with a thin layer of the cream filling. Dust with cocoa powder and icing sugar.
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Chill in fridge for three to four hours or overnight for the layers to set. Cut into rectangular pieces. Serve with coffee or tea.
Published in Dawn, EOS, October 26th, 2025
Magazines
EXHIBITION: THE ARTIST AS STORYTELLER
Muzzumil Ruheel’s solo show ‘The Wild in Our Mouths’, at Canvas Gallery in Karachi, was an exploration of the relationship between thought, text, image, sound and space. As has been the nature of Ruheel’s trajectory, the presence of stillness or the unsaid becomes equally audible as, if not more than, the visual in his work.
The current body of work evoked a feeling of liberation, where form wove a joyful dance, flirting with the spectator’s gaze. Cast in welded steel and anchored in the Thuluth script, these calligraphed forms defied convention. They were placed beneath eye level or above reach, thus playing with vision. The emptiness of the white walls insisted on viewing space in relationship to the object. There seemed to be no difference between these walls and the empty white spaces or flat colour areas of Ruheel’s earlier paintings on canvas, wood or paper.
The explored dualities, simplifying the idea, with disregard to boundaries of material or consumer demand. The visual as text, text as image and space as form was the proposition to explore here. The conventional viewing of art is still so predominant within the Pakistani art market and commercial gallery dynamics. Ruheel’s simple gesture can be viewed as a mark of dissent and resistance.
Even so, it is a subtext within the main narrative. One must also keep in mind that here one is literally ‘reading’ the art in the context of the artist’s journey and the places his form has travelled from. Ruheel’s work demands that commitment from the viewer.
Form, text and the gallery space itself were in dialogue with one another at an exhibition in Karachi
There has been a disruption in the age-old script and connotations attached to Thuluth as a form of embellishment of religious manuscripts and architecture. It is a cursive Arabic script that emerged in the seventh century and flourished during the Ottoman Empire. Ruheel’s inscriptions are like sculptural drawings, whose movement and orientation is solely determined by the artist.
He is situated well outside the orbit of a past time, nor does he seem to be replicating it, as has been the tradition. The spontaneity with which he chooses to play with line, exaggerating a curve or extending a line, defines his personal journey and where he chooses to place himself socially and politically.
The work alludes to larger questions on the nature of personal, social and political boundaries, expressed through the form. Only an expert calligrapher or a palaeographer can truly gauge the diversions in Ruheel’s use of script. We recognise some letters due to the familiarity of reading and writing in Urdu and Arabic. We are well attuned to the rigour of mashq or practice that strives for perfection and can see that Ruheel adheres to the discipline of his early training in calligraphy required for a compelling flow of line.
How far he deviates is dependent on the viewer to recognise, but one thing is for sure: the artist is having fun with form through language, which defies containment and expectation. He, therefore, charts a direction that creates unfamiliar pathways of seeing and ‘reading’.
Ruheel instantly places tradition off the pedestal, making it approachable and ordinary. He injects his story within recycled imagery off the internet, shattering the myth of the original in art. The title or captions carry a parallel commentary that completes the work. The form of a horse was calligraphed, carrying the text, “Where are your Reins?” and in brackets the translation in Urdu and direct translation in English: “Tumhari lagam kahan — Where is your leash?”
Another work, Can’t Argue with Genius, which he translated as “Ji Aap Sahi Keh Rahey Hain — Of course You Always Know Best.” This tongue-in-cheek sarcasm and commentary, inserted in the captions to the work, conveys the loss in meaning in translation from Urdu to English, and vice versa. It brings home the realisation of a colonised mindset, where we constantly need to translate and clarify, as if this was addressed to an English-speaking audience.
Ruheel comes from a place of familiarity with Urdu literature, as he fondly refers to the wide range of his inspirations, from Mushtaq Ahmad Yusufi to Ibne Insha’s famous Urdu Ki Aakhri Kitab. This knowledge seeps into the nuances, punctuations and humour as he narrates, in his words, “this chapter.”
‘The Wild in Our Mouths’ was on display at the Canvas Gallery in
Karachi from September 16-25, 2025
The writer is an independent art critic, researcher and curator based in Karachi
Published in Dawn, EOS, October 26th, 2025
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