A final conclusion that some limited number of respondents discussed that they believed that it could be caused by ‘ghosts or spirits’ because they have done something bad. One responded posed an interesting view in that she indicated a possible difference between the beliefs of those in urban and rural areas, “Most city people believe mental illness can be caused by spirits less that rural people. I am from rural part and I was taught this and I still believe it despite having scientific knowledge—you cannot prove about spirits”