I
write a lot about mental illness because 1) I have many years of
experience with it, 2) I am very interested in mental health and plan
to get a counseling degree one day, and 3) I think stigma is stupid
and I want to do my part to dispel it.
I
know I appear to have very little filter, but I actually do reign
myself in a bit. If I write something that makes me seem too
unstable, then I back off a bit and write about something a little
more normal next time. I want to remind people I am more than my
depression and anxiety.
When
I write about my experiences I do worry that readers will think,
“Crap, she’s much crazier than I thought.” I want to reassure
people that I am not actually any crazier than I have been for the
past 20+ years. Actually I am in a better place now than I
have been in quite a while, and definitely more stable than many
points in the past.
The difference is I didn’t talk about it before. So don’t worry
- nothing new here.
But
I do wonder, how much crazy is too
crazy.
Many people deal with depression and counseling is not too unusual.
Everyone feels anxiety sometimes, even if they don’t have an
anxiety disorder, so the rational aspect of that makes sense (maybe not
being disturbed by yellow paint).
But
what about schizophrenia? That’s pretty weird, right? What if
someone has a panic attack in the airport? So awkward. What if
someone needs shock therapy? Uncomfortable, 1900’s stuff. Can we
talk about suicide, or will that freak you out? Nobody judges you
for a stay in the hospital, but a mental hospital is a whole
different matter. We are allowed to be physically sick (although
chronic illness and invisible illnesses are probably made
up, right?),
but mental sickness needs to have some boundaries. We are allowed a
certain amount of crazy before we turn to hushed tones and sideways
glances.
So
one of my fears in writing about my own mental illness is scaring
people off. I don’t want people to talk in hushed tones or wonder
if I’m about to go off the edge. Because if I am about to go off
the edge, I want to be able to be honest and get help to pull me
back. What I deal with is not actually that uncommon, most people
are just pretty good at hiding it, like I did for many years.
Some
statistics for you: The
World Health Organization estimates that over 300 million people
worldwide suffer from depression. The CDC states that tens of
millions of people in the US suffer from mental illness and estimate
that half receive no treatment. A 2016 study by NIMH found that
6.7% of all U.S. adults have had at least one major depressive
episodes. An estimated 31.1% of US adults experience some
type of anxiety disorder in their lifetime. We’ll talk more about
suicide in
the future,
but the same study found that 4% of US adults had suicidal thoughts
during the year 2016. If you enjoy statistics, here’s a bunch
more: https://www.nimh.nih.gov/health/statistics/index.shtml
The
main take away is that mental illness affects a lot of people. It
undoubtedly effects people you know, probably many people. And a lot
of people don’t get help, likely for various reasons. The cost of
healthcare, for example. While our insurance covers counseling, the
ever increasing deductible means I will be paying for it out of
pocket, and counseling is not cheap. I feel like it is worth
spending the money on, but for many people it is just not possible.
Some
people don’t even realize they are dealing with mental illness. In
high school and even college, I didn’t understand what the problem
was, I just knew something had to be wrong with me since I couldn’t
seem to handle life like everyone else. I didn’t tell anyone about
my suicidal thoughts partly because I didn’t know how to. Even my
most recent 4th
period of major depression took me a full year to recognize, and I
“should” know by now what depression looks like.
When
I was younger I also didn’t talk about my depression and anxiety
because I was afraid of people thinking I was really weird or weak.
The stigma may have lessened but it is still very real, and like in
most things, adolescents are probably the most susceptible to being misunderstood. I am fortunate now to know a lot of people in the mental
health field – and a lot of people with mental illness – who are
willing to talk about it. This makes a huge difference in my
willingness to be open, and many people don’t have that.
For
the one struggling
If
you struggle with mental illness, here are some things I want you to
know. You are not alone. Once you open up about it in whatever way
you feel comfortable with, you will undoubtedly find other people who
are struggling too. Find someone you feel safe with, who will listen without judgment and try to understand you. If you are having a hard
time, it is okay to protect yourself from the constant news cycle and
overwhelming information. Expect less of yourself for a while,
because dealing with the rough periods takes a lot of energy.
Get
the help you need. This is not selfish – this is important to your
health and wellbeing. This is not weak; it is brave. Maybe you would
find counseling helpful. Find a counselor you connect with and that
actually helps you. Sometimes medication is really useful, because
sometimes your brain chemistry needs some help. There is nothing
wrong with taking medication!
Recognize
that you are a spiritual, physical, mental, and emotional being and
that all these areas are affected. Addressing the spiritual
component is helpful but “thinking the right thoughts or praying
enough” does not address the other areas, and puts a lot of guilt
on yourself that maybe if you had a strong enough faith you would be
joyful or anxiety-free. This does not make any more sense than
someone telling you that focusing on truth and praying enough will
cure you of cancer or high blood pressure It is just not true.
Realize
that a lot of people truly don’t understand what you are going
through, and if you say, “I am dealing with anxiety,” that
doesn’t necessarily mean a lot to them. Talk about the specifics
of what you are struggling with: “I feel like my chest is tight all
the time and I can’t breathe or think clearly.” Give them some
grace as they try to understand. But again, talk to people who are
trying to understand. For your own sake, avoid sharing too much
with people who are just critical or give unwanted advice.
For
the one supporting
For
those of you who are close to someone with mental illness, try to
listen and understand instead of giving advice. Recognize there is a
difference between “feeling down” and clinical depression, between feeling worried about a problem and anxiety disorder. A counselor tried to
explain the difference to us like this: If you are feeling down,
maybe you should take some brownies to a neighbor because doing
something for someone else is a pick-me-up. If you are clinically
depressed, this won’t help. You don’t have energy to make
brownies in the first place, and even if you did you don’t want to leave the house to see the neighbor.
You
can encourage things like exercise (“Why don’t you meet me to
walk once a week?”) and self care/getting out of the house (“Let’s have coffee this week.”) but also realize in themselves, these are not
solutions to serious problems. In fact, carrying the weight of another person's problems or trying to be their sole support is draining on you and unhealthy for both of you.
Encourage your friend to seek
help. Finding a counselor or support group can be
overwhelming, so if they are open to the idea, help them find some
resources and possibilities. When I was really struggling in China,
our member care specialist helped me to find resources within China.
She called them to find out details, costs, and how to get in contact
with them. It was a huge help, because a task like that was
completely overwhelming to me.
Learn
what you can about what your friend or family member is dealing with.
Knowledge often takes away some of the fear. Ask them what their
experience has been like. Ask questions like, "What does depression feel like for you? What are some things that trigger your
anxiety? What things have you found helpful or not helpful in the past? What are some areas of daily life you struggle with most?" Recognize that a person might not know what they need or may
have trouble accepting help, so instead of "Let me know if you need anything," you could try, "I’m going to make
food for you this week – what day is best? Let’s meet for coffee
and a good talk - what about Wednesday?" Ask about specific ideas like watching the kids or helping to find possible counselors in the area.
In parting I will share a few words from Jenny Lawson, an author who writes hilarious books about mental illness. If you are mentally ill, are not afraid to snort-cry-laugh, and are not terribly put off by a lot of swearing, check her out. She is amazing.
When we share our struggles we let others know it's okay to share theirs. And suddenly we realized that the things we were ashamed of are the same things everyone deals with at one time or another. We are so much less alone than we think. - Furiously Happy by Jenny Lawson