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Desire For Remission

Many of us with a mental illness have tried to “power through” it. We have tried to muscle through the pain without getting help of any kind. Most of us don’t want to admit we need help. Most of us don’t even want to admit we’re sick. We think that we’ll be fine without doctors and therapists and pills. We think that they are the enemy. We think we’re better off without them. We are so ridiculously wrong.
I get all manner of comments here and many of them scrape against my bones. Because I know these people. Because I know their brains. Because I am these people. Sometimes people think because I write or advocate or win awards I am not them, but it is precisely because I am them that I can do these things. It is precisely because I feel their desperation that I can truly write about it. One does write what they know, after all.
I know that as a semi-public person with bipolar disorder I am supposed to beam hope. I am supposed to remind people of it, write about it, speak about it, and give it to everyone wrapped in a shiny happy wrapper. I don’t do this. There is, without doubt, hope to be had, out there in the bipolar treatment world, but that doesn’t mean I particularly feel too strongly about it personally.
The internet is a fabulous place where everyone gets to share their story for all to see. The internet is a horrible place where everyone gets to share their story for all to see. It is the best of times; it is the worst of times, and nowhere is this more evident than in the deluge of mental health information.
When most of us were young we learned that life isn’t fair. Yes, that boy got a bigger slice of cake than you. Yes, that girl gets better grades than you even though she doesn’t study. Yes, that’s boy’s imaginary friend’s clothes are nicer than yours. Life isn’t fair. But when I was diagnosed with bipolar at 20, my definition of “unfair” had to be reviewed.
I mentioned what remission means for a mental illness in a clinical setting: reduction in specific, empirical symptoms by a given amount. In other words, you are given a depression “score” and remission means reducing that score by a given number. But does that number mean anything at all to the patient in question? If you achieved it, are you "better"? If you suffer from mental illness, what does remission really mean?
Once you’re on a magical medication cocktail, see doctors regularly, have done years of talk therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), tried shock therapy (ECT), exercise, have social contacts, a support network, a support group, eat well, tried light therapy, dark therapy, and a series of awful tasting herbs and you find yourself still unwell; the question must be asked: If I’m doing everything right, why am I still sick?
Adventures in Bipolar Diagnosis continued from part one... Lamictal was indeed a miracle for me. It allowed me to finish my bachelor’s degree, get a job in my field, and even become a skydiver. In retrospect, it was an amazing time to be me, to be in remission. Everything was good, until it wasn’t. I felt myself slipping about two years into the Lamictal treatment. For no known reason, the medication simply stopped working. This is a common problem with psychotropic meds and something else no one likes to mention.
In late 1998, I knew that something was wrong with me. My life was going well; I was in university, on my way to a computer science degree, in the co-op program and had completed an eight-month job in Calgary. I had been contented and grateful since leaving my mother’s house and moving to a new town. I was more happy than I had been in years. But little by little, I found myself increasingly sad and life became peppered with bouts of meaningless, spontaneously crying. I was unreasonably moved by the foretold unfolding of TV plots and commercials. In November 1998, I found myself in a pitch-black room, unable to get out of bed for an entire day. I was in the south of Spain, a ten minute walk from white sandy beaches and half-naked women. That was the moment I truly realized I was broken: I was in heaven and yet crushed with sadness.
Last night, I watched Crazy for Love a very bad movie wherein a man, Max, is put into a mental hospital for attempting suicide for the tenth time. When he’s there, he glimpses a very ill, schizophrenic, Grace, whereupon he instantaneously falls in love with her. She too is determined to kill herself. His life’s mission then is to “make her better”. To “make her happy”. Having found his new mission in life, he no longer wants to kill himself. Well, pin a rose on his nose.