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Understanding Mental Illness

I feel, sometimes, that I am at war with the mentally-well world. This isn’t to say that many of them aren’t lovely or that I have a desire to harm anyone, but I do feel embroiled. And it’s mostly because the well population just doesn’t understand what it is to be unwell. They demonstrate this heartily by repeatedly saying the worst things possible to a person with a mental illness.
Recently I was contacted by someone (let’s call her Ms. X) who wanted to end a friendship with a bipolar person and asked me how to do it with the least harm possible. I talked with Ms. X and it appears that her bipolar friend had been doing some very hurtful things. I asked Ms. X if she had talked to her friend about these things. Ms. X said that no, she hadn’t. So why is terminating a friendship preferable to talking about the problem?
The concept that people need to be grateful for the good things in life has been around probably forever. It’s a form of positivity. Rather than being upset you don’t have the Ferrari the guy next door has, be grateful that you have a Volvo in which to take your kids to school. Seems reasonable enough. And the movement of gratitude leading to emotional wellness really hit its stride when Oprah started promoting the “gratitude journal”. Basically you write down what you’re grateful for every day and then, “you'll become a deliberate attractor of positive vibrations”. In Oprah’s case, I’m guessing that’s one really fat journal, and apparently lots of vibrations. But gratitude has no bearing on how depressed I am.
Being diagnosed as bipolar is a scary thing. It can happen in a number of ways, but if you’re like most of us, you probably didn’t know what was wrong for a long time, then you were misdiagnosed and then sometime later, you got the moniker of “bipolar”. Few of us go right from episode to bipolar diagnosis. But regardless of how you got here, what do you do next?
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?
I can feel suicide flicking at the edges of my consciousness. This morning I woke up wanting to die. Before my eyelids fluttered and my logic circuits sparked I knew it was going to be a horrible day.
Words have power. I know this because I’m a writer and I’m perfectly capable of angering, saddening or frightening people with my words. If words were not powerful, bookshelves would be empty. And bipolar is a powerful word when used in the context of a mental disorder. Depending on who hears this word, it can conjure up images of violence, danger, suicide, crime, fear, and many other unsavory things. It’s really no wonder that people don’t want to “be bipolar”.
When I was a kid, show and tell created the most memorable moments in school. Not the tell part. The tell was boring. We heard about Betty going to a “real, real fun zoo” and Bobby getting a new bike; this information made us shift in our seats, roll our eyes, and make funny faces at whoever was talking. But the showing, now that was great. We got to touch a slimy frog, hear Cathy scream as a budgie landed in her hair and be frightened as a snake’s tongue lashed out in front of us. Showing was where the action was. But with mental illness, it’s never the show that people want, only the tell. People are frightened by, and run from, the show.