There are stigmas and prejudices that many people face today in the world, from a lack of wheelchair accessibility to the jeers that people with Tourette’s Syndrome deal with on a daily basis. The difficulties faced by those of us with psychiatric illnesses are just as insidious, in no small part because it is an invisible problem.
To begin I will examine the problematic semantics of psychiatrist diseases.
There is a common misperception that the mind and brain are the same. This could not be further from the truth. While there is a deep connection between the two, the mind is essentially a function of the brain. A person with a brain tumor it is not considered to be a mental health patient nor are they treated as such.. However, for those of us who have psychiatric diseases are said to have mental health problems when the problem isn’t in our mind at all. The mind is certainly affected but the disease is rooted in the brain. To that end, I would like to see a shift in the language, I would like them to be properly categorized in the medical field and societal arena.
Diseases such as Schizophrenia, Bi-Polar Type I and II, Depression should be considered and labelled no differently than any other neurological like Asberger’s or Muscular Dystrophy. Because of the difference in semantics, psychiatric diseases have been misunderstood, improperly diagnosed and the lack public awareness has created the stigmas that shroud these diseases.
And the focus turns now to the stigmas that those of us with psychiatrist diseases. Virtually all of the stigmas, and their effects, will be told from a first person point of view. Mine. And what isn’t mine comes from what other people have shared with me. Should an asterix appear after a statement, then the source was someone other than myself.
One of the most devastating stigmas is the opinion by many that there is no such thing as a psychiatric disease let alone a mere condition. And to be clear, this is an opinion that does not come from just one group of people such as Scientology. This opinion comes from many places. Apparently I’m just weak and should snap out of it, I’m not actually sick. And because I’m not sick, I really don’t need those pills. I didn’t realize that the drug companies fabricated a market need in order to fatten their bottom line. I don’t care. I don’t care how much money they make. All I care about is that I have access to the medication that I require to function. If a CEO is getting a multi-million dollar salary because they sell a pill that allows me to function I say have at it baby. Live high.
This stigma also has devastating effects on the person who has the disease. It’s an ugly little secret but we all live in a world of prejudicial judgements. When he went to rehab for a drug addiction, If a CEO is getting a multi-million dollar salary because they sell a pill that allows me to function .
When a gay friend of entered rehab for a severe drug addiction he was horrified to learn that homophobia was the root of his addiction. In this unfortunately anti-gay society, he couldn’t help but absorb that phobia ~ as hidden as it was. I am similarly affected and this becomes huge in your mind when you are experiencing a bout of your disease. Questioning and berating yourself is an affect of the disease. You tell yourself that getting out of bed isn’t a difficult thing to do and yet some days it takes 4 hours to actually get up. Some days you don’t get up at all.
I have also encountered more stupid questions from more people than I care to remember. Are you sure you need those medications? I have down days, maybe that’s all you’re going through. Maybe. But for an entire month? Are your sure your Dr. is right? Now many people ask that question, but generally it comes from a place of I hope you don’t have it. I saw in a documentary that Depression is the only disease where people ask you that question because how could your Dr. know? You don’t seem sick. And I don’t when my disease is controlled. I still don’t seem sick when the control starts to unravel. These diseases can be controlled but not cured. Every person with depression has more than a disease in common. We are also consummate actors. I can seem at the most cheerful when the control starts to slip. Even I want to deny that a relapse is imminent, let alone have others know.
And imagine what it’s like to walk into a job interview with a gap filled resume. My resume is a chronicle of my relapses that can be difficult to explain. Brushing it off as a general medical problem leads to the question of will you be able to commit to this job? How do I know that after training you and depending on you to do your job that you won’t have to leave again? Generally speaking, this has forced me to take jobs that were guaranteed to bring about a relapse eventually. Generally one to two years is my ability to stay at that job.
And let a relapse occur when there is no stressor in your life. Then the stupid questions and comments turn to but everything is fine, what do you be to down about? Go for a walk in the park, that will make you feel better when you’re having a bad day. I am not having a bad day and a walk in the park would be wonderful ~ if I can get out of bed. Excessive sleeping or insomnia can be a symptom of Depression. Still, when I reported my insomnia to my Dr. he told me I was actually sleeping. I was just dreaming I was awake. I changed to another Dr. who was eventually the one to diagnosis me and refer me to a psychiatrist.
And while statistics notoriously bore people to death I give you this one to ponder. According to a study done by the World Health Organization in developed countries there are 10 leading causes of lost years or healthy life. Number 1 ~ major Depressive Disease, Number 4 ~ Schizophrenia, number 6 ~ Bi-Polar and number 8 ~ Obsessive Compulsive Disorder.
The next instalment will be a look at my own personal journey with psychiatric diseases. Problems with diagnosis, medications and how this is compounded by the stigmas. I hope that you have been enlightened, reminded or even have it reaffirm that you are not alone in the world with your disease.