Thoughts About Mental Illness.
Sunday, December 30th, 2007I read a post over at Dooce.com today about Heather’s mental health, and the treatment that worked for her. When I read through the comments, I couldn’t believe how many people knew someone who thought that needing medication for a mental illness was ‘weak’, or they should ‘just get over it’. I too, know people who think you should just be able to ‘get over’ mental illness, or even that you are just ‘looking for attention’. Having suffered from severe social anxiety and depression from the age of 13, you can imagine that I would very happily tell those people to ’shove it up their ignorant asses’.
At the moment, I’m coping really well, and handling my social phobia to the point where I don’t feel nervous about going out. Or, should I say, I was coping. I have noticed over the last week or so that I have been very emotional and irritable. Upon thinking back, I realised that I have been neglecting to take my anti-depressant. For a week and a half, perhaps even two weeks. Because I was on a break from the pill, I hadn’t been taking my other, equally important pill either. This is apparently really common; people start to feel good, and they stop taking their medication. I didn’t do it deliberately this time, but I have in the past, and one thing I have learnt from that?
I (like Heather) absolutely must take my medication every day, without fail. I will have to do so every day, probably for the rest of my life, and I’m pretty much alright with that. I understand that it’s necessary, to stop me from wanting to throw myself off a bridge, or wanting to step in front of a train. It allows me to leave the house without suffering from diarrhoea, sweating, nausea, difficult breathing and a multitude of other symptoms that signify my unwillingness to face the outside world. Also, no mood swings when I’m on my medication. And that makes me a much nicer person to be around.
On my medication, I feel normal, and I act normal. People that I meet now are incredulous if they find out I have social phobia, they usually don’t believe it. Prior to being put on medication, people didn’t find out I had social phobia, because I never spoke to anyone, or went anywhere to meet new people. Of course, medication alone didn’t fix that; therapy was involved. I have just focused on medication so far because of the stigma attached to it by society.
I underwent what is known as Cognitive Behaviour Therapy via a counsellor who I was referred to by my GP. I think I was 18 at the time, and I had been on Faverin for roughly a year, sporadically. We scheduled 8 consecutive sessions so she could train my mind to look at things differently. The first session didn’t really leave me with much hope; she seemed just as overwhelmed by my history as every other counsellor I spoke to was. The next session though? Awesome. There is no other word for it. This woman, Mal, came equipped with ‘tools’ for me to use, in order to fight my social anxiety. After my third session, we called it quits; it seriously worked that well for me.
When I first heard about CBT, the idea of replacing negative thoughts with positive ones seemed a little far-fetched, much like saying, “Okay, now instead of thinking about dark clouds and rain, think about sunny blue skies. It will change the weather, I promise!” What I didn’t realise at the time is that you have to reach the positive conclusion in a logical manner. I believe that this made all the difference for me.
My mind would bring up an illogical fear, and I was able to fight it using logic. Example: I was worried about going to a birthday party, because of the people who would be there. The logical thought was, ‘You’ve known these people for five years; they’re going to be excited to see you.’ My mind would then say, ‘What if you embarrass yourself in front of everyone?’ The logical thought to counter it was, basically, remembering the other times I had been embarrassed, and telling myself that I would just laugh, and be embarrassed and people would move on, just like before.
Drawing on prior experiences is a big thing in CBT; if you’ve gone somewhere without incident a hundred times before, odds are that you can get there one more time without trouble. The logic behind this technique meant that it made sense to me. Also, no matter what direction the anxiety took I could block it. I still use this technique today, automatically. I don’t think about it any more, it has become second nature. I truly believe that CBT changed my like; I will be forever thankful to that counsellor for introducing me to it. Oh, and in the end? I got to the party, and they were excited to see me.
Mental illness is not something that one can ‘get over’, and it should be treated with the respect and seriousness that it deserves, both from the medical community and society as a whole. No one should feel embarrassed, or weak for seeking help, even if that help does involve taking a medicine everyday, even if everyone they know is opposed to the idea that they might not be able to cope with everyday life. If you can’t, don’t waste time feeling bad because you can’t do things; that only makes it worse! You are not alone, there are other people just like you, and if you and seek help, your quality of life will improve. Do it for yourself, and the people around you, sure.. but mainly for yourself.