Author Archives: AlishiaDee

About AlishiaDee

Alishia D. is a blogger, a beginning novelist, and a counselor at 2nd Story Peer Respite house where diagnostic labels and the culture of mental health is long forgotten. She's a mental health peer who has bounced through as many labels as she has doctors, and enjoys being sarcastic when she can. She also hates writing in 3rd person.

It’s 10:44 in the morning. I got off of work two hours ago. I am sleep deprived from the last few days, and quite irritable. That’s the perfect time to belch out a post. Agreed?

I’m not sure about the rest of you, but my best cognitive realizations and abilities are birthed from pure, elegant exhaustion. I did much better in Calculus at eight thirty in the morning after four hours of sleep than I did in an afternoon class after a solid seven and a half hours of sleep the night before. My brain is backwards and I appreciate that.

However, I am at a rather jarring crossroads in my life right now. After the last three years of being in and out of psychiatric hospitals, on and off psychiatric medications, jumping around from (ignorant) diagnosis to diagnosis, gaining weight, losing weight, gaining weight again, in and out of a four year relationship, it’s left my education in shambles.

Most of you know I currently work as a Peer Support worker at a Peer Respite house and if you didn’t know, now you know. Somewhere on this blog I still have the post I put up about my first day of work there. I’ve been there for 2.5 years by this point, the longest job I’ve ever held. I started when I was 20 years old, a month or two away from my 21st birthday that I don’t remember. In my interview I told them I was a Pre-Med student eager for a career in psychiatry to fight the system.

I am now 23, four months away from my 24th birthday.

I’m not quite sure what happened. I was fully invested in my psychology degree and unscathed by the physics and math required for Med-school. I was a little perturbed about chemistry. I can’t balance an equation to save my fucking life. Another fun fact: put a Calculus equation in front of me, or teach me Linear Algebra and I”ll eat it alive. Put a pre-algebra word problem in front of me and I crumble, I disintegrate. As a writer, you think I’d understand what word problems are asking of me. As someone pretty decent at math, you’d think I’d understand how to calculate what’s being asked of me. Both of your assumptions would be horribly, horribly misled. I’m sure you can, then, deduce how well physics went.

My point in all this rambling is I can’t figure out what I want to study in college anymore. My psychology degree is almost complete and I don’t much care for it anymore. Every psychology class I take I no longer take interest in. Perhaps it’s from 1) living the experience of mental health issues and realizing textbook explanations are pale in comparison, 2) understanding the corruption that lies in the mental health industry/business, and 3) from working in the exact opposite environment that I would be working in were I to pursue my original career choice.

Perhaps it’s my stubbornness. I don’t want to answer to Insurance companies. I don’t want to be solicited or bribed by pharmaceutical salesmen offering me money to push certain drugs. I don’t want to have to deny someone my services because their insurance won’t pay for me because they don’t want medication. I don’t want to make that choice for them, it’s not my business. I don’t want to go into private practice and have to charge 300 dollars an hour and limit myself to an elitist group when we’re all very much aware that the people who need the most help are often struggling with housing, substance use, financial issues, as well as their mental health.

I don’t want to work for a county that would allow me to see that population but underpay me significantly and overload me with cases. I don’t want to only be allowed to see those people for 15 minutes when they need so much more time than that. I don’t want to be considered a doctor that only hands out medication. I don’t do well with rules that are illogical and all of the aforementioned happens to be just that.

And yet I feel that to not pursue this would be abandoning my own people. I feel the difference I wish to make can only begin with legitimizing myself, and unfortunately that requires a college degree in this day and age. But if the passion for the classes isn’t there anymore–where does that leave me? I still have a fiery passion for exposing pharmaceutical companies for what they are, for guiding people through their own mental health journey, for offering other opportunities and healing besides medication and hospitalization, but I just can’t handle sitting through these fucking brainwashing classes and pretend to care about what they’re saying.

So do I start over? Do I accept the psychology degree and switch to a different discipline? Do I follow my original plan, which would require a hard science degree? Do I have the confidence for that? Or will word problems best me? Will I make the same mistake, get the degree, and then not want to pursue the discipline? Will I even be able to get the degree? Or do I say fuck school all together and live the rest of my life check to check, roommate to roommate?

I’ve been off all meds for a couple months now. No antipsychotics, no mood stabilizers, no antidepressants, no sleep medication. I’ve 360’d my diet, and now exercise five days a week for an hour and a half. I’m making a lot of changes and it feels like it’s only natural that my career path do the same.

The real problem is i’d love to have a career in physics and a career in peer support. That just doesn’t seem realistic though. Research during the day, peer during the night? Sounds exhaustive.

What’s helped you choose your career path? Are you still searching for something? Are you at a crossroads too?

How dare they. How fucking DARE they. Prepare for the rant of a lifetime.

I know. I know what you’re thinking.

“Didn’t you just post something saying you weren’t going to post on this website anymore?”

And in fact, you would be correct. But this, folks, THIS requires publication on a site that is relevant towards mental health because those of us who are apart of this marginalized community are being targeted once again. And quite ruthlessly. And have been since the beginning of this pathetic scapegoat of a problem called the “Opiate Crisis.”

Let me clarify: the crisis is indeed real. It is authentic and it is terrifying. People are dying. Children are dying. Mothers are dying. Fathers, sons, brothers, sisters, nieces, nephews, aunts, uncles, cousins, are dying. Fentanyl is being mixed with Heroin. Doctors are standing on the roof tops of their clinics tossing bottles of 60 Oxycodone pills to whoever cares to play catcher.

Why do I call the opiate crisis a pathetic scapegoat? For one reason and one reason only: it’s distracting us from the true perpetrators of the crisis in the first place. Those of you who have followed this website for the past four years, and specifically the last two years, know where this is fucking going.

*Knock knock* Big Pharma? Big Pharma! Hey, it’s me, open up. We have to talk.*Cocks shotgun*

I just finished watching a clip of The Daily Show with Trevor Noah (who I think is such a brilliant replacement for Stephan Colbert, who I also loved) where Trevor mentions Trump’s claims that Mexico is to blame for all the drugs and crime coming into America. I didn’t care about Trump’s words, I’m used to him saying unfounded statements. What I cared about was what came next.

Trevor describes a doctor, one Barry Shultz I believe his name was, who managed to dispense 800,000 opiate tablets over a period of 16 months to his patients from the pharmacy in his clinic, some of which were prescribed with 60 Oxycodone a day. He justified this by stating “Sixty a day is a large number, I admit. But, if it’s taken properly–”

The reporter asks how to take 60 Oxycodone a day properly. The doctor replied, “some people need that dose”.

No. Some people don’t need that dose. What YOU need is that check you receive from the pharmaceutical companies for pushing their product.

Then, came the claims I was waiting for. Then, came the pharmaceutical companies which were caught falsifying information and bribing doctors; if these five specific doctors chose to push a specific Fentanyl spray they, combined, were awarded over 800,00 dollars, treated to lavish dinners, and granted access to specialized strip clubs. That was Insys theraputics. Purdue Pharmaceutical was sued by their state under the grounds that they were personally responsible for launching the opiate crisis. I don’t know how truthful that claim can be, but the company did admit (in 2007) that they had purposefully misled doctors and consumers on the truth of their opiate’s addictive properties.

The company chose to create a strategy to get the feds off their back. In an email from 2001, chairman Richard Sackler, stated quaintly: “We have to hammer on the abusers in every way possible. They are the culprits and the problem. They are reckless criminals.”

Well. Look who’s calling the fucking kettle black. “Reckless criminals.” And what the fuck are you, mister former Purdue Pharmaceutical chairman? A saint? A fucking angel? What a sack of shit.

This is a game people, a game of chess, and innocent human lives are the betting agent.

This doesn’t just happen with opiates, it happens with psychiatric medication too–lying about efficacy, pushing doctors to diagnoses specific conditions to prescribe certain medications, insurance companies refusing to pay for therapy unless a client is diagnosed and medicated. I mean, the history of Johnson and Johnson C.E.O Alex Gorsky says it all. I will forever fucking bash his name.

People seem to forget the history of what is slowly becoming the least dangerous of all opiates: heroin. People seem to forget that morphine, derived from an opiate substance, was also once killing people (and still is) on an astronautical level due to its addictive properties. People seem to forget that a chemist then synthesized heroin, a very pure heroin, and a pharmaceutical company pounced on it. That synthesized pure heroin was advertised as an alternative to morphine that was not addictive.

Little did they know, right?

Cocaine in the united state was processed in a similar fashion. Most street drugs that don’t include a plethora of battery acid and other ridiculous chemicals, street drugs that are derived in some form from a plant, were often first in the hand of pharmaceutical giants. That’s how the public got their hands on it. Why do you think the idea of legalized marijuana is terrifying? I’m not sure how someone could fuck up marijuana, but leave it to people like Alex Gorsky and Richard Sackler and I’m sure they’ll find a way.

My point is that the opiate crisis is not the addicts fault. It’s not the drug’s fault. It’s not even the doctor’s who relinquish their will and fall ill to the temptation of strippers and hundreds of thousands of dollars. It’s the company which lies, which manipulates, and which dictates these disgusting actions.

This isn’t an opiate crisis. It’s an ethical crisis. It’s a philosophical, moral crisis.

Change my mind.

This webpage has been up since July 2015. It’s going on four years. I’m quite ecstatic about that. And I’m saddened.

I’m saddened because during one particularly rough mental health year I was unable to keep up with enough positivity, coherency, and drive to keep this site aiming high. And we were going places, too. I’d bought the domain, I’d made connections with other writers, and with the help of all my loyal and fantastic readers/fans we were going to launch something truly spectacular.

I thought about abandoning this website, but I check in on my statistics every once in a while and see that many are still discovering posts that resonate with them and I can’t take that away from anyone.

This has been a place to spout personal dribble and shed light on mental health experiences and the problems with calling ourselves “Sick”. I don’t want to stop that. And I won’t. I see myself in the near future revamping this page and redeeming what was lost.

That being said, sometimes I have to take a step away from mental health and really talk about other things. And so, I’ve created a separate account for that, entitled “Rant, Rave, Dab, Repeat”, and if you click on the link you will be teleported into a realm of writing reminiscent of some of my older posts here on MentalTruths. I implore you to check it out. We’ll have a lot of fun over there.

I started this post intending to say goodbye to everyone. But I realize I can’t do that. Even if three-quarters of the readers I used to have are gone, I still feel an obligation to keep this site alive and keep the truth about mental health experiences out in the open.

So, alas, this is not a farewell, it is simply a polite “hello, I’m back, sort of, and check out my new website” post.

Or, if you’re not a new reader and remember my sassy attitude, it’s a “I’m back bitches, look out.”

I don’t quite know how to put this experience into words. I haven’t written for some time again, due to feelings of inadequacy, depression, and general brain fog. I can’t seem to form coherent sentences as quickly as I used to, nor can I focus for long periods of time on something that I have a deep love for.

Thursday, 10.25.18 I remember walking into the outpatient center I attend for a therapy session. I remember the feelings of utter hopelessness attending with me, like a sack lunch I was carrying to school. I had made the decision to give up. I was tired of fighting, I was tired of trying to fight, and I was tired of the only option being fighting. I was tired of fighting myself, I was tired of, for the millionth time in my mental health career, coming off of medication, and I was tired of hearing I needed medication to thrive.

I was taking 10 milligrams of Abilify and 10 milligrams of Trintellix and I couldn’t find the energy to finish homework, or get out of bed, and I didn’t have the luxury of feeling any emotion at all: happiness, sadness, inquisitiveness, passion–nothing. And so I did what I always do: stopped the medication.

This usually happens without consequence. For the most part, I’ll stop cold turkey after a couple of months, struggle through a few physical withdrawal symptoms, and get on with my lifestyle. The last time I stopped these two meds, I regained my energy quickly, breezed through four classes, and managed happiness until the opinions of those I care about convinced me to try the medication again.

So I tried again, For maybe two and a half weeks. Then I stopped. I stopped and I noticed my energy did not come back. My mood was stable until it wasn’t. It plummeted. I focused a lot on what was wrong with me, the disappointment of my relationship ending (yes, I’m still stuck on that), and the worries of the future regarding my education, where I’m going to live after December, and the simple fact that I struggle taking care of myself. Those are the surface issues. There are deeper issues I don’t think I’m in touch with yet.

I’ve struggled with depression since I was ten years old. A low mood was nothing new to me, in fact I welcomed it because the darkness was comforting. It was an old friend, a sinister reminder that life is suffering and suffering reminds us that we’re alive. I was thankful for this friend to return because on the medication I didn’t feel alive.

I started planning fun things to do to keep me from falling further: A concert, an overnight trip to San Francisco, Halloween plans and costumes. I got excited: the week of the 21st would be marvelous.

But I started separating from myself.  I don’t remember when, and I don’t remember how, but part of me blacked out. I know I was around and talking to people because I went to work, had laughs, made plans. I don’t remember much of it, but I know I was there.

By Thursday, the 25th, I was moving slowly, not comprehending where I was, no hope or vision for the future, and I’d even lost interest in Halloween, my favorite holiday. I confessed to the therapist that I didn’t have energy to care much about my life, nor could I answer her questions. I didn’t tell her I’d made a plan to (somehow) kill myself after Halloween. It wasn’t fully developed yet, an undercooked chicken in the oven.

I don’t remember much about the session other than the ending: a mindful meditation seeking to locate my inner child. I remember a lot of pain resurfacing, so deep and profound I had never felt it before, and I snapped. I was gone. She asked me how I felt, and I told her dissociated, separated from myself. I remember that. She made me do some grounding activities to bring me back into my body. I don’t think they worked.
That night I went to a concert. It put me in a seemingly better mood.

Friday and Saturday I spent the days in San Francisco at the Academy of Sciences, Golden Gate Park, Six Flags, and around town. Saturday evening, on the drive back, a sinister part of me reminded me of my plan.

I’m not a stranger to hearing voices. I don’t hear them every day, and I haven’t had a bad episode in a while, not since my last hospitalization last year, but this time was different. This time I heard nothing external, and everything internal.

We all have an inner voice that reads to us, thinks for us, and we are in control of that voice, we dictate it. I’m dictating it now as I read back what I wrote, and as I write. But what I listened to that Saturday evening was not of my own doing. A different voice, a male voice, one inside of my head that I had no control of, which directly told me I needed to kill myself. He instructed me to open the door of the car and jump out in traffic–on the highway–and end it. He addressed me as “you” and I addressed me as “I”. That’s the only difference I can pinpoint right now. When I had a thought of my own, I said to myself “I need to calm down”. When I didn’t, he said “you need to do this. There’s no reason for you to live, you don’t deserve life.”

Was this a demonic entity interfering with my thoughts? I didn’t know. I sat paralyzed in the rental car my Ex drove, crying consistently for an hour and a half. The torment wouldn’t stop. “You don’t deserve to live. There’s nothing good about you. Jump out of the car. End it. When you get home, kill yourself. Hang yourself in the closet, no one will even find you.”

I had plans that evening with another friend, so I did not act on those commands. I did, however, drink quite a bit of whiskey and wander around the downtown city. When I got home, I drank more whiskey and fell asleep.

In the morning I awoke instantly crying. The day was Sunday, 10.28.18. I turned on Breaking Bad: I’ve never seen it before. I don’t remember much of the episodes because my head was so loud: “hang yourself in the closet. Take a knife, slit your wrists. You will never amount to anything. You don’t deserve to be on this earth, you don’t contribute to anything.” I joined in: “I can’t write anymore. I can’t enjoy things anymore. I don’t see this getting any better”.

It was 6pm that night when I finally stood up and searched my apartment for something, anything to hang myself with. I didn’t feel in control of my body, I was just going along with the motions.

“Fill up the tub, get in the water, slit your wrists.”

I grabbed a kitchen knife from the drawer and filled up the tub. I remember this part more clearly than other parts because my heart was beating out of my chest, my hands were clammy, and I couldn’t get a grip on myself, I felt like I was losing myself to someone else.

I got in the water with my clothes on and fought the noise in my head. I tried to give myself reasons to live–family, my cat, work–but it was always overpowered by that other voice. I spent a half an hour sawing at my wrists with a dull blade that could barely cut a tomato. I pressed as hard as I could and my skin barely broke. Eventually, I threw the knife. I remember a lot of crying and banging my head on the wall and hitting myself. The noise wouldn’t stop. I ripped out the string from my leggings I had on and wrapped it around my neck and pulled and pulled and pulled. Thinking back on it, I would probably pass out before I die, given my hands are the one pulling the strings, but in the moment I just needed to cause some sort of harm to myself. I kept trying the knife in between strangling myself and I sent one text message that I don’t remember.

It was a couple hours before I stopped. My neck was sore and I had stopped crying, but I wasn’t back in my body yet. The water was cold and I heard the front door open and footsteps running in.

We spent a couple hours talking, and I was gone completely. I don’t remember an ounce of the conversation. I remember seeing through my eyes my body stand up and go for the knife, go for the string, and my ex preventing me from doing so. I remember telling him I didn’t want to traumatize him.

There’s a block on my memory of the conversation, what I said, what he said. I remember being on the couch wrapped in blankets, soaking wet, distraught, eating pizza. I didn’t remember the last time I had food. It couldn’t have been too long. I took a Seroquel. I only had three or four left. It’s a shame I didn’t have a full bottle, or I would have just swallowed them all and called it a night.

The next day I didn’t awake until 1pm. I could barely move, my mind was paralyzingly loud, and I turned on more Breaking Bad. The urge to die was so strong. People took turns watching after me, texting me, calling me. I refused to let anyone call 911. The hospital is not a place to be when you’re in a crisis.

Today is Halloween. My head isn’t loud. I came back into my body and have trouble remembering what the depression felt like because I feel I wasn’t the one to feel it–this entity within me, whether it’s paranormal or just a fractured part of my self, is hell bent on destroying me.  I haven’t experienced a dissociative experience so destructive since high school.

Am I still depressed? I think. Mildly. Or it’s so severe that I’m incapable of comprehending the severity of it.

I didn’t learn to love life from this attempt. I didn’t learn to appreciate the little things or find new meaning or purpose. I still feel lost and confused. A hospital visit isn’t going to change that. What I did learn is that I’m more committed than ever to never taking psychiatric medication again in my life. After 7 years of being a guinea pig, I’m done.

My outpatient group counselor asked me why I despised medication so much. I told her it’s poison. She asked in what way. I told everyone in that room that long term treatment results in heart issues, liver issues, physical ailments that permanently scar your internal body and shorten your life span.

She said okay,  well, then would you rather kill yourself now and not have a life to live, or have some little problems a little later?

I said that was a dumb question, and that heart arrhythmia’s aren’t little problems. I said I’d rather kill myself than subject my body to synthetic chemicals.

And through this experience, if it’s one thing I’ve learned, it’s that the only two ways I will die is by my own hand or nature’s hand. I will not slowly die at the hands of greedy monsters making a profit off my death. If anyone is going to shorten my life span, it’s going to be me.

Should 911 have been called on me? Probably. I’m worried what I will do after Halloween–my original plan–and where my mindset will go. I’m worried I won’t be able to receive the support people are offering because I don’t know how. I’m convinced there is nothing left for me and that the only thing keeping me alive right now is fear of the unknown and a low threshold for pain. I’m worried this depression will slide past, unnoticed, and sky rocket into something more. I’m worried I’m not going to find a purpose again, that I’m not going to find a reason to live. I’m worried I’ll never feel passionate about anything again, or optimistic. I’m worried I’m shutting down, like the last stages of liver cancer. I’m worried I’ll pass as functional and be in misery for the rest of my life, however short or long that is. I’m worried someone will convince me to go back on medication. I’m worried that the only thought in my head right now is that I give up.

I’m worried that, recently, every time someone offers their help, my response now is “I don’t want it.”

Do you all remember a time when I would bust out posts every day, sometimes twice a day, sometimes thrice a day? That time ended many months ago, and this writer’s block has continued something fierce. Every once in a while I come on and see how everyone is doing, what’s going on their life and where they are heading and I wonder why I just can’t kick my ass in gear and write.

I’m a writer for God’s sake, that’s what I do.

So, as I sit in class right now, it got me thinking about my writer’s block, others writer’s block, and how people just push through it. So that’s what I’m trying to do, for the sake of the cathartic process, and for the sake of my writing future.

Because I am such a broken human being unique individual with a variation of experiences, I decided to do something for myself and attend an outpatient group. This group meets three days a week, for three hours each day, and I’m on the evening schedule. We learn a lot about coping skills, about forming and maintaining healthy relationships, as well as being open and honest about what’s going on in our head. Some people have substance use issues partnered with their mental health, others don’t.

I’m not sure what I’m learning from it. I know that it gets me out of the house and prevents me from isolating, which is good for me, and I know it’s good for me because I absolutely hate doing it. And I seem to hate doing anything that’s good for me. Ever get that feeling?

Meanwhile, the outside world is falling apart and we’re all sitting around twiddling our thumbs like:

this-is-fine-0

When we should be doing something like this:

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Kanye West is trapped in a perpetual state of “mania”, or at least he’s addicted to the “manic” behavior, Trump is still president, sexual assault victims are coming forward and getting pushed back down, people are putting guns to their heads, overdosing, throwing themselves off bridges and the ages are getting younger and younger, there’s rarely anything positive on the news (in America), everyone kind of flipped the bird to school shootings, cops are still shouting “break yourself fool!”, cocking their gun sideways, and blowing seven holes in innocent people like they work for the crips, and meanwhile I’m sitting here on this computer documenting it all, processing it, and thinking back to similar times.

I think maybe, just maybe, we’re all stuck in a pretty serious delusion about our lives: That we can continue moving forward with all of this baggage on our back. Nothing is being discussed, and when a discussion does arise, it turns into nothing more than the internet being divided on the subject for a couple days. Racism is a hot topic, until a school shooting happens. We’re all crying for the students until a cop shoots another unarmed white, black, yellow, blue, brown, rainbow man/woman. As we writhe from the shock, Trump says something outlandish and/or stupid (mostly stupid), and all cameras point to him. They’re so busy photographing his orange face and blonde toupee that they miss the guy standing on the bridge behind them, tears streaming down his face.

There’s no soft way to put things: we’re living in a society in which things are swept under the rug.

I guess it’s nice that you and your friend on Facebook have these deep philosophical conversations over messenger that ultimately ends with one of you quoting words you don’t understand by some unnamed author, hoping that the way you’ve carried yourself and your political stance will help you sound like an intellectual.

And it doesn’t help that when something serious on social media is trending, it doesn’t get taken serious and its fifteen minutes of fame go by in five. This is my argument against May Mental Health Awareness month. There’s nothing impressive about a month of people saying nice things to each other and being supportive when that mindset falls apart in June.

At this point, I’m ranting, because if there’s one thing we all understand about writer’s block, is that you can’t pull the right fucking words out of your head even if your life depended on it. Something has them stopped up like hair in a drain, and I don’t have a long enough whatcha-ma-call-em to dig the mess out. The only solution is to pour corrosive bleach down the hole and let it set. So, I’m pouring bleach on my brain and waiting for the magic to happen.

What will happen to this blog? I’m not entirely sure. I don’t want to get rid of it, I want to help it blossom into what it once was. I want to communicate to real people about real topics and still promote mental wellness. I want to commit to writing at least once a day to gain back old followers and shake hands with new ones. I want to be part of the solution, not the problem, in my own life and in relation to the rest of the world. I want a lot of things, as you can see, and I’m not quite sure what that means.

And that’s today’s Mental Truth.

 

There’s nothing that can convince me that this life is meant to be as complicated as we make it. There’s nothing that can convince me that we will ever find all of the answers, and to think that we have some already is naive and wishful. These are the things I think about as I backtrack in my Sudoku game, something I used to hate doing as a child because I could never get it right the first time. I have once in my life, but that was in a bout of mania. As much as I like to think it was my own brain power, it was really just a flood of neurotransmitters doing all the work.

250px-sudoku_puzzle_by_l2g-20050714_solution_standardized_layout-svgI was thinking about this the other day, about neurotransmission and Sudoku, and how they both have algorithms to describe their process. We have more neural connections in our brain than we have estimated stars in our galaxy. 1000 times more, to be exact. Sudoku has a bunch of different number possibilities, but only one answer. I fear neurotransmission is not as simple.

We have an algorithm for the probability of neural transmission: when certain neurons will fire and the chance of that happening, essentially. I believe if we do wish to describe the processes that happen in our brain, math will be the catalyst for success in that field. There are too many connections, too many variables, to settle on an explanation as simple as, say, a chemical imbalance.

I came across an essay in PLOS medicine titled “Serotonin and depression: a disconnect between the advertisements and the Scientific Literature.” This is a big deal. Although published in 2005, their words are still very relevent today. I’m sure you have heard in commercials about psychiatric medication that “so and so disorder is a chemical imbalance, and [insert drug] works to correct that balance”. Notice they will never explain how or why, because they simply don’t know. We don’t know.

And that’s where my area of study will be, once I do graduate: let’s explore this idea of chemical imbalance and what it may mean. My ultimate goal? Disprove the theory.

That’s a long way off, and it may only be a pipe dream, but I believe I can catalyst a different type of thought in the mental health community by proving, scientifically, mathematically, whatever you want to call it, that something like a chemical imbalance cannot possibly exist. Why?

As the essay says:

Attempts were also made to induce depression by depleting serotonin levels, but these experiments reaped no consistent results [9]. Likewise, researchers found that huge increases in brain serotonin, arrived at by administering high-dose L-tryptophan, were ineffective at relieving depression.

As it also says:

Contemporary neuroscience research has failed to confirm any serotonergic lesion in any mental disorder, and has in fact provided significant counterevidence to the explanation of a simple neurotransmitter deficiency. Modern neuroscience has instead shown that the brain is vastly complex and poorly understood.

And of course, let’s not forget:

There is no scientifically established ideal “chemical balance” of serotonin, let alone an identifiable pathological imbalance. To equate the impressive recent achievements of neuroscience with support for the serotonin hypothesis is a mistake.

comic-bubble-hmm_1609021If there is no established balance, there, logically, cannot be an imbalance. This article focuses purely on serotonin and depression, but this in fact relates as well to the dopamine hypothesis of schizophrenia and any other neurotransmitter they claim causes certain mental health issues. These studies are indeed correlational and not experiments. What does this mean for us that struggle mentally?

It means the door is open again. It means we can find a different explanation. It means we can focus on genes. We can focus on environment. We can focus on the way society structures thought–how we’re taught to think about ourselves in the first place. We can focus on things we can change, rather than this pipe dream that a little pill that may or may not cause more harm to our bodies/brains than good, can cure anything at all.

To deny that there is a biological component would be ignorant of me. To accept the propaganda that pharmaceutical companies place in front of my eyes would be even more ignorant of me.

There could be a chance that neurotransmission is just like Sudoku, and that perhaps there is one single answer and we just have to back track and back track and back track until we find the right numerical composition. But more than likely that isn’t the case. This isn’t a pattern devised by a computer. This is a pattern devised by universal chaos and quantum processes. What is there to correct? What’s created by nature is created by nature, and for us to label that right or wrong, normal or abnormal, is rather selfish and egotistical.

What else could it be, if not a chemical imbalance then? We could brainstorm ideas for hours. Genetics–if your mother has what we label as schizophrenia, there’s a greater chance you will too. But stop. It also depends on: Environment. There’s a striking number of people who receive this label who have been through some type of sexual abuse, physical abuse, severe emotional abuse, and often voices and delusions reflect this pain. What does that tell us? That deep pain that isn’t processed properly leaves a lasting stamp on our neural connections, and turns something on and off in our genetics. Socio-economic status plays a role: think of all the homeless people you see wandering the street talking to themselves. Assume they are not on drugs, and you’re dealing with a mental health issue. You think it’s easy to get well in poverty? You think there isn’t trauma in poverty? What effect does trauma have on the brain? There are studies on this, but what does it mean for neural connections? What does any of the things I just mentioned mean?

That’s what I plan to study in my life. I’ve given up the fight against these pharmaceutical people. I can’t fight a corporation. But I can fight their bullshit research with real research.

Ironic, considering Research Methods is my LEAST favorite class.

And that’s today’s Mental Truth.

 

 

Another long stretch since I’ve written. I spent some days adjusting to medication, some days hating myself for taking medication, and other days deciding to come off of medication.

Experiment number 2984719374:

Hypothesis: I will have a burst of energy and feel-good neurotransmitters flooding the gates of my synaptic terminals, followed by an immediate and harrowing decline which will, therefore, push me inevitably towards reuniting with the medication I so despise.

Methods: I will stop both the Abilify and Trintellix and monitor my moods and/or whatever aspects of psychosis that may rear its ugly head.

Results: TBD

Discussion: TBD.

Now that we have that settled, let’s talk a bit about mental health and awareness. There are so many great people out there doing great advocacy online and in person. There are so many great Non-Profit organizations doing the same. There are even clubs dedicated to such a thing at my college campus. And yet, there are still people wary and ashamed of their mental health. Let me give an example of how this thought process is still prevalent.

Today, while sitting in my Cognitive Psychology class, we were going over, for the umpteenth time in my life, neurotransmission, synaptic terminals, receptors, antagonists and agonists, Dopamine, Gaba, Norepinephrine, and Serotonin, some of the main receptors you learn in an introduction class. It follows that we should then speak about the dis-regulation of some of those neurotransmitters, and discuss the THEORY of chemical imbalances: regarding primarily dopamine and schizophrenia, serotonin and anxiety/depression.

Again, the idea of a chemical imbalance is a (repeat after me kids):

situation-clipart-theory-5

which means it can never be proven, only dis-proven.

Anyway, that brought up the topic of SSRI’s, their side effects, and their withdrawal symptoms.

One young woman, who was probably younger than I am, raised her hand and said this:

“I was wondering about the withdrawal symptoms, because I take an SSRI, and I noticed that–well, I don’t have depression, it’s for some nerve problems–but I noticed that when I didn’t take it even for just a couple days, I was sleeping a lot, I couldn’t focus in this class . . .” and yada yada yada, personal life bullshit.

But what struck me is that she immediately discounted the experience of depression. She wouldn’t want her classmates thinking she’s “mentally ill” now would she?

And this is why I advocate for changing the culture around this term “mentally ill”. Because people are ashamed of that, of “being ill”. But what if we weren’t “ill”? What if we were perfectly well humans with a variation of neurons (a very, very, very large variation of neurons) that just so happened to result in different experiences? What if believing we are “ill” is keeping us, well, “ill-er”?

What if the perception of those experiences changed from unpleasant to being perceived as unique, variable, malleable, valuable, curious, and wonderful?

That’s not to say the struggle isn’t hard, because it’s very hard. But the harder we believe it is, the harder it will get.

Now, this could all be the feel-good neurotransmitters talking, because I started my little experiment about two weeks ago, and that is about the amount of time it takes for this poison to slowly remove itself from my body. Although, if you know anything about half-lifes, it never really goes away.

But whether or not this is me being euphoric and grandiose, I think we need to expand the discussion around neurotransmitters, and inform the public of just how wrong it is to think that the pathway of ONE SINGLE neurotransmitter leads to something as complex as what we call schizophrenia or what we call anxiety, Bipolar, Depression, any of it.

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You’ll read in a lot of studies released to the public–or at least glorified in the media–that they’ve found another link of dopamine to this, another one of serotonin to that, and it’s just not feasible that with 30-100 different molecule versions of neurotransmitters (granted there are a few that do a lot of the work) and 100 Trillion estimated neural connections plus constant variation of cell death/growth, neural connection death/growth, as well as environmental and genetic influences that dictate those neural connection and sell growths and deaths, that ONE neurotransmitter is going to be responsible for making or breaking our mental health.

Now, we can say that they are correlated. We can say we see increased dopamine in people who experience what we label as schizophrenia. But you cannot, and I repeat, CANNOT use that as CAUSATION.

Fuck I can’t stress it ENOUGH.

Psychology 101 folks: CORRELATION IS NOT CAUSATION. 

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Dopamine may be high during what we call psychosis, but that does not mean that the high dopamine CAUSED the psychosis, or that the psychosis CAUSED the high dopamine. We haven’t learned what “causes” mental health struggles yet, that’s why chemical imbalance is a THEORY.

See how much you’ve learned already today.

And that’s what happens in a lot of these articles that are debriefed by media or science magazines online with writers who don’t know a single thing about psychology. They get hung up on correlations.

It’s also a result of research publications being manipulated to suit the needs of pharmaceutical companies.

It’s a fact that if you give someone a drug that decreases dopamine, you’ll likely see a decrease in what we call psychosis. You’ll see a decrease in a lot of other things too, and those are what we cal side-effects. But are those drugs really doing anything to the thing we call psychosis, or is it just blunting some aspects of the self? Because often “psychotic symptoms” continue during the usage of said drug.

These are all questions I can’t answer, and neither can the magazines that publish articles on published research. It’s important to read these things carefully and really take a moment to look inside of yourself and ask yourself if you want to consider yourself broken, sick, ill, and helpless.

And that’s today’s Mental Truth.