Category Archives: Perspectives On Mental Health

A variety of ideas on the current standings of mainstream mental health

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.

 

 

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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):

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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.

 

I didn’t think I’d make it to 23. I thought for sure I’d kill myself before then, or get possessed into damnation and die while the priest tried exercising the demon. After the Las Vegas shooter and the stint of psychosis and hospital visits that succeeded it I wasn’t sure what was going to come next. I certainly didn’t expect to move out of my parent’s apartment, start looking for a new car, a second job, and start school again.

I still remember the first day paranoia hit me like I’d never experienced. That was the day I learned the difference between anxiety and paranoia. I was no longer anxious, I was fearful, I was suspicious, and I was sold on the idea that those classmates were jealous of me and formulating a plan to get me kicked out of college. I was for sure they were reading my blog posts and wanting to shut that down as well. On top of that, I believed a coworker was invading my body and controlling my movements, intercepting my thoughts, and preventing me from speaking. I spend days sitting in front of my computer watching YouTube with the lights off and a blanket over my head. I couldn’t go out into the kitchen and get a damn bowl of cereal without feeling my movements weren’t my own.

That was almost two years ago to this date.

Then some conflict happened at work that made me question the trust I had in myself and trust I put in others. I had just begun trusting people for the first time in my life and when that was broken things spiraled quickly out of control. I was convinced the shooter was possessed by the same demons who were possessing my coworkers and they shot all those people as a warning to me. I started seeing women with their heads spinning around like the exorcist and hearing voices telling me to strangle my cat, telling me I was a “dead man walking” (even though I’m a woman) and making my footsteps echo like I was walking through the halls of hell. They showed me where I would be in hell through dreams, and tormented me in ways that would seem normal: nightmares, bad thoughts, e.t.c., things that don’t make me look “crazy” so they wouldn’t be caught. I’d see faceless people following me down the street at night.

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I can’t put these events in order because everything sort of blends together. I worked 4 or 5 days out of the week for two consecutive weeks and it broke me. I ended up back in the hospital and that’s where I received a diagnosis of Bipolar 1, on top of my past diagnoses of PTSD, Social Anxiety Disorder, Major Depression, and GAD. Out of the hospital, I received a revised diagnosis of Psychosis NOS: considering I’ve never had a stint in Mania in my life, it made sense from a professional standpoint.

I don’t tell what my diagnoses are not because I’m ashamed but because they don’t really matter. What matters is the experience, how I cope, and how others can cope. I don’t define myself or anyone by diagnosis, I don’t call them sick, I don’t call them “mentally ill”; in fact, I regard that as an insult.

If we want to reduce something like stigma we need to advocate for ourselves in a way that shows we are the same as everyone else, but with a different perspective on things in life. The brain is as unique as a finger print, I’ve said it many times on this blog, and that essentially crushes the idea of standard identity: no one is standard, there is no standard. There is only variety.

If we want people to take mental health seriously, we need to show them we aren’t dangerous, we aren’t crazy, we aren’t sick, we aren’t ill, we are strong, empowered people who struggle and are able to cope with that struggle in whatever way we can. We are people who have a lot of offer to this world, and perspectives to share with the world. We can work, we can live independently, we can choose to take medication or not and if you don’t believe me (even though I’m walking proof of that), please refer to Soteria house with Psychiatrist Loren Mosher and this post here.

And that’s today’s Mental Truth.

It feels good to be back. And by being back I mean reading articles that really have meaning to them, reading tweets that aren’t just about the memearific Kim K shoot. It feels good to be reading and reporting on articles that support and disapprove of my stance. I read one this morning called “The Corruption of Evidence Based Medicine–Killing for Profit” by a Doctor Jason Fung, a Nephrologist. You can read it here.

I mostly report on the corruption within the medicine of psychiatry, but the same happens in the sector of physical health.

This isn’t surprising. As I’ve said many times, medicine is a business. It shouldn’t be, but it is. It’s the same sort of business Tobacco is: it feeds off of people’s weaknesses. That’s not to say at least medicine has the quality of “helping” some people. Without my dad’s blood pressure medicine, his pressure rises into the 200’s easy. They’ve already seen he’s had a few mini strokes none of us knew about. So I’m not here to say we need to abolish the current system. I’m here saying we need to take a closer look.

It’s not your physicians necessarily that are in on this, it’s the researchers, the pharmaceutical companies, and if you live in the United States, the insurance companies. It’s a shame the only research that gets published is the research that very obviously supports the pharmaceutical or the procedure.

Fung quotes Doctor Marcia Angell when she stated the mean truth:

“It is simply no longer possible to believe much of the clinical research that is published, or to reply on the judgement of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor.”

It didn’t take me two decades to reach that conclusion, and I wasn’t reluctant about it. As soon as I read anti-psychotics were given to three year old’s for tantrums, I knew something was screwy. It doesn’t take a rocket scientists to see the profit within that.

Some psychiatrists and physicians aren’t even aware of what they’re doing half the time. My last psychiatrist wanted to raise me to 15mg of Abilify even though the research says anything about 10mg shows no real efficacy. And yet, how high up do they go in miligrams? 30. Think about that. 2mg of Abilify is 939 dollars a prescription without insurance. Abilify is one of the top-selling Antipsychotics in the U.S. Think about it. It took me digging through a lot of papers and research to even find the truth about the efficacy.

Soon all the rage will be these injections. The easiest way to trap someone on a medication is to give them one they can’t refuse. They are, of course, for the more “difficult” patients. So not only are you a patient with no rights, you’re also a patient with no rights who knows they have no rights, so you stand up to that, and that makes you difficult. Or, your experience of psychosis hasn’t been properly approached yet, and therefore you are left to sizzle in your own mind with only the fleeting hope an injection will change things. Maybe for some it does. But at what cost?

Fung makes a good point: “Evidence based medicine is completely worthless if the evidence base is false or corrupted.” 

Doctor Relman makes another good point:

“The medical profession is being bought by the pharmaceutical industry, not only in terms of the practice of medicine, but also in terms of teaching and research. The academic institutions of this country are allowing themselves to be the paid agents of the pharmaceutical industry. I think it’s disgraceful.”

It’s very disgraceful. This is why I have such a strong moral stance against taking medication, this is why I hate to admit that sometimes, yes, a low dosage of a medication does even out my mood. Yes, a low dosage of a medication does help me better understand and better dictate what thoughts I listen to and what thoughts I don’t.

It’s when doctors push up your milligrams because your voices haven’t gone that is the problem. Maybe the voices will never go away: if you haven’t accepted or made peace with that, that’s not a problem medication will solve. Maybe the delusional thoughts will always be there. The depression. The anxiety. If you haven’t accepted any of that, again, that’s not a problem medication will solve. 

It’s also not a problem to be solved. It’s an experience to learn from. It’s an experience to learn how to experience it in a way where you can still live the life you want to. Everyone has some kind of struggle that holds them back at some point in life. You are no different. And to sit back and say “Well, this is my ‘sickness’, I guess I’m doomed to a life of nothingness” is called giving up. That’s not acceptance.

That’s one thing that I struggle with in accepting this “mental health awareness” campaign everyone has going. They’re making awareness for the sickness, the illness, for this idea of helplessness because “your mental illness will never go away”. We should be empowering each other. We should be introducing each other to new perspectives, new ways of hearing voices, new ways of interpreting delusions, new ways of tackling anxiety, new ways of coping with depressions, new ways of experiencing mood swings. The only way we will avoid the corruption of ourselves is to keep ourselves. We can’t lose ourselves within this idea of being ill, of being sick, of needing this, needing that, being disabled.

And that’s today’s Mental Truth.

 

Alright, let’s talk about this. Some of you probably already know my stance on psychology, psychiatry, and the way the system is set up. If you’re new to this blog, and haven’t been through the ringer with me, check out the quotes at the bottom of the home page and you’ll probably get the jist really quickly.

But there’s a trend on social media that I kind of want to address. It’s this cliche thing of naming what people like to call “mental illness”. I’ll use the term here because they do, but know I don’t believe in it, and never will I call myself mentally ill.

twitter_512I came across a Tweet (yes, I use twitter: @Ipenned) today stating “Social Anxiety disorder is not to be confused with introversion–which is true. It went on to state that people who are extroverted can also have social anxiety, which is certainly true. But then they had to ruin that truth with “Social Anxiety Disorder is a mental illness and can affect anyone”.

Why does that ruin the truth? Well, as someone who has struggled with social anxiety since I was a toddler (4 years old), and we’re talking severe social anxiety, I used to faint if I got called to the front of the class, and once spoke in tongues in front of a whole class because a substitute teacher called on me and my brain stopped working. I’ve made two whole friends in my life by myself. But as someone who has struggled with this, the last thing I want to be called is ill.

I’d rather be told I experience life differently. I’d rather be told not only is it okay to be anxious, but it’s okay to not need, want, or feel pressured to make or be involved in friendships. A lot of my anxiety abated when I went off on my own. Not because I’m some sick loner that needs to get my shit together, but because I actually enjoy time to myself, and the anxiety tires me out if I’m around people too long. That’s not a problem. That’s not something that’s wrong with me. That’s me. And if other people have a problem with it, that’s on them. They don’t have the right to call that part of me an illness.

I don’t consider my psychosis an illness. I interpret things differently, I think about things differently, my perspective is often through a lens of trauma, which becomes a lens of delusion, and once I was helped to understand that, a lot of clarity ensued.

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I don’t consider my depression an illness. I’ve been through a lot in my life, including homelessness, growing up around a lot of alcohol and drugs, domestic violence, violence–that changes the way you think, the way you see things, and the way you feel. Your neurons develop different connections. That’s not an illness. That’s an environmental change, an evolution. That’s called plasticity. Depression has opened up so much beauty in the world to me, I wouldn’t be as grateful, thankful, or happy as I am today without depression. And that’s not me glorifying the situation, that’s me finding the good in what everyone says is bad.

So it frustrates me when I see people on social media promoting this idea of illness. Why are you insulting yourself? Why are you feeding into the labels? I’m so confused.

I’m confused on why people think injections of medication is a good thing. I’m confused on why that’s not seen as a trap. I get that a lot of people have trouble taking their medication, I’m one of those people, but are once-monthly injections necessary? What if the person wishes to get off and their doctor doesn’t agree? Their power is taken away. And I understand that people really wholly believe their doctor knows what’s best for them. But I’m come across many psychiatrists who instead push their own agenda and don’t listen to a word I say. How is that knowing best? How is not listening to your “patient” knowing what’s best?

I guess I’m just confused in general. I’m sick of being seen as the enemy. I’m sick of people thinking that because I refuse to feed into the hype of pop psychology that I’m in denial of my own issues. If you want to consider yourself disordered and sick and ill and put all these negative connotations on yourself, and then turn around and say you’re not your illness, you go ahead and play around with it, try to make that logically sound. I, however, refuse to play into bullshit and refuse to play into the hype.

And that’s today’s Mental Truth.

So a recent hallucination of mine has been rather mild but annoying. It’s been a crow speaking to me, and shouting at me, particularly outside of my bedroom window. I also have a running theory that not only are ads following me on my phone and my computer, but they’re following me onto the televisions in the restaurants I’ve been visiting. But that’s a whole other conversation.

Anyway, this “hey” crow has the name “hey”, because that’s the way he gets my attention. Shouting “HEY. HEY. HEY. HEY. HEEEEEY. HEY.” until I acknowledge his presence. I haven’t seen him yet, but for some reason I know it’s a crow. It certainly isn’t a human. Maybe it’s a spirit calling from another realm, I haven’t given that much thought towards it because I knew for sure it was a crow: he always talks from outside up in a tree somewhere. It’s got to be a crow.

I do believe animals speak with us in their own language. I highly doubt they truly know English, but maybe this is a highly evolved crow who happens to have really gained a grasp on human form and language.

I wrote a quick poem about him. It goes something like this:

“Hey!” caws the crow, and I listen,

What wisdom

will he share today?

Will he show how a shadow dances with a mind of its own?

Or remind us how the sunrise ushers in a new spirit for the day?

 

“Hey!” caws the crow, and I listen

to whatever wisdom he shares with me today.

Will he warn me of the passerby–watch your back with that guy–or compliment

my outfit?

Will he watch the passing stars with me

and wonder about infinity?

There’s a lot this crow knows, you see.

 

And while I wonder what he’ll share

I have to remember

and be aware

that it may be fiction

what he wove into his diction

But “hey!” caws the crow,

and I still listen.

 

It’s impulsively penned, and certainly not great, but you get the jist of what I’m trying to say with it, I hope. Check out that poem and more writings on my Booksie account at this link here. 

 

So yesterday I was casually reading an article on schizophrenia and how the cortical thickness seen in the condition is directly related to duration and dosage of antipsychotic medication rather than the progression of a “disease”, and my cat started meowing. Nothing out of the ordinary really. A little spider scurried across the couch arm and I smashed it because I fucking hate spiders (sorry Buddhists, and sorry if there are any spiders from the spider dimension reading this, please don’t come and eat me) and I moved to the other side of the couch so that if there were any more spiders they wouldn’t come near me and I could see them coming. Again, nothing out of the ordinary.

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The only thing out of the ordinary is how content I felt with it all. My cat, the spider, the idea of a spider dimension, the article I was reading–well, I wasn’t really content with that, because that just pisses me off, but you get the point. I wasn’t happy, I wasn’t sad, I just was, and that’s a beautiful thing.

I was talking to someone about how uncomfortable being content has been for me lately, because I’m so used to feeling depressed or suspicious about something or other, sometimes about nothing at all. Sometimes I’ll just sit in a depressed, suspicious heap and not understand an ounce where it’s coming from. But lately, besides crippling anxiety, I’ve felt okay. I’ve been pouring my heart out into some poetry, which is something I’ve never really done before, and I’m considering grouping them all together into a collection. I’ve personally never liked poetry, or written a lot of it, but lately I’ve realized how similar it is to writing a story, only the language and metaphors and similes are done in an equally beautiful way.

I’ve also started comparing psychosis, mine at least, to poetry. And I’ll explain that at a later date, as soon as I figure out exactly how to do that.

I think I wrote in a different post about contentment, but there was a lack of feeling in it because I hadn’t got into my groove yet. Now I’m back in my groove and finding my voice again, so I can talk fucking eloquently about my experiences. Are you ready, kids?

Fuck depression.

That’s eloquent, right?

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I don’t know if my psychosis is related to my depression, it very well could be, but it seems to be more consistent across the board than the depression, so it might not be. We’ll see what the psychiatrist says on our next visit: I would like her to tell me what she’s diagnosing me with, besides PTSD which was already established. I don’t want to have to sneak a look on her computer like I had to with the county psychiatrist. Did I tell you all about that? She wouldn’t tell me shit, so when she left the room I sat in her chair and read all the notes she wrote about me, from the “denial” of substance use, to the “ruling out” of schizophrenia. If you’re wondering how I didn’t get caught, it’s because she was wearing heels and walking back and forth across tile. I knew when she was leaving and when she was coming back. She had diagnosed me with Psychosis NOS and Depression and GAD. My current psychiatrist has since wiped that all off the table and added PTSD as a for-sure diagnosis.

And this is why I am not someone who advocates that people need to be diagnosed. It’s just a bunch of back and forth malarkey. Everything overlaps each other so frequently there’s no telling if what you’ve been diagnosed with is even accurate. So you end up with a list of diagnoses and a list of medications and you’re wondering who you are, why you’re so fucked up, and yada, yada. Why go through all that trouble? Why not just be told you’re struggling and these are a list of options to help you through that struggle?

Seems a lot easier and less damaging to me.

I also recognize that for some people a diagnosis really does solidify things for them.

And if that’s the case for you, be proud of it and own it.

You’re unique.