Monday, 27 January 2014

More than a list of symptoms



     There are many things that I hate about being mentally ill.  One of the worst would have to be being nothing more than the label of your diagnosis.  This is a common thing that a lot of friends, family members, or anyone who doesn’t understand what it is like to do.  What do I mean?  Let’s say you’re bipolar.  You get angry at someone and the other person throws your illness in your face and declares that you’re acting “crazy again” or that you must be manic.
     
     If you have a bad day and don’t feel like talking about it, people assume you are depressed just because you have a diagnosis of depression.  You can’t even be allowed to be sad for fear of others attempting to label you as symptomatic.  And even if you start to become slightly symptomatic they blow it out of the water as though you were currently on your way out the door naked with a cactus in one hand and lipstick in the other.
      
     They feel as though if you can’t function properly when you are fully symptomatic any sign of anything outside of neutrality must be met with the taking away of car keys, credit cards, or whatever the issue is.  Our illness is thrown in our face at the slightest upset of the water, cramming us into a tight corner where we are no longer allowed to freely express ourselves.  We have two settings, as it would seem, neutral and crazy.
      
     Don’t do that please.  Realize that we are more than just an illness, more than a set of symptoms to be on the lookout for.  We appreciate that you care enough to look for the warning signs, we really do.  Sometimes that’s all we really want is for someone to care.  But we aren’t just robots; we have range of emotion and may even act in a way that is suspect for a few hours.
      
     Remember that a “normal” person has all kinds of reactions to all kinds of stimuli, some appropriate, some inappropriate.  We, by and large, already feel stressed about our illnesses.  If we are angry, we may lash.  We aren’t being histrionic or manic, if we are upset or sad we may cry, that does not mean we are not depressed.  We don’t need to be reminded of our illness, we want to feel normal.
      
     So what would I suggest doing?  Watch behavior for a few days and notice patterns forming over the course of a few days.  If we cry after a bad day at work, that’s fine.  If we cry after a bad day at work and then refuse to get up the next morning there might be a problem.  Allow us a full day of behavior (so long as it isn’t obviously harmful to anyone) to readjust.
      
     While I have singled out those close to us, I have seen this kind of thing from more professional people.  My therapist asks me if I have trouble sleeping for even a single night if I’m manic.  If I say I spent the weekend curled up watching Star Trek, she says I must be depressed.  While sometimes we may not be the best judge of how we feel, we certainly don’t like being told how we feel any more than any other person does.
      
     Again, we do appreciate people looking out for us, and sure sometimes we need that gentle reminder that we may be off kilter, but give us time to even out on our own, we will respect those times when you do remind us all the more.
--JJM

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