#WorldMentalHealthDay, again. So has anything changed?
Just like Christmas, #WorldMentalHealthDay comes around faster and faster as I get older. I have a theory that the days are actually getting shorter, but that since clocks and all means of measuring time belong to the same universe where time is speeding up, no one can tell except older folks who everyone dismisses. That aside, here we are again, a day set aside to raise awareness of mental health issues.
I wish I had something good and exciting to say about the mental health provision in my own country but I don’t. Despite various campaigns and internet noise from organisations like MIND, Time to Change and The Samaritans, I can’t see that there has been any improvement at all, either in providing useful care or reducing stigma. A number of police forces have been considering suing the NHS because they feel it is entirely inappropriate that they have had to put vulnerable people in police cells for their own safety; locally I know of NO mental health beds available for suicidal or near suicidally ill people. On the last occasion I spoke to the Samaritans, the predictable question came up: have you spoken to your GP? I resisted the temptation to reply with asperity, but I did convey the complete pointlessness of seeing a GP when you have been bouncing around the system for much of your adult life, and that at present, all my GP would be able to offer would be medication I’d refuse and the possibility of going on a waiting list for CBT (which I would also refuse). The waiting list (last time I checked) was a good six months.
For someone who has struggled with mental illness all her life, I have come to a point where I could be described as high functioning depressive. I have never found medication to be helpful, though I must acknowledge that for some it is a life saver. I have only found it to make things worse. I have a low opinion of CBT for anything other than quite simple issues; it’s also become clear that while it is being used as a panacea for everything (it’s cheap) it’s very much contraindicated for a good number of conditions, including PTSD (something that is far more common and pervasive than people think, since it is usually associated with a single dramatic event in a person’s life, yet can be the result of long term stress, constant fear and so on). For long term serious conditions, much more is needed than simple therapies that are rolled out as cure-calls, usually with time/session limited courses of often no more than six sessions. But, we are told, there is no money.
Concerning stigma, I’m not convinced that’s reduced either. I read on the screen at the gym today some commentary on Tyson Fury’s mental illness, that trotted out all the usual guff about how he has everything to live for blah blah blah. It’s an ILLNESS, doofus. There’s been a subtle change that has in essence re-stigmatised mental illness. There are wide-spread ideas that are being spread via the internet, that it is possible to cure mental illness by maintaining positive thinking, smiling more, avoiding negative people, eating well, taking exercise and even by being consciously grateful for the good things in your life. All of these things may well benefit a person in the grips of a bit of glumness. But just as they won’t cure serious physical illness or injury, not will they cure mental illness. They’re coping strategies for staying well, no more than that. Yet it has entered the collective consciousness and the change is a very insidious form of stigma; people get told these things and if they fail to do them, or they try and nothing helps, it gets thrown back on them as being their fault for not trying harder or for whining or whatever. There’s a hidden attitude that actually depressed people deserve it, they’ve brought it on themselves by not trying hard enough to get better.
I’m also far from convinced that bringing in celebrities as Poster Boys and Girls for mental illness awareness is a useful thing. Many of those who have espoused the cause are, like me, high functioning depressives (other conditions are available…) and often don’t look like they’ve ever suffered a day’s blight in their lives. Then, when their lives implode periodically (for whatever reason) there’s mixed messages: first, so much for them being able to live well with the condition, blah blah, second, well if he/she can’t live with it with all their advantages in life, what hope is there for ordinary folks.
But I and my allies will fight on, as much as we can. There’s irony that depression robs you of the energy to fight for better care. I’ve made my book of essays, Depression and The Art of Tightrope Walking, only 99p (or whatever that is in other world currencies) worldwide, for a short period of time, to help raise awareness of mental health and mental illness. A recent review said that it would help others to understand what it means to live with such illness, and on a day like World Mental Health Day, I can’t think of a better thing for people to understand. The book will be at its lower price for a few days so please, please, please let others know about it, and if you have not already grabbed a copy, grab one now. Any reviews are very much appreciated too; the last time I looked there was nothing quite like it in the charts for mental health. Most books there are either self help books of some sort or celebrity mental health memoirs; mine is neither.
Whatever today brings you, I wish you all well.
(I have only added the UK link; for other Amazon stores, please enter the book title and my name into the search facility, or replace the dot co dot uk in the URL with whichever prefix is used for your local store ie dot fr, dot com etc)