In the genre of “things you don’t talk about at dinner parties,” mental health issues rank higher than politics, sex, and religion.
But why? Why do we shy away from discussing the difficult things? Particularly when the difficult things, the things that make us the most real, are usually also the things that make us the most similar. There’s commonality in crisis. The rawness of our struggles can bring us together.
It only takes one person to start a conversation, even a tough one, and I’m starting this one right now. The life cycle of my mental health has been something like this:
Turn 15. Attend your grandmother’s funeral. Watch your mother spiral into depression over the ensuing months. Feel helpless. Ask questions. Get answers of silence. Depression isn’t something to be discussed. Live your mother’s day to day struggle. One medication to another. And then another. And another. Notice that your family is falling apart.
Graduate high school. Leave for college. Get sucked into the whirlwind of pressure and intoxicating freedom. Listen in shock to the news that 3 students committed suicide during the first week of classes. Question how anyone could take their own life. Feel sorry for them, people you don’t even know, but feel superior at the same time. Pat yourself on the back for having your shit together.
Spend the next 6 months living it up. Love that you’re having the time of your life. Feel a sudden shift in mood. Start to notice that your days are either sparklingly perfect or horrifyingly sad. Analyze external factors. Tell yourself that it’s college, that everyone must feel like this. Chalk it up to the combination of too much drinking and too little sleep. Too much stress and too little of everything else. Ignore the warning signs for as long as possible.
Start Junior year feeling pretty pleased with yourself, proud that you’re going to graduate a year early from such a great school. Continue to ignore the mood swings. Get rocked by a horrible breakup. Fall apart. Put yourself back together. Berate yourself for having so many bad days, even after you’ve gotten over the heartache.
Make an appointment at the NYU Wellness Center. Start using your 12 free counseling sessions, the ones the school started offering after the string of suicides. Sit across the room from a psychologist named Kathy. Feel supremely awkward. Keep telling yourself, over and over, that you’re fine and that you should be able to handle your feelings on your own. Lie to everyone about being in therapy.
Use up all 12 sessions. Refuse to pay for more. Wonder angrily why your insurance doesn’t cover mental health treatment. Feel embarrassed about needing help in the first place. Think that if your insurance company doesn’t consider this a real problem, you should be able to just sack up and get over it already. Cry. Hide in your room. Cry. Skip class. Lie to everyone about what you’re going through. Sleep as much as possible. Wonder if the world and the people in your life would be better off without you. Start to understand suicide. Drink a lot of vodka.
Switch from vodka to tequila. Go through a simultaneously coincidental shift in mood. Start to pick up momentum. Feel euphoric all the time. Sleep less, talk more. Think less, do more. Live impulsively. Love how raw and powerful your sexuality is. Get off on drawing people into your dramatic tornado. Drink more tequila. Hook up with people you shouldn’t hook up with. Spend money you shouldn’t spend. Do one thing after another that you aren’t coherent enough to know you’ll later regret.
Go from euphoric to irritable. Lose your shit over the smallest things. Get a referral to the National Institute for the Psychotherapies. Start seeing a doctor you call Hillary, due to her physical resemblance to Hillary Clinton. Talk to her. Talk more. And more. Get diagnosed with Cyclothymia, a mild form of bipolar disorder. Make an appointment to see a psychiatrist. Talk to her too. Fill your first prescription for Lamictal, a mood stabilizer. Hate the way it makes you feel. Hate hearing that even though you hate the way it makes you feel, it’s necessary. Fight your doctors. Fight everyone.
Take the medication for about 6 months. Feel dull the entire time. Continue to see both doctors. Talk. Feel dull. Repeat.
Stop taking your medication. Feel your impulsiveness spiral out of control. Watch as New Year’s Eve 2007 quickly turns into one of the worst nights of your life. Cry for days. Decide you can’t handle living in NYC anymore. Pack everything you own and move to California to get away from it all.
Spend hours laying in the middle of the floor, crying, when you realize the truth to that old saying that “no matter where you go, there you are.” Feel the mood swings picking up speed and aggression. Spend days in bed. Days where it seems like nothing will ever be okay again. Feel better. Tell yourself you’re going to be fine. Look in the mirror and reassure yourself that you have it all under control.
Go through a summer of extreme emotion. Experience real insomnia for the first time. Spend your days as high as a kite on sleeplessness and caffeine. Spend your nights pacing around in the dark, making list after mental list of everything you need to do to be as incredible as possible.
Spend the fall and winter completely breaking down. Make an appointment to see a new therapist in December of 2008. Pick her randomly off a list of people covered by your current insurance. Quickly realize that nothing is random because this woman saves your life. She asks the questions that need to be asked, and when you don’t answer right away, when you’re scared of yourself, she asks again. And she waits. She’s kind and nonjudgmental. She doesn’t put you back on medication, but tells you not to rule it out as a future course of treatment, if necessary.
You spend 8 months under her care. Halfway through that time, you’re forced to switch to a different kind of insurance that doesn’t cover mental health treatment. She sees you anyway, at an incredibly reduced rate. You’re more grateful than you have ever been.
She helps you in a way you never thought possible. She’s there for you when you lose a close friend to suicide. She works with you as you make the decision to go the nomad route, to travel and pursue your best life. She tells you to be careful, warns that a lack of routine could easily shift you back into crushing mood swings. She makes you promise to call if you need anything. You promise. You hug her goodbye.
You pack up and leave California, set out on the path of a professional nomad. You feel pretty damn stable. Then, late one October night during your travels, you learn that a former camper of yours has committed suicide, that she suffered from deep depression and that she hung herself the night before. You hear this, you understand it, and yet you can’t believe it. You cry throughout the entire night and wonder what could have been done differently to change the outcome.
You realize, finally, that mental illness isn’t something to be ashamed of. You admit that you have a mood disorder, and that luckily, because of the right help, you have it under control. You decide that you’re not going to be quiet about it anymore, that you aren’t going to pretend you have all your little ducks in a row, because you don’t. Because your honesty and openness, no matter how difficult, might inspire more honesty and more openness and that from it, we can work together to build a world where we’re not afraid to reach out for help, to be there for each other, to look each other in the eye and say, “I’m not okay,” and, hopefully, to save each others’ lives.