Tuesday, May 14, 2013

Mental Illness in Society

This is still a very sensible topic and in many ways admitting to have a mental illness is still a big stigma. In my opinion even more of stigma than admitting to having AIDS or any other transmitted disease. The question is why?

I am certain there might be a lot of different ways to approach that question or better the answer to that question, but I have my very own theory.

First of all with a mental illness you don't really see the symptoms. Most people perceive only things they can grasp. With most "physical" illnesses this can include visual things e.g. a rash or an injury or things you can measure with blood tests etc. In most of the cases with mental illnesses you don't have hardly any of these options for testing. So everything people can see is the patient's behavior and that is part of the problem. At least it seems you can only see the behavior, since mental diseases are sometimes caused by a chemical imbalance in the brain, but that is a different matter.

As children we were taught: You can control your own behavior! If we assume that is right, then the consequence is to wonder, why people with mental diseases don't simply  pull themselves together and that is where the most common misconception happens. When you have a mental illness no matter if it is depression or something else you cannot control your behavior, which is why it is an illness.

Take depression as an example. People not understanding the background of the illness say things like: "So you are sad, what about it? We all are from time to time, just pull yourself together!" This sounds cruel, but trust me I have heard people following this line of argument and worse often enough. They just don't understand that you cannot pull yourself together. There is no way, if you are suffering from depression. People suffering from this kind of illness are sad without a reason and sometimes even feel like crying and don't even understand why. If you are just sad, there is a reason, because something has upset you, but with depression there is none, at least no emotional reason, the sadness is just there. So the question has to be: How do you cheer yourself up, if the sadness has no apparent reason? The answer is: You can't! Having suffered from depressions myself I can assure you that it is one of the toughest things you can experience, because of how helpless you are, when fighting something you cannot understand without help. Of course you learn how to deal with it, through therapy and on short term medication can help, but you need help, one way or the other. 

What people have to understand is that your behavior is usually more of a reaction than a mere action. Usually you get angry, when someone teases you and you get happy when something good happens. So if you want to avoid getting angry you can avoid people who tease you and usually this is the end of the story. But if your reaction happens without a trigger than there is no way you can control your reaction, because you cannot avoid the trigger.  

A very different illness is OCD, obsessive compulsive disorder. I think this is probably one of the worst things that can happen to you, because of the way it is often portrayed in the media and by ignorant people. Often enough people suffering from this disease are ridiculed for cheap laughs on TV or in the movies. To be honest seeing that sort of things makes me sick, as people suffering from OCD have enough of a hard time battling the condition, without having to worry about what other people might say or think if they find out. 

We all have cravings and urges and should understand that sometimes fighting them is beyond our strength. Take a simple example: Have you ever suffered from chicken pox? Then you know it itches gravely and you are not supposed to scratch. I remember when I had chicken pox that suppressing the urge to scratch was almost impossible. Now imagine having a much stronger urge to, let's say wash your hands. While you know the chicken pox does eventually go away an OCD doesn't simply go away. The people with this condition hardly cannot surpress their urges, although those urges are sometimes even destructive, for instance some people feel the need to wash their hands with bleach to keep them REALLY clean. 

There are many mental diseases, some of them graver than others. While some can be managed in daily life, others require institutionalization. Of course I am no doctor and this is merely scratching the topic but my point is that mental illnesses are very real and that people literally suffer from them. Having a mental illness doesn't have anything to do with being weak or undisciplined; often enough people suffering from mental illnesses are among the strongest people. So people with mental conditions don't deserve our reproach or ridicule, they deserve our help and our compassion, to give them the strength to fight their condition.