Society and the Folly of Mental Wellness

There are so many aspects to mental health, it’s hard to keep track of them all. I suppose it’s no different with physical health, and all the various ailments that can affect one’s body; the same is true of the mind. For example, I suffer from deep depressions and bouts of manic creativity, and if I go off my meds I lose all sense of … well, sense. My official diagnosis is bipolar type 2, but the longer I live with it, the more I wonder if it’s just a way to describe to the medical profession behaviors that otherwise are difficult to understand.

What exactly defines “well”, anyway? In the physical body, it might be determined as “free of disease”, which is laughable, since we’re all dying slowly anyway. Diseases – diagnosable, defined differences from the “normal” human body – just expedite the process. If I smoke, or drink, or eat sugar and fatty foods, am I physically well? These things lead to diseases – cancer, liver failure, diabetes or heart disease – that ultimately will kill us all. Am I well only until one of those diseases becomes evident? Cancerous cells pop up all the time, and are usually destroyed by the body’s immune system before being detectable; am I only diseased if I doctor diagnoses me? And if I never go to a doctor, am I therefore physically “well”?

The follies of wellness, I think, extend to the mind as well. This isn’t to say mental illness isn’t a real thing – it absolutely is. But the definition of what makes one “well” is at best ridiculous to consider, especially considering the social stigma against being “unwell”. We’re so bombarded across media and society with messages of stuff that will make us happy, that I think we can start to confuse happiness with wellness.

If someone who experiences auditory hallucinations, and day-to-day seems to be a completely different person, never goes to a psychiatrist, they may never be diagnosed with schizophrenia. Does that mean they don’t have it? And what if they are just as happy as someone who doesn’t have those symptoms? Are they therefore unwell at all?

It’s interesting to me to consider – especially as someone who is so often “unwell” – where the line is between well and unwell, and I think the distinction is in what society determines to be acceptable behavior. And as I write about social acceptance, I realize that my own definition of “well” may be skewed. You see, when I’m severely depressed, I become unable to function. I lie in bed all day, sleeping and wishing for an end to everything I experience.

But what do I mean by “function”? After all, I’m still existing, and to an extent I’m coping with my disease to the best of my ability to do so. If I had a stomach virus, I’d be doing exhibiting exactly the same behavior. My ability to “function” is really determined by my ability to function within the context of wider society. If I go out to a supermarket and collapse in a corner, or walk down the street with tears streaming down my face, howling incoherently at the sky, I’d probably be considered mentally “unwell”. (Who are we kidding – I’d probably be locked away.) But if I do those things in the privacy of my own home, where nobody sees it and nobody knows, is it then acceptable?

This, I believe, is the true folly of mental wellness. The idea that we have to behave a certain way in public, in society – that we have to behaviorally conform to society’s standards of “normal” – is itself one of the biggest problems with coping with mental illness. The worst part of it is that society’s “normal” is an idea that we must strive for happiness, that happiness is somehow a state of being, and if we achieve it, we have somehow succeeded in life, and are mentally “well”.

Happiness is a fleeting moment of emotion. It’s no different than sadness, or anger, or excitement. It doesn’t last – it isn’t supposed to. If we were happy all the time, we’d stop recognizing it as anything good. I think you can be mentally ill and still be happy – and you can be perfectly well, and still be sad and depressed.

The work that needs to be done is to normalize the behaviors of the mentally “unwell”; to recognize that crying in public is not shameful, and that being unable to smile for days on end isn’t a sign to avoid social contact altogether. Society’s perception of mental illness is strongly negative, because it’s hard to sell sadness. Nobody wants to admit that sometimes it’s okay to feel bad, and that negative emotions are just as valid as positive ones.

So with all that being said, you might wonder – why do I take medication for my bipolar at all, then? Why not just force society to accept me at my worst, as well as at my best? Why do I care about my behavior enough to want to change it with chemicals in my brain?

The answer is probably more complicated than it might seem, and I’ll admit that a part of it may be to do with social conditioning. I’ve been led to believe that an overwhelming abundance of negative emotions is a bad thing, and that I shouldn’t feel that way. That I needed to change how I act, and I can’t change how I act if I don’t change how I feel. But deeper than that, there’s probably a sense of insecurity – that I want people to like me. And I’ve learned that people don’t like the way I behave when I’m unmedicated. In particular, the people I care about – my wife, my child – don’t like me when I’m unmedicated. When I’m less depressed, less angry, less volatile, they like me better.

But more importantly, I like me better. There came a point – a few years ago, actually – where I realized that I didn’t like myself. I didn’t like who I was, and the way I was acting. It just felt … awful. I wanted to change who I was, to an extent, and I wanted to change how I acted, and having struggled to do so on my own for decades, I realized I needed help. And most importantly, I realized that I was emotionally damaging people I really cared about, and that felt worse than anything. I didn’t want to feel that way anymore – despite often enjoying being depressed.

I think that this is the ultimate litmus test of mental wellness: how do you feel about yourself? Forget society, and its expectations; forget what people tell you about what you “should” feel, or be; are you content with yourself? If you are – truly, truly are – then you are probably just as “well” as anyone else. But if you’re not, then I encourage you to seek support. It’s incredibly difficult to change yourself on your own, and there are people in the world whose job it is to help.

So in summary – don’t seek happiness; seek self-contentment. Don’t change yourself to suit society; change yourself to suit yourself. Don’t seek to remove depression from your life; seek to remove the damage it causes to the people you love.

After all, happiness is fleeting – but so is sadness. Life is about riding the rollercoaster all the way around, not just stopping at the top. And most of all, when that change seems impossible – when it feels like all hope is gone – reach out for help. We’re never alone in the struggle of life.

You’re not alone.

What’s It Like to Not Be Depressed?

The fact that probably very few people will ever see this post doesn’t help, of course, but I’m very, very depressed at the moment. As in, to the point where I can barely function day-to-day, and the smallest of chores seem overwhelmingly impossible. I can’t even watch TV or play video games to zone out, because they seem pointless and inane. And for some odd reason I’m having trouble sleeping during the day, so all that’s left is to stare blankly at the wall.

I’m not necessarily concerned; I’ve been here before, and I’ll be here again, and it’s something I know all too well will pass in time. But that knowledge doesn’t alleviate the immense weight that is bearing down on me, making me feel like my life is meaningless, worthless, and destined to end in a pitiful whimper of existisitential boredom.

I think a part of my depression is coming from a deep social isolation as the world locks its doors and I stay home day after day; even for an introvert having limited human contact is psychologically harmful, and I’ve gone from a job where I interact with dozens of people a day to absolutely no one (at least not in person). It also doesn’t help that I’ve been riding a bipolar high for the past few weeks, and I know that this is a natural aspect of the downside of that high.

As I often do during these periods of affliction, I wonder what it must be like to not be depressed. And I don’t mean what it’s like to be happy, because I know happiness; I know joy, and the buzz of the bipolar high and the anxious, burning desire to create. But even in the whirlwind of emotions that come with that high, there’s a trace to depression. There’s a knowledge that the deep, dark despair is just on the other side of the coin, a hair’s breadth away and waiting eagerly to consume me. I can’t ever, ever escape depression, even at my happiest, and I wonder: what must it be like to simply not have these feelings?

I imagine, I suppose, that it must be a little bit like being high, or really, really drunk. A subconscious thread of uncaring, of believing that a better day awaits tomorrow. Sure, you might get sad, you might even feel depressed, but it’s because of something that happened, and eventually you work out how to handle that problem, put it behind you, and move on.

I wonder if living without depression is easy. I mean, I can understand that everyone faces struggles in life, but maybe it just boils down to the age-old glass-half-full mentality: perspective is everything. Is life a road with obstacles to be navigated, or is life all obstacles, and you somehow have to find a road between them? Imagine believing that there’s a road; imagine knowing that there’s a destination, and that it’s good. Imagine, if you can, a world where current events are just a stumbling block, and that the world might actually return to normal. Imagine a world of hope, and not one of despair.

You see, that’s the problem with depression. It’s all-consuming. There is no escaping it. Therapy, counseling, medications … they all do their part to alleviate the symptoms, but in the end it’s always there, underlying everything you think, say and do. I’ve lived with this for nearly twenty years, and despite my mental state’s mutations and changes, it’s one thing that has remained ever-constant.

I wish I could not be depressed. And I don’t mean now, in this moment, the feelings of drudgery and despair that are filling my head because of whatever chemical shift happens to be occurring in my head at the moment; I mean, I wish I could know what it’s like to just … not have to live with it. I suppose, really, what I’m asking for is to know what hope is.

Oh, fickle hope – between that and despair the world teeters. Some of us cling to one, and the rest can’t escape the other.

And in the end, what is there to do but trudge wearily through the snows of life? We can believe that there is sun to be found over the horizon, or we can believe that we will die before the day breaks; it doesn’t really change the realities of the world. The world is indifferent; the world doesn’t care.

But to think that the difference between hope and despair is a choice … that’s a belief I can’t hold. Ask yourself, truly: regardless of your own personal outlook, could you choose to be the other way? If you are depressed, can you choose to be happy? And if you’ve never known the cold, wretched clutches of despair, can you choose to feel that iron grip on your heart?

They say life is about choices, but I don’t know if there is such a thing. After all, you can’t ever know what the other outcome would have been, so what difference does any choice really make? I don’t know if there was ever a choice I made that led me to where I am now, how I feel; in the end, life is just what happens to you, and you can try to make the most of it all you like, but in the end – how much does it really matter?

Like I said, I’m very, very depressed at the moment. I’m not looking for sympathy, or consolation; really, just a way to say what I’m thinking. I know these feelings will pass, but even as I know that, I know they’ll one day return. Is life happy with bouts of depression, or depressed with bouts of happiness?

Who knows; who cares. All I know is that tomorrow is another day; that isn’t a statement of hope, nor of despair – it just is. I’ll probably make it through it, just like I did today. How I’ll feel at the end of it … that’s really anyone’s guess.

Here’s to hoping it isn’t in despair.

The Headiness of Mania

A few weeks ago, I found myself starting to wake up earlier than usual, unable to get back to sleep. And whilst normally I would lie in bed – sleeping or not – I found I wanted to get up, I wanted to go downstairs, or on the computer … I wanted to do something. At first I wasn’t sure what – I might just go lie with the cat, or make a breakfast I wouldn’t normally be bothered to make – but over the last couple of weeks, it’s gotten stronger.

You see, I have bipolar type II, which normally means I’m extremely depressed, with periods of ‘normality’, so to speak. I don’t usually get manic, and even when I’m in a period of hypomania I don’t usually find myself with increased energy or motivation- I’m just not depressed.

About a month ago, my doctor started me on a new medication (I can’t remember the name just now), and I think this has been a big trigger for me. It was meant to help with my seasonal depression (I usually get deeply depressed during the winter), but it seems to have worked a little too well. All of a sudden, I want to do things, write and play music: things I used to enjoy but fell out of fashion for me due to depression.

In the past two weeks, I’ve written almost 20,000 words of the fourth book in the Redemption of Erâth series, and began re-recording some very old songs I wrote almost twenty years ago, all whilst continuing to do well at work, and I feel … almost happy, for lack of a better term.

I’m not used to it.

It’s an odd feeling for me to have so much energy, motivation and desire to be productive. I suppose there are people who feel like this all the time, but it’s hard for me to imagine it. I feel like I’m riding an enormous wave, just starting to reach the crest before it all comes crashing down again. And I’m not usually able to ride the wave out – it buries me, drowns me, and crushes me to the bottom of the sea.

And it’s intoxicating – invigorating, even, and scary all at the same time. Intoxicating because it’s almost an addiction, something that drives me forward to keep doing more of the same, a drug I can’t get enough of. Invigorating, because it’s refreshing to have such energy for a change. And frightening, because I don’t know how long it’s going to last, and the higher the rise, the steeper the fall.

The good news is that so far it’s only resulted in positive productivity, and I’m (for the moment) not tempted into self-destructive or dangerous behavior. I’m not spending extravagantly, I’m not looking for wild sexcapades, and I’m not going out and getting drunk every night (in fact, I’ve actually almost completely stopped drinking). Instead, I can’t wait to get home to work on my music more; I can’t wait for lunch breaks at work to continue my novel. I feel exhilarated, happy, and free.

Unfortunately, there’s still a danger – a danger that I might get too high and start to be damaging to myself and others. And of course the danger presented by the inevitable fall into despair and darkness, which will come eventually, whether I like it or not.

My doctor’s already taken me off the new medication, but slightly increased another one, in the hopes of balancing me a little bit more. We’ll see how that works, but I’d be lying if I said there wasn’t a part of me that had secretly hoped to stay on it, to ride out this mania for as long as I can; but in the end, I know it’s not healthy, and I have to do what’s best for my long-term mental health.

But while it lasts, boy am I getting a lot done!