How do you know when and whether you need a psychiatrist or a psychologist?
For many people, stigma is still an obstacle to accessing the right mental health care for them, at the right time. Experiencing psychiatric symptoms is challenging enough. We don’t need the judgement of others or self stigma standing in the way of getting the correct treatment. So we need to change the way we think and speak about accessing mental health care. And we need to understand the different levels of care we can expect from different professionals.
I saw my psychologist and my psychiatrist a couple of weeks ago. These two professionals are the pillars of management for my Bipolar Disorder. Yet they support me in different ways.
Shouting. Shrill. Pressured. I am in my kitchen, unable to make out words. Just a stream of urgent noise. Where is it coming from? The TV in the spare room? Surely not. TV conversations dip and rise. Even cartoon voices change in cadence and timbre. The noise coming from the spare room is barely human. This could be how I’d sound if I were to record myself when manic. As irritating as a whinging toddler, as grating as fingernails down a chalk board.
So, who is trapped in my spare room generating this awful sound?
The amnesia of good mental health is powerful. When I’m well I struggle to conjure up what a depressive episode feels like. I can’t remember not being able to think my way out of it. I can even understand how easy it could be (without the experience of this insidious symptom) to dismiss those who suffer it as weak or lazy. This inaccurate, hurtful labeling occurs when people fail to understand the fundamental differences between a psychological challenge and a psychiatric symptom.
(This is such an authentic and well written blog post by The Extra Ounce I decided to re-post it on Thought Food. It highlights beautifully the challenges all people with mental illness (but especially those who are first time job seekers) face when venturing into the working world. Just click on the link below to get to the original article)
I’m coming to the end of my university studies so I am finally in the position where I can start applying for what I am calling ‘my first adult job’. I’m really excited. It may make me sound boring but the idea of having a steady job and routine is so appealing to me. I […]
The day I found out my first baby was a girl, I cried. Until that moment I hadn’t thought much about gender. So, the heaviness that settled on my shoulders when the ultrasound revealed it, was unexpected. The weight of believing I had to be the perfect female role model for a daughter momentarily choked the joy of having one out of me.
Picture your life. When everything is going fairly well. How much space between your skin and its boundaries? Are you booked to the hilt? What happens when the unexpected stressors hit? A sick child, a death in the family, a redundancy, a relationship break-down? Do you have the wriggle room to absorb some of the shock and stay afloat? Or does the thought of these boulders coming at you make your chest constrict, because you know that if anything else is piled on top of you now, you will go under?
I have a somewhat unhealthy relationship with control. I rely on having it a little too much. Throw me an unexpected traffic jam, and I’ll feel no more or less anxious than the next person. However, when control goes AWOL from the bigger areas of my life my stress levels sky rocket.
I have been seeing my psychologist for years now. Some visits neither of us have to work hard to tweak things. But whenever there’s a larger life issue I’m struggling with, my distress almost always comes down to my lack of control over an undesirable situation. For me one of the worst-case scenarios are sleep deprivation combined with the stress of a sick child. The reason this combination is so triggering is that it is kryptonite to my defences against a bipolar episode. (Sleep deprivation especially accompanied by stress is a major risk factor for developing manic and psychotic episodes)
This said, I firmly believe the universe sometimes sits back stroking its chin and assesses where I’m at. And then as though giving me a cosmic performance review, it points out areas for improvement, and gives me the opportunities to practice the life skills I lack. Clearly, I still need a lot of practice accepting a lack of control, because I have been sent the following homework: