‘My daughter never visits me in hospital. She doesn’t like this place.’
An elderly woman told me this in a private psychiatric hospital several years ago. Sadness dripped from her words.
The thought of visiting someone in a psychiatric hospital (especially for the first time) can leave people feeling: Awkward. Uncomfortable. Fearful. Repulsed. Guilty. Ashamed. Misinformed. Unsure. To name a few.
This week I had the pleasure of giving a keynote address for one of the departments at PWC (Price Waterhouse Coopers). As part of this I ran through some of the things I have found helpful to help me monitor and manage my mental health.
I got some really positive feedback after the presentation and requests for the list of things that help me with my mental health. So I thought I’d share that list as a post here:
EARLY WARNING SIGNS AND INSIGHT:
In this context insight is the ability to identify early signs of mental ill health in yourself. This is much more challenging than it sounds, because signs of mental illness can masquerade as normal feelings and emotions.
For example – irritability and sadness are part of the normal spectrum of human emotions, but if they are overwhelming and persistent and interfere with normal functioning, they can also be symptoms of depression.
It can take time to identify their intensity or persistence as abnormal. The other challenge is that when we are well, we can often think our way out of sadness or irritability. But when they become symptoms that is impossible.
Someone affected by symptoms of a mental illness can no more think their way out of them than someone with a nasty case of gastro can think themselves out of their vomiting and diarrhoea.
But whereas vomiting and diarrhoea are obvious signs of illness (both to the person experiencing them and everyone around them) it takes insight to recognise when symptoms of mental illness emerge.
For me early warning signs can be an inability to sleep even with a lot of medication, intense irritability, and poor short-term memory and concentration.
Early warning signs are different for everyone. By learning what ours are we can be proactive about seeking help rather than waiting for symptoms to worsen.
Do you believe stigma around taking medication for mental illness exists?
Or put it this way:
If you had to choose, would you rather disclose that you were taking insulin or psychiatric medication (antidepressants, anxiolytics, antipsychotics, mood stabilisers etc) to your employer, your family, your friends, and a room full of strangers? And why?
I’ve been told the first time we met I was shuffling slowly up and down a blue carpeted corridor. Slumped body. Empty eyes. I barely registered being asked how I was with a slowly exhaled
‘Not so good.’ before moving on with my pram.
I say ‘I’ve been told’, because I don’t remember our first meeting or the following weeks. I was sicker than I’d ever been. Not many people would have repeatedly made friendly conversation with someone as unresponsive as I was.
She did. At a time when she wasn’t well herself.
When I finally re-emerged after several months of illness, I was delighted to find I had a new friend. A friend I never would have met in my geographical or professional circles. A friend who, like me, had spent the early months of first-time motherhood in a psychiatric hospital instead of at home.
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.