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 had an interview with a PhD student from Melbourne Uni last week. It was for a study into what can be done to improve media reporting around severe mental illness (SMI) to reduce stigma. The media is largely responsible for the way people like me are perceived by the general public. So, I was delighted to contribute to this study.
Our trusted news sources are slickly practiced at generating gory headlines that draw eyeballs to them like magnets. If SMI is thought to contribute to a crime, it is either ignored or thrown into the story as a cold, hard after thought. Something that can’t be changed and is barely acknowledged as an illness.
The main characters in these horrific accounts may have an undiagnosed, poorly managed, or unmanaged SMI, but the journalist in the by-line doesn’t dig deep enough to expose the reasons for this:
Society does not care about or for us in the same way they do for others with serious, chronic, intermittent potentially fatal illnesses.
I am giving my eight-week-old son a bath. One hand supports his head and neck, the other gently moves a wash cloth over his delicate skin. He kicks his legs, rippling the shallow water. His dark eyes stare up at me. Pools of trust. I make a minute adjustment to my hand supporting his neck. His head slips under the water, for less than a second before I instinctively lift him up. He splutters briefly and is fine. But I am not.
I hit the call button next to the baby bath and a nurse pops her head in:
‘Are you ok?’
I hand her my baby. Nausea clamps my stomach and works its way up my throat. Black mist hovers in my peripheral vision and I sink to the ground. I put my head between my knees, as red-hot malignant words shoot through me:
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.
I don’t dwell on what might have happened had I been sent home on day five after my daughter was born. But whenever the news throws up sensational stories reporting murder, infanticide, or suicide, and there is even a slim possibility the perpetrator might have been psychotic – then I think about it. Because that could have been me.
I had plans for this post to be much softer than the last. No politics or indignation…
I started with excellent intentions. I slept in, made banana pancakes for breakfast, a big plunger of coffee, got the paper, and planned to read about the royal wedding preparations, the politics of which I am not particularly invested in.
So, I opened The Weekend Australian. I never got to the royal wedding preparations on page three.
On the front page the following words tore at my eyeballs: