Mental Health Day Quotes

i think the idea of a 'mental health day' is something completely invented by people who have no clue what it's like to have bad mental health. the idea that your mind can be aired out in twenty-four hours is kind of like saying heart disease can be cured if you eat the right breakfast cereal. mental health days only exist for people who have the luxury of saying 'i don't want to deal with things today' and then can take the whole day off, while the rest of us are stuck fighting the fights we always fight, with no one really caring one way or another, unless we choose to bring a gun to school or ruin the morning announcements with a suicide.

I have never seen battles quite as terrifyingly beautiful as the ones I fight when my mind splinters and races, to swallow me into my own madness, again.

When you come out of the grips of a depression there is an incredible relief, but not one you feel allowed to celebrate. Instead, the feeling of victory is replaced with anxiety that it will happen again, and with shame and vulnerability when you see how your illness affected your family, your work, everything left untouched while you struggled to survive. We come back to life thinner, paler, weaker … but as survivors. Survivors who don’t get pats on the back from coworkers who congratulate them on making it. Survivors who wake to more work than before because their friends and family are exhausted from helping them fight a battle they may not even understand. I hope to one day see a sea of people all wearing silver ribbons as a sign that they understand the secret battle, and as a celebration of the victories made each day as we individually pull ourselves up out of our foxholes to see our scars heal, and to remember what the sun looks like.

In those pamphlets that they give at mental health centers where they list the ten or so symptoms that would indicate a clinical depression, 'suicide threats' or even simple 'talk of suicide' is considered cause for concern. I guess the point is that what's just talk one day may become a real activity the next. So perhaps after years of walking around with these germinal feelings, these raw thoughts, these scattered moments of saying I wish I were dead, eventually I too, sooner or later, would succumb to the death urge. In the meantime, I could withdraw to my room, could hide and sleep as if I were dead.

Mental health days only exist for people who have the luxury of saying 'I don't want to deal with things today' and then can take the whole day off, while the rest of us are stuck fighting the fights we always fight, with no one really caring one way or another, unless...

You have survived everything you have been through, and you will survive this too. Stay for the person you will become. You are more than a bad day, or week, or month, or year, or even a decade. You are a future of multifarious possibility. You are another self at a point in future time looking back in gratitude that this lost and former you held on. Stay.

Don't live the same day over and over again and call that a life. Life is about evolving mentally, spiritually, and emotionally.

The doctor’s words made me understand what happened to me was a dark, evil, and shameful secret, and by association I too was dark, evil, and shameful. While it may not have been their intention, this was the message my clouded mind received. To escape the confines of the hospital, I once again disassociated myself from my emotions and numbed myself to the pain ravaging my body and mind. I acted as if nothing was wrong and went back to performing the necessary motions to get me from one day to the next. I existed but I did not live.

You're going to make it; You're going to be at peace; You're going to create, and love, and laugh, and live; You're going to do great things.

The cold buried deep inside the bones of her hands, her feet, her head, her back…everywhere. Viola felt old, chilled, and exflunctified. She brushed away her snow-white hair and with gnarled fingers tried tucking it under the black, lacy, silk nightcap that her great niece Annie had sewn for her. Each day, her clothes consisted of a long, white, embroidered nightgown, and a soft, warm, lavender sontag with the hair brooch secured upon her left shoulder. The few pleasures she had since she could no longer see were those of having mail or newspaper stories read to her by relatives who took turns caring for her. She could not tolerate people or activity. Food and drink were tasteless. Although the family made many attempts at a tray of concoctions for her each day, she had just quit eating. She remained closed in her bedroom in this dizzy age, propped in bed, eyes shut with her memories. “Who knew I would live this long?

The sky was so blue I couldn’t look at it because it made me sad, swelling tears in my eyes and they dripped quietly on the floor as I got on with my day. I tried to keep my focus, ticked off the to-do list, did my chores. Packed orders, wrote emails, paid bills and rewrote stories, but the panic kept growing, exploding in my chest. Tears falling on the desk tick tick tick me not making a sound and some days I just don't know what to do. Where to go or who to see and I try to be gentle, soft and kind, but anxiety eats you up and I just want to be fine.

Your Monday morning thoughts set the tone for your whole week. See yourself getting stronger, and living a fulfilling, happier & healthier life.

Whatever you did today is enough. Whatever you felt today is valid. Whatever you thought today isn't to be judged. Repeat the above each day.

I'll say it again - mental illness is a physical illness. You wouldn't consider going up to someone suffering from Alzheimers to yell, "Come on, get with it, you remember where you left your keys?" Let us shout it from the rooftops until everyone gets the message; depression has and nothing to do with having a bad day or being sad, it's a killer if not taken seriously.

I have schizophrenia. I am not schizophrenia. I am not my mental illness. My illness is a part of me.

Thoughts are real, physical things that occupy mental real estate. Moment by moment, every day, you are changing the structure of your brain through your thinking. When we hope, it is an activity of the mind that changes the structure of our brain in a positive and normal direction.

A disruption of the circadian cycle—the metabolic and glandular rhythms that are central to our workaday life—seems to be involved in many, if not most, cases of depression; this is why brutal insomnia so often occurs and is most likely why each day’s pattern of distress exhibits fairly predictable alternating periods of intensity and relief.

I’ve found that it’s of some help to think of one’s moods and feelings about the world as being similar to weather. Here are some obvious things about the weather: It's real. You can't change it by wishing it away. If it's dark and rainy, it really is dark and rainy, and you can't alter it. It might be dark and rainy for two weeks in a row. BUT it will be sunny one day. It isn't under one's control when the sun comes out, but come out it will. One day. It really is the same with one's moods, I think. The wrong approach is to believe that they are illusions. Depression, anxiety, listlessness - these are all are real as the weather - AND EQUALLY NOT UNDER ONE'S CONTROL. Not one's fault. BUT They will pass: really they will. In the same way that one really has to accept the weather, one has to accept how one feels about life sometimes, "Today is a really crap day," is a perfectly realistic approach. It's all about finding a kind of mental umbrella. "Hey-ho, it's raining inside; it isn't my fault and there's nothing I can do about it, but sit it out. But the sun may well come out tomorrow, and when it does I shall take full advantage.

Your words control your life, your progress, your results, even your mental and physical health. You cannot talk like a failure and expect to be successful.

What brought you here isn't your fault. We human beings have to live each day to its fullest and do our best in whatever environment we find ourselves in. There's no need to feel any shame just because your "fullest" and "best" look different from those of others.

What happens is my mind starts to go in circles, thinking and thinking, and then I can't sleep. And once a couple of days go by, if you haven't slept, you start to get sick. You can't eat. You start to cry. It just feeds on itself.

My doctor nodded. “I think you’ll be fine no matter what,” he said. “You don’t let your pain go to waste.” It’s the strangest compliment I’ve ever been given. I hold it to my chest on dark days. I wear it as a shield when the fear creeps in … the fear of getting worse and the fear of getting better. I think this is what hope feels like.

There's memory clutter, which reminds you of an important person, achievement, or event from your past. I think memory clutter often gathers in the homes of people with some degree of depression. And then there's "I might need it one day clutter, in which people hang on to stuff in anticipation of an imagined future. Among these folks, I've noticed a recurring theme of anxiety...Maybe it's possible that the stuff we own and obsess over is the physical manifestation of the mental health issues that challenge our minds. --p29.

JUST FOR TODAY, I will live through this day only. I will not brood about yesterday or obsess about tomorrow. I will not set far-reaching goals or try to overcome all of my problems at once. I know that I can do something for 24 hours that would overwhelm me if I had to keep it up for a lifetime. JUST FOR TODAY, I will be happy. I will not dwell on thoughts that depress me. If my mind fills with clouds, I will chase them away and fill it with sunshine. JUST FOR TODAY, I will accept what is. I will face reality. I will correct those things that I can correct and accept those I cannot. JUST FOR TODAY, I will improve my mind. I will read something that requires effort, thought and concentration. I will not be a mental loafer. JUST FOR TODAY, I will make a conscious effort to be agreeable. I will be kind and courteous to those who cross my path, and I'll not speak ill of others. I will improve my appearance, speak softly, and not interrupt when someone else is talking. Just for today, I will refrain from improving anybody but myself. JUST FOR TODAY, I will do something positive to improve my health. If I'm a smoker, I'll quit. If I'm overweight, I will eat healthfully -- if only for today. And not only that, I will get off the couch and take a brisk walk, even if it's only around the block. JUST FOR TODAY, I will gather the courage to do what is right and take the responsibility for my own actions.

I saw a meme the other day with a picture of Marilyn Manson and Robin Williams. It said about the former, this isn’t the face of depression, and about the latter, this is. This really struck a chord and it’s been on my mind since then. As someone who has continuously dipped in and out of chronic depression and anxiety for close to three decades now, and I’ve never previously spoken about the subject, I finally thought it was time I did. These days it’s trendy for people to think they’re cool and understanding about mental illness, posting memes and such to indicate so. But the reality is far different to that. It seems most people think if they publicly display such understanding then perhaps a friend will come to them, open up, and calmly discuss their problems. This will not happen. For someone in that seemingly hopeless void of depression and anxiety the last thing they are likely to do is acknowledge it, let alone talk about it. Even if broached by a friend they will probably deny there is a problem and feel even more distanced from the rest of the world. So nobody can do anything to help, right? No. If right now you suspect one of your friends is suffering like this then you’re probably right. If right now you think that none of your friends are suffering like this then you’re probably wrong. By all means make your public affirmations of understanding, but at least take on board that an attempt to connect on this subject by someone you care about could well be cryptic and indirect. When we hear of celebrities who suffered and finally took their own lives the message tends to be that so many close friends had no idea. This is woeful, but it’s also great, right? Because by not knowing there was a problem there is no burden of responsibility on anyone else. This is another huge misconception, that by acknowledging an indirect attempt to connect on such a complex issue that somehow you are accepting responsibility to fix it. This is not the case. You don’t have to find a solution. Maybe just listen. Many times over the years I’ve seen people recoil when they suspect that perhaps that is the direct a conversation is about to turn, and they desperately scramble for anything that can immediately change the subject. By acknowledging you’ve heard and understood doesn’t mean you are picking up their burden and carrying it for them. Anyway, I’ve said my piece. And please don’t think this is me reaching out for help. If this was my current mindset the last thing I’d ever do is write something like this, let alone share it.

I've got to that point in life when there's very few thrills and lots of pills seems we all end up this way. As we wait for our final day. But there's one thing about the pills I take. My manic episodes have taken a break

Can you find some peace today?

Today was very full, but the problem isn't today. It's tomorrow. I'd be able to recover from today if it weren't for tomorrow. There should be extra days, buffer days, between real days.

In lieu of letting go of our trauma and rather than healing completely, in my experience, we learn how to carry it and there are some days when it is heavier than others. Some days, I hardly know it is there, distracted as I am by present joys and excitement; while other days, the burden is cripplingly-heavy and I can hardly breathe under the weight of grief.

Lionel said as much to me once, how so many of the same people who are quick to empathize with physical disabilities don't understand why someone with depression can't just get up and get on with their day like the rest of the world. It's like they need a receipt that proves someone is actually going through some shit before they care about them.

Look for every opportunity to encourage someone. You don’t know who is wrestling with demons that could end his or her life that day. A kind word comes from God. Be brave enough to act on it.

You have to extend effort to disengage to tune out the world to get lost be lost lose yourself. But it can be done, in this fitting floundering necessary time.

We are not victims of our biology or circumstances. How we react to the events and circumstances of life can have an enormous impact on our mental and even physical health.

Research shows that 75 to 98 percent of mental, physical, and behavioral illness comes from one’s thought life.

There is no reprieve when you have a broken mind; cease-fires are rare. Even on good days, you know everything could change on a dime. Fear is your constant shadow

One of the dear, dear things about getting older, is that it does eventually dawn on you that there is no guidebook. One day it suddenly emerges: No one bloody gets it! None of us knows what we're doing. Thing is, we all put a lot of effort into looking like we did get the guide, that of course we know how to do this caper called life. We put on a smile rather than tell friends we are desperately lonely. And we make loud, verbose claims at dinner parties to make everyone certain of our certainty. We're funny like that.

The hypomania is the good part. It’s freshly euphoric. This lift I was confusing with love was beau‐ tiful and nostalgic, and for the few hours a day we spent together, I was lost in you, with you.

A friend, Scott Egleston, who is a professional in the mental health field, told me a therapy fable. He heard it from someone, who heard it from someone else. It goes: Once upon a time, a woman moved to a cave in the mountains to study with a guru. She wanted, she said, to learn everything there was to know. The guru supplied her with stacks of books and left her alone so she could study. Every morning, the guru returned to the cave to monitor the woman's progress. In his hand, he carried a heavy wooden cane. Each morning, he asked her the same question: " Have you learned everything there is to know yet?" Each morning, her answer was the same. "No." she said, " I haven't." The guru would then strike her over the head with its cane. This scenario repeated itself for months. One day the guru entered the cave, asked the same question, heard the same answer, and raised his cane to hit her in the same way, but the woman grabbed the cane from the guru, stopping his assault in midair. Relieved to end the daily batterings but fearing reprisal, the woman looked up at the guru. To her surprise, the guru smiled. " Congragulations." he said, " you have graduated ". You know now everything you need to know." " How's that"? the woman asked. " You have learned that you will never learn everything there is to know," he replied. " And you have learned how to stop the pain".

Even if you do initially start out with a keen intention to 'fight' your disorder, to fight for your health and your life, it's not a decision you make once and for all, but thousands and thousands of smaller decisions throughout the day.

Depression is not always feeling sad. Most of the time it is feeling nothing. Class Struggle and Mental Health: Live to Fight Another Day

My body is not my enemy. It just overreacts to things sometimes and that's actually OK.

Give me two weeks to show you that there is more to live for, more to be alive for. Give me two weeks to make you fall back in love with life.

My point is that a leaf knows it’s important at all moments of its life, even when its broken. People always forget that a rough day, a bad year, doesn’t equal a bad life.

I think the idea of a 'mental heath day' is something completely invented by people who have no clue what it's like to have bad mental health. The idea that your mind can be aired out in twenty-four hours is kinds of like saying heart diseases can be cured if you eat the right breakfast cereal. Mental health days only exist for people who have the luxury of saying 'I don't want to deal with things today' and they can take the whole day off, while the rest of us are stuck fighting the fights we always fight, with no one really caring one way or another, unless we choose to bring a gun to school or ruin the morning announcements with a suicide.

Reverend Don Marxhausen disagreed with all the riffs on Satan. He saw two boys with hate in their eyes and assault weapons in their hands. He saw a society that needed to figure out how and why - fast. Blaming Satan was just letting them off easy, he felt, and copping out on our responsibility to investigate. The "end of days" fantasy was even more infuriating.

It's an unfortunate word, 'depression', because the illness has nothing to do with feeling sad, sadness is on the human palette. Depression is a whole other beast. It's when your old personality has left town and been replaced by a block of cement with black tar oozing through your veins and mind. This is when you can't decide whether to get a manicure or jump off a cliff. It's all the same. When I was institutionalised I sat on a chair unable to move for three months, frozen in fear. To take a shower was inconceivable. What made it tolerable was while I was inside, I found my tribe - my people. They understood and unlike those who don't suffer, never get bored of you asking if it will ever go away? They can talk medication all hours, day and night; heaven to my ears.

Between 1990 and 2005, a new prison opened in the United States every ten days. Prison growth and the resulting “prison-industrial complex”—the business interests that capitalize on prison construction—made imprisonment so profitable that millions of dollars were spent lobbying state legislators to keep expanding the use of incarceration to respond to just about any problem. Incarceration became the answer to everything—health care problems like drug addiction, poverty that had led someone to write a bad check, child behavioral disorders, managing the mentally disabled poor, even immigration issues generated responses from legislators that involved sending people to prison. Never before had so much lobbying money been spent to expand America’s prison population, block sentencing reforms, create new crime categories, and sustain the fear and anger that fuel mass incarceration than during the last twenty-five years in the United States.

Dear Future Daughter: 1) When you’re at some party, chain smoking on the roof with some strange girl with blue hair and exorbitant large dark eyes, ask her about her day. I promise you, you won’t regret it. Often times you’ll find the strangest of people have the most captivating of stories to tell. 2) Please, never mistake desire for love. Love will engulf your soul, whilst desire will emerge as acid, slowly making it’s way through your veins, gradually burning you from the inside out. 3) No one is going to fucking save you, anything you’ve read or heard otherwise is bullshit. 4) One day a boy is going to come along who’s touch feels like fire and who’s words taste like vanilla, when he leaves you, you will want to die. If you know anything at all, know that it is only temporary. 5) Your mental health comes before school baby, always. If its midnight, and you have an exam the next day but your hands have been shaking for the past hour and a half and you’re not so sure you want to be alive anymore, pull out that carton of Ben and Jerry’s and afterwards, go the fuck to bed. So what if you get a 68% on the exam the next day? You took care of yourself and at the end of the day that will always come before a high test score. To hell with anyone who tells you differently.

At cocktail parties, I played the part of a successful businessman's wife to perfection. I smiled, I made polite chit-chat, and I dressed the part. Denial and rationalization were two of my most effective tools in working my way through our social obligations. I believed that playing the roles of wife and mother were the least I could do to help support Tom's career. During the day, I was a puzzle with innumerable pieces. One piece made my family a nourishing breakfast. Another piece ferried the kids to school and to soccer practice. A third piece managed to trip to the grocery store. There was also a piece that wanted to sleep for eighteen hours a day and the piece that woke up shaking from yet another nightmare. And there was the piece that attended business functions and actually fooled people into thinking I might have something constructive to offer. I was a circus performer traversing the tightwire, and I could fall off into a vortex devoid of reality at any moment. There was, and had been for a very long time, an intense sense of despair. A self-deprecating voice inside told me I had no chance of getting better. I lived in an emotional black hole. p20-21, talking about dissociative identity disorder (formerly multiple personality disorder).

During the day, my mood is cloudy, uncertain, blurred, depressing, and there is so much fog I can’t see the sun, nor do I have a head's up that the rain is coming. I wish just one day my mood could at least be fair skies.

I give them the suggestion Allow yourself morning. I tell them it means that today may have been a rolling ball of anxiety and trembling, a face wet and slick with tears, but if you can get to morning, if you can allow yourself a new day to encourage a change, then you can get through it. Allow yourself morning.

PART 2 I felt doomed to death, But in a flash, Before I could reduce my thoughts To an emotion, I felt a mass leave my body: Departing. Then my mind becomes anonymous As is each night. Just unfinished thoughts, and a deep sickness inside, As I was forced to swallow it, Something I've tried to bury deep inside my psyche to this day. (poem written by alter personality)

Free your mind of that which you have no control. It is not only good to do so for your mental, but your overall health. Some people must learn from experience. You can convey knowledge to them and offer to show them the way. But, that doesn't mean your wisdom will be accepted or appreciated.

People don't like facts. If someone asks you how you are, you are meant to say FINE. You are not meant to say that you cried yourself to sleep last night because you hadn't spoken to another person for two consecutive days. FINE is what you say.

to do list (after the breakup) 1. take refuge in your bed 2. cry. till the tears stop (this will take a few days). 3. don’t listen to slow songs. 4. delete their number from your phone even though it is memorized on your fingertips. 5. don’t look at old photos. 6. find the closest ice cream shop and treat yourself to two scoops of mint chocolate chip. the mint will calm your heart. you deserve the chocolate. 7. buy new bed sheets. 8. collect all the gifts, t-shirts, and everything with their smell on it and drop it off at a donation center. 9. plan a trip. 10. perfect the art of smiling and nodding when someone brings their name up in conversation. 11. start a new project. 12. whatever you do. do not call. 13. do not beg for what does not want to stay. 14. stop crying at some point. 15. allow yourself to feel foolish for believing you could’ve built the rest of your life in someone else’s stomach. 16. breathe.

Like a bee in a flower bed, the human brain naturally flits from one thought to the next. In the high-speed workplace, where data and headlines come thick and fast, we are all under pressure to think quickly. Reaction, rather than reflection, is the order of the day. To make the most of our time, and to avoid boredom, we fill up every spare moment with mental stimulation…Keeping the mind active makes poor use of our most precious resource. True, the brain can work wonders in high gear. But it will do so much more if given the chance to slow down from time to time. Shifting the mind into lower gear can bring better health, inner calm, enhanced concentration and the ability to think more creatively.

Finish every day and be done with it. For manners and for wise living it is a vice to remember. You have done what you could; some blunders and absurdities no doubt crept in; forget them as soon as you can. Tomorrow is a new day; you shall begin it well and serenely, and with too high a spirit to be cumbered with your old nonsense. This day for all that is good and fair. It is too dear, with its hopes and invitations, to waste a moment on the rotten yesterdays.

My sister Emily first declined. The details of her illness are deep-branded in my memory, but to dwell on them, either in thought or narrative, is not in my power. Never in all her life had she lingered over any task that lay before her, and she did not linger now. She sank rapidly. She made haste to leave us. Yet, while physically she perished, mentally, she grew stronger than we had yet known her. Day by day, when I saw with what a front she met suffering, I looked on her with anguish of wonder and love. I have seen nothing like it; but, indeed, I have never seen her parallel in anything. Stronger than a man, simpler than a child, her nature stood alone. The awful point was, that, while full of ruth for others, on herself she had no pity; the spirit inexorable to the flesh; from the trembling hand, the unnerved limbs, the faded eyes, the same service exacted as they had rendered in health. To stand by and witness this, and not dare to remonstrate, was pain no words can render.

Helpers carry a heavy load, they listen, love, cry, and often go into the depths of others’ pain. They sometimes enter darkness that no person should have to step into: the darkness of the abuse of a child, of mental health, of our cultural propensity to sit back and do nothing about it. They bear this each day.

There is a type of courage that cannot always be seen. It's a bravery that you have to choose for yourself. You use it in the little, seemingly insignificant choices and decisions you make each day. Keep making these tiny, good choices over and over until you realize your whole life is different and the hero who saved you is yourself.

If you have a monster inside of you, please teach it how to jump, and laugh, and fly and catch fish! Please teach it to climb mountains to watch sunsets and wade in ponds to feel moonlight. Please love your monster, tell it that it has a home, teach it that it has a place in this world, maybe it likes ice cream, maybe marshmallows make it smile, maybe it goes to beautiful places in its dreams at night. One day it will sit atop a clocktower and cast sunbeams onto everyone! Because it will learn that! Because angels are too busy to do that, but monsters are not. Monsters would love to catch sunbeams and eat sugar donuts. Teach your monsters, they will form moonbeams one day!

Yesterday it was sun outside. The sky was blue and people were lying under blooming cherry trees in the park. It was Friday, so records were released, that people have been working on for years. Friends around me find success and level up, do fancy photo shoots and get featured on big, white, movie screens. There were parties and lovers, hand in hand, laughing perfectly loud, but I walked numbly through the park, round and round, 40 times for 4 hours just wanting to make it through the day. There's a weight that inhabits my chest some times. Like a lock in my throat, making it hard to breathe. A little less air got through and the sky was so blue I couldn’t look at it because it made me sad, swelling tears in my eyes and they dripped quietly on the floor as I got on with my day. I tried to keep my focus, ticked off the to-do list, did my chores. Packed orders, wrote emails, paid bills and rewrote stories, but the panic kept growing, exploding in my chest. Tears falling on the desk tick tick tick me not making a sound and some days I just don't know what to do. Where to go or who to see and I try to be gentle, soft and kind, but anxiety eats you up and I just want to be fine. This is not beautiful. This is not useful. You can not do anything with it and it tries to control you, throw you off your balance and lovely ways but you can not let it. I cleaned up. Took myself for a walk. Tried to keep my eyes on the sky. Stayed away from the alcohol, stayed away from the destructive tools we learn to use. the smoking and the starving, the running, the madness, thinking it will help but it only feeds the fire and I don't want to hurt myself anymore. I made it through and today I woke up, lighter and proud because I'm still here. There are flowers growing outside my window. The coffee is warm, the air is pure. In a few hours I'll be on a train on my way to sing for people who invited me to come, to sing, for them. My own songs, that I created. Me—little me. From nowhere at all. And I have people around that I like and can laugh with, and it's spring again. It will always be spring again. And there will always be a new day.

I'm flummoxed by this unraveling of time, I'm losing my grip on myself. I know that nothing awful will happen on the other side of the door. If anything, I'm about to have a perfectly forgettable day: a class to teach, a meeting with colleagues, maybe a movie. But I'm afraid of forgetting something crucial—my cell phone or my identity card, my health insurance or my keys. And I'm afraid of running into trouble.

Things that have happened to me that have generated more sympathy than depression Having tinnitus. Scalding my hand on an oven, and having to have my hand in a strange ointment-filled glove for a week. Accidentally setting my leg on fire. Losing a job. Breaking a toe. Being in debt. Having a river flood our nice new house, causing ten thousand pounds’ worth of damage. Bad Amazon reviews. Getting the norovirus. Having to be circumcised when I was eleven. Lower-back pain. Having a blackboard fall on me. Irritable bowel syndrome. Being a street away from a terrorist attack. Eczema. Living in Hull in January. Relationship break-ups. Working in a cabbage-packing warehouse. Working in media sales (okay, that came close). Consuming a poisoned prawn. Three-day migraines.

Jennifer Lynn Barnes, a YA author tweeted: One time, I was at a Q&A with Nora Roberts, and someone asked her how to balance writing and kids, and she said that the key to juggling is to know that some of the balls you have in the air are made of plastic & some are made of glass. When you are struggling to function, it’s important to identify what are your glass balls. Feeding yourself, caring for your children or animals, taking your medication, and addressing your mental health are all examples of glass balls. Dropping them would have devastating consequences and likely cause you to drop all the balls. Recycling, veganism, shopping local, and avoiding fast fashion are plastic balls. They may be important, but they will not shatter your life if you drop them in the way the glass balls will. Plastic balls will fall to the floor and stay intact so you can pick them up again. Glass balls will not.

Imagine a peaceful river running through the countryside. That’s your river of well-being. Whenever you’re in the water, peacefully floating along in your canoe, you feel like you’re generally in a good relationship with the world around you. You have a clear understanding of yourself, other people, and your life. You can be flexible and adjust when situations change. You’re stable and at peace. Sometimes, though, as you float along, you veer too close to one of the river’s two banks. This causes different problems, depending on which bank you approach. One bank represents chaos, where you feel out of control. Instead of floating in the peaceful river, you are caught up in the pull of tumultuous rapids, and confusion and turmoil rule the day. You need to move away from the bank of chaos and get back into the gentle flow of the river. But don’t go too far, because the other bank presents its own dangers. It’s the bank of rigidity, which is the opposite of chaos. As opposed to being out of control, rigidity is when you are imposing control on everything and everyone around you. You become completely unwilling to adapt, compromise, or negotiate. Near the bank of rigidity, the water smells stagnant, and reeds and tree branches prevent your canoe from flowing in the river of well-being. So one extreme is chaos, where there’s a total lack of control. The other extreme is rigidity, where there’s too much control, leading to a lack of flexibility and adaptability. We all move back and forth between these two banks as we go through our days—especially as we’re trying to survive parenting. When we’re closest to the banks of chaos or rigidity, we’re farthest from mental and emotional health. The longer we can avoid either bank, the more time we spend enjoying the river of well-being. Much of our lives as adults can be seen as moving along these paths—sometimes in the harmony of the flow of well-being, but sometimes in chaos, in rigidity, or zigzagging back and forth between the two. Harmony emerges from integration. Chaos and rigidity arise when integration is blocked.

Too often, poverty and deprivation get covered as events. That is, when some disaster strikes, when people die. Yet, poverty is about much more than starvation deaths or near famine conditions. It is the sum total of a multiplicity of factors. The weightage of some of these varies from region to region, society to society, culture to culture. But at the core is a fairly compact number of factors. They include not just income and calorie intake. Land, health, education, literacy, infant mortality rates and life expectancy are also some of them. Debt, assets, irrigation, drinking water, sanitation and jobs count too. You can have the mandatory 2,400 or 2,100 calories a day and yet be very poor. India’s problems differ from those of a Somalia or Ethiopia in crisis. Hunger—again just one aspect of poverty—is far more complex here. It is more low level, less visible and does not make for the dramatic television footage that a Somalia and Ethiopia do. That makes covering the process more challenging—and more important. Many who do not starve receive very inadequate nutrition. Children getting less food than they need can look quite normal. Yet poor nutrition can impair both mental and physical growth and they can suffer its debilitating impact all their lives. A person lacking minimal access to health at critical moments can face destruction almost as surely as one in hunger.

A man who under the influence of mental pain or unbearably oppressive suffering sends a bullet through his own head is called a suicide; but for those who give freedom to their pitiful, soul-debasing passions in the holy days of spring and youth there is no name in man's vocabulary. After the bullet follows the peace of the grave: ruined youth is followed by years of grief and painful recollections. He who has profaned his spring will understand the present condition of my soul. I am not yet old, or grey, but I no longer live. Psychiaters tell us that a solider, who was wounded at Waterloo, went mad, and afterwards assured everybody - and believed it himself - that he had died at Waterloo, and that what was now considered to be him was only his shadow, a reflection of the past. I am now experiencing something resembling this semi-death..

In the 1980s, research on post traumatic stress disorder in Vietnam veterans was regarded as important, noble, and useful. When the same researchers looked at the same problem in children who had been sexually abused, a tremendous controversy ensued a controversy that persists to this day. There were those who disputed the extent and severity of the sexual abuse that had been uncovered.

Janna knew - Rikki knew — and I knew, too — that becoming Dr Cameron West wouldn't make me feel a damn bit better about myself than I did about being Citizen West. Citizen West, Citizen Kane, Sugar Ray Robinson, Robinson Crusoe, Robinson miso, miso soup, black bean soup, black sticky soup, black sticky me. Yeah. Inside I was still a fetid and festering corpse covered in sticky blackness, still mired in putrid shame and scorching self-hatred. I could write an 86-page essay comparing the features of Borderline Personality Disorder with those of Dissociative Identity Disorder, but I barely knew what day it was, or even what month, never knew where the car was parked when Dusty would come out of the grocery store, couldn't look in the mirror for fear of what—or whom—I'd see. ~ Dr Cameron West describes living with DID whilst studying to be a psychologist.

Not wanting the girls to endure the shame of a crazy mother, I spent my days acting as normal as possible. I walked through life, an actor in a Leave it to Beaver episode, determined to disguise all clues of my real condition until... well, until I could find an appropriate moment to do away with myself." [...] "Yet even as my depression spiraled into ever more precarious territory, I retained an uncanny ability to disguise my true mental condition from everyone except Tom. He was my sole source of strength and he never stopped encouraging me.

It’s like I have this demon inside of me, and I want it gone, but the idea of removing it via pill is . . . I don’t know . . . weird. But a lot of days I get over that, because I do really hate the demon.” “You often try to understand your experience through metaphor, Aza: It’s like a demon inside of you; you’ll call your consciousness a bus, or a prison cell, or a spiral, or a whirlpool, or a loop, or a—I think you once called it a scribbled circle, which I found interesting.” “Yeah,” I said. “One of the challenges with pain—physical or psychic—is that we can really only approach it through metaphor. It can’t be represented the way a table or a body can. In some ways, pain is the opposite of language.” She turned to her computer, shook her mouse to wake it up, and then clicked an image on her desktop. “I want to share something Virginia Woolf wrote: ‘English, which can express the thoughts of Hamlet and the tragedy of Lear, has no words for the shiver and the headache. . . . The merest schoolgirl, when she falls in love, has Shakespeare or Keats to speak her mind for her; but let a sufferer try to describe a pain in his head to a doctor and language at once runs dry.’ And we’re such language-based creatures that to some extent we cannot know what we cannot name. And so we assume it isn’t real. We refer to it with catch-all terms, like crazy or chronic pain, terms that both ostracize and minimize. The term chronic pain captures nothing of the grinding, constant, ceaseless, inescapable hurt. And the term crazy arrives at us with none of the terror and worry you live with. Nor do either of those terms connote the courage people in such pains exemplify, which is why I’d ask you to frame your mental health around a word other than crazy.

The reason why I hadn't washed my clothes or my hair was because it seemed so silly. I saw the days of the year stretching ahead like a series of bright, white boxes, and separating one box from another was sleep, like a black shade. Only for me, the long perspective of shades that set off one box from the next had suddenly snapped up, and I could see day after day glaring ahead of me like a white, broad, infinitely desolate avenue. It seemed silly to wash one day when I would only have to wash again the next. It made me tired just to think of it. I wanted to do everything once and for all and be through with it.

You may be a serious writer if …. 10. your hard drive is littered with random notes and story ideas … but not nearly as littered as your head. 9. you keep pen and paper next to your bed. And in the glove compartment. And in your gym bag. Also on the rim of the bathtub. 8. a day without Roget’s Thesaurus is a day without sunshine. 7. your emotional landscape includes creativity, confidence, elation, frustration, and the occasional neurosis. 6. you’ve ever had to clean peanut butter and bread crumbs off your keyboard, because the work was going well, and you didn’t want to stop for lunch. 5. grammar and punctuation turn you on. 4. your interest in a new acquaintance is directly proportionate to his/her potential as a secondary character. 3. you’ve worn the white e, r, s, and t clean off your keyboard. 2. the search history on your web browser would raise red flags with the FBI, CIA, DEA, and mental health professionals everywhere. 1. you have stories to tell, and you just. Keep. Telling. Them.

It's like a stomach ache after not eating for five days. The muscles are starting to eat themselves, and you couldn't care less. It's about holding on to every moment with every ounce of your being, every atom. It's about memorising every expression, the way your muscles work, the way you speak, how your voice sounds during every part of the day. It's about not feeling the goodbye in every kiss, in every hug, in every touch. It's about trying to keep your voice steady even with a knife to your throat. It's August and I'm tired of being strong. I never really was very brave. Throw me on sharp edges, I've never felt so destructive.

Just as sometimes I wondered if Grandpa had ever existed, sometimes I wondered if I truly existed myself. As I was running, I could see myself from outside myself: a skinny girl with the flapping shorts and too- big a T-shirt, always watching the other girls at school, a girl in a pink bedroom sitting with a book propped on her knees, the words she was reading entering her mind, some sticking like gluey never to be forgotten, others disappearing instantly, I could remember everything and remember nothing. I would watch a movie and recall every scene as if I had written the script, then watch another movie another day and be unable to recall it at all.

The way that led from the acute mental tension of the last days in camp (from the war of nerves to mental peace) was certainly not free from obstacles. It would be an error to think that a liberated prisoner was not in need of spiritual care any more. We have to consider that a man who has been under such enormous mental pressure for such a long time is naturally in some danger after his liberation, especially since the pressure was released quite suddenly. This danger (in the sense of psychological hygiene) is the psychological counterpart of the bends. Just as the physical health of the caisson worker would be endangered if he left his diver's chamber suddenly (where he is under enormous atmospheric pressure), so the man who has suddenly been liberated from mental pressure can suffer damage to his moral and spiritual health. During this psychological phase one observed that people with natures of a more primitive kind could not escape the influences of the brutality which had surrounded them in camp life. Now, being free, they thought they could use their freedom licentiously and ruthlessly. The only thing that had changed for them was that they were now the oppressors instead of the oppressed. They became instigators, not objects, of willful force and injustice. They justified their behavior by their own terrible experiences.

I think of two landscapes- one outside the self, the other within. The external landscape is the one we see-not only the line and color of the land and its shading at different times of the day, but also its plants and animals in season, its weather, its geology… If you walk up, say, a dry arroyo in the Sonoran Desert you will feel a mounding and rolling of sand and silt beneath your foot that is distinctive. You will anticipate the crumbling of the sedimentary earth in the arroyo bank as your hand reaches out, and in that tangible evidence you will sense the history of water in the region. Perhaps a black-throated sparrow lands in a paloverde bush… the smell of the creosote bush….all elements of the land, and what I mean by “the landscape.” The second landscape I think of is an interior one, a kind of projection within a person of a part of the exterior landscape. Relationships in the exterior landscape include those that are named and discernible, such as the nitrogen cycle, or a vertical sequence of Ordovician limestone, and others that are uncodified or ineffable, such as winter light falling on a particular kind of granite, or the effect of humidity on the frequency of a blackpoll warbler’s burst of song….the shape and character of these relationships in a person’s thinking, I believe, are deeply influenced by where on this earth one goes, what one touches, the patterns one observes in nature- the intricate history of one’s life in the land, even a life in the city, where wind, the chirp of birds, the line of a falling leaf, are known. These thoughts are arranged, further, according to the thread of one’s moral, intellectual, and spiritual development. The interior landscape responds to the character and subtlety of an exterior landscape; the shape of the individual mind is affected by land as it is by genes. Among the Navajo, the land is thought to exhibit sacred order…each individual undertakes to order his interior landscape according to the exterior landscape. To succeed in this means to achieve a balanced state of mental health…Among the various sung ceremonies of this people-Enemyway, Coyoteway, Uglyway- there is one called Beautyway. It is, in part, a spiritual invocation of the order of the exterior universe, that irreducible, holy complexity that manifests itself as all things changing through time (a Navajo definition of beauty).

I know it hurts and I know there are days when you wake up in the middle of the night and can’t breathe because of this unbearable lack of something or someone. I know what it’s like to be sad for no reason at all, standing in the rain with no intention of surviving. I know things hurts, I hurt, but life can also be so beautiful… Wonderful things are waiting for you. I know it, I’ve had a taste of it, small moments of complete clarity. Magical nights under the stars and peaceful mornings with someone you love. Before you know it you will thank yourself for staying strong and holding on. I do, most of the days. I know there are days when even one single positive thought feels like too much effort, but you must develop an unconditional love for life. You must never lose your childish curiosity for the possibilities in every single day. Who you can be, what you can see, what you can feel and where it can lead you. Be in love with your life, everything about it. The sadness and the joys, the struggles and the lessons, your flaws and strengths, what you lose and what you gain.

Follow your doctor’s orders. For me that means antidepressants and behavioral therapy. Exercise thirty minutes a day, six days a week. Get sunlight, or if you can’t, use light therapy. Do not overuse your light therapy lamp even though you want to. Treat yourself like you would your favorite pet. Plenty of fresh water, lots of rest, snuggles as needed, allow yourself naps. Avoid negativity. That means the news, people, movies. It will all be there when you’re healthy again. The world will get on without your seeing it. Forgive yourself. For being broken. For being you. For thinking those are things that you need forgiveness for. Those terrible things you tell yourself? Can you imagine if the person you love most were telling themselves those things? You’d think they were crazy. And wrong. They think the same about you. Those negative things you are thinking are not rational. Remember that depression lies and that your brain is not always trustworthy. Give yourself permission to recover. I’m lucky that I can work odd hours and take mental health days but I still feel shitty for taking them. Realize that sometimes these slow days are necessary and healthy and utterly responsible. Watch Doctor Who. Love on an animal. Go adopt a rescue, or if you can’t, go to the shelter and just snuggle a kitten. Then realize that that same little kitten that you’re cradling isn’t going to accomplish shit but is still wonderful and lovely and so important. You are that kitten. Get up. Go brush your teeth. Go take a hot shower. If you do nothing else today just change into a new pair of pajamas. It helps. Remember that you are not alone. There are crisis lines filled with people who want to help. There are people who love you more than you know. There are people who can’t wait to meet you because you will teach them how unalone they are. You are so worthy of happiness and it will come.

Things I've Learned in 18 Years of Life   1) True love is not something found, rather [sic] something encountered. You can’t go out and look for it. The person you marry and the person you love could easily be two different people. So have a beautiful life while waiting for God to bring along your once-in-a-lifetime love. Don't allow yourself to settle for anything less than them. Stop worrying about who you're going to marry because God's already on the front porch watching your grandchildren play.   2) God WILL give you more than you can handle, so you can learn to lean on him in times of need. He won't tempt you more than you can handle, though. So don't lose hope. Hope anchors the soul.   3) Remember who you are and where you came from. Remember that you are not from this earth. You are a child of heaven, you're invaluable, you are beautiful. Carry yourself that way.   4) Don't put your faith in humanity, humanity is inherently flawed. We are all imperfect people created and loved by a perfect God. Perfect. So put your faith in Him.   5) I fail daily, and that is why I succeed.   6) Time passes, and nothing and everything changes. Don't live life half asleep. Don't drag your soul through the days. Feel everything you do. Be there physically and mentally. Do things that make you feel this way as well.   7) Live for beauty. We all need beauty, get it where you can find it. Clothing, paintings, sculptures, music, tattoos, nature, literature, makeup. It's all art and it's what makes us human. Same as feeling the things we do. Stay human.   8) If someone makes you think, keep them. If someone makes you feel, keep them.   9) There is nothing the human brain cannot do. You can change anything about yourself that you want to. Fight for it. It's all a mental game.   10) God didn’t break our chains for us to be bound again. Alcohol, drugs, depression, addiction, toxic relationships, monotony and repetition, they bind us. Break those chains. Destroy your past and give yourself new life like God has given you.   11) This is your life. Your struggle, your happiness, your sorrow, and your success. You do not need to justify yourself to anyone. You owe no one an explanation for the choices that you make and the position you are in. In the same vein, respect yourself by not comparing your journey to anyone else's.   12) There is no wrong way to feel.   13) Knowledge is everywhere, keep your eyes open. Look at how diverse and wonderful this world is. Are you going to miss out on beautiful people, places, experiences, and ideas because you are close-minded? I sure hope not.   14) Selfless actions always benefit you more than the recipient.   15) There is really no room for regret in this life. Everything happens for a reason. If you can't find that reason, accept there is one and move on.   16) There is room, however, for guilt. Resolve everything when it first comes up. That's not only having integrity, but also taking care of your emotional well-being.   17) If the question is ‘Am I strong enough for this?’ The answer is always, ‘Yes, but not on your own.’   18) Mental health and sanity above all.   19) We love because He first loved us. The capacity to love is the ultimate gift, the ultimate passion, euphoria, and satisfaction. We have all of that because He first loved us. If you think about it in those terms, it is easy to love Him. Just by thinking of how much He loves us.   20) From destruction comes creation. Beauty will rise from the ashes.   21) Many things can cause depression. Such as knowing you aren't becoming the person you have the potential to become. Choose happiness and change. The sooner the better, and the easier.   22) Half of happiness is as simple as eating right and exercising. You are one big chemical reaction. So are your emotions. Give your body the right reactants to work with and you'll be satisfied with the products.

There is something about being loved and protected by a parent (or guardian) knowing that I can be loved for who I am, not what I can do, or might one day become. Unfortunately it’s not usually like this in every single situation. From time to time, my parents made mistakes during my childhood. Possibly I was the mistake, or unwanted. But I don’t know. I had every material thing that I could have ever wanted, but there was still something missing, as if I felt distanced from my parents, or misunderstood, in the ways that they treated me. At times, I had felt completely loved and accepted by my parents, but for one reason or another, they were unable to care for me, provide for me, in some ways that would have been very important. Sometimes I feel like I am trying to make up for the experiences in life that were absent when I was a child.

Running is not magic beans and I now know that I can’t expect it to inure me to the genuine sadness of life. But throughout tough periods in my life, and without realising it, I had finally acquired a coping skill, one that has helped me every day since I found myself on that floor, wondering how I’d ever get up. It’s something that has taken me out of my self-made cage, propelled me towards new jobs, new experiences, real love and a sense of optimism and confidence that I can be more than just a woman with crippling anxiety. It has given me a new identity, one which no longer sees danger and fear first. It’s not an exaggeration to say that I ran myself out of misery. It has transformed my life.

Anxiety is debilitating. "What's it like to live with anxiety"? One day your waters are calm, the seagulls are all around, gently landing on your shoreline, then suddenly a mountain falls into your ocean and there are waves shooting out in all directions, the seagulls scatter and leave you all alone, and there is a big hole in the middle of your stomach, where all the water jumped out of! And you can hardly walk or stand up or eat, because, there is a hole on your stomach! Somebody shot you and you can feel it, but no one else can see it. That's exactly what anxiety is like. You're walking around thinking all is well, then you get shot in the stomach with an invisible bullet and bleed out in a way that nobody else understands.

People may be constrained in two basic ways: physically, by confining them in jails, mental hospitals, and so forth; and symbolically, by confining them in occupations, social roles, and so forth. Actually, confinement of the second type is more common and pervasive in the day-to-day conduct of society’s business; as a rule, only when the symbolic, or socially informal, confinement of conduct fails or proves inadequate, is recourse taken to physical, or socially formal, confinement…. When people perform their social roles properly – in other words, when social expectations are adequately met – their behavior is considered normal. Though obvious, this deserves emphasis: a waiter must wait on tables; a secretary must type; a father must earn a living; a mother must cook and sew and take care of her children. Classic systems of psychiatric nosology had nothing to say about these people, so long as they remained neatly imprisoned in their respective social cells; or, as we say about the Negroes, so long as they “knew their place.” But when such persons broke out of “jail” and asserted their liberty, they became of interest to the psychiatrist.

Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too. Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.” NO YOU’RE FUCKING NOT. “Oh my God, I was so nervous about that presentation, I literally had a panic attack.” NO YOU FUCKING DIDN’T. “I’m so hormonal today. I just feel totally bipolar.” SHUT UP, YOU IGNORANT BUMFACE. Told you I got angry. These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean. People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more. People also die of cancer. You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.” Yet it’s apparently okay to make light of the language of people’s internal hell

The world of shadows and superstition that was Victorian England, so well depicted in this 1871 tale, was unique. While the foundations of so much of our present knowledge of subjects like medicine, public health, electricity, chemistry and agriculture, were being, if not laid, at least mapped out, people could still believe in the existence of devils and demons. And why not? A good ghost story is pure entertainment. It was not until well into the twentieth century that ghost stories began to have a deeper significance and to become allegorical; in fact, to lose their charm. No mental effort is required to read 'The Weird Woman', no seeking for hidden meanings; there are no complexities of plot, no allegory on the state of the world. And so it should be. At what other point in literary history could a man, standing over the body of his fiancee, say such a line as this: 'Speak, hound! Or, by heaven, this night shall witness two murders instead of one!' Those were the days. (introduction to "The Weird Woman")

I remembered during puberty, through the anorexic mists of intermittent menstrual cycles, that man, my father, lifting Shirley's nightdress over her head and asking her in his mocking way to choose what colour condom she wanted. 'Red or yellow?' Which did she choose? I can't remember. Perhaps she alternated. Perhaps there were other colours. It didn't happen once. It happened again and again. I had no power to stop it. That man, my father, had some control over me. I was drugged by the black silence in that big house, the vile whiff of aftershave, the crushing torment of inevitability. My father fucked Shirley using red or yellow condoms and it was those condoms that brought it all to an end. It was my last realization of the day; any more would have been too much to contemplate. That time when my mother had found used condoms in bedroom, he had admitted, after a pointless burst my father's of denial, that he had been going to prostitutes. That was no doubt true but I can't imagine clients take used condoms away with them; prostitutes would surely get rid of the things. No. My father kept those used condoms as a prize. He was fucking his fourteen-year-old-daughter. He was proud of it. Rebecca welled up with tears. Poor thing, she kept saying. Poor thing.

The programme into which Cheryl was inducted combined all the different ways the intelligence community had learned could cause intense psychological change in adults and children. It had been learned through the use of both knowledgeable and 'unwitting' volunteers. They were subjected to sensory overload, isolation, drugs and hypnosis, all used on bodies that had been weakened from mild hunger. The horror of the programme was that it would be like having an elementary school sex education class conducted by a paedophile rapist. It would have been banned had the American government signed the Helsinki Accords. But, of course, they hadn't. For the test that day and in those that followed, Cheryl Hersha was positioned so she faced a portable movie screen. A 16mm movie projector was on a platform, along with several reels of film. Each was a short pornographic film meant to make her aware of sexuality in a variety of forms...

My other client, whom I will call Teresa, thought Lorraine had MPD and hoped I could help her. Almost no one recognized this condition in those days. Lorraine was forty years old and had been in and out of psychiatric hospitals since she was thirteen. She had had various diagnoses, mainly severe depression, and she had made quite a few serious suicide attempts before I even met her. She had been given many courses of electric shock therapy, which would confuse her so much that she could not get together a coherent suicide plan for quite a while. Lorraine’s psychiatrist was initially opposed to my seeing her, as her friend Teresa had been stigmatized with the "borderline personality disorder" diagnosis when in hospital, so was seen as a bad influence on her. But after Lorraine spent a couple of months in hospital calling herself Susie and acting consistently like a child, he was humble enough to acknowledge that perhaps he could learn some new things, and someone else’s help might be a good idea.

In 2008, the national Coping with Cancer project published a study showing that terminally ill cancer patients who were put on a mechanical ventilator, given electrical defibrillation or chest compressions, or admitted, near death, to intensive care had a substantially worse quality of life in their last week than those who received no such interventions. And, six months after their death, their caregivers were three times as likely to suffer major depression. Spending one’s final days in an I.C.U. because of terminal illness is for most people a kind of failure. You lie on a ventilator, your every organ shutting down, your mind teetering on delirium and permanently beyond realizing that you will never leave this borrowed, fluorescent place. The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.” People have concerns besides simply prolonging their lives. Surveys of patients with terminal illness find that their top priorities include, in addition to avoiding suffering, being with family, having the touch of others, being mentally aware, and not becoming a burden to others. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The hard question we face, then, is not how we can afford this system’s expense. It is how we can build a health-care system that will actually help dying patients achieve what’s most important to them at the end of their lives.

Illness in this society, physical or mental, they are not abnormalities. They are normal responses to an abnormal culture. This culture is abnormal when it comes to real human needs. And.. it is in the nature of the system to be abnormal, because if we had a society geared to meet human needs.. would we be destroying the Earth through climate change? Would we be putting extra burden on certain minority people? Would we be selling people a lot of goods that they don't need, and, in fact, are harmful for them? Would there be mass industries based on manufacturing, designing and mass-marketing toxic food to people? So we do all that for the sake of profit. That's insanity. It is not insanity from the point of view of profit, but it is insanity from the point of view of human need. And so, in so many ways this culture denies and even runs against counter to human needs. When you mentioned trauma.. given how important trauma is in human life and what an impact it has.. why have we ignored it for so long? Because that denial of reality is built in into this system. It keeps the system alive. So it is not a mistake, it is a design issue. Not that anybody consciously designed it, but that's just how the system survives. Now.. the average medical student to THIS DAY (I say the average.. there are exceptions) still doesn't get a single lecture on trauma in 4 years of medical school. They should have a whole course on it, Because I can tell you that trauma is related to addiction, all kinds of mental illness and most physical health conditions as well. And there is a whole lot of science behind that, but they don't study that science. Now that reflects this society's denial of trauma, the medical system simply reflects the needs of the larger society, I should say, the dominant needs of the larger society.

Greed subsumes love and compassion; living simply makes room for them. Living simply is the primary way everyone can resist greed every day. All over the world people are becoming more aware of the importance of living simply and sharing resources. While communism has suffered political defeat globally, the politics of communalism continue to matter. We can all resist the temptation of greed. We can work to change public policy, electing leaders who are honest and progressive. We can turn off the television set. We can show respect for love. To save our planet we can stop thoughtless waste. We can recycle and support ecologically advanced survival strategies. We can celebrate and honor communalism and interdependency by sharing resources. All these gestures show a respect and a gratitude for life. When we value the delaying of gratification and take responsibility for our actions, we simplify our emotional universe. Living simply makes loving simple. The choice to live simply necessarily enhances our capacity to love. It is the way we learn to practice compassion, daily affirming our connection to a world community.

People who reported having a terrible traumatic experience and who kept the experience a secret had far more health problems than people who openly talked about their traumas. Why would keeping a secret be so toxic? More importantly, if you asked people to disclose emotionally powerful secrets, would their health improve? The answer, my students and I soon discovered, was yes. We began running experiments where people were asked to write about traumatic experiences for fifteen to twenty minutes a day for three to four consecutive days. Compared to people who were told to write about nonemotional topics, those who wrote about trauma evidenced improved physical health. Later studies found that emotional writing boosted immune function, brought about drops in blood pressure, and reduced feelings of depression and elevated daily moods. Now, over twenty-five years after the first writing experiment, more than two hundred similar writing studies have been conducted all over the world. While the effects are often modest, the mere act of translating emotional upheavals into words is consistently associated with improvements in physical and mental health.

Pierre Janet, a French professor of psychology who became prominent in the early twentieth century, attempted to fully chronicle late- Victorian hysteria in his landmark work The Major Symptoms of Hysteria. His catalogue of symptoms was staggering, and included somnambulism (not sleepwalking as we think of it today, but a sort of amnesiac condition in which the patient functioned in a trance state, or "second state," and later remembered nothing); trances or fits of sleep that could last for days, and in which the patient sometimes appeared to be dead; contractures or other disturbances in the motor functions of the limbs; paralysis of various parts of the body; unexplained loss of the use of a sense such as sight or hearing; loss of speech; and disruptions in eating that could entail eventual refusal of food altogether. Janet's profile was sufficiently descriptive of Mollie Fancher that he mentioned her by name as someone who "seems to have had all possible hysterical accidents and attacks." In the face of such strange and often intractable "attacks," many doctors who treated cases of hysteria in the 1800s developed an ill-concealed exasperation.

I have to believe that if we didn't need to protect ourselves, we wouldn't be so prone to avoiding rest. When fear enters the story, something changes. In response to the risk and need around us, we have constructed systems around labor that leave even the hardest workers vulnerable, in deficit. Labor is no longer a gift. How could it be when one is withering from hunger? Labor instead becomes a means to an end, not an avenue for flourishing but a transaction for survival. This is a grim human development, for no one wants to spend their days merely surviving. And this transaction is nearly always incongruent with the amount of labor one does. You can work, as my gramma did in California, for a full month just to be able to finally move from the shelter into low-income housing. Meanwhile, the powerful convince us that there is not enough while their pocket spill out in the open. They distract us from this by dangling opportunity in the opposite direction. They appear as rescuers, demanding ceaseless labor from us but presenting it as a gift. We are expected to feel deeply lucky and even indebted to a society that allows us to work, even if that work cannot satisfy our most basic needs.

I am not sure exactly what healing is or looks like, what form it comes in, what it should feel like. I do know that when I was four, I could not lift a gallon of milk, could not believe how heavy it was, that white sloshing boulder. I'd pull up a wooden chair to stand over the counting, pouring the milk with two shaking arms, wetting the cereal, spilling. Looking back I don't remember the day that I lifted it with ease. All I know is that now I do it without thinking, can do it one-handed, on the phone, in a rush. I believe the same rules apply, that one day I'll be able to tell this story without it shaking my foundation. Each time will not require an entire production, a spilling, a sweating forehead, a mess to clean up, sopping paper towels. It will just be a part of my life, every day lighter to lift. Ram Dass said, Allow that you are at this moment not in the wrong place in your life. Consider the possibility that there have been no errors in the game. Just consider it. Consider that there is not an error, and everything that's come down on your plate is the way it is and here we are. I don't believe it was my fate to be raped. But I do believe that here we are is all we have. For a long time, it was too painful to be here. My mind preferred to be dissociated. I used to believe the goal was forgetting. It took me a long time to learn healing is not about advancing, it is returning repeatedly to forage something. Writing this book allowed me to go back to that place. I learned to stay in the hurt, to resist leaving. If I got stuck inside scenes in the courtroom, I would glance down at Mogu and wonder, if I really am in the past, how did this blinking thing get in my house? I assembled and reassembled letters in ways that would describe what I'd seen and felt. As I revisited that landscape, I grew more in control, could go and go when I needed to. Until one day I found there was nothing left to gather.

Like our other needs, meaning is an inherent expectation. Its denial has dire consequences. Far from a purely psychological need, our hormonees and nervous systems clock its presence or absence. As a medical study in 2020 found, the "presence [of] and search for meaning in life are important for health and well-being." Simply put, the more meaningful you find your life, the better your measures of mental and physical health are likely to be. It is itself a sign of the times that we even need such studies to confirm what our experience of life teaches. When do you feel happier, more fulfilled, more viscerally at ease: when you extend yourself to help and connect with others, or when you are focused on burnishing the importance of your little egoic self? We all know the answer, and yet somehow what we know doesn't always carry the day. Corporations are ingenious at exploiting people's needs without actually meeting them. Naomi Klein, in her book No Logo, made vividly clear how big business began in the 1980s to home in on people's natural desire to belong to something larger than themselves. Brand-aware companies such as Nike, Lululemon, and the Body Shop are marketing much more than products: they sell meaning, identification, and an almost religious sense of belonging through association with their brand. "That pressuposes a kind of emptiness and yearning in people," I suggested when I interviewed the prolific author and activist. "Yes," Klein replied. "They tap into a longing and a need for belonging, and they do it by exploiting the insight that just selling running shoes isn't enough. We humans want to be part of a transcendent project.

In 1944-1945, Dr Ancel Keys, a specialist in nutrition and the inventor of the K-ration, led a carefully controlled yearlong study of starvation at the University of Minnesota Laboratory of Physiological Hygiene. It was hoped that the results would help relief workers in rehabilitating war refugees and concentration camp victims. The study participants were thirty-two conscientious objectors eager to contribute humanely to the war effort. By the experiment's end, much of their enthusiasm had vanished. Over a six-month semi-starvation period, they were required to lose an average of twenty-five percent of their body weight." [...] p193 p193-194 "...the men exhibited physical symptoms...their movements slowed, they felt weak and cold, their skin was dry, their hair fell out, they had edema. And the psychological changes were dramatic. "[...] p194 "The men became apathetic and depressed, and frustrated with their inability to concentrate or perform tasks in their usual manner. Six of the thirty-two were eventually diagnosed with severe "character neurosis," two of them bordering on psychosis. Socially, they ceased to care much about others; they grew intensely selfish and self-absorbed. Personal grooming and hygiene deteriorated, and the men were moody and irritable with one another. The lively and cooperative group spirit that had developed in the three-month control phase of the experiment evaporated. Most participants lost interest in group activities or decisions, saying it was too much trouble to deal with the others; some men became scapegoats or targets of aggression for the rest of the group. Food - one's own food - became the only thing that mattered. When the men did talk to one another, it was almost always about eating, hunger, weight loss, foods they dreamt of eating. They grew more obsessed with the subject of food, collecting recipes, studying cookbooks, drawing up menus. As time went on, they stretched their meals out longer and longer, sometimes taking two hours to eat small dinners. Keys's research has often been cited often in recent years for this reason: The behavioral changes in the men mirror the actions of present-day dieters, especially of anorexics.

At a talk I gave at a church months later, I spoke about Charlie and the plight of incarcerated children. Afterward, an older married couple approached me and insisted that they had to help Charlie. I tried to dissuade these kind people from thinking they could do anything, but I gave them my card and told them they could call me. I didn't expect to hear from them, but within days they called, and they were persistent. We eventually agreed that they would write a letter to Charlie and send it to me to pass on to him. When I received the letter weeks later, I read it. It was remarkable. Mr. and Mrs. Jennings were a white couple in their mid-seventies from a small community northeast of Birmingham. They were kind and generous people who were active in their local United Methodist church. They never missed a Sunday service and were especially drawn to children in crisis. They spoke softly and always seemed to be smiling but never appeared to be anything less than completely genuine and compassionate. They were affectionate with each other in a way that was endearing, frequently holding hands and leaning into each other. They dressed like farmers and owned ten acres of land, where they grew vegetables and lived simply. Their one and only grandchild, whom they had helped raise, had committed suicide when he was a teenager, and they had never stopped grieving for him. Their grandson struggled with mental health problems during his short life, but he was a smart kid and they had been putting money away to send him to college. They explained in their letter that they wanted to use the money they'd saved for their grandson to help Charlie. Eventually, Charlie and this couple began corresponding with one another, building up to the day when the Jenningses met Charlie at the juvenile detention facility. They later told me that they "loved him instantly." Charlie's grandmother had died a few months after she first called me, and his mother was still struggling after the tragedy of the shooting and Charlie's incarceration. Charlie had been apprehensive about meeting with the Jenningses because he thought they wouldn't like him, but he told me after they left how much they seemed to care about him and how comforting that was. The Jenningses became his family. At one point early on, I tried to caution them against expecting too much from Charlie after his release. 'You know, he's been through a lot. I'm not sure he can just carry on as if nothing has ever happened. I want you to understand he may not be able to do everything you'd like him to do.' They never accepted my warnings. Mrs. Jennings was rarely disagreeable or argumentative, but I had learned that she would grunt when someone said something she didn't completely accept. She told me, 'We've all been through a lot, Bryan, all of us. I know that some have been through more than others. But if we don't expect more from each other, hope better for one another, and recover from the hurt we experience, we are surely doomed.' The Jenningses helped Charlie get his general equivalency degree in detention and insisted on financing his college education. They were there, along with his mother, to take him home when he was released.