Mental Health Stigma Quotes

The bravest thing I ever did was continuing my life when I wanted to die.

People should know about us. Girls who write their pain on their bodies. ~Louisa

Before you call yourself a Christian, Buddhist, Muslim, Hindu or any other theology, learn to be human first.

Our society tends to regard as a sickness any mode of thought or behavior that is inconvenient for the system and this is plausible because when an individual doesn't fit into the system it causes pain to the individual as well as problems for the system. Thus the manipulation of an individual to adjust him to the system is seen as a cure for a sickness and therefore as good.

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.

They called me mad, and I called them mad, and damn them, they outvoted me.

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.

One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you're living with this illness and functioning at all, it's something to be proud of, not ashamed of. They should issue medals along with the steady stream of medication.

Calling it lunacy makes it easier to explain away the things we don't understand.

Mental illness People assume you aren’t sick unless they see the sickness on your skin like scars forming a map of all the ways you’re hurting. My heart is a prison of Have you tried?s Have you tried exercising? Have you tried eating better? Have you tried not being sad, not being sick? Have you tried being more like me? Have you tried shutting up? Yes, I have tried. Yes, I am still trying, and yes, I am still sick. Sometimes monsters are invisible, and sometimes demons attack you from the inside. Just because you cannot see the claws and the teeth does not mean they aren’t ripping through me. Pain does not need to be seen to be felt. Telling me there is no problem won’t solve the problem. This is not how miracles are born. This is not how sickness works.

To not have your suffering recognized is an almost unbearable form of violence.

Sometimes the people around you won't understand your journey. They don't need to, it's not for them.

Stigma against mental illness is a scourge with many faces, and the medical community wears a number of those faces.

I keep moving ahead, as always, knowing deep down inside that I am a good person and that I am worthy of a good life.

No one would ever say that someone with a broken arm or a broken leg is less than a whole person, but people say that or imply that all the time about people with mental illness.

Why, when you have a mental disease, is it always considered an act of imagination? Why is it that every organ in your body can get sick and you get sympathy except the brain?

Mental illness" is among the most stigmatized of categories.' People are ashamed of being mentally ill. They fear disclosing their condition to their friends and confidants-and certainly to their employers.

You are not your illness. You have an individual story to tell. You have a name, a history, a personality. Staying yourself is part of the battle.

Attitude Is Everything We live in a culture that is blind to betrayal and intolerant of emotional pain. In New Age crowds here on the West Coast, where your attitude is considered the sole determinant of the impact an event has on you, it gets even worse.In these New Thought circles, no matter what happens to you, it is assumed that you have created your own reality. Not only have you chosen the event, no matter how horrible, for your personal growth. You also chose how you interpret what happened—as if there are no interpersonal facts, only interpretations. The upshot of this perspective is that your suffering would vanish if only you adopted a more evolved perspective and stopped feeling aggrieved. I was often kindly reminded (and believed it myself), “there are no victims.” How can you be a victim when you are responsible for your circumstances? When you most need validation and support to get through the worst pain of your life, to be confronted with the well-meaning, but quasi-religious fervor of these insidious half-truths can be deeply demoralizing. This kind of advice feeds guilt and shame, inhibits grieving, encourages grandiosity and can drive you to be alone to shield your vulnerability.

No one would ever tell a cancer patient to 'just get over it.' Why people think they can tell those with a mental illness as much is baffling.

My therapist told me that I over-analyze everything. I explained to him that he only thinks this because of his unhappy relationship with his mother.

The stigmatized individual is asked to act so as to imply neither that his burden is heavy nor that bearing it has made him different from us; at the same time he must keep himself at that remove from us which assures our painlessly being able to confirm this belief about him. Put differently, he is advised to reciprocate naturally with an acceptance of himself and us, an acceptance of him that we have not quite extended to him in the first place. A PHANTOM ACCEPTANCE is thus allowed to provide the base for a PHANTOM NORMALCY.

Mental illness is nothing to be ashamed of, but stigma and bias shame us all.

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.

To resist a compulsion with willpower alone is to hold back an avalanche by melting the snow with a candle. It just keeps coming and coming and coming.

Even though I know that breaking your brain is the same as breaking your arm, I'm still ashamed that my brain is broken.

My mother smiled. "I knew my baby wasn't like that." I looked at her. "Like what?" "Like those awful people. Those awful dead people at that hospital." She paused. "I knew you'd decide to be all right again.

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

This disease comes with a package: shame. When any other part of your body gets sick, you get sympathy.

My story is not a sad story; it's a real one. It's a story about a girl who fought through a storm she thought would never end.

Stigma's power lies in silence. The silence that persists when discussion and action should be taking place. The silence one imposes on another for speaking up on a taboo subject, branding them with a label until they are rendered mute or preferably unheard.

I had people saying 'it's all in your head'. Do you honestly think I want to feel this way?

Never stand in the way of letting God use people’s actions, in order to solve a greater issue in the world.

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.

You can’t be beaten by something you laugh at.

The mentally ill frighten and embarrass us. And so we marginalize the people who most need our acceptance. What mental health needs is more sunlight, more candor, more unashamed conversation.

Been under treatment for PTSD and bipolar since 1992. I’m not ashamed of my illness. I’ve been shunned by many and I feel for those shunned, too.

You don't have to be our worst case, to be a worthy case.

As special as it is to listen to your friends argue over whether or not you have a mental illness,I'm starting to get the urge to go back to class.

Anxiety is the monster that resides within.

It was the way they had exploited his schizophrenia to their advantage, wielding it to maim a man who was already mentally crippled.

The power to label is the power to destroy.

Try yoga! Think about the good stuff! Keep yourself engaged! It’s all in your mind! Duh! It is! But is more of a chemical imbalance! I don’t know why people don’t take mental ailments as normal. People are accepting of AIDS, cancer, tuberculosis, etc. But mental ailments? They are just all in the mind!

In reviewing his own moral career, the stigmatized individual may single out and retrospectively elaborate experiences which serve for him to account for his coming to the beliefs and practices that he now has regarding his own kind and normals.

I'm not the kind of person who likes to shout out my personal issues from the rooftops, but with my bipolar becoming public, I hope fellow sufferers will know it's completely controllable. I hope I can help remove any stigma attached to it, and that those who don't have it under control will seek help with all that is available to treat it.

And if we do speak out, we risk rejection and ridicule. I had a best friend once, the kind that you go shopping with and watch films with, the kind you go on holiday with and rescue when her car breaks down on the A1. Shortly after my diagnosis, I told her I had DID. I haven't seen her since. The stench and rankness of a socially unacceptable mental health disorder seems to have driven her away.

The drug I take is called schizophrenia, among other labels, which I desperately want to put away. I want to put the drug of schizophrenia down, and I want to put down the stigma surrounding its label.

Officially, it is no more possible to be a little bit OCD than it is to be a little bit pregnant or a little bit dead.

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.

I hated these visits, because I kept feeling the visitors measuring my fat and stringy hair against what I had been and what they wanted me to be, and I knew they went away utterly confounded.

Julian had heard stories-whispers really-of other Shadowhunter children who thought or felt differently. Who had trouble focusing. Who claimed letters rearranged themselves on the page when they tried to read them. Who fell prey to dark sadnesses that seemed to have no reason, or fits of energy they couldn't control. Whispers were all there were, though, because the Clave hated to admit that Nephilim like that existed. They were disappeared into the 'dregs' portion of the Academy, trained to stay out of the way of other Shadowhunters. Sent to the far corners of the globe like shameful secrets to be hidden. There were no words to describe Shadowhunters whose minds were shaped differently, no real words to describe differences at all. Because if there were words, Julian thought, there would have to be acknowledgement. And there were things the Clave refused to acknowledge.

Anyone who dies by their own hand always has my sympathy. It's easy to sit in judgement on another's struggle from the outside without ever living in their suffocating darkness. If there is an explanation left behind, it usually confirms how relentlessly harsh and unfair they were on themselves. Mourn their release with mercy and gratitude for doing what they were capable of in their short lives.

Denial and minimizing is often seen in genuine PTSD and, hence, should be a target of detection and measurement.

Tell me, just how many lives need to be lost until someone realises the impact that their words can have on another individual?

I wondered how you would react when I revealed to you my hidden parts, my ugly parts that don’t do well in the sunlight.

Be careful about how you hide yourself from people who care. Your hiding could set up a life-or-death situation whereby you are in need and there is no one left to help.

You may not understand my mind, but that does not give you the right to judge it.

It's feeling full of everything and empty of it all at the same time. This is mental illness.

If you want to see the stars, you must be willing to travel through the dark.

Not all battles are visible and neither are the victories.

Every time you feel like mocking a person you disagree with politically by implying that they are mentally ill, I want you to instead imagine you are talking to every single person who actually is mentally ill and telling them they are worthless. That's how it makes mentally ill people feel. Doesn't seem very progressive now does it?

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.

Here I want to stress that perception of losing one’s mind is based on culturally derived and socially ingrained stereotypes as to the significance of symptoms such as hearing voices, losing temporal and spatial orientation, and sensing that one is being followed, and that many of the most spectacular and convincing of these symptoms in some instances psychiatrically signify merely a temporary emotional upset in a stressful situation, however terrifying to the person at the time. Similarly, the anxiety consequent upon this perception of oneself, and the strategies devised to reduce this anxiety, are not a product of abnormal psychology, but would be exhibited by any person socialized into our culture who came to conceive of himself as someone losing his mind.

Our silence spoke of a million different versions of what we were feeling.

Sometimes I fall asleep with my finger on your wrist pulse to try and steady my own heartbeat.

You were holding all my pieces together, and you were trying to balance them all in your righteous hands.

That feeling will come again—that feeling of not being enough for you. And I’ll sweep it up in me and then let it sweep out. I’ll try not to own it. I’ll not bear its heaviness.

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

People were so quick to point at all those inspiring stories of catharsis, completely ignoring the fact that the vast majority of the broken never beat their demons, that the drunkard’s son stayed with the bottle, the war widow never conquered her loneliness, and the defiled child never wiped that imagined black stain from their soul. Because in a world that worshipped the victorious, who the hell wanted to hear about the defeated?

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

Dealing with mental health can be lonely and scary and unfortunately there is still so much stigma around mental health which makes getting help even more difficult. That's why I want you to know that you have nothing to be ashamed of. Accepting help and treatment doesn't make you weak, it makes you strong and brave. Visit the resources I have listed for you below. It may feel scary and intimidating at first, especially if you have never done it before. But prioritizing your health is of utmost value. You are important and you deserve to feel loved and happy. You are not alone.

Unlike ‘mere’ medical or physical disorders, mental disorders are not just problems. If successfully navigated, they can also present opportunities. Simply acknowledging this can empower people to heal themselves and, much more than that, to grow from their experiences.

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.

When people asked about his schizophrenia, Eric, who didn’t exactly flaunt his illness but wasn’t ashamed of it, either, offered up the comparison of alcoholism. Not every drunk is a single bourbon away from skid row, just like every schizophrenic is not a tatty-haired, crazy-eyed gunman who delights in murdering alien-people from clock towers. There are functioning alcoholics just as there are functioning schizophrenics, individuals who work, maintain homes, and have hobbies, goals, and relationships like every other slob on the planet.

I walk past these white walls back to my room. The windows down the hallway shine their light and make rectangles on the floor. They angle themselves to the sun, so we never lose track of where the light comes in.

At the root of this dilemma is the way we view mental health in this country. Whether an illness affects your heart, your leg or your brain, it’s still an illness, and there should be no distraction. – Michelle Obama

I wanted to ventilate my deep feelings about song lyrics and dark poets. I wanted to take my socks off and dance in the forest. I wanted to drink wine until my lips went numb so kisses would feel deeper. I wanted to do everything dreamers do.

I define “depression,” but depression does not define me because you cannot define a person. Not with a single word, not with an entire book. Human beings defy definition. Yet the stigma surrounding mental illness makes some believe we can use it to define others, and it often deceives us into believing we must use it to define ourselves.

The process of reforming the mental health system never includes the complaints that families and caregivers have regarding a need for increased access to resources, treatment, education, and financial support. Reform has continued to ignore the basic needs of families and suffering individuals with severe mental illness and special needs.

We listened to your music, and I saw colors eroding you. You turned into pixels, and the squares fell out of place and morphed into beautiful colors. I was looking up at you as you stared down at me, and you were disentangling all my earlier feelings.

In my community, mental health isn't taken seriously enough. Therapy is replaced by prayer. Tears are a sign of weakness. When you are different, you are told to change. And really, what does that do? It isolates desperate, vulnerable people and creates victims.

I cut myself up really badly with the lid of a tin can. They took me to the emergency room, but I couldn’t tell the doctor what I had done to cut myself—I didn’t have any memory of it. The ER doctor was convinced that dissociative identity disorder didn’t exist. . . . A lot of people involved in mental health tell you it doesn’t exist. Not that you don’t have it, but that it doesn’t exist.

Resistance to change in the mental health system comes disguised as protection of civil liberties and freedom of speech. As a result, many parents, families, and caregivers are at a loss and feel defeated by the majority of Americans who strive to maintain the current rules of society.

Also, it's offensive and demeaning to be written off as crazy. Especially given the stigma of mental health. And maybe the real issue here is that some men can't confront their emotions. Instead of taking responsibility for your own behavior, it's easier to screw us, write us off as loons, and forget about us.

You can't fight mental health bias if you label people based on a lists of symptoms and you have no medical degree to diagnose people. We all have crazy running through our blood and so many things trigger that. We all struggle with our anxiety and twisted issues. Defamation of character is not kind, nor Christlike. Because when you label people with self righteous vindication you open the door to the very idea that self righteousness is itself a disorder that we should all be afraid of. This doorway when left open too long gets people to pull away from Christ, not run to him.

You’re not fine. You’re not. And that’s OK. The first thing I want you to do is to finally tell yourself that it’s OK not to be OK. To accept that you’re feeling badly and that something isn’t right. Too many of us are in denial because we think that to admit there’s something wrong means we’re weak or broken or odd. I don’t know if it’s society, or just who we associate with, but we need to change our way of thinking. We are not weak. We are not broken. We are not odd.

Although, in principle, the psychoanalytical theory of borderlines is not punitive, in practice 'borderline' is almost always used to indicate that the patient is hostile, demanding, unpleasant, manipulative, attention-seeking, and prone to regression and dependency if admitted to hospital; in other words patient is a witch by Malleus Maleficarum criteria. The term 'borderline' functions to rationalize sadistic counter-transference, and to legitimize rejecting triaging decisions within the health-care system. Actually, most of the time, in my experience, the splitting is coming from the staff, not the patient, and it is the mental-health professionals who are using projection and denial. This is an example of 'blaming the victim,' which is a fundamental borderline psychodynamic.

I wasn’t saying it didn’t all happen like that, but all of that was included in the chunks of time that had gone missing from my brain. They dropped out somewhere. And if the chunks were round, they would have rolled away. So I was hoping they were bricks and heavy so they stayed in the same spot. I just needed to retrace my steps, if I only could remember where I’d been.

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.

Severe mental illness has been likened to drug addiction, prostitution, and criminality (37,38). Unlike physical disabilities, persons with mental illness are perceived by the public to be in control of their disabilities and responsible for causing them (34,36). Furthermore, research respondents are less likely to pity persons with mental illness, instead reacting to psychiatric disability with anger and believing that help is not deserved (35,36,39). Understanding the impact of stigma on people with mental illness. World Psychiatry. Feb 2002; 1(1): 16–20. PMCID: PMC1489832 PATRICK W. CORRIGAN and AMY C. WATSON

A more fundamental problem with labelling human distress and deviance as mental disorder is that it reduces a complex, important, and distinct part of human life to nothing more than a biological illness or defect, not to be processed or understood, or in some cases even embraced, but to be ‘treated’ and ‘cured’ by any means possible—often with drugs that may be doing much more harm than good. This biological reductiveness, along with the stigma that it attracts, shapes the person’s interpretation and experience of his distress or deviance, and, ultimately, his relation to himself, to others, and to the world. Moreover, to call out every difference and deviance as mental disorder is also to circumscribe normality and define sanity, not as tranquillity or possibility, which are the products of the wisdom that is being denied, but as conformity, placidity, and a kind of mediocrity.

Somehow the disorder hooks into all kinds of fears and insecurities in many clinicians. The flamboyance of the multiple, her intelligence and ability to conceptualize the disorder, coupled with suicidal impulses of various orders of seriousness, all seem to mask for many therapists the underlying pain, dependency, and need that are very much part of the process. In many ways, a professional dealing with a multiple in crisis is in the same position as a parent dealing with a two-year-old or with an adolescent's acting-out behavior. (236)

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

I began to see her mind like an old television set, one with a dial you had to change the channels. She'd gotten stuck between channels and all that was broadcasting in her mind was crackling white noise which drove her mad and scared me to death. The medicine was like turning down the volume. The channles might still be stuck but at least the set was no longer spewing the deafening static. The volume had to be lowered until the channels could work again

Mental imbalance is about as acceptable as herpes. It’s never going to be accepted. But really, it’s a disease just like cancer. It just happens, and eats away all the good parts of your brain, like judgment and happiness and perception and memory and life. And you can die from depression just like any other disease. And it’s not as if people choose it. So why is it still a joke of medicine? “She died of cancer.” is a lot more socially acceptable to people than “She committed suicide.

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.

Several themes describe misconceptions about mental illness and corresponding stigmatizing attitudes. Media analyses of film and print have identified three: people with mental illness are homicidal maniacs who need to be feared; they have childlike perceptions of the world that should be marveled; or they are responsible for their illness because they have weak character (29-32)." World Psychiatry. 2002 Feb; 1(1): 16–20. PMCID: PMC1489832 Understanding the impact of stigma on people with mental illness PATRICK W CORRIGAN and AMY C WATSON

We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self. At this point in time there are people who question the validity of the DID diagnosis. The fact is that DID has its own category in the Diagnostic and Statistical Manual of Mental Disorders because, as with all psychiatric conditions, a portion of society experiences a cluster of recognizable symptoms that are not better accounted for by any other diagnosis.

Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact. But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.

The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.