Mental Illness Depression Quotes

It's my experience that people are a lot more sympathetic if they can see you hurting, and for the millionth time in my life I wish for measles or smallpox or some other easily understood disease just to make it easier on me and also on them.

For someone like myself in whom the ability to trust others is so cracked and broken that I am wretchedly timid and am forever trying to read the expression on people's faces.

Anyone who has actually been that sad can tell you that there's nothing beautiful or literary or mysterious about depression.

Mental illness is so much more complicated than any pill that any mortal could invent

I will be stronger than my sadness.

When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.

If you trade your authenticity for safety, you may experience the following: anxiety, depression, eating disorders, addiction, rage, blame, resentment, and inexplicable grief.

I'm the girl who is lost in space, the girl who is disappearing always, forever fading away and receding farther and farther into the background. Just like the Cheshire cat, someday I will suddenly leave, but the artificial warmth of my smile, that phony, clownish curve, the kind you see on miserably sad people and villains in Disney movies, will remain behind as an ironic remnant. I am the girl you see in the photograph from some party someplace or some picnic in the park, the one who is in fact soon to be gone. When you look at the picture again, I want to assure you, I will no longer be there. I will be erased from history, like a traitor in the Soviet Union. Because with every day that goes by, I feel myself becoming more and more invisible...

I wonder if that's how darkness wins, by convincing us to trap it inside ourselves, instead of emptying it out. I don't want it to win.

He could only consider me as the living corpse of a would-be suicide, a person dead to shame, an idiot ghost.

If you could read my mind, you wouldn't be smiling.

Except you cannot outrun insanity, anymore than you can outrun your own shadow.

After being hurt by the world so much, they began to see the demons within humans. So without hiding it through trickery, they worked to express it.

He was fucking sad. That's it. That's the point. He knows life is never going to get any different for him. That there's no fixing him. It's always going to be the same monotonous depressing bullshit. Boring, sad, boring, sad. He just wants it to be over.

The pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne. The prevention of many suicides will continue to be hindered until there is a general awareness of the nature of this pain.

I appear at times merry and in good heart, talk, too, before others quite reasonably, and it looks as if I felt, too, God knows how well within my skin. Yet the soul maintains its deathly sleep and the heart bleeds from a thousand wounds.

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.

Bipolar robs you of that which is you. It can take from you the very core of your being and replace it with something that is completely opposite of who and what you truly are. Because my bipolar went untreated for so long, I spent many years looking in the mirror and seeing a person I did not recognize or understand. Not only did bipolar rob me of my sanity, but it robbed me of my ability to see beyond the space it dictated me to look. I no longer could tell reality from fantasy, and I walked in a world no longer my own.

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.

But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

What is society but an individual? [...] The ocean is not society; it is individuals. This was how I managed to gain a modicum of freedom from my terror at the illusion of the ocean called the world.

I wanted to be dead. No. That's not quite right. I didn't want to be dead, I just didn't want to be alive.

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.

The first time I saw her, Everything in my head went quiet.

People with mental illnesses aren't wrapped up in themselves because they are intrinsically any more selfish than other people. Of course not. They are just feeling things that can't be ignored. Things that point the arrows inward.

It wasn't that she was sad—sadness had very little to do with it, really, considering that most of the time, she felt close to nothing at all. Feeling required nerves, connections, sensory input. The only thing she felt was numb. And tired. Yes, she very frequently felt tired.

Oh! This'll impress you - I'm actually in the Abnormal Psychology textbook. Obviously my family is so proud. Keep in mind though, I'm a PEZ dispenser and I'm in the abnormal Psychology textbook. Who says you can't have it all?

I used to feel like i was on the top of the world. Then one day, i noticed that it felt like i was no longer on the top of the world. I was just floating around inside of it. And then eventually, it felt like the world was on top of me.

It felt like this was never going to end. The world wasn't going to stop crashing down until there was nothing left of me but dust.

Sometimes we create such powerful illusions, so that we do not get lost in the darkness.

And I know, knew for sure, with an absolute certainty, that this is rock bottom, this what the worst possible thing feels like. It is not some grand, wretched emotional breakdown. It is, in fact, so very mundane:…Rock Bottom is an inability to cope with the commonplace that is so extreme it makes even the grandest and loveliest things unbearable…Rock bottom is feeling that the only thing that matters in all of life is the one bad moment…Rock bottom is everything out of focus. It’s a failure of vision, a failure to see the world how it is, to see the good in what it is, and only to wonder why the hell things look the way they do and not—and not some other way.

It took me far too long to realize that lost years and relationships cannot be recovered. That damage done to oneself and others cannot always be put right again.

The best thing about rock bottom is the rock part. You discover the solid bit of you. The bit that can't be broken down further. The thing that you might sentimentally call a soul. At our lowest we find the solid ground of our foundation. And we can build ourselves anew.

Don’t ask me those questions! Don’t ask me what life means or how we know reality or why we have to suffer so much. Don’t talk about how nothing feels real, how everything is coated with gelatin and shining like oil in the sun. I don’t want to hear about the tiger in the corner or the Angel of Death or the phone calls from John the Baptist.

Because I'm not, in fact, depressed, Prozac makes me manic and numb - one of the reasons I slice my arm in the first place is that I'm coked to the gills on something utterly wrong for what I have.

If suffering like hers had any use, she reasoned, it was not to the sufferer. The only way that an individual's pain gained meaning was through its communication to others.

What people don't understand about depression is how much it hurts. It's like your brain is convinced that it's dying and produces an acid that eats away at you from the inside, until all that's less is a scary hollowness. Your mind fills with dark thoughts; you become convinced that your friends secretly hate you, you're worthless, and then there's no hope. I never got so low as to consider ending it all, but I understand how that can happen to some people. Depression simply hurts too much.

my brain had begun to endure its familiar siege: panic and dislocation, and a sense that my thought processes were being engulfed by a toxic and unnameable tide that obliterated any enjoyable response to the living world.

Words, just sometimes, can set you free.

You are a warrior in a dark forest, with no compass and are unable to tell who the actual enemy is, So you never feel safe ..

Forgive yourself. For being broken. For being you. For thinking those are things that you need forgiveness for.

I can tell you that “Just cheer up” is almost universally looked at as the most unhelpful depression cure ever. It’s pretty much the equivalent of telling someone who just had their legs amputated to “just walk it off.” Some people don’t understand that for a lot of us, mental illness is a severe chemical imbalance rather just having “a case of the Mondays.” Those same well-meaning people will tell me that I’m keeping myself from recovering because I really “just need to cheer up and smile.” That’s when I consider chopping off their arms and then blaming them for not picking up their severed arms so they can take them to the hospital to get reattached.

Perfectionism is the unparalleled defense for emotionally abandoned children. The existential unattainability of perfection saves the child from giving up, unless or until, scant success forces him to retreat into the depression of a dissociative disorder, or launches him hyperactively into an incipient conduct disorder. Perfectionism also provides a sense of meaning and direction for the powerless and unsupported child. In the guise of self-control, striving to be perfect offers a simulacrum of a sense of control. Self-control is also safer to pursue because abandoning parents typically reserve their severest punishment for children who are vocal about their negligence.

Waking up breaks my heart. Getting dressed breaks my arms. Joining the crowd breaks my legs. Letting someone in...does me in.

I know the empathy borne of despair; I know the fluidity of thought, the expansive, even beautiful, mind that hypomania brings, and I know this is quicksilver and precious and often it's poison. There has always existed a sort of psychic butcher who works the scales of transcendence, who weighs out the bloody cost of true art.

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.

If you put the wrong foods in your body, you are contaminated and dirty and your stomach swells. Then the voice says, Why did you do that? Don't you know better? Ugly and wicked, you are disgusting to me.

Those who fail to exhibit positive attitudes, no matter the external reality, are seen as maladjusted and in need of assistance. Their attitudes need correction. Once we adopt an upbeat vision of reality, positive things will happen. This belief encourages us to flee from reality when reality does not elicit positive feelings. These specialists in "happiness" have formulated something they call the "Law of Attraction." It argues that we attract those things in life, whether it is money, relationships or employment, which we focus on. Suddenly, abused and battered wives or children, the unemployed, the depressed and mentally ill, the illiterate, the lonely, those grieving for lost loved ones, those crushed by poverty, the terminally ill, those fighting with addictions, those suffering from trauma, those trapped in menial and poorly paid jobs, those whose homes are in foreclosure or who are filing for bankruptcy because they cannot pay their medical bills, are to blame for their negativity. The ideology justifies the cruelty of unfettered capitalism, shifting the blame from the power elite to those they oppress. And many of us have internalized this pernicious message, which in times of difficulty leads to personal despair, passivity and disillusionment.

The current ruling ontology denies any possibility of a social causation of mental illness. The chemico-biologization of mental illness is of course strictly commensurate with its depoliticization. Considering mental illness an individual chemico-biological problem has enormous benefits for capitalism. First, it reinforces Capital’s drive towards atomistic individualization (you are sick because of your brain chemistry). Second, it provides an enormously lucrative market in which multinational pharmaceutical companies can peddle their pharmaceuticals (we can cure you with our SSRIs). It goes without saying that all mental illnesses are neurologically instantiated, but this says nothing about their causation. If it is true, for instance, that depression is constituted by low serotonin levels, what still needs to be explained is why particular individuals have low levels of serotonin. This requires a social and political explanation; and the task of repoliticizing mental illness is an urgent one if the left wants to challenge capitalist realism.

Hopelessness is the root of anxiety, mental illness, and depression. It is the source of all misery and the cause of all addiction.

What people never understand is that depression isn't about the outside; it's about the inside. Something inside me is wrong. Sure, there are things in my life that make me feel alone, but nothing makes me feel more isolated and terrified than my own voice inside my head.

You know how most illnesses have symptoms you can recognize? Like fever, upset stomach, chills, whatever. Well, with manic depression, it's sexual promiscuity, excessive spending, and substance abuse - and that just sounds like a fantastic weekend in Vegas to me!

If you are sitting in the dark (due to depression) go turn the light on. If you can't find the light switch, seek the help of someone who can.

Your mental health is more important than everything.

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.

The depressed person is mired in the past; the manic person is obsessed with the future. Both destroy the present in the process.

By masking my mental illness, I get along with almost everyone. Although the odd duck, I honor society’s rules. No one else could imagine my mind’s interior.

Bipolar illness, manic depression, manic-depressive illness, manic-depressive psychosis. That’s a nice way of saying you will feel so high that no street drug can compete and you will feel so low that you wish you had been hit by a Mack truck instead.

I wake up scared and I'm scared all day. I'm scared of being scared. Scared of "losing it". Scared of not being able to function. Scared of being hospitalized. Scared that I am not okay. Scared of what life is and if I am wasting mine. Scared that I have no home - that even the place I call home has no bottom to it and I will just keep falling under and under and under.

Some people think mental illness is a matter of mood, a matter of personality. They think depression is simply a form of being sad, that OCD is a form of being uptight. They think the soul is sick, not the body. It is, they believe, something that you have some choice over. I know how wrong this is. When I was a child, I didn't understand. I would wake up in a new body and wouldn't comprehend why things felt muted, dimmer. Or the opposite--I'd be supercharged, unfocused, like a radio at top volume flipping quickly from station to station. Since I didn't have access to the body's emotions, I assumed the ones I was feeling were my own. Eventually, though, I realized these inclinations, these compulsions, were as much a part of the body as its eye color or its voice. Yes, the feelings themselves were intangible, amorphous, but the cause of the feelings was a matter of chemistry, biology. It is a hard cycle to conquer. The body is working against you. And because of this, you feel even more despair. Which only amplifies the imbalance. It takes uncommon strength to live with these things. But I have seen that strength over and over again.

That was the crux. You. Only you could work on you. Nobody could force you, and if you weren't ready, then you weren't ready, and no amount of open-armed encouragement was going to change that.

Even now it comes as a shock if by chance I notice in the street a face resembling someone I know however slightly, and I am at once seized by a shivering violent enough to make me dizzy.

But it only takes a doubt. A drop of ink falls into a clear glass of water and clouds the whole thing. So the moment after I realised I wasn't perfectly well was the moment I realised I was still very ill indeed.

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?

Lingering, bottled-up anger never reveals the 'true colors' of an individual. It, on the contrary, becomes all mixed up, rotten, confused, forms a highly combustible, chemical compound then explodes as something foreign, something very different than one's natural self.

Self-harm is not a grab for attention. It doesn’t mean you are suicidal. It means you are struggling to get out of a very dangerous mess in your mind and heart and this is your coping mechanism. It means that you occupy a small space in the very real and very large canyon of people who suffer from depression or mental illness.

This will sound strange, and yet I'm sure it was the point: it was a bit like being high. That, for me, anyway, had always been the attraction of drugs, to stop the brutal round of hypercritical thinking, to escape the ravages of an unoccupied mind cannibalizing itself.

You aren’t falling apart. You’re well beyond that. You’re just rattling along now. Elven dolls doing what little you can to gather the pieces as they fall away. But you don’t know how to properly reattach them—a doll does not repair itself. So you hug those brittle fragments to your chest until you simply cannot hug anymore. Until you’ve had to leave so many behind that you no longer remember what it is you’re missing.

Depression: the healthy suspicion that modern life has no meaning and that modern society is absurd and alienating.

Only monsters call when they could text.

Every lineament of the girl's wasted body is a testament to her inner turmoil. Willow can only imagine what kind of pain she must be in to destroy herself that way. She knows there's something ironic in her compassion for the other girl, but she can't help feeling that this utter mortification of the flesh is far worse than anything that she herself has done.

I now know for certain that my mind and emotions, my fix on the real and my family's well-being, depend on just a few grams of salt. But treatment's the easy part. Without honesty, without a true family reckoning, that salt's next to worthless.

Physically, mentally, emotionally -- it seems like every part of me is broken in one way or another.

It was the face of a human being who’d been constructed exclusively of wounds. Not time or history or ambition, nothing but wounds. The face of a person who could probably kill someone without feeling anything whatsoever.

Capitalist realism insists on treating mental health as if it were a natural fact, like weather (but, then again, weather is no longer a natural fact so much as a political-economic effect). In the 1960s and 1970s, radical theory and politics (Laing, Foucault, Deleuze and Guattari, etc.) coalesced around extreme mental conditions such as schizophrenia, arguing, for instance, that madness was not a natural, but a political, category. But what is needed now is a politicization of much more common disorders. Indeed, it is their very commonness which is the issue: in Britain, depression is now the condition that is most treated by the NHS. In his book The Selfish Capitalist, Oliver James has convincingly posited a correlation between rising rates of mental distress and the neoliberal mode of capitalism practiced in countries like Britain, the USA and Australia. In line with James’s claims, I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill?

The word “depressed” is spoken phonetically as “deep rest”. We can view depression not as a mental illness, but on a deeper level, as a profound, and very misunderstood, state of deep rest, entered into when we are completely exhausted by the weight of our own identity.

I'm broken, but I have to learn how to live. I feel stuck together with scotch tape, like after any breath everything could come apart. If it does, if it all comes undone, I think I'll fall down and never rise again.

There is stability in self-destruction, in prolonging sadness as a means of escaping abstractions like happiness. Rock bottom is a surprisingly comfortable place to lay your head. Looking up from the depths of another low often seems a lot safer than wondering when you'll fall again. Falling feels awful. I'd rather fucking fly.

I have begun to notice that I don’t even enjoy folks who aren’t at least a tad mentally ill. I don’t wish folks without a little anxiety or depression any harm, I just don’t find myself particularly curious about them. I have come to believe that we “crazies” are the best people.

I've never had a sustained period of medication for mental illness when I've not been on other drugs as well. It's just not something that I particularly feel I need. I know that I have dramatically changing moods, and I know sometimes I feel really depressed, but I think that's just life. I don't think of it as, "Ah, this is mental illness," more as, "Today, life makes me feel very sad." I know I also get unnaturally high levels of energy and quickness of thought, but I'm able to utilize that.

My sadness is beautiful. It infuses everything I do. It is at the core of my identity and always has been, just as happiness is in some people. I refuse to be told that it's a flaw. I will not mute it with medications for the sake of society. I will hold it close to me and celebrate it rightfully while the rest of the world fails to see it for what it is and it will be their loss.

I have an obligation to help eliminate the stigma attached to mental illness. When I’m feeling despondent and someone asks in a sincere way how I am, I have a duty to tell the truth. It’s no different from saying I have a bad cold. By speaking candidly, I give others permission to acknowledge their own mental illness, talk about it, and seek help. I must break the silence instead of treating my depression like a shameful character flaw.

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.

So ask me if I am alright. 'I’m fine; I’m always fine.' You see this look in my eyes. 'No, I’m fine. I am always fine.' There is a corpse behind my smile. 'Listen, I am fine. Always, always fine as fine can be.' 'Are you okay?' 'I am more than okay. I am more than fine. I am wonderful!

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 was afraid to board a streetcar because of the conductor; I was afraid to enter the Kabuki Theater for fear of the usherettes standing along the sides of the red-carpeted staircase at the main entrance; I was afraid to go into a restaurant because I was intimidated by the waiters furtively hovering behind me waiting for my plate to be emptied.

Dropping in and out of your own life (for psychotic breaks, or treatment in a hospital) isn’t like getting off a train at one stop and later getting back on at another. Even if you can get back on (and the odds are not in your favor), you’re lonely there. The people you boarded with originally are far, far ahead of you, and now you’re stuck playing catch-up.

I mean, that's at least in part why I ingested chemical waste - it was a kind of desire to abbreviate myself. To present the CliffNotes of the emotional me, as opposed to the twelve-column read. I used to refer to my drug use as putting the monster in the box. I wanted to be less, so I took more - simple as that. Anyway, I eventually decided that the reason Dr. Stone had told me I was hypomanic was that he wanted to put me on medication instead of actually treating me. So I did the only rational thing I could do in the face of such as insult - I stopped talking to Stone, flew back to New York, and married Paul Simon a week later.

the intensity, glory, and absolute assuredness if my mind's flight made it very difficult for me to believe once i was better, that the illness was one i should willingly give up....moods are such an essential part of the substance of life, of one's notion of oneself, that even psychotic extremes in mood and behavior somehow can be seen as temporary, even understandable reactions to what life has dealt....even though the depressions that inevitably followed nearly cost me my life.

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.

I didn't totally fit in. I kind of disintegrated around people and became what they wanted me to be. But paradoxically, I felt an intensity inside me all the time. I didn't know what it was, but it kept building, like water behind a dam. Later, when I was properly depressed and anxious, I saw the illness as an accumulation of all that thwarted intensity. A kind of breaking through. As though, if you find it hard enough to let your self be free, your self breaks in, flooding your mind in an attempt to drown all those failed half-versions of you.

it has to be emphasized that if the pain were readily describable most of the countless sufferers from this ancient affliction would have been able to confidently depict for their friends and loved ones (even their physicians) some of the actual dimensions of their torment, and perhaps elicit a comprehension that has been generally lacking; such incomprehension has usually been due not to a failure of sympathy but to the basic inability of healthy people to imagine a form of torment so alien to everyday experience.

Her parents, she said, has put a pinball machine inside her head when she was five years old. The red balls told her when she should laugh, the blue ones when she should be silent and keep away from other people; the green balls told her that she should start multiplying by three. Every few days a silver ball would make its way through the pins of the machine. At this point her head turned and she stared at me; I assumed she was checking to see if I was still listening. I was, of course. How could one not? The whole thing was bizarre but riveting. I asked her, What does the silver ball mean? She looked at me intently, and then everything went dead in her eyes. She stared off into space, caught up in some internal world. I never found out what the silver ball meant.

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.

She isn't traumatized, she isn't weighed down by any obvious grief. She's just sad, all the time. An evil little creature that wouldn't have shown up on any X-rays was living in her chest, rushing through her blood and filling her head with whispers, saying she wasn't good enough, that she was weak and ugly and would never be anything but broken. You can get it into your head to do some unbelievably stupid things when you run out of tears, when you can't silence the voices no one else can hear, when you've never been in a room where you felt normal. In the end you get exhausted from always tensing the skin around your ribs, never letting your shoulders sink, brushing along walls all your life with white knuckles, always afraid that someone will notice you, because no one's supposed to do that. All Nadia knew was that she had never felt like someone who had anything in common with anyone else. She had always been entirely alone in every emotion. She sat in a classroom full of her contemporaries, looking like everything was the same as usual, but inside she was standing in a forest screaming until her heart burst. The trees grew until one day the sunlight could no longer break through the foliage, and the darkness in here became impenetrable.

Statistics say that a range of mental disorders affects more than one in four Americans in any given year. That means millions of Americans are totally batshit. but having perused the various tests available that they use to determine whether you're manic depressive. OCD, schizo-affective, schizophrenic, or whatever, I'm surprised the number is that low. So I have gone through a bunch of the available tests, and I've taken questions from each of them, and assembled my own psychological evaluation screening which I thought I'd share with you. So, here are some of the things that they ask to determine if you're mentally disordered 1. In the last week, have you been feeling irritable? 2. In the last week, have you gained a little weight? 3. In the last week, have you felt like not talking to people? 4. Do you no longer get as much pleasure doing certain things as you used to? 5. In the last week, have you felt fatigued? 6. Do you think about sex a lot? If you don't say yes to any of these questions either you're lying, or you don't speak English, or you're illiterate, in which case, I have the distinct impression that I may have lost you a few chapters ago.

You see, people in the depressive position are often stigmatised as ‘failures' or ‘losers'. Of course, nothing could be further from the truth. If these people are in the depressive position, it is most probably because they have tried too hard or taken on too much, so hard and so much that they have made themselves ‘ill with depression'. In other words, if these people are in the depressive position, it is because their world was simply not good enough for them. They wanted more, they wanted better, and they wanted different, not just for themselves, but for all those around them. So if they are failures or losers, this is only because they set the bar far too high. They could have swept everything under the carpet and pretended, as many people do, that all is for the best in the best of possible worlds. But unlike many people, they had the honesty and the strength to admit that something was amiss, that something was not quite right. So rather than being failures or losers, they are just the opposite: they are ambitious, they are truthful, and they are courageous. And that is precisely why they got ‘ill'. To make them believe that they are suffering from some chemical imbalance in the brain and that their recovery depends solely or even mostly on popping pills is to do them a great disfavour: it is to deny them the precious opportunity not only to identify and address important life problems, but also to develop a deeper and more refined appreciation of themselves and of the world around them—and therefore to deny them the opportunity to fulfil their highest potential as human beings.

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.

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).

What do you know about bipolar disorder?” I almost say, What do you know about it? But I make myself breathe and smile. “Is that the Jekyll-Hyde thing?” My voice sounds flat and even. Maybe a little bored, even though my mind and body are on alert. “Some people call it manic depression. It’s a brain disorder that causes extreme shifts in mood and energy. It runs in families, but it can be treated.” I continue to breathe, even if I’m not smiling anymore, but here is what is happening: my brain and my heart are pounding out different rhythms; my hands are turning cold and the back of my neck is turning hot; my throat has gone completely dry. The thing I know about bipolar disorder is that it’s a label. One you give crazy people. I know this because I’ve taken junior-year psychology and I’ve seen movies and I’ve watched my father in action for almost eighteen years, even though you could never slap a label on him because he would kill you. Labels like “bipolar” say This is why you are the way you are. This is who you are. They explain people away as illnesses.