The thing about having a serious chronic illness is that over time good intentioned people want to hear that you’re getting better. As much as they want to help and listen, they understandably don’t want you to continually be in pain or not 100% healthy for the rest of your life, regardless of reality. Sometimes, just as the person with illness, they get frustrated with a long recovery timeline. With mental illness this sort of situation can be even more complicated.
I am battling things that the medical community is only now starting to open up and explore without prejudice, something that they still haven’t completely figured out. I have been clinically diagnosed over and over, receiving explanations about how my brain does not balance chemicals properly without medication and how my neural pathways are not operating correctly. The statistics for death-- in my case-- are 1 in 5 with a 9.2 year reduction in expected life span. I am categorized as partially disabled. There is no question anymore of whether or not “it’s all in my head”, which is funny because it is in a very biological way. And yet despite the seriousness of this, I am often only left with the stigmatized word of crazy.
I try not to focus on my mental illness when talking to people for a lot of reasons: the stigma, not wanting to complain, people not understanding; but these illnesses are so pervasive in my life that it becomes harder and harder to talk to people and brush them off. The only way I can even fully hide how pervasive they are in my life is to completely isolate or tell only standard short answers. So while I don’t think that everyone needs to know the gory details of my psych history, I need to start feeling that I don’t have to be ashamed for existing with it.
The truth is, I’m not okay. The past two years have been very hard for me emotionally, but what I try to hide from everyone is the reason behind all the terrible things. Trying to figure out how to manage any serious illness isn’t easy, and for me things haven’t always gone well. I’ve made a lot of mistakes on the road to recovery-- by which I mean complete management-- that have drastically affected my life.
In 2012 I decided to try and manage my mental health (or lackthereof) with only lifestyle changes instead of the medicine I needed. I didn't see that it wasn't working until after I had gone through heavy cycles of my Bipolar. In episodes of mania I had made several terrible decisions and gone through shopping sprees that made my financial situation hard enough that I lost my car just trying to keep afloat with bills.
By the end of 2012, I was still cycling. I came close to killing myself and had to be hospitalized for the third time. My grandmother passed shortly after. In that December and the first part of 2013 I struggled and struggled to keep afloat. My prior eating disorder (an often co-occuring disorder with most mental illnesses) had resurfaced with a vengeance, so badly that I lost thirty pounds and severely imbalanced my thyroid. Said thyroid problems and depressive cycle lost me my job and put me in even more of a financial strain. I made the decision shortly after that it was best for my four and a half year relationship with Trevor to end so I could focus completely on myself and recovery. (Among other significant reasons that do not need to be doled out on here, so no, we are not getting back together.)
I was able to make some progress at first, but started cycling again not long after. I had to be hospitalized yet again in October of 2013 after a severe episode made me have symptoms of psychosis, thereby losing yet another perfect job. My eating habits were still horrendous. I had started degressing, and symptoms and addictions that I had once overcome started to come back. My thyroid took months to rebalance itself, but I still have not been able to manage my eating. I’ve ended up causing terrible imbalances of necessary minerals, vitamins, and other nutrients which in turn has already gotten me medically hospitalized once this year. It has already put me dangerously close to having a heart attack in my twenties.
But how do I tell someone about my eating disorder when they want the answer to be as simple as “well just eat something”? How do I explain that when I’m overwhelmed it’s my mind’s automatically wired response to restrict food as a way to control my chemically exacerbated emotions? How do I respond when someone doesn’t believe that I’m ill because I haven’t lost “enough” weight because my attempts to fight the illness have kept me from going to low again? There are so many different facets of my mental health and all of my disorders that are frustratingly complex and I often don’t know how to explain to someone who has never experienced any problems.
Last October during my hospitilization, I was blessed to receive a sort of partial disability that ensures I will have access to medicine and the treatment I need, as well as one of the most knowledgeable and efficient doctors I’ve ever had. I have come a long way, but even still I am struggling day to day. Even though this has been an almost six year process, I only now have the correct diagnoses. They only now know which medicine helps and which makes things worse based on my case, and are still in the process of figuring the best combination. I only now know the specific treatments I need, but quite a few of them have waiting lists. It’s not an easy road and I wouldn’t wish this on anyone. I am lucky in so many ways and finally have the exact resources I need.
I know that I am to blame for not communicating better. It’s hard for me to try and explain a frustratingly complex situation and I haven’t always got the right words. It’s my fault for not trying to figure it out and choosing to brush over anything that might upset people. I guess I just get easily dissuaded when I want so badly to tell everything that’s going on to someone and they can’t or don’t listen. I’ve had so many conversations with family and friends where I tried to explain while the other person became uncomfortable or where they brushed me off with a closed reply of, “I never understood that stuff” or “All you need to do is (fill in the blank)”.
What I want is for the people close to me to ask questions when they don’t understand and to care enough to ask how I’m doing with this specifically. I want for people to realize that as scary and strange to them as my symptoms might be, they are biological and should be treated as such. I want them to believe that it’s not my fault and that I’m doing everything in my power to get better. I want them to be able to listen without having to offer a solution because if it works, I’ve probably already heard it from my doctor.
I’ve had to adjust to the fact that my life is nowhere near what I thought it would be, or even what I think it should be. I’ve had to spend years trying to get this under control (while also working to make a living) when I should have been stressing out over college finals. I’m working on being okay with not being where I want to be right now, and knowing that I will get there when I am meant to. Right now I need to focus on healing, which is it’s own full time job.
Furthermore, I need to stop doing the very thing I preach against and stop acting like my mental illness has to be this deep dark secret. I need to try and believe that the people I love can accept every part of who I am, even if it’s messy and imperfect. I need to believe that they won’t assume the worst about me. I may not be able to control how the media and popular stigma portrays “people like me”, but I can control how I react.