Posted in advocacy, Community, Emotions, Peer Support, psychology, science, Uncategorized, Voices, writing

Why I left Social Media Mental Health Advocacy

I got tired of living for my unwellness. It’s as simple as that.

One of the most rampant messages in mental health advocacy among peers is “I am not my illness,” which also requires you to view yourself as ill, which I never have, even with such “damning” diagnoses like Schizoaffective and PTSD. The thing is, if you are not your illness, why is it the focus of your day 24/7? Why are you constantly evaluating your symptoms to the point where simple, normal, everyday reactions are suddenly a product of your “illness” and you post each bad moment (with a sprinkle of good)? Don’t get me wrong, I get that the whole point is to erase stigma, especially when a diagnosis is on the schizophrenia spectrum. We’re seen as dangerous or unpredictable or unfit for society, and to come out and share your story theoretically shows people that we do not fit those labels. You know what else shows that?

Literally living your life.

Literally.

I hate that word literally, but this time I actually mean LITERALLY.

I’ve held a job for the last five years, I go to college, I love reading, art, writing, making music, writing songs, shopping, traveling, driving, going out for a drink once in a while. I enjoy people for the most part, until I’ve had enough of them. Best Buy and other tech stores are my safe haven. I would like to work in a lab one day or maybe as an editor or maybe both. The last thing on my mind is schizoaffective, and not because I don’t deal with bizarre thoughts or anxieties or delusions or voices or voice-thoughts or visual interruptions, but because the more I focus on it, the worse it gets.

If some people want to focus their life around their symptoms, that’s great. For me, I’d rather show neurotypical people that I can live just as normal and full of a life as they can. That discounts the myths of dangerousness and unpredictability more than me selling my face on instagram or Facebook with a caption of “we are not ‘this, this, this or this’.”

Don’t mistake this for hate. I know many people who do just that on Instagram. And you know what? We NEED some of that. We need some people constantly talking about it to keep it in people’s faces. The thing is, I’m just not fit for it. I want to live happily and healthily and focusing on psychosis doesn’t help me do that.

What I will never give up is sharing pertinent information on mental health and discussing the ramifications of the unending fraud of psychological and pharmaceutical research. For example, a ramification of that is everyone actually believing in the poorly supported hypothesis of chemical imbalance. It’s why I’m going to school.

I will also always counter people’s stigma where I find it. I will always promote peer services and maybe one day design research around them. So I’m not giving up being apart of the mental health community. I’m giving up what I thought I was supposed to do: share my story constantly, talk about my symptoms constantly, wrap my whole entire life around my experiences, constantly.

That shit is boring, I’ve realized, and stressful.

I feel this is the last time I will mention my diagnoses on this blog for the sake of my own health. I appreciate people who do share their story and who find solace in it. I, too, found solace in sharing my story when the psychosis hit heavy and I was still in denial and confused and suddenly my entire life was a lie. I needed people to relate to and I had so much to figure out about myself. I’ve gone past that point now. Now it’s time to actually live.

Thanks for reading, guys. I was absent to go to my second viewing/funeral in the last five months, and just needed a few days to let the existentialism quiet down.

Don’t forget to hit that follow button and join me over on instagram @alilivesagain or on twitter @thephilopsychotic.

Posted in advocacy, Late Night Thoughts, psychology

Learned Helplessness In The Mental Health System

This is a term you may be familiar with if you work in mental health. It’s often used to describe patients who have spent significant time juggling between facilities, programs, and hospitals and as a result struggle with meeting their own basic needs.

It’s no secret that decent mental health care in the United States comes with a high price tag. Community-based programs that are essential for helping shed feelings of isolation and learning social skills (both of which can be necessary for us mental health consumers) are often tagged for those with the thousands of dollars to pay for it. As someone who was working full-time and provided with decent health insurance, I was offered a spot at a program like this free of charge. Unfortunately, the company I work for is switching insurances, and I’m not positive I can work full-time right now anyway.

It’s taken a lot to find that one little place. Through consistent panic attacks, paranoia, nights of hallucinations, I finally got in contact with a hospital who patched me through to a social worker. The social worker took a week to get back to me, just to tell me she didn’t work for that department anymore. She patched me through to a social worker in a different state who found me a program in less than thirty minutes.

Since none of that panned out, since I can’t find any psychiatrists near me and can’t afford holistic care, since I’m not sick enough to be in a hospital but not well enough to be by myself, I’ve resorted to daily breakdowns. My hope for healing waned. My therapist said I was experiencing “learned helplessness.” Let me explain why I’m not and why, if you are ever told this, you should think about it just as deeply.

Learned Helplessness Comes From:

Constant struggle with no perceivable escape.

People with learned helplessness have often accepted that they are unable to care for themselves–they believe they cannot control their outcome. They have been classically conditioned to believe they are inept.

The example my therapist gave me to explain the concept of learned helplessness was that of the experiment by psychologist Martin Seligman. You may know him as a positive psychology backer, and an avid studier of learned helplessness. Seligman and colleagues administered shocks to dogs strapped in a harness in a cage. In this case, the cage represented a trap and the shocks an unavoidable outcome. When the cages were opened, the dogs refused to leave the cage even when escape was made possible. The hypothesis here is that the dogs learned to expect pain and to expect no escape.

If learned helplessness is a result of being trapped, beat down, and losing sight of escape, then the mental health system has been systematically abusing people under the guise of treatment for ages.

When are we going to stop blaming the people who experience mental illness, who are constantly being beat down, held back, vilified, rejected, for feeling hopeless? Why do professionals immediately see fault in the person (just keep trying!) instead of fault in the system of support?

Note: This isn’t to say we should rely on others to pick us up–we’ve got to also work on believing in ourselves and coping properly with our experiences. It’s just a lot easier and healthier to do that with the proper guidance and support. No one can do everything by themselves all the time.

A Possible Reason

In social psychology, there is the concept of external and internal perspectives. There is a term for this I’m blanking on. Those with external perspectives often attribute outcomes to the environment around them, things out of their control, and often come from lower socioeconomic backgrounds. Those with internal perspectives often attribute outcomes to their attributions, things like their personal drive and work ethic and come from higher socio-economic backgrounds. As you can imagine, there are advantages and disadvantages to both perspectives.

I know people on both ends. I know people who consider themselves successful and attribute that to their constant strive for “something greater”, to their hard work, to their positive thinking, without acknowledging the two-parent home they come from with successful, hardworking role models, without acknowledging the support they had in following their dreams or attending college, without acknowledging the financial opportunities they were provided. I know people who don’t consider themselves successful and attribute that to their traumas, a broken economic/social system, and lack of opportunity without acknowledging their effort has waned.

One advantage to having an internal perspective is that when hardship arises, you are more likely to take proper measures to cope. You are more likely to seek support and utilize the support. The disadvantage is you see others as not trying “hard enough.” You also are less likely to support others in coming up because if you did it “by yourself”, they should be able to as well. You are less likely to take part in the community and less likely to advocate for community-based reform. You may be one of those people who see homeless individuals as useless bums.

One advantage of having an external perspective is that you see the structure of the world around you. You acknowledge (and experience) the pain of a system designed for failure. The disadvantage is depression. The disadvantage is that you give in to what you believe is your fate and struggle in seeing the change that could be made. You are more likely to relate to others who have struggled, and you’re more likely to be involved in helping others because you know what it’s like to feel like you have no one and nothing.

Which perspective do you think most (definitely not all) psychological professionals come from?

Cognitive Dissonance

Psychological professionals are trained to see the system as something there to support and guide their clients. They also go into the profession with the aim of supporting and guiding their clients. If it feels like that goal isn’t being accomplished, it may challenge their self-concept something fierce. This leads to cognitive dissonance: the imbalance between what someone consciously believes about themselves (including their attitudes toward different things) versus how they behave.

This is where I believe professionals need to be a little softer on themselves. Acknowledge that money, attitude, trauma, self-discipline, and outside support are just a few of the things that determine someone’s success in their mental wellness. Sometimes people can’t find help, and when they can’t find help, when they are sad about that, when they are feeling hopeless and defeated and angry, those feelings are valid. The system is often not our friend and we have a right to be angry about that–because no matter how hard we try, we can’t fix that by ourselves.

No matter how much I exercise, no matter how healthy I eat, no matter if I take meds or don’t, no matter how much I meditate, no matter how much I breathe during my panic attacks, no matter how many times I tell myself the pentagram on my ceiling isn’t real, no matter what I do to cope, I will not have thirty thousand dollars a month for personalized, integrated, holistic, community based, science based treatment.

What would give me thirty thousand dollars to blow? A really, really good job. What would give me that kind of job? Mental stability. What would help me achieve mental stability? A lot of support. How do I get a lot of support? Thirty thousand dollars.

Now, there are alternatives, and the system has set this up so that in order to receive these services, you must never aim higher than them.

County services, for example, are often provided to those below a certain income limit–this includes those on disability. If someone is stable enough to get a part-time job, and that job pays ten dollars over the state insurance income limit or disability income limit, that person risks losing the services which have been most helpful to them. No one wants to risk that.

And so you have an escape route, you see, much like the dogs. You can be well, work as many hours as you can and lose your integrated services. But much like the dogs, that escape doesn’t feel safe, not after having been shocked for so long. Inside the cage, at least you know what to expect. In a twisted reality such as this, the cage actually feels safer.

There are too many factors that go into being mentally well for this one-size-fits-all system to be as effective as it purports.

Agree or disagree? Leave it in the comments below, or join the discussion here:

Instagram: @written_in_the_photo

Twitter: @philopsychotic

If you liked this post, please share and follow The Philosophical Psychotic. I appreciate every reader and commentator. You give me more reason to encourage critical thinking about mental health.

Posted in psychology, science, Therapy

The Two Branches of Psychology

If you have been or are a psychology major, or you’re thinking about becoming one, you’re probably familiar with (or will become familiar with very quickly) people riding your major off as humanities, soft-science, and asking you “bro, you gunna be my counselor now?” There’s a reason psychology isn’t taken seriously, and part of it is the narrative psychology professionals have created and perpetrated. Let me explain.

Having been this major for a while now, I see two very distinct branches of psychology: the humanities side that dominates the media and is what everyone thinks of when you say you’re majoring in psychology, and the science side, which rarely ever makes the media unless the research hasn’t been peer reviewed and the researcher is money hungry.

Earlier in the year, I wrote a series called “Is Psychology a Science?” which you can read the first of at this link. We concluded there is a lot of science and that the problem is it isn’t being taken seriously, or it’s purposefully being subverted.

The Perfect Example: Gabapentin

At work, I’ve spoken with plenty of people who have been prescribed Gabapentin for anxiety or depression or as a PRN (as needed) medication. After a panic attack which I mistook for an allergic reaction to a medication, I ended up in Urgent Care and was prescribed Gabapentin “to make it through the weekend” because it’s “really great for anxiety.” I picked up the prescription (with insurance, it only cost eighty one cents, kind of how Percocet only cost me one dollar, and no, I don’t have high tier insurance) and got straight to work.

Gabapentin is FDA approved for treating Seizures and Postherapetic neuralgia (nerve pain, particularly after Shingles). It is often prescribed off-label for anxiety (usually social phobia, GAD, panic attacks, and generally worry), depression, insomnia, neuropathic pain related to fibromyalgia, regular pain, just pain, migraines, any headaches that could probably go away with aspirin or time, as a replacement for benzodiazepines (Ativan, e.t.c), as a replacement for opioids (oxycodone, e.t.c), alcohol withdrawal, benzodiazepine withdrawal, alcohol treatment (reduce drinking or sustain abstinence), bipolar disorder, any mood disorder, any perported mood dysfunction, restless leg syndrome. It can be taken as needed or daily. It belongs to its own class of drugs: the gapapentinoids. Another drug you may recognize from commercials that belongs to the gabapentoid class is Pregabalin, a.k.a Lyrica.

Anyone remember Lyrica commercials? God. Disturbing shit. I don’t watch television anymore, only streaming services, so I haven’t seen a pharmaceutical ad in a while. I don’t miss it.

What Does Research Say?

I didn’t take the Gabapentin because research told me what the doctor didn’t, or couldn’t: there is no robust evidence supporting Gabapentin for any of the off-label prescriptions above. My first indication of this came from a Vice article, which I was hesitant to read because, well, it’s Vice. So I took their investigative journalism with a grain of salt and used it to guide my database research. Here’s what I learned:

  • Parke-Davis, the company that funded research and research articles for Gabapentin purposefully avoided publishing the disappointing effects of Gabapentin. They tweaked the research to appear positive. This was found out in 2009, when researchers looked more carefully at the articles more carefully.
  • David Franklin, biologist, started working for Parke-Davis in 1996. He quit three months later, just after an executive “allegedly” told him: “I want you out there every day selling Neurontin. We all know Neurontin’s not growing for adjunctive therapy, besides that’s not where the money is. Pain management, now that’s money.” You can read more here.
  • This was all in the past, and Parke-Davis paid 420 million in restitution for violating, in the most disgusting way, psychological and biological research. The problem is, the rhetoric that Gabapentin is a “great drug” and “works well for anxiety, depression, and your momma’s broken hip” still permeates the medical world. Particularly the psychological one. This was done purposefully.
  • There is no substantial evidence for any off-label use. I searched the databases all this morning. I found one measly Meta-Analysis (review of multiple studies studying the same thing, analyzed statistically) that showed 7 studies using Gabapentin for alcohol use reduction or abstinence. It was better than placebo slightly, but “the only measure on which the analysis clearly favors the active medication is percentage of heavy drinking.” So, it didn’t stop drinking or help withdrawal, it just kind of made people drink less. Or mix the two. Which is even more dangerous.
  • The only research with Gabapentin and anxiety says it’s not substantial enough to help panic attacks and that many people are most likely experiencing a placebo effect when they take it. Given that I learned that, I saw no point in trying Gabapentin: the chances it wouldn’t work for me because I don’t believe it will was too great. When I checked my college’s database, I went through over ten pages of articles and didn’t see one study geared toward Gabapentin and anxiety.

What Does This Have to do With Psychologists?

Well, the same rhetoric permeates the clinical psychology department of the world as well. That is, psychologists are more likely to trust the word of their colleague than to go read a primary research source themselves, scrutinize the methods, results, and read the confounding variables. Human beings are naturally trusting, and that is a beautiful thing. It gets us into a lot of trouble though–most likely a colleague hasn’t read the primary research either, and is simply going off what their colleague told them.

Believe it or not, this is a research topic in psychology.

I came across this analysis in my searches this morning. In summary, the researchers did a qualitative analysis of different psychologists in private practice, and their attitudes toward things like empirically supported treatments. What did they find?

  • Psychologists are “interested in what works.”
  • They were skeptical about using protocols described by the treatments proved to work.
  • They were worried non-psychologists would use those treatments to dictate practice (which I’m having trouble seeing as bad).
  • Clinicians mostly used an “eclectic framework”, meaning they drew from many sources (most of which were probably not supported by any empirical data, I’m guessing.)
  • They valued: experience, peer networks, practitioner-orientated books, and continuing education that wasn’t “basic”. So, nothing that involves a Starbucks drink I guess.
  • If resources for learning empirically supported treatments became easier to access, they would be interested in implementing them into their practice.
  • Money, time, and training are all aspects which have been preventing psychologists from actually implementing researched practices into their treatment. 68% cited this as a major issue preventing them from adhering their practice to researched methods. 14% said it was because they just didn’t believe in the efficacy of the treatment and 5% said it was because that treatment wouldn’t fit a cliental population. Again, that is a belief, not a fact.
  • Only 19% of psychologists surveyed around the nation (United States) used psychological research papers as their primary source of research information. What the fuck are they reading? The Key To Beating Anxiety by some random self-published author on Amazon?

The analysis is much longer than what I’ve listed here, and gets deep into some real topics anyone considering going into clinical or counseling psychology should pay attention to. The message to take away here is that attitudes and beliefs are driving how we are being treated both in the psychological world and the medical field. Physicians fall prey to the “word-of-mouth” about drugs in the same way psychologists fall prey to the “word-of-mouth” about treatments. This is why I write these articles: it’s up to the consumers to play an active role in what they are putting into their body, how, and why. It’s also up to the consumers to be informed in treatments, ideas, and beliefs.

Otherwise, you’re giving your life up to someone who may not know what they’re talking about any better than you do.

Lastly, let’s get something straight: I’m thankful for every medical professional I’ve ever come in contact with, because they’ve all taught me something for better or for worse. I’m thankful for the front-line workers who have spent the last 8 or 9 months using insanely inventive strategies to try and keep their worse Covid patients alive. Doctors are reading researched evidence because the links to research are suddenly in the media, and researchers are putting out what works and what doesn’t, as they should always be. This scramble to beat Covid has stirred probably the most ethical (and probably also the most unethical) research that’s been done in a while.

It suddenly makes sense to do things right when your life is at stake.

The point is, stay informed, stay healthy, and read.

Agree or disagree? Leave it in the comments below, or find me here:

Instagram: @written_in_the_photo

Twitter: @philopsychotic

If you liked this post, please share and follow The Philosophical Psychotic. I appreciate every reader and commentator. You give me more reason to encourage critical thinking about mental health.

Posted in Emotions, Freedom, psychology

In Dealing with Death

2020 has seen a lot of this. It seemed my friends and I would make it out alive. One of us didn’t.

I am unfamiliar with the grieving process, very new to it in fact, and along with a whirlwind of instant pain, denial, regret, more pain, and consistent waves of feeling the need to give up, pathetic nihilism has punched me directly in the gut.

New followers (welcome and thank you!) may not know, but for those of you who have been following me for the last few months, snooping through my old posts and wondering if I’ve fallen from the earth, know that I approach things from an excruciatingly logical and philosophical standpoint. I use scientific research as support for and against my own curiosities. And so when my best friend of 13 years passed away from child birth complications at 25 from a pregnancy she thought had ended months ago, I fell into panicked logic: everyone dies. She hadn’t been taking care of herself, very rarely cared for her health. The hospital she went to is notorious for poor service. I listed at least a hundred reasons why this happened, but that didn’t soothe all the emotion: fear. Anger. Sadness. Depression. Some more anger. The feeing of unfairness. A hallow feeling for her alive son, 3 years old. Terror: this could have been anyone. This could have been me.

We were going to go “turn up” at our high school reunion together in three years. I won’t be going now.

We were going to hang out on this vacation I’m currently on. We never got the chance.

Our kids were (eventually) going to grow up together. They won’t now.

We talked every day, and although we had many fallouts over really petty things, we knew deep down we cared for each other.

I regret not making more time to see her. Although we constantly told each other “don’t die” when we knew the other was doing some stupid stuff or was sick, I regret that my last text message to her that she never saw, the one I sent before taking off to Ukiah for a few days and a soak at Vichy Springs, was “Don’t die; if you die, I’ll never talk to you again.”

To give that text some context, she had said she was throwing up from some bad pork, and was convinced it wasn’t COVID.

European studies show the grieving process is different for everyone: some benefit more so from mourning in solitude and immediately returning to their daily routine. This could include work, school, family life. The same studies show if those people attend talk therapy or journal, their grieving lasts longer, the dark feelings linger longer and they effectively get worse. The same study showed others needed the talk therapy and the journaling to process the pain. Despite what people think, and despite what I thought, grieving comes in all shapes and sizes.

Living with anxiety and Schizoaffective while on zero mood stabilizers or antipsychotics means big events like this can yank me into Alice’s wonderland. There are things I do to prevent this: isolate, cry, read, and fall into a pit of existentialism.

Why are we here? What is our actual purpose? If we simply die, and we will at any time, any place, for any reason, what is the point of remaining alive? These are questions we’ve all thought about. They’re basic, kind of petty, and when looked at logically not very scary at all. But I understand on an emotional level now why people run toward faith in something, anything–another human, a god, a monster, a devil. Postulating about our own mortality in the first quarter of life, the supposed meaninglessness of it that is, is enough to bring the strongest, smartest, most emotionally stable person to their knees.

I feel that I’ve crossed into another world, this world, but something’s different while everything’s the same. It’s the same feeling I got when I graduated high school and it’s the same feeling I’ll get when I graduate college: that’s over–now what? Why does everything feel new? I wake up feeling like I’ve never woken up before. I eat like I’ve never tasted food before.

I’ve also felt lost about the afterlife. We always told each other we’d haunt one another if one of us died first. She hasn’t haunted me yet.

So, I turned to Daoism for guidance as I always do, before I turned to depression, anxiety, voices, or thoughts of matrix glitches. In Daoism, death is never focused on, and neither is mourning. Death is supposed to be about transformation and the return of The Being to the universe. It’s a celebration, then, that the one who has passed hasn’t really passed, but has just been redistributed. The absence of them, then, is not absent at all. This gives a more concrete understanding to the saying “she’s still with us.” She is, because she is us and we are her and all of us are the universe.

Maybe it sounds cheesy, unbelievable, and scientifically invalid, but we know very well that energy cannot be created or destroyed. In fact, we don’t even really know what energy is other than “a capacity to do work.” I’ve taken so many classes where that’s been drilled into my head that I have no other way of saying it other than that very definition, quoted from every physics, chemistry, and math professor. We also know that matter, down to it’s truest form, is tightly condensed energy. We are energy. We cannot be created or destroyed, in a particle sense, and so in some way we are redistributed: whether that be into soil, into the mouths of maggots, or any other disgusting decomposing terms you can think of. The one thing we haven’t really understood yet is consciousness. What is it and where does it go? It’s chemical of course, we all are, but it’s something else too. I wonder if one day we will identify a similar “spooky action” of consciousness.

Daoism also sees death as life, meaning they are both one. Neither can exist without the other, obviously (we wouldn’t have a concept for either if that were the case). But philosophy is philosophy and our observation of things, our mathematical understanding of things, can only go so far as long as we’re trapped in this physical world. Perhaps there is nothing after this life. And what’s wrong with nothing?

If there is nothing, then there is something. Our nothing will be the something, and something tells me we’ll feel that in the nothingness.

I will always miss her.

Posted in psychology, Voices

What a Bad Day looks Like

What a bad day, or week, or month, looks like for people with psychosis is variable. This is what it’s like for me this week.

I count today as a bad day, and figured writing in the midst of the experience, if I can continue steady coherency, may paint the best picture. The two sentences above took some rearranging as a bunch of words came out that didn’t make a complete statement at all.

Last night I couldn’t get to sleep until around 4:30 a.m because of a tightness in my chest, anxiety as usual. This comes from a myriad of things. One reason is simply anxiety. I struggle with trauma, and some thoughts were triggering those reactions. Another reason is voices. For the last few weeks they’ve been instructing that I kill myself. They’ve told me I’m going to die, specifically from a heart attack, which has been a fear of mine for many years. After experiencing family members in and out of the hospital for multiple Alcoholism related events, (Seizures, blood pressure spikes, medication mistreatments on the part of the doctors) I struggle with feeling my body and not assuming the worst.

I don’t usually talk about what they tell me, as they also tell me not to tell people. They also tell me no one will believe me, and I often believe that, as a lot of my experience has been internal voices. Although science tells me this is valid (I can site the studies if you’d like), multiple mental health advocacy websites will not acknowledge this. HealthyPlace.com is one of them. I’ll talk about my history with them later. It’s usually the websites that take kickbacks from drug companies and have antipsychotic ads all across their homepage that seek to limit the expression of variable experiences. Internal voices can be just as distressing, more so for some people, and are not the voice of your conscience that you hear when you make a mistake or that inner voice you hear as you’re reading this post. They are separate voices, often pushing their way through clouds of my own thoughts intrusively, spontaneously, and they can get loud. When they push the volume, I experience both external and internal voices. Today I hear nothing external.

But, I bit the bullet and told my therapist. She got concerned, and I worried she’d 5150 me (California’s version of forced psychiatric care). I really just needed to vent about what they’d been telling me, though. This morning I haven’t heard them much, as I just woke up, but the tightness in my chest comes in waves, and my stomach has been upset back and forth. No it’s not Corona, and not it’s not a physical problem, as much as the voices will tell me as such.

I struggle with somatic experiences, and correctly labeling those somatic experiences. Today, I’m convinced my voices–although I don’t hear them as I’m listening to this music–have done something to my body. I believe I hear my ancestors, and I also believe I hear and receive messages from what I call False Angels, kind of like the concept of Jinn. They are tricksters, angery sometimes, nice other times, liars and truth tellers, conflicted and dual in their existence just as we are. I also believe they like to harm me spiritually and internally to try and prevent me from living the life I want to. *For example, as I’m editing this and reading back, the more I read over their identities, the more upset my stomach becomes, because they know I’m talking about them.*

This morning I believe I feel my anxiety because they’ve done something to me overnight. Two parts of me appear when I have this kinds of thoughts.

I am post first-psychotic-break and for many people that means living with an uncanny realization that things you experience are not necessarily the things you think they are. I know my body and mind play tricks, and so at the above thought a part of me pulls me to the side of: “that isn’t real”. It tells me anxiety can cause the same feelings. It tells me what I’m feeling may not exist at all. It tells me to focus on other things.

The other part of me craves the unreality. Not only does my mind concoct surprisingly sensical (to me) impossibilities, it also thrives off it, it seems. I’ve always been an imaginative child, and that talent intensifies in these sorts of thoughts. This part of me believes I am so special that divine and otherworldly entities focus their existence on warping mine. This part of me pulls me toward dissociation, toward long thought, toward staring at the wall, toward lethargy, toward apathy. That is where I am this morning, on the raft of dissociation and a flight of unreal explanations.

I’m forgetting my words, stumbling over these sentences, and quelling my frustration with Kodak Black and A Boogie Wit Da Hoodie.

I’m getting messages from the songs, feeling connected to the artists, and reconsidering my life. I doubt myself constantly, and never has that been more obvious than this last week. I’m worried how long I can keep up working full time. I’m worried if I’ll have to fall back on a medication regimen and risk my long-term physical health. There’s a reason those diagnosed with Schizophrenia have a shorter life-span, and it’s not suicide. It’s medication, poor diet, cigarettes, and lack of support. I’ve corrected my diet, got off medication, never smoked cigarettes–now I just need to convince myself I deserve support.

There are overwhelming senses of failure mixed in with all of this, like no matter what I do I am trapped. I think a lot of us experience that.

I’m not going to lie and say I’m going to “try and stay positive.” I’m going to do the exact opposite. I’m going to plunge as low as I need to. I’m going to fall beneath the voices if I need to. Let myself be absorbed by the unreal thoughts if I need to. The best way I’ve learned to survive this is to let go of this idea of control. Writing this is a good reminder of that.

Bad days are a way of life. They are necessary for life. I am thankful for their boldness, their spiciness, their unequivocal strength. A voice has let me know that I’m genius, that I’ll be famous specifically, and although I’ve always been bright, I learned to squash my ego because it only fuels what the psychiatric industry considers delusions. When he tells me to kill myself, I say “I don’t want to do that”, often out loud, sometimes inside. Other times I’ll ask him “why would I do that?” and that shuts him up. I learned that from a Hearing Voices Network workgroup. The point of it was to initiate a conversation with your voices, really get into the meat of their existence, but for me it seems to scare him away. I’m happy with either result.

I heard a child sometime this week, I haven’t heard since. I don’t hear women often, but when I do they’re usually condescending, external. One woman specifically screams. She mocks used to mock me before I fell asleep, but I haven’t heard her in a while. My sleeping patterns have improved, I think that’s why. I have a kind man, external and internal, who asks me if I’m okay when I’m struggling. I haven’t heard him recently either. I don’t know who I’m left with. This is uncharted voice territory.

I will spare everyone my long-winded thoughts on why I think this most recent string of voices is one deep voice in particular, wanting me to kill myself.

I don’t know what the rest of the day will be like, and I don’t need to waste time assuming things either. Comment what your bad days are like below.

If you’d like to connect or share your story here on The Philosophical Psychotic, contact me on my homepage or on my Social media:

Instagram: @written_in_the_photo

Twitter: @philopsychotic

If you like this post, please share, comment, and follow ThePhilosophicalPsychotic. I appreciate every reader and commentator. You all give me the strength to continue writing about Mental Health through a critical lens.

Posted in advocacy, Community, psychology, science

Black Mental Health in America

ATTENTION:

If you are black in America right now, you’re probably feeling pretty unsafe, especially if you’re in the south. If you are black in America right now with Schizophrenia, you’re probably feeling pretty unsafe, especially if you don’t have a lot of support. Chances are you don’t have a lot of support.

We know racism has been around. This ain’t nothing new to us. Some places you see it more than others. For example, the South tends to be a prime example of blatant, flamboyant displays of hatred. Here in California, in Santa Cruz, things are more subtle. You’ll have the skinhead clerk ring up your groceries, toss them aside, not ask you if you want a bag, never look you in the eyes, whereas he’ll greet the white woman in front of you and the white man behind you with a pearly smile.

(He works at The Dollar Store on Portola, if you’re reading this and from Santa Cruz. At least, he was. I haven’t seen him in a while.)

If you are biracial or light skinned, you might experience a lesser racism here in Santa Cruz if you keep quiet. If they assume you’re hispanic, you won’t be treated as equal but you’ll be offered more opportunities than your black friends, especially in school. If they are confused of who you are, if they see your brown skin, your curly hair, but don’t hear a thick accent industries have coined as “black”, they will treat you as an unknown. An unknown is just as dangerous. I’ve had four cop cars (a total of eight cops) called on me for a license plate light that wasn’t out. They kept my boyfriend and I sitting in the car for a total of thirty minutes while they ran my license, my insurance, huddled in a group behind my car, flooded us with white light from two SUVs. Had I let my anger or fear show, the night may have ended very differently.

Feeling hunted is a prime experience of paranoia. I think the reason this has not exacerbated my paranoia is because there is valid reason to fear existence right now.

It’s different now. The racists are coming out to play.

A local black woman (catch her page: @bellagmo on IG), someone who has been integral in bringing the community together during this time, was chased down the street on Fourth of July by a white person screaming “I”ll be racist if I want, black bitch!”. She continued her rant, saying she was downtown every day, hunting her–people like her. Black women, men, people. She made active, verbal threats caught on camera, things like, “I will fuck you up!” The police gave her a stern finger wag. A rope tied as a noose was seen hanging on a sign up by our University campus: UCSC.

There is so much hate against us in this county, in the world. And where do we get to go to express this pain?

Our white therapist?

Our white psychiatrist?

Our white Primary Care?

The nearest black therapist accepting patients is over 4 hours away.

There is an inherent feeling of being bonded with people of the same ethnicity. This does not mean other ethnicities can’t be helpful, supporting, or amazingly kind. It just means it’s not the same. My white therapist isn’t going to understand when I say watching people with my skin color and darker, people with my culture, people who talk the same as me, eat the same foods as me, like the same music, the same stories, have the same BLOODLINE as me, getting slaughtered on film makes me feel hunted. They won’t understand when I say it brings up a sadness generations deep. They won’t understand when I say I just want to stay inside, and not just because of COVID. They won’t understand when I say I feel like I’m doing all I can to be involved with my community but that I still don’t feel like it’s enough. They won’t understand when I talk about how invisible I felt growing up in a school system that labeled me hispanic and refused to acknowledge my own culture, who refused to teach the reality of my ancestors. They won’t understand the damage done by people who told me I wasn’t black, that I was Oreo, without even knowing my history.

You know what they’ll tell me?

Maybe it’s time to stay away from the news.

Because they don’t understand that when one of us gets shot, hanged, threatened, I will still know. The news doesn’t need to tell me. I feel it in my heart.

If you think this is just another person whining about inequality, you damn right.

I’m not whining, I’m putting the truth in your face.

I grew up unable to talk, terrified to do so, Selectively Mute. My voice was never encouraged and so I never developed one. And that, my friends, is the definition of genocide: to silence a people until their screams are just as invisible as their being. They’ve done it to Native Americans and indigenous people across the globe. They’ve taken their names, their language, tried to warp their culture, shame them as alcoholics, drug addicts, shove them in the corner of the classroom and forget about them after the bell rings.

I’m tired of walking around with this fucking weight on my chest. It feels like I can’t breathe, and it’s not because of COVID. It’s anxiety. It’s all this anger and confusion and sadness that I’m carrying with my ancestors who marched from their native area of what is now called Tennessee down to the western part of what is now called Mississippi. It’s all this anger and confusion and sadness that I’m carrying with my ancestors who were tossed, chained, onto a boat by pale men who didn’t speak their language, who didn’t respect our pleads for our children, for our lives, for our existence as a culture.

And now you expect me to respect yours?

My mother’s family is Polish. They fled Poland to escape World War 2.

No matter what ancestral part of me you rip into, I’ve been running, fighting, fearful, crying. My first instinct, whenever confronted with a problem, even the smallest thing, is to escape, hide, retreat, survive. A white therapist interprets this as chemical imbalance. Do you see the problem here?

I have been carrying this anger and fear since I can remember forming memories. It’s not just coming out because the racists are. It’s always been here and I’ve never talked about it because I’m supposed to keep my composure. I’m supposed to “let the past be the past.” I’m suppose to “just live in the now.” It’s not something therapists bring up because they have no idea it exists. Now I have voices in my head telling me to kill myself, and I attempted it in 2018. I also have voices that protect me, that feel with me, that make me laugh. I have voices I consider my ancestors and that, to me, isn’t a disorder.

I have anxiety that alerts me when I need to run, which is all the time. I’m constantly running. I’m constantly breathing hard. Just as all my brothers and sisters today, I’m having to carry 400 years of agony.

I remember growing up learning how we are apart of the animals, the Earth, the plants, the air, the sun, way before I learned the physics and math that say the same. I remember learning about both The Christian God and The Creator. I grew up with the last name Dauterive, the name of a man I am not biologically related to; my father’s biological father’s last name is Ware. My family is scattered. My grandmother grew up in Jackson, Mississippi. My father grew up in Sacramento. He moved to Santa Cruz, and we didn’t stay in contact with his family very much. I don’t know much about them other than bits of native history, food recipes, and cultural things my dad passed down. His dad grew up in Louisiana. I will never know what boat his ancestors came off of. I will never know what my name really is.

Dauterive is the last name of four different slave owners in Louisiana.

Who knows what Ware is attached to.

If you are black and have struggled with psychosis, anxiety, depression, bipolar, or any other label, understand that the medications you take (I have taken them in the past as well) are tested on white people for less than four months. If you’ve struggled finding one that works well with your body, or one that has strange side effects no one else seems to get, this may be a reason why. Understand that if you are a black woman, most of the med trials are done with white, middle-aged men. The trainings therapists receive are not culturally aware, they are based on white culture. Understand that it is up to you and I to break down the stigma in our own family and help our older parents understand that our mental health is not just some “defect” or “disorder” or “chemical imbalance”, it’s also the result of our genes being bombarded with environmental, traumatic triggers for 400 years.

This trauma is in our nervous system. We aren’t getting anxious for no reason. There is a reason: never having been safe. Never having been free. Being labeled dangerous, disgusting, dirty, less than human.

To my black, native, and biracial brothers and sisters: we no longer need to keep it in. We no longer need to keep our composure. We have a right to be angry. We have a right to demand change. We have a right to rest when we need to. We have a right to make racists uncomfortable.

We have a right to use our voice.

It’s taken me 25 years to learn this, and I’m not ashamed. I’m angry.

I don’t know if you’ve ever seen the kind of passion that can come from an angry person. But let me tell you. It’s somethin.

Catch me on Instagram: @written_in_the_photo

Catch me on Twitter: @philopsychotic

If you liked this post, please follow ThePhilosophicalPsychotic and share. I appreciate every reader and commentator. You give me more reason to talk about the things others won’t.

Posted in advocacy, Community, Emotions, Freedom, Late Night Thoughts, Peer Support, psychology

Civil Rights Movement 2020

NO JUSTICE, NO PEACE.

This is the slogan circulating social media as I speak.

Los Angeles, San Jose, Oakland, NYC,Atlanta, Minneapolis, Memphis, Louisville. The list continues.

I posted yesterday about the importance of African American mental health support in a time when we are watching ourselves get killed across social media, in a time that is eerily similar to the civil rights movement of 2020–except that now we have video.

Now we have PROOF.

We can watch the brutality, watch the racism, watch the hatred.

We can see the anger, the violence, the threats that result from hundreds of years of oppressive social states.

I think popular opinion is that protesting is okay but looting is overkill. I refuse to take a stance on this because the level of internal anguish that comes from generational trauma cannot be overlooked because a Target burned down.

I do not wish harm on anyone, be it protester, officer, or store clerk. We must keep our focus. We MUST remember the message and focus less on the damage we can cause. Every human can cause destruction. It takes someone truly enlightened to channel that hurt and anger into a passionate, effective message.

I have been crying for hours.

A 19 year old man was killed by officers in a San Jose protest. I live 45 minutes from San Jose. Our protests will be happening this weekend.

I have been crying for hours.

I wonder what George Floyd sees, if he can watch us from the other realm. I don’t know much about him other than community members describing him as a kind, generous man. Was his death what we needed? Is this what transitions our country into a time of healing? We thought change would come with Trump and it indeed has: it’s brought disorganization, divide, and racism to the forefront of our consciousness. This is the 2020 vision we all thought it would be.

I have been crying for hours.

There are videos of eight year old african-american children crying for equality in a room full of people, speaking to adults in charge.

I have been crying for hours.

I don’t think the feelings can be properly explained. I have been feeling invaded and attacked, my paranoia surfacing strong. I am feeling that Twitter, TikTok, and Instagram have been hacking my cell phone because of the message I am spreading. I am trending in social media on Instagram for videos I have found online of necessary violence against protesters who AREN’T looting.

There is an undeniable connection between all of us African-american’s right now. It seems we are always united in pain.

That’s painful.

When this ends, will we go back to killing each other in the name of “honor” or “reputation” in the streets? When this ends, will our style, culture, and way of being in the world be imitated and copied still by musicians, influences, and celebrities who have been SILENT in the face of this revolution? When this ends, will we encourage our kids to be more involved in politics? When this ends, will we still have to identify ourselves as black Americans? Or will we be called simply “Americans?”

When this ends, will we still be united?

What can we do to lift each other up after this? We can’t just destroy buildings and black-owned businesses.

We are always united in pain. How can we maintain our unification in revelation?

I am 24 years old, my birthday in 2 weeks. My father is 61 years old, and was just a kid during the 1960’s civil rights movement. He has been arrested illegally for a robbery he didn’t commit and spent a year in jail until they found out they were wrong. He’s spent his life fighting racist citizens and cops and community to the point that he sleeps with a hunting knife near and is always worried about getting into a fight or someone bursting in our door.

It’s my turn now to experience a racial revolution, to participate, and to find my identity. I am a light-skinned African-American who has been profiled by police, given unjustified tickets, had back-up and four cops called on her while she was simply sitting in the car, hands very visible on the steering wheel. I did not breathe. I grew up in a school with maybe 4 black students, and went on to a college that catered only to Hispanic students (for the record this wasn’t a problem, many Hispanic students need the help, but so do the black students who are systematically underprivileged compared to even Hispanic students).

My chest is tight. I can’t imagine living in the 50s, the 20s, the 1800s.

I’m mixed race; I would have been a product of rape and an eventual sexual object used for humiliation and, in my adulthood, a symbol of rape.

I can’t imagine living in the United States in any other time than this one.

I’d be dead.

Instagram: @written_in_the_photo

Twitter: @philopsychotic

TikTok: @alisaysno

Posted in advocacy, Emotions, Freedom, Late Night Thoughts, Peer Support, psychology, Supporting Friends/Family, Uncategorized

Mental Health And African-American LIves

There was not a Mental Health Month post on Thursday for Somatic Disorders as I anticipated, not because I ran out of time but because my mind has been engrossed in other disturbing realities and going-ons in America. I will do a post on Somatic Disorders soon. But firstly, we need to discuss something.

For all the mental health websites and advocate pages on Instagram who are American-run and have not mentioned ONE DAMN THING about the riots in Louisville, Kentucky and Minneapolis, Minnesota right now, you should be ashamed of yourselves. ASHAMED.

How dare you claim to be an advocate of mental health and not bring to light the racial issues that are not only causing MORE trauma for today’s generation of colored folks, but is fueled also by the generational trauma of our ancestors.

I am a mixed race individual; my father is African American and my mother is Caucasian. I am light skinned, often mistaken for Mexican, and my mental health and physical health has been impacted by this. Doctors are less attentive. They don’t listen properly. They accuse me of drug use in the middle of my panic attacks.

For African American people in America, there is a lot of grief. There is a lot of trauma, a lot of loss, a lot of pain. We feel unsafe, unheard, tossed aside. That births anger, rage, and perpetuates violence. With the recent murders of George Floyd and Ahmaud Abery and Breonna Taylor (George and Breonna murdered by police; George was already on the ground with three cops on top of him and Breonna was IN HER HOUSE), all of these feelings and this connection we have to each other is growing stronger. Violence is happening because of the angst of hundreds of years of BULLSHIT.

So the fact that so many pages are claiming to talk about Mental Health and are avoiding this issue for political reasons I suspect makes me sick to my stomach. Until this is addressed in all facets, nothing will change. As social media has been circulating: No Justice, No Peace.

Not only does blatantly ignoring this subject aide in the problem rather than the solution, it also sends the message that those of us in the american mental health system who are dark don’t matter as much. We don’t need to talk about this collective pain we feel right now because your page can’t afford arguments in the comments.

I say affectionately, FUCK YOU.

Get off your fucking high horse.

Remember when I said I have made very frank posts on my previous blog? This is one of them.

Get off your fucking high horse and recognize that the deaths of these people, the murders of these people, affect African-American people across this nation. My anxiety, my grief, my voices, my paranoia have all doubled because of what I see happening to the people who are part of my ancestral family. I feel the same for the Native Americans who are hit the hardest with COVID-19 and receiving absolutely no help, except a box of body bags rather than PPE. Part of my family is Native to North America and their suffering has only added to my grief.

This IS a mental health topic. Racism IS a mental health topic. Not because racism is a disorder, but because how it effects people dictates their mental states. To advocate at this time for mental health without reminding followers and subscribers that people of color are collectively struggling mentally with this, to the point that VICE has to be the one magazine to offer self-care tips for African Americans, IS SELFISH.

It’s SELFISH to ignore this as a mental health topic.

I’ve been sick to my stomach all day, lost in my thoughts and my pain and watching Minnesota burn down their police station.

If we truly are all in this together, then where is your support for the black community right now? Where is your acknowledgement of our mental health in a time when we are watching ourselves get killed? Somewhere up your ass?

Good Night.

Posted in psychology, science

Mental Health Month: Substance Use

I’m going to try and write this as coherently as possible. We still have one more week left of Mental Health Month, and this Thursday, Friday, and Saturday (given my brain doesn’t melt from out of my ears) we will be covering the last stretch of diagnoses we could fit in this month: Somatic disorders, eating disorders, and depressive disorders. If you have a story you’d like to share about any of the labels we’ve covered this month, contact me here or on my social media handles (below).

This evening we’ll be covering Substance-related and addictive disorders, with “substance related” excluding any of the typically prescribed psychotropic medications. That seems like a given, but it shouldn’t be; a lot of psychotropic meds can induce mania, depression, panic, and psychosis. This often gets labeled as proof of a disorder, but in the future when we dive more deeply into what kind of industry this is (and how helpful it can be in many circumstances), we’ll talk about how that’s bullshit.

To be frank.

But for now, we’ll talk about what they want to talk about, and that is the illegal substances no agency can make money from.

What we’re talking about here is the big ten: Alcohol, Caffeine, Cannabis, Hallucinogens, Inhalants, Opioids, Sedatives, Stimulants, Tobacco, and unknown.

What Is a Substance Use Disorder?

In order to be classified under this section, an individual has to continue using their choice substance even while recognizing (or not) significant substance-related problems. This is like the alcoholic whose doctor says their liver is fatty and swollen (a sign of cirrhosis) and despite the eventual fatal outcome, the alcoholic continues to drink. This could be because of many reasons. It could be the person is psychologically dependent on the mood alteration provided by the alcohol. Drinking may be the only way to feel “normal” by then. Physically, the person may be dependent on the resulting biochemical reactions of heavy drinking; stopping alcohol suddenly is the same death sentence as cirrhosis of the liver, but quicker. The body becomes so dependent on the substance that the removal of the substance puts the body (the brain mostly) in shock. This is called withdrawal.

It’s the same thing you experience if you stop your medication suddenly: your brain, having gotten used to whatever receptors that medication was binding to, suddenly has a stark depletion in that neurotransmitter and this can cause irregular electrical activity, mood changes, physical changes like heat flashes, cold sweats, muscle aches, etc. Your brain is constantly seeking homeostasis and there are two ways this gets disrupted: ingesting a substance and stopping a substances after long-term use. For those of us who stop, say, antipsychotics, the psychosis that presents itself is not necessarily what would happen if you were substance free. It’s not your “illness coming back”, its the disruption in homeostasis exacerbating your experiences.

Alcohol withdrawal is one of the most dangerous withdrawals and, if I’m still up to date on all my medical understanding of this, the only one in which you have a high chance of dying. I believe it surpasses benzo withdrawal risk. Those in severe Alcohol withdrawal will typically experience Grand Mal Seizures alongside all of the other mental and physical experiences.

How Do These Substances Interact With Our Body?

Benzodiazepines are some of the quickest addictive substances prescribed. Even if you don’t feel psychological dependent on them, you may realize quite suddenly that your body has become very accustomed to them. Some people have stated that even when taking two of their PRN Benzo medication per week for four weeks, their body went through physical withdrawal. The problem with that is benzos also work on GABA receptors, like alcohol. This is why Benzos are often a first choice in easing alcohol withdrawal.

It’s kind of like when they learned Morphine was addictive and synthesized heroin to use as a replacement. That backfired. We just don’t learn.

You can read about that in short-form here. There’s a much more in-depth, dependable review on the history of this on PubMed, I’ve just yet to find it again.

Stimulants, like cocaine, are not addictive as quickly but people still lose their lives to them. They target chemicals like dopamine, serotonin, and norepinephrine, all that handle feelings of pleasure, confidence, and energy.

Opiates target Endorphins, which inhibit both GABA and Dopamine. This stimulates the receptors to increase the amount of dopamine that’s released because there’s not enough in the synapses. This is the same chemical that releases when you exercise.

I’m not up to date on Inhalants, but I’m going to go ahead and say breathing in condensed chemicals probably tears a few cells up in the process.

Hallucinogens, including Acid, are some of the safest drugs, if you want to think of them like that. They still affect the body; some raise blood pressure or cause a racing heart, but their addictive properties are non-existent. These are being studied currently to treat depression, PTSD, and anxiety which means at some point they’ll be monetized, synthesized and eventually ruined. Many have had profound experiences though, and worked through trauma while micro-dosing LSD or being a risktaker and experimenting with one of the most powerful hallucinogens, Ayahuasca. These substances have a rich history in religious ceremony.

Tobacco and Caffeine are very much legal. Tobacco, once used in abundance as a smoking agent, is now full of carcinogens and heavy nicotine doses which trap the user in one of the hardest addiction cycles to break. Caffeine perpetuates anxiety, raises blood pressure, and is also great on cold mornings with a cigarette. So, pick your poison.

Aren’t These All Plants?

The majority of them, yes.

No, that does not make them safe.

Yes, many are not safe in part due to what people put in them.

No, I don’t suggest traveling to South America just to chew on a coca leaf.

Yes, if I didn’t have such bad anxiety, I’d probably be one of those people to travel to South American just to chew on a coca leaf.

Why Can’t People Just Stop?

Some people can, and do.

This is not a problem of disease. It is, however, a problem of weakened and exhausted self-control. This sounds as if it is blaming the user, but it is not.

There was a study I just learned about in a previous course where they tested individuals self-control and whether it could be exhausted. They set a task in front of a set group of people, one by one, and told them one specific instruction: do not eat the cookies, but feel free to have some of the radishes. They set the same task in front of another set group of people, one by one, and told them one specific instruction: have anything you want on the plate.

Those who had to exercise their self-control (by not eating the cookies) had less patience when it came to do the second task, which were some puzzles on paper. Those who did not have to exercise any self-control maintained their base awareness.

This is one of many tasks that shows it may not be indulgence that starts or continues an addiction, but rather a consistent breakdown of self-control; once someone uses a substance, they have went against the cultural norm to NOT use that substance. The physicality of the drug doesn’t make the second time easier, the reduction in self-control does.

There are many ways to continue to test this and could revolutionize how addiction is treated and looked at. It’s not the fault of the person. It’s not a defect in will-power or a weakness. It’s simply exhausting your bandwidth of self-control, which we could all easily do. That’s why addiction has no preference for creed or color.

Some may be genetically predisposed to a shorter self-control bandwidth, not addiction. This is my hypothesis. It’s not disproven, and it probably won’t be any time soon, not by me at least. But having grown up with generations of severe alcoholics behind me, one of which died at 56 because of it, I know what it’s like to feel like your genes might be defective. The truth is, at least between fathers and sons, sons of alcoholics are no more likely to become alcoholics than the average man.

I’m a woman, so I’m not sure of our statistics.

When I was prescribed Percocet for my back injury, the first pill did nothing. So I took two. And had no idea how hard it would hit me. I remember sitting in my research course and the room feeling light as air. My body felt warm and nice and I felt kind, friendly, approachable. I felt social, something I never feel. Then I spent forty minutes trying to keep my eyes awake and my notes were just scribbles. By the end of the class, I’d written nothing worthwhile, and my back still hurt.

But coming out of that I realized how people could get so attached to the feeling. It’s a level of happiness one couldn’t attain naturally, and evolution probably derived that limit for a reason. We’d have no sense, no awareness, no anxiety, no fear. We wouldn’t survive as a species.

I also noticed my need to take more. I told myself no.

I told myself no for two months.

And then I rewarded my self-control with a lack of self-control and two months later my stomach was tore up, I felt I couldn’t make it through the day without at least a half of pill, and I was becoming increasingly dissatisfied with my own natural state of being–the state without the high.

I went into this experimenting; if I focused on my self-control, designated days to take one pill, two pills, a half a pill, one and a half pills, could I sustain myself without becoming attached? And I did for one month until I exhausted that bandwidth; the more times I told myself “no” and then “okay, just take half”, the more likely I was to say “well, half isn’t going to do it, take one and a half.”

So, another way to evaluate this hypothesis would be to ask: is someone more likely to become addicted if they exercise self-control or no self-control? We couldn’t run those trials ethically, but there may be a way to design an experiment without ruining people’s bodies.

I was not addicted. But I felt the pull.

This can happen to anyone, for any reason, at any time, and it’s not a sign of internal weakness or brokenness or some other negative connotation that gets thrown alongside these experiences. We are creatures who often want to alter our moods. We want our anxiety to stop, our depression to ease up, our happiness to never end. We’re a culture ripe for the course of addiction. Think twice before your blame someone for their experiences.

Do Rehabs Really Do Anything?

I’ve never been. They didn’t work for my dad. But they work for many. Some people embrace the programs, like 12 Steps, and swear by it. Others find a different path. Some find no path and succumb to the substance. I’ve only been to an Alanon meeting for myself with a previous therapist and it felt too programed. I’ve went to AA and NA meetings and the cult aspect of it gave me panic attacks. But for those who felt truly touched by the program, there were many success stories and as long as people are living the life of health that they want to be living, I’m not going to knock that.

What About Relapse?

What about it? I hear many people learn new things from their relapses. Don’t get me wrong, these slips can and do kill people. But to regress and then progress and regress again only provides a new insight to the self and a different perspective on life. Relapse is slowly being seen as a natural progression of addiction rather than an added failure of the person.

If we take away the aspect of death (not to minimize it, but for the purpose of this thought experiment) we can think of it as experiencing another depression episode or psychotic episode. We learn more about how we need to care for ourselves. We may have a new respect for friends and family who come through for us. We can look back and see where we slipped up in self-care or evaluate an incident that lead to our regression.

We all fall back into things we don’t mean to. And when we learn to stop attacking ourselves for mistakes we make, we may just give ourselves a chance to heal.

I will be back with Somatic disorders on Thursday. Although, keep your eye out for a post on something a little more personal. I feel the need to express feelings through words. Thank you for reading.

If you want to connect or inquire about sharing your story, catch me here:

Instagram: @written_in_the_photo

Twitter: @philopsychotic

If you enjoyed this post, please share, like, and follow ThePhilosophicalPsychotic. I appreciate every reader and commentator. you give me more reason to continue encouraging critical thinking for all.

Posted in psychology, science

Mental Health Month: Personality Disorders

Hey everyone. Welcome to this hour of Mental Health Month. Upon checking my notes, I realized I’ve completely skipped the week of the 18th, where we cover Somatic disorders, eating disorders, and depressive disorders, and went straight into the last week which covers Gender Dysphoria, Neurodevelopmental disorders, and personality disorders. So, I’m switching things around a little.

Yesterday we talked about Gender Dysphoria, the meaning of tolerance, and the realities of biological humans–that is, a brain can indeed develop specifically toward a different sex than the sex of the body. Today, we’re going to talk about Personality Disorders. Tomorrow we will cover Substance-Related and addictive Disorders. The following week will be Somatic disorders, eating disorders, and depressive disorders. We will include Neurodevelopmental disorders on the last day of the month so no one feels left out.

If you want to share an experience you’ve had with any of the above conditions, or even ones we’ve already talked about, feel free to contact me here or on my social media (profiles below).

Now, we come to my favorite section of the DSM-5, with one of the only disorders that has been characteristically diagnosed unreliably–that is, psychologists often come to same conclusions on other disorders but can never quite agree who has this one– and with little to no genetic influence detected. I’m, of course, talking about Borderline Personality Disorder. We’ll get to that shortly. 761

Because personality disorders widely controversial, the DSM constructs this section completely differently. First they describe personality disorders, clinically, as a discrepancy between a persons inner experience/behavior and the expectations of their culture. This is stable over time and generates impairment.

Then, they mention because of the “complexity” of the review process (this is a fancy way of saying because research that correlates these labels with “disordered brains” are inconclusive and scarce), they have split the personality disorder section into two. The second section updates what was in the DSM-4-TR, and the third section has a “proposed research model” for diagnosis and conceptualization.

Personality disorders are separated into clusters still. Cluster “A” disorders are:

Paranoid Personality Disorder: this includes someone with a “pervasive distrust” of others. People’s motives are perceived as malevolent and the individual has a preoccupation with doubts about people’s loyalty, and trustworthiness. There is a constant level of perceiving personal attacks where attacks are not intended and believe that others are exploiting them. This cannot occur during schizophrenia or any other psychotic disorder, including Bipolar mania. They may, however, experience brief psychotic episodes that last minutes or hours. I’ve always thought of this disorder as a miniature schizophrenia.

Schizoid Personality Disorder: This one is actually less harmful in terms of relationships because the person does not form close relationships and has no desire to do so. Not quite sure why that’s a problem. But, they have restricted range of expressed emotions and chooses solitary activities. They may be indifferent to praise or criticism and has a flattened affect. I’ve always thought of this disorder as the negative symptoms of schizophrenia, plus one.

Schizotypal Personality Disorder: This includes issues with close relationships as well but includes cognitive distortions, ideas of references but NOT delusions of reference, odd beliefs, bodily illusions and odd thinking. Paranoid ideation and constricted affect are also included. This cannot occur during the course of other psychotic disorders either, and is probably more of a mini schizophrenia than Paranoid Personality. People often seek treatment for the anxiety and depression rather than their thoughts or behaviors and they may experience psychotic episodes that last minutes to hours.

Cluster “B” Personality Disorders are the ones everyone wants to get their hands on.

And by hands on I mean “grasp an understanding of.”

And when I say Cluster B personality disorders, I really mean just the first two. The others no one seems to mention very often.

Antisocial Personality Disorder: This is not sociopathy. Sociopath isn’t even the correct word. Psychopath is. But that’s not who these people really are. We’ll talk about The Dark Triad next month. It’ll be great fun.

Those diagnosed with Antisocial PD do share some things with clinical psychopaths though, and that is their unyielding disregard for other’s natural rights. This includes breaking the law remorselessly, lying, conning, and being otherwise deceitful for fun or personal gain. It also includes impulsivity, aggressiveness, disregard for other’s safety, and irresponsibility. People must be 18 years old before this diagnosis is concluded and must have evidence of a conduct disorder before 15 years of age. None of these criteria can occur during schizophrenia episodes or bipolar episodes.

Borderline Personality DIsorder: This is the controversial one. It’s described as instability of relationships, self-image, and affects, with a sprinkle of impulsivity and efforts to avoid real/imagined abandonment. Individuals may also be impulsive with self-damaging activities, like reckless driving or spending, binge eating, substance abuse. There may be reoccurring self-mutilation and emotional instability around irritability and anxiety that lists a few hours and rarely more than a few days. Feels of emptiness, intense anger, and severe dissociative symptoms may also occur.

The dissociative symptoms should give a clue to what is one of the number one correlations with this disorder.

75% of diagnoses are female. And with every clinician learning that statistic, more females are likely to be diagnosed with it than actually have it. Across cultures as well, according to the DSM, it is often misdiagnosed.

Histrionic Personality Disorder: Not a commonly heard one, but in reading the description you might think you know someone with this personality type.

These individuals are attention seeking excessively, and very emotional. They need to be the center of attention and are often seductive. They have rapidly shifting expressions of emotions and their speech lacks detail. Everything is a theatrical display.

Narcissistic Personality Disorder: The second of the Dark Triad, which we will talk about next month. This is a pattern of serious grandiosity, fantastical or in behavior, and a need for admiration. There is a severe lack of empathy and these individuals generally want to be recognized as superior without reason. They are obsessed with fantasies of unlimited power, love, beauty, and success. An individual may believe they are inherently “special” and are insanely entitled. They are arrogant and envious.

50-75% are male. Again, these numbers also make it more likely they will be diagnosed with this.

Cluster C Personality Disorders are on the softer end of the spectrum. Softer not in intensity, but in personality. These are the people certain Cluster B types would take advantage of easily.

Avoidant Personality Disorder: This is someone who feels inadequate and hypersensitive to criticism, so much so that they avoid anything that may make them feel inadequate. This includes social gatherings, work, and any other interpersonal situations.

Dependent Personality Disorder: These individuals have a pervasive need to be taken care of. This may lead to serious submissiveness and clinging behavior. They fear making others feel bad, and so they will not disagree with people. Initiating projects on their own is hard, and seeks another relationship as comfort when another relationship ends.

Obsessive-Compulsive Personality Disorder: This is kind of like the umbrella diagnosis of OCD, but more inclined toward only orderliness, perfectionism, interpersonal control, and lists. They really like lists, rules, and organization. Money will be hoarded in case of catastrophe and they may be inflexible about morality, ethics, and values.

There are other personality disorders that may be due to medical conditions or are unspecified/otherwise specified.

What’s Up With Borderline Personality Disorder?

Well, what isn’t up with Borderline Personality?

It’s been the hot button in clinical psychology because of the intensity of emotions these individuals feel. It often results in some psychologists refusing to treat people diagnosed with these conditions. Two out of my six therapists have told me some version of a “horror story” of an anonymous someone diagnosed with BPD who stormed out of an appointment or blew up in anger and then stormed out of an appointment.

I feel this attaches a very negative connotation to this set of experiences. Everyone expects the outbursts, the sudden changes, the unruly emotions, and so when they happen it’s just more affirmation that the individual is out of control. Self-expectations and other’s expectations can play a huge role in behavior, even in those with this condition.

The problem is, psychologists actually really struggle in diagnosing this. Back in my research course I learned that studies showed psychologists are quite confident when they make the diagnosis, but when other psychologists evaluate the same patient, they often don’t come to the same conclusion. This is in comparison to someone with narcissistic personality disorder, where most psychologists came to the conclusion that that diagnosis was fit for that person. This could be for many reasons: the background of the psychologist, the presentation of the person, the interpretations of the psychologist. It could also be, though, that this condition presents varying experiences and that makes it harder to recognize patterns.

Borderline Personality usually comes with a decent set of childhood trauma. This article from 2017 talks about how childhood trauma can affect biological systems that are then connected to the development of borderline personality. This article from 2014 talks about Complex PTSD (which is not a DSM diagnosis) and Borderline personality. CPTSD overlaps a lot with Borderline, and so these researchers question the scientific integrity of CPTSD and the role of trauma in BPD.

It could be that we’ve had it wrong this whole time, that BPD is not in fact a personality “disorder”, but instead a trauma response condition. This switch would require absolute links between BPD and trauma, the likes of which would match with PTSD, and right now we have no absolute links for any mental health anything. So let’s not hold our breaths.

The point is, the experience of BPD are very real. The label and possible cause mean nothing when someone’s life is turned upside down, when relationships are constantly crumbling, when someone blames themselves constantly for “not being normal.”

Let me re-frame: the possible cause is important in the sense that it could change how treatment is approached. But it is not more important than affirming people’s experiences. Right now treatment for BPD includes therapies in which the individual learns to recognize, label, and acknowledge when their emotions are exaggerated, and medications normally meant for other conditions. There are no medications registered solely for the treatment of BPD.

People often see this as a hopeless diagnosis. Because of this, I encourage people to read personal stories from people diagnosed with this condition so you can see that many of these individuals are creative, vibrant, determined, beautiful people in many ways. There’s one personal story and one more here to get you started.

What’s the Difference Between Antisocial Personality and Psychopathy?

Well, one’s in the DSM-5 and the other is a checklist, for starters.

Psychopaths often lead pretty normal lives. The likelihood that you will see them in a therapists office or in the cell of a jail getting diagnosed with something is very, very slim. They are charming people, do very well in life, and no, they are NOT only serial killers. That’s romanticized Hollywood bullshit. They will manipulate, remain remorseless, and often create an abundance of wealth for themselves. C.E.O’s can score quite high on the psychopath checklist.

People with Antisocial Personality have trouble leading normal lives and can find themselves in trouble. They may be erratic and rage-prone, which can catch quite a lot of attention.

Criminals, like gang-members, are not necessarily psychopaths or antisocial. The DSM mentions that Antisocial may be misdiagnosed if someone is fighting for what they believe to be is their survival. Often gangs are comprised of people who feel close to the other members and consider them family, people who believe they are fighting for “the principle of the matter”, for honor, for integrity, for power. They know their lifestyle inflicts violence and fear, but believes there is no other way to live. They are willing to die for their street family.

That is the opposite of antisocial. It is criminal, but not abnormal given the circumstance.

Some people with antisocial personality are also psychopaths. Some people who are psychopaths are serial killers. Both overlaps are rare.

You are safe.

If anyone watches SBSK on Youtube with Chris, they did an interesting interview with someone diagnosed as Antisocial. You can watch it here. Again, sociopath is a clinically incorrect term.

Please. Stop using it.

If you want to share your story this month, here are my social media links:

Instagram: @written_in_the_photo

Twitter: @philopsychotic

If you enjoyed this post, please share, like, and follow ThePhilosophicalPsychotic. I appreciate every reader and commentator. You give me more reason to continue encouraging critical thinking about psychology.