Psychic
Really and truly
- 387
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- 17
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- Seen Apr 11, 2018
I might be misinterpreting your stance, but it sounds like you're saying that mental illness is something that can be controlled and even prevented by individuals, which is literally the kind of stigma I propose we must fight against. Based on my understanding, mental illness is physiologic, and there is concrete evidence showing that individuals with mental illness manifests biologically, such as brain scans. We also know that some mental illnesses, including depression, are hereditary, the same way other diseases are hereditary. So no, mental illness is not just "in your head," and that kind of thinking only contributes to the problem.I wonder now if increasing awareness around mental health comes with some costs in spite of the benefits.
1) With increasing awareness, I feel there is a real drive to medicalize mental health. I think there are definite negatives to this. I think most people are aware that putting people through the "medical system" can be an alienating and not the most effective experience, but treating mental disorders as diseases will increase the association between mental disorders and traditional medical interventions - i.e. see a professional, heed their advice, take medication - to the detriment of a more holistic approach that includes engaging and creating social bonds. Going through the medical system and shoring up your "social healing network", so to speak, are by no means mutually exclusive, but I fear that people will increasingly see mental health as something that you exclusively have to go through the medical system to fix because that's the association they make.
2) I also fear how this awareness might affect people's sense of agency. I fear that people might come to see it as just a disease, as something that "happens" to you, that because it has a physiological basis, they'll treat it as if it was 100% physiological and there's nothing they can personally do except seek professional advice. I fear how this might impact those who already have weakened senses of agency and push them closer to mental disorder.
This is of course not to say that we should not increase awareness and society's readiness to improve mental health. But every action that an individual or a society takes has the potential for negative and unintended consequences. Even though it's insensitive for people to say "can't you just pull yourself out of it?", "you're doing this to yourself", "think positive, it's just a phase", each of those phrases are true in a very fundamental way. If you overcome a mental disorder, then, yes, you have in some way pulled yourself out of it. If you overcome a mental disorder, then, yes, you will look back and realize that it was just a phase. If you're currently going through a mental disorder - I don't enjoy saying this, but - it's plausible that some of your actions and thoughts contribute to the problem.
Mental health is already a complex issue in itself, and addressing and fixing it on a individual or societal level is more complex still. I think this demonstrates how important it is to be mindful of everything: not just of individuals and their lived experience, but also of the potential harms that our approaches and solutions might create and as well those nuggets of truth, even in things we don't like to hear. If there's anything I can say that we must do, it's that in our efforts to "demystify" and increase awareness and most importantly understanding, that we don't oversimplify and boil down what needs to be understood to the point that "increasing awareness" becomes counter-productive.
To address your points:
1) We need to medicalize mental health because mental illness are diseases and need to be treated as such. A great deal of the medical approach to mental illness includes seeing a therapist, psychiatrist and GP, and going on medications as necessary. Many therapists will emphasize non-medical aspects of mental health, such as creating strong social bonds and support network, and self-care. But schizophrenia cannot be managed with self-care alone, and to avoid getting help from trained professionals in dealing with it will only make things worse.
2) If you suffer from any ailment, seeing a professional who specializes in said ailment is literally the best way to help yourself. if you break your leg, then getting it treated must be your top priority - after all, once it's healed you will have far more agency than you did before. Your mental illness won't get worse by seeing a licensed professional. I do not see what this has to do with "agency."
This is factually incorrect. Some people have phases of depression, that is true, this must be differentiated from people who struggle with depression daily for their entire lives. No amount of "positive thinking" can cure that. Depression comes in many forms, and it sounds like you believe that all depression is the former. Depression can be a lifelong illness just like schizophrenia.If you overcome a mental disorder, then, yes, you have in some way pulled yourself out of it. If you overcome a mental disorder, then, yes, you will look back and realize that it was just a phase.
This entire post pretty much proves the point I set out to make. There are so many misconceptions about mental illness, what causes it and how to "fix" it. We need to treat mental illness the same way we would treat any other illness, and understand just how complex it can be.
~Psychic