Kiss5Tigers

The 5 Tigers represent the big things in life. This blog is about facing them.


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Is Mental Illness Real?

I was browsing a Facebook group where I’m a member and one of the other members stated that there is no such thing as mental illness.

Huh.

In a forum of people who have psychological distress, you have stated that mental illness isn’t real.

Not sure where I stand on that.

Well, no, I’m pretty sure where I stand on that: It’s a bit dismissive. It’s more than a bit dismissive. It’s downright belittling.

But also, I get it. I mean, we talk about mental illness as opposed to “being normal” only normal isn’t real. It’s a statistical construct based on the average way people act. It isn’t even based on feelings most of the time because we don’t know what people feel, we can observe how they act.

I suppose that’s why Abraham Low, who might be the first CBT practitioner back in the 40’s and 50’s, talked so much about seeking to be average. I feel like, it’s not about what you really experience, it’s about your ability to pass for typical.

The person’s perspective on the forum, if I understand correctly, is that extreme mental states are part of being human. They are normal and natural, and shouldn’t be pathologized.

Also, there is remarkably little data about brains with mental illness. Or the functionality of brains without mental illness, for that matter. We have some really good ideas about how the brain works, but when it comes to mental illness, it’s a black box. We don’t really know what goes wrong when people lose touch. We think it has to do with chemicals and neurons, and theories have led to some effective medications.

But medication is not 100%. Things like Cognitive Behavioral Therapy are reported to be as effective in shifting mood as many drugs. Does that mean drugs aren’t effective?

Not all drugs work for the same condition in different people. I mean, you can pretty sure that if you and I both have an infection, the same antibiotic will help. But with my bipolar? I take one cocktail of medications and my friend with the same diagnosis takes a different one. Does that mean we have different disorders?

And there is no biological test for mental illness. We can test for high blood pressure or diabetes. We can see a physical injury like a cut or a broken bone. We can detect appendicitis or cancer. But mental illness is invisible in this sense, there is no way to detect it in the body. It only appears in behavior and reported feelings.

So here I am, dealing with bipolar. And I know the big thing is not that there is something wrong with me, but that my moods and feelings stray outside the realm of average and interfere with my ability to manage life.

Does that make me sick? Or maladapted? Or sensitive to mood?

I take drugs that help me with my mood. Mood under control means life is manageable, which is good. Manageable means I pay bills on time, take a shower, sleep daily, have a job. Manageable means I pass for normal, even though my moods are often outside the bell curve. Manageable means you don’t point and stare at me. I can pass.

Who do I take the drugs for? Me or you? Because some days, most days, I feel pretty average and that was true before my diagnosis. Am I making my life more manageable for my own benefit, or because you (whoever you is) are uncomfortable with my difference?

I have been called eccentric for most of my adult life. Eccentric is okay, not as creepy as being weird, not as out of control as crazy. I’m a little odd. You think I’m normal until you find out I’m not. I make you slightly uncomfortable from time to time, but you can pass it off.

For example, I seem to observe people closely, maybe a little too closely. It makes my friend feel scrutinized. I am not aware of doing it. I watch motion. If you happen to be moving, I’m watching you. It’s a habit. I’m not consciously doing it. In fact, my attention may be turned inward and I’m not paying enough attention to actually see you at all. But I’m tracking what you’re doing. I try to be conscious of this because it makes folks uncomfortable and gets me labelled weird. It’s rude. Is it a sign of illness? Or a poorly managed evolutionary adaptation? After all, in the wild, there are advantages to being visually attentive.

But I digress.

Suppose I am not ill. Suppose I am just at one end of the bell curve of emotional sensitivity. Why do I medicate? Wouldn’t it make much more sense to change my behavior? I mean, there’s nothing wrong with being 6’5″ tall or 4’9″. They are just opposite ends of the bell curve. Maybe I am just more sensitive and somewhere there is someone who is less sensitive. Maybe I don’t need medication but understanding.

Yet medication works, so isn’t that an indication that I’m sick? Medicine changes things for me in a way that is an improvement. Doesn’t that mean I’m unwell in some way?

Is mental illness real? I certainly have real troubles and real mood extremes and real cognitive distortions. What I don’t have is a physical diagnostic that shows where bipolar exists in my brain. I can’t have my bipolar removed or point to the area where my bipolar is. I can’t even say for sure what happens when I have an episode. Why am I sometimes depressed and other times manic? It seems like there must be 2 different things going on here, to get two such different mental states.

Personal experience says mental illness is real. Just like chronic fatigue syndrome is real. That’s something that was believed to be made up until enough people reported it. Pain is real. Psychological pain is real.

For me, I just keep on doing what works. Medication helps. Support groups help. Making art helps. Seeking wellness helps. Working helps. Learning about my disorder helps. Because at the end of the day, it doesn’t matter if I need medication to cope or if I can learn resiliency skills. What matters is that I figure out what I need to thrive.


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Vision Board Presentation

I did my first vision board workshop today. It went very well.

So, vision boards. In simple terms, it’s a sort of affirmation meets arts and crafts proposition, but it actually works.

When you think a thought often, you strengthen that pathway through your brain. It becomes easier to think that thought again. So if you are thinking something negative, it becomes easier to keep thinking it. That’s why we get caught in thought loops about being, say, ugly or worthless or stupid.

But the reverse is true too: If we get into the habit of thinking positive thoughts, those also become easier to think. That’s why affirmations work. You spend more time thinking a positive thought, it becomes easier to think it, and eventually it becomes second nature. I am a good person replaces I’m worthless.

Now the left side of the brain contains the language centers. Working with words like affirmations activates the left side of the brain. But there is another side of the brain, one that does not think in words but in pictures. You are familiar with its way of thinking, you call it intuition. It’s the things you know that you don’t have the words to express, because you don’t know it in words. In order to make changes, you want to activate the whole brain. So how do we activate the non-verbal righthand side?

Turns out, art and imagery are a good way to engage the right side. So if we want to fully activate the entire brain, working with words and images together is one good way. So if we combine the words of an affirmation with pictures, we get vision boards.

There are several benefits to creating one yourself. First of all it causes you to think about the topic. In my presentation, the topic was “live your best life” so people had to think about what their best life would be like. Then they had to find words and images that spoke to those ideas. Now some magazines have content that fits exactly, but lots of time it’s just a case of symbolism. You might, for example, find the word “relaxation” or you might find a picture of a hammock. They speak to different parts of the brain.

People find that once they go through these exercises, the ideas really do stick. And because they stick, we act on them. Maybe not consciously, but we open ourselves to possibilities and take actions in line with the new way of thinking. Both halves of the brain work together to bring about a change.

So my little group of people, they are going to find themselves experiencing some changes in the future. They have developed an idea of what their best life looks like and feels like, and they have worked it into both sides of their brains. The non-verbal side will influence their behaviors even if the verbal side still provides negative messages.

People had fun with the activity. One of the ladies found an image that clearly depicted the kind of confidence she wanted to have. One of the men found wonderful words that spoke to his self-described zen self. Several people asked for another piece of paper to do another one at home.

The only complaint was that there weren’t enough male images. Now that’s no surprise. I get mostly women’s magazines, and for some reason I didn’t have any Wired or Fast Company in my stack. I did have some National Geographics. But it’s a valid concern, so I will have to hit up Half Price Books and see if I can find some Sports Illustrated or GQ. Maybe Men’s Health.

So I would say this was very successful, and I’m excited to be doing it another several times. After this, I start to monetize it. Because I need something I can do when I’m not working for the government.