What I’m Most Afraid Of - Mental Health
Trigger warning: discussion of mental illness, suicide, trauma
Reflecting on the past six years, my recovery from anxiety and depression has been long and wearisome. The only reason I am here today is that the lessons of creating good mental health have been forced upon me in the most tragic and painful ways possible. Only through the comparison, through being in a place where taking my own life felt like the only escape, through having people around me take their own lives, did I realise how ignorant and uneducated I was about my own health.
I graduated dux of my high school and with a university scholarship; to the outside, I looked like your stereotypical high achiever and had almost convinced myself too. But it’s only now I realise how chaotic my home life was and acknowledge the emotional and psychological abuse I lived with. When it’s all you know, it’s hard to imagine otherwise, and my mental health was balancing on a knife edge I was oblivious to. When I lost the support and structure that my high school community gave me, it now seems obvious that I would have a mental breakdown halfway through my first year of university (hindsight is 20-20 after all). Add the financial insecurity of not having enough to live off, toxic part-time jobs, the loss of a sibling, and the habits and coping patterns of someone who grew up with abuse; of course I wasn’t going to magically bounce back. It took two more mental breakdowns for me to finally get the help I needed; at my lowest point, my mental illnesses had become so physically debilitating I could hardly leave my bed for more than a few hours a day.
I have dragged those around me on this journey with me because the stigma around depression and anxiety (ironically, the two most widely understood and accepted mental illnesses) has been an extra hurdle which has tripped me up at every opportunity. I’ve vlogged while on the verge of a panic attack and written about the painful realities of living with a mental illness, and yet this might be my most vulnerable post yet. Because, despite all of this, hitting rock bottom again doesn’t really scare me. I have lived through poverty, grief, discrimination, and abuse and I am still here. Living through it has taught me the warning signs, the coping techniques, the sacrifices I have to make to survive despite it all, and if I can negotiate it all, I might even be able to live a life where times of happiness and peace outnumber the times of pain and heartbreak.
What truly scares me is the realisation of how many of the people I love are still sitting on that oblivious knife edge. When a friend of mine started to experience anxiety attacks, I tried my hardest to be there for them and share all the knowledge I have, but their understanding of how mental health works made it a very unsafe space for me. Every time we spoke, it came back to this underlying idea: “but you’ve had all these awful things happen to you, I’m not broken like you are, so how could I be developing a mental illness?”. Stigma is much more than a surface reaction, and it scares me how much more work needs to be done to create a solid understanding of mental health.
Mental health shares a lot of similarities to physical health; for (a very simplified, generalised) example, some people have stronger immune systems, just like some people just have better mental health. Some people are inherently born with different brain chemistry, while some people might develop a mental illness due to circumstances or trauma; just like they might be born with a physical illness, or develop it later from injury or age. Some people might be able to cope with situations which could otherwise cause distress or a breakdown because they have better support and resources, just like access to painkillers and antibiotics might make a physical illness easier to recover from. (And of course, mental and physical health can also be very interlinked too!). But where the similarities stop is our understanding of when we need to get help. If you start to get a runny nose, you might not think much of it in the hope it goes away, but if we also get a sore throat, a fever, we might slow down and take extra steps to look after our physical health to stop it becoming worse, and if we become fatigued and our situation doesn’t improve in a few days or a week, we might seek professional help.
The runny nose of my mental health is one bad feeling. Someone cutting in front of you at the supermarket. Something that by the end of the day, on its own, you’ll have forgotten about. A sore throat, a fever, is a bad day. Several things coincidentally piling up; especially things like an ongoing situation which I’m feeling anxious or stressed about. I’ll try to get to sleep earlier, do some mindfulness, send a quick email to my counsellor for an outside opinion - some easy self-care which gives me a mental break and allows me to evaluate things properly. Fatigue is developing anxiety attacks, insomnia, hopelessness, and (non-metaphorical) fatigue, to the point where I can’t function anymore and need urgent, professional help.
I’ve noticed that friends of mine who have always had good mental health can deal with a mental runny nose, but don’t understand a sore throat and a fever under the right conditions can develop into fatigue in the blink of an eye. They don’t anticipate the pile-up so don’t take steps to deal with the smaller things, and the closer you get to rock bottom, the more stigma starts to play a role in getting help. I now try to keep semi-regular appointments with my doctor and counsellor (finances pending) so that my mental health never gets worse than a metaphorical runny nose, sore throat and fever*. The hardest situation is friends who think they will never even go from a runny nose to a sore throat. The universe has shown me time and time again that all it takes is one accident, one health scare, one death, one natural disaster: one significant, disruptive change outside of your control, let alone if it’s the cherry on top of a bunch of changes outside of your control.
I also want to acknowledge that hearing someone direct their internalised stigma at me was unexpectedly painful. For someone who works really hard to trust others, seeing a close friend (who has otherwise come a long way in their understanding of mental health) show how condescending their opinions were was cutting. If you’ve followed my blog and only ever thought ‘poor Louise, these things are very specific to her and could never be applicable to anyone else, let alone me!’, then I haven’t been writing the blog I thought I was. And maybe I haven’t - so here is the most direct advice I can give:
1. Talk about your feelings and emotions - especially through the good times, so when things get hard, finding the words to describe what you’re going through doesn’t feel impossible. I particularly give this advice to the men I know, because it also helps to break down the sexist idea that women are the only ones allowed to ~talk about their feelings~. If things are good - why are they good? If you don’t feel so good, what’s changed to make things not as good? That’s a much easier thing to note and work on, even if it requires regularly checking in than to realise you’re in an ‘all-of-a-sudden-nothing-feels-good-anymore-and-I-have-no-idea-why’ place and have no plan for coping or dealing with it either. Identifying underlying problems, and having a plan for dealing and coping with them does a lot for me, even if it never solves anything outright.
2. Acknowledge emotional labour. I get a lot of people messaging me because I talk about my mental health publicly, and it can often include triggering, emotional details which they haven’t felt safe to share with anyone else. I have the utmost respect for the courage it takes to break that silence, but often direct people to counsellors and mental health professionals because I do not have the resources or skills to help them in the ways that they need. I know that not everyone has access to the professional help they need, but if your workplace, your school, your university provides free counselling - use it. Use it and still talk to your friends about it, but don’t make them the be all and end all of who you talk to about your situation.
3. Think about how you speak about mental health. It affects everyone, but if you’ve only experienced the good side of mental health, stop and listen to those who do have mental illnesses, and especially those with Borderline Personality Disorder, Bipolar, Schizophrenia or other which are more heavily stigmatised. My friend who implied those things through their own internalised stigma didn’t think they were being hurtful, in fact, they were trying to reach out in a moment of need, but the less we think of mental health as an us-and-them situation, and instead as a something we all deal with throughout our lives, the more inclusive, supporting, and understanding our society will be. Maybe then we’ll be able to lower the heartbreakingly high rate of suicide in this country.
If you need help in New Zealand:
Need to talk? - 1737 (free call or text)
The Depression Helpline - 0800 111 757
Healthline - 0800 611 116
Lifeline - 0800 543 354
Samaritans - 0800 726 666
Youthline - 0800 376 633
Alcohol Drug Helpline - 0800 787 797
Finding a mental health professional: Doctor, therapist or counsellor
Resources from the Mental Health Foundation about mental illnesses, support initiatives, and research
*this is the most aspirational statement I’ve ever made in my entire life, and this comes from someone who wants to be a full time creative AND be able to pay all their bills on time every month.