Men are not alone in suffering from mental illness, but the fact they do suffer is effectively suppressed by everyone in society, including the men who suffer. There is a stigma about it, the result being men deny the facts and are afraid to seek help. There are of course many forms and degree of mental illness, not all of which end in tragedy. But all mental illness, especially if borne in silence, will not only thwart the life chances others take for granted, but it will deny us even the basics of a happy life, one lived without the daily fear of some imagined calamity.
When we suffer from mental illness we become emotionally useless to those around us, also angry with ourselves for being “weak”. There is also a mysterious energy about it, and if we don’t take steps towards healing, it will form itself into a powerful vortex, sucking us down into an ever decreasing spiral, diminishing our chances of ever getting on with a normal life. We may begin to self medicate with alcohol or other drugs, self harm, manifest irrational, compulsive behaviours, and in the worst of cases begin to think suicidal thoughts.
It’s a remarkable fact that throughout all of this we will appear to be functioning well, turning up for work, doing a decent job, smiling, being nice, and bringing home the bacon. But it’s a mask. We are skilful at evasive tactics that get us through the day, avoiding the trigger situations we associate with our anxieties. All of this comes before we seek help, if we ever do – and 80% of us don’t. When we eventually stop functioning, we do so suddenly, catastrophically, and no one, including us, sees it coming. The really sobering fact here is that mental illness is not rare. It’s very common. One in five of us is suffering, right now. It’s just that nobody ever talks about it. How crazy is that?
So what do we do? Well, like all illnesses, much falls upon the sufferer to acknowledge the problem. Everyone experiences lows in life, but they pass. Mental illness is different. It settles in. If you’ve been feeling inconsolably down or on edge for months, let alone years it’s probably a good idea to talk to your doctor. That’s the litigiously-aware, super-sensible advice – go speak to your doctor, because what the hell do I know? But the reality of state primary healthcare services is that the time, sympathy and understanding one needs to sort things out properly will most likely be lacking. If you’re lucky you’ll get a hastily scrawled prescription for anti-depressants, and a referral to psychological counselling. The waiting time to your first session will be in inverse proportion to how much you managed to frighten the crap out of your doctor with what you told him, so don’t hold back because you need that referral, and you need it fast!
But sadly, again, the cash strapped reality of public mental healthcare is that it can backfire when you feel you’re not being given the necessary face-time with a competent or at least half way human counsellor, that you’re not being listened to, that indeed you never see the same counsellor twice in a row, that you feel you’re being fobbed off with drugs that aren’t right for you, that your regular sessions are broken up by spurious cancellations on their part, when, if you miss a session yourself, no matter what your excuse, you’ll be kicked into the long grass and left there to rot.
Then, those anti-depressants become your only hope, and are not to be sniffed at as they enable one to keep going without taking time off work, and more importantly having to explain why. Me? No, I’m fine! Just a touch of flu. But they don’t work in all cases, didn’t work for me, turned me into a zombie and robbed me of sleep for weeks on end. It also gave me pause how relaxed my GP was about putting me on them for life, careless of the risk of serious side effects and little or no supervision. But if you’re in a situation where you’re thinking of taking your life, they might just save your life and you’d be unwise to reject this option. It’s just that when we’re suffering from mental illness, we don’t always act wisely. We react instead to fear and to the isolation imposed on us by that illness.
Because of my negative experience with mental health services, I’ve always been leery of the long term medication route, also guilty of labelling mental health care professionals (unfairly) as lacking empathy and being ruled by the same tick box culture as everyone else these days, merely there to fudge you off their books as a successful intervention with the minimum of time and effort, because time and effort costs money – and there isn’t any. Instead I became a lone survivalist, hunkered down in my flimsy home-made refuge with a handful of improvised weapons to keep the demons at bay. But they they bought me time, and time and effort is what it takes. There’s a lot we can do to help ourselves, and a lot of free information online these days to demystify those demons.
So ask yourself this: do I want to get better? The answer might seem obvious, but some of us are so benighted and so closely identified with our illness, we lack the mental focus to even understand the question. Once we accept the need for healing though, then proper healing can take place, but it won’t come solely through the intervention of a healthcare professional, or from out of a blister-pack. These are merely some of the tools at our disposal, to be used wisely and mindfully – mindful of the fact that even a doctorate in psychology does not give the other person a clear window into your head.
Mental illness is different to other illnesses; it does not attack the body directly, it attacks the soul and its methods are as unique as we are. Indeed it uses us to attack ourselves. It confuses us into thinking we are nothing more than the pain we feel. Unfortunately the defences we can deploy will seem as bizarre as the illness, indeed they will require the adoption of a frame of mind as irrational as the malaise under which we labour. Therefore, again, we encounter an internal resistance, because the possession of even the knowledge of such techniques is a tacit admission of the need to deploy them in the first place.
Such is the bind we find ourselves in! But anyway,…
As a first step we must dis-identify with our illness. The pain, the fear, the debilitating isolation, the strange compulsions, the damaging thoughts. These things are not who we are, they are just thoughts. Even if they threaten to kill us, they are still merely the things we suffer from. If we can find the space within ourselves to step back and say: no, I am not that, then we’re already moving in the right direction.
The Rivendale Review 