Mental health from both sides
When I am lying in my comfortable bed at night, I sometimes wonder what my life would have been like if I had been born, one hundred, five hundred, even one thousand years ago. And usually I breathe a sigh of relief that this is not the case, and turn over and go to sleep.…
These wards contain so many people’s individual horrors, and there needs to be enough beds and enough people to carry all this and care for them. Otherwise we lose our humanity.
Becoming a psychiatrist was very important to me as a young doctor. As a patient, who had been in and out of a psychiatric hospital, it felt like a lost dream, something I could never hope to achieve. It is true that I had wanted to train as a psychiatrist before I became ill, but…
My family never ask about my mental illness. They never ask how I am, whether I take medication, whether it works. I’ve no idea why, because I don’t ask them why they don’t, either. We’re not that kind of family. By family, I mean my birth family, the one in which I grew up. Of…
There are many unbearable aspects to depression, and sometimes it seems that the words available just won’t do – awful, terrible, crushing. There are many more. This can be particularly hard with recurrent depression, as each time it is freshly grim, something you had previously forgotten, and it never helps when people say – You,…
How do you prepare for mental illness? I think it is exceedingly hard, and can often require the kind of confidence that is, by definition, missing in such circumstances. I have never managed to prepare well, by which I mean that I have no written plan as to what care I would prefer. The saddest…
How can things be better? This is a very general question, which doesn’t have much of an answer, so I realise I need to make it more specific. How can I reduce stress at work to enable me to carry on working in a useful way while avoiding becoming ill again? It’s a bit of…
I realised last week that I might need to take a bit of time off work. I’m not very ill – I wouldn’t be writing this if I were – but neither am I completely well, if well is as good as it gets, or ought to get. I have had a diagnosis of a…
I sometimes wonder why we talk differently about risk in psychiatry than we do in other medical specialties. The risk of harm or death is high in many illnesses, yet in psychiatry we manage risk in a way that seems much more personally attributable. There are balances of risk in diagnosing and managing heart disease,…
What is energy, as we experience it? It is a word with a positive force behind it, that glows and lives, and is the opposite of all that one usually experiences when depressed. Personally I find it quite difficult to recognise the feeling of low mood when I’m depressed, but reduced energy is actually more…
I’ve really been doing pretty well over lockdown, at least I thought I was. I’m not so sure now, and I’m finding myself wondering what I mean by ‘doing well’. It is with some dismay that I realise that for me this means not relapsing into severe depression, or requiring even more noxious psychotropic drugs,…
When I looked up the meaning of the word confidential just now, it stated that it was information that was intended to be kept secret. Intimate, personal, privileged – these were the kind of words I found. To me that implies something you would keep to yourself and about your person, sharing it only if…
I’ve wondered recently why we, as doctors and other health professionals, choose to tell our own stories of illness. You would think that we would want to swerve away from all such things, faced as we are with illness and suffering, often on a daily basis. But not only do these stories continue to be…
Courage is much overrated in mental illness. When I first wrote about my own experiences, a lot of people told me how brave I was to do so. This made me squirm and feel quite odd, but they would insist that it was so, even when I denied it. It didn’t feel brave or courageous;…
The last couple of weeks have been trying for all of us, wherever we live. Fear of covid-19, fear of illness, fear for loved ones, fear for livelihood, fear of isolation. All of these are massive stressors in their own right, so thrown all together their impact is grim. But it is the usual lot…