When I think of mental illness, I see the black men who walk down the street shouting epithets at everyone or of the man who rides around the city on his bicycle collecting aluminum cans from our recycling bins. He is always talking to himself or singing as he goes. He’s not as scary—he seems to be in his own world as opposed to imposing his world on me, like the first kind of person.
It’s a bifurcated image for me now. Because I never, not in a month of Sundays, ever expected to find myself included in that group. Now I have to go around, acting as normal as I ever did (which is to say not all that normal but normal enough that most people didn’t have a problem with me) and yet still knowing I have a mental illness.
I think there is a hierarchy of mental illnesses. There are crazy mental illnesses, and sad mental illnesses and phobic mental illnesses and smart mental illnesses. If you have to be mentally ill, it seems to me that it’s best to have bipolar disorder.
The schizophrenics—well, they’re really crazy if they aren’t treated. They hear voices and talk back. They get paranoid and see visions of aliens. They get delusions that the woman walking past them in the store wants them to come fuck her in the store bathroom. They go into the bathroom and strip naked before security comes to get them.
Depression, I think, can be stereotyped as a more genteel, women’s condition. Women who, in the past, got vapors or hysterical. Women who may or may not be acting more ineffectual than they actually are. Women who cry all the time. Women who are, well, just wimpy, somehow.
The anxiety disorders; the eating disorders; the cutting disorders: seem to be off to the side. They seem like they might not really be a mental disorder, but more like the result of bad childhoods or something like that. They are the kind of thing that one can feel sympathy for—to a certain extent—but then they better pull themselves together and get out of the house and do stuff.
This is what I thought before. These were my images of mental illness. These were my prejudices. This was my lack of understanding.
It’s all different now, of course. Now I both sympathy and empathy for people with all kinds of mental illnesses. Now I have been there. I have felt the pain that all of us have felt. I have felt the despair that the pain would never end. I have felt the desire to take the only way out of the pain that I knew would work.
I’ve been really, really lucky, too. I got the “smart” illness. It’s kind of funny how, when you get this, you are pointed towards Kay Bailey Jameson’s book in which it seems like every bipolar person is a genius of one kind or another. I never bought into that, though. Depression wouldn’t let me. I wanted to be smart—don’t get me wrong—but I couldn’t carry it off, and I could never believe in myself.
I was lucky in that my first drugs worked and my first therapist worked. I was lucky in that I was able to work my way back to what passes for normality with me in three years. A lot of people—people I know personally, now—are bouncing in and out of depression, or having manic episodes. Many of them have had several stints in mental hospitals. I never had to go.
So now, I see the beggars who I know are mostly mentally ill, and I give them money more often than I used to. I don’t care if they drink or booze because I know what the pain is like. I don’t look down on alcoholics and drug addicts because I know what the pain is like, and I don’t blame anyone for trying whatever they can to make it better.
I don’t feel pity for the anorexics and cutters, because I know what the pain is like, and how I have (and still do) scratch myself until it bleeds in order to try to keep my mind off…. well, whatever. It’s not the same as what they go through, but it does give me some insight.
And the schizophrenics? Well, the one I know best is kind of an awkward guy with a voice that is so loud you have to plug your ears with cotton if you are in the same room as he is. He’s also so socially awkward. But I understand his longing. I know he didn’t mean any harm in that bathroom. I know he was just looking for love—even if it was in a very inept way—just as I did when I was sick, in my own socially inept way.
Now I watch myself so carefully, fearful of recurrence. I wonder if the purple “aura” I see at night on the roads is just my aging eyes or something more. Sometimes other things happen that make me feel weird, like maybe I’m perceiving something different than most people would or do.
Now, I know that all the mental illnesses may share some genetic links. It could be that the root cause for them can be found in the same basic set of alleles, but be expressed differently due to other genes or environmental conditions.
Now, I know that I can no longer say “there but for the grace of God, go I.” Because now I am one with all of us. Now I have my own diagnosis. Now, I know that in very many ways, mentally ill people are pretty much people, just like all the rest of us.