January is usually an unpleasant month; Christmas is gone,
the weather is awful by default and as a student there is inevitably an
impossibly large mountain of work to do. Adding this to the overarching guilt
of having eaten and drank too much over Christmas and the prospect of the
failure of all the resolutions you made at the dawn of the ‘new year’, it can
be a pretty bleak time regardless of wider circumstances. But still the world
goes on, and shit still happens. A friend of mine just told me she was
depressed because she broke up with her boyfriend (ish) who she had been off
and on with for some time. While I don’t doubt that she is very sad and I would
never try to belittle how emotionally unsettling this is, I know, or at least
highly suspect, that she isn’t actually depressed. But as with everything there
is a silver lining, and if nothing else her misery has been an inspiration for
this blog post. I’ve met a lot of people who are suffering from mental
illnesses, many who no one might ever suspect, and I think it’s this kind of
closeting that is unhealthy and reproduces the idea that there is something to
be ashamed about. So this blog post is going to be the first of two dedicated
to the bewildering realm of human emotions and the intangible; this post is a
discussion about mental illness and the next will be about happiness studies,
because it would be terribly dreary to only focus on the negative side of
things after all.
Sometimes it seems hard to talk about mental illness as this
is an overarching term used to describe conditions that are intangible, but
also due to the varied nature of such conditions; OCD, depression and anxiety
to name a few are all encompassed by the term mental illness, yet are
remarkably different from one another (though may (and do) occur
simultaneously). So when someone is said to be suffering from a mental illness,
it’s hard to know what this might mean. But putting that aside, as it alone
could constitute an entire post, as an introduction to this topic, I have been
doing some research and according to the NHS 1 in 4 people will at some point
in their life suffer from a mental health condition. (I prefer the use of condition;
it sounds less derogatory than ‘illness’). To put this into perspective, that is
more people than suffer from asthma, diabetes, kidney disease, breast cancer
and prostate cancer combined (again according to the NHS). Although this is only at one point in their
lives, just think next time you’re with your friends chilling out, one of you
is statistically likely to be suffering from a mental condition, or will do at
some point.
What I
have also discovered is that the number of people suffering from ‘common’
mental health issues and also the number of suicides have both increased since
the early 1990s (check out this report for more info http://www.nhsconfed.org/Publications/Documents/Key_facts_mental_health_080911.pdf).
While the left-wing geographer in me wants to raise the question about the link
between modernity and the increasing prevalence of common mental health conditions,
I feel that would be a rather long, but naturally interesting endeavour. Perhaps
I will write a post about this another day, but not right now. Given that the
number of cases of mental health conditions is increasing (and bearing 1 in 4
in mind), it seems ridiculous that this isn’t a topic that is widely discussed.
I feel that morally it is right to try and help people have the most enjoyable life
possible and figure that more often than not, mental health conditions lead to
some kind of unhappiness. Therefore, morally it is only right to pay more
attention to such conditions. And even if you literally don’t care about the
well-being of others, mental health issues are a detriment to societal
productivity (the World Happiness Report (2013) claims that this is a 6%
reduction), which is also illustrated clearly by the graph below:
Bed days =
unproductive. What’s more, the age range that are apparantly suffering from being bed
bound due to mental health conditions is largely that of working and
childbearing age. Given that there is an impending population catastrophy due
to already stagnating birthrates, it seems somewhat counterproductive to not
attend to the mental health needs of the parents of the generations to come who
are going to be funding our retirement. So even if you have no philanthropist
in you, perhaps your more self-serving self might agree, mental health issues
are not good.
It would
take a very long time to go into detail about the variety of mental conditions
that are out there, so instead I’m going to focus on depression as it’s
probably what I’ve been exposed to the most out of the conditions coming under
the mental health umbrella. I think that there is a misconception that being
depressed is just being really sad (hence the post-break up depression my
friend claims to have), but this condition goes much further than that. There
are scales of depression, from more mild conditions to severe cases. And it is
not only about harbouring negative emotions, but it also manifests itself in
many physical ways. Fortunately, around 50% of cases of severe depression can
be treated with a continuous course of anti-depressants, which shows an
improved mental state within four months (according to the World Happiness
Report in 2013). I think this is a pretty reasonable response rate.
However, I
personally disagree with this kind of application of medicine to some extent; giving
people pills to make them forget about a dark place inside of them is a very
lazy way of dealing with mental health conditions and it ultimately means that a
staggering inattention is given to identifying the cause of the depression.
While a cause is not always identifiable, that does not mean a dialogue shouldn’t
be started. It is this persistent disregard of the need to discuss mental
health that reproduces the stigma attached to it. It also doesn’t seem right that
someone should have to solely rely on a pill to make them be able to get up in
the morning and go about their day, but being a chemically altered (and
somehow, less than real) version of themselves. Anti-depressants are also known
to have side effects such as extreme tiredness, which, like the original case
of depression, renders the patient incapable of going about their day anyway. So
mostly all they serve to do is brush the problems under the carpet and reduce
society’s responsibility for caring for people suffering from a mental illness.
This doesn’t sit right with me.
That is
also not even mentioning the 50% of people who the pills don’t help. I don’t know
if you’ve ever met anyone who is suffering from an extreme case of depression,
and despite medication does not show any signs of improvement, but I have. And
it’s not pretty. This is one of the most horrific things to say, but people who
are severely depressed often lose their personality entirely and become an
organic mass of bodily functions. And nothing else. I can’t imagine how this
must feel for the person who it is happening too, and how crippling moments of
clarity lead them to the reality of what they’ve become, but I know that it’s
not easy for those that love them to take either. I realise this post is
becoming unintentionally long, so check out this video for more on depression http://www.youtube.com/watch?v=XiCrniLQGYc.
So in an
abrupt conclusion, I think it is high time that a discussion is started about
all forms of mental health conditions. They are exhausting for everyone involved.
Coming back to J.D Salinger (a reference to my earlier blog post – Bis
bald Bonn!):
“I can’t be running back and forth forever between
grief and high delight”.
Emotional stability shouldn't be overlooked. It’s important, maybe the
most important. People who suffer from mental health conditions don’t do it for
shits and giggles, it’s a serious problem. There needs to be a de-stigmatisation
of mental health issues, and people need to stop thinking about taking the
easiest way out and just handing people a prescription and telling them to get
on with it. In many cases this might be a useful start, but it’s not the most
appropriate solution all the time. I think what it comes down to is a
reluctance to deal with the reasons why people aren’t happy, a reluctance to
talk about bad experiences and feelings. Which we should definitely start
doing. Preferably now. So maybe next time you’re having a bad day you might
think about this and it’ll put things into perspective for you. And it might
also encourage you to talk to people. When you’re sad and stressed (even if not
to an extreme or clinically ill extent) it’s not productive to ignore the
issue.
And as promised, I deliver to you a small piece of musical genius, and
hopefully a bit of happiness with it too - http://www.youtube.com/watch?v=uPy5igZJnVw
. For a jollier blog post about happiness studies, stay tuned folks!


