Thursday, May 14, 2015

"Understanding is the first step to acceptance and only with acceptance can there be recovery." J.K. Rowling



            The statistics are jarring: 43.7 million (18.6%) of Americans will struggle with some form of mental illness each year (NIMH, 2012). Yet the stigmas still prevail within our everyday conversations: the depressed are “lazy,” the anxious are just “too high strung,” the anorexics should “just eat,” and the schizophrenics are just “crazy.” Often, we judge what we can’t understand; we can read the statistics, but without a personal struggle, it’s difficult to understand that someone who is depressed can’t simply get out of bed, that someone who is anxious can’t just calm down and someone who struggles with anorexia can’t just eat. If only it were that easy – the mental health field would collapse within days. 

It is impossible to explain in words what it is to struggle with mental illness. The scars scattered across my skin like a road map of my past would show you the many years I spent wishing I could stop harming myself, the many months I spent in treatment for my eating disorder unable to fathom being any fatter and the many nights I wondered if people would be better off without me. I struggled for many years and after many therapist visits, stays in treatment and hospitalizations, I began to lose faith that I would ever get better. My self-hate came full circle when I began to punish myself for not being able to recover. I wondered what it was within me that caused me to self-destruct rather than help myself. 

Fearing that no one would be able to help me, I began to search for answers. I very quickly learned that there isn’t one simple solution. This both terrified me and comforted me: though it was terrifying that I was being treated by a system that didn’t have a definitive way to “cure” me, it also meant that these struggles were not my fault. I quickly learned that it was not a matter of will power, but of recalibrating my serotonin, noradrenaline and even hormonal levels. I became inspired to jump into the field of clinical neuroscience, to be a part of the group of people that were searching for answers. As I begin earning my Master’s in Psychology (and hopefully, one day a Ph.D) I hope to spread awareness and hope to all of you who are affected by mental illness: whether you or a loved one is struggling, it is important to have patience through the recovery process. Why? Because it is not a simple matter of deciding to get better, but deciding to recover day after day, rewiring your brain while also allowing medication or other biological treatments to help the process along.

Yes. Biological treatments. These are biological illnesses. Just as you wouldn’t blame a cancer patient for his or her slow progress, it is important to understand the complex changes in biochemistry that must occur in order to finally feel alive again. In some cases, known as “treatment resistant” cases, there may not even currently be a truly efficient way of treating the illness, leaving the patient’s brain chemistry in an abnormal state. It is so important to have both patience and faith in those struggling with mental illness because if there is one thing we do know about mental illness, it is that a solid support system is correlated with better outcomes in everything from depression to Parkinson’s disease. 

I’m hoping that over the course of these posts, you will learn about mental illness: signs, symptoms and the biological components that will help increase understanding for everyone involved – those struggling, those supporting those struggling as well as the insurance companies who are currently quite guilty of denying patients in dire need of help the coverage they need to get better (more on that later!) It will become very clear through the alterations found in neurotransmitter levels as well as differences in activity in specific brain regions, that these disorders are anything but a choice. Hopefully, you’ll find as much hope and passion in all of this as I do, because once I realized that, just like medical problems, mental illness research lacks the knowledge to truly know how to help patients, I wanted to dive in. I wanted to save the future generations from the revolving door of treatment centers, the haphazard medication process and the unsure faces of doctors, psychiatrists and therapists. In the future, I hope to be able to help find more adequate ways of treating mental illness, but for now, all I can do is inform you of the facts and offer you a little hope.

 Having a mental illness is not a choice, but a disorder of altered brain chemistry that takes time, patience and effort to heal.
 
And if you aren’t quite as passionate about it as I am, take comfort in the fact that learning something new increases the gray matter (the cells in your brain which help to increase the speed of connectivity) in your brain!

In my next post, I’ll cover the neurobiology of depression!