#Mental health and psychiatry

[bioethicists]

it's actually terrifying how quickly the concept of self care (originally a radical concept rooted in the black panther party's efforts to support other black ppl living through racism) became another tool of self-management which is viewed as both a moral obligation + an individual responsibility. businesses + employers + other institutions now easily wield it as a progressive way to say "if you're upset about xyz, make yourself get over it". "we are going to treat you like shit + you need to learn how to cope with that or else you're doing something wrong"

i have seen job listings where "ability to practice self care" was listed as a requirement for employment. as a case worker, we were repeatedly drilled on "self-care" as a response to unconscionably high case loads, traumatizing experiences, dead end job obligations, + poor living conditions due to subpar pay/high stress. my clients would go to appointments regarding their evictions, food insecurity, active domestic violence situations, etc + receive tips on "self care" without any tangible community, legal, or structural support to follow.

everyone absolutely deserves to care for themselves + it is useful to circulate affirmations + advice on how to do this. this should happen within communities, through a sincere concern/love for one another, as a way of helping everyone live the best life possible while we work towards total liberation. it should not be a replacement for caring for one another!!! it should be one of many ways of caring for one another!!!

[not-terezi-pyrope]

"Don't use terms that refer to specific mental illnesses as quirky personality trait metaphors or insults" is something I strongly agree with in every case, except probably the word "narcissist", which did not originally refer to a disorder but has been a descriptor meaning self-centered since the early 1800s, taken from the allegorical character from Greek myth.

It was only coined as a term for a psychiatric diagnosis in the late 1960s, in what was I think we can all agree an incredibly short-sighted and judgemental move typical of the field at the time, and the correct response should probably be to rename the personality disorder to something that isn't a long-established negative descriptor, rather than push to re-define the word to exclusively refer to the disorder (largely impossible, unless we want to collectively forget the several-millenia-old character of Narcissus, or pretend that he somehow has nothing to do with the word that clearly derives from him).

[prokopetz]

All I'm saying is if you can take a DSM label and replace a random word in that label with "haunted" and the provided diagnostic criteria still sound reasonable, there was probably not a great deal of rigour involved to begin with.

[positivelyqueer]

solidarity between people who want to take psychiatric meds to function and those who don’t.

What’s important is that we both have autonomy, informed consent and safe access to treatments we want, and to not be forced, coerced or pressured into those we don’t.

[gor3sigil]

I’m Trans and Insane and I’m doing fine.

[TW Psychosis, transphobia, psychophobia, medication, psych ward]

“Are you sure ?” she asked.

I remember looking back at her in disbelief, because that was certainly a question I never asked her when she came out.

“Why do you ask ?” I say.

“Dude, I’ve seen you go into depersonalization so hard you even thought you were a human soul in a robot vessel and now, you want me to trust you when you say that you, too, are trans ?”

That’s the memory that comes back to me as I fold and put in my bag my psychiatrist’s note attesting that I suffer from gender dysphoria, NOT LINKED to any psychotic symptoms. Here it goes in my folder with my prescription note, an increase - again - of my anti depressants and Xan, and my endocrinologist’s HRT prescription, increased too - finally.

I go to two separate pharmacies to pick up each prescription for two reasons:

There is only one in this godforsaken town that always had testosterone in stock.

I can’t explain to you with words the look you can get when you give back to back, to someone who, despite not being a doctor, works in healthcare, a note for trans HRT and then a note for psychiatric meds.

And I’m lucky, because I’m not taking antipsychotics anymore. Contrarily to what you could think, it doesn’t magically makes the voices and the shadowy people disappear, but it can make a mess of your head pretty bad and my doctor and I both agreed that I didn’t need more damage up here than what I already had. And no, it doesn’t make your delusions vanish magically too: in fact, I was still pretty certain that I was talking to my soul family out here in Argentine telepathically about my mission on Earth, the meds just made it more difficult to understand their voices, but the belief was still solid.

Anyways, I’m back home with the Hoy Grail I fought tooth and nails to get: a letter from the Sacred Council of Mental Sanity also known as Psychiatry that I was, indeed, a bit delulu, but also trans, and that both things didn’t play into each other. My transness wasn’t a delusion, my delusions didn’t have anything to do with being trans.

Or did it ?

Chicken or egg, you know the drill. Did I have my selves fractured before and one of the piece that shattered my brain happened to make me trans or was I just trans with a shitload of traumas in the back that made me insane ?

But don’t worry, at least, trans people when we’re together, we have each other’s back ! Right ?

“Transidentity ISN’T a mental illness !! We don’t DESERVE to be FORCIBLY LOCKED UP and MEDICATED and MADE TO CONFORM FOR OTHER’S SENSE OF SECURITY !!”

Neither do I, RIGHT ?

Oh

Or do I ?

Remember what she said, my girlfriend, right at the beginning ?

How I can’t be trusted about myself when sometimes I don’t even have a sense of self anymore or I have too much selves who fight against each other ?

And what do we say to that ?

Get treatment. Get in-patient. Take medication. And for the love of God, shut the fuck up about it, you’re giving us a bad name.

Because being trans and crazy can’t exist. It’s absurd. You have to fix one of these two things. Choose which jacket I’ll wear, and they call it a straitjacket for a reason it seems, so am I queer or am I insane ?

All I know today is there isn’t a universe in which I’m a trans without any mental illnesses, or mentally ill without being trans. And yet, I can’t tell you how many time I got asked “do you think you’d be trans if you never got through [x trauma] ?”. I. Don’t. Know. I’ll never know. And I deserve just as much agency as you get despite being mentally ill. If you don’t believe in that, don’t come yapping about “liberation for all of us”, but “if one of us is crazy they’ll all think I am too and that can’t happen”.

No LGBTQIAA+ person deserves to be told they need to be put away, to be cured, to be allowed out in the open only if they’re deemed “acceptable” by society’s standards. And no mentally ill people deserve to either.

No trans person should be going through years of counseling to have the access to HRT.

And I shouldn’t have had to threaten my own mother’s life to avoid being locked in an adult psych ward at 14.

If you ever think, for one second, that these two things have nothing to do with one another, you are far removed from history.

To hear queer people say “yeah but some mentally ill people are dangerous !” feels like you don’t even know where you come from.

And if I want to say, that me being trans is linked to me being mentally ill, or at least, that both are connected in a way, all hell breaks fucking loose.

So I’ll explain very carefully.

See, when I was young, my mind got shattered into a thousand of pieces I had to try to glue back on. All these pieces of myself broke further more down the line because I couldn’t catch a fucking break. And now, it happens that the final puzzle does not have the same face it had before. It happens that its shape changed over time, for reasons over the control of all of us who tried to build ourselves back. Now there’s a bigger picture, less pieces, a few other shadows, and me. Built from the shatters. With my own needs and afflictions.

And whoever you are, whatever your agenda might be, I will not let anyone take any agency away from me under the false pretext that I can’t know anything for myself. They say that about children, they say that about minorities, about physically disabled people, about the people they want OUT. And my trans siblings, you know that.

I came out for the first time 7 years ago, to my then girlfriend, who was the one asking the question that is the first sentence of this text. I came out a second time 3 years ago. Been on HRT, had top surgery, had psychotic breaks, got my meds changed, switch therapist.

Because I am trans and crazy. And yet, all these choices I made, I made myself. It didn’t have to be that hard to get the basic care I needed. It didn’t need to be. But it WAS. And I’m part of the lucky crowd of people who had access to out-patient treatment, who never have been locked up in ward, who managed to stay alive through meds withdrawals without medical assistance when I had no therapist.

Be very careful of when you start to put conditions on the rights you think you deserve. Be very, very careful about your definition of sanity and of how it warps the way you see people. When you start to say “I have access to that, but there’s people like X or Y who shouldn’t BECAUSE”, pause and ask yourself what led you to think this way. More often than not, you’ll find yourself playing the same mind games as the ones you swore to fight against, and when it gives them the upper hand, they won’t hesitate to come for you after that.

[incognitopolls]

Sorry, there's very little room in a poll like this for nuance. Obviously many people get mental health treatment for multiple different types of issues and conditions, and it might not boil down into "positive" or "negative." Choose whichever option best fits the strongest experience you've had.

–

We ask your questions so you don’t have to! Submit your questions to have them posted anonymously as polls.

[pixelpriestess]

moodboard

[whereserpentswalk]

I 100% believe that the main reason people are scared they'll lose their creativity after they get help isn't because of some sort of self hatred most of the time, but because of the very material reality that the psychological industry exists to make people "normal" rather than happy. Like, when getting "help" means conforming to social standards, and your art is something that actively makes you less normal in the eyes of society, than it makes sense that you see that "help" as a threat to your existence as an artist. Most psychiatrists would openly admit that they'd consider turning an independent creative into an emotionless businessman as a win, why is it suddenly a conspiracy theory when the patient understands that just as well?

[4spooniesupport]

[she-is-ovarit]

Wow.

"This tendency to misdiagnose victims was at the heart of a controversy that arose in the mid-1980s when the diagnostic manual of the American Psychiatric Association came up for revision. A group of male psychiatrists proposed that "masochistic personality disorder" be added to the canon. This hypothetical diagnosis applied to any person who "remains in relationships in which others exploit, abuse, or take advantage of him or her, despite opportunities to alter the situation." A number of women's groups were outraged and a heated public debate ensued. Women insisted on opening up the process of writing diagnostic canon, which had been the preserve of a small group of men, and for the first time took place in the naming of psychological reality.

I was one of the participants in this process. What struck me most at the time was how little rational argument seemed to matter. The women's representatives came to the discussion prepared with carefully reasoned, extensively documented position papers, which argued that the proposed diagnosis concept had little scientific foundation, ignored recent advances in understanding the psychology of victimization, and was socially regressive and discriminatory in impact, since it would be used to stigmatized disempowered people. The men of the psychiatric establishment persisted in bland denial. They admitted freely that they were ignorant of the extensive literature of the past decade on psychological trauma, but they did not see why it should concern them. One member of the Board of Trustees of the American Psychiatric Association felt the discussion of battered women was "irrelevant". Another stated simply, "I never see victims".

In the end, because of the outcry from organized women's groups and the widespread publicity engendered by the controversy, some sort of compromise became expedient. The name of the proposed entity was changed to "self-defeating personality disorder." The criteria for the diagnosis were changed, so that the label could not be applied to people who were known to be physically, sexually, or psychologically abused. Most important, the disorder was included not in the main body of the text but in an appendix. It was regulated to apocryphal status within the canon, where it languishes to this day."

Judith L. Herman, M.D., Trauma and Recovery.

[lottiestudying]

13.09.2024—being discharged home today, looking foreword to being back in my own space. final diagnosis for this admission is adhd and unspecified psychosis

[schizoetic]

They aren't "just" psychiatric wards. Nor are they solely hospitals. They're places where you lose fundamental rights... from using something as simple as a ballpoint pen, as common as mouthwash, a belt, a smartphone, you name it. They're locations where you are isolated from your loved ones. Areas of boredom that make you dive further into your head. Spots where if you fail to comply you'll be sedated, strapped, limited or locked away. But don't get me wrong... people do need psychiatric care. Absolutely. It's just that we need a more compassionate approach to be used more often. One that is more sympathetic, understanding and sensitive to people's specific needs.

All in all there is a lot of advocating to be done still. A massive amount. Psychiatric assistance isn't perfect yet. There is a lot to be improved. So much is still unacceptable.

[is-this-yuri]

the best parts of psychiatry and the mental health field are derivatives of various eastern spiritualities and maybe a bit of stoicism. the rest of it is just a way to get you to become a good little cog in the machine. these two areas of treatment conflict and directly oppose each other, and if you're feeling lost or confused in your mental health journey, that may be the reason

[girlcalledwhatsername]

This shouldn't even be need to be said but don't fucking report people who express being suicidal. I don't care how much you think you're doing it for someone's own good, it does NOT help us it only harms further

READ that AGAIN

You are ACTIVELY harming those people when you try to be a goody two-shoes and tell on them when they get suicidal

Don't fucking report them to social media app features that have the report for self harm option. Don't fucking call a suicide hotline on them. Don't fucking report them to therapists, paychiatrists, cops, controlling parents or partners

It does not matter how uncomfortable it makes you - this isn't ABOUT you - it doesn't matter how much it goes against your cute little saviour complex thinking you're being oh such a wonderful kind heroic person by "saving" someone from themself.

When you report a person to any of those places it heavily risks hospitalisation and incarceration. Where I live it's technically still a crime to attempt suicide, they never overturned the law. And if you think being in a ward might help them - do everyone a favour and go check out the actual conditions in the wards and talk to psych survivors about how they actually are. Otherwise shut up about things you have no experience with.

Everyone should have a right to autonomy, especially bodily autonomy, and you don't have to like what they do with their own body for you to know not to take that away from someone. It's not your place to judge, it's not okay to be moralistic about bodily autonomy suddenly because you can't handle the reality of mentally ill people.

And it's not fucking okay to lock us in and remove us from society just because our disorders are too fucking ugly for you to look at.

If you absolutely have to help just talk to a suicidal person if they're up to it, just ask them what will help, and if you can't do that then leave us the fuck alone you snitches

And don't come at me with the law, if you had to be an ally to mentally ill people, to queer people, to women, to any kind of marginalised people, historically a lot of it has always included standing against the law and with us.

STOP REPORTING US

[queercodedangel]

"The main areas of serotonin research provide no consistent evidence of there being an association between serotonin and depression, and no support for the hypothesis that depression is caused by lowered serotonin activity or concentrations. Some evidence was consistent with the possibility that long-term antidepressant use reduces serotonin concentration."

- The serotonin theory of depression: a systematic umbrella review of the evidence

https://www.nature.com/articles/s41380-022-01661-0

[psychotic-tbh]

Huh, I don’t think I ever posted about the color-related coping mechanism I use

Basically I give myself three options for colors, one bright (orange, red, etc.), one easily found in nature (green, brown, etc.), and one neutral (white, black, grey). It’s okay if you need someone to help you choose!

Once I pick a color I look around wherever I am in that moment and try to list off things of the color I chose

You don’t have to count unless you want to, and it works almost anywhere!

If it doesn’t work the first time, that’s okay! You can do it a few more times (assuming it proves helpful for you. Everyone is different so it’s possible it won’t work for all)

I find it most helpful for anxiety, dissociation, and hallucinations

I also found this on my own, and outside of therapy

Sorry for the wall of text, I hope you’re all well!