am developing a frequently asked questions page for this blog. The goal is to give answers to parents and associates of the mentally ill and give answers to the mentally ill themselves. I remember when I was diagnosed. I didn’t want to be. I thought it meant I was crazy. I literally screamed at the nurse that I wasn’t crazy before going to the fetal position and crying as I rocked back and forth. I repeated to myself “I’m not crazy. I’m not crazy.” So perhaps my leading question is:
Am I crazy? As asked by the newly diagnosed patient.
No, you are not crazy. Crazy is not really an appropriate term in this context, in that it is non-diagnostic and nebulous. What does crazy mean? Does crazy mean you may have a problem related to brain function that is causing visible issues that are directly and strongly affecting your life? Then I suppose I’m crazy. Hopefully that means “Oh, I’m in good company” rather than “Holy crap! How can I be in the same category as him??” But people often have this image of crazy that implies a person
A) doesn’t know they are crazy
B) acts without any rationale.
The first one is silly. When you are diagnosed and accept that diagnosis, you no longer fit that criterion even under the most lenient forms of “crazy”. The second is simply false. With very very few exceptions people act according to their present, sometimes evanescent, rationality. If you are manic for example, you may feel that you do not need to sleep. In this case it is perfectly rational at the time not to sleep. Is it deterimental? Often yes. But it is not irrational relative to the person making the decision. Perhaps we all need to realize this, even those of us who are mentally ill. We are still responsible for our actions in most cases, but we are not acting without reason. As an associate of a mentally ill individual one should not react as though their actions are random. They aren’t (except in some strange cases of schizophrenia and even that’s doubtful). We must understand that to that individual at that time what they are doing makes sense.
For example, there is a condition known as body dysmorphic disorder or BDD. This is a continuing and pathological state of believing oneself to be ugly and unattractive bodily. This is not the standard idea we associate here. This is much in the same vein as paranoia, at the time you don’t understand that this is wrong. You don’t even understand that there’s a possibility that this isn’t true. Rather than seeing attractiveness as being in the eyes of the beholder, you see it as, at least in your own case, factual and inescapable. Your friends, with good intentions, may try and convince you that you are good looking. In BDD this WILL NOT WORK.
So, I guess the take away is:
you’re not crazy. crazy can’t be mitigated. you are not crazy and therapy and if necessary medication are your best bet for stability.
If anyone has any questions they think should be on the page, leave your question in the comments section and I will do my best to answer them.