If you hadn't already noticed, this week is mental health awareness week. Glossy TV ads tell us we shouldn't be ashamed of having a mental health problem, that we should 'speak to someone.' We are told we are 'not alone' and that 'one in four people suffer from mental illness.'
Well, you know what? We have probably never been more aware of mental health issues, thanks all the same. Those of us who are struggling don’t need to have our awareness raised. In my view, the problem is not lack of awareness, but a lack of suitable and appropriate support.
Why is it, at a time when we have never been more 'aware' of mental health, that the conversation never seems to move beyond depression and anxiety? I'm not belittling these things at all, they're awful, they blight people's lives and they are rightly getting much needed attention. But what about those of us with other issues?
You see, when we are told to 'talk to someone,' this assumes that the person who is listening knows what to do with what they've been told. In my experience, this isn't the case at all. My experiences of voice hearing combined with persecutory delusions are simply not palatable to most people. I've got to be honest, most people are freaked out and don't know what to say. For example, I told my husband the other night that my voices were instructing me to set myself on fire because I'm such a terrible person. I mean, what do you say to someone who's just told you that? Fortunately James has plenty of experience of helping me when I'm unwell, so he wasn't too perturbed.
Most people, however well-intentioned they may be, feel out of their depth when we share our experiences. All this exhorting us to talk, telling us we are not alone and so on feels rather hollow. There's still huge stigma around 'severe and enduring' mental health problems, for example a lot of people still believe that people with psychosis are unpredictable and menacing. (I promise you I'm not!)
Living with schizoaffective disorder isn't easy. The medication I take dials down my symptoms, but it doesn't eradicate them altogether. I still hear voices, still feel paranoid at times and still believe that people can read my thoughts, put thoughts into my head or remove them. Finding a balance between 'reality' and what my brain tells me can be really difficult. Sometimes it'd be useful to reality check my more bizarre thoughts, but I daren't risk sharing them for fear of being seen as a lunatic.
Awareness campaigns are not in themselves a bad thing; my complaint is really that they don't go far enough. Presently, the conversation starts and ends with the more 'relatable' conditions. There needs to be far greater awareness of less common mental health issues, combined with appropriate support for those who need it.
More importantly (and this could be the subject of a blog post of its own), we need to challenge our toxic environment, which encourages us to feel unbalanced, distressed and creates a fertile ground for mental health issues to develop.