Hi ATS,
I wasn't sure if I would ever divulge the information which follows in the form of an OP on ATS - I think I've mentioned it a couple of times in
different threads over the years, but it's not typically the sort of thing you'd want to reveal about yourself 'publicly'. There's no shame in it,
but people have differing views of reality, society, health & care issues, and so on, such that prejudice can arise where mental health is up for
discussion.
Sometimes I struggle with my diagnosis of bipolar disorder, which to explain, can bring periods of hyped up, even frenetic mental activity when the
symptoms of mania reach a peak. This typically lasts from a day or two, to a week - following that, there are slightly longer times when I will be
depressed & lethargic, unable to properly motivate myself, feeling pissed off about everything & nothing. It's truly a destabilising condition,
though thankfully in my case these days it's under much better control than it once was, and I have much greater understanding of myself than I did
even ten years ago (I'm almost 40). During the hyped up times I feel great, on top of the world - so much so, that it's almost a surprise to me when
the dopamine & serotonin over-dosing ceases, which had been marinading my brain at its peak in the experience.. And then, the inevitable,
interminable low follows the quixotic, elusive high. I have learnt to cope better with the lows than I used to, but at the worst times I can
experience literally existential fear, uncertainty of a cosmic nature, weighed down, crushed even, by an invisible force of oppression bearing down on
me. I take the meds as instructed, and thankfully those actually help a lot, I had a great doctor who really took time to understand the cycles I go
through, and he prescribed something which is really effective, balancing me out far better than I ever was before 2011, the year I had a breakdown,
when I was hospitalised for a little over four weeks.
In the modern world it has become possible to be open regarding one's mental health struggle, and that's a wonderful, liberating thing. As any person
who has had mental health issues will tell you, it's not nice to be at the mercy of wild & untameable facets of one's own mind, which for some reason
aren't functioning properly, leaving us stressed & sometimes unable to cope with the basics of life. Despite the appearance of lacklustre, which can
be interpreted negatively by unthinking people as being due to poor character, laziness, a lack of pluck - it is sometimes not possible to manage
one's own daily processes due to the heavy impact of symptoms.
As we all know, many of the mental health conditions known at this time have a biological basis; some part of the brain, or the endocrine system, etc,
have structural or functional problems with a role decreed by genetics alone, or as the result of some disease (such as Parkinson's). Other people
may have reached a breaking point following severe or systematic trauma.
All conditions, whether genetically or socially interred in the patient's mind, typically give rise to a range of symptoms which overlap across
several key areas of the diagnostic categories. These will include periods of low or high mental activity & feelings, as in my own case. Others may
include hallucinations of various qualities, such as the classic 'hearing voices', whether audible or internal, this can lead to an experience of the
perception of terrifying & relentless persecution within the patient's own mind, usually the result of the brain's failure to properly compute &
mediate the patient's perceptions of reality. The traditional explanation for conditions such as schizophrenia is a glib statement to the effect of a
'chemical imbalance in the brain', which really is a non-explanation. What causes the imbalance? How would the stated imbalance lead to the failure
of some key aspects of the patient's mind? Why is it not possible, in the great majority of cases, to prevent it from happening, if it's just a
matter of measuring and correcting the imbalance?
Worse still, worse than hearing audible or internally perceived voices, is when the patient literally sees things which are not actually there, in
reality. Full visual & even pseudo-tactile hallucinations can be the cause of a horrifying 'bad trip' existence for the sufferer, and make no
mistake, this isn't the funfair ghost train. Reviewing the testimonials of patients who experience this state of existence will give a greater
understanding of why many of them attempt suicide over & over again.
The key problem, as regards how we help & bring hope back for such people, is centred on the matter of providing a better explanation of what is
happening in their lives, in their minds, in their brain. That is the reason for this thread - my purpose here is to provide an explanation which
brings hope, the chink of light at the end of a dark & frightening tunnel. When patients are told that their hallucination are the result of brain
chemistry imbalance, it is tantamount to a failure in explanation which I believe must be corrected, in light of new research & new methods of
thinking about sensory-affecting hallucinations, which if unmanaged will often boost delusional thought processes which can lock a person within the
fortress of a fantasy that provides the sufferer with a false 'explanation' which they use to cope with what they experience. So the young man who
hears voices & sees moving shadows, who feels electrical tingling on various of his fingers/ thumbs at various time, decides that this must be the
action of demons, and he locks himself in an excessively heightened state of religious fervour, because that gives meaning to what he believes he is
experiencing. Now I'm not saying for one instant that I don't believe in demons, because frankly I do - I've seen the effects caused by genuinely
demonic manifestations. However, psychiatrists with experience in these matters say that only in around 2-5% of cases of severe schizophrenia do they
sense that something preternaturally dark, malevolent & truly evil is demonstrating its presence. In all other cases, they believe that it is a
malady of brain structures & processes which give rise to the frightening hallucinations described by their patients.
And it is to the matter of a better explanation than 'chemical imbalance' that I now turn, because I truly believe that if we are ever to hope that we
can cure illnesses such as schizophrenia, then we need that better explanation, something that will serve as the launch platform which can take us to
new heights of understanding in matters of brain structure/function & mental health. So what is that better explanation?
DREAMS.
edit on NovemberFriday20011CST12America/Chicago-060037 by FlyInTheOintment because: fixing title