Tag: Mentalillness

  • Bulimia ile Yaşayan Bir Sağlık Eğitmeninden Dersler

    Yeme bozuklukları hakkında stantlar açtım, AynasızPazartesi etkinlikleri düzenledim ve beden olumlama yoga seanslarına ev sahipliği yaptım. Yine de, bugün en son iki gün önce yemek yemiş olacağım.

    İkiyüzlülük ne kadar taze olsa da kendime şunu hatırlatmalıyım: Yeme bozuklukları hakkında eğitim vermek ve yeme bozukluğuyla mücadele etmek iki çok farklı şey. Eğitim aldım ve şimdi de deneyim kazanıyorum. Blog okumak, makaleler incelemek, hatta psikoloji alanında lisans derecesine sahip olmak, şu anda ön sıradan izlediğim şeyi anlamaya yönelik beyhude çabalar gibi görünüyor. Ancak, şu anda ne kadar beyhude görünseler de, bu eğitimin bir kısmının aklımda kaldığını gönülsüzce itiraf etmeliyim. Danışmanlık sürecine yemin ederim ki, ilaçlarımı her gün almam gerektiğini biliyorum ve yeme alışkanlıklarım günlük hayatımı etkilemeye başladığında uyarı işaretlerini fark ettim. Bu yüzden, bu biraz iyimser bakış açısıyla, yeme bozukluğumdan öğrendiklerimi paylaşmak için dünyanın dört bir yanındaki blog yazarlarının “beyhude” çabalarına katılacağım. Bunlar, yeme bozuklukları hakkında ders verirken keşke bilseydim dediğim dersler; umarım bir sonraki aşırı hevesli sağlık eğitimcisine bir şekilde yardımcı olur.

    Geçmişim, bu kişisel günlük görünümlü blogla alakalı. Psikoloji alanında lisans derecesine sahibim, beş yıldır sağlık eğitiminde gönüllü olarak çalışıyorum ve bir akran sağlığı eğitim programını koordine ediyorum. 2014 yılında yaygın anksiyete bozukluğu teşhisi kondu ve bu teşhis 2020’de bulimia olarak kendini göstermeye başladı. Ayrıca bir köpeğim var. Bunların her biri bugün olduğum kişi için eşit derecede önemli; umarım yarın neyin önemli olduğunu seçebilirim.

    1. Tanımlar her şeyi tanımlamaz

    Evet, geçmişteki halime ve semptomları ilgili teşhislerine göre sıralayan aktivite panoma bakıyorum. “Aşırı yeme davranışını telafi eden davranışlar” içeren küçük kartlar bulimia kategorisine, “uzun süreli üzüntü” depresyon kategorisine vb. ayrılmıştı. Sonuç olarak, teşhisler sağlık uzmanları (ve belki de sigorta şirketiniz) arasında semptomların iletişimi için önemlidir. Bir danışanın yaşadıklarını anlamasına yardımcı olabilirler. Benzer deneyimler yaşayan kişiler arasında bir topluluk oluşturabilirler. Ancak teşhisler mükemmel değildir. Zorlanıyor olabilirsiniz ancak teşhis için gereken kriterleri veya şiddeti tam olarak karşılamıyor olabilirsiniz. Sağlık uzmanınız, eğitimine bağlı olarak birden fazla veya tekil teşhis koyabilir. Benim gibi, oruç tutma sürenizin sizi “bulimia” mı yoksa “tıkınırcasına yeme bozukluğu” mu olarak nitelendireceği konusunda psikoloğunuzla tartışabilirsiniz. Bu tartışma, bilgece bir tavsiyeyle sona erdi: “İstediğiniz gibi adlandırın, belirtiler değişmez.”

    Anoreksiya, bulimia veya tıkınırcasına yeme bozukluğu hakkında resmi teşhisler olarak doğrudan konuşmamanızı söylemiyorum (resmi etiketleri kullanmanın daha önce bahsedilen faydalarına bakın). Sadece eğitimi semptom tanımlarıyla bitirmeyin. Deneyimlerinizden ve mücadelenin nasıl hissettirdiğinden bahsedin ve bu hikayelerin hak ettiği çeşitliliği sunun. Günün sonunda, bir yeme bozukluğuna istediğiniz gibi adlandırın, ancak bu, onu olduğu gibi değiştirmez: size zarar veren bir akıl hastalığı. Bu, uyulması gereken bir kural kitabı veya kabul edilmeden önce ulaşılması gereken bir semptom eşiği değildir. Olduğu gibi öğretmeyin.

    Sağlık Eğitimi İpucu 1:

    Yeme bozukluğunun ne olduğunu öğretmek için yalnızca tanı kriterlerine güvenmeyin. Bunun yerine, mücadele ve başarı hikayelerini vurgulayın. İzleyicilerinize her mücadelenin meşru ve geçerli olduğunu ve tartışılması gerektiğini hatırlatın.

    1. İyileşme sürekli ve dinamiktir

    Bulimia teşhisimi almadan önce, yaygın anksiyeteden “iyileştiğim” için muzafferdim – görünüşe göre yanılmışım. Bulimia ile mücadelede hızla büyük ilerleme kaydettim ve yeme alışkanlıklarımı önemli ölçüde iyileştirdim… ancak birkaç ay sonra hayal kırıklığı yaratan bir şekilde geriye düştüm. Bir zamanlar “iyileşme” dediğim şey, başarı ve başarısızlık arasında ikilemliydi – durum böyle değil. Bu ifadeyi hafife almıyorum, çünkü hala gerçek önemini öğreniyorum. İyileşme, güç ve dayanıklılık gerektiren sürekli bir mücadeledir. Gerilemeleri, onların sizi alt etmesine izin vermeden kabul etmeyi ve sağlığınızı korumak için çalışma dönemlerini gerektirir.

    Tedavi bile dinamik bir süreç olabilir. Sadece terapiye erişim sağlamakla kalmayıp, aynı zamanda ilk denememde doğru terapisti bulma ayrıcalığına da sahibim. Terapistlerle mücadele eden veya grup terapisinden bireysel terapiye veya farkındalık terapisinden bilişsel davranışçı terapiye kadar farklı terapi türlerini deneyen başkalarını da tanıyorum. Terapim bir zamanlar kaygımı kontrol altında tutmaya yetiyordu; birkaç yıl önce başarısız oldu ve istemeyerek de olsa antidepresan kullanmaya başladım. Süregelen iyileşme mücadelesiyle boğuşurken, kullandığınız tedavi araçlarının dinamik yapısı beklenmedik ve yorucu olabilir. Sağlık eğitimcileri olarak, çeşitli araç ve kaynaklara dair bilgimizle insanları bu gerçeğe hazırlayabiliriz.

    Sağlık Eğitimi İpucu 2:

    İyileşmenin sürekli doğasını ve geri adım atmanın başarısızlık olmadığını öğretin. Hedef kitlenizin olabilecek en iyi donanıma sahip olması için çeşitli kaynak ve araçları tanıtın.

    1. Utanç gerçektir

    Aşırı yemek yiyorum. Kontrol edemiyorum. Kendimden nefret ediyorum. Bundan bahsetmiyorum.

    Damgayla mücadele etmek için ne kadar kampanya düzenlersem düzenleyeyim: Aşırı yiyorum, kontrol edemiyorum, kendimden nefret ediyorum, bundan bahsetmiyorum.

    Bu düşünce süreci son derece mantık dışı görünüyor. Bir şekilde, akıl hastalığımın kontrol edilemez doğasını öz şefkat ve affetmeyle ilişkilendirmeliyim. (Bunu yapmıyorum.) Sahnede mikrofonların arkasında yaşadığım deneyimlerimi, deneyimlerim hakkında açıkça konuşmama izin vermekle bir şekilde ilişkilendirmeliyim. (Bunu yapmıyorum.) Bu argümanların tutarsızlığı beynimin mantıksal tarafını incitiyor. Sağlık eğitimcilerinin kendilerine hatırlatmaları gereken şey tam da bu ikilik: duygu ve mantık arasındaki bir ikilik. Hem mantıksal tarafıma (sağlık eğitimcisi) hem de duygusal tarafıma (üzücü bir kendinden nefret etme battaniyesi burrito) açıkça atıfta bulunuyorum. Bazı günler bir tarafım diğerinden daha gürültülü oluyor.

    Son teşhisimi arkadaşlarıma ve aileme açıklamaya çalışana kadar utancın insanı ne kadar etkileyebileceğini fark etmemiştim. Konuşmanın ayrıntılarını dışarıda bırakabileceğimiz umuduyla “bulimia” yerine “yeme bozukluğu” terimini kullandım. Ben ve mini kek tepsim fark edilmemeyi tercih ederdik. Sağlık eğitimcilerinin kendilerine sürekli hatırlatmaları gereken ders budur: utanç gerçektir, damgalama gerçektir ve mücadele devam etmelidir.

    Sağlık Eğitimi İpucu 3:

    Mümkün olan her fırsatta damgalamayı azaltmaya çalışın. Ne kadar faydalı program ve kaynak sunarsanız sunun, damgalama birinin ihtiyaç duyduğu yardımı istemesinin önünde engel teşkil edecektir. Damgalamayı azaltmayı her kampanyanızda iletişim hedeflerinizden biri olarak ekleyin.

    1. Kendinizi tekrar tekrar sevin

    Bir sağlık eğitimcisi olarak öğrettiğiniz her ders kalıcı olmayacaktır. Instagram’daki her “kendinizi sevin” paylaşımı birinin gününü değiştirmeyecektir. Ancak bunu yapmayı bırakmayın. Bir zamanlar idealist bir sağlık eğitimcisi olarak, söylediklerimin bir etki yaratıp yaratmayacağına kendimi ikna ettim. İşler bundan çok daha karmaşık. Mesajların etki yaratması zaman ve tekrar gerektirir. Zihniniz her gördüğünde bilgiyi kodlar. Bir şeyi birden çok kez ve farklı formatlarda görmek, fikri öğrenmenize ve içselleştirmenize yardımcı olur.

    Her gün kendimden nefret etme ve beden imajı sorunlarıyla mücadele ediyorum. Kendime olumlu başa çıkma mekanizmaları ve şefkatli mesajlar tekrarlıyorum. Birçoğu kalıcı olmuyor, ancak bazıları kalıcı oluyor. Bir gün nasıl mücadele ettiysem, aynı başa çıkma mekanizması ertesi gün de işe yarayabilir. İyileşme süreci boyunca bunların sık sık ters döndüğünü, başa çıkma mekanizmasının ve şefkatli düşüncenin her geçen gün daha da güçlendiğini görüyorum.

    Başkalarına bu düşünceleri tekrarlamaya devam etmelerini, aynı amansız karşı koymayla öz nefret dalgalarına karşı koymalarını hatırlatın. Bir gün dinleyeceksiniz ve bunu yaparken üretken bir şey söylediğinizden emin olmak isteyeceksiniz.

    Sağlık Eğitimi İpucu 4:

    Sadece bir kez söylemeyin. Başarılı kampanyaları tekrarlayın ve aynı konuyu farklı kampanyalarla birden fazla şekilde ele alın. Hangi zamanın işe yarayacağını asla bilemezsiniz.

    İyi sağlık eğitimi işe yarıyor.

    Sağlık eğitimcilerine son mesajım, başlangıçta boşuna dediğim çalışmanın önemiydi. Blogları okudum, makaleleri inceledim, yeme bozuklukları hakkındaki dersleri dikkatle dinledim. Bunlar yeme bozukluğuna yakalanmamı engellemedi, ama asla engellememesi gerekiyordu. Eğitimimin bana ruhsal hastalıkların belirtilerini tanımayı öğretmesi, ulaşabileceğim kaynaklarla tanıştırması ve zihnime ve bedenime özen göstermenin önemini hatırlatması gerekiyordu. Eğitimimin sadece başkalarına yardım etmek için olduğunu hep düşündüm; başkalarına da yardımcı olmasını umduğum kadar, bana da yardımcı olduğunu biliyorum.

    İyi sağlık eğitimi, zor konular hakkında konuşmayı, deneyimin eğitimi yönlendirmesine izin vermeyi, bu konularla ilgili damgalanmayı azaltmayı ve mesajı tekrarlamayı içerir.

    Öğretmeye ve öğrenmeye devam edin.

  • Keşke Başkaları Bulimia’mı Anlasa

    Bazıları bulimia deyince, tuvaletin yanında diz çöküp yemeğini kusan birini düşünür.

    Bazılarının “Ne kadar korkunç olmalı,” dediğini duydum. “Her yemekten sonra vücudunu buna maruz bırakmak mı?”

    Anlamadıkları şey ise bunun benim için kolay kısmı olması. Bulimia hayaleti yemeklerden sonra kısa bir ziyaret için ortaya çıkmaz. İşi bittikten sonra tekrar saklanmaz. Bulimia hayaleti, her günün her saniyesinde her duyumu, her duygumu ve her düşüncemi kontrol eden sürekli, olumsuz bir güçtür.

    Benim için bulimia tek bir olay değil.

    Benim için, o sabah bundan o kadar eminken o altın yıldızlı çıkartmayı soymak. Kahvemin tadını bile çıkaramadan tartıya çıkmak. Sadece egzersiz yapabilmek için dersleri asmak. Her. Tek.. Gün aynı şeyi yemek. Başkalarını yargılamak ve sürekli beni yargılayıp yargılamadıklarını merak etmek. Tuvalete giderken bir şeyler yerken ağlamak. Kusma refleksim çalışmadığında hissettiğim başarısızlık. Baş dönmesi, açlık sancıları, baş ağrıları.

    Arkadaş ve aile toplantılarından kaçınmak. Mantık sesi ve bulimia sesi kafamın içinde sürekli tartıştığı için hiçbir şey duyamamak. Bir dilim pasta palyaçodan daha korkutucu olduğu için doğum günü partilerini kaçırmak. Bir barda içki içmek isteyen yeni arkadaşlarla asla yakınlaşamamak. Sabah sekizde arabada sipariş verirken arabamda ağlamak. Kasiyere verdiğim o “büyük partiden” bahsetmek, böylece aldığım yiyecek miktarına göre beni yargılamasın. Partnerimle asla spontane buluşmalar yapmamak çünkü bu şeyler önceden planlanmalı. Menüleri internette olmayan bir restorana asla gitmemek.

    Aslında nispeten “sağlıklı” bir kiloda olduğum için kimse beni ciddiye almıyor. Sabahın ikisinde yaşadığım büyük açlık krizlerinden birinin ardından internette terapist ve kaynak aramak. O terapistle görüşüp bana yüzünde bir gülümsemeyle bir besin piramidi rehberi vermesi. Ve bir de “nasıl meditasyon yapılır” sayfası. Giydiğim her kıyafetin beni “şişman gösterdiği” için son dakika planlarımı iptal etmek. Yeme bozukluklarıyla kilo verenleri kıskanmak. Verdiğim zararı gerçekten anlamak için dişçiye gitme korkusu. Panik ataklar, boğaz ağrıları ve ülserler. Tıkınırcasına yemek yiyip gözyaşlarıyla uyanmakla ilgili kabuslar. Yatakta yatarak Instagram’da tetikleyici hashtag’lere bakmakla geçen saatler. “Zayıf pozlar vermekten” ve bütün gün “içine çekmekten” kaynaklanan sırt ağrısı. Düşünceler, düşünceler, düşünceler.

    Bulimia ve her şey.

  • Bulimia Etiketiyle Mücadele Etmeyi Bıraktığımda …

    Günümüzde, en azından yazılı olarak görene kadar bulimia nervoza teşhisimi sık sık unutuyorum. İşte o zaman dünyam başıma yıkılıyormuş gibi hissediyorum. Başlangıçta inkar ediyorum. Bulimik değilim, hayır, hayır, hayır. “Başka türlü tanımlanamayan yeme bozukluğu” (YBNOS) hastasıyım. Bu teşhisi yüzlerce kez görmüştüm. Yıllardır yanımda taşıdığım şey buydu. YBNOS, ki bu da elbette kendi zorluklarını beraberinde getirdi. Ancak bulimik olarak teşhis edilmek çok gerçek hissettiriyor. YBNOS teşhisimi önemsemezdim. Kendime, “tam gelişmiş” anoreksiya veya bulimia değil, iyiyim derdim. Bulimik olmadığımı düşündüğümü ilk dile getirmeye çalıştığımda, aklıma gelen tek şey “Ama aşırı yemiyorum” oldu, ama “YB” dediğim canavarla yaşadığım hayata dönüp baktığımda, davranışlarımın çoğunun bulimiyaya işaret ettiğini fark ettim.

    Bulimia olduğumu hatırladığımda hâlâ sarsılıyorum ve bazı günler onu ne zaman yanımda taşıyacağımı merak ediyorum. Yine de, bir mağazanın diyet hapları reyonunda durup, gözlerimi dikip kendi zihnimde zamanın nasıl geçtiğini anlamadığım günler de oluyor. Hâlâ parmağımı boğazıma sokmamak için direnmem gereken günler de oluyor. Hâlâ spor salonu üyeliğim yok çünkü kötüye kullanma riskinin ne kadar büyük olduğunu biliyorum. Her şeye rağmen, hâlâ bulimia hastasıyım; sadece fiziksel davranışlarda bulunmadığım bir noktadayım. Bu anlamda şanslıyım. Ancak güvenliğimin şansla hiçbir ilgisi yok. Çoğu davranıştan bir yıldır uzak olmama rağmen, hâlâ sıkı bir tedavi planına bağlıyım. Haftada bir terapiye gidiyorum, iki haftada bir beslenme uzmanımla görüşüyorum, ayda bir psikiyatristim ile görüşüyorum ve ilaç tedavisine uyuyorum.

    Teşhisimi unuttuğum zamanlar zor. Kısıtlayıcı diyetimi günlük hayatımın bir parçası olarak görüyorum; dürtülerimi normal, hatta sıradan görüyorum. Hatırlatıldığında beni mahvediyor ve sonunda bana güç veriyor. Hâlâ inkâr etmeye çalışıyorum ama daha derin bir düzeyde anlıyorum. Bulimia etiketiyle savaşmayı bıraktığımda, davranışlarım ve dürtülerimle savaşmak için kendime daha fazla güç veriyorum.

    Bir yeme bozukluğu iyileşme sayfasını takip ediyordum ve gerçekten bana hitap eden bir resim gördüm. Üzerinde “İyileşme Başladı” yazan bir köpeğin resmiydi. “Benimle oynayacak enerjisi var.” Ayrıca tüm kalbimle sevdiğim bir köpeğim de var. Bunu görmek bana, bulimia teşhisimi inkâr etmeye çalışmadığımda ve bu bozuklukla gerçekten savaştığımda, köpeğimle oynamak için daha fazla enerjim olduğunu hatırlattı. Arkadaşlarımı görmek için daha fazla enerjim var. Etiketle savaşmaktan enerjimi alıp bozuklukla savaşmaya yönlendirdiğimde daha güçlü, daha sağlıklı ve en önemlisi daha mutlu oluyorum.

  • Yeme Bozukluğunuz Olabileceğine Dair İşaretler

    Günümüz toplumunda, moda diyetler, egzersiz trendleri ve meyve suyu detoksları, “sağlık” kavramının gerçekte ne olduğuna dair anlayışımızı bulandırıyor. Daha sağlıklı olmak istemek, düzensiz beslenmeyle mücadele etmek veya yeme bozukluğuyla mücadele etmek arasındaki çizgiyi bulanıklaştırabilir. Ancak düzensiz beslenme ile yeme bozukluğu arasındaki önemli bir fark, yiyecek ve bedenle ilgili “anormal” ve müdahaleci davranışların ne kadar şiddetli olduğudur.

    Şahsen, yiyecek ve beden hakkında tipik olmadığını bildiğim düşüncelerimin yoğunluğu ve sıklığından bile davranışlarımın gerçek bir sorun olduğunu biliyordum. Takıntılı, müdahaleci ve her zaman acımasızdılar. Şimdi iyileşme sürecinde olduğum için, hasta olduğum zamanlardaki düşüncelerimin ne kadar sağlıksız olduğunu daha da iyi görebiliyorum.

    Kendinizi bu listede görmüyorsanız ve yiyecekle ilişkiniz sizi hala mutsuz ediyorsa, yukarıda listelenen kaynakları kullanmaktan çekinmeyin. Duygularınız geçerli ve yardım için “yeterince kötü” olmayı beklemenize gerek yok.

    İşte insanların benimle paylaştıkları:

    1. “Tartıya çıktığımda, sayı ne olursa olsun kendimi değersiz hissediyordum. Kilo alsam işe yaramazdım, kilo versem de, daha fazlasını kaybedebileceğim için açıkça işe yaramazdım.”
    2. “Hayatımda zihnimin yemek düşünceleri/endişeleriyle meşgul olmadığı bir saniye olmadığını fark ettim. Verdiğim her karar, hangi yiyeceklerin söz konusu olabileceğinden etkileniyordu. Bunun varlığımın her santimini tükettiğini ve beni ağır, tozlu bir battaniye gibi boğduğunu fark ettim.”
    3. “Düşündüğüm gibi duramayacağımı anladığım an.”
    4. “‘Sağlıklı’ olma arzum, yemek yememe arzuma dönüşüyordu.”
    5. “Odamda tatlılar, çikolatalar ve diğer ‘abur cuburları’ biriktirmeye başladım. İlk düşüncem, yeterince kilo verdiğimde kendime bunları ısmarlamaktı. Ama iş o noktaya geldiğinde çok korktum.”
    6. “Tıkınırcasına yeme bozukluğunu (BED) ilk olarak sekizinci sınıfta öğrendim. Yeni sağlık kitapları aldık ve bu yeme bozukluğu önceki kitabımızda yoktu. Sınıfta oturduğumuzu ve öğretmenimizin bize bölümleri okuttuğunu hatırlıyorum; her çocuk bir paragraf okuyor, sonra bir sonraki çocuk okuyordu vb. BED’e geldiğimizde, arkadaşlarımla dolu bir odada ağlamamak için çok uğraştığımı hatırlıyorum çünkü ‘Aman Tanrım! İşte yaptığım şey bu.’ diye düşünüyordum. Bir anda aydınlandım. Beni çok korkuttu ve aynı zamanda bana biraz huzur verdi.”
    7. “Dışarıda yemek yemeyi bıraktım ve mümkün olduğunca başka insanlarla yemek yemekten kaçındım. Yargılanma korkusuyla başkalarının önünde yemek yemeye dayanamıyordum.”
    8. “Bence tek bir şey değildi, farklı olaylar bir aradaydı. Bazıları egzersiz yapmak istemediğim için ağlamak, ama aynı zamanda kilo almak istemediğim için ağlamak, çok fazla ‘kötü’ yiyecek olan durumlardan kaçınmak, sıcak günlerde üşümek gibi.”
    9. “Kilomun belirli bir sayının üzerine çıkmasından korkmaya başladığımda ilk kez endişelendim. Günlüğüme ‘İnsan anoreksik olduğunu bilir mi? Umarım ben değilimdir’ diye yazdığımı hatırlıyorum. O zamanlar 12 yaşındaydım. Anneme ve arkadaşlarıma yediklerim konusunda yalan söylediğimde, aslında bir yeme bozukluğum olduğunu aylar sonra fark ettim.”
    10. “Tek bir belirti yoktu. Ayrı ayrı ele alındığında bana ve hatta başkalarına tamamen zararsız görünen birçok küçük şeyin birleşimiydi. Bu küçük şeylerin birbiriyle bağlantılı olduğunu fark edene kadar, zararsız olmadıklarını ve çok gerçek bir sorunum olduğunu anlamamıştım. Yardıma ihtiyacım olduğunu fark edebilmem için önce büyük resmi görmeye başlamam gerekiyordu.”
    11. “Tek düşündüğüm buydu. Tüm günüm yemek konusu etrafında dönüyor. Aklıma gelen her düşünceyi ona geri getiriyor veya ona daha fazla odaklanmanın bir yolunu buluyordum. Başkalarının yanında işlev göremediğimde bunun tehlikeli olduğunu fark ettim çünkü buna o kadar dalmıştım ki. Okulu bırakmak zorunda kaldım, çalışamadım veya sosyal etkinliklere gidemedim.”
    12. “Tartıdaki sayılar kendimi ve değerimi doğrulamanın bir yolu olarak kullanıldığında.”
    13. “Mutlu ve motive hissetmekten ‘sağlıklı beslenmeye’ geçtikten sonra, ne yersem yiyeyim aniden suçluluk duymaya başladım. Yemek yediğim için utanç, mahcubiyet ve suçluluk duymaya başladım – mantıksız anoreksik düşüncelerimin ortasında bile bunun işlerin çığırından çıktığının bir işareti olduğunu görebiliyordum.”
    14. “Kendimi gerçekten durduramadığımı fark ettiğim an büyük bir andı.”
    15. “Sabahın 3’ünde susadığım ve su ağırlığımı bile kaybetme korkusuyla ağlayarak uyandığımda bir sorunum olduğunu fark ettim. Ya da yeterince zayıf olmadığım için kendimi ‘cezalandırmak’ için anoreksiya ve bulimia belgeselleri izlediğimde. Vücudumun görünüşü yüzünden hâlâ teşhisimden utanıyorum. Tek yapmanız gereken kendinizi pozitif insanlarla çevrelemeniz ve kendinize bir tartıdaki sayıdan daha değerli olduğunuzu hatırlatmanız.”
    16. “Yiyecekle ilgili olabilecek partilerden veya toplantılardan kaçınmak.”
    17. “En büyük işaret, yaşamaktan veya yemek yemekten çok sayılara takılıp aynalara bakmaya zaman ayırmamdı. Tüm hayatım o tartı, o ölçüler, her kalori etrafında dönüyordu.”
    18. “Panik atak geçirmeden market alışverişi yapamadığım zamanlar.”
    19. “Banka hesabımda 20 dolar varken ve benzin ışığım yandığı için o gece arabama benzin almak yerine, 3 dolar hariç hepsini tek başıma tıkınırcasına yiyebileceğim yiyeceklere harcadığımda, tıkınırcasına yeme bozukluğumun gerçek olduğunu fark ettim.”
    20. “Ailemle dışarıda akşam yemeğine çıktığımda ve yemek ‘doğru’ olmadığında. Bu beni o kadar endişelendiriyordu ki ağlamaya başlıyordum.
    21. “Yemek yeme fikri bile kendimden utanmama neden oluyordu. İnsanların benden daha az yediğini görmek beni üzüyordu.”
    22. “Eşim ve çocuklarımla yemek yerken ne yediğim konusunda büyük bir endişe duymadan keyif alamıyordum.”
    23. “Sürekli yemek düşünüyordum.”
  • Bulimia Hakkında Bilmeniz Gerekenler

    Ulusal Yeme Bozuklukları Derneği’ne (NEDA) göre, 30 milyon kadın ve erkek hayatlarının bir noktasında yeme bozukluğuyla mücadele edecektir.

    Bulimia, genellikle yüksek kalorili yiyeceklerle tıkınırcasına yeme ve ardından kusma ile karakterizedir. Durdurulmadığı takdirde ciddi sağlık sorunlarına neden olabilir. Bulimia ırk, cinsiyet, kilo, vücut tipi veya sosyoekonomik durum ayrımı yapmaz.

    Birçok insan bu hayatı tehdit eden hastalıkla mücadele ediyor. Peki, bu bozukluk neden bu kadar yanlış anlaşılıyor?

    Kişisel deneyimlerimden yola çıkarak bazı bilgiler sunmak istiyorum.

    1. Bulimia Gelişimi

    Bulimia, diğer yeme bozuklukları gibi, yalnızca kiloyla ilişkili olduğu yönünde klişeleşmiştir.

    Bunun her zaman doğru olmadığını anlamak önemlidir. Evet, zayıf olmanın toplumsal idealizasyonu bir suçlu olabilir, ancak çevresel faktörler genellikle yeme bozukluklarının gelişimine katkıda bulunur. Bu benim için de geçerliydi.

    Deneyimlerime göre travma rol oynadı. Cinsel istismar, lise zorbalarının sürekli duygusal ve fiziksel işkencesi ve genç bir yetişkin olarak yaşadığım kayıp, bende duygusal yaralar bıraktı. Zamanla depresyon başladı. Bu, ruh sağlığımdaki temel çatlakların başlangıcıydı.

    Yeme bozukluğunun eşiğindeyken, genellikle başınıza gelenlerin farkında olmazsınız. Bu yüzden duygusal bir akşam çok fazla yememe neden olduğunda, acı verici bir şekilde şişkinlik hissettim. İlk kez kustum. Bu rahatlama iyi hissettirdi. Kiloyla ilgili hiçbir düşünce yoktu. Sadece kayıp ve acı. Duygusal durumum nedeniyle, hissettiğim rahatlama bir şekilde duygusal olarak daha iyi hissetmemi sağladı. Kendimi kötü hissettiğim günlerde abur cubur yiyordum ve bu döngü tekrar ediyordu. Farkına bile varmadan, zaman içinde ortaya çıkan şey aniden beni güçlü ve ezici bir şekilde etkisi altına aldı.

    Ruhunuz üzerinde olumsuz bir etkiye neden olan bir şeyin yıkıcı bir şeye dönüşme potansiyeline sahip olduğunu bilmek önemlidir.

    1. Bir buliminin hayatından bir gün

    Aşırı yeme sırasında dopamin salgılanır ve bu da haz ve coşku hissi yaratır. Bu süreç, davranışımızı sürdürmemizi ve tekrar iyi hissetmemizi sağlar. Bu bir bağımlılıktır.

    Biraz kilo verdim ve görünüşümle ilgili iltifatlar aldım. Bunu memnuniyetle karşıladım. Özgüvenim eksikti, bu yüzden ne kadar çok iltifat alırsam o kadar iyi hissettim.

    Kiloyla hiçbir ilgisi olmayan bir şey, kısa sürede her şeyle ilgili hale geldi.

    Hedefime ulaştığımda duracağımı kendime söyledim. Asla durmadım. Yine de kontrolün bende olduğunu düşünüyordum.

    Bir bulimik kişinin hayatındaki bir gün, yemek düşünceleriyle dolup taşmaktan ibarettir. Her günün her dakikası. Yemek istekleri, malzemeler, kaloriler. Yemeğin tartıyı nasıl etkileyeceği. “Bugün iyi olacağım!” ile başarısızlığın sonuçları arasında bir çekişme.

    Yemekten hemen sonra suçluluk duygusu ve özellikle de kusacağını bilmek. Kaçınılmaz olan gerçekleştiğinde bu, hemen iğrenmeye dönüşür.

    Endişe ve panik hakim olur. Her şey yoluna girecek mi? Başınız döndüğünde veya bayıldığınızda, bu hızla “belki de devam etmemi sağlayacak birazını içimde bırakmalıydım”a dönüşür.

    Dışarıdan bakıldığında bir maske takardım. Kapalı kapılar ardında depresiftim ve devam etmek istemiyormuşum gibi hissediyordum.

    1. Davranış değişiklikleri

    Takıntılı ve zorlayıcı hale geldim. Günlük mücadelem yoğunlaşıyordu. Bir zamanlar tanıdığım ben değiştim, sinirli oldum ve agresif patlamalar yaşadım. Aldatıcıydım ve kendimi asla hayal edemeyeceğim şeyler yaparken buldum. Yalan söylemek, insanlara saygısız davranmak, hırsızlık yapmak.

    1. Bulimia Hakkındaki Gerçek

    Birçok kişi neden bulimia hastalığına yakalandığını anlamıyor. Bence bu, hastalığın nüksetmesine katkıda bulunan faktörlerden biri. Sebebi değil, semptomu tedavi ediyorlar.

    Birçok bulimia hastası sağlıklı görünüyor.
    Bu durum kişisel ve ailevi dinamikleri bozabilir.
    Kusma nöbetleri arasında sağlıklı yemekler yeseniz bile bulimia hastası olabilirsiniz.
    Bu bir tercih değil. Ciddi bir hastalık.
    İntihar ve tıbbi komplikasyon riski artar.
    Yanlış Anlama: Bulimia ile mücadele edenler istedikleri zaman bulimia hastalığını bırakabilirler.

    Bulimia hastası olanlar yemeklerden sonra sık sık tuvalete giderler ve genellikle müshil ilaçları kötüye kullanırlar. Yemek yerken aşırı miktarda su içerler.

    Eklem yerlerinde yara izleri görebilirsiniz.

    1. Aksaklıklar ve Tetikleyiciler

    Aksaklıklar beklenebilir. Bunu doğrulayabilirim.

    Aşırı yeme ve kusma dizisi, stres ve kaygıya tepki olarak tetiklenebilir. Suçluluk duygusu ve hata yapmaktan dolayı başarısız olmak da buna katkıda bulunur.

    1. Bulimia’nın yan etkileri

    Kardiyovasküler komplikasyonlar
    Dehidratasyon ve beslenme eksikliğinden kaynaklanan senkop
    Hafıza kaybı ve konsantrasyon eksikliği
    Sindirim sorunları
    Yemek borusu hasarı
    Saç dökülmesi, kuru cilt ve tırnaklar
    Diş sorunları
    Adet düzensizlikleri
    Ve daha fazlası…

    1. İyileşme süreci

    Güçlü bir destek sistemi çok önemlidir. İyileşme yolunda atılan tüm küçük adımlar için olumlu pekiştirme teşvik edilir.

    Destekçiler: Bu cesaretlendirici sözler sizin için.

    Ne kadar çok şey öğrenirsem, iyileşme sürecinde neden başarılı olamadığımı o kadar çok anladım. Her şeyin anahtarı zihninizi, bedeninizi ve ruhunuzu beslemekti.

    Sağlıklı beslenmek ve hiçbir şeyin kusmayı tetiklemeyeceğini ummak yeterli değil. Egzersiz yoluyla duygusal ve fiziksel olarak güçlü kalmak önemli, ancak yeterli değil. Geçmiş travmalarla başa çıkmak iyileşmenin önemli bir parçası, ancak tek başına yeterli değil. Düşünmek ve rahatlamak için kendinize zaman ayırmak, başkalarına yardım etmek ve sahip olduklarınız için minnettar olmak iyileştirici özelliklere sahip, ancak bunlar da yeterli değil.

    Zihinsel, bedensel ve ruhsal doyuma ihtiyacınız var.

    Bulimia ile mücadelenizi kazanın!

    Kendi mücadelesini verenlere: İşte benden size bir mektup.

    Daha doyumlu bir hayata giden yolculuğunuzda ilk adımı atın…

  • Steps to Getting a Better Look at Schizophrenia

    You may feel completely powerless in your schizophrenia treatment. The doctor gives you a few pills or shots and then… what? Do you just sit around and wait for things to get better? I think you can do that. That’s definitely what I did for the first few years after my diagnosis. But it’s not something I would recommend. To be honest, those first few years were really awful. That is until I approached my schizophrenia treatment like a scientist.

    For me, the three basic things a scientist does are: Observe, hypothesize, and experiment, do research.

    Observe the facts.
    My schizophrenia can often lead me to think and believe incredible things. But when I observe the facts, those thoughts are contradicted by reality. For example, for the past few years I have struggled with the delusion that an old friend from high school lives in another city and is following me. What brought this delusion to a terrifying peak was when she appeared in my contact suggestions on LinkedIn. I looked at her profile and discovered that she lived where I lived.

    I immediately panicked. Was my delusion true? Had this guy really been stalking me for the past few years? I decided to follow the advice I gave in this YouTube video , where I talk about the value of being vulnerable and honest with other people. In short, I decided to contact a high school friend of mine and tell him about my delusion. Indeed, we had a nice back-and-forth text conversation in which he explained that he had only been living where I was for the past six months and that he was using his fiancée as an excuse for this claim. I knew this was true because when I first called him, his fiancée answered the phone and also told me when they had moved here.

    Knowing the facts helps separate delusion from reality.

    In that moment, I could observe the facts of my delusion; this guy was stalking me. The reality of the situation was that my delusional thoughts did not match the undeniable facts presented to me. And, to add further facts, I am a very boring and average person by most standards. It would be a waste of time for someone to watch me sit in front of a computer all day. As a result, I can use my scientific observational powers to better understand whether my delusions are actually delusions.

    Try your schizophrenia treatment with your doctor.
    There are numerous scientific articles and claims all over the internet that suggest cures and potential treatments for schizophrenia. At the end of the day, I have found that the right medication will usually do most of the work. However, most medications do not always get you 100%. You will need to find additional tools in your schizophrenia treatment tool belt to get you the rest of the way. Of course, any treatment you try should be in addition to taking your medication.

    What you try is up to you. I have tried many different things. The ones I have found to work best for me include a low-carb diet to reduce my positive symptoms and weightlifting to reduce my negative symptoms. Others have found that megadosing vitamins like niacin and vitamin C helps. However, there is also science that cautions against using this practice. This brings me to the next part of treating yourself like a scientist.

    Research, read, and consult your doctor before experimenting.
    If someone told you that drinking bleach would cure your psychotic symptoms, would you believe it? I hope you reject that completely. However, some claims may sound more believable, such as sticking to a gluten-free diet to reduce symptoms. As always, with any believable claim, I like to find research to back it up.

    My go-to place for evidence is PubMed, a government website that allows you to easily search scientific articles. You don’t need to read the entire article. There’s usually enough information in the abstract and conclusions to give you an idea of ??whether something is true or not. I think the key to reading any of these studies is to make sure that their results come from a double-blind trial. If the results aren’t based on double-blind trials, I tend to assume that the results are anecdotal and not worth taking too seriously.

    However, if you want to try it yourself, consult your doctor. For most people, there’s no harm in changing your diet or taking vitamins. As long as your doctor thinks it’s safe for you to try, there’s no harm in turning yourself into a guinea pig. The worst that could happen is that it doesn’t work. Alternatively, the best that could happen is that your life changes for the better, as lifting weights did for me.

    How Music Saved Me from Schizophrenia
    When I tell people that I get paid to research music and generate music algorithmically (among other research topics), I’m usually asked a few questions: How old were you when you started composing? How many instruments do you play? Did you go to a conservatory?

    The short answer is: I didn’t know what harmony was until I was 19, I never went to a conservatory, and I don’t play any instruments, thank you very much.

    Then there’s the long answer.

    Music pretty much came into my life at 16, when I was first learning computer science and spent all my tuition money buying everything that could actually apply programming to solve real “problems,” something incredibly exciting that I’d never been able to do before. Among a bunch of textbooks on computational epistemology, empirical sociology, cell biology, etc., I bought “Notes from the Metalevel,” an algorithmic composition textbook. I read some of it and liked it, but it didn’t particularly appeal to me, and I moved on to other things.

    I entered the spring of my freshman year of college. I was admitted to a psychiatric hospital, and my parents learned that the constant pacing, the involuntary frowning, the random dropping of things, and the aimless wandering of the hallways at school were not just “Halley being Halley”—they were symptoms of prodromal schizophrenia that everyone—especially me—had missed.

    Personally, I was certain that I had made everyone I knew evil and dirty by allowing fantasies about the FBI to enter my head—in short, I was delusional and lacking in insight, and everyone around me saw that I was doing well academically and not worrying about what we now think of as “signs.”

    I don’t remember much about those first six months. Only two things stand out vividly. The first was the day I actually believed the doctors who told me it wasn’t my fault, and a huge weight was lifted off my shoulders (it was much better to be mentally ill than to be evil).

    The second was the day I felt ready to get back into programming and happened to pick up Notes from the Metalevel book. It was as if someone had given me a new purpose when I needed it most – music wasn’t going to “solve” itself, was it? So reading music theory theses and using them to produce music became my companion as I completed my partial hospitalization program, went back to being a college student (this time with a good dose of medication and lots of therapy), and eventually started graduate school.

    Fortunately, I realized pretty early on that music wasn’t a “problem” to be solved – it was a field with infinite potential (in fact, one of my papers mathematically proved that you could simulate the Big Bang from inside standard music software, just as you can in any known computing system). And that was part of what made it so great. Music production was grounded in empirical reality (believe me, you can tell when you can’t produce anything remotely musical), but it offered a creativity that I had previously associated only with my most psychotic thoughts.

    That’s not to say that my relationship with music wasn’t without its challenges. When I have mini psychotic lows, even music can get tied to “that FBI thing.” I can get obsessed with working on music, and I have to rely on my wonderful fiancé to remind me that taking a shower is more important than finishing that one script. But overall, music has been a source of comfort and a blessing to me, just as it has been to so many people throughout the centuries—though perhaps not in exactly the same way.

    Schizophrenia in the Cold Season
    Dear winter cold season:

    You surprised me when you entered my house and decided to rest near my nose, throat and swollen eyes. Today, I see you have found another comfortable corner in the upper part of my chest, which makes everything a little more stuffy. There seems to be no room to breathe. I am frozen. A two-month stay is long enough for you. It is time to go now. Thank you.

    Dear scatterbrain:

    You need to be more understanding when dealing with fever and congestion. There is no room for either of you today. Please sit back today.

    Thank you, kindly.

    You know when your eyes open wide in the middle of your sleep? When your spine, which seems to be in a resting position, rises forward at a strange speed, floating like a spirit, electromagnetically suspended above your bed, it makes you wonder if you are still asleep.

    And like an exorcism, my head did almost a complete turn. Looking to my left, I saw that a sharp-framed mirror had captured a strange form of human movement that I thought was mine.

    My arm was bending upwards at my elbow, without my knowledge, the tips of my branching, slender fingers grasping those red knobby joints that began to rub my tired eyes.

    I noticed my face reflected in the square mahogany-framed mirror, blurred.

    I turned my attention to the swelling pressure under my upper left cheek, where there was an oval valve that held my vision. Reflexively, I moved my hand under the swollen flesh. My thumb and forefinger began to pull at the flaccid, twitching, ivory-colored knobby skin. Above it, a folded sheet of pinkish gel, covered with wet black whiskers, winked, descended with incredible speed to hit the lower set of eyelashes, pinched the sides, met at each end, and formed a crescent-shaped pocket in which an emerald-green, glassy marble ball of vision was housed. I was moving, rolling from side to side in this slightly oddly shaped, slippery, slimy nest.

    I was walking along the curb on cracking red lightning bolts in the green of my nest, passing over and around this cloverleaf quasar, the one my right Hubble lens had caught. I squinted with my naked right eye, squeezing a dull ache somewhere.

    And then, like a galactic, spasmodic, elastic, slightly browned Rubber band, I was pulled back for a few moments by the mirror in front of me, where I saw with my own eyes — those dual-pupil quasars — and I turned my peripheral attention back to the black void by my window, by the corner mirror parallel to my other universe. I guess I was in my tiny bedroom.

    ‘Self-Awareness’ and Schizophrenia
    Some people with schizophrenia think their voices and delusions are real. I’ve been on my medication for years and even I have to tell myself that I’m not that popular.

    You probably think that’s simple enough. If I don’t, I try my best to ignore them. I believe that some people with schizophrenia hear positive voices in their heads. I thought I could hear God’s voice, and it was God who told me to go to the mental health center in Fort Irwin, California. I also thought that during my second stay in the psychiatric ward, it was God’s voice telling me that I would get the help I needed. Believe it or not, I think that’s the voice that helped me become self-aware; it made me question what I was feeling or, in some cases, whether something was really going on.

    Sometimes I hear negative voices too. They can be insulting and tell me to kill myself. It’s part of the struggle. I don’t like to talk about it. When I hear these negative voices, I do my best to stimulate my brain and be active, or try to ignore them.

    Realizing that what is going on in your head is not really happening is a tough pill to swallow. It can be misunderstood when a doctor tells a patient to be self-aware or that the voices are not real. That is why it is important to wait. Wait until the medication has worked, and then even the patient will wonder why the voices and hallucinations have diminished. When this happened to me, I felt like I had a revelation. It was cathartic.

    I am sure doctors and others in the mental health field struggle with this. No one in the mental health field told me to question what was going on in my head until later in my recovery. No one told me that my hallucinations were not real. I think if a doctor told me that my hallucinations were not real, I would not have believed it.

    Maybe there needs to be a better “bedside manner.” I respect doctors, but maybe they should be a friend or maybe a neighbor instead of putting themselves on a higher level. How can doctors do this? Maybe they should start a meeting by talking about the movie they just watched. They might talk about the last football game they just watched on TV. If they don’t like sports, they might talk about their children or a nephew. They might not want to talk about the holidays because even people without mental illness can feel lonely or depressed during these times. So, build a relationship. Show some sensitivity.

    Some doctors (I won’t name names) feel that the less I talk, the better. This attitude will not help the patient or the doctor. There are some doctors who feel insensitive to the mental health field. They may even think it’s all the patient’s fault. I ask all the doctors and staff in the mental health field not to abandon us. We need you to be optimistic. Some of you in the field know that we are getting better.

    You may have heard of peer counseling. It’s a good program. Patients who have been stable and have been on their medications for a while should be invited back to the psychiatric ward. This will help the patient who is still on their medications because it will show them how far they have come. This will actually help the patient who is in the ward because the patient will see the peer counselor as someone who has walked in their shoes. As long as they are not stressed, they can discuss their past delusions with other patients. Both people may find some common ground. Both will experience hope in seeing how far they can go and how far they have come. Imagine you are encouraging a mental health patient to enter the field of community service. Here are some examples of questions a peer counselor/community worker might ask:

    “What medication are you taking?”

    “How long have you been here?”

    “Do you know you’re feeling better?”

    “Do you keep a journal? You should start.”

    “How did you sleep?”

    “Who is your doctor?”
    “Everyone falls down; it’s whether you can get back on track.”

    “You know you have to keep taking your medication.”

    “Nobody is watching you; you’re safe here.”

    “If you’re not compliant, they’ll make you stay longer.”

    Here are a few conversation starters. Of course, the staff must decide whether a patient on a psychiatric ward can handle a visitor. I can assure you that on a psychiatric ward, even when you’re around people who have the same symptoms as you, it’s possible to feel lonely. It would be nice to have some positive energy on the other side of the table. How can doctors be self-aware? I know that psychiatrists are in high demand. In some cases, there probably won’t be enough. The ones we have are probably overworked.

    “Happiness comes in short doses.” I think that means holding on to the simple things. That could be a diet soda, a cup of coffee or tea, or simply observing nature when you have the chance. Maybe a break room with cool jazz playing (for those of you who don’t know much about cool jazz, you should buy Miles Davis’ “Kind of Blue” to get started) or some other way to relax when you’re taking a break. Anyway, for those of you in the mental health field, thank you for your service. Finally, we should all be aware of our own little piece of the world. We should all be aware of what’s going on around us, whether it’s in our minds or out there. It will help us be mentally and emotionally strong.

    What You Need to Know About Schizophrenia
    Schizophrenia — sometimes it’s like being in a crowd and everyone is trying to turn around to listen to you, but you’re too busy driving the bus.

    Here are some questions to ask yourself or someone with schizophrenia:

    Do you believe someone is stealing from you?
    Do you get messages on the TV or radio that no one else can hear?
    Do you hear voices in your head that no one else can hear?
    Do you believe that one or more people can inject their thoughts into you or take your thoughts away from you?
    Do you believe that people are against you?
    Do you see or smell things that aren’t there?
    Forget about thinking you’re a superhero with special powers, because that’s an illusion. It’s also wrong to think that you’re so special that you can get messages from the TV. Schizophrenia replaces rational thinking with irrational thinking. It can cause you to stare at a wall for long periods of time or walk up and down a hallway. It can be treated with medication and still have your senses jump.

    Sensory Hallucination

    Vision — Someone in the restaurant where my mother and I had breakfast earlier threw my notebook on the floor. My notebook didn’t actually fall to the floor, but I saw him get up in frustration. He was frustrated because I saw it as a hallucination, not a real vision.

    Smell — You might be in a seafood restaurant and smell hamburgers.

    Hearing — You might hear voices that are offensive or uplifting. Sometimes you feel like people are listening to you or knowing your thoughts.

    Sometimes it can be a sense of someone else’s presence, not necessarily in contact. I once thought Bill Murray (comedian, actor) was helping me write a poem. He thought of the line “chasing windmills.”

    The man in your head
    Holds back his laughter
    While you hold your breath
    At oncoming cars
    And pedestrians
    Chasing windmills
    And
    Belongs to his friends in his head
    Flows on the page
    No punctuation
    From the chaos of the conversation
    Takes a lower dose of sleeping pills
    But doesn’t take vitamins
    He’s in the crowd inside his head
    He’s called on often
    But he’s nobody outside his own mind

    What Should You Do?

    Sometimes the drugs stop working, and sometimes it takes you about 10 years to get on the right one. Remember, the pressure to find the right one is not on you. It’s hard to figure all this stuff out, so it’s best left to a professional. You have to be consistent. I’ve taken pills and had shots. Some worked a little; some didn’t work at all. I’m trying a new drug as I write this.

    No matter what, don’t give up. Listen to your doctor, get in group or one-on-one therapy, and unless you choose to throw yourself a pity party or something, remember that you’re not alone. I personally quit drinking because alcohol can negatively affect your medications. Sometimes you just have to play by the rules.

  • Schizophrenia and Supportive Therapy

    A decade ago, I was grieving the loss of my adult son, Ben.

    No, he hadn’t actually died physically; instead, his life had come to a complete halt, mentally and emotionally. All of his dreams for his future and ours had been stolen by a devastating chronic brain disorder called schizophrenia.

    Ben was an adult when he was diagnosed, and it affected our entire family as we had to adapt to our new reality. My sweet, smart, gentle, popular, energetic son had become someone people thought of as the odd man out in the neighborhood, walking around in a bathrobe, humming his own voice. And we, as a family, had changed forever.

    After his diagnosis, Ben worked with his doctor to find a treatment plan that would help him through multiple oral medications and monthly injections. After years of chaos and confusion, we finally found a treatment that would reduce Ben’s symptoms and bring him back to us, in part.

    At the end of my book, Behind His Voices: One Family’s Journey from the Chaos of Schizophrenia to Hope , I wrote that I had to fully accept the fact that my son would never work again. But today, thanks to a supportive treatment plan, I can happily eat some of those words. Ben, who has severe paranoid schizophrenia and has been through 8 psychiatric hospitalizations, 2 arrests, and 5 years in a group home away from his family, is now a proud taxpayer. He works as a waiter in a restaurant and is praised by customers in online reviews. He lives at home with us and is involved in family life. He has friends, drives a car, pays his bills on time, and has completed nearly 60 college credits.

    It feels like a limited miracle—a miracle of (almost) mediocrity.

    Here are four key pillars of supportive therapy that have supported Ben on his schizophrenia journey:

    Treatment: Treatment plans are unique to each individual and should therefore be developed in collaboration with a healthcare professional. Finding a treatment plan that works can include medication, therapy and other elements.

    Structure: Helps us all, but especially provides comfort to those whose thoughts are scattered.
    Purpose: Vital to everyone’s mental health, not just those with mental illness. For Ben, this meant that his desire to live and thrive was always heightened when he was employed. Volunteering, school and now his job changed everything for him.

    Love: Building relationships that provide love and support, such as family, friends and community.
    We’ve come a long way together. But are we out of this? Not really.

    There’s so much more that needs to be done. For example: enabling treatment choice, facilitating and funding the process of getting help, educating employers about mental illness and reducing stigma and increasing respect.

    There are golden moments that remind us that he is “there” and has always been there, slightly obscured by the mists of his illness. Little moments of normality, like Ben laughing with us, buying his sister the perfect birthday present, or getting down on the floor and playing lovingly and comically with his nephews, sustain us.

    After each day, we feel like we’ve bought another 24 hours of a somewhat normal life.

    But we’ll take it. Because we know the alternative for Ben – hospitalization, homelessness, prison, or worse. And we don’t want to lose what we have, dangerous as it is.

    Rebuilding, or what I call supportive therapy, is far from guaranteed. But it is possible. And it starts with faith, a vision, and a greater attention to the potential of those with mental illness – respect for them and their families.

    Let’s all continue to work hard to restore that hope for people with schizophrenia and their families, and to change the expectations of schizophrenia.

    A Random Thing Might Affect My Schizophrenia
    I try to walk every day. Sometimes I pick up trash on the side of the road. You never know what you’re going to find.

    I didn’t pick up a bag today to put my trash in because I felt like the sidewalk would be clean since the last time I picked up trash. But today I found a hammer while I was walking.

    I picked up the hammer and held it for a moment and thought: There are several school bus stops on this road. There’s a high school a few blocks away. I kept walking with the hammer because I didn’t want any of the kids to get hurt by the hammer.

    Sometimes I feel like Boo Radley in the movie “To Kill a Mockingbird” is a recluse. I don’t like feeling that way, so I try to be nice to my neighbors, say hello to them, and smile.

    I kept walking to the intersection with the hammer in my hand and went back as usual. I just don’t usually carry a hammer.

    Usually when something different happens in my life, my mind starts to wander. I wouldn’t call it a hallucination, I would just call it an image in my head. In this case, I saw a police car pull up in front of me. A police officer told me to put the hammer down and get on my knees. He also told me to put my hands on my head. I thought that this could all happen while my neighbors were watching me.

    When these images or thoughts come up, I ignore them, but that doesn’t stop them from happening. Maybe it’s just me being a quiet dreamer.

    Finally, I got to the top of the hill where my apartment was and waved to the maintenance crew driving golf carts. I told them that I had found the hammer on the street and that I didn’t want the kids to get hurt. They took the hammer and drove away. I did this thinking that I could still be arrested. But the police never came. I also thought that someone might have stolen my hammer, which was in my toolbox in my apartment. When I got back to my apartment, I checked my toolbox, thinking that the hammer should be gone, but it was still there.

    These thoughts don’t mean that my medications aren’t working. I understand that my medications don’t always cure everything, and sometimes they don’t cure all paranoia. But I can ask myself questions to determine if this is reality or my “unrealism.” Schizophrenia is like a heavyweight fight, but it doesn’t knock me out. It can cause things inside me that I have to ignore or overcome, but I won’t respond to a delusion unless I have real proof that it’s real.

    Signs That a Teen May Have Schizophrenia
    When a child or teen first starts showing signs of mental illness, it’s not always clear what the diagnosis should be. And when it comes to mental illnesses like schizophrenia, parents and loved ones may feel even more uncertain about whether the symptoms they’re observing fit the diagnosis.

    According to the National Alliance on Mental Illness (NAMI), approximately 2.4 million Americans live with schizophrenia, a chronic mental illness that affects a person’s ability to think clearly, manage emotions, and relate to others. It can also include symptoms such as delusions, hallucinations, and lack of motivation.

    Schizophrenia most often begins in the late teens and early 30s (usually earlier in men than in women), and its incidence in children under the age of 13 is about 1 in 40,000. For children and teens, this means that their parents, guardians, teachers, or loved ones may be the first to notice the symptoms.

    “For example, sometimes teens isolate themselves or have periods where they struggle in school,” she said. “Also, teens may try substances that can cause them to have [schizophrenia-like] symptoms.”

    But it’s important to seek the right diagnosis so your loved one can get treatment and support. We asked them to share some signs they’ve noticed that they or their loved one is experiencing schizophrenia.

    Disinterested and Isolated
    Your loved one may lack goals or seem disinterested in what’s going on in their life and the world around them.

    “He’s withdrawn. He’s kind of withdrawn from his family. He’s just staying in his room, not wanting to eat, talk, watch TV, or do anything else,” Missy wrote.

    Strange Ideas and Delusions
    A delusion is a belief in something that is false, but the person experiencing it believes it to be true despite widely accepted evidence to the contrary. A person with schizophrenia may have ideas and theories that seem strange and unrealistic. For example, this could mean confusing a movie with reality or thinking you can read minds or predict the future.

    Irrational Paranoid Thoughts
    They may think they are being watched, or that someone is trying to poison them, or that their home is bugged. Loss of insight or not realizing that they have a mental illness is also a common symptom of schizophrenia.

    “I have schizophrenia, and the first symptom I noticed was being paranoid, but I didn’t really see it as a symptom because I had a loss of insight,”

    Poor Performance in School
    They may have trouble concentrating, keeping up grades, or being interested and invested in school.

    “Imagine sitting in a classroom and the teacher is talking. But instead of listening to the teacher, you are listening to the voices in your head. I didn’t know at the time that they were voices. I thought I was just having vivid thoughts and visions,” Hammer wrote.

    “Dulling” of Personality and Emotions
    A person with schizophrenia may have a “blunting” of emotion, meaning they do not express their emotions on their face or with their voice, or they may appear unresponsive. Dubron described this symptom as a blank stare or a blank expression.

    Hearing Voices
    Hearing voices and other auditory hallucinations is the most common symptom of schizophrenia, and teens can certainly experience it.

    “I started hearing voices when I was 16. It started with voices that sounded like I was in a crowded restaurant, and over the years, the voices evolved into four distinct male voices,”

    “[My loved one] told me that when he gets really depressed, he can hear what people are really thinking about him in their head. Then he turned to me and said, ‘That happens to you, doesn’t it?’”

    Talking to Themselves
    If your loved one is hearing voices, they may start talking back to them and to an observer, it may seem like they’re talking to themselves. In a video he made for WebMD, Hammer explained what’s going on inside their head when it seems like they’re talking to themselves.
    “It’s interesting to live in the city and have schizophrenia, because I’m walking down the street and I hear voices. So I think about the person talking to me in my head. But then, I start talking back to that person. And then maybe I’ll come around, look around, and it’s like five people are looking at me,”

    If you notice these signs in your teen. These signs could be signs of other mental health issues, like depression or anxiety, or they could be a sign that your teen is going through the emotional roller coaster of high school. It’s a good idea to talk to people they interact with regularly, such as teachers, coaches, or close friends.

    “What’s important to assess is whether the symptoms they’re experiencing are causing them to function poorly—that is, whether the symptoms are significantly impacting areas of their life (socially, academically, at home).”

    If your child is experiencing psychotic symptoms, you should talk to their pediatrician or primary care doctor so they can potentially rule out other medical issues. Then, it’s important to get evaluated by a psychiatrist and find a therapist who specializes in psychotic disorders.

    She suggested that parents should approach their children with love, compassion, and patience, because parent and family involvement can have a significant impact on the success of treatment. Educate yourself about your child’s triggers, and don’t forget to take care of yourself and reach out for support.

    “Stability and routine are key to managing schizophrenia symptoms for affected individuals of all ages. Teaching children good self-care and health habits is recommended because diabetes, heart disease, and unhealthy lifestyle choices (smoking, lack of exercise, not going to the doctor) are more common in individuals with schizophrenia.”

  • Separating Delusions from Reality in Schizophrenia

    When I was 16, I was diagnosed with prodromal schizophrenia. In some ways, it was a very scary time. I knew I could no longer trust the reality I was perceiving. I began to question everything I perceived. What was real? What was not real? How could I tell the difference? As a natural result of this questioning, I was forced to be analytical.

    I found that the better you got at analyzing and explaining what was real, the easier it was to detect what was not real. Imagine this: a virus spreading around the world, a US President inciting an insurrection, and images of a man wearing gloves being spammed all over the internet. The real world can be a very strange place. But when you dig deep enough, there is a logical, factual explanation for most things. For example, let’s say you start to think that aliens have invaded Australia. Then you can’t find any verifiable, reputable sources to support such an idea. It might be a good idea to check if you are having a delusion.

    The real world is a scary place.

    As you may have noticed in a previous article, I have some absolutely crazy ideas floating around in my head. But these crazy thoughts are just a drop in the bucket when compared to the real events that are happening in this world that are equally terrifying. For example, I read a very official-looking news story about a zombie virus spreading on the East Coast of the United States. After about an hour of panicking and finally calming down, I found myself on a parody news site like The Onion when I did some more research.

    It’s even harder to deal with parody and inexplicable pieces of news. Things like President Obama greenlighting the assassination of a US citizen or President Trump killing an Iranian general that could lead to another war in the Middle East. Both terrifying cases of abuse of executive power and very real things that are hard to ignore.

    When being analytical isn’t enough.

    In situations like the examples above, it can be hard not to go into full-on panic mode. The best you can do is tell yourself, “This is not my problem.” The more you do this, the more it will help to ease your fear. Realistically, the statement will usually be true. That’s not your problem. Are you a US General? No? Then that’s not your problem. Are you involved in military activities in the Middle East? No? Not your problem. Are you a politician who runs affairs in the Middle East? No? Say it with me! It’s. My. Problem. Not.

    What People with Schizophrenia Want Others to Understand
    Many people living with mental illness face stigma at some point. But a study by Indiana University found that stigma is especially strong against people with schizophrenia.

    It doesn’t stop there: Only about 15 percent of people with schizophrenia in the United States are employed. About 70 percent of people with schizophrenia have experienced some form of discrimination. Only 46 percent of people say they would tell a friend if they were diagnosed with schizophrenia. And about 50 percent of people with schizophrenia have a form of unawareness called “anosognosia,” meaning they have no idea they have the condition.

    Perhaps the most important statistic of all: While only 1 percent of the world’s population has schizophrenia, 100 percent of those people deserve respect.

    We asked people in our community living with schizophrenia and related illnesses to tell us one thing they wish others understood.

    “My mind can be louder than anything around me.”

    “Living is not always easy. I’ve lived like this my whole life. You don’t trust people and you’re always scared. People don’t understand. Sometimes you need your space.”

    “I have a chronic illness and that illness is schizoaffective disorder. That’s it. Ask me how I’m doing, if I’m taking care of myself, if I’m feeling good, if I need someone to talk to. Treat me like a human being because that’s who I am. I’m not a stereotype.”

    “I’m in recovery, which means I’m going to do everything I can to overcome any obstacles I may face. It just makes me stronger.”

    “It’s hard to name just one… I definitely want people to understand that just because I have schizophrenia doesn’t mean I’m not human. Words hurt. That joke about someone hallucinating or delusional is unacceptable. Your joke = my reality.”
    “There is so much stigma around schizophrenia that many of us don’t tell people in our lives – friends, colleagues, even partners and family. Many of us rightly fear discrimination. We have to live our lives in secrecy, which means no one knows what we are going through and can’t help or support us when we need it. This means that people with schizophrenia are almost invisible in positive roles in society. I wish people understood more about schizophrenia and welcomed us so that we don’t have to hide it and fear people’s reactions.”

    “Mental illness is not a character flaw; it is a strength. Of course, it takes a lot of personal commitment and support, but for those who can support their loved ones — you are changing a life. I am a person who receives and provides services; that is called lived experience, and my best quality is that I have no resentment. I could not have done it without the support of my sister.”

    “I can be a good employee, wife, and mother with this diagnosis.”

    “Sometimes I am not a danger to anyone but myself. I am alone. I suffer. I am scared, but I am not dangerous.”

    “This is not an excuse. My diagnosis is real. I struggle every second of the day to grasp reality. If I could change it, I would; I don’t want to feel this way, but it is not my choice.”

    “We have more similarities than differences.”

    Schizophrenia Symptoms You Don’t Know
    Schizophrenia and schizoaffective disorder (a disorder characterized by symptoms of schizophrenia and bipolar disorder or depression) are complex disorders that are often popularized in the media. Schizophrenia is often stereotyped as experiencing hallucinations and/or delusions, and the other symptoms of the disorder are rarely mentioned.

    To be diagnosed with schizophrenia, a person must exhibit two main core symptoms, but one of the symptoms must be hallucinating, experiencing delusions, or disorganized speech. The second symptom must be extreme disorganization or decreased emotional expression. While these are the hallmark symptoms of schizophrenia and are used at the time of diagnosis, there are a variety of other symptoms that are not regularly discussed. The following are symptoms that I have experienced as someone with schizoaffective disorder (depressive type), and they are common symptoms of both schizophrenia and schizoaffective disorder.

    Social isolation.
    Social isolation occurs when an individual has little or no social contact. Not being able to get help from others or maintain relationships, not being able to be with others in public are hallmarks of social isolation. In my experience, when I am struggling, I am unable to reach out to other people in my life when I need help and I am unable to maintain relationships. I also have social anxiety that increases during certain periods, so I cannot leave my house.

    Believing that ordinary events have a special and personal meaning.

    This symptom varies greatly from person to person. For example, an individual with this symptom may believe that they are receiving messages through the television or radio. In my experience, I have had episodes where I see numbers repeating and believe that something bad will happen to me when I see certain numbers. I often believe that numbers have special meanings and that they are telling me something when they appear in my life. This can be extremely stressful and I often struggle with paranoia.

    Feeling disconnected from myself.
    This is another symptom that is difficult to cope with and is often invisible. Depersonalization occurs when someone does not feel connected to their body or thoughts and feels that they have no control over them. In my experience, I often feel like I am not in my body and have a hard time feeling connected to myself, especially when I see reflections or pictures of myself. This symptom also makes it hard for me to understand my identity.

    Fatigue.
    Fatigue is a hallmark of many disorders and refers to feeling exhausted or worn out. In my experience, I have found it challenging to accept that I need more rest than most people and that I need extra sleep because of my fatigue. In fact, I still do. In our world, needing more rest is often seen as being lazy, but it is important to understand that there is nothing wrong with needing more rest. We all differ in how much rest and sleep we need, and if you or someone you love is experiencing fatigue, the best thing you can do is try to be understanding and kind.

    Memory loss.
    Memory loss is probably one of the most frightening symptoms I experience with schizoaffective disorder and is a common symptom of schizophrenia. Memory loss can be long-term and/or short-term. I have found that medication and therapy have helped me cope with my memory loss, but it is an ongoing process.

    Schizophrenia and schizoaffective disorder are rare, serious mental illnesses that present with a wide range of symptoms. The symptoms I discuss in this article are some of the most common symptoms I experience with my diagnosis, but there are many more that make each person’s experience unique. I hope that by discussing the various symptoms of these illnesses, we can debunk the stereotypes that exist in our society. Listen to someone’s story before you make assumptions. This is an incredibly important practice.

  • The Hidden Struggles of Living with ‘High-Functioning’ Schizophrenia

    Most of us wake up in the morning with invisible weights on our shoulders. Somehow, we manage to get through the day without anyone realizing anything is wrong.

    I was diagnosed with schizophrenia, and over time, many things happened that I wasn’t prepared for. Here are a few things that other people don’t know about being “high-functioning” with an “invisible” disorder.

    Sometimes, it can be overwhelming for others to understand.

    They’ll just chalk it up to a “bad day,” not realizing it’s every day for you. Not being able to truly connect with someone can often leave you feeling lonely and misunderstood.

    You’ll silently deal with things that others don’t really know.

    This morning, I woke up hallucinating dead bodies of people and dogs. At first, I thought I was dead too. I had to talk myself into it because I had to go to class and then work a nine-hour shift. I tried to smile at work while silently coping with the ongoing hallucinations. Many of you may be dealing with these things or physical pain. It is not easy for everyone.

    People may not believe you.
    My mother had lupus and no one believed her because she “didn’t look sick.” No one believes me because I don’t sit around mumbling and drooling. Many of you may have been told things like “you are a fraud” or “you are lying.” What you are going through is very real and you are not being “dramatic” or “negative.”

    There are many things that we all face every day in the struggle to just exist that the world will never understand. I am telling you this now, you are not alone.

    You are valid and you are amazing.

    Exercise Helps Reduce Symptoms of Schizophrenia
    We all have priorities in our lives. Priorities define our actions and provide direction for daily activities. Priorities can include following the advice of family, friends, doctors, and taking care of your own needs and care. Given my mental health diagnosis, taking prescribed medications and exercising regularly are top priorities for me. In this article, I will focus on the importance of exercise.

    I exercise for a variety of reasons. Exercise is good for my body, especially my heart and lungs. As blood circulation increases, I often experience a sense of well-being or happiness. Another reason I exercise is to clear my head of symptoms, such as hearing voices, seeing inexplicable visuals, and unexpected emotions. After a day on the treadmill, the symptoms subside, I usually smile, and I feel motivated to continue lifting weights and exercising.

    Exercise also helps reduce the feelings of aggression associated with my schizophrenia diagnosis. Aggression and feelings of hopelessness can arise due to my mental health issues. The more angry I get, the more I exercise. This is much better for me than participating in negative actions and holding all those unproductive thoughts inside.

    Sometimes it’s important to add variety to my exercise routine. I also do kickboxing because it’s another way to reduce stress and increase my sense of well-being. I usually think about the size of the class I’ll be attending. I prefer to work with fewer people because it reduces my anxiety. On Tuesdays, at 4:45 p.m., only a handful of people attend.

    I love kickboxing so much that I recently got a free t-shirt for attending 200 sessions in my class. The instructor’s listing of my accomplishments on the board and putting on my boxing gloves and punching the bag motivates me. The class also includes other exercises like push-ups and crunches. Sometimes, mild symptoms can occur, but they soon go away because I’m doing the intense exercise and sweat dripping off my forehead.

    On the surface, I don’t tell anyone about my schizophrenia. The other students in the class are acquaintances. I enjoy seeing the same faces, especially when they have completed 100 to 200 classes. The end of a class is winning the battle against a sedentary lifestyle and isolating myself in my apartment. The anger I felt about having a serious mental illness like schizophrenia has subsided. The instructor motivates us by saying, “Remember why you came here.”

    After I exercise, I like to write down what I did on my calendar. I exercise four to five times a week and try to finish strong at the end of each week. After completing a week of exercise, I am motivated to continue exercising the following week. After four weeks, my calendar reminds me of my exercise achievements throughout the month. When exercise becomes a routine, I often feel guilty for not exercising. However, I have to be careful not to over-exercise.

    Focusing on my exercise stimulates my brain and my symptoms usually disappear. Exercise fills in the gaps created by schizophrenia. I can’t think of a reason to stop exercising because it can be as good as therapy for me.

    Influential People Who Have Coped with Schizophrenia
    Schizophrenia has such a bad reputation in the media that it’s often hard to imagine a fulfilling life after a diagnosis. Although schizophrenia affects about 1% of the population, the National Alliance to End Homelessness reports that people with schizophrenia make up up to 20% of the homeless population.

    According to WebMD, schizophrenia spectrum disorder (SSD) can make it difficult to work and function due to symptoms such as hallucinations, delusions, disorganized speech, social withdrawal, and other behaviors. Many people with schizophrenia experience anosognosia, which means that the person is unaware of the severity of their condition. However, negative stereotypes about people with schizophrenia are not necessarily true. Every individual has the power to change the stereotype for the better, and here are a few who have lived with a psychotic disorder and thrived:

    Elyn Saks
    You may have seen Elyn Saks in her TED talk “A Tale of Mental Illness” or in her memoir “The Center Cannot Hold: My Journey Through Madness.” She is a respected university professor at the University of Southern California, where she advocates for better mental health laws. Her schizophrenia did not prevent her from amassing an impressive academic record at Vanderbilt, Oxford, and Yale, where she earned her law degree. Elyn Saks won a MacArthur Genius Grant in 2009 for her memoir. Her activism is closely intertwined with her professionalism, as her other work includes advocating for the rights of people with mental illness. Despite struggling with multiple hospitalizations over the years, she has achieved success in her career and love life, and lives with her husband in California.

    Eleanor Longden
    You may know Eleanor Longden from her TED talk ‘Voices in My Head’, which has been viewed over five million times. She is currently a postdoctoral researcher at the Psychosis Research Unit at the University of Manchester. Drawing on her own experiences with schizophrenia and psychosis, she advocates for more holistic approaches to treating auditory hallucinations and other symptoms of psychosis. She advocates empowering patients in their own personal health strategies, which contradicts many of the conventional treatment plans used by doctors who tend to leave their patients in the dark due to anosognosia or a perceived lack of understanding of their condition.

    Esme Weijun Wang
    Esme Wang is a rising newcomer to the schizophrenia activism movement. She made a splash in the world of mental health in 2019 when she published ‘The Collected Schizophrenias’, a collection of essays that recount her first-hand experiences with schizoaffective disorder. The disorder didn’t stop her from graduating from Stanford, becoming a New York Times Bestseller, and becoming an independent queer and femme business owner with a personal brand that helps “ambitious people with limitations.” Her book explores many of the challenges that people with psychotic disorders often face: deciding whether to have children, how to tailor their work lives to best suit their needs, and navigating higher education when elite schools discriminate against people with mental illness. She currently lives in San Francisco with her husband.

    John Forbes Nash Jr.
    Sylvia Nasar’ın “A Beautiful Mind” kitabını izlediyseniz veya okuduysanız, bu adamın kim olduğunu biliyorsunuzdur. 2015 yılında ölen Nash, üretken bir matematikçi ve ekonomistti ve 1994 yılında oyun teorisi üzerine yaptığı çalışmalardan ötürü iki teorisyenle birlikte Nobel Ödülü kazandı. Nasar, kitapta şizofreni ile olan hayat boyu mücadelesini anlatıyor. Hastalık onu yetişkin hayatı boyunca takip ediyor ve onunla birlikte Princeton’a ve ötesine seyahat ediyor ve günlerinin çoğunu çığır açan matematik prensipleri geliştirerek geçiriyor. Profesör ve akademisyen olarak başarılı bir kariyere sahip oldu ancak bu, birçoğu istemsiz olan birçok hastaneye yatış olmadan gerçekleşmedi. Nash sonunda birçok başarı elde etti ve en sevdiği şeyi yaparak zamanının tadını çıkardı.

    Bu insanlar en görünür ve ünlü olsalar da, tek olanlar onlar değil. Toplumun her kesiminden, her kesimden birçok insan, şizofrenileriyle ilgili olarak koşullarına ve yaşamlarına göre yaşam alanlarında başarılar elde ediyor. Birinin derecesini alması, şizofreni topluluğu için önemli bir başarıyı garantilemeye yeter. Şizofreni hastaları için savunuculuk yapan birçok psikotik bozukluğu olan terapist vardır ve ruh sağlığı alanındaki tüm profesyoneller şizofreni hastaları için giderek daha iyi rehabilitasyon stratejileri geliştirmektedir. Curesz Vakfı ve Ulusal Ruhsal Hastalıklar İttifakı (NAMI) gibi kuruluşlar, başarı hikayelerini halka açık web sitelerinde yayınlamaktadır.

    Yakın zamanda psikotik bir bozukluk teşhisi konduysa, bunun hayatınızın tüm hırsları için bir ölüm fermanı olmadığını unutmayın. İyileşme, bozuklukla yaşamanın önemli bir sürecidir, ancak bunun sonunda buna değeceğini gördüm.

  • Disability Support Matters When You Have Schizophrenia

    As I mentioned in a previous post about using honesty as a self-diagnosis tool, one of the most insidious symptoms of the mental disorder schizophrenia is that you don’t recognize that you are experiencing symptoms.

    Schizophrenia is, among other things, a state of low functioning, hallucinatory, unmotivated, and generally constant suffering. The symptoms I just mentioned are a drop in the bucket compared to the many symptoms that may be present at the same time.

    When you don’t recognize your symptoms, this constant suffering can feel normal. Your sense of normalcy is inadequate. If someone else were in your schizophrenic shoes, their life would likely be turned upside down. They wouldn’t know what to do with themselves, and it would be devastating for them. However, this is your normal day-to-day life when you have schizophrenia, and it has probably been for some time.

    Thinking this way can make a person more likely to not get the support they need. This is something I did for years. I refused to do group therapy, I refused to receive disability benefits. I forced myself into jobs that were bad for my health. Refusing support allowed me to persist in the mindset that I was just as capable as anyone else. As a result, this led to psychotic episodes and preventable suffering.

    You need support, even if you don’t think you need it
    That’s why it’s important to look at your life objectively and without judgment – ??get support when you need it, even if you don’t think you need it. This includes applying for disability income support from your state/provincial or federal government. The truth is, these types of supports are specifically for people with schizophrenia. If you have been diagnosed with schizophrenia, you are entitled to these supports and there is no shame in receiving them.

    If you are embarrassed to receive these supports, think of it this way – your taxes pay for them. Have you ever had a job? You have been taxed. You just get your money back. If you have never had a job before, that’s fine. You can think of this financial support as an incubator. You are using this support as you develop the skills to manage your schizophrenia effectively. When your mental health condition is managed effectively, you can be a contributing member of society who pays taxes and in turn helps others get the support they need. Now, who wouldn’t want that?

    In this article by Alison Hayes, she outlines the social cost of the stigma around welfare. It can be painful to answer questions like “What do you do?” You can be honest and tell the truth. Or, you can think of your income support as funding for an entrepreneurial venture. You use your support to start your own business as an artist, craftsman, coder, or any hobby that can be considered a job.

    Schizophrenia is a mental health disorder, but it’s not a sign of shame
    For me, it’s not a lie to claim to be a professional when you’re not. I’ve long considered myself a professional writer, even though it’s a hobby for me.

    They say, “Fake it until you make it.” And in my case, that was absolutely true. There’s no shame in calling yourself a professional if you’re actively developing the skills that will eventually make you a legitimate professional.

    The truth is that you can take any of your limitations and give them legitimate definitions of what they are and still appear normal. If you look at anything about your life objectively and without judgment, you are living just like everyone else. The only difference is that you are severely hampered in your daily life by a disability. Would you judge someone in a wheelchair for having trouble climbing stairs? I think not.

    The Schizophrenic Who Feels Unlovable
    While the stigma surrounding mental illness has diminished as more people become educated about mental health and seek their own care, there is still a lot of stigma around certain disorders, one of which is schizophrenia.

    If you have schizophrenia or schizoaffective disorder and feel unlovable, this is for you.

    I have been officially diagnosed with schizoaffective disorder (a disorder that is marked by symptoms of schizophrenia as well as depression or bipolar disorder) for about a year now, but I have struggled with my symptoms since childhood. I was incredibly scared and ashamed after receiving my schizoaffective diagnosis. My fear was that I would be viewed differently by the people in my life, and in some cases, this was true. The media tends to stereotype schizophrenia as a scary disorder, and it is often used in horror movie plots that portray the person with schizophrenia as a “monster.” Those with schizophrenia or schizoaffective disorder are also often portrayed as dangerous or “crazy” and this has created fear in the general public and those close to us.

    But I am here, I understand what you are going through and I am sending you all my love. I am here to tell you that you are loved. You matter. And you are a light in this world.

    You have a mental illness, but it does not have to be your defining factor – it is simply an aspect of who you are and does not determine whether you are lovable or not.

    You are lovable just as you are – and have been for the entirety of your existence. There are so many people in the schizophrenia and schizoaffective disorder community waiting to embrace you, empathize with you and tell you that you are not alone. We are here to support you, to see you and to help you cope with your illness in a safe space where there is no judgment or shame.

    It is possible to live a full life with schizophrenia or schizoaffective disorder and although you may face stigma around your illness, not everyone will treat you this badly. You can use your experiences to educate others and raise awareness of what schizophrenia and schizoaffective disorder are really like, and you can find some strength through your story.

    You may be feeling like you are in a dark and dark place right now. I understand. I have been there too many times to count, but please know that there is a light just beyond the darkness, and I hope my words help you look for it. I am waiting for you, to tell you that you are loved and that you matter, and I am waiting here with open arms, like so many others in this community.

    You do not deserve to feel unloved or unimportant because you have been diagnosed with schizophrenia or schizoaffective disorder. The world still does not fully understand these diagnoses, and they will manifest differently from person to person. Do not allow others to define you according to their own stereotypes and prejudices about these illnesses. You do not owe anyone an explanation, but you can use your story to empower yourself, and I strongly encourage you to speak up and express it.

    My words come from a place of complete love and compassion. I am passionate about making sure you do not feel unloved because of your illness, because that is simply not true. If nothing else, please know that I love you, I see you, and I am here for you when you are ready to be seen.