Stress and Mental Illness: Are They One And The Same?

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In my previous post I discussed Is Stress A Trigger For Mental Illness? In this post I’m hoping to highlight how stress and severe mental illness are not one and the same.

We all go through periods of stress, where we feel run down, overwhelmed and generally feel like we need a reset button for life. It does have an impact on our mental health, but it isn’t a mental illness.

I have worked with colleagues that have misinterpreted my mental illness as stress, or the more important distinction that I couldn’t handle stress. Comments such as,

“Well, some of us can deal with stress better than others.” and “At least I’m here all the time unlike some people who are always signed off with stress.” Stress was a trigger for my mental illness, bipolar, and yes, I did have to take time off work because of it. It didn’t mean I couldn’t handle stress, it meant I had a severe mental illness that had not been properly diagnosed, or been provided with the proper treatment.

How we effectively deal with stress can be managed through self care techniques and adapting our work/life balance. If someone starts to show signs of mild to moderate depression or anxiety they can seek help such as CBT or other forms of therapy for a short period. Severe mental illness on the other hand, needs much greater intervention. A psychiatrist, hospital admissions, long term medication and therapy. Significant lifestyle changes such as cutting out alcohol may be not advised, but desperately needed. Can you see the difference? Stress in our lives can be managed, if we want to do so; mental illness cannot. Your lifestyle is a choice, mental illness is never chosen. I think it’s important here to highlight one glaringly obvious cause of stress; poverty. This can’t be eradicated by a simple change in lifestyle by the individual. It’s society at large that needs to work towards this. Is there a difference between the stresses of the upper and middle classes and those living in poverty? Yes, I believe there is. Are those in poverty more likely to have a severe mental illness? Again yes. According to the Mental health Foundation,

“Poverty increases the risk of mental health problems and can be both a casual factor and a consequence of mental ill health. Mental health is shaped by the wide-ranging characteristics (including inequalities) of the social, economic and physical environments in which people live.”

Many people with severe mental illnesses also fall into poverty because of being unable to work. This exacerbates already difficult to manage conditions and leaves the individual extremely vulnerable to self medicating, self harm and suicide.

When many people speak up about mental illness, often it’s from their own experiences. That’s fine, but when it’s highlighting stress and lumping it in as a mental health condition, it devalues the impact of severe mental illness. Bipolar, BPD, PTSD, Schizophrenia to name a few are long term, life altering conditions that need psychiatric intervention and expertise to assess, treat and manage. Stress is damaging, physically and mentally I’m not denying that. I feel though that there needs to be more room for conversations surrounding severe mental illness. Too much noise is made around stress, and mild to moderate mental illness. Already sufferers feel marginalised and isolated in society and need more spaces where their voices can be heard.

Talking About Mental Health Is Vital, But It’s Not Enough

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I often find myself saying,

“Talking about mental health is so important.” and “Just be open and honest and you’ll feel so much better!” I have done so many times on this blog.

But in my heart, I know it’s not enough. So many of us are being let down again and again. Services are spread thin and desperately underfunded. Recent reports that young people are being denied care until they’re at crisis point, and receiving little to no help unless they have attempted suicide, is disgraceful.

We do need to talk about mental health. Talking can save lives, but our friends and family are not experts. There is only so much that they can do to help and often unfortunately, it’s not enough. It puts a strain on our relationships which can further the isolation and hopelessness of our situation. I’m lucky enough to have a supportive family and group of friends. I do what I’ve been told helps; to talk. I’ve been talking and reaching out for years, but it’s not always enough.

I’ve sought professional help when I’ve contemplated suicide. I was given a number for the crisis team if ever I needed them. I was told they were available 24 hours a day and would help. I’ve had very different experiences to what I was told I would have. After the phone call I wished I’d never picked up the phone. Firstly, I was given the wrong extension number, and then when I finally got through to speak to someone they simply said,

“Carry on taking your medication and you’ll start to feel better soon.” I talk more about this in the post My Experiences of Mental Health Crises Care

GP’s need more training to identify severe mental illnesses and provide the correct referrals. I like many others with bipolar were misdiagnosed countless times, and it took 12 years for me to be diagnosed. Therapy needs to be far more accessible and not just a one size fits all solution on the NHS. Talking therapies is not always provided by a trained psychologist. In my experience it was a counsellor, who had been trained in basic techniques in order to provide talking therapies. It wasn’t enough and he wasn’t prepared to deal with the symptoms I was displaying. Specialist, long term therapy is still out of reach for many. The price tag attached is as if it’s marketed as a luxury rather than a necessity for those with severe mental illness.

Mental health has had budget increases, but they’re far smaller than budgets for physical health. It’s been five years since the government pledged to create “parity of esteem” between NHS mental and physical health services. People are suffering and we demand better. We need to recognise the role of poverty and discrimination in determining access to formal mental health services. We need to address the reasons why so many people from ethnic minorities, the LGBT+ community and those with disabilities suffer from mental ill health. There are still disgustingly long waiting lists. Having an assessment due in eighteen months when you’re suicidal is not only callous, but negligent. Still we’re seeing mental health services strained to their limits. Still people are told,

“You’re not ill enough” and “Come back when you’ve attempted suicide” Change is desperately needed right now.

In the end investment, not rhetoric, is needed to save lives.

 

When Speaking About Mental Health, Language Matters

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Why does language matter? What is the difference between describing someone as ‘Is Bipolar’ or ‘Has Bipolar’?

Firstly, language is a powerful tool of expression. We tell stories with language and these stories conjure up images and ideas in the listener. We can impact the way people think or perceive the world around them with the language we use. Language can change people’s opinions of others and more importantly when it comes to mental health, themselves.

When we say someone ‘is’ their mental health diagnosis people immediately jump to their preconceived notion of the illness. They see what their experience of it is; what they have heard and seen in the media. It causes us to stereotype without really realising that’s what we’re doing. When someone says to me I ‘am’ bipolar it makes me feel that this diagnosis defines me. That my personality and the essence of what makes me who I am has been dwindled down to a mental illness. All that I am is bipolar, and this is all anyone ever sees. It impacts my self esteem in a significant way. It is limiting and dehumanising. It takes away our individuality to be spoken about in this way. Although I believe labels are important and a tool to receive treatment and provides answers to behaviours, being seen as just a label can be damaging.

When you say that someone ‘has’ a mental illness it has a completely different impact. I feel like I can be seen as a person and individual. It shows to me that the person understands mental illness and how it affects me. They understand that I might be struggling and need support.

There is still a huge discrepency between how we use language for physical and mental illness. Whereas physical illness sufferers are seen as fighters, those with mental illnesses are seen as weak. If you have a physical illness you’re often seen as blameless, it’s ‘just one of those things.’ With mental illness you’re seen as a failure and ‘you could be doing more to help yourself.’ Mental illnesses are biological, we have a genetic susceptibility and they are often coupled with environmental factors. It isn’t a weakness or failure on our part, but the misuse of language continues to contribute to the stigma.

It’s important that we use language delicately and with care when discussing mental illness. Think about how much impact your words have and how they can shape a person’s self worth.

 

Still More To Do To Tackle Mental Health Stigma

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For mental illness sufferers, an underfunded NHS, discrimination against benefit claimants and a negative tone from the media is still creating a society that misunderstand and stigmatise.

A lack of funding for mental health and parity of esteem in the NHS reinforces the view that mental illnesses aren’t as important or as serious as physical ailments. It gives the impression that there is a quick fix, with a few sessions of therapy and some medication it will disappear the problem. Many people wait months, even years, to see a therapist with the NHS. The dreadful reality is that for some it comes too late. For complex conditions, the right medication or combination doesn’t always work the first time. It can take patience to find the right medication.

The High Court ruling that changes to PIP (Personal Independence Payments) were ‘blatantly discriminatory’ against people with mental health problems proves the Government aren’t committing to their pledge to end stigma and discrimination. PIP is a benefit for those with disabilities, and that includes mental illness. Anyone with disabilities can apply, if they’re in employment or not. It’s designed to cover the extra costs that come with having a disability. A person applying may not be able to cook a meal for themselves for instance, and need someone to do this for them. People with mental illness often find leaving the house to be an insurmountable task and need support to do so. This is the aspect of PIP (the mobility section) that the government decided to change last year. People who were unable to travel independently on the grounds of psychological distress were not entitled to the enhanced mobility rate of the benefit.

The almost constant barrage of negative views in the media against benefit claimants strengthens public opinion that those with long term, severe mental illnesses are in fact lazy work dodgers. Dare to go on a message board on any well known news website and the vitriol against those with mental illness is clear to see. People proclaim, “There were never this many people with mental health problems when I was young!” To that, there has been a rise in people seeking out help and support in recent years. The ‘chin up’ and ‘keep going no matter what’ British attitude has kept people silent and unwilling to find help for decades. This attitude has ruined and cost lives that could have been saved. Severe mental illnesses such as Bipolar Disorder, are not as common as people believe. Only 2% of the UK population have been diagnosed.

Much of the ‘awareness raising’ centres around depression and anxiety. It’s time to move forward and introduce the general public to illnesses that are extremely damaging and life changing. Personality disorders, Bipolar, Psychosis, Schizophrenia, and PTSD deserve more positive attention. For many people, as soon as the term ‘mental health’ is brought up, what comes to mind is depression and anxiety. In no way am I trying to say that depression and anxiety aren’t important, they can be crippling and severe. The problem here is that so much emphasis is put on these conditions, but we must be speaking up about all mental health issues. There are conditions out there that are seen as less palatable and not as relatable. The general public can relate to depression and anxiety as they are more common and chances are, they themselves or someone they’re close to has suffered from these conditions. It’s easy to forget about a disorder when you have no real life experience of it. These less talked about conditions are also more stigmatised. With a personality disorder you’re seen as manipulative and attention seeking, with psychosis you’re seen as crazy and could snap and murder someone at any moment. Continuing to not pay these conditions any attention leaves sufferers feeling incredibly isolated and alone. We need to raise awareness of all conditions under the mental illness umbrella. Ignoring conditions because the conversation is harder to start will only further alienate sufferers. Allow people to share their story. Their experiences are valid and important.

For someone that struggles daily with a debilitating mental illness, it can feel overwhelming to be faced with such adversity. To deal with a severe illness and to know that there is blatant discrimination embedded into society is exhausting and infuriating. It takes a great deal of strength to keep going everyday knowing this. Having a mental illness, being aware of this and speaking out doesn’t equal weakness, in fact it shows how strong you are.

Taking Medication For Your Mental Illness Doesn’t Equal Weakness

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Every evening at 10pm, my husband’s phone starts to beep. It’s a daily alarm to remind me to take my medication. I go to the kitchen drawer where the tablets are kept, and rustling around (because it’s our lets shove everything we don’t know where to keep in this drawer, drawer) I’ll find them. I’ll take the 100mg Lamotrigine, 50mg Aripiprazole and 50mg Sertraline. They’re a combination of a mood stabiliser, an antipsychotic and an anti depressant. Taking medication is a part of my night time routine, as much as washing my face and brushing my teeth. I never hesitate to put them in my mouth and swallow them with a gulp of water.

These tiny pills keep me stable. They allow me to function and get up in the morning. They counter the negative thoughts that lead me to feeling desperately depressed and suicidal. They stop any manic episode from emerging and causing me to become a whirlwind of self destructive hyperactivity. They silence the cruel and vicious voices in my head when I’m depressed, or the delusions that make me believe I can do anything when I’m manic. With all that in mind, why would I not take them? Why would I choose to be poorly? I’ve learnt that I can’t live without medication, otherwise bipolar completely overruns my life. It sweeps in like a high tide, submerging my true self, and the low tide never arrives. It controls my life, and I’m resolute that I’ll never knowingly let that happen again.

It’s not a weakness, or a flaw in my character to take medication. I’m not naive, I haven’t blindly allowed a doctor to prescribe them. It took a long time to come to terms with the fact I needed medication to survive. Long discussions with my psychiatrist allowed me to make informed decisions about what approach I wanted to pursue with my treatment. I didn’t settle for meds that left me with debilitating side effects. I tried a number of meds and combinations of them to find what worked for me. It was a long process but ultimately more than worth the time and effort.

I’ve always prescribed to the idea that those living with long term mental illnesses are strong. We manage to live through our struggles everyday and emerge stronger than we were, whether we realise it or not. Part of our strength comes from admitting we need help. It takes someone of a firm and resolute character to come to the realisation that their mental health is having a marked effect on their life. To take medication when there is still shame and stigma surrounding it proves we can withstand the negativity.

Of course, the choice is there for us. I fully support and understand when someone doesn’t want to take medication. Therapy and lifestyle changes is enough for some. What I disagree with is being shamed or not seen as being as strong as these individuals. I am. Every evening when I take those tablets I’m not seeing them as a sign of weakness. I haven’t failed. With them I’ve achieved so much and become a healthier version of myself.

 

Breaking the Silence

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Too many people with mental illness are silent. Silent with friends and family, Silent at work. Silent from their doctors, silent with themselves. Breaking that silence can feel like the hardest thing in the world.

We worry about what others will think of us, and that they will judge us. Maybe they’ll think we’re attention seeking, exaggerating, or crazy. What if they recoil from us or decide they can’t deal with it. We worry breaking the silence will make work life difficult, or even cost us our job. Maybe our doctor won’t believe us, or won’t have any answers. We worry that being truly honest with ourselves will mean we will have to face the reality of our illness. All of this circles our minds and paralyses us from taking action to help ourselves and to reach out for help and support.

It all comes down to stigma and discrimination. It is such a huge issue for people with mental illness. We fear the repercussions of breaking our silence. If we start talking and sharing collectively, we can hold each other up and give ourselves the confidence to use our voices.

When you do break the silence it can be freeing and empowering. To finally share your story with someone, even if it’s just one person, can come as a huge relief. Sharing your struggles lifts a weight off your shoulders and has a positive affect that staying silent will never do. I do this here on this blog, and share my experiences of bipolar, psychosis and bulimia. I first started journalling my experiences in 2012, but only shared with family and friends. Last February, I made the decision to go further and set up this blog and to be more active about it on social media. Now I feel supported by a larger community, of people I have never even met. I have received messages from across the world of support, and others asking for advice.

In most situations, people are generally supportive. However, this isn’t always the case and we have to be prepared for this. It can be deeply hurtful when someone doesn’t understand, or refuses to make an effort to. If we feel capable, the best thing we can do is try and inform and educate. Stigma often comes from ignorance or a lack of information. We need to make sure we provide people with the right information so that they can make informed opinions. This can be from sharing your story, or from highlighting resources from charities such as MIND and Time To Change

Not everyone with mental illness feels capable of being open. We share our stories to varying degrees, and even if we tell only the one person closest to us, that we can confide in, that’s ok. We don’t all need to put ourselves ‘out there.’ We’re all different, despite our shared illnesses. Breaking the silence means talking as much or as little as you want to. It isn’t a competition and no-one should feel pressured to tell everyone they meet about their illness. Do what you can, and you’ll find it makes a difference to not only your life, but to the people you care about.

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Mental Illness and The Sometimes I Can, Sometimes I Can’t, High/Low Functioning Distinction

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The first time I heard the terms ‘high functioning’ and ‘low functioning’ was when I first applied for benefits a few years ago. This is the idea that although you have a disability, such as a mental illness, you’re either able or not able to look after yourself and live your daily life. I had never looked at my illness in this way before. My illness fluctuates weekly, sometimes even daily, and this has a direct effect on what my capabilities are. I can’t predict when I’m going to be low functioning, as much as anyone doesn’t know when they are going to have an accident and break their leg. The ESA and PIP system is based on a misunderstanding of what it means to be disabled. This callous lack of an attempt to understand is costing lives. The major problem here is how people are distinguished between high functioning and low functioning. The reality is for many disabled people, functioning changes across different days and across different activities.

I have bipolar. Some days I am high functioning. I can write, go out and see friends, cook, look after myself and do all the things that I want to be able to do. On other days I am low functioning. I may be manic where I’m angry and irrational, acting impulsively and a danger to myself. I may be depressed and unable to get out of bed, unable to get dressed, and suicidal. At all of these times I am ill, even if I seem as high functioning.

Another problem with the distinction between high/low functioning is everyone has areas of life they function better in. Some are more academic, some are more creative, others are better at socialising. It’s the same for people with mental health problems. Some people have a job, but their home life suffers. They can’t go out and socialise or clean the house. Other people might find socialising easy and not stressful but find employment too much to handle and exhausting.

Right now, I can’t work. The stress related to it and the physical and mental exertion triggers me into a manic or depressive episode. This has been the case for years. I tried to carry on working but the toll it took on my mental health left me repeatedly off sick and left me unable to do anything apart from work and sleep.  On the other hand I can socialise without any problems. I have never found going out with my partner for a drink or seeing friends as stressful. People will see me on a night out and have no idea that I have a a serious mental illness.

Disabilities take their toll, but it manifests in so many ways. Functioning varies across time, situations and people. There is no low functioning or high functioning, there is simply people. People who are struggling everyday to live with and manage mental illness. Having to distinguish this at a PIP or ESA assessment is deeply frustrating and is often misunderstood by the assessor. They only see that you are capable of cooking a meal for yourself, or taking a journey on public transport on your own. They don’t take into account that these ‘good’ days can be few and far between. Months can go by before you feel well enough to complete simple tasks that people take for granted.

It’s not just the benefits system that uses this against the disabled. Many workplaces and individuals also only see what you can do, and not what’s realistic. I have to manage my mental illness, and that means I often have to say no. No I can’t work eight shifts in a row, no I can’t meet up this weekend. It can cause a strain on relationships and adds to the stress already related to being ill.

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Stigma in the Workplace

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The nature of having bipolar has meant I’ve had quite a few, varied jobs. I’ve worked in retail, childcare and for the local council. One thing each of these jobs has in common is whilst there, I’ve experienced mental health stigma.

Whilst working in childcare, I was a supervisor of a team in charge of a room of toddlers.    I had been struggling with my mental health and at that point didn’t have a diagnosis of bipolar. I had been what I now know is manic and hadn’t been sleeping. My mood came crashing down and I was emotionally and physically exhausted. I was late for work one day and was brought in for a meeting with the manager and owner. Earlier in the year I’d had my probationary period extended because of the amount of sick days I’d taken. I was convinced I was about to be sacked. I decided to be honest with them and explained that I was depressed. They told me I couldn’t work that day and sent me home because,

“You would be a danger to the children.”

I couldn’t return until I was “No longer depressed.”

When I worked for the local council as a family worker, I again faced discrimination. Again I was having difficulties with my mental health and had to take time off. I felt that I wasn’t able to properly cope with adult life, that I was a failure. A certain colleague would make snide remarks about my time off, saying,

“At least I’m actually here all the time, not like some people.” Or,

“Some people are just not able to cope with stress as well as others.”

He would look at me directly as he made these comments, a smirk on his face.

I applied for a job at an NHS day nursery. The interview went well and I was offered the job, subject to references. I was ecstatic and went out and celebrated with my boyfriend. A few days later I received a phone call from the manager of the nursery. The first thing she said in an abrupt, unsettling tone,

“Why didn’t you tell me?”

Naturally I was confused and asked what she meant.

“Your sickness record is very poor, you should have explained this at interview.”

I knew there was nothing I could say, and my heart sank. I didn’t get the job. At the time I had no diagnosis so felt I couldn’t pursue them for being discriminatory. To me, I was simply a broken person.

Near the end of last year I had to take time off work because I was struggling with a deep depression. When I returned the manager was acting very strangely. He hardly spoke to me and didn’t ask me how I was feeling or welcomed me back. I had a conversation with another member of staff who I found out also had Bipolar. It felt good to know I wasn’t alone at work. However, I was given a word of warning.

“Just be careful, I was nearly sacked because of my Bipolar.” I was shocked and concerned.

“What! Why?”

“The manager doesn’t get it. I was told to cheer up because I was bringing the rest of the team down. We had a massive argument and he nearly fired me.”

I instantly felt worried that I would have to paint a mask on at work every time I felt unwell. I then understood the managers reaction when I returned to work. I knew that Bipolar was not seen as a legitimate illness and I was deemed a nuisance for suffering from it.

These are just a few examples of the many times I’ve faced stigma at work. If I wrote down every time someone made a passing comment, or a manager shouted down the phone at me for being ill when I’d called in sick, this would be a mountain of a blog post.

So what can we do? 

It feels impossible at the time to do anything when you’re facing stigma at work, but there are options.

If it’s a colleague, speak to them first, if you can. They might not realise you have a mental health condition or have little understanding of what it’s like to live with mental illness. I know this is not always an option, I have been there myself, so I would speak to a manager, Many organisations have a mental health policy or a policy on bullying and harassment. If you are a member of a union, they can give advice and support. If it’s your employer discriminating against you, they can advise what your rights are and what to do next.

The Equality Act 2010 protects anyone being discriminated against because of their age, gender, race or disability. According to Time To Change, “To get protection under the Equality Act, you have to show that your mental health problem is a disability (that it has a substantial, adverse, and long term effect on your normal day-to-day activities). The law covers you during recruitment, employment and if you are being dismissed for any reason, including redundancy. Employers must make reasonable adjustments to work practices, and provide other aids and adaptations, for disabled employees.”

If you are being treated unfairly at work because of your mental health condition, this could be discrimination and against the law. The Mind website has extensive information about your rights at work and what to do if you are being discriminated against. They also provide legal information and general advice on mental health related law.

This is all information I wish someone had given me ten years ago. I often felt alone and isolated at work because of my mental illness, not realising I could encourage change in the workplace or take action against those that hurt me

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Mental Illness is More Than Depression and Anxiety

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For many people, as soon as the term ‘mental health’ is brought up, what comes to mind is depression and anxiety. In no way in this post am I trying to say that depression and anxiety aren’t important, they can be crippling and severe. The problem here is that so much emphasis is put on these conditions, but we must be speaking up about all mental health issues

There are conditions out there that are seen as less palatable and not as relatable. Personality disorders, post traumatic stress disorder, psychosis, schizophrenia, bipolar disorder to name just a few. The general public can relate to depression and anxiety as they are more common and chances are, they themselves or someone they’re close to has suffered from these conditions. It’s easy to forget about a disorder when you have no real life experience of it.

When I’ve brought up the subject of mental illness and my struggles either with bipolar disorder or psychosis with people their first response is usually along the lines of,

“I get anxious/depressed sometimes.” That’s great that they can feel honest and open with me, but that wasn’t the point of the conversation. People will often turn a conversation around into something they can relate to. Talking about psychosis makes people uncomfortable and often they don’t know how to respond.

These less talked about conditions are also more stigmatised. With a personality disorder you’re seen as manipulative and attention seeking, with psychosis you’re seen as crazy and could snap and murder someone at any moment. Continuing to not pay these conditions any attention leaves sufferers feeling incredibly isolated and alone.

We need to raise awareness of all conditions under the mental illness umbrella. Ignoring conditions because the conversation is harder to start will only further alienate sufferers. Allow people to share their story. Their experiences are valid and important.

Mental health, the internet, and conspiracy theorists

 

Last week Time to Change charity shared this blog post What not to say to someone with Bipolar Part 2 on their social media channels. It was great to be able to reach a wider audience and to find new readers. In my foolishness, I decided to go on facebook, and read the comments section. This was a massive mistake. Although the majority of commenters were supportive and agreed with what I was conveying, I came across one poster that was vehemently against the recognised science behind mental illnesses. Everyone is entitled to their opinion, but this one poster was spamming the comments section and making what I believe to be harmful statements. This is how it began:

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The poster was referring to medication, and how it doesn’t work. Intrigued, I looked up Kelly Brogan, a ‘holistic psychiatrist’, who believes that mental illnesses, (and cancer) can be cured through healthy diet and exercise alone. I felt that it was important to engage with this poster, and try to explain how medication is vital to many people living with bipolar disorder.

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After this calm, polite and factual response they went on the defensive, quoting a psychologist (who would have no training in medication or psychiatry), showing me a photo of a course they attended but not the information about the college or school, and swearing at me.

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I wanted to get to the facts and decided to ask where all the evidence for these claims were. Many people that are against psychiatric medication in the UK often cite opinions and ideas that originated in the US. I thought it was important to make it clear the stark differences between the UK and US health systems.

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After my questioning I was sent a barrage of photos of healthy meals and how eating this way would cure mental illnesses. It was also insinuated that myself and other people posting were not eating healthily otherwise we would be cured. The response below shows that the person is living in a fantasy land, comparing themselves to Martin Luther King or Gandhi. It seems they believe the majority of mental health sufferers are in the wrong and are being lied to.

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I found her responses to be incredibly rude, patronising and downright strange. Again, I asked to see some evidence that wasn’t anecdotal, but a serious, long term study. At this point, I was struggling to keep my cool, this whole conversation was making my blood boil.

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I still feel my responses were needed and respectful. What this woman was spreading was dangerous stigmatising of mental illnesses. This was the end of the conversation, as I received no response beyond this. Obviously she wasn’t able to back up her claims with hard evidence, which was my main point. As I said in my last comment, someone reading these comments could be in a serious crisis and in desperate need of support. Lecturing them about their eating habits and how medication they have been given is toxic could push them over the edge. All of us should live a balanced lifestyle with healthy eating and exercise at its core, but it does not cure bipolar, or other chronic, serious mental health issues. Medication as I’ve said previously, saves lives. The right balance and combination gives people a chance to live and thrive. As a community, people with mental health problems need to look out for one another. When we can, we need to stand up for those that do not have a voice, or are too unwell to see past such dangerous claims.