Experiences of Psychosis on YouTube: Part 2:

This is a follow–up from the previous post on psychosis related media.  I’ll be adding any new media and recommendations here.  Starting with this one suggested by Rob and made by the Greater Manchester Mental Health Trust, as collaboration between service users and MH professionals.


It covers similar topics to the media I’ve published recently, but adds a specific regional identity, which may be important in helping to engage people.  As the makers say: “The aim of the film is to raise awareness, reduce stigma and encourage people to seek help early”.

To see the part one of this post, click here.

Experiences of Psychosis on YouTube

I’m back in media research mode now, and I’m teaching undergraduates about psychosis this week, hence the topic.  There are some exceptionally brave people who have posted on YouTube about their experiences of psychosis.  I’ve picked some of the most interesting material I could find and have summarised it below.  I’ve gone a bit further than normal and added quite a lot of my own reflections on the videos (I hope this is a good thing).  The list of videos below is far from exhaustive and as always I welcome any other suggestions and feedback from readers.

Maya Imani-Amani.

Schizophrenia: My Story.  In this video Maya briefly recounts her experience of developing voices and her diagnosis of schizophrenia at 17.  She tells of how her problems started with sexual abuse that began at age 10 and lasted for a decade.  In her early teens, she lost interest in the things she used to like (such as sports), and this led to her father taking her to a doctor.  Having told the doctor that she was thinking of suicide as he was admitted to hospital, at which point she told the doctors about the voices she was hearing.  She says that she now has 7 voices and discusses briefly how the voices evolved over time and how they relate to her experiences of abuse.  This story is one I have heard all too many times from clients over the years (and I only began my clinical training in 2009).  However, the familiarity of this story may mean that it will be particularly useful for all those who have similar stories.

This is just one of quite a few videos by Maya about her experience.  I’ve not watched them all, but those that I have all are excellent.  They are well paced, concise and compelling, which is not always the case on YouTube.

One of the more difficult things about these videos however is that they are done in ‘real-time’.  This is a real person, providing regular updates about their progress.  Thus, when she tells us that she is coming off medicine without her doctor’s knowledge or help, I cannot help but feel concerned for her.  And when we see her a month or so later (just two weeks before this post), struggling more with her voices (but still very coherent), this concern does not abate.

It seems that Maya is using YouTube to process her own experiences, and perhaps as a kind of therapy.  Beyond this, she is reaching out to her audience to form some social connection, as she notes that she has ‘no friends’ in the physical world.  We know that supportive social networks in the physical world are important in staying well, but in the absence of a strong physical network, perhaps online networks can provide some of this support.

Finally I notice that Maya has subscribed to rawsammi’s channel, which I covered some time ago in another blog post.  Rawsammi is another youtube poster, who talks about her diagnosis of bipolar disorder.  There’s definitely a good story to be told about how people are using youtube to connect with and support each other.

Autumn Likes Elephants.


Autumn is another YouTuber with a diagnosis of schizophrenia.  Like Maya above, she has a channel of videos all about her experience of schizophrenia.  In the video above, she tries to make sense of what caused her schizophrenia.  Her struggle in working this out mirrors the struggle of all clients, psychiatric professionals and researchers.  After many decades of research, we know there is no single clear cause of psychosis, but in most cases it is likely that a complex set of genetic and environmental causes are involved. This is not just a case of genes or environment, but gene-environment and environment-environment interactions (which I think I may write about in a future post).

Unlike Maya, she describes herself as having a “great childhood”, but that she remembers being paranoid and that she has been told by her parents that she was delusional as a child.  From a familial perspective, Autumn talks about how her great-aunt (and other relatives in her maternal line) experienced similar difficulties and thus may have carried genes for psychosis.

Interestingly, Autumn talks about how she was a quiet child and suggests that this may have made her symptoms less obvious than they might be in more outgoing people.  She says that this meant that her family did not notice anything being seriously wrong until she became very unwell.    Like many people I’ve met, stress at school and in her first year of college seems to have exacerbated Autumn’s problems (for many of my clients, the first year of University or exams seem to have been a trigger for manic or psychotic episodes).

Autumn says:

“I’m not a professional… but I can say I’m a professional on the schizophrenia illness because I’m a schizophrenic*”.

It’s a standard trope in psychology to say that while the psychologist is (hopefully) an expert in how the mind works, the person is an expert in themselves.  Trope or not, it’s very true, and the person’s own expertise is central to therapy working. Thats also why I’m interested in these videos; it’s my firm opinion that the people who experience these difficulties are the best people to explain the experience, both to other patients and to healthcare professionals.  Indeed I first started looking for such videos around 6 years ago in an attempt to open up conversations in group work on the psychiatric ward I was working on (LEO, which at least at the time, was a relatively enlightened and forward thinking place for helping young adults with psychosis).

(*I’m generally not keen on people calling other people ‘schizophrenics’ because it can be stigmatising and the label might overshadow the person’s essential humanity.  However, a person with a diagnosis has every right to describe themselves however they wish!)

Something else that Autumn mentions is vitamin B12 deficiency as a potential cause of psychosis symptoms, which is not something I’ve come across before.  However a (non-comprehensive) literature search, brings up a number of results, including this case study of a 16 year old boy.  For me, this is an important reminder to thoroughly check a person’s physical health when they present with psychological difficulties.

Finally I thought I’d point you towards Autumn’s art video, which I’ve not watched properly, but which perhaps reflects a common, but not universal, flip side of psychosis, creativity.

Schizophrenic On a Bad Day


In this video, IhaveSchizophrenia is currently experiencing auditory and visual hallucinations and he posted it in order to try and show what it’s like to function while having such symptoms. He has a voice that tells him do do things and not to do things (known as a command hallucination), and is seeing animals and letters on the wall.  His thoughts are somewhat disorganised and he says he is paranoid – as one might expect when having hallucinations.

Like the two vLoggers above, IhaveSchizophrenia, has a variety of different videos about his experiences of schizophrenia – indeed, he’s truly prolific, with dozens of videos. In the video “What Caused My Schizophrenia“, he talks about how his hallucinations started around age 5, and how they were not associated with any stress that he was aware of.  However, he then talks about how he was very severely bullied for many years and how the death of his grandfather had a serious impact and how he felt that this ‘pushed me over the edge’.  Again, well worth a watch.

Catatonic Schizophrenia


This is a bit of an odd video. It’s mostly a collection of older videos about people with catatonia.  Often these old videos can be rather uncomfortable viewing due to their low production values and questions about consent.  Nevertheless, I think the video provides a useful teaching tool on a symptom that is seen much less that it used to be.

What’s really odd about the video is that it comes with the disclaimer, yet..Screen Shot 2017-04-16 at 13.50.04the people who made the video chose to add spooky music with rather undermines the idea of respecting the patients.  In any case I include it as it could be useful as a teaching aid.

Auditory Hallucination Simulations

These two videos (here and here) attempt to simulate the experience of hearing voices and other auditory hallucinations (they are generally designed to be used with headphones to simulate the stereo nature of some hallucinations).  I usually try to check the comments before recommending any video, and in this case both videos were positively recommended by people who hear voices. Again, these videos should be useful as teaching aids.

Four Patients with Schizophrenia

This is more of a classic teaching video.  It features four different people with a schizophrenia diagnosis who are all currently experiencing symptoms such as paranoia, delusions, problems with attention and cognitive function.  These videos always beg the question of informed consent, however as they are already available on YouTube, I guess we might as well make respectful use of them?

The video is actually compiled from the following sources (1,2,4) and one which I can’t find.

Living With Schizophrenia


A short US based documentary on schizophrenia focussing on recovery.  This one is a classic educational doc, with various talking heads, a patient advocate, a psychiatrist, a clinical psychologist, and various patients talking about their experiences.  It covers a variety of issues including how people can be helped by their family, the different types of symptoms a person might have, the behaviours associated with this, the use of medication.

I have a bit of an issue with this documentary however, stemming from an opening statement that:

Schizophrenia is a disorder of the brain.

My disagreement is nuanced, schizophrenia (accepting the diagnostic term for the moment) is indeed a disorder of the brain, just like depression and anxiety are disorders of the brain.  Just as one’s thoughts are clearly a function of the brain, problems with one’s thoughts will always be a function of the brain.  But schizophrenia is very clearly also a disorder of society, something that this documentary appears to totally miss.  As something of a response to this overly ‘medical model’ approach, which I’ve witnessed time and again, I’ve invented another diagnosis (somewhat tongue in cheek):

IED.  Inappropriate Environment Disorder.

Schizophrenia, like pretty much all the other psychiatric disorders might commonly fall under the category of IED.  Society often triggers psychosis, and then makes it worse by stigmatising the people it has hurt.  The fact that the documentary singularly fails to give real consideration to this is a real shame.   Nevertheless, it’s worth a watch, especially as an introduction to the topic.

I Am Not A Monster: Schizophrenia | Cecilia McGough

Another first person account of schizophrenia, this time a TED talk by Cecilia McGough, an astronomer diagnosed with schizophrenia.

In this talk, she briefly uses one of my favourite ways of demystifying auditory and visual hallucinations:  dreams.  Dreams (and daydreams) show that we all have an inbuilt capacity to conjure up realistic sounding conversations with other people who are not in the room with us and realistic seeming visions of people and objects that are not in the room with us… and when we are dreaming, we don’t realise that we are dreaming.

Strangely, mental health professionals often seemingly fall into the trap of thinking that voices are something bizarre and beyond the understanding of people who don’t experience them in waking life.  We almost start believing that these voices are indeed something supernatural.  They are not.  One possible explanation (which I generally subscribe to) of voices are that they are simply our normal inner world (albeit generally the negative side of it), but that the part of the brain that recognises this fact is somehow offline (like in dreaming) and thus the brain (which always tries to make sense of what it is experiencing), simply comes up with it’s best explanation of what’s happening.  Something like:

Subconscious Brain:  I notice that there are voices, but as far as I’m aware, I’m not currently generating these voices.  Also, I can’t see those people right now.  Therefore these voices must be from real entities that I can’t see.  That could mean: I’m hearing devils, someone has put speakers in the room, or that thoughts are being inserted into my head.
Conscious Owner of Brain: That’s really really scary.

A key part of the talk is about coming out as a person with schizophrenia.  And interestingly, after McGough came out, she found unbeknown to her, some of her friends also had the same diagnosis.  Her mission is to be a patient representative and to confront the stigma associated with the diagnosis.  As part of this she has started a non-profit organisation to help students with schizophrenia.

The voices in my head | Eleanor Longden

Sometimes it snows as late as May, but summer always comes eventually.

A tale of resilience, survival, empowerment and recovery.  Probably one of the world’s most watched talks on schizophrenia, for good reason.  Again the video is from TED, and has 1.4 million views on YouTube alone.

As so often, the ‘psychotic break’ happened in the first year of university.  In her case Eleanor experienced a voice constantly commenting on her activities in the third person, ‘neither sinister nor disturbing’ that seemed to be trying to communicating something about her inaccessible emotions.  In fact the voices only took on a negative connotation once she’d told a friend and observed the negative reaction.

Eleanor talks about how once a person has a diagnosis, often normal behaviours are misinterpreted as aspects of schizophrenia, as the are viewed though the aperture of the diagnosis.  She very clearly describes many of the negative consequences of receiving the diagnosis, from stupid throwaway comments from psychiatrists to physical and sexual assault.  At the same time she pays tribute to those that helped her recover and thrive.

Eleanor proposes that mental health professionals stop asking: ‘what’s wrong with you’, and start asking ‘when happened to you’.  I could not agree more.  She also argues (along with organisations such as inter voice) that voices are a “sane reaction to insane circumstances”, a functional coping mechanism.

Essential viewing

A tale of mental illness | Elyn Saks.

To Work and To Love.  My last video for the post (for the moment), and the third TED talk.  I’m too tired now to provide a good description, but be sure it’s worth a watch. Elyn Saks has a diagnosis of schizophrenia and is a professor of law, psychology and psychiatry – and author of the book The Centre Cannot Hold, which shamefully I’ve not read.  Yet.

Oh before I go, just one more quote… from Saks:

There are no schizophrenics, there are people with schizophrenia, and these people may be your spouse, they may be your child, they may be your neighbour, they may be your friend, they may be your co-worker.

Part 2:

I’ve decided to add new discoveries and suggestions to a separate part 2 post.  Click here to see!

“When I stopped hearing the voices in my head”

In today’s Guardian there is a lovely short article by ‘Anonymous’ about what it is like to hear voices.  Well worth a read for those struggling with the same issues, or those trying to understand the experience of voice hearing.

The author’s story is very familiar to me, the stress of going university seemingly bringing on a severe depression while later, with the added stress of exams, the voices appear.  I’ve been told this story many times, often by people who I interviewed for the Maudsley Bipolar Twin Study, and then more recently by my clients.  My recollection is that the majority of those who’ve related this particular sequence of events were women, but perhaps this was random or recall bias.

The author, via some combination of medication and therapy reports that she no longer hears voices, and that she has found a way to cultivate a supportive inner voice in their place.  No point in me saying more, read what she has to say!

(I assumed the author was a woman from the photo, but it’s just a stock image, so who knows).

 

“The patient did not respond to the drug”

 

From http://www.acphospitalist.org/weekly/archives/2011/3/23/
http://www.acphospitalist.org/weekly/archives/2011/3/23/

Today, a colleague sent me a press release for an exciting new treatment for psychotic symptoms based on a compound extracted from cannabis (CBD – Cannabidiol).  This work by GWPharm follows up on some work I was vaguely involved in at the IoPPN, King’s College London.  Encouragingly it suggests that CBD might be an effective, and importantly a much more tolerable treatment for psychotic symptoms than those we already have.

But that’s not really the point of this article.  The point is that in the press release we see the following:

… in 88 patients with schizophrenia who had previously failed to respond adequately to first line anti-psychotic medications.

This is one of my big bugbears.  Glossing over the fact I’m not keen on the diagnosis ‘schizophrenia’, what’s the problem?  This is normal, this is how medical professionals really talk about their patients and their drugs.  I’ve heard it hundreds of times in ward rounds, read it hundreds of times in papers.

The problem is that the patient did not:

FAIL to RESPOND.

The drug:

FAILED to WORK

The patient was not inappropriate for the drug, the drug was inappropriate for the patient.  Drugs are supposed to be designed to target specific difficulties faced by a patient, whether than be insulin to replace what is missing in diabetes or aspirin to prevent pain transmission or blood clotting.  In ‘schizophrenia’ we face the problem that we still don’t know the aetiology of the person’s problems, and each person is different, probably because ‘schizophrenia’ simply does not exist in the same way as type I diabetes.  The simple fact is, that if the drug does not work, it’s because it is targeting the wrong mechanism.

campingchair2A random story by way of analogy:  I once went on a camping trip with my brother.  When we put the borrowed tent in the car, I remarked to my brother that the tent, which came in two bags, was remarkably light and small.  For the next six hours, I thought nothing more of it; not until  we turned up at the campsite, and started to set up camp next to our relatives’ warm cosy camper van.  Exited to be out camping, I pulled the first part of the tent from its bag – it looked remarkably like a folding chair.  Somewhat desperate, I hoped the the tent was even smaller and more lightweight than I’d imagined, and tried the second bag.  A second chair popped out.  We were left in Devon cold, with two chairs to shelter us from the elements.

Did I blame the chairs for not being tents?  Of course not!  When we were left cold and demoralised, did I blame my body for not responding to the ‘tents’?   Of course not, I blamed the provider (me, my brother or the friend who lent the ‘tent’, depending on my mood) for not providing the right solution for the problem at hand.

What are we doing when we say the patient did not respond?  We are clearly placing the blame on the patient.  Yet we should be placing the blame on the state of the science, or on our poor understanding of the patient’s condition.

If the drug does not work, it’s not actually the drug’s fault (drugs are not sentient as far as I know), but I’d much rather say that the drug did not work, than the patient did not respond.  This places the onus on us to improve our treatment

Before I finish, therapy does not get a free pass.  We can also find papers that say: “the patient did not respond to therapy”.  Rubbish!  The therapy did not help the patient.  It was the wrong therapy, the therapy was delivered incorrectly, or it was some other of the many factors that can affect the outcome of therapy.

If you are a medical professional who uses such phrases, I implore you to think about the implications of this stultified, automatic way of speaking and writing.  Further I encourage you to suggest your colleagues do the same.  Language is important, it shapes our beliefs and our actions, it shapes the way we see ourselves, and it shapes the way we see our patients.

 

 

Highs and lows on the (you) tube – and the challenge of empathy.

Over the last few years some of you will have seen a viral video of a man singing along to Rhianna on the tube.  If you’ve not seen it, all the better, have a watch (below) and as you do just have a little think about what’s going on.  What are your first impressions of the singer and his audience?

The video was first recorded surreptitiously and posted on youtube in 2012, becoming a viral hit with over 2 million views.  What was his audience thinking?  For his fellow tube travellers we’ll have to entertain ourselves by interpreting their expressions.  Youtube however, gives us a little more to go on…. some people found the video amusing:

Trying so hard not to bust out in uncontrollable laughter

…others admired his confidence.

Lol. Kudos to him, as funny as it is, I do love how ppl have such cofidence in themselves to do such things. As its nit in the norm to sing aloud on the subway/rail, whether you have a good voice or not.

….some gave their support:

Awesome!  Keep on singing Alika.  Let the stiff upper-lipped boring people jeer all they like.  You are London.

….and sadly many others were just nasty or racist.  Youtube’s comments section can be a dark place.

Yet, few if any of the comments really indicate any attempt to question what was going on in the man’s head (beyond those who accused him of showing off).

So what was going on?  Well we don’t know exactly, but that man on the tube, Alika, has got together with Rethink (in a video) and the Independent (in an article) to tell us a little bit about what he was experiencing (Have a read and a watch, and perhaps compare your reaction to when you saw the first video).  As he tells us in the Independent.

That year [2012] a number of events in my personal life had taken their toll on my mental health. In just twelve months, my auntie died, my five year relationship crumbled, my savings were stolen, and two friends of mine were killed in violent attacks. It all started to overwhelm me, and I began to feel and behave differently.

I was going through depression, anxiety, manic episodes, self-harm, and voices and illusions in my head. But I kept it all to myself, and over time I became more withdrawn and erratic. Singing on the tube was a way to drown out my problems and escape. When you’re in the middle of a manic episode, you don’t think about what you look like or how you come across.

….A story very familiar to clinical psychologists working with bipolar disorder and psychosis.  While some of my clients become ill without any clear stressors, they are in the minority.  Most of the people I’ve seen have worked with have entered a manic phase following difficult life experiences.  Alika’s story may seem extreme, yet it’s not at all uncommon among clients with mania and psychosis.  We all have different breaking points, and these may depend on a mixture of our past experiences and our genetics.  Cities like London do not help, feelings of alienation, racism, insecurity and violence are not uncommon, and are a particular problem for those from less privileged backgrounds (black Londoners are at particular risk of experiencing psychosis, for possible reasons that need another article).

But back to the comments….  the comments for Alika’s Rethink video are in stark contrast to those in the original video.  There are not so many yet, but to give a flavour, here’s just one:

Brother am soo sorry when world star posted it people thought it was funny me being one of them if knew what you were going through i would have not even dare to laugh at that video.respect you for what you have done i too have anxiety when i am in public but its only getting better and better i will let my friends know about this soo they can apologize as well.:)

For me, this is a reminder that empathy is rarely automatic.  We are generally quick to judge by what we see on the surface, but rarely take the time to imagine what lies under the surface, to ask ourselves what might be going on for that person opposite us on the bus or tube, or even over the breakfast table.  We often jump to one conclusion and stick with it, that singing man is what?   Selfish?  Annoying?  Super laid back and open?  Cool?  Attention seeking?

As Alika puts it (kindly).

I don’t want to make people feel bad if they laughed at the video of me singing on the Tube. I can see the funny side too, but I’d like to move on now. Viral videos have a life of their own and capturing someone’s behaviour for a few seconds in a day doesn’t ever show you the full picture.

Jumping to Conclusions (JTC) is something that is supposed to be particularly common in people with psychosis, yet in reality, we all do it, all the time.  And just as it can be helpful for my clients to think of other explanations for their experiences, it can be useful for the rest of us too.  On a bad day, we may tend to jump to negative conclusions, which just make that day worse.  A classic example used in therapy is to imagine someone we know ignoring us when they walk past us on the street.  What’s going on?  On a bad day, well that person is clearly a total ass; on a good day, clearly they were preoccupied and did not see us.

Alika’s second video and article give us context, they give us a way of connecting to Alika.  Suddenly, Alika is no longer a cartoon but a deeper, three-dimensional character.  It’s no longer so easy to apply just one adjective.  Now we are forced to consider Alika as a person with a past, present and future.  It’s harder to be unkind, and easier to be kind.  We have understanding , we have empathy.

Alika was kind and brave enough to give us that connection.  The challenge is to make that connection more often and with less help.

The power of the image: art, science and psychosis.


An interesting short film about Sue Morgan’s artistic way expressing and processing her experiences, as well as some of the science helping us to understand these experiences from a neuroscience perspective (in terms of changes in levels of oxygen in the brain, BOLD, the thing we think we measure with functional MRI).

As someone with a fair bit of experience in brain imaging, two things thing struck me straight away about this film.  The first is the power of imagery,  the second is how, it seems to me, imagery is working in very different ways for Sue Morgan and for the clinical researcher and the film maker.

For Sue Morgan, getting her thoughts out of her brain and down on to paper is a perhaps a means by which she can reduce the power of her experiences and make sense of them.  For the film maker, images of brain scans and MRI machines perhaps help to convey a sense that the research is important, that it is ‘real’ and ‘scientific’.   For psychiatrist and researcher Sukhi Shergill, seeing the activation on a brain scan, helps him to say that he believes that these experiences are real, and do so genuinely.

The film also makes me wonder about the strange tricks that filmmakers like to play.  What we see here is not an image of a real MRI scanner, but a fake scanner.  Putting a laptop into a real scanner would result in nothing less than a very unhappy laptop, and possibly, carnage.  When Sukhi Shergill points at his bank of computer screens, he is presumably supposed to be in the middle of some serious hardcore scientific thought, while he’s probably mostly feeling a bit uncomfortable about having  to make gestures at a touch screen whilst being filmed (conjecture of course).  The visual language here is presumably supposed to make us take the message more seriously, to engage more with the film.  Personally, if there’s no pictures of the scientist walking moodily down a long corridor, I don’t buy it.  Or with less sarcasm, please filmmakers, more content, less nonsense.

There is however, a very important message in this short film, the experiences of people with psychoses are real.  They are not made up, the person is genuinely hearing voices, seeing things, or experiencing the feeling that people are out to get them.  This is why, when these experiences are appraised as negative, they can be genuinely terrifying.  Out clients, have of course, been telling us this forever.  All too often, professionals fail to grasp this, and this leads to a collapse in the relationship.  In a sense, we should not need MRI scans to tell us this, they are simply correlates of our ‘lived experience’, they help us understand at another level, but they are no more valid that what the person is telling us about their experience.  Yet, if brain scans can help professionals develop more empathy and understanding, great.

 

 

Psychosis Is Nothing Like A Badger

An interesting (but perhaps divisive) animation from Henry Gale.

Psychosis is Nothing Like a Badger from Henry Gale on Vimeo.

The badger of the animation is pretty menacing, with a definite streak of dark humour, and definitely not a badger who’d give up easily.   But Henry is clear:

 psychosis is nothing like a badger… and tends to let go after a while.

Henry  says made this animation……

to raise awareness concerning the signs and symptoms of Psychosis, in the hope that sufferers (and those around them) can seek help without fear, judgment, or hesitation.

Having walked away from two episodes of psychosis myself, I felt that the beginning stages of the illness brought me the most fear and confusion. It was a hazy, in many ways unhelpful diagnosis, that was difficult to talk about – both for its stigma and lack of clarity. I’m hoping that this video might help bridge that gap, giving sufferers, as well as their friends and relatives, a simple insight into how and why Psychosis affects people the way it does.

I know little more about Henry Gale, other than the fact that he’s a clearly talented filmmaker, has a few other videos on Vimeo, and has a tumblr page henrysgale.tumblr.com, which has among other things, info about the making of the film.  Anyway, I’ve little insightful to say tonight… so, if you’re still reading, go watch the film.
 

An interesting article about asylums and overlooked friendships.

Friern Barnet from wikipedia.
Friern Barnet from wikipedia commons.

In this short article introducing her forthcoming book: The Last Asylum: A Memoir of Madness in our Times, Barbara Taylor describes her experiences of living in Friern Barnet mental asylum.   If the article is any indication, the book should be fascinating.  The piece focusses on the friendships developed in psychiatric wards, something that Taylor feels has been totally neglected by researchers.  As Taylor describes:

Magda suffered terribly from black depression yet nearly always she would pull herself together to be with me. Usually I did the same for her. The obligations of friendship trumped madness – and this in itself could be a form of healing.

it may be that the friendships developed on psychiatric wards can be an essential part of patients’ recoveries.  Yet as mental health professionals we often seem confused as to whether to encourage such relationships, and indeed are sometimes very ambivalent.  We may often fail to capitalise on the potential healing ability of our patients’ relationships.  To my knowledge, we know little about whether these relationships are sustained out of hospital and what they mean to our clients.   Yet we know that having good social support is a key factor that mediates recovery (for instance in bipolar disorder), and we know that serious mental illness commonly wreaks havoc on a person’s social networks (e.g. this study looking at the impact of psychosis on social support), so we really should know…

 

 

Even more cartoons… this time about anxiety.

Thanks Maria for sending me this link to a buzzfeed page, with loads of great cartoons about anxiety.  I’ll not copy them here, as the buzzfeed page has already done the hard work.

One of them led me to a blog:

sad girl scribbles

by a girl called Gaby at virtualgirlfriend.tumblr.com, which contains a plethora of drawings touching different issues including anxiety and depression.

One of many that I particularly liked was this one, which deals nicely with the tension between wanting to abolish difficult feelings and needing emotions to be human:sadgirlscribbles-plantsPlants may not have feelings… but I think I’ve made a few plants look pretty sad.  They definitely look happier when they’ve had a little love and affection – or at the very least least sun, clean water and good food; all of which I can relate to.

Empathy and how to help a friend who’s down…. in pictures and words.

A few things popped up on my various feeds this week, all on the same kind of topic.
The first was this cartoon (thanks Catherine)…

depressionsupport

Which comes from a blog called www.robot-hugs.com.  Below the line on the facebook page where the cartoon had been posted, was the old story about empathy:

So there’s this guy walking down the street and he falls into a great big hole. A doctor walks by and the guy yells up to the doctor ‘hey, I fell in this hole, can you help me out?’ The doctor writes a prescription, throws it into the hole, and walks on. 

A priest then walks by and the guy yells up to the priest ‘father, can you help me? I fell into this hole and I can’t get out’. The priest says a prayer, throws down a Bible and walks on. 

And then a friend of the guy walks by and the guy yells up ‘hey, buddy, I’m stuck in this hole and -‘ and before he can finish the friend jumps down into the hole. 

‘What the hell are you doing?’ the guy says, ‘Now we’re both down here!’ 

‘Yup’, says the friend, ‘But I’ve been down here before and I know the way out.’

This story is exactly what happened to a client of mine this week.  Someone he cared about jumped into his hole and helped him find the way out.  These are the people we need in our lives.

And then I came across much the same thing from the brilliant RSA shorts series.  This from a lecture about sympathy vs empathy.

Oh, and I nearly forgot the first one, again from Robot Hugs!  Full of useful advice.

2013-11-21-Helpful Advice

Anyone care to recommend any other cartoons they really like about psychological health?