Tuesday, December 17, 2019

Mental Health Stigma


Mental Health Stigma.
We hear a lot these days about mental health, and the stigma that still exists around it. Various people come out in public and talk about it, such as Prince Harry, and Alastair Campbell. I hope this helps but I’m not sure how much it does. Those in the public eye living atypical lives are not truly representative. Prince Harry just does not live in the real world, and the very nature of the world he lives in you might think would lead to mental health issues anyway.
I think working through and understanding your own mental health issues requires self-reflection. There were 3 programs on TV recently where people in the public eye examined their depressive/anxiety illnesses which was brave, but I was struck by the lack of in depth self-reflection. Alastair Campbell was one. He spent a whole hour talking about his depression but he did not seem to look at his way of life or the sort of person he is. He seemed very self centred and selfish, and so I wonder how much he is aware of these traits but also how much they might influence his depression.
I would argue that we all have mental health issues. Perhaps that is the baseline for getting rid of the stigma. We may not be so depressed that we cannot get out of bed or so anxious that we cannot go out of the house. Yet there are so many behaviours and personality traits/disorders out there which are unhealthy and destructive amongst people who appear to be functioning. Borderline Personality disorder for example can be so personally destructive for the sufferer and traumatic for those coming into contact with them, and yet the individual may not know their condition and may well be functioning sufficiently well to hold down a long term job.
I find it quite frightening that someone like Donald Trump could become president of the USA. He seems a very dangerous person, and seemingly totally oblivious to his fundamental faults. Yet he functions after a fashion. Trump is busy, goes to meetings, makes decisions, makes speeches etc. but is seemingly a terrible bully, very self-righteous, and apparently very narcissistic. Narcissistic personality disorder is where someone has an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others. But behind the mask of ultra-confidence lies a fragile self-esteem that is vulnerable to the slightest criticism. Seems to fit. So how self-aware is he? Do you think he imagines he could benefit from some therapy? I doubt it. At 73 years of age he shows little signs of having undergone any serious self-reflection. But then what is also really frightening is that such a person gets elected to office. So many of the populace also seem to be very unaware of the personality problems and the danger that they bring. This is what Eckhart Tolle describes as people being unaware or asleep.
Back to the baseline. If only Donald Trump would say to himself, I am not a very nice person, I need to look at myself and talk to someone. If only the American people would say, we want more humane well-adjusted people in office, and we are not going to vote for these mentally ill people. If only they looked at themselves and said, I need to wake up and reflect on who I am and what my mental health issues are. The key is self-reflection in this baseline. For example, I have met and heard about so many bullies, all of whom I would regard as having mental health issues, all of whom could do something about that and stop bullying if they woke up and reflected on themselves and who they are and how they operate. If all the other personality traits did the same then perhaps the human race would start to become healthier.
Here is another mental health disorder. Many of us are obsessed with consuming stuff, and making more stuff to consume. Businesses and economies are obsessed with eternal growth. Greta Thunberg realises that eternal growth is a fantasy, an illusion. Yet so many are asleep and buy into this fantasy, literally. Being self-reflective and mentally healthy would surely help change this absurd phenomenon.
I have tried to capture just a little of the evidence for universal mental health issues to try and promote my baseline of accepting that we all have mental health issues. But then what is the problem in getting rid of the stigma and accepting this? I think the problem is that we are scared. Yes Donald Trump included. To be seriously self-reflective requires allowing ourselves to face this fear, and allowing ourselves to be vulnerable. Many men who come to therapy struggled to get there and struggle when they are there because they think it is a sign of weakness. Their ego is under threat.
The reality is that it takes great courage to embrace the vulnerability that is needed to be self-reflective and maybe go for therapy. It is the very opposite of weakness. Perhaps if we could recognise the courage involved and the opportunity for change we could get rid of the stigma. I imagine people saying, ‘Isn’t he courageous? He’s gone for therapy. What a brave person. I wonder if I could be so courageous and deal with my mental health issues and change my life. Wouldn’t that be wonderful instead of the negativity of stigma.