Best 923 quotes in «mental illness quotes» category

The boundaries were destroyed; it was all in the open, the rotting animal of her soul, the tickling sickness in the tumultuous cacophony in her mother's vibrating skull that spoke only to itself in everlasting distortions.

The cage of your pain is wide open. It’s time to fly free.

the capture the rapture the rupture of a soul a solo symphony

The case of a patient with dissociative identity disorder follows: Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis. Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen. Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life. Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged. At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.

The child psychologist's clinic: where imaginary friends go to die, where dreams go to burn, where creativity goes to drown.

The conversation devolved into her telling me that medication only works if you take it, and that I had to treat my health problem with consistency and care, and me trying to explain that there is something intensely weird and upsetting about the notion that you can only become yourself by ingesting a medication that changes your self.

The country is not growing because the mental state of the people are retarded

The central mechanism of the avoidance mechanism of PTSD is the ego defense of denial

The confusion boys experience about their identity is heightened during adolescence. In many ways the fact that today's boy often has a wider range of emotional expression in early childhood, but if forced to suppress emotional awareness later on makes adolescence all the more stressful for boys. Tragically, were it not for the extreme violence that has erupted among teenage boys throughout our nation, the emotional life of boys would still be ignored. Although therapists tell us that mass media images of male violence and domination teach boys that violence is alluring and satisfying, when individual boys are violent, especially when they murder randomly, pundits tend to behave as though it were a mystery why boys are so violent.

The cruelty intrinsic to the workhouse system was excused by the need to discourage idleness, much as the malice intrinsic to the mental hospital system has been excused by the need to provide treatment.

The current ruling ontology denies any possibility of a social causation of mental illness. The chemico-biologization of mental illness is of course strictly commensurate with its depoliticization. Considering mental illness an individual chemico-biological problem has enormous benefits for capitalism. First, it reinforces Capital’s drive towards atomistic individualization (you are sick because of your brain chemistry). Second, it provides an enormously lucrative market in which multinational pharmaceutical companies can peddle their pharmaceuticals (we can cure you with our SSRls). It goes without saying that all mental illnesses are neurologically instantiated, but this says nothing about their causation. If it is true, for instance, that depression is constituted by low serotonin levels, what still needs to be explained is why particular individuals have low levels of serotonin. This requires a social and political explanation; and the task of repoliticizing mental illness is an urgent one if the left wants to challenge capitalist realism.

The crime against mental health sufferers has to stop & the stigma must be erased. Humanity has to see the real picture of what mental health sufferers truly experience and humans must understand not outcry.

The creature who lives inside my brain suggested I do it,” I offered tentatively. “It was very convincing.

The depressed person is mired in the past; the manic person is obsessed with the future. Both destroy the present in the process.

The depression was not incapacitating. It made it hard to take a lot of my suburban life seriously, but that was inextricably mingled with a growing consciousness of the larger brutalities of the world. Ethiopian children were starving on the evening news and genocide was mushrooming in Cambodia. Was I truly depressed or just awakening to the First Noble Truth of Buddhism, the insight that samsaric life is misery? My melancholy seemed like simple realism; if you weren't depressed, you obviously didn't know what was going on.

The diagnosis shouldn't have surprised me, as we had been talking about my symptoms for so long. But it's easier to think you just have a bunch of parts inside. Everyone says things like "A part of me wants to go to the movies, but another part of me wants to just stay home." Using the term "part" made me feel normal. I knew I was a little different in that my parts were quite separate aspects of me. I knew my consciousness wasn't whole and knew that it was unusual to have some thoughts come to me in Spanish. I knew most people didn't experience terror and struggle to catch their breath when they were in benign situations. But we hadn't been calling this DID, so I'd been able to avoid fully accepting the implications of having these special parts.

The distinction between diseases of "brain" and "mind," between "neurological" problems and "psychological" or "psychiatric" ones, is an unfortunate cultural inheritance that permeates society and medicine. It reflects a basic ignorance of the relation between brain and mind. Diseases of the brain are seen as tragedies visited on people who cannot be blamed for their condition, while diseases of the mind, especially those that affect conduct and emotion, are seen as social inconveniences for which sufferers have much to answer. Individuals are to be blamed for their character flaws, defective emotional modulation, and so on; lack of willpower is supposed to be the primary problem.

The DSM concept of pathological dissociation has evolved from the early inclusive concept of a dissociative reaction in DSM-I to five distinct dissociative disorders in DSM-IV: dissociative amnesia, dissociative fugue, depersonalization disorder, DDNOS, and MPD/DID [Dissociative Identity Disorder]. The first four disorders are rarely challenged, but the existence of MPD/DID has been more or less continually under attack for more than a century. I perceive many of these attacks as misdirected at a mass media stereotype that does not resemble the actual clinical condition.

the essential feature of the Dissociative Disorders is a disruption in the usually integrated functions of consciousness, memory, identity,or perception

The ethics of psychiatric therapy is the very negation of the ethics of political liberty. The former embraces absolute power, provided it is used to protect and promote the patient's mental health. The latter rejects absolute power, regardless of its aim or use.

The existential psychiatrist R. D. Laing--a radical critic, like Brown, of received wisdom, and similarly inclined to see mental illness as a sane response to an insane world, even as a form of "shamanic" journey--described in one of his early books what he called the "ontologically secure" person.

The fading relevance of the nature–nurture argument has recently been revived by the rise of evolutionary psychology. A more sophisticated understanding of Darwinian evolution (survival of the fittest) has led to theories about the possible evolutionary value of some psychiatric disorders. A simplistic view would predict that all mental illnesses with a genetic component should lower survival and ought to die out. ‘Inclusive fitness’, however, assesses the evolutionary value of a characteristic not simply on whether it helps that individual to survive but whether it makes it more likely that their offspring will survive. Richard Dawkins’s 1976 book The Selfish Gene gives convincing explanations of the evolutionary advantages of group support and altruism when individuals sacrifice themselves for others. A range of speculative hypotheses have since been proposed for the evolutionary advantage of various behaviour differences and mental illnesses. Many of these draw on ethological games-theory (i.e. the benefits of any behaviour can only be understood in the context of the behaviour of other members of the group). So depression might be seen as a safe response to ‘defeat’ in a hierarchical group because it makes the individual withdraw from conflict while they recover. Mania, conversely, with its expansiveness and increased sexual activity, is proposed as a response to success in a hierarchical tussle promoting the propagation of that individual’s genes. Changes in behaviour that look like depression and hypomania can be clearly seen in primates as they move up and down the pecking order that dominates their lives. The habitual isolation and limited need for social contact of individuals with schizophrenia has been rather imaginatively proposed as adaptive to remote habitats with low food supplies (and also a protection against the risk of infectious diseases and epidemics). Evolutionary psychology will undoubtedly increasingly influence psychiatric thinking – many of our disorders fit poorly into a classical ‘medical model’. Already it has helped establish a less either–or approach to the discussion. It is, however, a highly controversial area – not so much around mental disorders but in relation to social behaviour and particularly to gender specific behaviour. Here it is often interpreted as excusing a very male-orientated, exploitative worldview. Luckily that is someone else’s battle.

The fatal weakness of most psychiatric historiographies lies in the historians' failure to give sufficient weight to the role of coercion in psychiatry and to acknowledge that mad-doctoring had nothing to do with healing.

The fear that other people in very scary occasions, reserved only for when they jump out of a plane or hear a strange noise in the middle of the night - that's my normal. ... It's invisible, it's irrational, it's never-ending

The fear of not living is a deep, abiding dread of watching your own potential decompose into irredeemable disappointment when 'should be' gets crushed by what is. Sometimes I think it would be easier to die than to face that, because 'what could have been' is much more highly regarded than 'what should have been.' Dead kids are put on pedestals, but mentally ill kids get hidden under the rug.

The fear of the drugs running out is managable-the fear of time running down isn't.

The fear of the drugs running out is manageable-the fear of time running down isn’t.

The forest is blanketed by the greenest ferns and moss and bonsai-like trees, a wild majesty that beckons hobbits and pixies and elves and dreamers.

The first time I saw her, Everything in my head went quiet.

The first step to treat a mental illness is acceptance.

The Flock have come a long way in their acceptance of this, and when a professional refused to deal with them in a straightforward manner and, in fact, manipulated and deceived them in return-they rebelled fiercely but self-protectively.

The Goth boy stares at me, and I give him a what-are-you-looking-at stare right back. “I’m dead,” he says in a dull monotone. “Pardon me?” Adriana asks, but he keeps staring at me. “You’re dead, too. Look at your veins. They’re blue.” He points at my forearms where dark veins run their lengths. “You’re rotting like me.” I glance to Adriana, hands clasped and praying that she won’t leave me here. Adriana’s stopped crying now and squints at the boy before standing to pull closed the curtain that rings my cot. “Crazy,” she says with an uncertain smile. “You’re not rotting.” . . . ninety-nine, one hundred . “No,” I reply. “But I will if you leave me here.

The human being is so complicated in some ways, and yet so simple in others. Sometimes, we need complex medication regimens. Yet, sometimes, we just need a good cry.

The horror of the Pit lay in the emergence from it, with the return of her will, her caring, and her feeling of the need for meaning before the return of meaning itself.

The idea to go West just fell into my lap from the sky. Go west, young man. That’s how the best ideas happen. Just out of nowhere. When you’re not even thinking. Like they’ve been created for you and you just have to reach out and grab them before someone else does.

The Kinsey staff asked questions of children, learning about sexuality in the family. And other psychologists, psychiatrists and paediatricians, including Benjamin Spock, explored this burgeoning field. As a result, it was known that children will naturally touch their genitals to experience a sense of pleasure. It was also known, from working with victims of childhood incest that small children will act in inappropriate sexual ways with adults if they are trained through abuse to do so. The methods used on Cheryl and the other 'lab rats' were meant to create an Alter personality that would both perform and tolerate sexual acts that are only appropriate for consenting adults. More important in their thinking, by limiting the experience to just one personality (ego state), the personality normally seen would behave like any other child who had not been sexually abused in any way.

The last time I went out at night in the city was almost a year ago. It began with anxiety, then I was pleasantly pissed for a couple of hours, and finally, around the point at which people started taking to the dance floor, I sobered and saddened and the old chant returned: I want to go home.

The local police was her brother Martin, the sheriff. Her father was the Assistant Chief of Police. The last thing she was going to do was tell them Ray was AWOL from the mental institution.

The man himself lay in the bed. For a long while we just stood there, looking down at the profound and fleshless grin. The body had apparently once lain in the attitude of an embrace, but now the long sleep that outlasts love, that conquers even the grimace of love, had cuckolded him.

The medical profession's classic prescription for coping with such predicaments, Primum non nocere (First, do no harm), sounds better than it is. In fact, it fails to tell us precisely what we need to know: What is harm and what is help? However, two things about the challenge of helping the helpless are clear. One is that, like beauty and ugliness, help and harm often lie in the eyes of the beholder--in our case, in the often divergently directed eyes of the benefactor and his beneficiary. The other is that harming people in the name of helping them is one of mankind's favorite pastimes.

The men and women who continue to hold Lynn's mind hostage against her will believe the future will be tilled with terrorism, death, destruction and a challenge to the survival of America. They believe Lynn and the other lab rats must still respond to their programming for they are the second line of defence against enemies from within and without and the first line of offence in a catastrophe which would require the recreation of America's constitutional government. They are still intent on preparing Lynn for the day when she will he necessary for battle. One summer day, all these dark realisations came flooding upon Lynn and she knew if she was ever to free herself, she needed to get immediate help.

The moment he leaves, the bees are back. Buzzing. I breathe in and feel their tiny feet in my bronchi. Buzz. Wings beeting in my alveoli. Flutterbuzz. [...] Flutterflutterzzzzzzzzbuzzzzzz. I have to do something to make it stop. I have to feel something simple. This-- flutterflutterflutterbuzzzzz-- is too complicated. Too confusing. I want to feel something about which there can be no argument or debate. Soemthing about which everything will be known. Here. Now. Something that will make all the rest stop. There is an exquisite and audible pop when the hooked tip of the center tine in the fish fork punctures the fat purple vein.

Then, born again from her womb, it rose again, beseeching in a swelling wave, that urge to kill.

The neurologist had dismissed her case after a single visit, handing out an easy nostrum by telling her father that if she continued to write poetry, she would be all right.

Then old Pete was on his feet. “I’m tired!” was what he shouted, a strong, angry copper tone to his voice that no one had ever heard before. Everyone hushed. They were somehow ashamed. It was as if he had suddenly said something that was real and true and important and it had put all their childish hollering to shame.

Then the weeks rolled by in a sinister psych ward haze filled with white-coated orderlies and rocking whack-job patients torn straight from some old Jack Nicholson film, all anti-psychotic meds and padded lonely cells...

The one thing that we need to escape is our minds, but our minds are the one thing that we cannot escape from.

The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR. While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false. Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.

The only problem was, when your whole existence is something you have to cope with, you look back one day and find that your strategy has become a way of life.

The issue which faced the jury was this: was Sutcliffe a clever criminal, aware of what he was doing and determined to avoid capture? ... In a sense, it was the wrong question. The battle that was fought out in court - the mad/bad dichotomy - both substitutes for and obscures the real dilemma raised by the Yorkshire Ripper case: is Sutcliffe a one-off, su generis as I have heard one psychiatrist describe him, someone who stands outside our culture and has no relation to it? Those who assert that Sutcliffe is mad are in essence saying yes to this question; madness is a closed category, one over which we have no control and for which we bear no responsibility. The deranged stand apart from us; we cannot be blamed for their insanity. Thus the urge to characterize Sutcliffe as mad has powerful emotional origins; it has as much to do with how we see ourselves and the society in which we live... It is a distancing mechanism, a way of establishing a comforting gulf between ourselves and a particularly unacceptable criminal.