Getting It, Together

A path to mental health recovery in Toronto
She pauses.

“All I remember is waking up the next morning in the basement stairwell of a strange apartment with no underwear on and my bra in my hands.” Mary, usually quick to react, is stone faced. She grew up with two alcoholic, abusive parents, and at fifteen, pregnant with the first of her six children, she ran away from home and straight into a violent relationship, a pattern she repeated for years. After a while, she leans closer to Christiane and whispers, with barely contained fury, “No one had the right to violate you like that.”

When Mary started the fourteen-week program back in March, she couldn’t have offered such support to anyone, including herself. She was binge drinking — typically downing twenty-four bottles of beer in a sitting — and cutting herself. “It’s the anger,” she confessed to the group early on. “I can’t figure it out, but when something bothers me, when people walk all over me, that pain, I can only relieve it with a razor.”

Mary insists she’s angry, not mentally ill. “It’s situational. Why would I have a mental illness? I’ve been abused so much, sometimes I think love equals abuse.” She refused to accept the bipolar diagnosis psychiatrists gave her when she was first hospitalized in 1997 for severe depression and through seven subsequent admissions. “Whenever they give me my meds in hospital, I slip it under my tongue and then spit it out.” Seen through the lens of the traditional psychiatric treatment model, such “non-compliant” behaviour signals “lack of insight” and a poor prognosis.

However, by June Mary says she is managing her symptoms quite well. “Two weeks ago, I slipped really bad and got into the drink, but I’m a strong woman, and it was the first time in ages.” In addition to Pathways, she attends an addiction counselling group and a women’s support group. After months of weightlifting and elliptical training at her local community centre, she proudly displays her new muscles. When the recovery program ends, she plans to train as a volunteer on the Krasman Warm-Line, a non-crisis peer support service. The group “opened my eyes to things I could never see myself,” she told Christiane at the beginning of today’s meeting.

Now Mary prompts Christiane with questions to get her talking about what happened after she realized she’d been drugged, raped, and robbed. Matteo shakes his head as Christiane recounts that once the police arrived at her apartment and spotted several cases of empty beer bottles stacked up in her kitchen, “They just told me I should do my drinking at home from now on and left.” She keeps saying she’s fine, but Mary isn’t convinced. John listens intently, riveted by the exchange.
Sandy Naiman worked as a feature writer and reporter at the Toronto Sun from 1977 to 2007. She is a leading mental health advocate.
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2 comment(s)

AnonymousJanuary 17, 2009 14:30 EST

Dear Sandy Naiman,

Thank you for bringing mental illness and some of the issues surrounding it to the attention of Canadians. While I appreciate the subject matter, I fully disagree with the tone and approach taken.

Perhaps there are some people with mental illness who find ways to “function” and “heal”. Suggesting that this is a possibility for everyone is absurd, and leads me to believe that you have little or no experience with mental illness.

The pharmaceuticals available on today’s market are nothing short of a blessing. For many people with mental illness, the medication they take is what allows them to function and heal within today’s society. I’m not saying that there is no benefit in hope, personal responsibility, education, self-advocacy, and support, or even a bath.

To suggest that those are the only things necessary to overcome mental illness seems to imply that those who do rely on medication to get through every day are weak, and/or lazy. This is, of course, absolutely false. Being able to come to terms with the fact that one must rely on medication is one of the most significant realities a person has to face.

Due to the already existing stigma surrounding mental illness, the pressure to not rely on medication is high. The last thing those battling with these illnesses need is another misinformed person publishing an article telling them that their medication is not necessary.

Sincerely,
A loved one of person with bipolar affective disorder, who also once thought that medication was not necessary (and was proven wrong).

MaryJanuary 22, 2009 17:58 EST

Dear Anonymous

I wanted to comment on your letter that you wrote regarding the mental illness article.,
First let me start by saying my name is Mary, one of the person mentioned in the article,
I was labelled with a mental illness over nine are ten years ago and seen by four different,
Psychiatrist witch each one labelled me with a different mental illness and for several years was on and off medication, and off medication at one point for about five years. I feel sandy did a excellent job on her article and gave proven facts about people that were labelled with mental illness in Canada and around the world that live a productive life and heal without medication. What I’m have trouble understanding is how can psychiatrists diagnose a patient with a mental illness just by the patient answering a couple of question and checking off some answer from a piece of paper. I also do not feel cause a person has a crisis are situation are maybe even trauma in there life that they have a mental illness cause if that was the case a large majority of people in Canada and around the world would be diagnose with a mental illness, I feel a lot of psychiatrists take the easy way out by prescribing medication to there patients and sending them on there way, without asking them how they feel are giving them a chance to talk. What ever happen to talk therapy
Self help programs are maybe taking a bath. However I do feel there are people that need medication to function and heal. Also in reality a lot of the side affects from the medication can cause serious problems
In the long run for an example liver, kidney problems heart failure and even memory loss so I do not know how psychiatrist can prescribe something to make patients function are heal but in the long run can cause serious damage. Myself finally in 2007 was labelled with bipolar disorder and a couple more disorders
I take one pill a day not even everyday to help me sleep and I live a productive and normal life.
Where on the other hand I have been to some group homes were people labelled with mental illness live and the majority of the people that live in them homes are so over medicated that there just like vegetables and do not live a productive life are not healing. I want to add one more thing that I found on a business card that was writing from a psychiatrist it reads. “Everyone is depressed anxious, paranoid, and “cuckoo crazy”; it’s just a matter of degree.

Mary.

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