Mental Health
Harold Questions My Outlook On Mental Health
5/21/2012 6:02:35 AM
Dear Dr. Archer,
 
 
I cannot help but wonder, had your article concerned Jews or rape, would you have settled on that headline? 

Also, "Archer's book grew out of his belief that mental disorders have gone from being heavily stigmatized to being almost glamorized these days." I find that wholly amusing. 
 
I’m a retired mental health editor.
Harold
 
Dear Harold,
I neither picked the headline nor wrote the article, but it probably does need some explaining. Individuals who have various psychiatric traits that fall in the mid level range on the continuum all too often readily accept a diagnosis and medication when in fact, they could put those traits to work for them instead of trying to medicate the trait into oblivion. 

They don't want to deal with a little pesky anxiety, some sadness, minor mood swings or distractibility, so they choose to embrace a diagnosis and medication instead.
 
In my 25 years of practice, I have seen a shift from patients being completely devastated by a diagnosis of say Bipolar Disorder (or ADHD, OCD, Generalized anxiety, etc…) to telling everyone who will listen that they act the way they do because they're Bipolar and there's nothing they can do about it. 

That is what I mean by glamorized and that is fully explained in the book. However, there is no doubt that some, on the 10+ range of the continuum, may have a severe disorder and there is nothing glamorous about that. 

I invite you to read a letter I received, Kit Uses Humor To Deal With Bipolar Disorder to understand what I mean. Sometimes the diagnoses are worn like badges of honor. 

Also, check out two good reads -- Glamorizing Mental Illness and Glamorization, Mental Health and the Addictive Price to Pay for Art. Society is starting to look at mental health in a different light and this is both good and bad. 

I invite you to read the book and would welcome any further comments.
Dr. Archer
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3 Comments
5/22/2012 9:47:02 AM
Dear Dr. Dale.
Good for you for being honest about mental health disorders. I spent time in therapy to get to grips with severe depression following post natal depression which partially contributed to a lot of immature choices that hurt my self and other's. Although I can't go back and change those events I make more positive choices for my self today and do those things that help my mental health to remain positive, by dealing with life on its own terms and with out meds. A part of the human condition is recognising and dealing with feelings and by keeping my expectations around my self and other's realistic. Keep it simple is my mantra unlike the fit in or fuck off mantra that I would have used way back then and emotional maturity plays a big part, eg: I can choose to remain in free child mode or use the simple strategies I already possess to get out of second gear. I agree that society treats mental illness almost like a fashion accessory although I agree that nobody dealing with a mental health condition deserves to be penalised for being ill in the first place. Keep up the good work because you can't help those who choose to complicate their own and other's lives with the problems they have got.
5/22/2012 5:13:40 PM
I think Dr. Archer is right on letting people know how traits and disorders work, that it's a matter of degree, and that where people fall on the spectrum governs whether a trait is an asset, a challenge, or is debilitating. It's an approach I had not read before, and I've read quite a bit, and there are a lot of advantages to educating the public about it not only for their own self-managment but also because it lends a clear perspective that should diminish the stigma and misconceptions many people still hold onto regarding those with disorders.

As the commenter above, I also like that he hands the reins back to the patient, at least to a degree, and teaches them how to live with it and when to seek help for it, and is also blunt when bad behavior is just stupid bad behavior.

A friend of mine who was truly beseiged with one trauma after another understandably sought therapy. Though most of my friend's problems were a result of dealing with trauma, for some reason this therapist either offered my friend excuses for some of her less desirable foibles, or my friend seized on whatever exchange there was and misinterpreted. For example, she claims she was told that she should stop feeling bad about being chronically late because it was beyond her control. As a young woman, she was not chronically late. It seemed to me it had more to do with changing priorities than anything uncontrollable. If she wanted to see someone bad enough, she could get there just fine. After being told it was beyond her control, she stopped even trying to be on time with her old friends, until even her oldest friend finally stopped telling her she could stay with her family when in town, because it meant being disrupted all day and night waiting and then finding out days later she didn't come to town at all. During this period post-therapy, she got very lackadasical and made some very bad choices. She certainly needed therapy to help deal with her pain, but she also needed a reality check because she needed to be integrated back into the real world, which has never happened.

There's therapy and there's common sense. The two should not be mutually exclusive.
DDA
5/24/2012 1:01:12 AM
Thank you for adding your thoughts, Linda. Trust me, all of us would like to go back and change prior events, but that's wasted energy. Keep your eye on today, map out your future and leave the past where it belongs. All the best to you.
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