Being Crazy is totally fun.
On the one hand, you have to put up with stilted crappy ad campaigns (which I wish with all my shriveled little heart that I could find again because the stupid was totally palpable, even over the Internet Squee, Sam found it! It's the "Friends" one. Who knew you could jam that much lame into a coffee shop?) that swear up and down that It's Okay To Be Mentally Ill And Your Friends Will Totally Still Love You And Buy You A Latte And Stuff. On the other hand, you are bombarded with messages that it is clearly NOT okay to be Crazy, in that you have to take some severely scary meds for the rest of your (un)natural life to be considered even marginally socially acceptable and don't you dare stop taking them.
Don't you dare.
If you do, even for a day, even for a really good reason, you will stop being taken seriously. Even if you never stop, a phrase will jump out at you in news stories and Law and Order plot lines and made for TV movies: "...and they were OFF THEIR MEDICATION."
This is always presented as something that the Crazy person does out of spite or ignorance or because they're, you know, CRAZY and can't be trusted with big decisions like, um, whether or not they want to take drugs that could kill them. I'm not a big fan of this last reason. If a person with a mental illness is unable to make informed decisions about potentially lethal medications, is it fair to risk their life? Which is more palatable to society, locking them up until they can make the decision, or possibly killing them? What if their informed decision is NOT to take the medications, and eff off, society?
Lest you think I am exaggerating the 'could totally fucking kill you' aspect of psychiatric drugs, I am voluntarily taking two drugs that have lethal side effects that are, as an added bonus, totally impossible to predict. It's way fun.
Even the ones that couldn't kill me were not what I would call entertaining (except for that one, which was a fucking riot).
Remember how hard it is to get medication, period?
Well, here's how hard it is to get the right medication:
Fun Drug Number One:
Back when I was a n00b at all this Crazy stuff, I went to my GP (mistake #1) and told her that I had a strong history of Manic Depression in my family and kind of felt like I was going 'round the twist, OMG, help! She helpfully prescribed an antidepressant. And I took it (mistake #2). It seemed okay. I'm sure my boss at the time totally loved it, because it made me really mellow and tractable, kind of like a cross between a Golden Retriever and a Sloth. And then I missed a dose or two (mistake #3) and became immediately suicidal. I wasn't even sad, really, I just had a nigh irresistible urge to drive off a cliff. And I lived near a cliff at the time. It was a really bad combination. I stopped taking that drug.
Public Service Announcement: If you have anything other than garden variety depression, for fuck's sake, DO NOT see a GP. See a shrink. GPs are nice and all, but when it comes to mental illness, most of them are seriously out of their depth. The shrink I saw in the aftermath of "Hey, look, a cliff!" told me that Manic Depressives really shouldn't take what she prescribed for me. Why? Because it makes us crazy. Crazier. Whatever. Hey Doc, tell me something I don't know! Incidentally, a couple of years later it was discovered that this drug (specifically, withdrawal from this drug) caused suicidal ideations. Imagine my surprise. But back to my pharmaceutical adventures.
Fun Drug Number Two:
My first shrink prescribed a different medication. It was okay. It gave me dry mouth for a couple of days, but it wasn't terrible. I mean, until I stopped sleeping. And couldn't concentrate on anything. And did I mention the not sleeping? And I cleaned the whole kitchen and refinished the butcher block table in the middle of the night. And then I started having problems sitting still and would (I shit you not) rock back and forth while watching TV, once rocking so hard that I bruised my back on a chair. I was totally aware that none of this was normal and that it was all a series of shitty side effects, but I still couldn't sit still or sleep. Clearly, that drug and I were not good friends. I stopped taking that drug.
Fun Drug Number Three:
Meh. It wasn't awful. After a while, though, I felt like the human equivalent of Wonder Bread: soft and doughy and utterly flavorless. I could function, but it was like nothing really had any color to it anymore. It seemed kind of stupid to take something for Manic Depression that basically mimicked a really long depressive state. Also, I gained twenty pounds. So I stopped taking that drug.
Fun Drug Number Four:
Okay, this one actually was kind of fun. Among other things, it made me anorexic. Yeah, the obsessive calorie counting and dizziness was kind of a drag, but my ass? My God, people, my ass looked FANTASTIC. I felt pretty good, although jittery and paranoid about people finding out about the anorexia and I was kind of a bitch (possibly because I was really hungry all the time), but other than that, it was okay. Well, okay except for this one teensy weensy little side effect. Minor. Hardly worth mentioning, really.
It made me hallucinate. Honest to God hallucinations. WEIRD hallucinations.
Now, before I took that drug, I had always assumed that people who hallucinate don't know that they're doing it. I was under the impression that they were completely convinced that what they were seeing was real and responded as such. Yeah. Not so much, or at least not in my case. I knew that what I was seeing wasn't real. I used to keep a journal: "Today I didn't see X," which meant "Today I saw X, which was totally not real, but it was kind of cool."
Things I didn't see, in random order:
A coworker walking into the room, even though she wasn't due in that day and vanished when I looked at her.
A huge gargoyle crouching on my roof, complete with huge leathery wings, who turned his head and watched me walk into the house.
A human head (decomposing) hanging from a truck's bumper during rush hour.
Two little girls wearing pink dresses walking on a sidewalk at midnight.
A man dressed in black leaning on my grandfather's car. This one is by far my favorite, because I was walking the dog at the time and when I 'saw' the man and was frightened, the dog tried to attack the man before he evaporated. This is the difference between cats and dogs: Dogs sincerely believe you when you hallucinate and will try to protect you from said apparitions. Who knew?
Public Service Announcement, Part Two: If you are crazy, you should take your medication. Why? Because that gargoyle was super cool, and I wish you had seen it! It was so...what, that's not a good enough reason? This is why I suck at public service announcements.
The funny thing (to me) is that I didn't stop taking this drug when I lost thirty pounds and I didn't stop taking it when I started hallucinating, because overall, I felt pretty good. I stopped taking it because I stopped feeling pretty good and crashed so far into depression that I almost had myself committed.
Instead of having myself committed, I went to my shrink's office and said "I Almost Had Myself Committed! I Seriously Need To See Someone And No, I Can't Wait Four To Six Weeks For An Appointment, Okay?" and saw the doctor on call the next day, which led to...
Fun Drugs Number Five And Six:
I do not even remember what they were. I think one of them started with an A. I don't remember exactly how long I took them, although I think it was a week or less. All I really remember is that they made me so sluggish and disconnected that I almost drove into the back of a milk truck. It wasn't intentional, I was just so enchanted by the shiny shiny patterns on the back of it that I almost HOLY SHIT, THE BRAKES! My regular shrink said "Yeah, maybe those aren't a good idea for you. You should stop taking those. Here, try this instead."
Fun Drug Number Seven:
Oooh, my first potentially lethal drug! Clearly, I'd hit the big times. And it mostly worked! Sure, it was probably responsible for the demise of my thyroid and made a really unpleasant skin condition flare up like a motherfucker and then my GP refused to prescribe the most effective treatment for said skin condition because It Might Affect My Mood. It also interacted with Every Known Drug and stuff and it was a major factor in that whole breastfeeding disaster, but it mostly worked. And then I got tired of it. Why? Well, there was the ever present potential for sudden idiopathic liver failure. Have I ever had good luck, medically? Yeah, no. Also, taking this drug was like having a big expensive messy pet that you don't even like. And it bites you and shits in your bed every night. And I really wanted to stop taking it.
Fun Drug Number Eight:
When I strolled into the shrink's office and said "I hate my meds," he said "Welcome to the crap they've come out with in the last ten years. It's full of win. Oh, and it might cause your epidermis to separate from your dermis and totally kill you when you first start taking it, but other than that it has very few side effects" and I said "Very few side effects! Awesome! Sign me up! Wait, what was that first part again?" and then, living up to the title of Crazy, I said "Sure, what the fuck? I'll try anything once!"
I am currently chock full of Fun Drugs Number Seven and Eight, as my shrink is a big fan of long, slow tapers when changing meds. It's not bad. My epidermis did not separate from my dermis, so that was nice. It seems to be working, in that I am:
- Not suicidal
- Sleeping pretty well
- Not bored out of my skull
- Not hallucinating
- Or anorexic
- Not almost falling asleep on the freeway and making intimate friends with dairy at 60 mph
- At reduced risk for liver failure
- Feeling mostly okay
It is, however, making me think, and I want YOU to think, too.
I have been on psychiatric medications for ten years. Ten long motherfucking years. Almost all of the drugs I have taken have been at least mildly unpleasant. Most of them have made me feel like shit and/or negatively impacted my overall health. I'm guessing that Fun Drug Number Eight will not be the last time my shrink and I decide to make my brain into a science fair project.
There is no magic pill for Crazy, only a long series of decidedly unmagic pills. Even the best doctors are unable to accurately predict what effect, if any, they will have on you. You have to decide which of these pills have benefits that outweigh the massive helping of suck that they manage to cram into those tiny little capsules. You have to make this decision while Crazy. It's hard.
I made these decisions in the presence of a supportive family (although they didn't buy me a latte like in the video, the jerks) and while receiving competent psychiatric treatment and with insurance that fully covered mental illness and paid for a long string of supposedly effective drugs. I had a roof over my head and shoes on my feet and my Manic Depression has never been severe enough to impact my ability to hold down a job. I was also really persistent and willing to put up with a lot of crap.
Not everybody has that luxury.
Come to think of it, being Crazy has the tendency to remove some (if not all) of those luxuries from many people.
This is why, when I hear someone say "...and they weren't TAKING THEIR MEDICATION!" I always want to say "Hey, you're not taking their medication, either. Maybe they can't afford their medication or are getting substandard medical care or were told to take a drug that wasn't right for them or the stuff they took didn't work or had side effects so severe that they almost died. Or wanted to. Maybe you should take some of those medications and get back to me, bucko."
It should be simple, but sometimes it's not.
Some people can't afford to wait ten years while their doctors try to come up with a safe and effective regimen. Sometimes there are valid reasons that people don't take their medication, even when society thinks that they should. Sometimes being medicated is unbearable.
Then again, sometimes it's pretty nifty. There was that gargoyle.