Tag Archives: mental illness

Mother/Schizophrenia

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In the spirit of not letting mental illness define yourself or how you see other people. Diagnosis isn’t a label or an identity. That is what 2016 taught me.

Happy holidays 🙂
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Book Review- The Bell Jar by Sylvia Plath

Rating: 5/5

Goodreads Synopsis: Sylvia Plath’s shocking, realistic, and intensely emotional novel about a woman falling into the grip of insanity.

Esther Greenwood is brilliant, beautiful, enormously talented, and successful, but slowly going under—maybe for the last time. In her acclaimed and enduring masterwork, Sylvia Plath brilliantly draws the reader into Esther’s breakdown with such intensity that her insanity becomes palpably real, even rational—as accessible an experience as going to the movies. A deep penetration into the darkest and most harrowing corners of the human psyche, The Bell Jar is an extraordinary accomplishment and a haunting American classic.

In high school, I’d read a Sylvia Plath poem and remember my english teacher telling us how the poet had stuck her head in an oven and killed herself. Then, in college we discussed her many attempts at committing suicide, digressing grossly from the poem we were meant to read. Plath is well known for her tragic suicide and so the first thing that comes to mind when I hear her name is just that.

Having read about her life, I was aware that The Bell Jar would not be an easy read but yet, that still didn’t prepare me for this raw, uncompromising narrative of Esther Greenwood’s very real battle with depression. Esther’s outlook is cynical, but realistic in its questioning of everyday existence and trivialities what with the need to go through the motions when in the end we all perish anyway. The symbolism used is not excessive nor is the writing flowery like you’d expect of a poet, demonstrated in the fig tree symbol:

“I saw my life branching out before me like the green fig tree in the story. From the tip of every branch, like a fat purple fig, a wonderful future beckoned and winked. One fig was a husband and a happy home and children, and another fig was a famous poet and another fig was a brilliant professor… and beyond and above these figs were many more figs I couldn’t quite make out. I saw myself sitting in the crotch of this fig tree, starving to death, just because I couldn’t make up my mind which of the figs I would choose. I wanted each and every one of them, but choosing one meant losing all the rest, and, as I sat there, unable to decide, the figs began to wrinkle and go black, and, one by one, they plopped to the ground at my feet.”

The writing isn’t emotional or steeped in self pity and wallowing which is how depression is  inaccurately portrayed. The novel has more to do with Esther’s thoughts and perceptions which contribute to the feeling of detachment from the self and other. I also appreciate how the protagonist’s depression isn’t justified by traumatic events and explained in that manner. Sometimes people can suffer from depression despite having a decent or wonderful life, just as Esther is living every girl’s dream working at a fashion magazine in New York yet is still unhappy. There isn’t a clear line distinguishing Esther pre and post-breakdown which paints her situation realistically.

What makes Esther’s descent into insanity all the more real is that Plath has suffered the same albeit with the insight to write about it well. When reading the book it’s evident that Esther is Plath’s fictional counterpart, which is why The Bell Jar has been described as semi-autobiographical. If you know about Plath’s life, you can easily draw the parallels between the author and character, an eerily intense merging of fiction and reality. This is as confessional as confessional writing can get. At times, I felt so uncomfortably aware that it was as if I was in Sylvia Plath’s own mind, experiencing what she went through. When Esther sits down to write a novel in the summer saying, “My heroine would be myself, only in disguise. She would be called Elaine. Elaine. I counted the letters on my fingers. There were six letters in Esther, too. It seemed a lucky thing.” I can’t help but wonder if this is what Plath had thought when she began writing the novel herself. (There are six letter in Sylvia too.)

I think it’s also particularly evident in the way Esther’s attempt at committing suicide by taking a large number of sleeping pills and lying under her mother’s house was written. The detached insight with which she writes in can only have come from experience. At times, it’s unsettling how calmly these suicide attempts are described and the fact that they stem from Plath’s own attempts intensifies that discomfort.

The novel also provides a look into how mental illness was perceived and treated in the 50’s and 60’s. The apt title says it all. Bell jars are used in physics to create vacuums and Plath likens this to the feeling of confinement, making the bell jar a symbolic representation of depression. This changed my perspective of mental illness and the timing couldn’t have been better now that I’m interning at a neuropsychiatric hospital. I’ve seen two ECT rounds and was told it wasn’t as terrible as the media makes it out to be now that they administer muscle relaxants and anaesthesia prior to the shocks. But when I’d gotten to the part of the novel where Esther is given her first electric shock therapy, I realised how far psychiatry has come. The novel portrays electric shock therapy, which was in its prime along with lobotomies at the time, in a torturous manner, saying, “…with each flash, a great jolt drubbed me till I thought my bones would break and the sap fly out of me like a split plant.”

Reading this book is a harrowing, emotionally intense experience. While it ends on a hopeful note for Esther with the lifting of the bell jar and a crack of fresh air, the author’s own fate hangs like an ominous epilogue to the book, completed in reality where fiction left off. It’s a difficult read, depressing and thought-provoking all at once. I would be lying if I said the book won’t haunt you once you set it down but…some stories are worth being haunted by. The Bell Jar is one of them.

The Reality of Depression

“Get over it.”…”Just be more positive.”…”How can you not want to get out of bed?”

People’s reactions to news about someone they know suffering from depression is shockingly insensitive. However, their insensitivity often arises out of ignorance about depression as a mental illness and misunderstanding the symptoms.

According to the American Psychology Association, ‘depression is more than just sadness. People with depression may experience a lack of interest and pleasure in daily activities, significant weight loss or gain, insomnia or excessive sleeping, lack of energy, inability to concentrate, feelings of worthlessness or excessive guilt and recurrent thoughts of death or suicide.’

As you can see, depression is more complicated than it seems and this explains why people at large are misinformed about this mental illness, especially with media portrayals straying from reality.

I found some minimalist illustrations by Nick Barclay, perfect and simple representations of depressive symptoms which hopefully can elucidate how each one makes the depressed individual feel. I just felt like I had to share them for this very reason and expand on the image to explain that depression is not just something you can ‘get over’.

Here are some symptoms of depression:

1. Isolation and Withdrawal

Isolation and social withdrawal are  the most common telltale signs of depression.

According to Stephen Ilardi, Ph.D, associate professor of psychology at the University of Kansas, “When we’re clinically depressed, there’s a very strong urge to pull away from others and to shut down.”

This is the exact opposite of what we need while depressed because social isolation tends to worsen the illness and significantly affects how we feel.

Social contact helps counteract withdrawal and isolation so it is important to reach out to the right people and not just anybody when one is depressed. Social activities with friends and family can be helpful in this regard although it is imperative to keep in mind that they are not instant cures but steps to recovery.

2. Feelings of dread

People who suffer from depression find themselves feeling a sense of dread when waking up in the morning which could account for how they do not wish to get out of bed. Patients have described this sense of dread in more colourful terms than psychiatrists and psychologists do (blue, sad, unhappy, worried).

Terrie Williams said, “I would wake up with an overwhelming sense of dread and anxiety. I would lay there for hours, sometimes in a fetal position, crying. I would pull a sheet over my head.”

Others describe a feeling of heaviness that accompanies dread as well.

 

3. Hopelessness

With depression comes hopelessness, pessisism and a bleak outlook for the future. Viktor Frankl, a psychiatrist who survived the Holocaust, found that depressed people held the opinion that their lives were not going to improve. In fact, they were certain of it.  This hopelessness can lead to thoughts of suicide and death since depressed individuals see nothing left to live for. More often than not, those who have recovered from chronic depression reported that they were very happy that they did not choose to end their own lives. So long as they pushed through, they did find a light at the end of the dark tunnel that is depression.

4. Confusion and lack of clarity

Depression leaves people with a confused state of mind in which thoughts become unclear. There is difficulty concentrating, remembering details, and making decisions while depressed. This can have adverse affects on a student’s academics or an employee’s work performance, just to name a few. It is difficult to stay motivated during this state of confusion.

Other characteristic symptoms are:

  • Loss of interest in activities that were once interesting and pleasurable prior to the onset of depression (eg. hobbies)
  • Excessive sleeping or insomnia
  • Overeating or eating less compared to usual

It’s been found that Type A personalities and Type B personalities differ in their depressive symptoms. Type A’s tend to sleep excessively and eat less while Type B’s suffer from insomnia and overeat.

If you’re interested in knowing the biological science behind depression, I’d recommend watching this video:

Hopefully we can spread awareness about depression and stifle insensitivity towards those who suffer from it.


 

Source of images: http://news.distractify.com/pinar/nick-barclay-depression/

Sources of information: