I think I just said it, but I think it’s worth repeating. They gave me hope that there is good in the world out there. There really is. It really does exist. Regardless of how bad things can be, and how down on your luck you can be, or how bad your trust is broken when it comes to warming up to people and all that stuff, I know that there’s people out there that genuinely wanna help. Putting yourself in that position is a huge step, and it’s a very risky and fragile step, but it’s also a step that needs to be taken because there is help. And you can get through something like this. You really can. - Jim, from "To the Survivors

Just as sometimes I wondered if Grandpa had ever existed, sometimes I wondered if I truly existed myself. As I was running, I could see myself from outside myself: a skinny girl with the flapping shorts and too- big a T-shirt, always watching the other girls at school, a girl in a pink bedroom sitting with a book propped on her knees, the words she was reading entering her mind, some sticking like gluey never to be forgotten, others disappearing instantly, I could remember everything and remember nothing. I would watch a movie and recall every scene as if I had written the script, then watch another movie another day and be unable to recall it at all.

...his condition in Roanoke is a strong testament that lassitude, indifference and the peculiarities of his thought were primarily the consequences of his illness and not of the early attempts to treat it. The popular view that anti-psychotics were chemical straight jackets that suppressed clear thinking and voluntary activity seems not to be borne out in Nash's case.If anything, the only periods when he was relatively free of hallucinations, delusions and the erosion of will were the periods following either insulin treatment or the use of anti psychotics. In other words, rather than reducing Nash to a zombie, medication seemed to reduce zombie like behavior.

i think the idea of a 'mental health day' is something completely invented by people who have no clue what it's like to have bad mental health. the idea that your mind can be aired out in twenty-four hours is kind of like saying heart disease can be cured if you eat the right breakfast cereal. mental health days only exist for people who have the luxury of saying 'i don't want to deal with things today' and then can take the whole day off, while the rest of us are stuck fighting the fights we always fight, with no one really caring one way or another, unless we choose to bring a gun to school or ruin the morning announcements with a suicide.

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.

We are particularly concerned with the question to what degree approval and implementation of an explanatory model minimising collective or institutional responsibility for certain problems and emphasising individual responsibility promotes detrimental perceptions and behaviours amongst individuals, who adopt and adapt similar explanations to justify their own lack of responsibility. For instance, admissibility of diminished responsibility arguments in criminal sentencing can be viewed as a direct consequence of a broader public acceptance of explanatory models purporting to prove a direct causal relationship between pharmacology, mental health and/or diminished ability to function.

What's the difference between sanity and madness anyway? We all play headgames with ourselves. We all have baggage. We all cope somehow. I'm not sure if I'm mad or sane. I mean, I hold my life together, I pay my bills, I raise my kids. But the world is so polarized and bizarre now that for some people, none of these these things matter if they're not wearing the right shoes or don't have the right credit score or a fancy family car. Some people think the most important things to worry about are handbags and tan lines. Meanwhile, war and crime and poverty unfold all around us, and we ignore it. In that environment, how can we even begin to talk about sanity and madness?

Did I imagine the castle, the dungeon, the ritual orgies and violations? Did Lucy, Billy, Samuel, Eliza, Shirley and Kato make it all up? I went back to the industrial estate and found the castle. It was an old factory that had burned to the ground, but the charred ruins of the basement remained. I closed my eyes and could see the black candles, the dancing shadows, the inverted pentagram, the people chanting through hooded robes. I could see myself among other children being abused in ways that defy imagination. I have no doubt now that the cult of devil worshippers was nothing more than a ring of paedophiles, the satanic paraphernalia a cover for their true lusts: the innocent bodies of young children.

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.

My own studies on the natural history of DID indicate only 20% of DID patients have an overt DID adaption on a chronic basis, and 14% of them deliberately disguise their manifestations of DID. Only 6% make their DID obvious on an ongoing basis. Eighty percent have windows of diagnosability when stressed or triggered by some significant event, interaction, situation or date. Therefore, 94% of DID patients show only mild or suggestive evidence of their conditions most of the time. Yet DID patients often will acknowledge that their personality systems are actively switching and/or far more active than it would appear on the surface (Loewenstein et al., 1987).R.P. Kluft (2009) A clinician's understanding of dissociation. pp 599-623.

There, there, best to bring it all up,' she said. My memory was in shreds. Imagine a photograph cut into narrow strips then jumbled up. Everything is there, but you can't see the whole picture and even the strips have no bearing on reality. I did know I had consumed a large amount of alcohol. But I must have done something crazier than just being found drunk to have a nurse sitting by my bed. I thought it would be a good idea to say something and planned it for several seconds. 'She's all right,' I said. 'Who is?' asked the nurse. 'Alice. I'm all right now.' As I spoke I wondered if I had said something wrong. didn't sound like me. There were so many voices muttering in the background it was hard to tell.

Holding one's self responsible is a critical feature in stigma and in the generation of shame since violation of standards, rules, and goals are insufficient in its elicitation unless responsibility can be placed on the self. Stigma may differ from other elicitors of shame and guilt, in part because it is a social appearance factor. The degree to which the stigma is socially apparent is the degree to which one must negotiate the issue of blame, not only for one's self but between one's self and the other who is witness to the stigma. Stigmatization is a much more powerful elicitor of shame and guilt in that it requires a negotiation not only between one's self and one's attributions, but between one's self and the attributions of others.

One weekend it rained for 48 hours without stopping. The rain beat like bony fingers against the window panes. Tap. Tap. Tap. Tap. Tap. Fungus was growing on the walls. I polished off a bottle of gin sitting huddled over the two-bar electric fire and wrote a poem, one of the few that has lasted through the moves and the years. It is called 'Where Can I Go?'If this is not the place where tears are understood where do I go to cry? If this is not the place where my spirits can take wing where do I go to fly?If this is not the place where my feelings can be heard where do I go to speak? If this is not the place where you’ll accept me as I am where can I go to be me? If this is not the place where I can try and learn and grow where can I go to laugh and cry?

If you aren’t paranoid before you arrive in this city, give it a few weeks and you will soon notice it creeping in, dripping into your subconscious like a leaky tap. The trick is not to give a flying fuck what anyone thinks about you, and if you are in the right frame of mind this can be an easy trick to perform but if not you’ll soon notice that for a city full of people who do a great Stevie Wonder impersonation when it comes to the homeless and beggars and casual violence towards others, wearing the wrong kind of shoes or a cheap suit brings out a sneering, hateful attitude that can have weaker minded individuals locked in their houses for weeks before harassing their doctors for prescriptions of Prozac and Beta blockers just to make it out the front door.

Mental illness People assume you aren’t sick unless they see the sickness on your skin like scars forming a map of all the ways you’re hurting. My heart is a prison of Have you tried?s Have you tried exercising? Have you tried eating better? Have you tried not being sad, not being sick? Have you tried being more like me? Have you tried shutting up? Yes, I have tried. Yes, I am still trying, and yes, I am still sick. Sometimes monsters are invisible, and sometimes demons attack you from the inside. Just because you cannot see the claws and the teeth does not mean they aren’t ripping through me. Pain does not need to be seen to be felt. Telling me there is no problem won’t solve the problem. This is not how miracles are born. This is not how sickness works.