Alex Jacobson Mental Health and Me: A Podcast Reflection Mental Health. The term itself is a new buzzword. But what is mental health? Who does it apply to? In short, mental health applies to everyone. Mental health is defined as the well- being of a person in emotional, psychological, and social spheres. It affects how people think, feel, and act, and determines how we interact with the world, relate to others, and function in day to day life (What Is Mental Health? | MentalHealth.Gov, n.d.). When a person has positive mental health, they are more likely to realize their full potential, work productively, cope with life stressors, and make meaningful contributions to their communities (What Is Mental Health? | MentalHealth.Gov, n.d.). This is often considered the ideal for most people. But what is the opposite of positive mental health? There are some warning signs for people experiencing negative mental health, although every person is different. Mentalhealth.gov lists several signs, including loss of interest in previously enjoyed activities, exclusion from loved ones, feeling hopeless or lost, and more. One risk factor in positive mental health is mental illness diagnoses. Mental illness is defined as a behavioral, mental, or emotional disorder. Nearly one in five U.S. adults live with a mental illness, and the prevalence of mental illness was higher among women (22.3%) than men (15.1%) in 2017. Young adults aged 18-25 years had the highest prevalence (25.8%) compared to adults aged 26-49 years (22.2%) and aged 50 or older (13.8%). The prevalence was highest among adults reporting two or more races (28.6%), followed by White adults (20.4%)” (NIMH » Mental Illness, n.d.). In 2017, among 46.6 million adults with mental illness, 42.6% received mental health services in the past year. More women (47.6%) received mental health services than men (34.8%). Young adults aged 18-25 years with mental illness received less mental health services (38.4%) than adults with mental illness aged 26-49 years (43.3%) and aged 50 and older (44.2%)” (NIMH » Mental Illness, n.d.). Mental illness does not equate to poor mental health, however. It is merely a risk factor to consider. In fact, many disability advocates consider their mental disorder as a difference in functioning rather than an illness. Conor considers her diagnosis, saying “Even in the darkness, I had a deeply connected feeling with myself that held me together. In what was labeled mania I found my brilliance, zest for life, courage, and creative spirit, and in what was labeled depression I found my inner quiet muse, my philosopher, and my art” (Hall, 2016b). Disability studies has sought to change the narrative about mental disabilities by considering the context in which they exist. Mental Health and Me: A Podcast seeks to do the same; instead of analyzing the inner causes of mental illness, I strove to consider the embodied experience of mental health issues and the context in which they exist. This reflection serves as a collection of my thoughts and knowledge I have gained throughout the process of creating a podcast about mental health. Having dealt with my own mental health issues, I find this topic to be extremely interesting and close to my heart. I personally deal with a mental diagnosis and find strength in reading others’ narratives and learning from their journeys. I am constantly considering what others’ lives are like, how they experience their mental health, and how society is constructed with certain narratives in mind. This podcast was meant to give a glimpse into the lives of those who struggle with mental health. The podcast can be for anyone, whether they have no struggles with mental health and want to better understand others’ experiences, or whether the listener is struggling and would like to learn from others like them. My hope is not that listeners leave with all of their questions answered but rather with the mindset to question more. Disability studies asks people to question their environments and how they may or may not be serving their needs. I asked this of my interviewees as well to try and gain a sense of what environments are often safe for people struggling with mental health and spaces that are not welcoming. But instead of avoiding those spaces, I want people to consider how to adjust spaces to make them more open and accessible to all. I ask these questions with the hope that mental health culture will become influential and maybe even change these spaces for the better. But first we must ask ourselves what we need from the world around us. For some, the world already fills their needs. For others, our world is entirely inaccessible. This follows with the social model of disability which posits that disability is created by the social environment in which it exists, rather than relying on a defect within the individual. But how does this relate to mental health issues? For example, some students with depression find participation points to be constricting. If they are having an episode and cannot get out of bed, they will lose significant participation points for that class period. Often this problem is blamed on the student for having depression. Instead, I would ask the teacher to consider why participation is not the best option for students like this. If participation points did not exist, this student would otherwise perform successfully. In these instances, it is imperative to consider the context and the individual together to get a sense of whether the person is struggling with themselves or their environment. I developed these questions by listening to other podcasts and stories about mental health. I wanted to paint a holistic picture that included the person’s individual experiences as well as their views on society as a whole, and how these impact their lived experiences. I did not want to focus solely on struggles. Rather, I wanted to understand areas where support is needed and what kind of support fills those gaps. I wanted people to consider where in their life they experience support and invoke resilience to encourage positive mental health. I have found that listening to others’ stories about their experience with mental health has greatly strengthened my understanding of my own struggles and my limited knowledge of disability studies. By listening to their experiences, I have discovered similar issues with certain spaces or shared coping mechanisms that I never realized. I have also seen the barriers to communication fall as we create more safe spaces to talk about mental health. This process of creating a podcast has greatly influenced my beliefs on mental health and disability studies in a powerfully positive manner. Mental health and mental disability are two different subjects, yet each informs the other. The connection between the two arises: what is the function of identifying as having a mental disability? There are certain legal issues to consider as the psychiatric system has linked diagnosis with treatment. In order to receive treatment, people often must have a diagnosis. But there is also a benefit to identifying as mentally disabled within a social context. Yes, there can be certain biological factors than inform symptoms. But often disability studies proves that society has just as much responsibility in creating disability as the self. In this sense, identifying as disabled may help illuminate the ways in which an environment is inaccessible to the person. The disability community might also serve as a valuable resource for survival methods, whether that is the psychiatric system survivor’s movement or the Neurodiversity movement. Inclusion in the community can help people cope with their lived experiences of having a mental disability and help improve their mental health. Just because someone has a mental disability does not mean they cannot achieve positive mental health; with the right tools, anyone can. Conor states in her interview with Hall that “The biggest lesson for me was that healing is about being cared for in a very deep and unconditional way” (Hall, 2016b). Through community and the sharing of stories, Conor has learned what is important for her mental health. Ali has also learned lessons regarding economic stability and mental health. She explains the connection, saying “Changing lives from an economic point of view is very different than taking a pill. The first is empowering. The latter, to many, is disempowering. When people become more self-sufficient, it builds resources that provide scaffolding for themselves, their children and future generations” (Hall, 2016a). She found that for many, simply medicating their mental disability was not enough. Only by changing their life circumstances was positive mental health truly possible. The idea of normal is constantly questioned in disability studies. As Margaret Price points out, “Disorderly minds…show up all the time, in obvious and not-so-obvious ways; and second, recognizing their appearance is not a yes-no proposition, but rather a confusing and contextually dependent process that calls into question what we mean by the “normal” mind” (Price, 2011, p. 3). The system mandates that people be labeled as normal or abnormal in order to assign diagnoses and treatment. This thought process falls under the medical model, which deems disability as an individual defect whose fault rests solely on the person with the disability, often their biology. This ‘well/unwell’ paradigm is reflected in the treatment of disability and its “problems,”, rather than engaging in a more holistic form of care that addresses the social location of disability (Price, 2011). The same goes for mental health issues. Psychiatrists are encouraged to find the problem, often a neurochemical issue, and solve it with medication. There are far too many individuals who are simply given drugs in order to cope, rather than being encouraged to pursue talk therapy where issues can be further addressed. This is proven to be the most effective treatment for mental issues but is still considered taboo. The stigmatized nature of mental health can be extremely harmful for many individuals who are too afraid to look beyond medication for treatment. Why is mental health so hard to talk about? This is my final question I ask of interviewees in my podcast. Jokingly, I say that this could be its own podcast, and many agree. Our society sees poor mental health as a weakness; a defect, just like disability. In the psychiatric system survivor’s movement (c/s/x movement), when mental illness is diagnosed, “that person is marked as permanently damaged, and as one whose rights may be taken away—unless, of course, she complies with psychiatry’s requirements for ‘care’” (Price, 2011). When a person is viewed as “mentally ill”, they are often seen as incapable of making their own decisions, resulting in a lack of autonomy in their health care plan. The system relies on this assumption to function as a “health care system” with the needs of individuals in mind. Yet the system is not designed by these individuals and is often harmful – necessitating the term “psychiatric system survivor”. As Ali said in her interview with Hall, “Depression carries stigma, meaning you are somehow personally ineffective in moving forward in your life…the mental health establishment itself becomes part of that system, in effect controlling and keeping people where they are” (Hall, 2016a). This system, in guise of helping others, creates a debilitating stigma that carries over into society, causing judgement for anyone who says “I need help”. I think part of what makes mental health so hard to talk about is the vulnerable nature. Because mental health and disability are seen as individual, isolating problems, it is increasingly difficult to bridge that gap and ask for support. We put people who are struggling on an island, assuming that the problems are best handled alone. But as Conor said, healing is done best with deep love and care. This experience of creating a podcast about mental health has been extremely rewarding. It gave me a chance to challenge my own thoughts about mental health and disability. I learned about others’ viewpoints, challenges, and methods for survival. And I was allowed to ask my own questions of what I am curious about, further piquing interest in the field of disability studies and mental health. I have learned that “we live in the labyrinth of Normal. If we could only climb the walls high enough, we could see the maze whole, for the pointless thing it is. But we cannot”. (Estreich, 2013, p. 172). While we cannot dismantle the system in a day, we can work tirelessly, daily, to change the minds of those that uphold harmful systems. We can extend our support to those who may need it most, taking responsibility for the part we play in their struggling. And we can question our own beliefs that make up our cultural values so that they include everyone. References Estreich, G. (2013). The Labyrinth of Normal. In The Shape of the Eye. TarcherPerigee. Hall, W. (2016a). Depression and Oppression: Alisha Ali. In Outside Mental Health: Voices and Visions of Madness. Madness Radio. Hall, W. (2016b). Ending Homelessness: Marykate Conor. In Outside Mental Health: Voices and VIsions of Madness. Madness Radio. NIMH » Mental Illness. (n.d.). Retrieved April 29, 2020, from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml Price, M. (2011). Mad at School. University of Michigan Press. What Is Mental Health? | MentalHealth.gov. (n.d.). Retrieved April 29, 2020, from https://www.mentalhealth.gov/basics/what-is-mental-health