“At the outset I’d like to say that if we can be called CMIs - chronically mentally ill - then they, the mental health professionals can be called MHPs. If we must be relegated to a three-letter acronym - and basically stripped of our identity and individuality - then they too can be lumped into one pot. I present a series of vignettes from my history with the mental health system that depict what it feels like to be treated like a CMI.
[…]
After the second hospital stay, you’re supposed to come up with a new MHP to follow you. They send you back to the same clinic where you found the first jerk-therapist. You enter a room, and there are two male MHPs seated in front of you. You ask questions; they look at each other and respond to themselves, not to you. You spend the entire hour having the two shrinks talk to each other, not to you, but about you, in front of you. At the end of this hour long frustration, they say they have no openings, that there are no openings in the entire clinic. You wonder why they wasted their time and yours. You wonder who’s really crazy - them or you. You start to see more clearly: You’re a CMI.
•
•
•
During your third hospital stay, one of the MHPs approaches you to inform you that they’ve asked - demanded - that your parents come in. Today. This afternoon at 1:30. Apparently your parents have replied that they couldn’t. It was the first good planting day and your dad was in the fields. The MHP informs you that the hospital threatened to send you to a big state mental institution, if your parents didn’t come in. You express indignation at their ultimatum and defend your parents. They have six kids. You’re one of them, but your father has to put food on the table for eight people. The MHPs seem alarmed by your defense of your parents. Well, their threat worked: your parents are there that afternoon. Now the MHPs haughtily announce that they’ve changed their minds. They’re sending you to a state mental hospital anyway. Your defense of your father was an “admission” that you feel less important than the rest of your family. Your lack of self-esteem is deplorable.
The lesson? A CMI, even a CMI’s family, is powerless next to one or more MHPs. Your parents discharge you AMA (against medical advice) from the clutches of this hospitals self-righteous MHPs. The MHP’s pronouncement of your “low self-esteem” is their first lesson in doubting your own basic instinct.
[…]
You’re sitting in a huge lecture hall in a medical school where first-year med students are receiving their first psychiatry lecture. You’re taking this course as part of graduate studies, and you’re in a depressive phase. A woman who is an inpatient of the psych ward is being interviewed. The uneducated and uninformed medical students find her delusions “funny” and do not hide their laughter but display it openly. You try to hide your crying. But it;s not tears for you or for the woman. The tears are for these future MHPs who will never acquire the education or insight or sensitivity they need to help heal the CMIs in their world.
•
•
•
Then you end up in Psychopathic Hospital - don’t you love the title? They tell you you were misdiagnosed. You find out your not schizophrenic, you’re manic-depressive. You tell the new MHPs
that the former MHPs sued you for
a $3,366.66 bill. They sent the sheriff
after you with a subpoena. That you
want to sue them. Would the new
MHPs testify that you’d been misdiagnosed
and mistreated—treated
with the wrong medications—your
symptoms made worse, not better?
Oh, no! They wouldn’t consider testifying
against fellow shrinks. Who
knows! Someday they might be sued.
They have a collegial loyalty to each
other. Their reputations are on the
line. Their salaries are at stake.
And
who are you? One little patient, one
little CMI!
• • •
As an inpatient in what’s called a
“mental institution” you go to something
they call OT—occupational
therapy. Everything here is called
therapy—even when it isn’t.
And today it’s “assertiveness”
class! Whoopie! Someone back in the
1960’s decided that the hallmark of a
mentally healthy person was being
assertively able to choose and refuse,
speak, act, and listen. This is a
mockery inside a place called a
“mental institution,” because here no
mental patient is free to choose,
refuse, speak, or act. You can’t even
listen to each other without someone spying, reporting, recording, and
charting. And then calling you paranoid
if you notice. Or object.
And when you refuse an activity
or “therapy"—which they tell you is
your right—and which they’ve
taught you to do in their
“assertiveness” class, then they badger
you by sending nurse after nurse,
attendant after attendant, into your
room to remind you that “It’s 1:00.
Time for OT!” Your refusals mean
nothing. They badger you until you
either give in and go, or they’ve
frustrated you to tears. Or enraged
you to anger. And then they can justify
calling you by the malignant label
they’ve designated you by—resisting
treatment or “noncompliant,”
passive dependent, passive aggressive,
paranoid, or borderline personality
disorder. They’re all different
labels. But they all mean the same
thing: you’re not really you. You’re
just a CMI. And that justifies the MHP’s dehumanization of you.
[…]
You’re depressed. You’re feeling suicidal.
None of the medications are
working. The blackness ushers in
suicidal ideation almost without your
needing to give any conscious direction
to your thoughts. Your
thoughts—they’re all negative. Trying
to steer them into something positive—because
they’ve said cognitive
therapy works!—only ends in bringing
up something negative along with
it. You catch the negative thought
and start over with something new,
until it, too, leapfrogs you into another
negative one. It’s as if a whole
Pandora’s box has been opened up in
the attic of your mind, only that box
is labeled “black.” And the box labeled
“white” is locked tight, the key
thrown away. And you tire of this
endless exercise of redirecting the
thoughts. Your mind, nerves, and
body are fatigued enough as it is.
You call a place named Crisis Intervention
Services. The person who
answers is brusque and unkind. She
adds more stressors to your already
overtaxed nervous system. You don’t
want to go on with this life. You’re
told your situation is not serious
enough. And besides, she doesn’t
have time for you. You feel insignificant. You are. You’re a CMI. And you’re only one CMI in a county with 1,500 CMIs.
• • •
You
have a cyclical disorder. After
the second year at the same job and
the second episode, your MHP tells
you it would be better if you worked
part time. You know you can work
more than full time when you’re
well, which is three-fourths of the
year, and you can’t work at all when
you’re ill, which is one-fourth of the
year. But he’s the MHP, so you go
along.
Now, you’re working for the
State—and they encourage accommodating
for the handicapped, and you
guess you’re one of these. And
you’re working at a typist classification,
for which job sharing and finding
another typist to work the other
half-time should be a cinch. But your
boss happens to be a big-shot neonatologist.
And he insists they need
one full-time typist. He won’t budge.
And the medical school won’t budge.
And their affirmative action officer
can’t make him budge. And so
you’re forced out of the job. It’s then
you’re reminded: You’re only a
CMI.
• • •
You have severe abdominal pains
again in the middle of the night. The
last time the Emergency Room (ER)
doctor said to come over right away
when you get the pains to better diagnose
them. So you go. A different
ER doctor is there. He asks you the
preliminary questions. Then he
comes to “Are you taking any medications?”
After you name the psychotropic
drugs you’re on, his face
changes to one of skepticism. Suddenly
he doesn’t believe the pains are
real. He finds nothing in his examination.
And he says he doesn’t have
any notes from any other ER doctor (though your last visit was only a
week ago). He doesn’t believe you.
You’re malingering, or hypochondriacal,
or psychotic, or worse. You
know the truth. But the truth can’t
be believed: You’re only a CMI.
• • •
You file a sexual assault grievance
against an MHP. The investigation is
as painful as the episode, and you
are depressed for days. But the examining
board finds in his favor.
You get the transcripts of the testimony.
It’s said that you have a personality
disorder (news to you). It’s
said that you put people in no-win
situations. But, he wins the suit and
you’ve been losing all your life. It’s
his word against yours, and you
have a psychiatric label. He’s the respected
professional. You’re only a
CMI.
• • •
What have you learned as a CMI?
Abuse—physical, emotional, spiritual,
sexual, and financial; humiliation;
belittlement; vulnerability; lack
of credibility; reduced to a three-letter
acronym; stripped of dignity;
denied your own inner convictions,
feelings, and instincts; frustrated;
stigmatized; expected to conform;
always wrong; put in double binds;
given a lack of choice; lack of control;
and lack of love; left with nothing;
and finding it’s better not to
feel, not to try, and even not to live.
Until today.
Today you speak out.
Today you reclaim yourself. Today
you begin to heal, to heal others.
Today you educate others and reeducate
still others. Today life begins
anew for you and for others whose
consciousness you are trying to raise.
Today the patient, ex-patient, mental
health consumer movement is reclaiming
the dignity and power of
the CMIs of this world.”