Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Thursday, 18 May 2017

Fell on Black Days






In 2014, Robin Williams died from suicide by hanging. Growing up watching his movies, laughing until I hurt, building so much of my sense of humour around his jokes and many personas, his death hit me hard. He was supposed to be the happiest person on the planet; a man who brought untold joy to millions of people across the world, of all ages. But privately, he was in pain, and one day that pain became too much for him to bear. The public outpourings of grief were many and varied, and for a short time, we talked about depression and suicide more openly, honestly, and healthily. 

Since then, many other notable and influential public figures have died. Some had tremendous influence over formative years in my life, and like Robin Williams, their passings hurt me profoundly. The world continues without them, the sun rises and sets, rain falls, flowers grow, time passes, and people fade from tangible existence into fond but sad memories. Some might say it’s silly to feel so afflicted by the death of someone famous, but I challenge anyone to get from one end of life to the other without feeling moved when someone they admire passes away. 

Art is a perilously undervalued resource, generally by people who are not artists themselves. Film, music, literature, theatre, poetry, paintings and more capture that essence of life that is lost in the daily grind. It’s where we romanticise otherwise mundane tasks, how we communicate abstract experiences like falling in love, what we use to expose our feelings when verbalising them is impossible. It can express extremes of emotion that frighten us - lust, fear, anger, sadness - and help us heal when those feelings cause harm to us and those around us. I couldn’t tell you how many times I’ve lain in bed or on the floor, feeling confused and overwhelmed by life, listening to music that enveloped me, protecting me from being overcome by those feelings, and offering clarity where my own words were inadequate. That music and the artists who produced it became important to me as dear friends; confidantes in whom I could put my absolute trust and with whom I could be unashamedly myself, never needing to hold back on whatever I was feeling in those moments. 

The immense healing power I found there helped me through some of the darkest times in my life, reclaiming my sense of self and confidence to carry on facing the world one day after another. That’s something that is overlooked when we talk about depression and suicide - it doesn’t go away. If you experience depression and suicidal tendencies at a young age, it leaves a long-lasting mark on your mental health - a sort of muscle memory, but for your brain. Recently, I learned that the term for this is “passive suicidal ideation” - distinct from active suicidal ideation, in that you don’t consciously wish to die, but will still find that suicidal thoughts will pop up, out of nowhere. Just as you might casually realise you quite fancy a certain sort of biscuit, I will suddenly realise that I’d like to not be alive, and then the moment passes and I resume whatever I was doing. Perhaps I will be in the shower, midway through shampooing my hair and mentally setting out my tasks for the day, when I pause and fleetingly consider how much I would like to simply stop existing, before recommencing the ritual of lather, rinse, repeat. Reluctantly, I have come to accept that this is part of my spectrum of thoughts processes now and that I don’t need to be alarmed by it as long as I pay careful attention to my general state of being.

At 9 o’clock this morning, I picked up my phone to read a news alert reporting the sudden death of Chris Cornell, and I won't pretend that I was anything less than devastated. As many people who were teenagers in the 1990s, his music had played a significant role in my formative years, and Soundgarden had been one of the bands I immersed myself in, letting the music wash over me, his iconic gutteral howl cleansing me of the disarray of feelings that had overwhelmed me in that moment, while the grunge-meets-blues tempo and haunting guitar riffs soothed my distressed soul. 

Throughout today, I have revisited those albums, cautiously allowing myself to remember how and why they mattered so much to me as a teenager, reveling in the time that has passed since, and the occasions too numerous to count where I’ve listened to the same music for the sheer enjoyment of its sound. Heartache tempered with immense gratitude at having been alive at the same time as such a phenomenal artist has taken those of us with a similar relationship to his music on a painful, cathartic journey today. And as new broke later in the day that his death had been ruled suicide by hanging, a deep and profound sadness gripped me somewhere deep inside my chest. 

When an artist you admire passes away, you mourn for the skill they will never again share with the world. Chris Cornell was a breathtaking musician, unparalleled vocalist, and groundbreaking songwriter, but beyond that, there are untold people tonight who are mourning not just for the music, but for the way it touched, or even saved their lives, and for the fact that we couldn’t repay that debt. Because we know those moments, where the world is too big, too dark, too scary - where you can’t bear it for another day, hour, or minute. We know the absolute anguish that smothers you, the blackness that consumes you. Losing someone who saved you without ever meeting you or saying a word directly to you, and losing them to the thing that you’ll always be fighting, breaks your heart.



Chris Cornell, 1964 - 2017


  • Samaritans (116 123) operates a 24-hour service available every day of the year. 
  • Childline (0800 1111) runs a helpline for children and young people in the UK. Calls are free and the number won't show up on your phone bill.
  • PAPYRUS (0800 068 41 41) is a voluntary organisation supporting teenagers and young adults who are feeling suicidal.

Wednesday, 16 March 2016

Happy "Screw the Poor" Day, everyone!

Welcome to Budget Day, or as we've come to know it - the day where the government announce the new and innovative ways they've concoted to ruin lives and run this country into the ground.

In ten months of Tory government, plus five years under the Coalition, we’ve witnessed a comprehensive, ruthless, unrelenting attack on disabled people, low earners, unemployed people, families, elderly people, migrants, hospitals, schools, unions, civil rights, and the very fabric of democracy.


We were told that this was all necessary, and that our country’s fragile economy would be shored up as a result of all these cost-cutting measures. This should go down in history as one of the biggest LIES ever told by a government to its people. 

Here's a handful of truths instead:

Disability

Credit: Centre for Welfare Reform


Housing and homelessness:
Credit: Shelter via ITV



Education and Teaching



TUC "Britain Needs A Payrise" demonstration, October 2014. Credit: www.civilserviceworld.com


So I originally started writing this as a shouty Facebook post to summarise a few key terrible things the Tories have subjected us to since getting their claws back into government in 2010, and what horrors may unfold as the 2016/17 Budget is announced today. I've had to stop, partially because the list is now SO long - and I've barely scratched the surface, and certainly haven't analysed the impact on people's lives - but mostly because it's thoroughly demoralising to actually try and pull together a comprehensive overview of just how bad this government is. 

I haven't even touched on what they've done to the NHS, the conditions endured by migrants and refugees, our failure to address our role in climate change, human rights, civil rights, and so many other areas that the Tories are continually wrecking. 

We were sold the austerity package as the only hope of stabilishing our economy in the wake of the global financial crisis of 2008/9. We were told there was no alternative, that we were all in this together. 

Well as the richest 1000 families saw their personal wealth double since the recession, while the net wealth of the poorest 20% has decreased by 57%, I don't feel very TOGETHER. 

With more and more devastating cuts wreaked on the most vulnerable sectors of our society, written into legislation by millionaire MPs who have personal stakes in private companies now holding contracts for the NHS, have massive property portfolios for private rental, and make a fortune from lobbying groups - I don't feel very TOGETHER. 

Countries such as Iceland, who were also hit by the recession, have gotten their economy back on track by letting the banks go bust instead of bailing them out, investing in public services and jailing the bankers who caused the economic crisis. Meanwhile, our deficit hasn't even been halved, when Osborne claimed he would have eradicated it by 2015, and we have created more new debt since 2010 than every Labour government in UK history combined. 

There was always an alternative. Austerity is a lie, and we continue to be conned by it. Eleven-million voters were conned by their promises in 2015, and now the remaining fifty-five million people in the UK are paying the price. 

Every single petition that calls on the government to reverse or halt another devastating decision under the banner of austerity, every last demonstration and protest, every piece of alternative media that exposes their lies - every small and seemingly inconsequential thing we do chips away at their facade. By getting organised, mobilising into a united front, and keeping up the pressure on them, we stand a small chance of making a difference. And if not, I'm sure as hell not going to let them get away quietly.

This seems like a logical place to plug the next People's Assembly demonstration. 









Monday, 13 July 2015

Lumps and bumps, aches and pains, and never enough spoons.




A little over 2 years ago, I wrote my first blog post about having fibromyalgia. It's a pretty miserable condition, not least because it's completely invisible, so there's a lot of explaining to people about why you can't walk far, or why you need to lie down for a while because you stood up too quickly. For the most part, people are patient, understanding, curious and good natured about it. But it is still exhausting to explain it, and to some degree I still feel a bit embarrassed about not being able to keep up with my peers over the simplest of things, like going for a nice walk somewhere.

When I first wrote about my illness, I was a stay-at-home mum to four children, the youngest of whom was just over a year old. Since then I've taken up voluntary work with the Green Party, which I absolutely love and in many ways has given my mental health a huge boost by giving me a sense of purpose. The flip side is that it's also shown me just how much being ill limits my capability to function. 

This weekend, I was invited to a training weekend at the Eden Project in Cornwall. Workshops (one delivered by me, eep!), discussion groups, a picnic on the beach and glamping - so much fun, and always wonderful to meet new people with the same outlook on life as me. I even met someone else with fibromyalgia! We had a great time comparing symptoms and having a whinge about everything. Unfortunately I didn't do a great job of taking care of myself, and when it came time for me to go home on Sunday morning, I already knew I would be paying for the exertion of the weekend for quite a while. Sitting on the tube, waiting to get off the train to change at Oxford Circus station, I realised I was bordering on having a panic attack, purely because I realised that my arms and shoulders were so weak and bruised from carrying my bag the few hundred metres I'd had to walk through train stations already that I wasn't sure I could walk any further.

I try not to be a complainer. I try to be upbeat and positive. But I also really value honesty, and I think conditions like fibromyalgia need people to talk about them more - not just to spread awareness of their existence, but also to challenge societal structures that currently inhibit people with conditions like mine from being able to fulfil life goals as an able-bodied person would do.

The temption is always to downplay the pain. When people ask "are you ok?", most of the time they don't want the honest answer of "well actually, I feel sick and bloated, my hips are screaming at me, my legs are bruised from sitting on a chair, my peripheral vision has gone blurry, my chest hurts so much that breathing is a real challenge, and I need to sleep like you wouldn't believe!". And so I smile, tell them I feel good and carry on with acting out the part of someone who doesn't want to curl up and cry. Facebook is a particularly tempting playground for painting a picture of everything being amazing. I can be lying in bed, whimpering in pain, unable to sit up for more than a few minutes, but if I post a joke or a funny cat picture on Facebook, I can at least persuade people that I'm ok and I don't want or need their sympathy.

I want to go back to paid employment sometime soon. I want a stimulating and fulfilling job! I'd really like that to be linked to the Green Party, because I've been passionately pouring my limited energy into it for a year now and feel I have so much more I want to give! But... the fact I need to accept is that my health is so unpredictable that I will make a terrible employee. Some mornings I wake up and can't move, can't talk. Some days, just the ten minute round trip for the school run is enough to end up with me lying on the sofa, dizzy and struggling to breathe. Some days, my legs will bruise and swell up just because I've sat on a wooden bench instead of a squishy sofa.

The reality of leaving the house early every morning, travelling to work, then sitting in an office and being productive for several hours, then travelling back home - this is something that I can't kid myself that I'm capable of doing in any reliable capacity. A day here and there, ok. Sounds good. I've had some trips into London to the Green Party office for training days and meetings, and it's been good. I've then had to spend at least 2 days in bed to recuperate. 

I like to use the Spoon Theory analogy to explain to people why small, everyday tasks take on a whole new level of challenge when you have a condition like fibromyalgia. You can read more about it here - and please do. 

I've spoken to some people with disabilities who say that we view all this upside down - that in fact it's not the individual who is disabled, but society. People have different capabilities that may manifest in anatomical differences, mental health differences, or in "invisible" conditions, such as mine. These are only DISabilities because society is exclusionary - starting with our language and our societal outlook towards anybody whose capacity for economic productivity is below optimal. We ascribe value to people according to how much work they can put in versus how much they take out, so someone with any form of condition that changes that balance is treated as lesser than someone in optimum health.

I want to go back to paid employment, but would any employer be prepared to take me on, knowing that I may be off sick a lot? Or that I may need to work from home? Or that I may not be as efficient as someone who doesn't need to lie down every hour or so? How can we change things to make employment and wider society more aware of the needs of people with disabilities, and more receptive to meeting those needs without making a big song and dance about it? 

My dream job would be as a member of Parliament - but the demands and rigour of the campaign trail when I stood as a candidate in this year's election wiped me out. The job itself involves long hours, lots of stress and lots of travelling. Do I know that I could be a good representative for people in my constituency, given my health and limitations? Why should I be excluded from pursuing this role because of those issues? Currently job-share MPs are not permitted, as my colleagues discovered when they attempted to be nominated as jobshare parliamentary candidates and were refused. 

It's taken a long time for me to come to terms with the fact that fibromyalgia has this big an effect on my life, and that this means I am a person with a disability. Actually taking the time to permit myself to identify as disabled has been very empowering, which I didn't think it would be. I thought that identifying as disabled would be admitting a weakness, because that's how we treat people who aren't able-bodied. 

So as usual I feel tired, sick and am aching all over, and the energy it's taken me to fight off several panic attacks today means I can barely keep my eyes open now. But I also feel determined to be part of a movement to change the way we interact with people with disabilities, and to make our society more accessible, more aware, and more inclusive. Watch this space...


Saturday, 9 May 2015

On the campaign for electoral reform: "I didn't vote for these cuts".

"Two very different ideas are usually confounded under the name democracy. The pure idea of democracy, according to its definition, is the government of the whole people by the whole people, equally represented. Democracy as commonly conceived and hitherto practised is the government of the whole people by a mere majority of the people, exclusively represented. The former is synonymous with the equality of all citizens; the latter, strangely confounded with it, is a government of privilege, in favour of the numerical majority, who alone possess practically any voice in the State. This is the inevitable consequence of the manner in which the votes are now taken, to the complete disfranchisement of minorities." 
-John Stuart Mill, Representative Government, 1861


The 2015 general election... I'm still struggling to find words that really convey how I'm feeling, having watched with increasing despondency as the results rolled in and the Conservative seats went up and up. None of the opinion polls from the past few months indicated that we were headed for a Conservative majority, and there is a definite mood of pure dread at what the election result will mean for vulnerable people who have already borne 5 years of devastating austerity measures. 

There are some messages of hope, however. Caroline Lucas, Green MP for Brighton Pavilion, was re-elected with a massively increased majority. All over the UK, the Greens' share of the vote has surged upwards, with us coming second in more seats than ever before and sending a clear message to the establishment that people are not happy with the status quo and that the First Past the Post voting system needs to go. 

The Tories may have a majority this time, but it is a much smaller majority than the last government, with 331 seats compared to the 363 seats that made up the Coalition Government which formed after the 2010 election (306 Conservative, 57 Liberal Democrats). When you factor in the enormous increase in the presence of the SNP, who now have 56 MPs (up from their previous number of 6), a different picture of parliament emerges. There is now a much stronger - much needed - anti-austerity presence in parliament than ever before.

It is an indictment of our outdated voting system that we once again have a Prime Minister and a government controlled by a party whom two-thirds of voters didn't elect. If we include the number of people who didn't vote at all, the Conservative vote share drops to less than a quarter. 

More than 75% of registered UK voters didn't vote for a Conservative MP, and yet because of the First Past the Post system, 100% of people living in the UK will have to live under Conservative policies. 

Realising that little point has gone some way to restoring my faith in British people rather a lot, having spent a reasonable amount of the past couple of days wondering how on earth so many could vote for a party who have overseen such horrendous consequences of the austerity agenda, and an abject failure to have achieved their own goal of reducing national debt and eradicating the budget deficit in the process. 

On my way to the People's Assembly "No More Austerity" demo, June 2014
To briefly address those who may counter by saying that the call for electoral reform is because lefties are sore losers, I'd just like to point out that moving away from First Past the Post is something supported by a vast range of parties, and that the biggest gains would potentially be for UKIP - a far-right party! In actual fact, a move towards a more representative voting system would benefit everyone in the country. 

Whilst I may abhor UKIP's exploitation of xenophobia and discrimination against migrants to further their anti-EU agenda, the fact is that people vote for them. In fact, almost 4million people voted for them this Thursday, but the FPtP system yielded just one UKIP MP. Furthermore, because MPs are only permitted to respond to issues from people living in their own constituency, it is only the 19,642 people living in Clacton who voted for Douglas Carswell who will be directly represented in parliament. Likewise, while the Green Party secured over 1million votes, only the 22,871 who elected Caroline Lucas as MP for Brighton Pavilion will be able to contact her, while the remaining 1,134,742 Green voters in England and Wales are effectively left unrepresented. 

Photo from Another Angry Voice on Facebook


An electoral system which leaves 98% of voters with no representation in parliament for their preferred party is simply not fit for purpose, and people all over the UK are waking up to this fact. 

So how do we change things? Moving to a system of proportional representation (PR) would be one step, because it broadens the pool from which votes are counted so instead of electing one MP per constituency, seats in parliament would be drawn from a much larger pool and allocated according to shares of the overall vote. Depending on how this is organised, this would mean that votes in Brighton are counted alongside votes in Sunderland and that no voter is left unrepresented in the way they are now. 

If we pooled all the votes from the UK and allocated the 650 seats in Parliament using the D'Hondt method of PR (as is used in the European elections), the make-up of the House of Commons would look like this:

If we pool all the votes across the nation to allocate seats, how do we then decide which candidates actually take up those seats? Without constituency MPs (which isn't compatible with PR), how do we ensure that there is a strong link between voters, local government and their representatives in Westminster? There's a few different ways of doing this:
  • by country - group the votes together for Scotland, then England, then Wales and then Northern Ireland, and allocate seats accordingly
  • by region - as in the European elections - East Midlands, East of England, London, North East England, North West England, South East England, South West England, West Midlands, Yorkshire andthe Humber, Scotland, Wales, and Northern Ireland
  • by merging the current 650 constituencies into fewer but much larger constituencies
Each of these methods would require another step to decide which candidates takes up the seats won; the European elections use party lists, where the parties decide in advance a list of preference for the candidates, and seats are allocated in that order. This has many criticisms, not least that it should be down to the people to decide who their candidate is rather than being pre-selected by the party. Another Angry Voice author, Thomas Clark, has summed this up and suggested an alternative in his blog HERE.

When you change how MPs are elected, inevitably the local link to parliament is compromised. It is incredibly important for accountability and democracy that people feel that government is accessible, however, and so a move towards PR would have to go hand in hand with changes to how district, borough and town councils work. The most logical way to do this, would be to expand councils - have more councillors, devolve more power to councils and give them much more funding. Decisions should be made at the most local level possible, and that is something that the Coalition really undermined. 

My ideal electoral system would have fewer MPs, all elected by a form of PR; much more power and funding for local councils, with more councillors elected; reform of the role of MPs so they work more closely with councils to create a better flow between Westminster and local government; reform of how parliament operates, with the Prime Minister elected by MPs instead of automatically going to the leader of the party with most seats. 

If we can achieve this, and combine it with other steps such as capping donations to political parties, closer regulation of election spending, and establishing an independent regulatory body for press ethics, we could create a political system which is much fairer, more democratic, much more accessible - and actually represents the vast spectrum of political views across the nation.

All of this is possible. It's not a dream. Campaigning for proportional representation is one way that we can fight for the politics we deserve, but there are many other ways we can work together in the next 5 years against whatever nightmares the Conservatives plan to unleash. There will be demonstrations aplenty, community groups in need of volunteers, petitions to send to Westminster, social media to spread the word - and political parties you can join (*coff* join.greenparty.org.uk *coff*).

We've had a day to feel glum about the election outcome. Now it's time to dust ourselves off, prop one another up and get out there to fight. 

Remember, 75% of adults in the UK didn't vote Conservative.

Actually we'd probably have even more because nobody would have to vote tactically!







Saturday, 28 March 2015

My night of sleeping rough.

Bear with me if this post is a little rambly. I've not long come home from a night on a sponsored "sleep out" with fellow volunteers from the Winter Night Shelter MK - a homeless shelter in Milton Keynes that operates from December to March, offering overnight accomodation, food and company to homeless men and women in the city.

After the project closed for the year earlier this month, one of the team leaders arranged for some of us to spend a night sleeping rough, being sponsored by friends and family, in order to raise money for the shelter to run next winter, and also as an expression of solidarity with MK's rising homeless population.

(Incidentally, here is my sponsorship page if you'd like to send some pennies our way!)

Thirty volunteers from the project met by the Jaipur restaurant in Central Milton Keynes. The restaurant owner had kindly agreed to let us use a piece of land next door, and also to use the restaurant's toilets until they closed just after midnight! After a health and safety briefing, we settled down to lay out our mats/cardboard/groundsheets/deck chairs and get ready to face a night outdoors. Most were confident that we wouldn't be getting any sleep at all - and with a very jovial festival-like atmosphere in the air, we didn't really mind that thought. 















The Mayor of Milton Keynes, Derek Eastman, came along at 11pm to wish us well and take lots of photos, and the owner from Jaipur joined him to offer a donation of £300 to the fundraiser. Even more welcome than that was the several bags of poppadums that the staff then brought out for us! 


As it was nearing midnight when the restaurant staff and the Mayor left us to it, I decided to try and settle down for the night. I had prepared myself for intense cold, so was wearing 2 pairs of trousers, 2 pairs of socks, 3 tops, a coat, hat and 2 scarves. I was just about warm enough! I zipped myself into my sleeping bag, put my headphones in and turned the music up just loud enough to drown out the traffic and chatter. About 20 minutes later, it started raining! We had previously agreed that if the forecast rain did present itself, we would relocate to a nearby underpass* for the rest of the night, and so we did just that.



*if you don't live in Milton Keynes, an underpass probably means something totally different to you. I had no idea what one was when I moved here, but it's essentially a short subway that is used to traverse the multitude of main roads around MK rather than using pedestrian crossings. 














Making the switch from grass to concrete wasn't welcome, but blessedly the "military grade" (ooh-er) roll mat I had bought turned out to be a worthwhile investment and provided brilliant cushioning from the paving slabs - and I figured out how to use my rucksack as a pillow. Attempt #2 at sleeping proved more successful and although I was cold and uncomfortable, it wasn't too bad. 


Around 3am, I woke again (sleeping on the ground when you have arthritis in your hips is a very achey experience!) and realised that most of the volunteers were sleeping. I was at the very end of my group, and suddenly a feeling of insecurity came over me. I felt vulnerable and exposed. Safety hadn't really been an enormous concern while I was preparing for the event as I knew there would be a big group of us, and the police were very supportive. But actually being there, in the small hours of the morning, with most people asleep and utterly exposed to the world - that was frightening. 

I started thinking about how people who sleep like this because they have no choice must feel. That anxiety, that intense feeling of vulnerability and isolation - it floored me, and I knew that I would be up and on my way home at 6am, ready for a nice cup of tea and to probably write a blog post about my experience. People who are genuinely homeless have no such thing to look forward to. Everything is an uncertainty. Your safety for the immediate future, your next meal, how people will treat you when they see you, whether you will ever have a warm, stable home again. 




Through volunteering with the shelter I met at least 60 people who had been homeless for varying lengths of time. Their stories were incredible and very grounding - yet no two were the same, and very few involved instances of substance abuse, which is so often the stereotype attributed to homeless people. We were encouraged, as volunteers, to not invest too much emotion in what we were doing. Our purpose was to be there for the night, to provide company, food and somewhere warm and safe to sleep for the night - and so I tried not to dwell too much on what these men and women must have endured while sleeping on the streets. 

You can't participate in a sleep-out like I did last night without that changing. I had the tiniest taste of what it might feel like to be that exposed and vulnerable, and it frightened me. Now that I'm home, comfy and warm again with a huge cup of tea, I am angry. I am so angry that homelessness is on the rise all over the country. I am angry that we have endured a government that, for five years, has demonised the very people I and countless others have spent months volunteering to help. I am furious that the system, which already let too many people slip through the net, has been squeezed and cut to punitive levels, so much so that people are dying as a direct result of welfare cuts and benefit sanctions.

At 5am today, the sun started to rise and we congratulated ourselves on having made it through the night, packed up our sleeping bags and mats and made our ways home. So far the sleep-out has raised £2500 towards helping the Winter Night Shelter operate again from December, and we hope to see more donations come in over the next few days. I hope that reading my rambling brain-fart account of last night might prompt you to send a few pounds our way and help the increasing number of people with nowhere to live in Milton Keynes. 






A few notes:


  • WNSMK opened in 2010 and has run every year since
  • It is staffed by a small group of coordinators, plus aroudn 350 volunteers
  • A different church in MK gives its space to the shelter each night of the week
  • This year, 58 of the 66 guests we've had have been moved on into long term accomodation
  • Since 2010, the WNSMK has helped more than 150 homeless people from MK into stable housing
  • Demand is increasing; since 2010 the YMCA has gone from turning away 30 people a month to 55. 



Tuesday, 12 August 2014

Depression in the 21st Century

Man goes to doctor. Says he's depressed. Says life is harsh and cruel. 
Says he feels all alone in a threatening world. 
Doctor says, "Treatment is simple. The great clown Pagliacci is in town tonight. Go see him. That should pick you up." 
Man bursts into tears. Says, "But doctor... I am Pagliacci." 
- 'Watchmen' (2009)

The outpouring of grief on social media when a celebrity dies is a curious phenomenon. I often see this public display of grief derided because we didn't "know" the deceased person personally, or criticised for masking the daily deaths of countless ordinary people. Sometimes the tide can turn when the circumstances surrounding the death turn out to involve substance abuse, and I've seen those conversations turn very nasty indeed. 

Today I woke up to the news that Robin Williams has died, from apparent suicide at the age of 63. Facebook, Twitter and myriad social networking sites are full of grief-ridden posts and videos of fans' favourite moments from his career. In amongst that, I've seen at least half a dozen comments along the lines of "so what, suicide affects hundreds of people every day and that doesn't take over the internet". 

It's a pretty shitty attitude to take in the wake of someone's high profile death, but I can't argue with the fact stated there. 

The World Health Organisation estimates that 1 million people die from suicide every year. That figure has risen by 60% in the last 45 years - some of which may be down to the way deaths are recorded, but doubtless there has been a significant increase in the incidence of suicide.

This number translates to approximately one death around the world every 40 seconds. In England alone, someone dies from suicide every 2 hours, and at least 10 times that number make an attempt on their lives.

Suicide and depression are not intrinsically linked, but according to the Mental Health Foundation, at least 90% of suicide victims suffer from a psychiatric disorder at the time of their death. 

It is said that Robin Williams was suffering with severe depression at the time of his death and had been seeking treatment. His death is no more or less tragic than the hundreds of thousands of people who have taken their lives this year already, but his celebrity status and the sadness expressed by so many on social media could give us all a golden opportunity to talk about mental health and break down some of the most damaging and cruel myths surrounding it.

I would like to take a moment to highlight why I haven't used the common phrase "committed suicide" here. This is how people commonly discuss the act of taking one's own life. We don't talk about any other manner of illness-related death like this. It is how we talk about murder, and other crime. You can commit murder, assault, robbery. By saying that someone who has died from suicide "committed" it, we place their death in the framework of a deviant act that they have enacted against themselves. It is that archaic notion that suicide is a sin, a conscious,  deliberate, selfish and indulgent choice made by someone to end their lives. 

Let me tell you now, that this is not how suicide happens. It is not how depression works.

When I posted on Facebook today about Robin Williams, I described depression as "an enveloping darkness". It is all-consuming. It is heavy and it hurts. There is no logic or reason to how it develops and controls your life. It is indiscriminate and does not care if you're male or female, white or black, rich or poor, privileged or oppressed. 

Robin Williams was known as one of the funniest men on the silver screen. I grew up watching his films and laughing until my ribs hurt every time. And yet he carried this dark secret for so many years, and so do thousands upon thousands of people around the world. Right now, there are probably people in your life battling just to get through the day. Maybe they're open about it, maybe they bury it and try to act out the part of a normal functioning person. But it will be there. 

Buzzfeed published a list of "21 Things Nobody Tells You About Depression", and while the use of cutesy gifs to illustrate this is questionable, the points made are pretty accurate. 

We don't talk about mental health very well in this country. People get awkward and embarrassed about it - and often, too often, people are downright ignorant and cruel. I've lost track of how many times I've heard phrases such as "pull yourself together", "try to focus on the positives", "just try harder", "get a grip" - all in response to people talking about depression. It is not a "really sad feeling". It's not that rational! It's an invisible disease and because of that, people so often dismiss it. 

I was 13 years old when depression found me. At 14, I took an overdose of prescription tablets and ended up under the care of a psychiatrist. Over the next few years, I was up and down. Mostly functioning well enough - I got through my GCSEs and A levels with good grades, went to university for a year. But it was always there in the background, always messing with my judgment and self-esteem, influencing decisions that I now look back on and think "what the actual hell?!". At 19, it took a stronger hold. I left my job and spent roughly 2 months unable to leave my flat - actually, mostly unable to leave my sofa. My then-boyfriend would go to work and suggest that maybe I could try to vacuum and wash the dishes. He would come home 9 hours later and I would be in the same spot, having forgotten to eat or wash, not having been able to do a thing around the house. It sounds like idleness, but there are no words to explain why I couldn't do things. I couldn't. That's it. I would try, but after two hours of trying and failing to get up and walk to the kitchen, I would give up and slump even further into a black hole of hopelessness and loneliness.

The world looked physically different to me, almost as if my entire surroundings had a black vignette effect. People would talk to me and their voices would echo around my head, the words entering my brain but meaning nothing. And I would nod and smile and say words back to them, but my mind was far away, screaming and howling that I just needed to fade away. The panic that set in when I tried to push myself harder to do things was absolutely crippling. I could get as far as getting dressed, shoes and coat on, but then I would find myself curled up in a ball against the front door, hyperventilating with my heart pounding through my chest and limbs shaking at the very thought of stepping outside. And there were numerous days when it got too much, when I couldn't see a way out, when I felt I was just not meant for this world and I needed to get out. And on those days, I would collect together all the pills I had amassed over time, lay them out on my bed, fill a large glass with water and wait for the moment when it felt right to take them all. 

I don't remember how or why my life changed and the cloud lifted. But at some point, the days where I could function outnumbered the days when I could not. I went back to work, and my life carried on. Life has thrown me plenty of shitstorms since then, but blessedly the enveloping darkness has stayed in the background and I've carried on functioning. 

The myth is that you can recover from depression. That's not how it works. Like an addiction, it doesn't ever go away. You learn to manage it, sometimes with medication, sometimes with other coping strategies, but it is always there. It will always be a part of me and I will always be aware that it could take over my life again. I manage this by talking to my husband very openly, and he does his best to understand. 

For others, the fight was too much. For the one million people a year who take their own lives, the next day, hour, minute was too hard. It is not a selfish or indulgent whim. It is an act of purest, agonising desperation. And we can only begin to halt that by breaking down the pervasive ignorance surrounding mental illness and suicide, by abandoning judgment, educating ourselves and reaching out to those around us who are suffering with it. 

So, take a moment today to change something for people with depression. Donate to a mental health charity, offer up your time to someone you know with depression, challenge your own perceptions of the illness and ask yourself what you can do to make a potentially life-saving difference to someone. 

Feel sad for Robin Williams and his family, and also for everyone worldwide who is a victim of this awful, intangible disease.

Mental Health Foundation: http://www.mentalhealth.org.uk/
Samaritans: http://www.samaritans.org/  08457 90 90 90 
Mind, mental health charity: http://www.mind.org.uk/