Mental health treatment worth it, even without gold medals
The worst mental health year of my life, I bought a calendar.
For every day a dangerous thought would come to me, I would circle the date shakily on the calendar. Some months, it looked like a demented moon cycle, unpredictably full for too many days in a row; other months there’d be no moon at all.
I had an idea that if I could visualize the frequency, I could stop the mindset altogether. I wanted, so badly, to have normal everyday plans: to-do lists checked off, dinner dates, evenings reserved for curling up with an exciting new hardcover. If it was possible to transcend the difficult work of recovery, I wanted to do that instead.
I told no one I had these thoughts, but I called them many names, mostly to myself. The masochistic tendencies worried me, of course, but more concerning were the times I felt disembodied and far away from myself. In these moments, there were no stakes, no feelings of a place for me in the world. The dull thud of a body was all I amounted to.
It was much worse for me to dissociate.
I found many ways to hurt myself. I won’t indulge them. I hope if anyone is tempted, they can have the benefit of coming to the other side of that temptation. You matter so much to so many more than you could ever know, I promise.
The other day, I saw a meme being shared on X. The language suggested that part of Simone Biles’ success in securing four medals was largely due to her taking time off for her mental health. It was a neat and tidy thought. Take a break, prioritize yourself, come back stronger. I was suspicious of the sentiment, but I thought about hope, how easily it erodes and how hard it is to build back, so I retweeted it.
To be clear, I believe in the tweet’s message. We’re much better when we take time to truly address our mental health. Perhaps, were each of us able to access the treatment we needed, we’d all earn whatever equivalent of gold medal is there to achieve. That said, I resent the notion that we should help ourselves in service of performance. Rest so you can be more productive. Eat a healthy meal so you can be stronger tomorrow.
Your mental health journey doesn’t need a redemption tale. It doesn’t need to culminate in a big ball of light. Mental health treatment can be, and usually is, quiet and ordinary. While we’re far away from universal access to mental health treatment, the alternative narrative — a clean picture of being cured of a mental health condition — can set us up for failure.
The reality of taking care of yourself is much messier. And it’s worth it.
When one of my editors proposed I apply for a brand-new position, the statewide mental health reporter, I couldn’t hide my excitement. But my mind pulled up another image: I’m on the phone, on hold, tinny Muzak blaring from the speaker, a crumpled ball on my porch. A squirrel is delighting in a wrinkled pumpkin, eating its ghoulish face. A woman returns to the phone, a hesitance in her voice.
“The doctor’s next available appointment is in August,” she says. “I’m sorry, hun, we’re completely booked.”
My therapist had gently given me an ultimatum: If I didn’t get more intense treatment for my conditions, she wouldn’t be able to continue work with me. It sounds cruel, but she knew continuing this way would only enable me. I needed more than a weekly outpatient session. I needed a psychiatrist. I needed medicine. In-patient care, potentially.
But I was also broke and endlessly busy. I worked at a university teaching freshmen composition three days a week, three courses, more than 60 students, the stack of papers to grade always higher than the graded papers. I loved teaching. I still do. But time as a professor is the hardest thing to balance, with or without mental illness.
When I started as the mental health reporter, access was a topic I wanted to address. Naively, I had a grand notion that, if only I told the world about the lengthy waitlists, it would lead to change.
Waiting is a keen punishment when you’re in crisis and don’t know if you’re worth saving. It means having to advocate for yourself, over and over, and insist on an urgency apparent only to yourself.
It means white-knuckling through symptoms and self-monitoring with a calendar bought at a CVS themed around puppies, of all things. Doughy-faced Burmese Mountain puppies smiling in a bucket, calendar days beneath counting the last time I thought about, or acted upon, hurting myself. I reached out often to friends, felt I was exhausting my resources.
But I made it through double-digit months to August. I brought the stupid calendar to my psychiatry appointment. I showed her what I was up against, the closest thing I had to a data set.
I started taking medicine. I joined a support group for my specific condition, although I only went one time. People talk often about a light switch that turns on when you start taking SSRIs – Selective Serotonin Reuptake Inhibitors – and I remember when the studio I lived in brightened.
There was a freight train by my house and I would hear it at night. The gate coming down. It’s a sound I still associate with being safe. A freight train cutting through the night air, the ding-ding-ding of the gate. I started paying attention. I would walk to the lake by my house and observe the molting ducklings, the woodland critters flitting in and out of the shrubs. The papers became easier to grade, the all-or-nothing stakes shifting into nuance.
I didn’t win a gold medal. The vicissitudes of life continued. I had bad days, bad months. I made big mistakes, fumbled when it mattered to show up. Those memories slice through me too, usually at night, and I make an audible sound, so very regretful.
But I also found purpose. I started meditating, journaling, re-learning healthy exercise regimens that weren’t themselves masochistic. I stopped quantifying whether I “deserved” to eat a nice meal. I started going on long walks and began taking pride in identifying bird songs rioting from the tree-lined streets.
I applied to grad school to study health, science and environmental journalism. I learned new subjects, encountered some of the most interesting human beings behind fascinating innovations. I lived in Chicago, enjoyed a brief but important stay in the Pacific Northwest for my capstone project, then moved to Wisconsin.
The thing about taking care of yourself is that it’s not linear. There’s no straight path to victory. I still struggle with big, scary thoughts, but the difference is I have coping strategies. I have a dedicated therapist and, when she isn’t available, I can call 988 for help.
Simone Biles’ story of triumph and redemption is a beautiful one, and it is hers alone. Her decision to take time to prioritize her mental health would have been the best decision she could make, even if she didn’t return to the Olympics, even if she never returned to the mat.
You don’t need a redemption story to justify getting mental health treatment. And mental health treatment shouldn’t be a luxury for the select few, done only in service of coming back stronger.
It should be as accessible as getting treatment for a broken arm, but it is not.
Things are changing for the better, though. Wisconsin has more walk-in centers for mental health available to young people. And five new crisis stabilization facilities are available to anyone having a crisis. Mental health first-aid is being taught in K-12 schools, thanks to a push by the Wisconsin Department of Public Instruction.
And 988, the three-digit suicide and crisis lifeline, has allowed thousands more Wisconsinites access to quick intervention and a soothing voice.
The path to care doesn’t always lead to healing, or at least, not the kind of healing that comes with getting a cast removed. Sometimes, it looks more like being able to listen to the world outside yourself, to recognize its vastness, and to feel, for a time, that you belong here.
Resources
- If you or a loved one are experiencing a crisis, call or text 988 to get connected with the Suicide & Crisis Lifeline. 988 offers 24/7, free, confidential support for people in distress. It also provides prevention and crisis resources for you or your loved ones, and best practices for professionals.
- Lifeline Options for Deaf and Hard of Hearing For TTY Users: Use your preferred relay service or dial 711 then 988.
- Veterans Crisis Line: Dial 988 and then press “1” to be connected to a qualified respondent with the Department of Veterans Affairs. Many of the respondents are themselves veterans.
- Trevor Lifeline for LGBTQ+ youth: 1-866-488-7386
- LGBTQ+ National Lifeline: 1-888-843-4564, Monday through Friday, 4 p.m. to 12 a.m., EST; Saturday, 12 p.m. to 5 p.m. EST.
- Trans Lifeline: 1-877-565-8860, 5 p.m. to 1 a.m. EST, seven days a week.
- Learn more about Crisis Stabilization Facilities throughout Wisconsin: Crisis Services: A Safe Place to Get Help | Wisconsin Department of Health Services.
- Uplift WI Warmline, 534-202-5438: This line is staffed by certified peer specialists, those who have lived experiences with mental health, substance use and other related life experiences. Call this line if you need someone to talk to for support when things are difficult, or when you just need to connect with a peer. You do not need to be in crisis to call this line. It’s fully anonymous and confidential.
- Text “HOPELINE” to 741741 to get connected with a counselor 24/7.
- Caregiver Outreach: 833-572-1599 or 2-1-1and ask for an outreach specialist. This line is dedicated to help informal and/or volunteer caregivers over 18 who are providing care to another adult. Callers will receive weekly calls from staff intended to reduce caregiver stress by providing supportive listening, information, and resources to assist them. Weekly connections occur over the course of 6-8 weeks.
- Wisconsin Farmer Wellness Helpline, 888-901-2558. The 24/7 Farmer Wellness Helpline is available to Wisconsin farmers or their family members who are experiencing stress, mental health challenges, or need to talk with someone. Helpline staff can provide immediate, in-the-moment care and can refer callers to Wisconsin Farmer Wellness Tele-Counseling Sessions or Counseling Voucher Programs for ongoing care.
- Friendship Line, 800-971-0016. The Institute on Aging offers this free, 24/7 line to people aged 60 and older and adults living with disabilities who just want to talk to someone when they’re feeling lonely, depressed, isolated, frail or suicidal.
Natalie Eilbert covers mental health issues for the Milwaukee Journal Sentinel. She welcomes story tips and feedback. You can reach her at [email protected] or view her Twitter profile at @natalie_eilbert.
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