Showing posts with label stigma. Show all posts
Showing posts with label stigma. Show all posts

Tuesday, 10 September 2013

Three Little Pyrite Pigs

Pyrite is also known as fool's gold and the little pigs we all seem to fall foul of are far from little. In the fairytale wolf tries to invade the houses of three pigs. One house is made of straw and the wolf blows it away to get at the pig inside. The second pig makes his home out of sticks and the wolf succeeds by huffing and puffing in blowing that in too.  The third pig builds his home out of brick, but the wolf cannot huff and puff enough to succeed in demolishing a brick house, so the pig (or pigs, depending on which version of the story you go with) remain safe inside.


Wise Wolves



It's sometimes tricky using metaphors to explain things as the word pig has associations with greed and muck. So one analogy of this simple fairy tale might be that the wolf is a hero forcing the pigs to think more sensibly about what they want from life in order to be happy and safe. In such an interpretation it would be easy to view mental health teams as wolves with their nagging and eternal checks on every aspect of our existence until the time comes when their help is not required. 

No one likes to be analysed in such an intensive way, even if it is for our own well being. The process can and often does encourage us to blurt out everything and dwell on our nastiest memories and worst behaviours and this can result in new bad habits forming; much depends on how experienced the mental health practitioners are. If we are not careful we can become addicts to being ill as it is often easier than fighting the stigma, ignorance and prejudice of the rest of society. 


Luckily the days of ending up in a mental health hospital on anyone's hearsay are gone in the UK. It now takes three people to agree on any one person needing hospitalisation under the Mental Health Act of 1983. All have to be highly qualified. Once in hospital, it is likely to take a team of four or more people to get one patient well enough to return home. They usually include a psychiatrist, a GP (doctor), a psychologist, a Community Psychiatric Nurse and a Social Worker. Other medical staff can include nursing staff in the hospital and a variety of therapists or counsellors. All of them can seem as if they are the enemy with their prying questions which often get repeated by way of checking up on your progress.

Unfortunately there are still old school thinkers about among medical staff, but they are steadily decreasing in number thanks to brave sufferers that refuse to be spoken to as if they are already lobotomised. In all cases staff and patients must be able to 'click' for any treatment to work. Staff cannot help those that 'confess' what they are thinking, feeling or doing that might be at the root of the suffering. No one can, but much relies upon staff listening carefully and thoroughly to what any patient finds so distressing. It is interesting to note that the mentally ill are seldom unable to function at something. However, while we continue to live in a world where the mentally ill are largely unwelcome, few are given the chance to function in society at all.



Pyrite Pigs



For the purposes of this article the pigs are the addictions that we are all susceptible to. They are the behaviours of people rather than the people themselves and with aggressive marketing techniques forever bombarding us all it is little wonder that people become disturbed, confessed, stressed and anxious. They are not little pigs at all, they are huge as there is no escaping them in mainstream society for they govern just about every aspect of our lives. Rather than think of ourselves as pigs, we should be thinking in terms of a 'pig of a problem' to overcome.

According the latest thinking among the good guys and gals of psychiatry (i.e. those that actually listen and work with the mentally ill and not dictate to them), everyone is suffering from obsessive compulsive disorder and everyone is on the autistic scale too. It is just a matter of to what level and over what that can herald problems. One the best ways to illustrate this is to look at what we spend our money on.  




This little piggy is money



In the developed world we shop for our joys quite literally. Here’s a brief list of some of the things we spend our money on in order to reward ourselves to make our lives more comfortable, stimulating and of course pleasurable. 

Food, clothes and shoes, sports, games, crafts, books, specific interests (e.g. the history or mechanics), holidays, relaxation, alcohol, socialising, gambling, donating to charities, clubs and societies, business advice and events, illegal drugs, investments, cars, homes, tobacco, technology and the latest must have thing or experience.

Of these none of these treats are safe in excess.

People who do not have money or very little of it do not have those “cheer up” options. They will also seldom have much in the way of connections to support them by way of family, friends, neighbours or colleagues at work or indeed information with regard to support services which are already stretched. Hence we have all manner of charities and community initiatives to try to save those that would otherwise fall through the nets like a kind of holding pen for when professional support is freed up. It is debatable if it is enough while we remain in a recession especially when so many services have been whittled down to only offer crisis services. All support is also utterly pointless if people’s trust in the system has been betrayed, or if people do not or will not share what troubles them. In a recession, retail therapy is a high risk game to play if you do not stick to a manageable budget.


When any of us are depressed or low in mood our behaviours change to compensate us for being of low mood. Some will look for something to cheer themselves up (called the distraction technique in psychology). This can include an increase in our spending on items we find in shops and on sale on the internet, as well as an increase in our social and work activities. 

In moderation that is never anything to worry about, in excess it is.


This bigger piggy is power



It is surprising how few people even know or have thought of why people turn to alcohol and illegal drugs given how stressful the life can be at times. Put simply they do so to escape their sufferings without thinking about what it will end up costing them health wise, financially and socially with regard to stigma and prejudice. Thereby they end up reducing their chances of ever getting support exponentially. It is often the exact same behaviour that normal people engage in when they are having an off colour day but in excessive proportion; the difference is that that proportion is out of control. Some illegal drugs, such as cocaine can result in a person feeling invincible when in fact nothing could be further from the truth. When we turn to heavy weight drug abuse we are on the road to destroying everything good we already have.


Power can be addictive too. Those who have it generally fall into two distinct categories; philanthropists and do their best to give back to the community, and those who become so addicted to accumulating wealth that they become harmful to our societies and communities while becoming increasingly dissatisfied with everything around them. We often think of the latter as psychopaths or sociopaths but it isn’t the soul domain of the wealthy to be psychopaths. Not being permitted to care about anyone for long enough can result in even the poorest person not caring. Corporate psychopaths are by far the most damaging as they usually care so little that thousands suffer as a result of their business practices which can be brutal, vicious and dictatorial. 

There would be no need to place a cap on any income if it was law that businesses as well as individuals must give back to the community – punishment for failing to do so could be a cap on income and level of responsibility instead of what is currently and commonly the reverse. Surely we collectively have wit enough to make that happen without any need to totally ruin that person’s life forever. Make it compulsory for such people to see a psychologist and we would minimise the risk of millions suffering while and helping them at the same time.

In the middle of rich and poor we have the ordinary folk who get sucked into things they think they need in order to reach the upper echelons of society and who end up having to field the extremes of those at the top of tree and those who are poor, often destitute and above all desperate. Keeping up with the Joneses is a power game.

Everyone makes mistakes but when anyone is disallowed to function sufficiently it leads to resentment, deep unhappiness and ultimately huge problems for the individual, those who know them and for our societies. A maxim from the world of business and industry that is thankfully beginning to catch on is:

 “Look after the others and the others will take care of you”. 

It has been proved and is proving to work. Joseph Rowntree (look him up on Wikipedia) in the 19th century proved it by not only providing its labour force work, but also homes, education and access to basic health care.



This biggest piggy it the hardest piggy of all - relationships 



If the first pig is money and the second pig is power then the third pig is the hardest and toughest of all - relationships. 


As individuals all of us have a degree of responsibility to correct our own and group behaviours. None of us can do it alone, but together we might be able to make a far happier and fairer world. How and where do we even begin to start? Who and what do we start with?

We start by acknowledging our most basic of instincts is to survive as a species. In order to survive most of us are governed my the desire to have sex and sexual relationships can be the trickiest of all to get just right. Sexual relationships are so complicated that it warrants a separate article. Here though it is enough to note that impressing the person who is the target of our dreams often leads us to shop 'til we drop or push ourselves career wise. Some argue that having many sexual partners is the only way they can be happy, however while that may be fine for them it is seldom fine for all their sexual partners. Promiscuity often causes many long term damage. 


To get any relationship right requires consideration, communication that is clear and up to date and acknowledgement of everyone's right to be themselves. This applies within our social and work circles and most of all in our relationships with our families.

When it comes to relationships is it less a question of “Is it something you can change in that person”, more a question of "Am I being fair to that person?" when tensions run high. Then we need to think about “Do I want to do something about it, yes or no?” Therein lies the key. Do we? For without that desire to consider other people's needs and change for the better nothing can ever change for the better.

This is at the crux of mental health as no medical team on this planet can change anyone. We have to be resolute in wanting to ditch what makes us unhappy in the first place that is within ourselves rather than enter into blaming everyone else. If others are that damaging to you - leave. Get support to do so if you need to.

Next is to identify in precise and minute detail what it is that we want to change about ourselves, then what to and only afterwards comes the how, who to seek support from, when and so on. This process is the same whether we are trying to overcome difficulties in any type of relationship or emotional distress.

We will never stand a cat in hell’s chance to get the formula right while we are bickering and competing for attention or being in anyway emotional. We need to don our thinking hats first, however, often we need another outlet for our emotions first before our thinking hat can sit comfortably without pinching or giving us a headache. 


We need to communicate, calmly, clearly and coherently which sadly is not usually the domain of people who are desperate for help, but the first step toward helping anyone recover is to listen first to what isn’t or hasn’t worked isn’t it? That way we identify exactly what it is that needs sorting. When we are mentally well we are all capable of this. When we are concerned for others we do this whether we are well or not, so it follows that we could be doing this more of the time when we are ill. That little bit of difference can in the long run make the biggest difference of all.

“Where there’s a will there’s a way.” 


There is no person or section of society that is without risk to their mental well being. The latest thinking in mental health circles is that "We are all potentially a car crash waiting to happen.” To put it another way – life’s a lottery and instead of thinking why me, what we should be thinking is why shouldn’t it be me that suffers next? What am I doing to prevent this happening to me or my loved ones? We already do this with regard to many physical ailments, diseases and illnesses, but seldom stop to think about what we can do to prevent the most important organ in our bodies - our brains.

Our brains define who we are and they are the control centre for everything else. If we can master it to adopt a helpful attitude to combat whatever life may throw at us, then wouldn't we also be equipping ourselves to overcome whatever we perceive to be the worst happening? 

Tuesday, 7 May 2013

The Emperor's Clothes

The story of the Emperor's new clothes is this: An Emperor is conned into buying the most wonderful new suit of clothes by a couple of con merchants and none of the Emperor's entourage has the courage to tell him that actually there is nothing there. The clothes are not invisible, the do not exist. The only person who is brave enough to say so is a small boy, and more or less, that is where to story ends depending on which version you read.

If we translate that into our real world the Emperor could be an organisation, an employer, a powerful or influential person, a boss, a parent or just someone everyone else adores. The small boy would be anyone of disadvantage and/or anyone who just, out of sheer innocence or ignorance of what the Emperor believes, speaks out. When we talk about such Emperor's in the real world though, these clothes are not new at all.




1. Imagine if you will, that you are being bullied at work.

2. Imagine you are being stalked or suffering from physical, psychological, sexual or financial abuse. 

3. Imagine you have a brilliant solutions for a problem.

4. Take another scenario that you fear that someone is at risk of committing suicide and you are a child that no one will listen to.

5. Imagine you are unemployed and your benefits have been stopped for no legitimate reason.

6. Imagine that you have not been paid your wages by a multinational company and you are of low rank in the organisation.
7. Imagine that you cannot not communicate and/or have no communication devices and you have serious problems that you need help with.

8. Imagine that you are starving or homeless.
9. Imagine you are stranded and do not know where help is to be found because there is no information or signposts to it.

Now imagine you are any of the above and have (or have had) a mental illness that you openly tell people about. What do you think your chances are of being heard properly or taken seriously are?

British Law changed in October 2010 by way of the Equality Act. The Equality Act seeks to eradicate ALL prejudice without any indication as to how it is to be done. It may now be illegal in the UK, but it supplies no indication of how it is to be upheld. The only way to find out is to enter into a long winded, expensive and extremely stressful litigation action. (You take the culprit to court) where your opponent still has the advantage because it usually has the money and the contacts to discredit you totally - hardly fair, hardly just.

There are numerous organisations out there that can help in theory, but alarmingly they have all been hit extremely hard by recent cuts from the government, they include: Mind, Rethink, ACAS, Citizens Advice Bureau and even access to legal aid has been cut. Good intent can be far more damaging than the most malicious of intentions if it is not properly implemented and thought through.

The process is made all the more difficult when it is a powerful organisation or government department, e.g. a bereaved person on benefits that I know of was subjected to stoppage after stoppage after stoppage for two years with no reason. When they finally got an appointment to sort it out at a job centre, the member of staff said "Yes, gosh, it is in a mess isn't it? But I haven't got time to sort it today and I'm on holiday for month tomorrow." It took two years to get it sorted via the Parliamentary Ombudsman (you need to go via your MP for that) and the outcome was: that the DWP was at fault but that as the person was bereaved it didn't merit any compensation, not even so far as their credit rating being restored. 

As indicated in my article of last month, even the health care sector itself has insufficient safeguards and knowledge of how to prevent mental illness among its own staff and if that is the case then what hope is there for anyone else understanding the need of the mentally ill to be heard and more to the point, understood and helped?

There is something very important to consider here...

10. Imagine that you are so mentally ill that you are imagining any of the above.

Therein lies the nub of the problem when it comes to providing support for anyone with signs of mental illness and sadly there are people who will lie to get what they want even at the expense of honest folk e.g. women who pretend they have been raped who in my opinion, need psychiatric intervention in addition to a prison sentence. Fortunately such cases are rare but because they exist at all it causes damage in the form of genuinely distressed and desperate people not being heard and not being helped, whether they are in need of a living allowance, need of an advocate such as a lawyer or need of a doctor's appointment.

However, I would rather risk the occasional fraudster receiving support than risk a genuine person in need ever going without it as it literally costs lives and seriously jeopardises their chance of anything like a quality of life. This includes taking someone seriously to begin with even when you suspect they are imagining things or lying. Why? Because if you don't you might be wrong and there are ALWAYS ways to corroborate the truth. There are always evidence to prove or disprove anything. 

You do not have to be mentally ill to be treated unfairly, but once you have been so treated the likelihood is that you will be mentally ill for a very long time with all manner of trust issues if nothing else.

I am currently off work with work related stress and our Human Resources Department expects me to attend an Occupational Health assessment while I am ill. If I was a scaffolder with leg in plaster this would not happen and during such an absence the cause of the accident would be investigated and the risk reduced. Not so when it comes to stress at work which in itself is a form of mental illness. What is worse is that anyone with any mental health history has it continually raked over, dredged up as soon as they mention they are unhappy. Everything about that person is in question.

If a ‘normal’ person were to be subjected to the same treatment, then (call me crazy for this one), but I have a hunch they would end up with serious mental health problems. We will never prevent mental illness when the world continues to rake up everything that is painful to ANY individual. 

And what of the little boy who shouts that “the Emperor has no clothes!” sadly, whether you are mentally ill or not, if you don’t have means and you don’t have solid connections the reaction will most likely be one of resentment and intense wrath. No one likes it when it is pointed out that they have been foolish, far less those who have power. When that is done so publicly, as it is in the story of the Emperor’s New Clothes, and indeed in real life throughout the media, then guess what? The Emperor suffers mental anguish as a result i.e. mental illness.



Steven Biko 



I have always advocated that anyone with a mental health history who wishes to speak out needs to do so anonymously to protect themselves, particularly when they are low, are poor and when they have no one to defend them. I’d like to update that. I would now highly recommend that for anyone who is not in a position of power with regard to any situation at all.

The real world is a troubled one. It is riddled with hypocrisy and it only takes a few, a very few to spoil this beautiful planet of ours. So it is wise, if not essential to be cautious, to be wary and if that means you need to be paranoid to keep yourself safe from harm, then be that too, but still speak out or we can never hope to rectify anything at all – just do it safely.

Take your time to trust people, choose your words carefully and your tone of voice and wherever possible only speak out about your issues when you are calm, fed, well rested and when the emotions are largely out of the way first so that you can think clearly enough to communicate. “We are never in control when we are angry” is something I have been reminded of recently and how true it is.

The exception is the professional teams who are there to help you (when you find a good one). With them write down what you need. Write down what you do not need. And only afterwards write down what has happened. That way you will begin to understand how to fix whatever it is that has gone wrong.

We can never remedy anything without facing it and we all make mistakes but it is very much what we do about them and in the how we fix them as well as who helps that really makes the difference. A former GP of mine said, “Do not dismiss support from unlikely sources as just occasionally they can be the very thing you were looking for.”

Luckily my new doctor is turning out to be fabulous, so fabulous in fact that he promises to read this blog site and being head of the practice, he’s already had a word with the receptionist that I found so exasperating. So you see, you can get help if you are prepared to want it enough and fight for it enough. Though I must say, it comes to something when you have to know more than those who are supposed to be experts, (not that it applies to my new doc).

But what of the little boy in the story? What can he learn? He would be far safer to say “Is the Emperor wearing any clothes? Where is the proof?” And to do so privately, or send a note to the Emperor although even that may all to easily result in terrible retributions. Far better then to ensure that he has people to defend and protect him first before saying anything at all.




I am angry with the world and the older I get the shorter my fuse and the angrier I get with all it's very human errors which I make too because I am product of this world just as much as anyone else - but I refuse to take the blame for all it's mistakes on my own. I own up to mine and do my best to rectify them as soon as I can. Why doesn't everyone? It amounts to about 200,000 thousand years of human errors so far according to the Smithsonian Institute, somewhat shorter if you believe in God but its still between 2-6 thousand years. The trouble with anger is that it ultimately only ever serves to destroy those who are angry. The remedy to that is never to act when one is angry but to let those feelings run their course away from others and subside. If there is a God then surely we should focus on the ethics and not the origin of our species to get the recipe right, because either you cut it ethics is the key to us all being able to co-exist peacefully.

I can only hope that all Emperors (and Empresses for that matter) have the good sense to listen to small children some day and that that day will be very soon for all of us. I hope too, and firmly believe that honourable people will always say thank-you, sorry, make amends and recompense those injured of their own volition and will do so privately for what is their part in causing such misery and suffering. What is so often the case is the errors made are nothing more than a silly, petty error of judgement which we all are and can be guilty of. When all is said and done, it is the con men that pretend to be tailors beyond compare that ought to be reigned in, if not punished... is it not?

We are all complicit when allowing the con men of this world to get away with their villainy - the courtiers, the general public and the little boys who see the truth but say nothing. High time I think, that the whole world stopped and thought about what advice it is actually seeking, who from and why they are seeking it; as well as what its aims are, and how to sensibly and above all, safely, proceed.

I could cite hundreds of pearls of wisdom if not thousands from around the globe, from every century, from every culture, race and religion and age group on this planet but I'll close with this final quote from a man that managed to save three lives that we know of. Just three but if we could all do that then there would be no unnecessary anger or deaths. We can never eradicate death or suffering. People die of natural causes, from disasters as well as from malicious intent and silly errors but we can certainly minimise the risks if we keep fighting to get that little bit closer to increasing compassion for those that are left behind trying to fight. With compassion comes a little bit more sense, a little bit more humanity and above all else... HOPE for absolutely everyone.

"Let's work the problem people. Let's not make things worse by guessing." Gene Kranz


I have a hunch Gene Kranz's words have just saved a few hundred more lives... if not more.

PS: I have to confess that the last three articles in particular have had a lot of input from others for me to be able to write them. Sadly I have, since writing this article learnt of someone who is so traumatised by the DWP benefit system that they are selling their belongings to get money to buy food as they refuse to go back on benefits. I used to be proud of being British, today I am not. 

I would particularly like to thank an anonymous retired psychologist in Australia for their support at this time, not least for giving me the courage to continue to write. As before, early signs are America is reading and the UK is disinterested. OK it's a bigger country, but this is a UK problem right? Or is it quite possible global?

Please do not expect me to blog for a while... I feel the need to rest, but if it's that important...

Thank you for reading and caring enough to do so.

Monday, 4 June 2012

Attack can be the best form of defence

It may surprise readers to learn that, in certain circumstances, I believe attack can be the best form of defence, in that it's fine to flag up mistakes made by others, but we stand a better chance of getting a lot further if we use our anger and frustration constructively and channel it into something productive.

Following on from my last two posts, no one can learn from mistakes if they are not aware that they have made them. Good business practise is to learn from complaints to improve things as I hope I made clear in Instances to Stigma. So those Human Resources and Occupational Health Departments and the individuals concerned that gave me such a hard time have just such an opportunity as do the enterprises concerned. It's also a few years since all that happened, so maybe they already have. Remember it's best not assume when we don't have enough facts.Whether they choose or chose to do so is up to them and indeed the same applies to the Department of Work and Pensions.

As I commented at the end of that article, no one minds too much if mistakes are corrected quickly, however if anyone is rude or abusive, dismissive or insulting from the outset, none of us will want to help sort a problem. The impression we instantly get and the assumption we immediately form is that nothing will satisfy such a person, so we are inclined to do the minimum to get shot of such people rather than the maximum to assist to resolve things.

This, I believe, applies to all forms of situations, circumstances and relationships, even our personal ones. I believe it applies to our beliefs too - it is all very well to get annoyed about politics or religion (those emotional initial reactions are true and honest to have), but if we want our own views to be heard and considered, we are better off learning to understand opposite views and why they exist. We stand a better chance of reaching a compromise by learning to listen, hearing facts from as other people see them and adjusting our communication to reflect their language so that our  own opinions are more clearly understood. Letting rip and launching into endless criticism is hardly going to work, is it?

An example
When reading one of my followers blogs I became deeply concerned about their safety and well-being. So concerned in fact that, I decided to approach the Time to Change team to see if they could alert whoever to keep an eye on her. It was all I could think of, as I knew full well that I could not and should not get involved. Not only was I considering my own health, but more importantly I felt she needed the security of absolute confidentiality that can only come from professionals sources of help. I simply do not want to risk getting things wrong by trying to advise when I don't know what I am doing - I could compound the problems further by doing so and make them worse.

It turned out that the Time to Change team has much the same view. They suggested contacting Mind or Rethink but again there is little they can do unless we, ourselves turn to them for help. I became extremely angry by this though, because I feel there ought to be more we can do to help. I started thinking along the lines of "Can we not devise a system whereby the police, mental health teams and social services can be alerted to people at risk more easily? Can we not, at the beginning of the 21st Century start to devise a register of vulnerable people to keep an eye on? Can not our intelligence services help in that regard by monitoring discreetly and unobtrusively to prevent people coming to harm?" And then another thought hit me... should we be asking for that?

The opposite of empowerment in my mind is debilitation, restriction, loss of self esteem, self worth, self belief and control of our own lives. Do we want that?  When we consider the risks (dictators, abusers, cruelty, harmful power-mongers), I would say we have to be extremely careful in that regard, even though I believe there is such a thing as safety in numbers. We need to safeguard our rights, liberties and freedoms at all times so a nanny state (one that has rules for everything) is never a wise route to follow to it's ultimate extreme.

My readers retain the right of choice, the right to refuse help unless they are at high risk and, for me that's as it should be. They also retain to right to their privacy so that even professional agencies should not have all details on every aspect of their lives - they only ever need them at all to prevent risk of harm and to be of assistance during times of difficulty.

I ended up attacking the Time to Change team, when in fact they are only doing as I am... their bit toward helping the world edge ever closer to better levels of humanity. This doesn't preclude that other agencies from offering services that are of direct help all those that are vulnerable (thankfully there are lots of them that do just that), but the Time to Change team's aim and role is to do with educating all away from the mindset of stigma and prejudice - for that I remain a staunch supporter of it. What a great sadness it is and a damning indictment on us as human beings, that it should be necessary at all.

I confess I went on the attack due to the level of my passion and concern. But that's fine, because out of it has come a challenge to think about more solutions. I don't have a monopoly on ideas or solutions - far from it - but by putting our heads together, by communicating more, perhaps one day we will collectively find them to be able to collectively put them in action.

One thing seems very clear to me - we each have to work hard to look for the things that can help us through whatever difficulties life chucks at us. We each can help with that and I feel, should help even if it is just acting as signposts to where those vital professional services are. That I think is the  absolute minimum level of support that each of us is could commit to.

Attack is an extremely emotive word, but in a way it is appropriate to use it because injustice and unfairness of any kind can feel like a war against inhumanity - in my opinion our best way to attack is by challenging but to do it in a respectful way and if possible with ideas for solutions. That is something we can all try to do in all our relationships - it's a far less stressful way of approaching differences and the one that is most likely to result in things improving.

With apologies to the Time to Change team and thoughts and best wishes to Nikky44 I can only hope you find the professional help you need asap.







Saturday, 26 February 2011

Recent thinking on Mental Illness

Recent thinking among the boffins in mental health circles is running along the lines of everyone being mentally ill. What they are suggesting now is that we are all a potential car crash waiting to happen with regard to becoming ill. All it would take is a trigger to start it all off. Or to put it another way, apparently we're all crazy, it's just a question of degrees.

Gone are the days whereby it's a simple case of nature versus nurture. The thinking is that, as genetics and environmental influences can never be separated both can be the foundation stones for someone becoming ill, but neither on it's own may trigger it. They are just two of a myriad of factors that have to be in place in the right order to act as the catalysts to illness.

This is born out by the evidence of many case studies. Mental illness may run in your family, but rather like diabetes it can skip generations so even when there is a strong genetic element it is not a fait accompli that you or your children will ever get ill. If you've been brought up with a family member who has a permanent condition of mental illness it is more likely that your own behaviour will be shaped by those experiences to make it more likely for you to suffer illness yourself.

A person from different genetic stock  with no evidence of mental illness suddenly having to live with a severe form of mental illness in a loved one is likely to experience bouts of stress, anxiety and depression, so it's become unwise just to assume that genetics are the only factor in play when people are blood relatives.

Likewise, environment or circumstances into which we are born do not in themselves mean that we will become ill. Some people brought up in a disturbed setting can follow suit but many don't. In short there is no one answer and no one way to predict who will become ill and who won't.

Everyday potential for illness
If we have a passion or interest in anything at all, some boffins now say, then we are probably suffering from some form of Obsessive Compulsive Disorder (OCD). This includes passion for our jobs; our hobbies like sport such as keep fit, football, working out at a gym, walking, cycling etc; creative activities like art, theatre and music and even everyday interests like shopping. So long as those passions and interests remain containable we are considered well. It is when they become all consuming to the point of interfering with our ability to function in other things that adverse effects may occur.

Added to which, as human beings we are all prone to every day stresses, worries and anxieties. We might have concerns about our jobs, our health, our finances, our homes or our relationships which are all perfectly 'normal', or average. However no one can predict what events might transpire to exacerbate normal stresses, worries and anxieties into some form of illness. For example, we can not assume any of us will not experience redundancy, a house fire or becoming a victim of crime.

Given this, suddenly we come to realize that there is no such thing as immunity from mental illness and that it really does come down to a bit of a lottery as to who becomes ill and what may trigger it. You may be a person that can cope with losing a job, but are one who is more susceptible to becoming mentally ill over the breakup or loss of a loved one. Hence we can look at the statistics in a slightly different way and say that 25% of the population become mentally ill because they were unlucky in the events and circumstances that came their way and that 75% of the demographic were lucky because nothing that could have triggered illness happened during the course of their lives.

Bereavement
However bereavement is, in my opinion, a form of depression and as none of us are immune from losing a loved one, (indeed we except our parents to predecease us), we can and should expect to be pretty miserable at such a loss at some point. In that period of adjustment known as bereavement it would be unusual for people to feel like doing cartwheels and throwing a party and to continue their interests in normal life in the same way.  Even people who experience relief over an aggressor dying can experience symptoms of bereavement including guilt and shame over their relief.

80% of us can expect to experience bereavement at some point in our lives (not everyone will) and that state is a painful and distressing one often to the point of making us introspective and miserable. A mind that is distressed and/or miserable for more than a couple of weeks is considered to be a depressed one and therefore can be considered to be ill. In the light of this the stats should read that 80% will experience mental illness in some form.

It is also common for people to experience a sense of loss akin to many symptoms of bereavement when they lose partners through divorce, or lose their jobs or home. Depression is classified as a form of mental illness and one of the most common at that. Along with stress and anxiety millions of people each year go to their doctors for help with it. How is it then that stigma over mental illness still exists?

In correspondence with a psychologist in Australia I was shocked and appalled to learn that in third world countries people do not become psychotic from being left on their own while dealing with a bereavement, because in third world countries retain their sense of community and care for each other at such times. I don't know if the statement is true or not, but to me even the thought that it might be constitutes a damming indictment on the entire developed world.

The challenge has to be to eradicate the stigma to increase the chances of people feeling OK about seeking help when they need it. The stigma alone can prevent people seeking help and result in the problems escalating in their severity and becoming long-term. That said the statistics show that people rarely have more than one episode of serious illness in their lives. I wonder how many remain ill because recovery can be incomplete or prevented due to the stigma.

By being supportive of those around us, by allowing them to talk, by encouraging them to go for help early I vehemently believe we can jointly make significant inroads into reducing the severity and longevity of many forms of mental illness. To that end I feel we need to encourage people to get informed and no longer be ignorant about the subject, to deal in facts and not in assumptions because even a staunchly prejudiced person may find they could be the next person to become ill.

I don't advocate going on a crusade and turning into a raison d'etre (reason for being), but I do suggest that we become more aware and correct people in their assumptions as and when it's appropriate and when there are openings. After all there is a sharp difference between being dedicated and being obsessive. Obviously this blog is concerned with the subject, elsewhere I do other things and I recommend you do the same.