Mocha-Vodka-Xanax and Learned Mental Helplessness
I’ve been seeing a wave of variations on a particular meme… There is this idea, popular among a certain section of modern society, trying to convince us we’re all fundamentally broken, incompetent, and incapable of ordering ourselves. This has lately been expressed as an idea that everybody is filled to the brim with existential anxiety, all the time, and we’re all “on medication”; if you’re not, then why not? It’s the weaponization of mental illness. There’s an attitude that you can’t hold me accountable for things because I am anxiety stricken, and it’s painful to me to be put on the spot. Simultaneously, it’s a badge of honor that I can wave for attention — I have anxiety.
Folks, this is not normal and definitely not desirable to normalize. Panic over trivial, minor, and ultimately unserious things is not appropriate. One should not be afflicted with anxiety over simple choices and everyday things.
Stop falling for this gaslighting.
There is a concept sadly lacking application in our current society. This concept is that we become inured to hardship. It’s a great word, seldom heard these days. To become accustomed to a difficult situation or condition, to toughen up, to grow a callus.
Why are we failing to become inured to things? There are a few obvious culprits. One is that we are a victim of our (societal) successes. Although it contains some problematic assumptions, there is a counter-meme floating around: that hard times create competent persons, that competent persons create conditions for easy living, and those conditions enable weak persons to create hard times. That’s a topic for deeper delving another time, but it seems difficult to refute the idea that we have created conditions where it seems unnecessary and superfluous for some people to put children through rigorous conditions and processes. So without an introduction to struggles, they are unprepared for struggle when it finds us, like a muscle left unexercised or a tool never sharpened.
Another is that the stories we tell affect us. We create and live up to certain mythologies. Some of them may be about tough pioneers. Other stories might be about being free from the constraints of economics; yet another might be that we are bound by chains of oppression. These stories shape how we see ourselves and therefore what the guard rails of our appropriate reactions may be. If the story is, as seems so often today, that the world is complex, and we’re very small, insignificant pieces of a machine, with no control over our own destiny, and it is only normal that we are overwhelmed by this, then we’re probably going to allow ourselves to be overwhelmed even when it is not necessary; just like someone who has convinced themselves that an aggressive response to any hint of competition may lead them to be overly aggressive even when not needed. The stories we tell are all morality plays.
The spur for these ruminations were two things I saw within a few days of each other. One was a sign in a coffee & book shop. I’m a hugely bookish nerd, so I love these places, and books can certainly be a refuge for the timid. This particular sign is suddenly common; signs, coffee mugs, t-shirts…
Here we encourage (jokingly, of course! It’s just a joke, folks! Except it’s not…) the abuse of drugs and alcohol, as an ordinary part of presumably everyone’s life. Seeing this sign the other day (been seeing similar stuff for quite some time) spurred me to examine some trends and think about it. Claiming a mental illness is one of those silly trends of the privileged wealthy that they can use to signal they are above consequence, that then trickles down to the poor and disproportionately harms them. I read some thoughts on this some years back and became more formally and distinctly aware of it as a thesis. But I always instinctively knew this. Poor kids cannot get away with the stupid shit that rich kids walk away from seemingly unscathed. You don’t see the same blithe acceptance of “crazy” in ethnic minorities that you do among (particularly the financially privileged) white majority. It’s a shame that stigma exists to the point where many Black, Latino, or Asian Americans & poor Whites won’t avail themselves of treatment, but the over-use of mental illness as an excuse for poor behavior among rich and increasingly middle class whites is not admirable.
Privileged people doing outrageously stupid things for attention is nothing new, of course. It used to be conspicuous consumption and waste. When most people are literally starving, nothing says you’re better than them like overeating, throwing up so you can eat more, and then wasting the rest. You can’t go do physical work in medieval pointy-toed shoes that connect to your kneecaps. You can’t do anything useful if you need servants to carry pillows around under your hands to keep your Mandarin class fingernails from being damaged. These are not indulgences the average person can afford and they’re not GOOD for the rich either, but they have enough resources available to tolerate it. Single parenthood, abusing drugs, and indulging bad behavior and lack of self discipline that you then duly repent to your therapist… rinse and repeat… none of these make life better.
Think of the wine mom trope; “Oh no. Parenting is so hard. Kids drive you crazy. I need wine” says the stay at home mom whose kids are in school all day while she goes to yoga (in the 60s these were upper class rich white ladies with hired housekeepers). A male acquaintance wonders, “Why are you complaining? Your husband pays the bills and you’re only putting in part time at best,” and the wine moms close ranks with a vicious will. “Everybody knows” being a mom is harder than literally anything, and ANY challenge of that assumption (not even about the heavy responsibilities of parenthood, but any aspect of the choices one makes) must be immediately destroyed. Challenges must DIE.
It’s one thing to joke about “needing” a glass of wine to deal with the kids. It’s a different thing when you’re not joking, and you’re asking other people to co-sign the necessity. At what point does a humorous trope become a self-indulgent meme and defensive mechanism for bad behavior?
It’s probably not a bright line. For most people, having a glass of wine and relaxing after a stressful day is not a problem. It’s not even a bad way of managing minor daily stress through self care and taking time to recruit oneself. When it becomes 3 and 4 glasses every night, then a couple bottles, and no other substitute for boozing can be found, and that is entirely someones else’ fault… that’s not just having a glass of wine and appreciating small pleasures in life.
Of course I am not a doctor, and especially not a mental health professional. I did personally go through a pretty serious bout of depression a bit over 20 years ago that, in retrospect, I perhaps should have sought some help for.
But I was able to pull out of that dive with a combination of simply doing my duty by myself and family, exercise, and diligent self improvement and focused career effort. (I mean diligent, double and triple time effort to improve my situation at work through education and other means.) The depression was primarily due to external stressors, but those external stressors were exacerbated by my poor choices that led to experiencing them. They didn’t reverse just by making different choices, but they did slow down and eventually turn around by first, having stopped digging myself further into the hole, and then second by intelligently and in a self-aware manner working to get out of the hole.
Straighten up and do what’s right, and many external stressors can be reduced or eliminated. Continue to make bad choices and they only get worse.
That doesn’t help people with medical conditions that are beyond their control, or some external pressures. Circumstance can go too far and sometimes it becomes beyond an individual’s capacity to change course on their own, especially with financial stuff and other people’s bullshit. But I remain firmly convinced we are often our own worst enemy because of the stories of persecution and personal blamelessness we tell ourselves. Take agency and work to make things better. You may or may not succeed but even if you’re not perfectly successful you’ll still feel better about it. PTSD is highly associated with feelings of helplessness in the face of the stressors. Taking action at least lets you know it wasn’t your fault; you weren’t complicit in doing it to yourself.
I wonder how many people would be helped by being open-minded when someone tells them “Yes your life DOES suck. But it doesn’t have to, and you can turn it around; in fact, you’re the only one who can steer to turn it around, but we’ll help push the vehicle if you make the effort to steer it.”
Rather than; “Man, that must be rough. Here are some pills. Fuck the system.”
The stories we listen to, lent weight by repetition, and never questioned – these form the context through which we filter our perception of reality. These stories may momentarily allow us to excuse ourselves from unpleasant duties, but significantly, they don’t actually change reality without action. Those chores never go away on their own.
Likewise, if one says that the poor must change their ways in order to not be poor, that is a challenge to the accepted narrative of oppression (even if one does not deny that oppression and unfairness exists) and the “everybody is broken, nobody can do anything about it“ crowd must forcefully reject whatever comes next.
To be clear, there’s nothing morally wrong with being poor. But there’s nothing particularly morally uplifting about it, either. It does generally force one to think very practically about some things, but the shocking amount of mythologies poor people hold dear that are directly contradicted by fact and example is surprising, too. Things that they (we) tell themselves that work to hold them down. People have an amazing ability to fool themselves about why things are the way they are, if the true answer requires them to take any portion of the responsibility for it and make an effort to change it.
Cultural expectations that you are largely responsible for where you end up, that making good choices is incumbent upon each of us, and that we do have the ability to effect change, these are best practices that create leverage and are enablers for individual success.
You can still succeed even if nobody around you believes these things. They’ll just hate you for it and make excuses.
Another of the problems of the internet & social media – things that were never meant to be taken seriously suddenly are.Report
PJ O’Rourke once made a comment about Washington DC workaholics, that when you can’t measure your output, it makes you obsessed with your input. I think in the internet era it’s no longer possible to measure a person’s effort (at least in a lot of cases), so we attempt to quantify it in terms of percentage of total endurable effort. If I can convince others and myself that I’m at my breaking point, I can’t be accused of slacking.
Of course, the way we use our time these days also maximizes stress. If we’re sitting still for 30 seconds we have to check our social status and conduct hand/eye coordination drills.Report
I think you’re reading an awful lot into a sarcastic joke, here.Report
Great read. I think you’re right. There is a whole culture of dealing with anxiety that doesn’t actually promote getting to the root of your anxiety and working past your issues, but rather cultivating that anxiety and turning into some kind of coddled lapdog that you tote around with you and feed expensive snacks. This won’t end well.
As to causes, I think that there are a couple of big ones. One, we live in an increasingly bureaucratized society in which people require all sorts of special permissions and carveouts to function outside of the standardized norms. Think about the number of kids who have medical diagnoses to allow them extra time on tests. Likewise, we have an environment where if the median person engages in some benign venting about life, they run the risk of being called our for their privilege or being told to “read the room.” One way to avoid that, is to give yourself a recognized condition that makes it OK for you to feel bad about things.
The other thing is that social media algorithms reward certain kinds of interactions. Merely being OK, just generally happy and competently dealing with life’s ups and downs won’t get you much attention. So, if you want the clicks, you need to either present yourself as being ether “#SuperHustleGoHardNoSleepCan’tStopWon’tStop” or “OMG! Life… Wine? Sure just one… bottle.”
The internet truly has no chill.
It’s OK to not be OK, but it’s also OK to be OK. The catch is that you yourself have got to be OK with being OK, and not need the external validation. If you can do that, you’ll be… OK.Report
It’s one thing to have anxiety or ADD/ADHD and need a bit of consideration, it’s something else to have such things, know that you have such things, and be blase about it. Get help, get an actual diagnosis, get some meds if you can. And recognize you have to own it.
My kid has ADD, and while the meds make things easier for him, when we forget to give him a dose, we don’t let him off the hook for bad behavior.Report
I am a big proponent of consideration. So much so that I think getting some shouldn’t require the production of a medical billing code. But for the most part, we are stuck in systems that lack the flexibility to make those kinds of ad hoc calls. Until that changes, I expect that people will continue responding to the present set of incentives.Report
“As to causes, I think that there are a couple of big ones. One, we live in an increasingly bureaucratized society in which people require all sorts of special permissions and carveouts to function outside of the standardized norms.”
Slightly tangential, years ago I was sitting in an airport waiting for a Southwest flight. If you aren’t familiar with Southwest, they don’t assign seats in advance and instead folks are grouped based on a variety of factors and seats are then on a first come, first served basis. I watched as a dad traveling with his partner two young children approached the gate to ask if he could be given priority boarding status so they could sit together. For whatever reason, this wasn’t an automatic give… I think because they had two parents so theoretically each kid could sit with one parent and be presumed to be fine. The dad was trying to explain why he thought it best they sit together and the woman kept telling him that unless he could identify a hardship, she couldn’t grant his request. She was trying to signal to him that he should just insist on a hardship and she’d grant the request but until he said the magic words, she couldn’t do it. He wasn’t getting the clue (he was a parent of young children in an airport, afterall… the brain frazzles quickly in those scenarios) and was getting increasingly upset. Finally, the attendant took him away from the counter and quietly but firmly told him, “Just say you have a hardship and we’re good to go.”
It was corporate bureaucracy at its finest: it wasn’t enough for the guy to just make his situation know and ask for consideration; he had to use the proper magic words.Report
I’ve gotten to know a lot of people who say they have anxiety issues and come very close to someone whose anxiety issues were from time to time really a stumbling block in life. Wound up having to break off my relationship with that otherwise-quite-enjoyable person because of the way the anxiety got handled.
I don’t know if claiming anxiety problems is somehow fashionable, or if it’s becoming a convenient excuse for some other thing. I now know that the reality of one is not a status symbol, it’s a serious stumbling block. I’m so happy for our author to have found a way through it.Report
Freddie has commented on the proliferation of this mental disability as a marketable/celebratable characteristic on the internet a lot lately too. It’s a strange and interesting phenomena.Report
It is odd, really, that mental illness went from still being pretty heavily stigmatized just a few years ago, to being almost faddish.
Mostly people are just trying to understand their own lives, and this is the way that young people know how to do it right now, but more than that, even if there were a few down sides, it’s so much better than mental illness being stigmatized that it’s hard for me to be bothered by it.Report
Agreed, I can’t exactly find it in me to hate the current phenomena considering the alternatives.Report
To the extent there is reason for ambivalence I would say it has to do with a combination of gaming the system where a diagnosis provides an academic advantage (untimed testing for example), and the fact that the better healthcare systems in the world tend to be much more restrained about diagnosing (or at least medicating) some of these issues in younger people. Being in healthcare tech I have heard of a number of pharmaceutical manufacturer backed concepts that are deployed in the US but not in Europe for the simple reason that the culture is different about medicating children and the lack of ‘fee for service’ model is a lot less conducive to the ‘we have a pill for that’ model of medicine.
That said all of this needs to be balanced against the benefits that I’m sure many people receive. I also sense a lot of the chatter online is really more ironic/sarcastic and shouldn’t be taken overly seriously.Report
Yeah I doubt all the people on Tiktok pretending to have dissociative disorder are actually on anything except their own supply.
The rest of the world has kind of a sweet deal vis a vis America’s medical industry in that it pumps out mountains of products to foist on America and then the rest of the developed worlds medical systems cherry pick the most efficacious and useful of those products for their own systems.Report
I think most of them just don’t understand that normal thought patterns involve tension, that perception of one’s identity changes in different situations, et cetera. Ironically, they don’t understand that sexual passions can be unpredictable, too.Report
As I mentioned up-thread, as long as it’s not an excuse to misbehave or treat others poorly, I’m all for people owning their mental illness.
Example, the ex-husband of a friend was recently diagnosed bi-polar. He knows he is, he has meds, but he still treats the people around him like crap and then blames his mental illness. I mean, there is a reason he’s divorced.Report
There’s having a mental illness and there is being a jerk.
Sometimes, the manifestations of a mental illness may make a person seem jerk-ish when they’re really not. Hopefully those people are given space, support, and empathy when such moments arise.
Sometimes, people are just jerks.
Sometimes, people who have a mental illness may be a jerk for reasons wholly unrelated to their mental illness. In such situations, no one is served by excusing the bad behavior… not the person themself, not the people around them, and perhaps least of all, other folks with mental illness whose acceptance may suffer because of the person being a jerk and trying to excuse it.
And, sometimes, I do think folks may be sincerely confused about where the line is between a mental illness and bad behavior, thinking that the latter is unavoidable because of the former, when in reality that probably isn’t the case. These are usually the hardest situations to navigate as it is a challenging balance offering support, understanding, and empathy while also holding the person appropriately accountable and not infantilizing them because of their illness.
Beyond any of this, I fully cosign with Chris that the alternative is worse. Better people attribute too much to mental illness than feel too stigmatized to even make it known.Report
“… it’s so much better than mental illness being stigmatized that it’s hard for me to be bothered by it.”
My issue is that I don’t think mental illness has really become less stigmatized. It’s still not cool to be a homeless schizophrenic.
Instead, what we have is a trendy coalescence around certain kinds of high-functioning neurodiversity and anxiety. It’s cool for a high school kid to talk about how his ADHD or mild ASD are a superpower, but let them so much as doodle a knife in the margins of their notebook and the school resource officer will have him in a chokehold. It’s cool for a wine mom to post memes about needing xanax, but let her start showing actual symptoms of psychosis. The other moms in the sub-division won’t think it’s so charming at all.Report
This is a really good and interesting point and I think helps illustrate the false dichotomy between stigmatization and celebration that we often see to juggle between. I remember a conversation with my brother — who has some mental health issues that he was just beginning to make sense of at the time — and he was adamant that I not consider any sort of mental health issue/illness as a weakness. And I really struggled to wrap my head around that because it seemed to push the pendulum too far to one side and, I worried, might actually be counterproductive. There’s got to be space between completely shunning and stigmatizing people who have a real issue that is beyond their choice to have and celebrating every form of mental illness as a super power that should be warmly embraced as some sort of gift.
But I’m also someone who has been fortunate enough to never really struggle with mental health issues so that could be my own naivete and/or privilege speaking.Report
I haven’t seen the numbers, but I’d be willing to bet that the number of people seeking mental health treatment for pretty much all disorders is up, and for some at least, way up. Sure, there are a lot of people who talk about their anxiety or depression who do not really have pathological/clinically significant levels of anxiety or depression, but another thing that has become significantly less stigmatized over the last few years is mental healthcare.Report
In the circles I swim in, there is undoubtedly a warm embrace of mental healthcare (e.g., therapy) as a general form of personal upkeep as opposed to something you only pursue when there’s a “problem.”
To clarify my point a bit, I think everyone should be embraced fully regardless of their mental health. But I would stop short of telling everyone with a mental health issue or illness that they should embrace and celebrate the gift they were given because for many folks, it can really be a struggle and source of challenge and frustration, which ought to also be an acceptable way for folks to feel about their experiences.Report
Oh yeah. I think the celebration is more of the person with the mental illness than the mental illness itself. I’ve never met a person who’s experienced major depression and would celebrate it, and while people with anxiety disorders will often claim the anxiety actually helps them, that predates the wide acceptance of anxiety disorders, and is less a celebration than a failure to understand what life could be like without high levels of anxiety.Report
I think even less common, and perhaps we might say more extreme, mental illnesses, like bipolar and schizophrenia, really have become significantly less stigmatized. The issue is a.) they were significantly more stigmatized than depression or anxiety to begin with, so they had further to go, and b.) some of common effects of having those mental illnesses (e.g., economic instability generally, and housing instability in particular) are still stigmatized, independent of the mental illnesses themselves. In particular, people who are experiencing homelessness remain the one group of people that both conservatives and liberals alike feel OK discriminating against or generally treating like sh*t.
But really, the change even for extreme mental illnesses are incredible over the last few years. With bipolar, it’s almost as great as it is with more common illnesses like generalized anxiety disorder. Schizophrenia is tougher, because it’s rarer, and therefore hasn’t become faddish, but I’ve seen up close how different people treat schizophrenia (outside of the context of homelessness, in which people who’ve never experienced homelessness tend to be complete ghouls towards those who are currently doing so).Report
There are mainly two types of negative responses to mental illness. If the hearer can relate to the problem, like a mood disorder or addiction, the response can be belittling. Oh, you just need to learn to focus more. Sure, we all have bad days. Don’t make such a big deal out of it.
If the hearer can’t related to it, then the response is more likely to be fearful. No one likes to be told that human brains can be that at odds with reality.
Now, sometimes the casual “get over it” kind of advice isn’t terrible, if the person is experiencing a mild form, or if part of the treatment involves putting in an effort. And sometimes there are legitimate reasons to be afraid of a person with a severe mental illness, but that’s due to the state the person is in, more than the condition itself. So it’s complicated.Report
Mentally ill people are very rarely violent. There’s very little to fear someone unless they are being violent or threatening to be so, and this goes for non-mentally ill people as well.
The fear of mental illness has been a part of the stigma forever, of course, but it’s exacerbated by using mental illness to explain mass shootings. It is a truly disturbing countertrend.Report
It used to be that “she’s not autistic, she just says she is to excuse how she’s a total shit to everyone in her life” was a joke…Report