“Coming out of the mental health closet was also difficult. I tried to hide it from all but my closest friends and family. I did feel shame. I didn’t want to appear lazy when depressed or crazy when manic. Eventually, I did choose to come out as a man with bipolar disorder for the same reason I came out as a gay man. It was time to be who I am.
A study published by The National Center for Biotechnology Information, a branch of the National Institute of Health, determined that coming out of the mental health closet is similar to coming out as a person who is gay. The report emphasized they were not suggesting that homosexuality is a form of mental illness, rather, the public stigma and the personal stigma of each have similar qualities. For example, gay men and lesbians are not recognized by others unless they somehow choose to identify themselves as such. Similarly, most people with serious mental illness are not obvious unless they discuss their illness or mental health history.
From the study:
- This kind of hidden identity may protect the person opting to remain in the closet, i.e., deciding not to let others know of one’s mental health history. People who come out about their mental illnesses may expose themselves to additional discrimination and social disapproval. Research suggests however, that people who are out about their condition often report benefits. Studies on the gay community, for example, identified benefits including less stress from having to no longer keep the secret……
If you have decided to be open about your mental illness, there are some important points to consider.
- Most important is to accept yourself. If you are not fully comfortable with your illness then you’ll probably want to confide in no one except your closest friends or family. Remember, once you tell people you have a mental illness, you cannot take it back. Unlike your local paper, you cannot print a retraction.
- Coming out is not a one-time deal. It is a lifetime process. When you make new friends or get a new job, you will need to decide, once again, who to confide in.
- Prepare Yourself. Start with a list of the most significant people in your life to help you decide who to come out to. Perhaps you’re prepared to tell everyone, or, only your family, or, only your friends. What about your job? Do you work in an environment that will be supportive or could it have a negative impact? If you are unsure, then it’s probably best not to tell your boss or co-workers.”
This post got me thinking about the process of “coming out” about your own mental illness. We have all seen the celebrities like Catherine Zeta-Jones and Jane Pauley (I believe) come out about their own diagnosis of Bipolar II disorder, and as public figures, the news made the tabloids, the celebrity watch magazines, and even People magazines. Most people are not going to have so dramatic an experience as they can choose who to tell, and who they would prefer not to know such as employers or co-workers.
As the quote above suggests from the study done my The National Center for Biotechnology Information (a branch of the NIH): “This kind of hidden identity may protect the person opting to remain in the closet….Research suggests however, that people are out about their condition often report benefits. Studies on the gay community, for example, identified benefits including less stress from having to no longer keep the secret…”
I know that, initially, I felt like a Mack truck had hit me. I was first diagnosed as a Bipolar Type II which is a little kinder and gentler than a diagnosis of Bipolar Type I with Psychotic Features which is my current diagnosis. I was okay with the Bipolar II diagnosis because, me being me, I immediately began researching the idea of the “Bipolar Spectrum”. I cannot battle that which I do not understand. I came to a certain peace with the Type II diagnosis. Then, I got “upgraded” to Bipolar Type I with Psychotic Features. That was when the Mack truck plowed straight into my world. I was shattered, I was broken beyond repair; I mean how do you swallow the pill of “with Psychotic Features”. When one thinks of psychosis, many people think of homeless people talking to themselves, or schizophrenics (the most widely know psychotic illness). However, upon doing yet more research, I began to understand why the tag had been added to the Bipolar I diagnosis. I hear things such as TV’s, radios, people talking; none of these things are real, they are auditory hallucination. I also have a propensity for being paranoid which is another psychotic feature.
It took me about 4 years to accept that my life was forever changed, I had not only been diagnosed with Bipolar disorder, but PTSD, Panic disorder with and without Agoraphobia, and adult ADD (just to add a little icing to my already bouncy brain). It was a lot to absorb. It was nice to know there were reasons for the way I felt, the things I heard and had been hearing since I was a child (I just didn’t tell anyone), that there was treatment available (it took forever to stabilize me). At some point, I became comfortable with the fact that my childhood and teenage depression had morphed into something much more serious, and I began telling people that I recognized as Bipolar as well that I also had Bipolar disorder. I do recognize other Bipolars when I meet them. There is something about this illness that if you just take the time to observe, you will see bits of yourself in another even though manifestation of the illness is different for everyone.
Once I had accepted that this was going to be my life, I felt a very strong urge to tell others; to make them understand that I wasn’t crazy and I wasn’t “moody”, that there was an underlying medical problem with my brain chemistry that I could manage with therapy and medication, but that I would never be able to control. That, by the way, is a very important point. One can never say they have Bipolar under control. One can be in remission, partial remission, etc, but that does not mean you are well. Bipolar can and will come up and bite you on the ass no matter how finely tweaked you are.
Coming out for me was a very natural organic experience. It just happened without any pomp and circumstance. I made no conscious decision to talk about it; I just began dialogues with people with the goal of educating both them and myself. Since, I have always known who and what I am, once I was stabilized on anti-psychotics, and I have a tendency to be too honest sometimes, the words just began to pour out to anyone and everyone. I do not work, but that is one place where I would have to seriously have to consider talking about it.
Bradley makes some very good points some of which are outlined above to consider when contemplating coming out. It is a deeply personal decision, and a frightening one due to the social stigma surrounding mental health. I just decided if I was going to be true to myself, and hopefully educate some people in the process, that I was going to talk about it without fear of stigma or judgment because I believe open and honest dialogue is vital to changing the image that mental illness has. The following statistics suggest it is much more common than most people think.