Living with Mental Illness Requires Self-Discipline
by Sarah Hancock
Some people think that mental illness is really just an excuse for lack of self-discipline or laziness. I mean, how many people have you seen on TV, in the
movies, around your neighborhood, church or home that appear a little off
their rocker, loopy or truly ill. You may think, "Why doesn't he just get out of
bed? Why doesn't he just think positive? Why can't he work a full-time job?
Why does he waste so much time checking and rechecking things? If he'd
exercise just an ounce of self-discipline, his life and circumstance could be
completely reversed!" You'd probably be really surprised how much self-discipline is required to successfully live with mental illness. Let me give you
an idea of what it's like.
First of all, successfully living with mental illness requires self-discipline
because of the patience required when dealing with psychiatric medications. It
takes four to six weeks for medications to start working, meaning that you have
to take them on a regular basis without any evidence that they are working for
three to five weeks. Self-discipline is also required to make sure that
medications are always filled on time.
Second, successfully living with mental illness requires self-discipline because
of the strict schedule you have to keep in order to get enough sleep. My doctor
told me that unless I got at least ten hours of sleep, my medication would not
have enough time to reset my brain. Try being an adult who needs at least ten
hours of sleep. It requires a loving support system and a lot of sacrifice on
everyone's part. It also requires learning how to be more efficient with your
limited time: turning off computers, phones, televisions and taking your
medicines at least an hour before you intend to fall asleep. If a person is manic,
it requires a lot of communication with their doctor to regulate and adjust
things so that sleeping is possible.
Third, successfully living with mental illness requires self-discipline because
the better you eat, the better your brain will work. Who can say enough about
proper nutrition? I'm not going to go into it, but a healthy diet equals a healthy
brain. In addition to the obvious, the majority of psychiatric medications cause
weight management issues because they turn off the "I'm feeling full" switch in
your brain so you feel like you're always starving. You may be familiar with the
"Freshman Fifteen." Many people on a medication called Haldol have what we
call the "Haldol Hundred." Haldol isn't the only medication which causes
weight gain. Weight gain is often one of the leading causes why people I know
stop taking their medications.
There are actually quite a few foods which don't interact well with medications.
Warning labels are attached to many medication bottles cautioning people not
to eat grapefruit. And remember how parents don't want their kids to bounce
off the walls on a sugar high? Many people I know (including myself) who deal
with psychiatric symptoms actually mitigate some symptoms when they strictly
guard their sugar intake. It's hard to go to activities where all the refreshments
are cookies, brownies and cake, especially when everyone around you is
indulging. Finally, regarding caffeine, cut it out if you or your loved ones have
symptoms of anxiety, behavioral problems or mood instability! You will be
amazed at the difference it makes.
Fourth, successfully living with mental illness requires self-discipline because
of all the scheduling involved! Scheduling time for exercise, doctor or counselor
appointments and advocating for yourself or your loved one to have time to
themselves to unwind and de-stress are vital. Even though they are vital, they
are nearly impossible to do without self-discipline.
Fifth, successfully living with mental illness requires self-discipline because
where do you get the motivation from if your brain chemical makeup doesn't
allow you to be or create motivation. It takes a lot of self-discipline to continue
doing things you know you need to do when there is no ounce of interest or
motivation to do so. There is a difference between external motivation and
internal motivation. Often times the external motivation is there, but the umph
needed to get out of bed or take a shower just isn't there because you feel like
your brain has turned off and your body had turned to led because your brain
chemicals are out of whack.
Sixth, successfully living with mental illness requires self-discipline because,
even though your body doesn't get the endorphin rush during or after
exercising, you need to do it to stay healthy. People told me again and again
that if I just got moving I'd feel better. I'd go for a walk or go to the gym and feel
like my brain and body were more heavy laden during and after the exercise. I
was always jealous of those who got that endorphin rush. I think that is part of
the reason that the Haldol Hundred is such an accurate description.
Seventh, successfully living with mental illness requires self-discipline because
you've got to know your limits and stay within them. Anyone, with or without
mental illness, needs to know their limits and stay within them. Unfortunately,
as members of the Church, we often don't know how to say "no" because we
have a built-in "must do all I can for everyone I can" sixth sense. While this
assists us in serving our neighbors, it can be detrimental for our health. Throw
in a mental illness and you've got a mess on your hands. I've learned that since
my symptoms are largely affected by stress and lack of sleep, there are certain
things I just can't do. Girl's Camp, for one example, although a bucketload of
fun, would not be good for me to do simply because if I do, I know I will never
get to sleep on time, especially as a leader. It is difficult in any situation when
people try and talk you into or out of things others can do. My advice, when
you tell someone "no" mean it. There is always someone else who can do it.
When someone tells you "no," it's not necessarily because they don't want to do
it, it's because they can't! Find someone who can.
Eighth, successfully living with mental illness requires self-discipline because
there is a lot of scheduling required. Many different disorders make it difficult
to organize your thoughts. Let me ask you, how can you keep a schedule when
you can't organize your thoughts? It just unwinds from there. Planning and
carrying out things is an essential part of living successfully, regardless of the
situation you find yourself in. Many psychiatric disorders cloud thoughts. To
make matters worse, most medication slows down and clouds the thought
process, compounding the problem. (This, too, requires self-discipline. How can
you keep taking your medication when everything you experience seems to
nullify the reason you take the medication in the first place? In the long run,
for me, I've decided that medication is the best option. Some people chose
otherwise for the very reason listed above.)
Well, there you have it. Eight reasons why living with mental illness requires
self-discipline. If you think someone living with a mental illness lacks self-discipline, review this list and tell me you'd be able to do it better. It's
exhausting, but do-able. It's not easy to always keep up, no one can 100% of
the time. I can't. But, I feel pretty good when I do!
Sarah Price Hancock, a graduate of San Diego State University's rehabilitation
counseling Masters of Science program with a certificate psychiatric
rehabilitation.
Having embarked on her own journey with a mental health diagnosis, she is
passionate about psychiatric recovery. She enjoys working as a lector
for universities, training upcoming mental health professionals.
Sarah also enjoys sharing insights with peers working to strengthen
their "recovery toolbox." With proper support, Sarah
knows psychiatric recovery isn’t just possible — it’s
probable.
Born and raised in San Diego, California, Sarah served a Spanish-speaking
and ASL mission for the LDS Church in the Texas Dallas Mission. She
was graduated from Ricks College and BYU. Sarah currently resides in
San Diego and inherited four amazing children when she married the
man of her dreams in 2011. She loves writing, public speaking,
ceramics, jewelry-making and kite-flying — not necessarily in
that order.