#HowOCDWorks: Typical Anxious Woman

“My wife’s got O.C.D and keeps asking me to help clean the house.
Her loss though – I refuse to do it until she asks me perfectly.”
Internet proverb (Sickipedia)

Let’s start with compulsions.
So imagine there’s a woman called Rose, who’s putting clothes into her washing machine. Halfway through, she gets worried: what if the cat manages to get into the washing machine before she closes it?
It is possible. Rose’s cat is not very bright.
Rose checks the washing machine. She checks it again, just to make sure. She goes back to getting clothes out the basket. But as soon as she looks away from the machine, she starts to worry the cat might jump in and hide in it while she’s not looking.
So she looks at the washing machine, puts her hand under the clothes; no cat. She knows it’s stupid, but somehow, she still thinks the cat might be in there. Her brain is telling her that her senses are wrong.
Rose is 30 years old. She takes all the clothes out and dumps them on the floor. She is still finding it hard to believe there is no cat in her empty washing machine.
This is me trying to illustrate what it’s like living with my form of OCD. You check and check, but your brain is still telling you “This isn’t right.”
A compulsion is a repetitive behaviour or mental act that people feel driven to perform as a result of anxiety, caused by their obsessions. For me, compulsions are often caused by a general anxious feeling; a sense that something is wrong, but if you check it might be OK.
Eventually, you reach a point where your thinking mind and your brain’s entrenched faulty mechanisms are battling each other. It’s like having a very concerned, persistent demon following you.
You: I’ve locked the door.
Demon: But is it locked? Check it.
You: I just locked it.
Demon: But is it actually locked?
So you go back. You check it. Just in case.

So, onto the joke I started with:
People find OCD compulsions funny. Why is that?
Here’s my take: in many people’s minds, OCD means compulsive tidying, cleaning, checking and worrying. And I don’t think it’s coincidental that this stereotype overlaps with ‘humorously’ sexist views of women. Google OCD jokes and you will see what I mean. Many of the traits we associate with OCD are also stereotypically feminine traits, which both men and women are mocked for displaying.
Why is the “cleaning the house” joke funny? Would it be as funny if it was about a man? Is it still funny to read about a woman who had to leave her family because of her compulsive cleaning*?
We’re starting to understand that people with extreme compulsions need help; but at the same time many women and girls with OCD are discouraged from getting help at all.
Why? Because they’re told in so many words that they’re “just an anxious woman”.
If they’re a mother, they are told it is natural to worry. If they’re a teenage girl, they’re told it’s school stress or hormones.
Society often associates OCD with checking up on people, being anxious, clean and tidy, overprotective of children and afraid of the outside world. People joke about tidy women being “so OCD”; or “my mother is so OCD, she’s always nagging.”
OCD is associated often with gender stereotypes like the female neat freak: the fussy, repressed, controlling woman, often a housewife, who’s “completely OCD” and would definitely check for cats in the washing machine. Bree from Desperate Housewives springs to mind:
Bree Van De Kamp is not impressed by your feeble attempt at humour.

Yeah, women like this exist. Maybe some of them have mental illnesses, others are simply tidy and fussy. But we’ll never get anywhere if we assume every woman is the same.
We need to accept that our stereotypes of people with OCD can intersect with stereotypes, often negative stereotypes, about women and girls.
The fact that real-life OCD is not always like the stereotype means that people of all genders might not even realise they have a mental illness. And conversely, many women and girls with OCD are still socialised to not realise their compulsive checking, worrying or other behaviours might be signs of a mental illness.
What we need to do is reevaluate our collective view of OCD, and look at how that view intersects with society’s view of women and girls. Because the picture is not pretty.
I am a 22-year old Woman Who Checks. I accept that I am an Anxious Woman, owing to a mental illness. But if I hadn’t been constantly told that worrying was normal and that I was just a sensitive anxious girl, I would have got help much sooner.

*The story is one of many cited in Jeff Schwartz’s Brain Lock. Highly recommend it.

Addendum

Misdiagnosis in general
NAMI:
“OCD is often misdiagnosed, and it is often underdiagnosed. Many people have dual disorders of OCD and schizophrenia, or OCD and bipolar disorder, but the OCD part of their illness is not diagnosed or treated. In children, parents (and teachers and doctors) often are aware of some anxiety or depression but not of the underlying OCD.”

Misdiagnosis in women for OCD
BJGP: “A hidden problem: consequences of the misdiagnosis of perinatal obsessive-compulsive disorder”.
”Detection and help-seeking for all perinatal problems is low relative to the prevalence and this is particularly true of anxiety,4 although little evidence exists regarding OCD. In perinatal OCD, the shame of disclosing difficulties is often compounded by fears of being misunderstood by professionals and being judged a potentially harmful parent. Parents themselves may not make sense of their experiences as OCD, particularly if they have no previous history. This may be particularly true of those experiencing thoughts of deliberate harm who often fear they are ‘going mad’.”
More on OCD in parents – “It may be particularly difficult for mums first to recognise their experiences as OCD and second to seek help due to the shame and secrecy associated with the illness, especially at a time when they themselves and those around them expect them to feel happy. As there is often a lack of awareness of OCD during pregnancy and postnatally, people are rarely asked about these experiences by professionals. Despite recent breakthroughs in awareness, understanding and treatment of OCD, many GPs and mental health professionals may still not recognise the symptoms of OCD or even know how to correctly treat the disorder.”
Myths about OCD: includes the myth that OCD is a “women’s disease” which shows how feminised the OCD stereotype is. This is despite the fact that OCD affects people of all social groups and genders at the same rate.

… and for other illnesses
Essay on trauma, mental illness and misdiagnosis: “Pollett writes that individuals who have experienced violence, like others dealing with mental health problems, face mental health treatments that are primarily based on the biomedical model (focused on biological and genetic factors of mental health instead of social determinants such as poverty, housing, stigma and past experiences of violence). Women who require mental health services often receive inappropriate diagnoses and treatment or are denied services because their behaviour is misunderstood or stigmatized.”

In addition, the book Preventing Misdiagnosis of Women: A Guide to Physical Disorders that Have Psychiatric Symptoms, by Elizabeth A. Klonoff has an interesting discussion on theories about gender-specific stress being a contributing factor to anxiety disorders. (p. xxii)

Stereotyping
“Ho
w can I be just like Bree Hodge?”: (Answer: “develop an unhealthily extreme case of OCD”)
OCD jokes: Sickipedia
Woman explains her OCD:When I first went to my doctor and she gave me the diagnosis, I disregarded it: ‘I’m not washing my hands or constantly rearranging the spoons, so it can’t be OCD’.”

#HowOCDworks: Talking about OCD

Last Christmas I bought a graphic novel called The Nao of Brown. Huge, absorbing and intimate, it was the story of a young London woman of colour living with OCD. For the first time, I could see my own illness – flashes of intrusive thoughts, irrational fears, obsessions and compulsive habits – visualised in front of my eyes.
I thought about recommending the book to my family, but decided against it. One, the more you bang on about a book, the less people want to read it; two, did I really want them knowing what OCD was like?

Skip to now. I walk into the kitchen at home, and find my dad reading the book. I do a double take. Although he knows I have OCD, we’ve never spoken about it very much.
We discussed the book. Then this happened:
Him: “So is this what it’s like, having OCD?”
Me: [hesitates] “Yes, it is. But…”
Then we talked about it.
Nao of Brown is not a perfect book – it forces OCD into a cinematic narrative, along with other problems. But still! He had been given an insight, we’d had a conversation about it. I was amazed that a single book could do that.

The thing is, OCD is hard to talk about.
The problem with speaking about it in any way is that it is a very misunderstood illness, one that plays on our worst fears. For many people, it’s hard to speak about any of their OCD obsessions, fears or worries at all.
We’re developing the tools to talk about depression, self harm and eating disorders, and I’m forever thankful for it. But there’s work to be done.
It’s not always enough to hope a book ends up in the right hands; being able to talk about OCD gives you power. So does having your mental illness respected and validated.
These are some usual responses to disclosing that you have OCD:

  • “What’s OCD?”
  • “OCD? But you’re not neat”
  • “Oh, I saw a documentary about that!” [goes on to explain how OCD works]
  • “But OCD’s a SEVERE mental illness. People are COMMITTED because of OCD. You don’t have OCD. You’re just anxious. You’re an anxious person. You should try improving your diet.”
  • “Are you sure you have OCD?”
  • “So what’s it like having OCD?”
  • “I have OCD too! I’ve got these weird habits like only eating red smarties!”

I don’t blame anyone for saying things like this. It’s hard to know anything about OCD when it’s so misunderstood and there is so little information about it. It’s a vicious cycle: OCD is hard to talk about: we have very little cultural precedent for discussing OCD openly, which makes it harder to talk about. So we don’t talk about it.
But we can change that.
For people with OCD, it should be possible to verbalise the fact that you have OCD without necessarily having to:

  • explain your entire experience of living with a painful mental illness
  • talk about your actual intrusive thoughts and obsessions to a near-stranger, as though you’re speaking to a therapist
  • clarify that you’re not making it up
  • have your honesty and self-knowledge questioned
  • have your illness trivialised and compared to other people’s silly habits
  • having your life experience taken as being universal for everyone who has OCD

So for people who don’t have OCD, here are some ways you can help:

  • Don’t ask people with OCD to explain their lives to you, if they don’t want to!
    Everyone’s experiences are different. Mentally ill people are not robots who can explain their mental illness to you on command.
    You need permission, trust, and respect to have conversations like this.
    I am happy to talk about OCD if you have my permission and trust, and I know there is enough respect between us for you to take it seriously!
    Similarly, if you don’t know the person well don’t ask what kind of intrusive thoughts they have. This is an upsetting subject for the person with OCD, and it takes a lot of trust to discuss it.
  • Don’t assume people with OCD are all neat.
    Some of us are neat. Some of us are messy. Some of us have OCD rituals like cleaning, others just have intrusive thoughts. Some of us are shy, others are extroverted. Many of us have other mental illnesses, or mental or physical disabilities. Some of us have mild OCD, for other people it is so severe they have to be hospitalised.
    In short, just accept what the person is like. Accept their experiences are real. Don’t use their personal habits to question their OCD.
  • You are not an expert because you read one article or watched one documentary!
    Most documentaries and articles about OCD pick the most sensational cases. If you don’t have OCD, you are much better off assuming you don’t know much from the jump. And don’t hand out diet and lifestyle advice when it’s not asked for.
  • Don’t explain to people who have OCD what OCD is like.
    We know, dude.
  • Don’t assume the experiences of one person with OCD are universal.
    People have done this with me, which is why I try to clarify that my life experiences are not the norm. Nor am I an expert: I’m just a young white cartoonist, in South London.
    There is no such thing as a typical life experience, or a normal manifestation of OCD. Be open to the fact that people’s experiences are different.
  • Do not ask people if they’re “sure” they have OCD!
    If someone has diagnosed themselves, they are probably already questioning and feeling a huge amount of self doubt. If you’re not a doctor and don’t know much about OCD, there’s no reason for you to add to that load.
    If someone is officially diagnosed by a doctor, they’re probably already worried that no one takes their OCD seriously.
    If the person who has disclosed OCD to you is a friend or colleague, offer your support. If they’re not close, accept their word. It is OK to say you don’t understand and OK to ask questions, so long as you ask permission first.
  • Don’t trivialise. Don’t crack a joke.
    Disclosing a mental illness isn’t usually much fun: it takes trust. People disclosing will probably be nervous. It’s generally not the right time to try and lighten the mood, especially if you don’t know the person too well yet.
    Be sensitive to the tone and subject of the conversation.
    Yeah, some people cope with difficult situations with humour, and people with OCD might do that too. But there’s a time and a place for everything. The person disclosing will probably be a lot more nervous than you!

That goes for other mental illnesses, as well!

Anxiety & Me, part 6: About Mr Milligan

[this is the last in a series of six essays on creativity and mental illness, which will be serialised on Bootleg Noise in the coming weeks. Read part one here]

I was brought up worshipping comedians.

I knew that Tony Hancock, Paul Merton, Spike Milligan and a lot of the others were mentally ill, and always somehow assumed it made them funnier – that it fed the black humour that made them special. I assumed their illness gave them insight into a kind of dark wisdom that other people didn’t have.

But then I saw a picture of Spike Milligan in a depressive episode. He looked destroyed. A sad, broken old man. And I realised something then: wherever his art came from, it didn’t come from bipolar.

“I cannot stand being awake,” Spike wrote about his illness. “The pain is too much … Something has happened to me, this vital spark has stopped burning – I go to a dinner table now and I don’t say a word, just sit there like a dodo. Normally I am the centre of attention, keep the conversation going – so that is depressing in itself. It’s like another person taking over, very strange. The most important thing I say is ‘good evening’ and then I go quiet.”

What on earth can you learn from something so awful?

Some would say that there are a handful of qualities you can develop, if you live with mental illness. Compassion. Empathy. Gratitude. Experience. Mindfulness.
Well, yes. But these are all things you could learn anywhere, in any circumstances. None are linked directly with mental illness, or indeed, with any negative life experience. They are all qualities that we, thinking people that we are, develop ourselves as we grow – and it’s possible to develop them even without a mental illness.

In contrast, creating art usually requires a lot of very practical skills and attributes. Like concentration, energy, stamina, and a basic belief that what you’re doing is worth the time you put in.

All these qualities are contingent on being able to sit down and work.
Which is difficult, if you’re not at your best.

If you can do it at the moment, good. If not, don’t blame yourself. Most importantly, when you can create, it doesn’t matter what your brain is like – it’s what you do with it that counts.

There is no direct correlation between being “a little bit mentally ill” and being an artist. It’s absurd – like saying that you need to have imbetigo to be a traffic policeman, or that you can only be an accountant if your dog got run over. Again: having depression or anxiety is an illness, not some kind of creative superpower.
Yes, we can use mental illness – because that’s what we would do anyway, using every scrap of experience to build something new and beautiful. Yes, we can and probably should talk about it in our work, opening up a space for those who feel scarred by it.

But let’s destroy the assumption that someone must become more interesting and creative as soon as their brain starts to riot. Forget the idea that all artists are somehow damaged, that troubled artists should feel fired up by their experiences instead of thinking “well, that was a bit shit”. Dismiss the supposition that we must all be productive all day, every day, or else we are failing. Mental illness is a fact of life; and there is a deeply personal connection for every artist between work and life experience, which defies attempts to be universalised into a feel-good message about how illness makes us braver and more creative.
It is our own talents, experiences, voices and strength that make us into artists. Not our weaknesses.

Anxiety & Me, part 5: “Dad, I’m Scared About Aliens”

[this is the fifth in a series of six essays on creativity and mental illness, which will be serialised on Bootleg Noise in the coming weeks. Read part one here]

Over the course of my life, I’ve been told frequently that OCD and depression are a personal failure. Maybe I’m not reading enough, not writing enough, doing the wrong exercise, or eating unhealthy food. Maybe I’m just making a fuss – after all, everyone gets worried sometimes, yeah? Maybe I’m just a bit of a non-starter.
“People with mental health issues must be doing something wrong!” This message has seeped into every pore of our culture, and it’s often repeated by people who have no idea what they’re talking about.
No matter how much we explain that being unwell can actually prevent us from reading and writing – and drain the energy needed for exercise, cooking or work – it’s still assumed that the root cause of the problem is the ill person’s lifestyle and habits. We end up believing somehow that when we feel too ill to create art, it’s our own fault.
Anxiety in particular is often seen as a flaw, something you can get over if you try hard enough. As a child, I was told it wasn’t a real problem: “Twelve-year olds can’t be depressed! Just try and stop worrying!” I was vaguely aware one shouldn’t be constantly fretting, but assumed it was something I was doing wrong. Nobody around me talked about mental health, nobody I knew went to counselling; I was just “high strung”.
To me, mental illness meant being sectioned, like the vampy bipolar mother in Jacqueline Wilson’s The Illustrated Mum. There seemed to be no fictional characters who just happened to have brain issues.
And in general, I got the impression that mental illness was a sort of scary, glamorous, soul-destroying malady that only happened to grown-ups. It seemed you couldn’t really have it unless you were sick enough to be in a hospital, and all being well you should just crack on with your day and stop worrying. If you couldn’t get over it, you weren’t trying hard enough. This wasn’t some distant faraway past either. It was inner-city Birmingham in the noughties.
These misconceptions are held by people everywhere, and I have no doubt that other young artists from vastly different backgrounds are being faced with the same prejudices. Even after I educated myself and learned that anxiety disorders and depression were not flaws or weaknesses, but illnesses, I still found myself wondering why I couldn’t just get over it.
Then I wondered why my mental illness wasn’t making me more creative: instead, it often just made me restless, irritable and unable to produce anything.
Since then, I have sometimes wondered if my imaginative wordy skills are related neurologically to mental illness. I don’t know for sure – but you know what? I don’t care, either. Because ultimately, it doesn’t matter.
The important thing is to be well enough to work in the first place.
Poor mental health is not a personal failure, but neither is it some perverse superpower that drives people to create masterpieces. You make your work; your sickness doesn’t.

Anxiety & Me, part 4: Tragedy and Triumph

[this is the fourth in a series of six essays on creativity and mental illness, which will be serialised on Bootleg Noise in the coming weeks. Part one, part two, part three]

Mainstream media has made great leaps in de-stigmatising mental health, with many prominent celebrities like Stephen Fry opening discussion. But somehow it often seems to be mentally healthy people who feel so very, very inspired by these stories, while those of us who are chronic, or not fully recovered, sometimes get a bit frustrated with what’s not being said. Sometimes we feel unrepresented by the people who claim to speak for us.

Success stories sell – as do stories about plucky people recovering from their Big Bad Mental Health Problem. The journalist Caitlin Moran wrote a Times column about her anxiety, claiming that the problem was helped not by medication or counselling, but by telling the thoughts to be quiet; now her anxiety was “not totally over” but the “spell that kills [anxiety] is simply SHUT UP”. And her pal India Knight wrote a column, also in the Times, claiming that “everybody gets depressed…You long for someone to say: “I felt like crap for two years and then I got over it. Which is, by the way, what normal people do”.

One problem with these folksy presentations of mental illness is that they assume everyone’s problems will be helped by the same techniques. More importantly, the issue is always placed firmly in the past tense: “I was anxious, but then I…”

Our culture is full of these stories. The real problem is that young, talented people with mental health problems absorb them and suddenly feel immensely pressured to recover, to be normal, or to be a success story (“if only I could just turn my depression into art…”)

Media shows us who we can be. Women artists with mental health problems – Amy Winehouse, Plath, Woolf – are often presented by media in a way that both glamorises their illness and minimises their humanity. For an example of the kind of media we’re surrounded by, look at Vice’s tasteless 2013 photo-shoot with models re-enacting the suicides of famous women artists.

It matters.

Because young female artists with mental health problems look to culture for role models, for arcs to follow, for ways forward.

And the narratives they see about people like themselves are often tragic, glamorous, but glitteringly triumphant – like the stories about Plath. Mentally ill women artists are culturally associated with glamour, genius and death. Imagine growing up with that pressure. Imagine growing up believing that all successful, happy, creative people are secretly sad, and that being an artist means dying young and unhappy.

So, there’s work to be done. Young artists need mentally ill role models. Young people need media representation of people with ongoing mental health issues leading normal and successful lives. It’s not enough to sit back, look at media representation and think “That’s enough! People are talking about it, problem solved!”
As ever, imagination and vision are key to creating new narratives for our lives.

Anxiety & Me, part 3: The stories that make us

[this is the third in a series of six essays on creativity and mental illness, which will be serialised on Bootleg Noise in the coming weeks. Part one, part two, part four]

Browsing the web after the “little bit mentally ill” incident, I found several articles by Matthew Haig describing his writing journey and struggle with depression. In an excellent piece in the Telegraph, (http://www.telegraph.co.uk/health/wellbeing/10758065/Suffering-from-depression-It-was-touch-and-go-but-Ididnt-jump.html) he wrote that “words help give us the building blocks to build another mind, very often with a better view. My mess of a mind needed shape, and external narratives I found in… books, offered hope and became reasons to stay alive.”
I enjoyed the piece, and related strongly. During my last depressive phase, my concentration worsened: I couldn’t focus, couldn’t work much, couldn’t read much. I was unable to be interested in a book. But in April 2014, I found a copy of Margaret Attwood’s Alias Grace, read the first page, and was hooked.
My reading muscles were so weak that I ended up mouthing to myself as I read, painstakingly visualising the characters and highlighting as I went. But when I was done I hit the second-hand bookshops, left with an armful of novels, and became a reader again.
Yes, the stories we write and read can help us. Yes, we need them desperately.
But.
My concern is that recovery narratives like Haig’s are framed by media in a way that doesn’t reflect a common, unspoken experience of mental illness: most people have to be at a certain level of wellness to read and write in the first place.
By the time I read Alias Grace, I was already feeling better. Only a few months before, I would have been unable to read it all the way through. Going back to the books was a sign of partial recovery, not a miracle cure.
The idea that ‘art rescues people’ can spark enormous creative guilt.
I’ve talked to young artists who can’t work, study or produce because of their illness – and who worry that they’re somehow doing it wrong. But sapped creativity doesn’t make you innately uncreative; it just means your energy is being burned up elsewhere.
The idea that mental illness necessarily fuels art – that we somehow gain a deeper connection to books and writing through the experience – is one of the most pernicious misconceptions I’ve ever come across. Perhaps it’s true for some, but certainly not for all. To be honest, mental illness is so tiring and boring that it burns us out at times. And then many of us wonder if we should be fired up to create, instead of feeling totally fed up.

Anxiety & Me, part 2: “You have a broken leg? Try meditation!”

[this is the second in a series of six essays on creativity and mental illness, which are also being serialised on Bootleg Noise. Part one, part three, part four]

Imagine getting sick.

You’re confined to bed with double pneumonia, struggling to breathe.

Now some insensitive twerp visits you and declares they “used to have” pneumonia too, but overcame it through meditation and inner strength. (“And now I have stronger lungs! I’m better at writing now too! You’re just not believing in yourself enough!”)

It sounds ridiculous. But this is, more or less, the attitude that those chronic incurables amongst us have to put up with.

The fact that we haven’t recovered, or will never completely get over it, is not something people want to hear – even those who’ve previously suffered mental illness themselves. People want us to win over our demons for good, ignoring the fact that some demons have to be lived with.

Illness of any kind is a fact of life. It cannot always be overcome: sometimes we’re stuck with it. And any positives we gain from it seem largely to be due to our own strength, support networks and ingenuity, not the illness itself.

Nor is mental illness innately connected with being artsy. People from all walks of life suffer from mental health problems, including individuals who have no artistic leanings whatsoever. It’s just that the loudest, most visible mentally ill folks tend to be celebrities in creative professions, no? We don’t hear about depressed builders, or scientists. They exist, but we don’t hear abut them.

An article in Scientific American put it this way: “There are many eminent people without mental illness or harsh early life experiences, and there is very little evidence suggesting that clinical, debilitating mental illness is conducive to productivity and innovation.”

Mental illness really has very little to do with being an artist, and some demons have to be lived with. The sooner that’s understood, the better.

Anxiety & Me: How mental illness nearly killed my creativity

[note: This post was originally written for Bootleg Noise, a wonderful blog for young people in London which everyone should go and follow. It takes the form of six short essays, which are being serialised here and on Bootleg.]

Intro

I started writing this just after Robin Williams died. Since his suicide, many beautiful articles have been written about his life, his legacy, and the link between creativity and mental illness.

I realised that this article – originally just a collection of short and funny essays – needed to be rewritten. Rewritten – not as reflections about Robin Williams so much, but as reflections about the stories we hear about mental illness, art and recovery. That includes the stories we tell ourselves.

Mentally ill people are surrounded by stories on TV, in books, and in newspapers about our conditions. Most of these stories are told by people without mental illnesses. These stories, often told from a position of ignorance and fear, can irrevocably shape how a mentally ill person sees other people and themselves.

For those of us who grew up without a diagnosis, these stories often teach us that having a mental illness is shameful and can only be revealed to close friends, as a sort of Tragic Backstory. The default point of view in most books, films and TV shows is that of a neurotypical person (not mentally ill) which makes us feel like side characters in our own lives.

People who have a diagnosis, such as OCD or schizophrenia, will encounter stories – fictional or allegedly true – which paint people like themselves as scary and violent. Never mind that almost everyone knows a seemingly normal person who has a mental illness (about 1 in 10 people in Britain have mixed depression and anxiety). We’re always seen as odd, in need of special attention, or not trying hard enough.

There is a strong difference between the way society sees us and the way we see ourselves. To paraphrase the novel About A Boy, “It’s different on the inside”.

In the week after Williams’ death, I heard two comments that stuck with me: “It only proves that those who act the most happy are the most sad”, and “How sad that he let his demons win.” These both just show how willing people are to look at a real person suffering a mental illness, and twist their lives into a story: The Man Who Let His Demons Win. The Great Tragic Funny-man. And so on.

That’s what we do, as people: we tell stories. But not all of them are true.

1: “A little bit mentally ill”

Last summer, the author Matthew Haig tweeted advice for writers: “Be an insomniac, eat peanut butter, have trust issues, be a little bit mentally ill, forget to moisturise, talk to cats.”

Well, I enjoy a joke, but only when it’s funny. And the words “be a little bit mentally ill” left me wanting a strong drink and a lie-down.

Instead, I calmly tweeted Mr Haig and told him I thought the joke was a lead balloon. A proper Dude, Not Funny.

Yes, the quip seems harmless on the surface – but I live below the surface. Where I talk to amazing, kind, magical young people whose natural confidence and energy has been crippled by mental illness. Twitter has incredible support networks, but you’d never know if you see a snarky quip about mental health. After a while, the jokes get exhausting.

Matthew Haig replied that his own mental illness history had “seriously… helped his writing”. To which I cried, “But it didn’t help mine! Or anyone else I know! Your story isn’t the same as my story! This isn’t true for everyone!”

Personally, I don’t believe mental illness helps my writing. Many of my friends are artists and apart from Matthew Haig I’ve not met anyone, not one person who claims to be more productive or inventive because of their bad brain chemistry.  I have no patience whatsoever for the tortured artist myth: mental illness, like any other sickness, is generally innately destructive.
When we talk about Robin Williams, to say “How sad he let his demons win” ignores the fact that he fought those demons for decades, knowing that they intended to destroy him. Mental illness is not a muse, it’s a life-sucking parasite; and the fact he lasted so long is a sign of his strength. You wouldn’t blame someone for ‘losing the battle’ to cancer, so why criticise someone for being so ill that they commit suicide?

The last thing I would advise any artist to do is to have a bad brain.

But we work with what we’ve got, right?