8 Frequently Asked Questions On Mental Health

As someone who frequents mental health forums with the intent of helping people out who are in crisis, you’d be amazed at how many of the same questions we get, questions which can only be answered a certain number of ways. I’m not complaining, I understand completely, people are in crisis, they want help for their issue, it’s only natural.

However, it takes time for people to reply, and that’s precious time where a person is suffering behind a computer screen, waiting to hear what they should do about their issue. That’s a problem. To try to come up with a solution for this problem, I created a list of frequently asked questions, which I will share with you now.

  1. Should I Get Help?

Ironically, the only person who can really answer this is the person you’d get help FROM. The basic answer is, if it’s bothering you, then yes, you should seek help. If you feel you are a threat to yourself or others, please seek help immediately by either dialing your country’s emergency number or going to the ER! There’s a lot of stigma surrounding seeking help for mental issues, so it’s only natural to ask this question to see if you actually need help before subjecting yourself to that stigma. However, plenty of “normal” people see psychologists, therapists, and psychiatrists, so please don’t let the stigma surrounding it hold you back from getting better.

2. Someone I Know Has A Mental Illness And Won’t Get Help…

This is a tough situation, and it really depends on where you live. If a person is a threat to themselves or others, they can be hospitalized against their will. In many places, a person can also be hospitalized if it is clear they cannot care for themselves. Please research the laws in your state, province, or country to see what can be done to get them help. In the meantime, all you can do is be supportive, and be there for them when/if they finally decide to get help.

3. Can You Diagnose Me? 

It is impossible for anyone, let alone an untrained person, to diagnose a person without an intense interview completed by a trained professional. So, in short, only a trained professional (usually a therapist, psychologist, or psychiatrist) can diagnose you. If you feel you have something that needs diagnosing, please see one of the professionals listed above to get help. Diagnosing anyone over the internet with nothing more than a couple paragraphs of text to go by is unethical and wrong.

4. I Feel Like I Can’t Go On…

I’m immensely sorry that you’re suffering so, I’ve been there, and I can only sympathize with how horrible being at the bottom of that well is. If you haven’t already, please reach out for help, or, if you have, please schedule an appointment with your mental health professional ASAP. If you feel you’re a threat to yourself or others, dial your country’s emergency number or go to the emergency room.

5. What Mental Health Professional Should I See?

This really depends. For most people I recommend seeing a psychologist or therapist first, because generally the wait times are lesser, and they will be able to gauge whether or not you need a psychiatrist, and refer you to a good one if necessary. Keep in mind that psychologists and therapists do talk therapy, including specialized therapies such as DBT, CBT, and others. Most all psychiatrists give out medications, and not much else.

6. I Don’t Want Medication, But…

 It’s your right to refuse medication, however, I would evaluate why you don’t want medication before outright refusing. Mental illness has been proven in countless studies to be an issue linked to brain chemicals and tissues, it isn’t just “all in your head”, this is something physical going on in your brain. Medication helps correct what’s going wrong, reducing symptoms. There’ s a lot of stigma surrounding psychiatric medications, I myself struggled with that stigma when I was first put on medication, but the benefits you might reap from it are worth it, I promise you. Keep in mind you may also have to try a few different medications until you find one that’s right for you, so please don’t give up if the first try goes awry! Medication can be a lifesaver; it was for me.

7. I Want/Have To Quit My Medication

First off, whatever you do don’t quit cold turkey, it can wreak havoc on your body and your mental health. Always consult with a mental health professional before quitting any psychiatric medication. If you are quitting because you want to, please consider that there may be other medications out there for you, don’t give up just because the first couple don’t work for you!

8. I Can’t Afford To Get Help

This is a tricky one. If you’re in college, your university probably already has free counseling services available for you. If you’re not in college, please look into places that offer sliding scale payment (you pay based on your income) and community mental health centers. Research to see if there’s a solution near to you. If you just want to talk to someone, even if they aren’t a trained professional, check out 7 Cups of Tea a free website (with options to upgrade) that offers compassionate listening and even a lesson plan to improve your mental health! If you can’t afford your medication, try calling around to different pharmacies to get their price for the medication. You’d be surprised the price change from pharmacy to pharmacy. The price of my meds went down by half when I switched pharmacies! Also ask your doctor if they have a coupon card for the medication. When Abilify was only available brand name, their coupon card made my $1,000 medication $15.

Note: If you frequent reddit on /r/mentalhealth you may recognize this list. That is because I posted a similar list there first. If you’d like to see the original, here it is




I sit on the ground, my breath rhythmic and steady. My breath is my sole attention, as I watch the world go by around me. My thoughts go by immeasurably slow. My breath is the only thing I can focus on. I am aware that there is a world outside myself, but it does not feel like a real world, I am withdrawn into myself like a hermit crab into its shell. My limbs are statues. All I am is breath.

The above describes my first catatonic stupor. A state of immobility or repetitive movements that can last anywhere from hours to years. I do not know how long it lasted, but based on the length of my other episodes I would suspect it was at least an hour. I would later be officially diagnosed with psychosis NOS, an inherently varying disease that includes many symptoms of schizophrenia. I have experienced auditory and visual hallucinations, depersonalization and derealization, and lack of focus to the point where I could not read a book, but the catatonia is still what frightens me the most.

What is Catatonia?

As mentioned previously, catatonia is an elongated period of immobility or repetitive movement. While catatonia is extremely debilitating, it is not, in itself, a disorder, rather, it is a symptom of an overlying disorder, often schizophrenia. People in a catatonic state may not react to external stimuli, or may suddenly become agitated or react to no stimuli at all. They may also maintain positions that they are put in, a trait called waxy flexibility, while others resist all efforts to be moved, called rigidity.

Catatonic Schizophrenia

Although removed as a diagnosis in the DSM V, the “Bible” of mental health, some people with schizophrenia acutely display catatonic symptoms. Formerly, these people were diagnosed not just with schizophrenia, but with catatonic schizophrenia. Note that not only do these people qualify for a diagnosis of schizophrenia (hallucinations, delusions, etc.), but they also have catatonic symptoms as described above.


Catatonia can usually be treated successfully with anti-psychotics, and in some cases benzodiazepines. Most people respond well to these drugs and will quickly come out of a catatonic state within a few days. Some people may require ECT (Electro-Convulsive Therapy), and may even require regular rounds of ECT to stay out of catatonia. It is to be noted that ECT is not the horrible torture that movies often make it out to be. It is painless, and the movements seen during old time ECT is simply due to involuntary movements. During current ECT procedures, the patient is given a muscle relaxant to cease the movements.


Unfortunately, the prognosis for people with catatonia, in general, is not a good one. This is why I fear it most out of all my symptoms. According to one study, 14 of the 36 participants were in need of “continuous psychiatric care”, take from that what you will.


While I may have catatonic symptoms, which studies show makes my prognosis rather poor, and while my symptoms, as we speak, may be getting worse, I have not given up hope, and neither, I believe, should anyone else who has psychotic and/or catatonic symptoms. Life isn’t over till it’s over, and every life is worth living all the way through, even if the part of the path you’re on right now is in a scary forest with wolves all around you. One day after walking (or running) down that path for long enough you’ll come out to a field full of bright tulips, and the sun will shine.




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Sometimes, despite our best efforts, things do not work out. Sometimes it’s something small, like not getting through that light coming up. Sometimes it’s something big, like breaking up with a long-time partner. Sometimes, despite taking medicine and going to therapy religiously, our mental health continues to deteriorate.

In the past week, symptoms have slowly begun creeping back into my life. The auditory hallucinations are worsening, and I’m now starting to see things as well. My cognitive symptoms are also returning, and I’m having small bouts of catatonia. So far, it is not as bad as my initial breakdown, but I fear it may become worse as time goes on.

My fear stems from two corners. In one corner, I am terrified of becoming sick again, and, more specifically, staying sick. In the other corner, I’m scared of going to the hospital. So great is my fear that I am planning to  suicide if it gets to that point.

I don’t want to write about this, and I’m sure most of you don’t want to read it, but this is my week to write an article and dammit I’m going to write one. I’d like to write about something nice, something to educate you or make you feel better about yourself, but I can’t do that this week. This is the only thing I can think about, and hence, it’s what this article must be about.

Tomorrow I see my therapist. After much deliberation, I have decided to tell her about my plans to kill myself. I’m not sure what’s going to happen after that, but I have a strong suspicion. That suspicion is the reason I am posting this on today rather than the usual Friday, before I go to my therapy appointment. If I don’t post my article week after next, you’ll know where I am.

I know I’m not the only one in this boat. I know there are more of you out there who are terrified of reaching out for help, or deathly afraid of the hospital like I am. I wish I could give you some uplifting pep talk, but I know from experience that there are no magical words that make everything better.

All I can tell you is that right now you are pulling a heavy wagon up a steep hill. The only way to get to the top is to get help pulling. Getting  down  that mountain won’t be a cakewalk either, with rocks and pitfalls along the way, but as long as someone’s next to you pulling, you have a chance.

I want to sincerely thank all of you who have, and continue, to read my articles. It really means a lot to me that you find it worth your time. I hope to write many more for you in the future. Thank you.



To begin this article, I would like to wish everyone that celebrates it a merry Christmas, and to everyone else, happy Holidays. This time of year is one filled with joy, wonder, and wishes. December itself is enveloped by this sentiment. I believe joy is something that is vital to all of our lives, and for not just one month, but for all of them. Joy is unbridled happiness, it is not hindered by logic or reality, in that moment, when you are joyous, nothing else but that emotion matters. Joy is pure.

I had an early Christmas present this year. It came in the form of a 37 pound black, white, and brown, bundle of energy named Jack. Jack was a shelter dog and had been there, much to our surprise (because of how sweet he is) for over 3 months. We immediately fell in love and brought him home. I bring up the story of Jack, which I’m sure must strike most of you as completely unrelated, because, as all dog owners know, there is nary a purer, more unadulterated source of joy than a dog. As a favorite show of mine (Limmy’s Show for those interested) said in one episode, a dog does not overthink things, he does not sit in a car going 70 miles an hour thinking “how is this possible?”, he just sticks his head out the window and enjoys the wind blowing in his face. That is joy.

Jack does not think about the 3 months he spent at the Humane society, in what surely must have been a terrifying experience. He does not think about the time he spent in a high kill out-of-state shelter, which I’m sure was much worse. He doesn’t think of the heartbreak he had to have experienced when he was adopted out for a week and then brought back because the owner “didn’t have time”. No, Jack does not think about any of that, Jack just runs around our half acre yard at full speed, trips, sending him somersaulted across the yard, gets back up, and keeps running like nothing happened with a huge grin on his face.

Jack is joy, and I think we could all learn something from him.


What is Ego Death?

While speaking with a friend earlier this week, we came upon a topic that I found very interesting – perhaps a topic that not many have heard before, called “ego death”. When ego death occurs, it is considered the loss of subjective ego, a person’s sense of self-esteem, self-importance and self-identity. In Psychology, ego death may be called a psychic death, a term coined by Carl Jung, the man behind Jungian psychology.

Ego death is often referred to as an enlightening, yet potentially terrifying experience which may be brought forward in many different ways. More often than not, it is considered a spiritual experience, one where you experience the cessation of sense and feeling of control living your life. The feeling of being in control is replaced by feelings of being helpless or powerless as you go about the motions of life, with a sense that the thoughts you’re experiencing are somehow being inserted into your mind. While it sounds like a terrifying experience, many individuals who experience it often regard it as a very humbling transition into the next stage of their life, allowing them to harmonize with things they were unable to harmonize with before.

In Jungian psychology, ego death is often referred to as the death of consciousness, which may be accompanied by panic. Jungian psychology refers to ego death as psychic death, and goes on to explain it as a “shift back to the existential position of the natural self”. It is thought that after one experiences the death of consciousness, the consciousness is then resurrected. Carl Jung called this process the “the transcendent function”, which he believed led to a more “inclusive and synthetic consciousness”. It is believed that this process is a fundamental transformation of the psyche as it allows individuals to develop further understanding and peace of mind with the world and its inhabitants.

While ego death may be experienced through spirituality or rigorous introspection, it may also be experienced through the use of psychedelic drugs, such as LSD. Individuals who experience ego death through this method often are looking to experience what lies in the recesses of the human mind or to experience spiritual liberation. The early stages of ego death induced by a psychedelic may be terrifying, but those who experience it say that it is a liberating feeling, one that gives them a feeling of unity with other individuals, nature, the universe and God.

While the experience itself seems quite foreign and terrifying, it is something that I, coming from a mindful perspective, whole-heartedly believe is beneficial for personal development. Putting aside one’s subjective views is an important skill – one that allows individuals to view the themselves and the world around them objectively. We are all characters in this world we inhabit, and as such, we should try and make the world and our characters better each and every day.

If you would like to read more about ego death, I suggest checking out this page for more information.