Mental Illness Should Not be a Halloween Costume

Happy Halloween everyone!

Today is a day dedicated to treats, tricks, and scares. Halloween is a very commercialized "holiday" that capitalizes on people's fears. But what happens when what people are afraid of are other people?

Every year around this time I see more and more online about mental illness, but it is not what I want to be seeing. Instead I see Halloween costumes letting people dress up as a "schizo," "psycho...," or even an "escaped mental patient."

These are some of them:

This year my town's big haunted house is doing an Insane Asylum theme. They did reach out to me and let me know that it is meant to be a state hospital that closed down 50 years ago leaving the people inside. They said they are not trying to make fun of people with mental illness, but are in the industry of capitalizing on people's fears. She apologized if she had offended me. 

I appreciated this and I understand as a business they want to go with what sells. I never thought they were trying to personally attack people with mental illness. I still think it is wrong. 

Even if it is meant to be 50 years ago in an abandoned state hospital in which I know patients were treated horribly, they are still portraying people with mental illness with the goal to scare people. 

That is the main problem. That the stigma and fear of mentally ill individuals is so powerful that is what would get the most attention. 

"People fear what they don't understand." I have grown up hearing that. It is part of the reason I write about mental illness, because so often if their lives have not been touched by it in some way individuals don't know what it is really like. 

Part of the reason these Halloween festivities bother me so much is not just because I have mental illnesses. It's because for two years of my life I had the diagnosis of Schizoaffective. It's because I have had psychotic episodes. It's because I have spent considerable amounts of time in mental hospitals. 

The types of people being portrayed is me and I am nothing like those costumes or how the haunted house will portray people like me. Most of us who struggle with mental illness aren't.

I have met many many people with many diagnosis during my last few years. When you're in hospitals you have the opportunity to meet a wide range of people. Those opportunities showed me that no matter what the diagnosis attached to them is, people are people. Some just have extra challenges and they work harder than you will ever be able to comprehend to live despite them.

The problem with portraying those with mental illness as scary, violent, and dangerous is that they are such powerful images they become stuck in a persons mind. In reality individuals who have a mental illness are more likely to be the victim of a crime than the perpetrator. 

According to mentalhealth.gov "The vast majority of people with mental health problems are no more likely to be violent than anyone else. Most people with mental illness are not violent and only 3%-5% of violent acts can be attributed to individuals living with a serious mental illness. In fact, people with severe mental illnesses are over 10 times more likely to be victims of violent crime than the general population. You probably know someone with a mental health problem and don't even realize it, because many people with mental health problems are highly active and productive members of our communities."

I understand the appeal to be scary on Halloween. For people who choose to dress up it is one night a year where all of that is socially acceptable, but there are so many costumes out there which are scary (trust me) and don't promote stigma against people with mental illness. 

Unlike with a costume we don't get to leave our illnesses in the hamper tonight, but we do have to carry the stigma every single day. 

What it is Really Like in UCLA's Mental Hospital

There are many misconceptions and stigmas about mental illness and treatment. One of the biggest stigmas I have found is that of spending time in a mental hospital. So many people think that if you have to be hospitalized you are crazy or dangerous. This is simply not true.

Between the ages of sixteen and eighteen I was hospitalized five times. The first trip was at my local psychiatric hospital in my home town. The last four stays were in UCLA's Resnick Neuropsychiatric Hospital. Those are the stays I will be talking about here.

I would like to point out that this is purely my experiences. This is not what all hospitals are like. UCLA is top of the line. Many people are not so fortunate to be able to receive treatment in such a great hospital.

At UCLA I was on Unit B, their acute adolescent unit. My first stay was about a week. The second and third were about two weeks. My last stay was for 3 weeks. The days were filled with groups and doctors all designed to help me return home better equipped to cope with my mental illnesses.

We had about a dozen groups including Ocupational Therapy, Recreational Therapy, Art, Coping Cards, Mindfullness, Cooking Group, and our daily Community group where we set goals for the day.

What I like about my stays at UCLA compared to my stay at my towns local hospital was that they really did a lot to help rehabilitate and teach me new skills. When I was hospitalized in my hometown we colored, slept, and watched tv all day. At UCLA our days were filled. Every time slot was assigned and had a purpose.

The staff at UCLA was amazing. There was a very high staff to patient ratio, everyone was assigned a psychiatrist they saw every day, and a therapist and social worker who they saw respectively a couple times a week. I still remember all of the nurses and staff who I worked with while hospitalized. I will be forever grateful for the time they took to comfort me, help me, and teach me.

I am so glad that I was blessed enough to be able to be hospitalized in UCLA's hospital. I learned and grew so much there. I continue to this day to use some of the coping skills I learned during my time inpatient. So while many people think of mental hospitals as scary places with crazy people, my experiences were the complete opposite.

10 Things I Learned in a Mental Hospital

Shortly before Christmas when I was 17 I was admitted to UCLA's Psychiatric Hospital again. This was during my Junior year of High School. At the time I was an active member of my school's Speech and Debate team. When I returned home I wrote this speech and competed with it for the rest of the competition season. 

10 Things I Learned in a Mental Hospital

Want to know a secret? I’m not who you think I am, not entirely, but that’s okay. How about we be honest with each other today? I’ll be honest with you, and then you be honest with yourself. I’ll go first. Over the past year I have been in two different mental hospitals (or as my mother would prefer me to say, psychiatric hospitals) three different times. The two most recent times I was in the neuropsychiatric hospital at UCLA but I have also spent a little bit of time in Good Samaritan here in town. Each time it was for anxiety, depression, and psychotic symptoms. Now I would bet that your perception of me has already changed from what it was originally because of this stigma attached to what I just said.

  Patrick W. Corrigan, a professor of Psychology at the Illinois Institute of Technology, informs us that “Stereotypes” depict “people with mental illness as being dangerous, unpredictable, responsible for their illness, or generally incompetent” (citation)

There are many misconceptions people have about mental illness and mental hospitals. Today I am going to prove all those people wrong. I learned a lot on the psych unit and that is what I am here today to share with you.

The very first thing I learned was that it’s not like it is in the movies. Have any of you seen “A Beautiful Mind?” Well, about a month before I went into Good Sam my therapist had me watch that movie; I’m not really sure why. About half-way through the movie the main character, who is Schizophrenic, gets carted away to a mental hospital. Shortly after that I shut the movie off without finishing it. I didn’t like seeing him restrained and drugged. That is what I thought going inpatient was like.  When I think of B Unit, the unit I was on in UCLA, it looks to me kind of like a college dorm floor. Up two of the halls are a bunch of rooms. Everything is centered around this big room that we call the Day Room where we spend all our free time. In it there are comfy chairs, a big table and chairs where we ate our meals, a tv we could watch movies on during visiting hours, and off to the side is the nurses station. There were no empty white bedrooms, no people muttering to themselves walking the hall, and definitely no straight jackets. We did have a Seclusion Room, located in the Day Room where if a kid got uncontrollable and became a danger to himself or others they would give him a PRN, (PRN means “As Needed” so when you asked for a PRN they would give you a medication, such as Thorazine, that just helps to calm you down) so they would give him a PRN and put him in there until he calmed down.

The second thing that I was happily surprised to learn is that you can have fun in inpatient and you can even make friends.  The morning before I was first admitted I was talking to my Aunt and I said to her, “Well maybe I’ll make friends.” She replied back saying, “Okaaayyy, but is that really the type of people you want to make friends with?” What I don’t think she understood at the time was that “they” are people like me. They are people like me and they are people like you. The kids I met in UCLA weren’t crazy, or scary, or bad. Some of the sweetest, more caring people I have ever met, I met on Unit B. There were all different types of people there, an unlikely group out in the real world, but we all generally got along. Some of the kids I still talk to.

There was work involved on the unit, we were there to get better and we had to go to groups, and meetings, and see doctors, but we also had fun at the same time. We had access to a deck with tables and chairs, balls, and a ping pong table. Some of the groups we did were fun too like cooking group, Recreational Therapy, Occupational Therapy, and Art Room.  I’d like to point out that while we made friends and could have fun in the hospital, being there was not fun. It isn’t a place to be glamorized and glorified. It’s a hospital. The kids there are there to get better.

Number three. Community. Community was a group and how we began our day. It goes a little like this. The staff running it picks someone to keep the journal and then we’d all go around and when it got to your turn you would have to set a goal for the day and a coping skill. While I was there one of my Communities might be “to communicate better to the staff when I need something, and for a coping skill I would color” Today it would look something like “do my best in all of the rounds I compete in, and a coping skill would be to shuffle cards.” Setting a goal like this is great for anyone to do.

Four. No, your mother’s not Bipolar…..unless she is. I don’t know? Here’s the point I’m trying to make. During my time in UCLA I saw people with many different disorders. I remember that one time I was there a discussion that came up was that we all hate it when someone uses disorders as adjectives. “Ugh, my mother is so Bipolar, “I got so depressed in class today.” “Haha, you’re so OCD” These words hold more weight than you think they do. You never know if when you use these words in the lunch room if someone at your table happens to be bipolar. You don’t know what others are dealing with.

Number five. Pain is universal. Almost everyone you know is dealing with something that you don’t know about. I would bet that some of you probably know at least one person who has been in a mental hospital. When I was in Good Sam here in Bakersfield, I was in an all-girls unit and from our group there were girls from a large variety of high schools. You normally can’t tell by looking at a person what is going on inside their head. Of the kids I met in my inpatient stays: the saddest girl tried the hardest to make everyone else happy. The boy who was on a court mandate was the gentlest person there. The girl with stitches holding her arm together could make anyone laugh. The girl who screamed at night could calm anyone down. I have found that in a lot of instances the gentlest, most caring people are the ones with problems haunting them that you couldn’t even imagine

Numbers six and seven kind of go together. What I learned was that someone always has it worse than you and that the pain doesn’t go away overnight. Good Sam was more of a psychiatric hold facility. I was the only person there who wasn’t on a hold for a suicide attempt. UCLA is a more long term care facility. Most people stay about 2 or 3 weeks. Some stay less, some stay more. Most people don’t leave completely better either. Actually, nobody leaves completely better. Something people need to remember for themselves and for those around them is that recovery is a process not perfection.

The 8^th thing I learned was taught to me by D, my favorite staff, she taught me to be my own advocate.  I was so used to other people saying what I needed that I wasn’t accustomed to doing that for myself. But when you’re living in a hospital there’s no one there to tell the staff or the doctors if you need something. You have to speak up for yourself. You have to fight for yourself.

Perhaps one of the best lessons I learned from my stay in UCLA was that people care. The last time I stayed there it was for about two weeks in December of 2014 and while there that time my favorite nurse was J. I knew J from when I had been admitted there a couple months earlier and when she saw me she was like, “Caitlin!” and I was like “J” and then we gave each other a hug. She hadn’t seen me in months yet she still remembered my face and name. When you stay in the “normal” hospital you have nurses but you don’t get to know them the same way you do your staff when you are in a psychiatric hospital. They are there most days, all day long with you. They know you. It wasn’t just the staff that cared. All of us kids there took care of one another. If someone needed something we did it. If someone need to talk we talked. If they needed us to just be there we were there. If they needed a hug they were out of luck because of body boundaries. We lived there, some of us for a while, so the staff and the other kids on the unit became our family.

The 10^th and most important thing I learned and I hope you learned from this speech is that you can’t judge people because they are in a mental hospital. Mental hospitals get a bad reputation. People get  stigmatized for being there but there doesn’t have to be that stigma. I see me and the kids I met in UCLA as smart and brave. We needed the help and we knew it. Mental hospitals are a good thing. I learned a lot there and I hope that you learned something too.