no more fucking mental hospitals in horror. stop making these places terrifying. stop stigmatizing the people who go to these places for help. no more fucking “schizophrenic” people in straight jackets. no more “psychotic” killers. we are people, not props. for fucks sake life is hard enough already.
so, theres a severe lack of easy-to-access, helpful online resources for psychotic and schizospec disorders (google is literally useless wrt this for some reason), and i’m gonna attempt to remedy that. all of the resources below are resources i’ve personally found useful
firstly, i’ll tentatively drop a support group: i’ve personally been to hearing voices groups and have found them helpful with the particular empathy other psychotic people provide + the lack of pathologization, something i absolutely cannot get anywhere else. i suggest looking over their resource page, but i will note that for some psychotic people, especially people actively in a psychotic episode and experiencing significant delusions, this may not be helpful due to the inherent validation it provides! be careful in any case, and feel free to consume critical (1) perspectives on it as well.
also, forums can be nice. i suggest psych forums as well as schizophrenia forums (note: second is for both people with schizophrenia and caretakers/partners/families of people with schizophrenia, and the former has subcategories for every mental illness)
understanding psychosis: resources and recovery, very comprehensive but easy to read examination of psychotic symptoms and steps towards recovery. also has a helpful section on side effects of medication + considerations when deciding if medication is right for you
CBT for psychotic symptoms (consider going through this with a therapist, but it can be helpful alone too) + skip to appendix 2 (pg. 133) for worksheets
if you’re a friend, family member, or at all close with someone with schizophrenia or psychosis i heavily encourage you to research as much as you can, and above all else listen to what schizophrenic and psychotic people say. if you ever find yourself in a situation where you don’t know what to do, it never hurts to ask the person in question how you can help them.
this mental health month please remember to not exclude psychotics from your mental health activism/positivity
something a lot of non-psychotics dont seem to realize is that psychosis can be an extremely traumatizing disorder to live with— even if the things we believe are real arent actually happening, they are still happening to us. We still are experiencing awful things, even if they aren’t technically happening.
I’ve had things that used to be 100% fine for me turn into debilitating triggers because of psychosis, I have to constantly be careful of what media I consume because psychosis fucked me over and gave me a load of new triggers. Even if the things didnt technically happen to me, they still felt like they happened to me.
There’s also a lot of delusions/hallucinations/etc that may seem silly or ridiculous to non-psychotics, but if you actually experience them they are absolutely hell. I’ve had people tell me that certain delusions of mine were funny which… please do not say stuff like that. Unless the psychotic is making jokes about it, you really should not treat our symptoms like theyre a joke.
Just. Be kind to us. Stop excluding us, stop using language that demonizes us, stop saying you accept mentally ill people but turn around and shame us. We go through so much bullshit from our own minds, we don’t need added hostility from the world as well.
alrighty so my mom was asking me about my auditory hallucinations i get before falling asleep (which is normal and is called hypnogogic hallucinations) and asked me “what if it’s a spirit that’s trying to communicate with you?” ok NO.
NEVER feed your *oooh what iF itS a GhoST!!sPooOkYy* neurotypical bullshit to someone with schizophrenia or psychotic symptoms.
little natural things that help my mental illnesses
sit in the sunlight for at least 20 minutes. no sunscreen, don’t bother, especially on depressed days… just don’t worry about it and go outside
touch leaves when dissociating or psychotic. run your fingers across the edges, make note of the veins and the color, the way the leaf looks in your hand, maybe rip it apart to see what it looks like on the inside
identify what the air outside smells like, if you can. take deep breaths through your nose
is there dirt? put your hands in it. marvel at the childish beauty of dirty hands. hold and examine little rocks, squat down and look for bugs, anything you want, just get close to the earth and let it stabilize you
look at flowers. take pictures of the ones you have never seen before, and try to identify them later if you want
is there a body of water nearby? a stream, or maybe a lake? go and sit next to it and just look at it. you can touch it or just stare at it. there’s something about being near water that just soothes all the thoughts in my brain.
Mental health awareness is more than just awareness of depression and anxiety. It’s the awareness of illnesses that can be ugly. Like schizophrenia, DID, bipolar disorder, OCD, psychosis, schizoaffective, and personality disorders.
Advocate for mental illness, but make sure you advocate for all of us.
Everyone who wears those stupid “cute but psycho” shirts owes me and every other person with psychosis $100 and an explanation of why they think it is even remotely okay to treat a terrifying illness as an aesthetic.
One of the worst feelings is feeling like you can’t trust yourself. Like I might be fine NOW, but tomorrow will I start an argument by mistake? Or say something I don’t mean? Or do both and then self harm to compensate? It’s a terrifying feeling to feel like you can’t trust yourself.
You’re a damn miracle, you know that? You’re one of a kind, no one will ever be able to replicate what you have to offer. You’re unique and special and you’re here for a reason. Don’t give up, keep going.
it’s 2019 can we stop using words like ‘delusional’ or 'psychotic’ or 'schizo’ as an insult? it’s actually extremely hurtful for real psychotic and schizophrenic people, and seeing this shit on a daily basis just leaves a bad taste in my mouth.
yeah psychosis is quirky and edgy and hot until u see a psychotic person showing symptoms and then all of a sudden they’re freaks and weird and suddenly you feel scared/nervous/unsafe/uncomfortable. fuck all the people that romanticize psychosis in fictional characters and then turn around and shit on real psychotic people. we cant help what we do when we have psychotic breaks. we can’t help our disorganized behaviour. do us all a favor and fuck off. we arent something to laugh at.
@ non psychotics pls do not laugh at me when I need you to confirm if things are real. sometimes I just need another persons input on a sound or a bug or a situation to double check that it’s really there and happening. I’m not trying to get attention or be entertaining in any way and the experience is usually embarrassing and slightly distressing. I wouldn’t ask if I didn’t have to. I’m probably scared of whatever it is I’m asking about. pls be kind.
-Nearly screaming at 1:30am because the shirt hanging on your door is actually a very tall, bloody woman
-Hearing footsteps at the same time
-Absolutely KNOWING someone has broken in, and barracading your door closed in fear
-Deep-seated mistrust and isolation, even towards those closest to you. This one is hard.
What it ISN’T:
-Going on a gleeful murderous rampage
-Dangerous at all, really, except for a select few isolated cases
-Cute, fun, edgy, or quirky
-Something you get to call people you don’t like or don’t understand
-A cool aesthetic
I’m really sick of seeing people pledge love and uwu acceptance for everyone uwu and call someone out for using, say, the r slur, but then they turn around and call someone a psychotic bitch or imply that any mass shooter MUST HAVE BEEN PSYCHOTIC. Get a different word!
Don’t use psychotic when you mean two-faced, bitchy, entitled, aggressive, or anything of the like. This perpetuates a stigma and it fucking HURTS us in the process. If you really care about mentally ill people as much as you say you do, start acting like it.
A psychotic man who shares a headspace with several severely psychotic alters
Reblog if you would be friends with someone who has a “dangerous” mental health disorder.
I just saw some horrible posts yesterday and want to see.
This goes for any supposedly “dangerous” mental health disorder like schizophrenia, psychosis in general, bipolar, borderline personality disorder, dissociative identity disorder/osdd/osdd-1b… add any more if you think of them.
Psychosis is, essentially, to lose touch with reality. Those with psychosis may experience a wide variety of delusions. Someone with psychosis may hear, see, or feel things that are not there. This can also lead to or develop in the form of hallucinations. Psychosis is a symptom of mental illness and likely to have more that comes along with it. A formal diagnosis of psychosis is something like schizophrenia. Though, you can still be aware, to a certain extent, that you are suffering from psychosis in the midst of it.
Many things can lead to psychosis: medications, abuse of drugs or alcohol, lack of sleep, and psychotropic drugs like LSD.
The video below exhibits 3 different patients suffering from different types of psychosis. The second patient frequently takes time to acknowledge that he’s losing the doctor with his rampant conversation and realizes that he’s not being coherent.
I wish people didn’t use the word “psychotic” when talking about a stalker, abusive ex, or criminal. Because now i cant use this medical term when talking about my mental illness without everyone and their grandmother thinking I’m a cereal killer lmao
The fun thing about being delusional and self aware is that I know what I believe is sometimes illogical, improbable or irrational, but my delusions are real, and right and if you tell me otherwise I’ll be confused or angry.
stop calling unlawful/bad people “psychotic” just because their thinking is unrational. you’re contributing to the stereotype that people with psychosis are just “crazy haha” and that we’re all shitty too and can’t function/think on our own.
As a person who has psychotic disorders, seeing that it may cause complications with Top surgery makes me want to straight up lie lie lie about it all the way until after the surgery is already done and over. There’s no way in hell im going on medications for it either. So if they don’t know I have it, there won’t be a problem right?
Being diagnosed with a psychotic disorder doesn’t mean that you can’t get top surgery, but it does mean it’s harder- I’m saying this from personal experience as someone who had top surgery with psychosis.
I don’t think you should lie about it though, because that means you’re blocking yourself from getting treatment that could help you.
[The WPATH guidelines say:
“When patients with gender dysphoria are also diagnosed with severe psychiatric disorders and impaired reality testing (e.g., psychotic episodes, bipolar disorder, dissociative identity disorder, borderline personality disorder), an effort must be made to improve these conditions with psychotropic medications and/or psychotherapy before surgery is contemplated.
Reevaluation by a mental health professional qualified to assess and manage psychotic conditions should be conducted prior to surgery, describing the patient’s mental status and readiness for surgery. It is preferable that this mental health professional be familiar with the patient. No surgery should be performed while a patient is actively psychotic.”
/End quote from WPATH guidelines]
If you think that there’s no way that you will have a period where you aren’t actively psychotic, thus blocking your access to surgery, and you don’t think that your life/health will be in danger by not disclosing the psychosis to your treatment provider then it’s your decision if you think you should minimize it during your therapy sessions when you’re trying to get your WPATH letter.
I really disagree with that part of the WPATH standards and I think they’re an unnecessary barrier towards accessing the treatment that you need, both medical transitioning and mental health care.
But you don’t know that it’s impossible to control your psychosis because you haven’t tried medication yet. I wouldn’t lie about not having psychosis until you’ve tried all avenues of treatment because there’s a possibility that you will be able to manage your symptoms and then you can get top surgery with the added bonus of being a bit more stable.
I had the same struggle when I was trying to get my top surgery letter. I didn’t want to tell my treatment team about my symptoms because it meant getting the letter would be harder, but I also couldn’t move forward in my mental health recovery if I lied and pretended that I wasn’t struggling with the things that I was.
The WPATH guidelines don’t say that you can’t get top surgery unless you no longer have a psychotic disorder- they say an effort has to be made to control the symptoms with therapy and/or meds first, and once your symptoms are managed then you can move forward. Treatment doesn’t necessarily mean that you don’t have the disorder anymore, it means you’ve tried to minimize the symptoms and then learn how to cope with what’s left. When I had top surgery, I was still diagnosed with a psychotic disorder, and I still am of course.
It’s one thing if you’ve been on different combinations of meds for a while and that hasn’t helped and therapy hasn’t helped, but this isn’t the case for you. I honestly wouldn’t feel comfortable telling you that you should lie to your therapist and not tell them you have psychosis when it’s possible that telling them might help you be able to cope with it.
I was in an ugly loop even if you ignore the way my psychotic disorder diagnosis played into it because I felt like I wouldn’t be able to reduce my dysphoria-induced depression unless I could get surgery, but I couldn’t get surgery until I could reduce my depression (my treatment team need me to be able to do certain things like eat every day, shower weekly, etc). I had a rough recovery (intensive outpatient for 6 months, 2 weeks hospitalized in the psych ward, and increasing doses of antipsychotics) but eventually I was able to get top surgery.
That doesn’t mean that suddenly I was “Cured” of my disorder- I’ll probably have to cope with some symptoms all my life. But I am doing much better now, and if I hadn’t been in intensive outpatient or on medication, I probably wouldn’t have gotten better. It can be scary to move from individual therapy to any higher level of treatment, but sometimes it is necessary.
Again, the WPATH guidelines really suck. And you shouldn’t have to choose between disclosing your mental health issues so you can get treatment and top surgery. But it’s also important to give treatment a chance so you can have both!
You should talk to your mental health providers, but if they recommend starting medication then I personally think you should do it. There’s a lot of stigma around taking antipsychotics, but they do help a lot of people and I really think you need to give them a chance first.
You can see my top surgery letter here. I redacted all the bits about my psychotic disorder when I uploaded it, but now I’m going to disclose because I feel like someone has to. It isn’t anything that we should be ashamed of. I still take antipsychotics twice a day. Here I am standing in front of ya with my morning dose of antipsychotics and my evening dose of antipsychotics! #MedicatedAndMighty
[Image description: Mod Lee is standing without a shirt holding two different bottles of antipsychotics in front of their chest which has faded top surgery scars.]
Treat people with psychosis with respect. Treat people with schizophrenia with respect. Treat people with personality disorders with respect. Treat people with DID with respect. Treat people who dissociate frequently with respect.
As someone with a psychotic disorder I need to make this clear:
1. I am not a monster. I’m not harmful to anyone besides myself (and even so I know how to control myself). I’m not a murderer. Don’t try to equate “psychotic” to violent. It doesn’t take a Google search to tell you that if you do that you’re adding (conscious or otherwise) to the discrimination against people with conditions such as schizophrenia. We aren’t going to fucking hurt you, stop implying that.
2. I am not your quirky personality trait. Every person who thinks the “I put the hot in psychotic” shirts and shit are cute? Are promoting that ableism, again conscious or otherwise. My illness isn’t cute. It isn’t fun. It isn’t sexy. Don’t imply that.
If you’re someone who demonizes or romanticizes people like me, you need to know what you’re doing is fucking wrong. You need to open a book, use Google, listen to people with psychosis, and better yourself by stopping this behavior. Stop yourself from being an ass and stop encouraging others to be asses.
Any person you don’t like that does bad things isn’t psychotic, stop letting people around you do that.
Stop trying to make a disease a personality trait. Stop buying things with those quirky slogans that hurt people.
Stop letting psychosis be lessened into just erratic violence.