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 with bipolar disorder with respect. Treat people who dissociate frequently with respect.
When talking about stigma around mental illness, we need to remember that people with psychosis, schizophrenia, dissociative disorders, and/or personality disorders tend to receive the most abuse and violence because of the false, harmful stereotype that people with these disorders are actively trying to hurt others, even though they’re far likely to be hurt than to hurt someone else. That paired with the ableism they face constantly increases the suicide and self harm rates among people with these illnesses. Please include them in your conversations about mental health, they’re some of the most vulnerable and are too often forgotten. People with these disorders are all around you, they deserve support too.
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.
i spent the previous 5 days in a mental hospital bc my brain does alarming things sometimes
on one of my last nights, I was being assessed by a nurse who I had met like 2 hours ago and she asked how my delusion (that I knew was probably wrong but still found compelling) that I was in another universe, or that i was in my home state was going
i was like it’s going strong thanks for asking!
she asked if i’ve had recent stress and i said not really, and summarized the past few weeks including important projects at work, visiting family, and a significant problem with one of my employees.
she gave me a look of COMPLETE DISBELIEF and said “you’re a supervisor? is that for real?”
i said “yes i’m the director of a program so I have–”
“what? is that for real? are you sure that’s real?”
HEY GUESS WHAT
HEY GUESS WHAT
HEY GUESS WHAT SHE SAID NEXT
“do they know you’re in a mental hospital?” in a tone that suggested they would be way uncool with it
i responded that yes they did and they were very supportive, and it would be illegal if they weren’t
if mental health professionals treating us believe were are categorically incapable of holding the jobs we want, of leading the lives we want, where the fuck does that leave us
other patients had asked “what are you going to do now?” when i referenced having job, and were surprised when i said i wasn’t getting fired. And i know why, I know that multiple people at the table with me had lost jobs in the course either before or while they were there, and it was just the most recent of many. they weren’t okay with this, but still considered it the way things just go.
we internalize this shit
i hope i’m repeating a message you’ve seen all the time, and i hope it’s not arrogant to hold myself as a case study. i am a young professional who lives alone, has 2 jobs and is very nice to be around most of the time. i have bipolar 1 with psychosis and severe OCD. do you want to be linkedin buddies?
and even if i weren’t all these things, i would still have inherent worth and dignity and not have to earn the right be understood as a person capable of many things who should be in our world
white and non black psychotics and schizos will talk about how harmful it is to make jokes and fuck around with their mental illness but will turn around and laugh at the “crazy loud black woman” on the street or in a video, yall think people terrorizing psychotic black people esp black women and black homeless people is funny but that shit literally gets us killed when we get the cops called on us for being “suspicious and dangerous looking”
yall are so fucking transparent every time it comes to black people!!!
reblogs are welcomed, if youre not black dont leave a comment
@ 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.
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.
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.
1. Psychosis is scary. It is so much scarier than non-psychotic people could ever imagine. It’s not just seeing/hearing/feeling things that aren’t there, it’s the fact that for every time you tell yourself it’s not real, the second you reminds you that it is tenfold. It’s never knowing when it’s going to happen or when it’s going to stop. It’s running from class and sitting in the stairwell, alone, sobbing, because the massive worm in your gut that’s bigger than all of your organs combined just won’t stop moving and it hurts. It hurts more than anything you’ve ever felt. It’s having a professional counsellor tell you that worm is “just anxiety” and having her roll her eyes when you insist it’s not; you know what anxiety feels like. It’s turning your music up and up and up until your ears are ringing and your neighbours are surely angry, because no amount of volume seems to be enough to block out the grunting, groaning, breathing in your ears and down your neck that’s been going on for seconds or minutes or hours. You can’t tell anymore. You fell out of time so long ago.
2. Psychotic people are not scary and psychosis can be a positive thing. Treating it as only negative hurts us, directly and indirectly. It tells us that our psychosis, something that’s not going away, is always bad. It tells others that we are always a potential risk to them and that they should treat us as such, which makes for an incredibly isolating life.
Sometimes, psychosis is walking home from Starbucks and seeing a little toad that turns back into a leaf after a few moments. It’s just a toad, sure, but somehow it means something so special, so you spend the rest of the walk home smiling from ear-to-ear at the passerbies who only stop to give you disapproving looks. Their approval doesn’t matter, because you have your brain toad. Sometimes, psychosis is looking out your window over the city skyline to see a thirty-story building get up and start moving. It’s got ridiculous cartoon legs that somehow meld with the foundation of the building and you just can’t stop laughing at it. Sometimes, psychosis is forgetting if you’re listening to music or if your brain’s just been playing “Bubblegum K.K.” on loop for thirty minutes. It’s your brain. The song follows you around your apartment. In the face of rushing bathwater, the volume changes to accomodate the noise. It doesn’t really matter. You’re dancing along either way, in your boxers in your bathroom, alone and gleeful. You thank you mind for providing you these little comforts.
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.
I was discussing things with a friend of mine, and we both noticed this trend lately of people who are clearly having a disorganized episode being made fun of on tumblr.
It’s not okay. I know that a lot of tumblr understands psychosis as something that causes you to see scary hallways or hear voices, but that’s not the only symptom of psychosis.
I won’t make mention of the post in particular, because the inidivual that made the post that inspired this one is already getting harassing anons about it, but consider for a moment that if you see someone replying to a post in a way that seems disjointed, rambly or “off”, maybe don’t jump to making fun of them for it. On top of tumblr having some bizarre social rules I would love to study some day, disorganized thinking is something people do experience.
You all do love to say support psychotic people, but as soon as they exhibit symptoms other than visual or auditory hallucinations you jump to make fun of them, and that’s just not right. Think before you make fun of someone for behaving “weirdly”. You are just being cruel for no reason.
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.
Can you fucks let psychotic people make art/talk about their mental health struggles without calling them cringey edgelords or nah? Bc it really doesn’t look like it when y’all are like “oH sO eDgY yOu HeAr VoiCeS YoU hAvE rEliGiOuS dEluSiOnS HahAhA” Like… Yes, I do actually. And it makes every day of my life a living hell. And getting it out through art/writing helps me sometimes. Care to explain what the fucking punchline is, exactly? There isn’t one and you need to just admit you’re an ableist, you’re uneducated, and you’re also a fucking idiot, actually.
so i know most everyone on here knows what kinning is. some people kin for fun and comfort while others actually experience delusions and believe they truly are these characters in the flesh. having delusions of these characters is not “taking kinning too seriously” or “acting like a freak” its called being psychotic, and if you consider the way psychotic people act “freak-like” then your ableist! however, psychotic people should not use their psychosis to go by ethnic names when theyre white. additionally, psychotic people should not use their delusions to continue to consume problematic media. as a psychotic person myself, i can tell you it is possible to have delusions of being shou suzuki (or any other character) and understand that i dont have a claim to his name or his struggles. this post is okay to rb.
Having psychosis during the fall means having to face lots of spooky stuff. I don’t speak for everyone, but Halloween is a very tough time of year for me. Horror movies, trailers, decorations, and even pranks are pulled out for my favorite time of year.
So here are some helpful hints that I use to keep myself happy, safe, and spooky!
🕸Stay away from things that may trigger you, no matter how small. Do not underestimate yourself. Even watching or reading something slightly spooky, when you know this is harmful, can bring up bad memories or start an episode.
🕸Install a ‘spoiler block’ on your laptop or computer. They can go by many names, but these apps block out keywords on all sites. Some can be more general, like topics instead of words.
🕸If you’re sensing that a jump scare is about to happen on what you’re watching, and can’t get out of the situation or want to continue watching, wiggle your toes, fingers, and chatter your teeth. This is what I do and it prevents me from jumping or flinching, which stops chest pain and episodes.
🕸Go to kid friendly parties! As a teen who cannot see bloody or gore-associated costumes, I go to family/all ages parties where costumes are all kid friendly!
🕸Watch kid friendly movies! It’s hard to not watch Halloween movies, but don’t expose yourself to horror if you can’t handle it! Movies like Beetlejuice, Hocus Pocus, Nightmare Before Christmas, and Halloweentown are lightly spooky.
🕸This might be just me, but I can convince myself that I have 'immunity’ to any bad stuff or danger (not all dangers, if that makes sense, but dangers as in my delusions and such) if I give myself a good luck charm or simply write “SAFETY CHARM” on a post-it and carry it around!
🕸Decorate with simple stuff! Some decorations might include bl**d, b*gs, and other horror stuff. Stick to simple things like orange/white lights, cartoon ghosts/pumpkins/bats, wolves/cats, and witch hats! Overall, keep things cartoony and basic! Or, even better, just get fall decorations, like leaves, scarecrows, and pumpkins!!
🕸STAY AWAY FROM HAUNTED HOUSES! I cannot stress this enough. No matter what symptoms you have of psychosis, a haunted house plays on them ALL. Voices/noises, jump scares, touch (some cannot touch you, but some can!), and even hallucinations (people running and hiding, so you may think it’s a hallucination, or you could see things in the dark)
🕸Go trick-or-treating in a kid oriented part of town! You’ll see fun decorations, cute costumes, and won’t be scared! Or go to a kid friendly party and have fun there!
🕸Participate in non-spooky fun! Bake spooky/fall themed foods, craft, make your own costume, and carve pumpkins!!
🕸Overall, know your limits and DON’T push them! Test your limit during a different season. Have fun, stay spooky, and enjoy your fall, everyone!
Psychotic people aren’t actually more likely to be violent when compared to non-psychotic people - but we ARE far more likely to be victims of violence. This is because far too many people see us as a threat when we’re visibly psychotic due to the stereotypes created by horror movies. So maybe think about that before making another “psycho killer” joke.
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.
-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
I feel like this topic gets danced around a lot so I’m just gonna be real specific -
You gotta support psychotic people with delusions that make you uncomfortable. You gotta stop assuming psychotic people are antisemitic because they’re afraid of the illuminati, or lizard people running the world, or other shit nazis use as dogwhistles. A nazi claiming that Jewish people have a secret shadow organisation running the world and a psychotic person claiming that there’s a secret shadow organisation running the world that’s specifically after them are not the same. Not even close.
Yes, there are psychotic people with these delusions that are also antisemitic but there are many that aren’t. There are many whose delusions have absolutely fuckall to do with Jewish people. Scapegoating them all is ableist, plain and simple.
while it’s important to remember hallucinations can be non-violent and not scary at all, it’s also important to remember that some people (myself included) see and hear horrible, terrifying things. while I see a lot of cute animals, i also see humanoid monsters. while I hear my name in a sing-song voice, I also hear people telling me to kill myself. never exclude those who have scary hallucinations when trying to normalize hallucinations in general
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
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 can be a bit harder to get. I’m saying this from personal experience as someone who had top surgery with psychosis.
However, I still don’t think you should lie about experiencing psychosis 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.
And again, it’s possible to have a psychotic disorder diagnosis and still get surgery! I got top surgery, a hysterectomy, and I’m getting phalloplasty next year. And I’m officially diagnosed with schizoaffective disorder, and take antipsychotics.
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 one: Mod Lee is standing without a shirt holding two different bottles of antipsychotics in front of their chest which has faded top surgery scars.]
[Image two: There are three pill bottles on a dresser. All three are Quetiapine, the generic of the antipsychotic Seroquel, and are prescribed to Lee. Each is a different dose- one bottle has 200 mg extended release, one has 300 mg extended release, and one has 100 mg immediate/normal release.]
I’ll never understand tweakers who are too stupid to understand the effects of the drug combined with sleep deprivation, dehydration, and malnutrition. If I think that I hear people talking in my vents, or in my attic, I’m not so fucking stupid as to actually think there are people up there. I immediately understand it’s the drug and that it’s time to eat a sandwich, chug some water, take some xanax if I have it, and go to sleep. Or take a nap at the very least.
Never bring your conspiracy theories or unconventional spiritual beliefs up around your psychotic friends. When you’re already struggling to stay connected to reality the LAST thing you need is someone saying “but what if it’s real?” It may just be a joke to you but to us it isn’t.
People with psychotic disorders are not inherently predisposed to violence. Our psychotic siblings are beautiful, and should be treated with the same love and respect that we’d treat anybody else with.
I think one of the really haunting effects of psychosis that I don’t really hear talked about is the way it destroys your trust in reality. I’m not talking about paranoia (that’s a whole other bucket of worms). I’m talking about how I’m here now, stable, doing the best I ever have, and yet I still double check the shadows to make sure I didn’t see anything unreal there. I’m still very quick to check on movements in my peripheral vision when I’m alone. I overanalyze afterimages, just in case. I saw a cat in the library last week and froze, searching the faces of the other people to make sure they saw it too. The lights flash on and off in the lecture hall and I freeze again, ask my friend next to me, “Did that really happen?”
Did that really happen?
Once you’ve gotten used to asking yourself that question, it’s hard to ever stop asking it.