The Truth About The Mask Of Mental Illness

Updated: Sep 3

It turns out I haven’t quite finished writing about masks. Today, however, instead of talking about clinical masks, I want to talk about a different type – the mask that society forces people with mental illness to wear.

It is the mask of being well – that many of us expect them to wear, even now, in spite of the progress we have made in terms of awareness.

You see, mental illness is still viewed by some as a made-up illness, or a weakness, or something we should feel ashamed about. And while there are all those wonderful memes that float around the Internet to remind us to be kind and empathetic to sufferers, the reality can be very different.

In fact, it might surprise you to know that it is still rare to find a work environment in which you can admit openly that you suffer from depression or a neurological disorder

I’ll be honest, each time someone admits to me they don’t believe in mental illness, I want to scream at them for their arrogance and ignorance. And here’s why. Because, today, with my son’s permission – I’m going to give you an insight into what it is like for him to live with it, and the effect it has on his loved ones.

A few weeks ago, we planned a long overdue family weekend away. It was overdue for many reasons, such as Covid, the cost of taking away a family of four adults (and our very practical concerns about our bar bill), and our annual leave restrictions. However, the main reason the trip was short was because of Kurt, our twenty-three year old son.

He hasn’t really left Sydney over the past two years for all the usual reasons: his bartending job as a casual – which makes it hard for him to make his rent (let alone splash out on weekends away); the organisation involved in planning and booking time away with his ADHD; as well as, erm, certain dependencies he uses to alleviate some of his ADHD symptoms, that are not (shall we say) very transportable.

The main ones, though, are his crippling anxiety and OCD

The outside world may not see what it takes for people like him to leave the house, but trust me, it is no mean feat. There are rituals that his brain insists he must carry out before any transition, there is his fear of change, his laundry (so much laundry), sensory considerations, and an elevated sense of imposter syndrome. In other words, as soon as he steps through the door, our son has to put on a mask.

In other words, he looks like a normal, functioning Millennial, who smiles a lot and converses seemingly naturally. The truth is, however, he would prefer to never have to leave his bedroom.

Few would be aware of the rituals that chain him to his home, his fear of change, or the mental effort it takes to keep himself on track

The reality is, our son doesn’t travel much because his mind won’t let him and last weekend was as much about celebrating mine and our daughter’s birthdays as it was a test for Kurt. It was an attempt to get him to push back from a negative way of thinking that is getting stronger by the day, and as a fellow sufferer (but less severe), I am aware of the dangers of letting anxiety win.

"Avoiding what makes you anxious provides some relief in the short term, but can make you more anxious in the long term. Try approaching something that makes you anxious – even in a small way. The way through anxiety is by learning that what you fear isn’t likely to happen – and if it does, you’ll be able to cope with it. ” Beyond Blue

A few days prior to our departure, he decided not to come and I persuaded him to rethink. Genuinely, I believed the change of atmosphere would do him good. As a result of changes due to Covid, he has spent a lot of time on his own of late – which is not good for over-thinkers – and I was excited at the prospect of exploring antique shops together, experiencing the hotel’s leisure facilities, and enjoying the sense of togetherness that other families appear to enjoy.

I’m his mum and selfishly, I suppose, I wanted him there with us, not only to push back his anxiety, but to help me complete the faux image of the perfect family unit I aspire to

Mental illness is often inaccurately portrayed in film. Many films focus on the quirky charisma of the neurodiverse or mentally-ill characters, rather than the often terrifying complexities of mood disorders. While we are shown aspects of the darkness, there’s very little of the day-to-day reality of living with the illness – the self-harm, the anger, the police involvement, the desperation and the tears.

When our son is on form, he lights up a room; but when he is overwhelmed, it’s like waiting for the White Walkers to break through the wall

I don’t have any photos of the first twenty-four hours of our trip when Kurt couldn’t look at us or speak to us because he was so angry with me for persuading him to come. He was even madder with himself for “being such a cunt.” (His words).

Ahead of our trip, I thought I had prepared for every eventuality and nothing could go wrong. And yet on our first night, I booked a table at a restaurant in town (because the hotel restaurant was extortionate), and that triggered Kurt’s anxiety. He joined us, but he sat in the restaurant, stony-faced, his earphones in, and as soon as he finished his food, he left by himself. Returning to the hotel bar, he set himself up at his own table and refused to join us when we returned.

I know better than to think I can prepare for every eventuality. The unpredictability is, perhaps, the hardest part about mental illness. The three steps forward, and the inevitable four steps back

That night he texted us to say he would take the train home the following morning. Even now, he cannot explain what triggered his overwhelm and need to isolate, but it lasted until after lunch the following day, when somehow he managed to pull himself back and block out the voices. He apologised to us profusely, told us how much he loved us and hated himself for his behaviour, and our second night together was memorable – one of the best nights we’ve shared as a family.

When family and friends ask us how Kurt is doing, we put on masks too

We wear protective masks as well – from the judgement of being bad parents, weak, enablers, and pushovers – even though we can’t fully defend our actions, out of respect for Kurt’s privacy. What I will say, though, is that unless you walked in our shoes, you cannot understand – in much the same way that I would have a limited understanding of how to cope with a child with a physical disability or terminal illness.

A person with mental illness may look exactly like you or me, most of the time, until the mask slips

That judgment forces people with invisible illnesses to wear masks, and when they slip, society is unprepared for what lies behind it, in terms of both support and resources. But in the same way that there is no shame in having gastro, there is nothing wrong in admitting that your head isn’t well. Everyone feels sad or anxious at times, but it is the magnitude of those emotions that is so different for people with depression and anxiety, or with neurological conditions that make normal life more challenging.

They can’t “snap out of it” to make the rest of us feel better

Most of the time they don’t ask for our help, nevertheless, they deserve our compassion. My desire to paint a perfect family picture of our weekend away made my son very unhappy and his mask slipped – like he warned us it would. Fortunately, this journey together has made us stronger. We have learned not to blame ourselves (or him) for poor decisions, and I’m certain that sometime in the near future we will give the experience another shot.

The outcome may be similar, but the hope is that each experience is one step further from surrender, and one step closer to recovery.


Photo by Sydney Sims from Unsplash.com

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