The Art of Adjustment

I have a hazy recollection of the day I was finally diagnosed as a schizophrenic.  I remember the intense sensation of relief.  As far as the date goes, I am far less certain.  That question I always answer as late spring early summer of 1989.  I want to say 1990 but I moved in with Meta around December 6th 1989.  That occurred after I was instructed that I had to stop working.

I had no idea how I was about to eat and put a roof over my head with out work but the alternative was institutionalization.  I can say I was the most not cooperative client the clinic had on this issue, but I was fully well aware that there was no real way I could resist if such a decision was made so I acquiesced.

I am pretty sure that I have talked about this before.

The label, Schizophrenic, like anything else, is a double edged sword.  One of the hardest things to cope with as the moment the sense of relief wore off was shame.  Wu live in a culture that has an individual-centric meaning with which every good thing that comes our way is the direct result of our individual merit and every bad thing that comes our way is also the direct result of our lack merit.  This is true it the very least in the working class and the lower middle class where I formed the basis of my world view.  This is a hard thing to cope with and it took many years, decades to be fair, to work passed this.  The most important step in this adjustment was resignation.  I mean this in the sense that Kierkegaard discusses in his work Fear and Trembling. 

I am getting a head of myself.

The first big adjustment that most people like me have to make, if we want to live, is medication.  I had taken a few Psych courses while I was at the university one being abnormal psychology and I had a distinct recollection of the subject matter the day I received my diagnosis.  That was “The number one problem with the treatment of schizophrenia is medication noncompliance.”  I remember saying to the Doc that day.  One of the big problem with Meds is side effects.  These are often hard to describe other than dry mouth, stiffness of the joints and one of the stranger effects for me was vivid dreaming and the sudden sensitivity to sunlight.  Now once a doctor has chosen a med for a client, such as myself, they generally don’t like to change it right away.  They want to give the medication a chance to work.  Often the recourse is to increase Meds if the desired effect hasn’t been achieved.  This causes side effects to intensify.  This will lead to other Medication being prescribed to deal with side effects.  I like to call this the Medication Pyramid.  I am a medication minimalist.   It best to learn to trust the Doctors.  When some one feels both vulnerable and powerless this is a lot to ask.  I remember the feeling of being threatened.  It was an intense experience and it took a couple of years and a change of doctors before I could make the least little bit of head way in this respect.

It was a tiny, tiny bit of head way.

When an individual is vulnerable and powerless the act of trusting requires a leap of faith.  This is a very difficult thing to accomplish.  The first few times it is a gut wrenching experience.  It isn’t like a great leap you might see in various action type films for the leap of faith is taken in an environment where you can not see the other side.  You have no real idea how the doctor, in this case, is going to react.  We like to paint doctors as great humanitarians but they are still human beings like you and me…well maybe not that much like me.  They have their own problems to deal with.

In my experience just being real with a person I barely know requires this leap.  There are repercussions to being mentally ill, especially schizophrenic. in a social and economic sense.  These are unpredictable.

I guess that I am writing this to get across one idea.  As a persons moorings give and they find themselves falling uncontrollably into a new unknown world where they don’t know the rules or how to work the system they will find that they too may have to take this fated leap.  I hope this provides some help.

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