i think that when people see a person with a severe mental illness being "noncompliant" (e.g., not taking meds, triggering themself, falling back on unhealthy coping mechanisms, self harm, self injurious behaviors, eloping, "refusing" to speak, what have you) they see the reason behind the behavior as being difficult on purpose and automatically jump to, well this patient obviously doesn't want to get better so i should treat them accordingly.
as someone who struggles with a severe mental illness AND is "noncompliant" i promise that is not the case. evidence?
reason i have not taken my meds/gone off them:
side effects were impeding my every day life
they weren't working and i would rather not put something in my body that doesn't help
the illness i was being treated for convinced my brain that my meds were poisonous and if i took them i would become sick or die.
demand avoidance (read: the notion that i was expected to take my meds caused so much distress in my body that i would do anything NOT to take them, so i don't
reasons i have done "difficult" behaviors
i wasn't able to communicate how i was feeling other than physically expressing it with self injury
i was being abused and the stress that the abuse caused put too much pressure on my brain to react in a "healthy" way
i could not distinguish reality from unreality and the stress that that caused put too much pressure on my brain to react in a "healthy" way
the topic of group therapy put so much stress on my brain that i could not stay in group and left
the environment of group therapy was overstimulating and that put so much stress on my brain that i left
i think the reason that medical professionals see and label these behaviors as "being difficult" or "noncompliant" is because they either fail to see or refuse to consider the environment in which these things occur.
maybe they are desensitized to the pain that we experience because they see it every day, but that does not make it less real for us.
my struggles do not exist in a vacuum. and i wish people would see that.
to my brothers, sisters, and siblings with severe mental illnesses and noncompliant behaviors. i see you . i love you. i know the distress and pain you are in. i am sorry they are not listening to you. i hope your pain eases soon.
(also note, this is my experience as someone w autism, psychosis and "dissociative and cluster b traits" [whatever the shit that means tbh]. i am also white, which means i experience less discrimination in the medical field than a person of Color. )