Insights on mental health and class analysis, by a girl who has been depressed for eight years
A few months ago, a high school friend and I reconnected, and after feeling each other out for a bit, eventually admitted that since we'd lost touch, we'd been diagnosed with our respective mental disorders. We cried, commiserated. About lying in bed because we just can't get up, hearing "tamad ka lang katamaran lang yan" and believing it, screaming at ourselves that we are better than this we are good, we are smart, we are our parents' golden children, we have to make them proud. And from my talks with people, with strangers, with friends--I've noticed that this is a trend. The need to be more than what we are now. The desire to live up to expectations. To be normal. And for those of us who were told all our lives that we were the crÚme dela crÚme, best of the best, it's an even more damning pressure. It's not enough to be average, you have to be above average. And it's not enough to be above average, you have to be the best of all those who are above average. It's not enough to be a big fish in a small pond; you have to be the biggest fucking shark in the ocean. I remember curling up on the floor, sobbing to my therapist, "All I want to be is power. All I want is to be worthy. To be good enough." And this need is what drives my borderline personality disorder (BPD) and my depression. According to the National Institute of Mental Health, BPD is five times more likely to occur if a close family member has the condition. It's also linked to to "structural and functional changes in the brain, especially in the areas that control impulses and emotional regulation" (National Insitute of Mental Health)--though of course these are not the only factors, and indeed there are people with BPD who do not have these risk factors. The point being: mental disorders can be, but are not necessarily, a biological thing. I have met so many people struggling with mental illnesses and mood disorders and we all feel the same way. Cry the same way. Break down sobbing when we miss a deadline or fail a test or get a grade lower than we ever had in our whole lives. (I dropped from magna cum laude to cum laude during the worst semester of my life, and I stared at my CRS and tried not to hate myself any more than I already did.) Sometimes, these breakdowns lead to the--no, not unthinkable. Many of us have already thought about it. Some of us, myself included, have even tried it. Sometimes these breakdowns lead to the terrible conclusion. Suicide. It's estimated that in the Philippines, an estimated 2,558 people commited suicide, according to a 2014 World Health Organization report. And the rates for suicide, according to the Philippine Psychiatric Association, peak at 15-24 years old--right at the cusp of young adulthood. Late teens to early twenties. Young people. Me. My friends. My peers. The boy I see jogging at the oval. The girl I always meet at the kiosk. The Department of Health (DOH) has found that in Southeast Asia, the Philippines has the highest incidence of depression. In 2004, over 4.5 million cases of depression were reported in the country. According to DOH, so many of us are suffering a pain that has no name. Thirty out of 90 depressives don't even know they have depression. Thirty out of 90 depressives do know, but won't seek help. It could be the stigma. It could be the shame. It could be the fact that in my experience, a therapy appointment costs upwards of P500, and P500 buys so many things: clothes, food, a fraction of the rent, bills. So we push and we fight and we struggle for quality and accessible mental healthcare. We clamor and lobby and rally for a healthcare that isn't privatized, for bodies not to be milked for profit. For us not to have to choose between eating and wanting to kill ourselves. For our government to care that we are dying and to do something so we live. Because even for us, the lucky 30 who do seek help...we, or at least I, scream at ourselves for it. Therapy is expensive. I am guilty every time my family sends me money for my sessions: my brain, screaming mind over matter, God you're pathetic. Kala ko ba matalino ka. Bakit babagsakin ka na ngayon? Laki ng gastos mo sa magulang mo, pakamatay ka ma lang, di hamak mas mura ang kabaong at kape kaysa sa tuition rent bills grocery-- So we struggle. So we fight. Because mental disorders are insidious and murderous and we want to live. But another huge factor we can't discount is how the society we grow up and live in, molds us into this self-hating self-deprecating always-fucking-hurting individuals. Why would kids like us--like me--need accomplishments so desperately? Why would we be curled up fetal position sobbing, saying over and over, "Tangina gumalaw ka, puta ka, may acads ka, di ka gagraduate, you worthless piece of shit, pano na magulang mo, pano na lahat ng pangarap mo--" Love, of course. The safety and stability of our families. But also: the glittering life sold to us by the capitalist economy. The one that promises billboard-worthy happiness and a penthouse condominium and wine after five Fridays. If we just work hard enough, push past this stupid depression, we can reach that. We can be happy. It's an illusion. But it's an illusion that's difficult to dispel. It's the same illusion that drives the viral posts of security guards graduating magna cum laude at the school theu guard at; the elementary schoolchild studying under a lamppost; the illusion that states if you work hard enough, you'll succeed and be happy. It's a lie because from the very beginning the racers were weighed down with balls and chains. It's a lie because not everyone gets the education that people who can afford college do. It's a lie because not everyone gets the same education that we UP students do--the same education that guarantees at least a glance at your resumé. Hell, not everybody qualifies for "at least high school graduate" job postings I've seen around. So we fight not only for mental healthcare, but for quality and accessible education in all levels, for all Filipinos. Because the right to life doesn't stop at life; it comes with the right to quality to life, as well. The K-12 program is not only a burden to the parents forced to shell out for another two years of education (the discussion of how private schools have milked K-12 for profit will have to be put aside for now). It is also a machinery to create welders, domestics, nail artists--in short, docile labor--to send as overseas Filipino workers (OFWs) out in the international market. I am reminded, once again, of former UP president Alfredo Pascual: "Tertiary education is a privilege, not a right." But it is a right. Filipinos deserve more than to be called "the world's best workers". Why not the world's best scientists, best artists, best singers dancers engineers lawyers writers doctors--God, psychologists and psychiatrists! What I am trying to say is: we have been conditioned all our lives to believe that if we work hard enough, we will get that glittery life of peace and plenty. And when we struggle to get there--our genetics, our brains, our traumas--we curl in on ourselves and hurt and blame ourselves. But it was unfair from the beginning. It's not our fault it's hard. The way our society works is by keeping the poor, poor, and the middle-class just solidly middle-class enough to keep chasing that glittering dream life that keep the Powers That Be laughing all the way to their offshore bank accounts. Break that society. Break that system. We deserve better. Mental health issues cannot be imprisoned within the narrow lens of biology or emotion. They also have to be seen through a societal lens. Living as we do in a social construct, we are shaped and changed by how that society treats us. The struggle for mental health is not exclusive to the struggle for free education, or indeed the struggles of the many sectors who push for land, autonomy, representation--democratic rights. Our struggles are woven together. We are stronger together. Hanggang sa tagumpay! Sources: https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml  http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/  http://www.gmanetwork.com/news/story/376780/lifestyle/healthandwellness/psychiatrists-tell-all-the-411-on-suicide-prevention  http://portal.doh.gov.ph/content/woeful-suicide.html










