hi, I really like your blog and your antipsych thoughts have been very helpful to me. i hope this is ok to ask for advice (sorry i have brain fog and this question is vague)? i think i'm looking for 'unconventional' advice or suggestions, the kind that someone in the psych system would not necessarily recommend to me.
i have had a bad history with therapy, but i very much need some kind of mental support that i am not getting otherwise in my life (issues like CPTSD, DID, among other things). im in a position where i /can/ go to therapy, and i've been with a therapist that specializes in the things that are causing me the most problems for a year and theyre fine (i.e. has not ever helped me figure out anything about how to improve my life but has been someone who can perscribe me stuff, and hasn't done anything actively harmful to me like other therapists and psychiatrists have), but going is so upsetting for some reason (maybe because the therapy environment has been so bad in the past?) and not at all helpful. it's useful for me to have a relationship to a psychiatrist/therapist for medication and other 'navigating the system' reasons, but it's absolutely unhelpful. i am very frustrated and disillusioned with the whole concept of 'therapy' in general (maybe due to my history)!! but i don't know how else to get help!
it's harder because of the brain fog. i also feel very isolated partially because i'm in a not great environment, and partially because i have multiple mental illnesses in addition to not being a very nice person. i have felt really let down by supposed friends i've come to for help who just said therapy speak stuff like 'you should get help....' and 'sorry i don't have the emotional bandwidth to help <3' and stuff like that. it really makes me feel like i'm too messed up to be able to ask for help from regular people and i have to go to the psych industry but of course i've already been failed by them too :(
I think what you've said makes so much sense. I feel like we're so often told "go get help" but when we do try to seek support, it isn't as simple as just going and easily finding a therapist who is able to provide all the support and care we need. It can be so hard to find and pay for therapy in the first place, harder still to find someone who specializes in a therapy style to meet our needs, and sometimes we might not just be in a place in our life where we are in an environment that allows us to do in depth therapy work. And I just want to say that it isn't your fault if therapy isn't meeting your needs right now--that doesn't mean that you're failing at therapy. You absolutely aren't alone in feeling dissatisfied with therapy and wanting other options.
For me, what's helped when I've been considering making changes about how I approach my mental health has first been sitting down and really taking a thorough look at what things are working and what things aren't working. It seems like you've done a lot of that already--you know that it's helpful to have a therapeutic relationship to get meds and for help in the system, you know that the therapy environment hasn't been particuarly helpful for other types of healing work, and it seems like another thing you're thinking about is how to get mental support from your friends and other people in your everyday life. I think those are really good starting places to consider where you want to go from here. It might be helpful to make a list of what feels like priorities to focus on right now--do you want to develop more skills for navigating crisis? Do you want to focus on changing your relationship with dissociation? harm reduction for self destructive behaviors? building resilience and cultivating relationships in your life? There's no right or wrong answers here--you're going to be the expert on what feels most important right now.
I also just want to say that I think it's really shitty when we're made to feel like we're too crazy or too needy or too messed up to be able to be cared for and supported in our community. I've definitely had people tell me that, and it really hurts and makes me feel hopeless, like I'm always going to be struggling and that there's no chance that I'll be able to get better. But fuck that. We deserve to have meaningful connections in our community, access to resources that help us, and to be able to build resilient relationships where getting emotional support isn't considered an unmanageable burden, even if we're mad/mentally ill/ neurodivergent. I'm sorry that you haven't been able to rely on your friends and community that way, although I know it's hard when everyone we know is struggling and people don't have the energy or skills or knowledge to be able to help each other.
This is getting long, so I'm just going to list off a ton of random tips and suggestions, and I hope some of them might resonate with you.
Join a peer support group aligned with antipsych values. Hearing Voices Network, Alternatives to Suicide with the Wildflower alliance, Multiplied by One, FEDUP trans/intersex eating disorder support groups are all great options.
harm reduction! this can be especially applicable for self-destructive behaviors, but just in general moving outside of an "abstinence-only model." working to understand your actions on a spectrum of totally chaotic, unmanaged behaviors to more managed, intentional relationships with those behaviors. embracing any positive change as an important step instead of self-blame and all-or-nothing thinking.
Trying to think of the best way to describe what I'm thinking here, so I might not have the best phrasing. But basically, spending time separating your ideas for what wellbeing and quality of life look like for you from the psychiatric system's ideas of what a "normal," "healthly," quality of life looks like. For me, this looked like realizing that I wasn't actually interested in getting rid of all my hallucinations, but instead I just wanted to lessen the distress I experienced and find a way to hallucinate without panicking. So I guess just in general--really exploring what is actually important to you for your wellbeing and not limiting yourself to mainstream definitions of "recovery."
Unconventional coping skills, or coping skills that traditional psychiatry deems "risky." I've talked with some people who things like getting tattoos and piercings are actually incredibly healing for them, and are an important part of their "therapeutic" journey. Not going to go into detail or promote other "risky" coping skills on Tumblr lmao, but more just say that it's okay if there's things that therapists view as risky that you might have another perspective on how it fits into your personal healing.
Building up your and your loved ones capacity for community care. This can be a really hard one, because I know it always frustrated me when I would see people talking online about how great things like care webs or the power of peer support when I just didn't have any of that in my physical everyday life. So I'm not just going to put this here like it's a magical solution or something that's easy to accomplish. It's something that can take a ton of work and we're allowed to be frustrated about that. I think one strategy that helped me with this was spending a lot of time building my own understanding of my own capacity to help, my own needs, and what ways I would like to be cared for. That helped me start small, just by having conversations with my loved ones when I wasn't in crisis and saying "Hey, this is how I would like things to go when I'm in crisis. This is something that helps me when I'm hallucinating. This is a way you could let me know that you can't support me tonight but still leaves room for us to have connection. This is how I can help you. Let's talk openly together and develop and practice how we want to care for each other." Starting with just one person and one conversation really went a long way for me in terms of eventually building up an actual support network and for me was super instrumental in healing work.
Setting out an hour a week that's my "self therapizing time." just using one hour a week to look up new resources, try out new skills, journal, do self-inquiry, participate in activism, do something that brings me joy, read something new about mental health, literally anything that feels intentional in that hour. trying out a lot of new things and quitting a lot of new things!
Incorporating your physical needs. I'm sure we've heard a million times things like "get sleep, nourish yourself, go outside," and all that is great but often feels fucking impossible when we're mentally doing not great. but I guess just saying it can be good to be aware of how our physical body impacts our mental health in other ways. things like trying to get our sensory needs met, embracing movement that feels good + making space for rest, embracing things that bring our physical body pleasure whether that's tasty food, sex or other kinds of physical intimacy with other people, if it's using substances in a way that feels helpful or joyful or fun--anything really!
Here's a bunch of random orgs and resources that I have found helpful: Fireweed Collective, Wildflower Alliance, Project LETS, Mapping our Madness, Mad Survival Tools, Organizing Guide for Psychiatric Survivors, MindFreedom Resources, Multiplied by one (I can't personally vouch because I haven't been to their groups, but I have a friend with DID who attends these groups and had positive things to say about them.)
I'd also add on this book: "Psychosis, Dissociation, and Trauma: Evolving perspectives on Severe Psychopathy" although I do want to give a warning that this book is a heavy academic text that has a lot of clinical and stigmatizing language. For me, it had some helpful information that helped me make connections between my experiences of trauma, dissociation, and psychosis, but I would not recommend reading it unless you feel like you're in the right headspace and can deal with wading through a lot of the psychiatric narrative.
These are all just some things that sometimes work for me, so please feel free to disregard anything that doesn't resonate with you. I'd also love it if followers could add on with any tips, resources, any "unconventional" advice!
thanks for reaching out, anon, and I hope you have a good night š