Sadness at McLean

 I had a sobering experience. My DBSA (Depression Bipolar Support Alliance) office key has been dodgy for years. Last week it finally wouldn’t work at all. Our office is located in the cafeteria of McLean Hospital, a world-renown psychiatric hospital that was founded in 1811.

I decided to call my husband, Jim, to see if he had any suggestions. The reception in the cafeteria was poor, so I walked outside towards the parking lot to talk.

A woman came walking by with a companion who was obviously a McLean staff member. I recognized the woman: an acquaintance from long ago at DBSA. She always had a ready smile.

The change in her was striking. She walked very slowly. When I called out her name, she stopped and looked at me. I wasn’t sure she recognized me, so I reminded her of our connection. I rattled on about how DBSA has been on Zoom for three and a half years and how we missed being in person.

She looked at me intently but never said a word. Then I said I had to go (because I had run out of things to say) and she continued her slow walk.

It was tough. I know nothing of her history the past several years. I know nothing of what brought her to McLean this time. She acts so differently from the friendly person I knew way back when.

It made me realize anew what a serious condition mental illness is. I have been blessed: the medications, for all my love-hate relationship with them, have allowed me to have a full life. They are far from perfect. Sometimes I feel like we are in the era that general medicine was in before antibiotics and chemotherapy drugs. Like chemotherapy, psychiatric meds are a blunt instrument with serious side effects. Although researchers continue to learn more about mechanisms, many of the drugs are decades old. I think there are many kinds and causes of mental illness which makes it very difficult to find effective medications that target the specific cause.

Whatever the reason, psychiatric drugs are, in the words of David Anderson, TEDxCaltech presenter, Your Brain is More Than a Bag of Chemicals (January 2013), like trying to change your car’s oil by pouring oil all over the engine hoping some of it reaches the right place.

My encounter at McLean reminds me that mental illness is a terrible illness with huge costs to those who aren’t’ treated successfully. My heart goes out to all who still suffer.