I’m Not Settling For ‘Good Enough,’ And Your Psychiatrist Shouldn’t Either

Crazy Talk is a mental health advice column, getting real about life with a mental illness. While I’m not a medical doctor, I’m living the good life with depression, OCD, and complex trauma, unapologetically owning my “crazy.” We’re talking all things mental health — trauma, happy pills, mood episodes, and whatever else you tweet me about! Check out last week’s column here.

Recently, I wrote a Twitter thread about what it’s been like to finally find the right medications. “Finally getting the right psychiatric medications,” I wrote, “was like realizing I’d been playing my life on ‘expert’ mode with a broken controller.” 

The response? Overwhelming. And one question that popped up a lot in that thread and in my inbox was something to the effect of, “Is ‘good enough’ with my mental health a good place to settle? Or should I not be settling at all?”

To answer this question, we have to dive into my history a little bit.

In 2016, I was in and out of psychiatric hospitals and outpatient programs. For years, I was misdiagnosed as having bipolar disorder, which meant I was put on countless medications that weren’t very effective for what I was actually dealing with. Back then, my philosophy had always been, “If I’m not suicidal, I’m fine.”

This resulted in a pretty well-established pattern. I’d struggle for a while, I’d coast. My medications sedated me, but a lot of my symptoms were always beneath the surface. I wasn’t totally miserable, but I was never truly happy.

Then something would trigger me — next thing I knew, I’d be flung into a complete crisis.

After one too many breakdowns, I found my current psychiatrist. He took one look at the seven or eight medications I was on and said to me, “Something isn’t right.” I explained to him that despite all the pills, I was never really more than just okay. And he was the first doctor I’d ever met that told me that “just okay” isn’t actually okay.

Let me repeat that: “Just okay” isn’t actually okay, especially if it doesn’t last.

Thus began the long process of reassessing all of my diagnoses and completely transforming my medication regimen. The process was so involved, I had to be hospitalized so I could be closely monitored while coming off of four medications quickly and simultaneously. And while it wasn’t exactly fun, it was the beginning of getting my life back.

Because with a real advocate in my corner, the goal was no longer survival. The goal was recovery. The goal was becoming my best self. The goal was finally living.

Here’s the thing: If you’ve been depressed and anxious for your whole life like me, you may not actually know what it feels like to be mentally healthy. This makes it easy to settle. This makes it easy to say, “If I don’t want to kill myself every second of every day, this is probably fine.”

The bar is set so low, we accept a quality of life that doesn’t have a whole lot of “quality” to it at all.

And our clinicians don’t always help in this regard. If we’re willing to settle, sometimes they are, too. I once saw a psychiatrist who said to me, “If your grades in school are fine, I don’t know what you need from me.” (Spoiler alert: I needed antidepressants, Doc.)

Sometimes when we aspire to be “okay” or “functional” — get decent grades, hold down a job, be able to shower and comb our hair — we forget that there’s more to life than just being okay.

There’s being able to appreciate a piping hot cup of coffee in the morning. There’s doing work or finding a hobby that’s meaningful to us. There’s enjoying the company of our friends. There’s having passion, ambition, and investment in something more, something bigger. It’s a good thing to be able to survive, and it’s important, too. But I’d like to believe we all deserve more than that.

Do you remember the last time you laughed deeply, maybe even until you cried? Do you remember the last time something good happened, and you couldn’t wait to call your friend and blather on about it? Do you remember the last time you actually gave a fuck about your life? Felt excited? Felt interested? Felt curious?

I spent most of my life going through the motions. I may not have always felt empty, but it took a long time to ever feel full. And while surviving is your top priority, I don’t want to live in a world where mentally ill people give up on thriving, with clinicians that enable us to.

Sometimes we do need to coast. Pace is everything, and this mental illness thing is a long freakin’ haul. But coasting should be a pit stop, not a final destination. This is especially important to remember, because too often while we’re coasting, we miss some of the warning signs (like boredom, for example) that can evolve into full-blown depression.

While it’s not reasonable to expect a dramatic shift overnight, it’s not unreasonable to say, “Actually, I want to be more than just okay. I want to be well.”

You deserve to be well. And you deserve a clinician who believes that you can be.