Mental health

How to be content

The Covid-19 pandemic is apparently causing a large number of mental health problems. On that subject, one could do a lot worse than read the Roman poet Horace (65-8 BC). An attractive feature of Horace’s views about man’s efforts (including his own) to enjoy the good life is that you have to laugh about it all. He reflects that everyone thinks others better off than they are and envies their good fortune, but if a god told them to swap jobs, they would all refuse, thus (apparently) giving up their chance to be happy. And what would Zeus think of that — no more answers to your prayers! ‘Harvest the

The importance of the Natural Health Service

Most people consider going for a walk or a run as a sort of optional leisure activity, something you get round to once you’ve been to the shops. But when the government announced its coronavirus restrictions, there it was in its own category of ‘essential activities’: daily exercise. Yes, there have been rows about whether sunbathing or sitting on a bench to eat a snack are acceptable, but by and large the message has been clear: we need to get outside to stay well. But it’s not just exercise that’s essential to our lives, it’s nature too. We have become used to thinking of nature as something we need to

I like Brassic but the reason it’s getting such glowing notices is depressing

Brassic (Sky One) feels like the sort of TV comedy drama they last made about 15 years ago but would never get commissioned now, certainly not by the BBC. Almost all of the main characters — apart from love interest Michelle Keegan — are white, male and heterosexual. And it’s set in the kind of Lancashire market town surrounded by rolling sheep country where the opportunities for plausible diversity casting are really quite limited. So how come it has been getting such glowing notices from all the previewers and reviewers? You’ll be depressed when I tell you. Well, it has depressed me anyway. The main character Vinnie — played by

What I’ve learned from five months sleeping on the streets

Over the years, I have spent around five months sleeping rough on the streets of London, Birmingham and New York, making undercover TV programmes. Matthew, who works in my Westminster office, spent last summer involuntarily homeless after he was cheated by his business partner. I suspect we are the only people within the Palace of Westminster who have been through the unpleasant experience of sleeping rough, and we both have come to the same conclusion. Street homelessness (as opposed to the homelessness of temporary accommodation) is, for the most part, a symptom or consequence of a different problem: addiction to drink or drugs, or mental illness. If politicians want to

Hard lines

As if in defiance of the BBC’s current obsession with programming designed to entice in that elusive young and modish audience, Radio 4 has set us an Easter challenge. Each afternoon over the weekend Jeremy Irons is reading a chunk from The Psalms for half an hour, without illustration (except a bit of music), explication or deviation. It’s a discomfiting listen, at times harsh, unrelenting. The supple but rigorous language of the King James Version of the Bible is both daunting and uplifting. ‘Keep me as the apple of the eye’ is one of my favourite images, and ‘hide me under the shadow of thy wings’ has helped me through

Literary therapy

Is there anyone left who’d still be mortified to have it known that they’d purchased, or maybe even benefited from, a self-help book? In recent years, the genre’s gone mainstream: Jordan Peterson’s 12 Rules for Life bestrides the bestseller lists, alongside titles on the Danish, Finnish and Japanese secrets to health and happiness, and the life-changing magic of tidying up; Alain de Botton embraces the label, while most ‘big ideas’ books, from Malcolm Gladwell to Yuval Noah Harari, are at least partly self-help in disguise. This is all to the good: we shouldn’t mourn the era when the key signifier of a book’s merit was that it should be impossible

My drug trials

Antidepressants saved my life, I am sure of that. But I am also certain they made my mental illness much worse too. It has taken just under two years from my first very dark thoughts to me feeling sane and — largely — back in control of my mind. That’s not merely because it takes time to heal, but because it took at least six months for the doctors to work out what pills to give me. My symptoms of anxiety and depression started in the spring of 2016, and the first few drugs I was prescribed didn’t work. In fact, they really did just make things worse. The GP

Mad about Claire Foy

Steven Soderbergh’s latest film, Unsane, is a psychological thriller about a woman who is incarcerated in a psychiatric hospital even though she claims to be perfectly sane. But is she? It was filmed fast, on an iPhone 7, and some aspects are worryingly thoughtless — its treatment of mental-health patients, for example, is remarkably Unsensitive. And it does descend into a plainly ridiculous, sub-par farce. But it is also, in parts, deliciously schlocky and it stars the wonderful Claire Foy, whom one hopes was paid decently. So shocking that she earned less than Matt Smith for The Crown, but as a positive person who likes to look on the bright

The wisdom of weirdos

It was World Mental Health Day this week — and it drove me mad. I don’t have ‘mental illness’. I have bipolar disorder, and I feel as possessive about my diagnosis as Gollum did his precious ring. One term. One label. To lump the manifold terrors of the mind together under the monolithic ‘mental illness’ is an offence against the person. Failing to differentiate shifts the stigma like a bubble under a carpet. So I was horrified to discover, in my latest stint in a psychiatric hospital, that others experience exactly the same as me. Others use the same ‘maladapted coping mechanisms’. They are also their own worst critic; they

Don’t let these figures depress you, girls

Are British teenagers suffering from an epidemic of mental illness? Yes, according to a ‘government-funded study’ which found that 24 per cent of 14-year-old girls are suffering from depression. This has been seized upon by critics of Conservative education policies; they see it as ‘proof’ that the increased focus on teaching children knowledge, as well as more frequent testing and the GCSE reforms, have literally driven children mad. ‘One in four girls is clinically depressed by the time they turn 14,’ reported the Guardian. I’m sceptical about this and I took a look at the research carried out by the Centre for Longitudinal Studies, which is based at UCL Institute

Seeing the light | 21 September 2017

‘You can’t lie… on radio,’ says Liza Tarbuck. The Radio 2 DJ was being interviewed for the network’s birthday portrait, celebrating 50 years since it morphed from the Light Programme into its present status as the UK’s best-loved radio station — with almost 15 million listeners each week. ‘The intimacy of radio dictates you can’t lie because people can hear it.’ She’s absolutely right. As she went on to explain, when you’re driving and it’s just the radio and you, no distraction, ‘You can hear things in my voice that I don’t even know I’m giving away.’ It’s what makes radio so testing for politicians, you can see right through

Diary – 16 March 2017

In the NHS clinic where I work, adults who suspect they may have Asperger syndrome wait almost a year for a diagnosis. The clinic takes referrals from all over Cambridgeshire and Peterborough (a population of 860,000), but we have to see all of them in the hours of a single full-time doctor. And the clinic is not given funds to run a follow-up support service once someone has been diagnosed. These individuals struggle to socialise, are neurologically different, and are overlooked because their disability is invisible. Many have experienced bullying in childhood, underemployment in adulthood and exploitation because of their social naivety. Many are made to feel inferior despite their

Gaslighting the nation

Arguably the cruellest thing you can do to human beings is to rob them of faith in their own sanity. People can endure physical torment, even torture, so long as their minds are clear. If they feel sane, they can still make sense of what is happening to them and work out how to survive. But if you undermine somebody’s mental stability, they soon unravel. In the words of John Milton’s Satan in Paradise Lost, ‘Which way I fly is hell; myself am hell;/And in the lowest deep a lower deep,/Still threatening to devour me, opens wide.’ Chipping away at a person’s mental health is known as ‘gaslighting’, after Gas

The Atomoxetine year

Driving my son’s snake, Todd, a 3ft python wrapped in a pillowcase, to a Brighton vet in August was child’s play compared to the rest of what had gone on that summer. My son, who is 32 and has Asperger’s syndrome, had been served with an eviction notice from his rented flat, having been on what was effectively speed for the previous eight months. Since early July, when his three young carers resigned, he had been visited by the NHS mental health crisis team twice a day. This team, with great skill, calling on him in twos, had managed to get him off what — for him, and for anyone

Death by television

Forty years ago this month a film appeared, so prescient I wonder if its author, Paddy Chayefsky, saw the 2016 American presidential election campaign in a crystal ball. It was called Network and it foretold the rise of Donald Trump. The plot is King Lear appears on Newsnight: a newsman run mad. The protagonist is Howard Beale (Peter Finch), an anchorman at a failing network. The year is 1976, and America is embattled with inflation, depression and the end of the Vietnam war. It is not a time for American heroes, to paraphrase Chayefsky’s acolyte Aaron Sorkin writing in The West Wing. Beale’s ratings are low. He is fired. He

Words on the street

A white van pulls up outside St Giles in the Fields, an imposing 18th century church in central London, around the corner from Tottenham Court Road station, for a couple of hours every Saturday afternoon. St Giles is known as ‘The Poets’ Church’ because it has memorials to Andrew Marvell and George Chapman, but this humble van makes the nickname more fitting. It’s a library. To be homeless is to have no fixed address, which means you can’t borrow books from a public library — but it doesn’t mean you’ve no desire to read. Quaker Homeless Action set up this mobile library in 1999, making runs into London twice a

My fascist moment on the ship of failures

There are no roads from the Peruvian river port of Iquitos, but the rich take aeroplanes. Those who cannot pay to fly may pay the premium for the 40ft motorised express canoes that take only a day to roar to and from the upriver port of Yurimaguas with its bus station. But losers in the global race cannot afford speed. For them there are only the big, slow, hot, lumbering cargo boats: nearly four days’ journey from Iquitos to Yurimaguas. So the moment a passenger walks up the gangplank and strings their hammock between the iron rafters of the open–sided deck, we can guess he or she is not one

What’s to blame for a generation’s desperation?

Youth is wasted on the young, for the most part, and thank God for that. There’s nothing grislier than a teenage girl aware of her hypnotic effect on men, or a youngster who begins his important thoughts: ‘As a young person, I…’ These days, though, it’s not youth that’s wasted on the young so much as life, which is an altogether more troubling problem. Over the last year or so, I’d say a good third of the British kids I’ve met, from 15 to 25, have been suffering in some way from anxiety or depression. Often it’s obvious: severe anorexia; forearms calibrated with razor marks. The child says a wan

The snowflake factory

Another week, another spate of barmy campus bans and ‘safe space’ shenanigans by a new breed of hyper–sensitive censorious youth. At Oxford University, law students are now officially notified when the content of a lecture might upset them. In Cambridge, there were calls for an Africa-themed end-of-term dinner to be cancelled just in case it caused offence to someone somewhere. It all seems beyond parody. ‘What is wrong with these thin-skinned little emperors?’ we cry. But while we can harrumph and sneer at Generation Snowflake’s antics, we miss a crucial point: we created them. First, it is important to note that young people who cry offence are not feigning hurt

Mind games

Blue/Orange by Joe Penhall enjoys the dubious status of a modern classic. A black mental-health patient, Christopher, is about to be freed from a clinic but his cautious young shrink, Bruce, wants to keep him under observation. His senior colleague, Robert, thinks a dose of the big bad world will help to cure the nervy, delusional Christopher, who claims Idi Amin as his father and insists that all oranges are blue. He’s clearly unstable and though he’s highly irascible he hasn’t yet threatened himself, or anyone else, so he deserves his freedom. It’s the kind of knife-edge conundrum faced by clinicians every day. Then, a twist. Robert professes support for