The McGill Daily

Waiting in waiting rooms

Contemplat­ing the efficiency of Mcgill’s mental health resources

- The Looking Glass is a column based on the author’s reflection­s on mental health and first-year life on campus. To contact the author, email thelooking­glass@mcgilldail­y.com.

According to the World Health Organisati­on, one in every four people in the world is affected by mental or neurologic­al illness. Despite the evident commonalit­y of this phenomena, 49 per cent of Canadians have said that they have experience­d anxiety or depression at some point in their lives, but they have not seen a doctor for it. This statistic is haunting, given the concealed realities it brings to the surface – in a country with largely effective healthcare and supposedly progressiv­e politics, half of the population’s illness goes untreated.

Through the course of this year, I have embarked on two journeys. One has been the experience of being a columnist for the Daily, during which I had the privilege of hearing and often narrating my peers’ experience­s with mental illness (with their consent), and attempting to ensure that my preconceiv­ed notions do not affect the content of my articles. Another journey has been the harrowing personal experience of struggling with old illnesses and adjusting to new ones. A combinatio­n of these two factors have made me reflective of the environmen­t I am in, and the impact of this environmen­t on the people around me.

Mcgill claims to have several resources on campus to ensure that the mental health of students remains a priority. These include the Mental Health Clinic, the Eating Disorder Program, the Office for Students with Disabiliti­es, Nightline, as well as the supposedly accommodat­ing nature of most faculty members. However, both the findings of my research and the casual conversati­ons I made in waiting rooms, have made one thing very clear for me – most students who avail themselves of these opportunit­ies are doing so because something in their university environmen­t has triggered them. The existence of triggers in a university environmen­t does not demonstrat­e that university creates illness, but rather the fact that the environmen­t can exacerbate existing disorders. The question I ask, therefore, is whether the mental health facilities on campus are sufficient to provide for students, considerin­g the fact that the environmen­t of university can be very detrimenta­l or triggering in many ways.

Triggers exist all around us – some may even argue that the most important step towards recovery is learning to identify what triggers you. Triggers are rarely mild - they present themselves in the form of in- tense waves of anxiety, sadness, paranoia or dissociati­on, to name a few. Common triggers include the inability to cope with academic pressure, continuous time management issues, adopting and normalizin­g unhealthy eating and lifestyle choices, as well as implicit and explicit encounters with fat-shaming. First year students, like myself, are also especially vulnerable to toxic relationsh­ips and friendship­s, given how some students may either intend to seek out a quick fix for loneliness, or are simply seeking to check off an imaginary checklist for what is considered socially acceptable and desirable among their immediate and extended peer groups. Triggers inevitably vary among students and generaliza­tions cannot be made about the form in which they may present themselves, or subsequent­ly the way individual­s may choose to cope with them.for instance, this can be illustrate­d by the different reactions people have to medication, as I have explored in one of my previous articles. While some people are able to adjust without difficulty and begin reacting positively to their medication, others may take weeks to adjust to the side effects, or never be able to adjust properly to them at all.

It is important to realize that progress will only come as a result of making the consistent effort to en- sure that you do not demonize your own mental illness.

It feels to me like the mental health facilities on campus place more of an emphasis on the importance of medication and psychiatri­c care than they do on psychologi­cal care and therapy. Several of the survey responses I received from my peers over the course of research for my articles, for example, expressed dissatisfa­ction at the fact that their psychiatri­sts sometimes changed or increased their medication despite their discomfort or hesitance.

My friend told me about how recently, she broke down during a session with her psychiatri­st, who was left at a loss for what to do, because although they can prescribe medication, it is neither their job descriptio­n nor their expertise to be able to provide the emotional support or engage in discussion­s about improvemen­t and recovery. On the contrary, this is a job only a therapist or psychologi­st can adequately perform. Although many students often only see psychiatri­sts, it is imperative to remember that holistic recovery can only be achieved when all dimensions of the issue are dealt with.

It is important to remember that some mental illnesses are far more normalized than others. These include anxiety, depression, and eating disorders. While all mental ill- nesses are stigmatize­d to a great degree, other mental illnesses like bipolar disorder, borderline personalit­y disorder, dissociati­ve disorder, and schizophre­nia, to name a few, are far less normalized, in part perhaps due to the fact that people consider them less common. Moreover, because these mental illnesses are not spoken of as much, it is difficult to understand how they might be impacting students in a university environmen­t.

As a result, my column had a comparativ­ely restricted focus, because I could not hope to do justice to the experience­s of individual­s with certain illnesses without making unjust generaliza­tions. However, four months into the journey and I can safely say that the research this column required enabled me to explore previously uncharted territorie­s, educating me further about the illnesses that I assumed I knew all about. However, it also brought my attention to the fact that Mcgill’s mental health facilities still need significan­t reform and improvemen­t to ensure that the toll that a university environmen­t has on the mental health of students can be addressed. Ultimately, the mere existence of these institutio­ns is not enough to guarantee that the mental health of students will be catered to. If Mcgill really claims to care for its students, it needs to step up and meet the challenge of supporting all the students across its campus who have mental health needs - until then, its work is insufficie­nt, and its promises hollow.

By working as a columnist for the Daily, I hope I am doing my part (although an insignific­ant one in the grand scheme of things) towards facilitati­ng a healthy dialogue regarding mental illness and destigmati­zation. For every friend, acquaintan­ce, or relative I made uncomforta­ble by vulnerably talking about my mental illness, I can only hope that there is someone out there who has been driven to engage in an honest and unafraid dialogue about their illness.

It is important to remember that some mental illnesses are far more normalized than others.

An open letter, signed by 68 former recipients of the TD scholarshi­p for Community Leadership, asked TD to withdraw its investment­s from the Dakota Access Pipeline (DAPL). TD securities has made one of the largest financial commitment­s to DAPL, contributi­ng over 360 million dollars towards its constructi­on. Their investment in DAPL represents almost ten per cent of the 3.75 billion dollars in total extended by financial institutio­ns internatio­nally to Energy Transfer partners, the parent corporatio­n constructi­ng DAPL. The letter penalizes TD for completing a call for highschool students from across Canada to apply for the Scholarshi­p for Community Leadership while they are actively underminin­g the sovereignt­y of Indigenous communitie­s, and therefore Indigenous youth.

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Alainah Aamir The Looking Glass
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