It’s All in Your Head:

The false dichotomy between physical and mental illness

It used to be thought that different illnesses were the result of demons and evil spirits. In the bible for example there are instances of epilepsy that are treated as demonic possession. As physical explanations were found for different disorders, the supernatural explanations were abandoned in favor of scientific ones.When it comes to mental health disorders however, physical explanations are harder to grasp and find. Not because they don’t exist, but rather because a lot of brain related research is either not possible with our current technology, or must be undertaken with great care for ethical reasons.  As a result, our society has created a separation between physical illnesses and mental ones.

On some levels, this separation make sense. When we think of physical illness or disability, we think of some physically embodiment. Take Crohn’s for example: with the right equipment one can point to the inflammation and ulcers in my intestines as an explanation of why I am feeling the way I am feeling. With mental illness, however, a lot of times we are dealing with something a bit more intangible: emotions and thoughts.

This separation is a false one however, that actually creates a lot of misunderstanding and harm. Because we see mental illness as dealing with something intangible like emotion, there is a social perception that mental illness isn’t real. That it is “all in your head”.

The truth is that mental illness is as much a physical thing as any other illness or disability. The brain is as much a part of the body as a leg or intestines. Depression, anxiety, and other such conditions may manifest themselves in part as emotions and thoughts, but those are expressed symptoms of underlying conditions in the same way that pain is an expression of inflammation or injury.

Moreover, it ignores the fact that all perceptions are “in our head”. If you consider pain, for example, while our bodies processes the injury causing the pain at the point of injury, the actual experience that we call pain is processed in our brains. This doesn’t mean pain doesn’t exist. In fact, we know that pain not only exists, but it is necessary for our survival. We know this because of individuals with CIP (congenital insensitivity to pain), a condition where people cannot feel physical pain. People with CIP need to consistently measure their body temperature and be very careful because it is possible for them to injure themselves, like break a bone, without realizing it.

Every tactile experience, every visual one, every auditory one is processed “in our heads”. If you say that mental illness isn’t real because it is “in your head” you are essentially saying that every experience we have isn’t real. Our whole lives are lived in our heads.

There are physical symptoms of mental illness as well. Many people who have depression experience joint pain, as well as fatigue. Anxiety can cause your blood pressure to spike, can cause chest pains, nausea, acid reflux, and a whole host of other symptoms. There is absolutely a physical component, so treating it as if it is something separate ignores important aspects of mental illness.

Moreover, treating mental illness as separate from physical illness or disability, ignores the fact that physical disabilities and illnesses often occur in conjunction with certain mental illnesses. Specifically, many people with disabilities have more risk factors for depression, anxiety, and PTSD. This can be the result of the imposed social isolation that many people with disabilities experience, or in some cases may be a result of their illness. For example, Crohn’s Disease, in addition to the pain and physical symptoms that can increase the risk of depression, the inflammation of the intestines can also lead to a lower absorption of Vitamin D which can result in depression.

Because physical and mental illness are treated as separate, those of us with disabilities are not given adequate access to mental health care. In an ideal world, every person with a chronic illness or disability would be given access to a mental health professional who would manage their mental health in conjunction with their physical health. The connection between the two would also make it easier to argue for social contact as an accessibility need.

The way the world is set up now, people with different types of disabilities experience social isolation as a matter of course. This can be as a result of symptoms, or often as a result of insufficient accessibility. Because mental health and physical health are seen as separate, the idea that disabled people are prevented from being able to socialize effectively due to barriers such as transportation or even just on-site accessibility, is not seen as a big deal. Government officials see closing down programs and businesses that encourage and enable disabled people to socialize as risk free. People feel the need to vandalize playparks that are set up to be accessible to disabled children.

The false dichotomy is actively harmful to all disabled people. It enables people to ignore the needs of the mentally and the physically ill. It is meant to divide and shame. It is meant to pit us in false competition with one another, in the hopes that it will distract us from the systemic ableism that is so ingrained in our society.

It’s All in Your Head:
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Your Transantagonism is also Ableist

Recently Ophelia Benson added to the TERFY hole she’s been digging by tearing into an abortion provider who chose to use inclusive language when discussing issues surrounding pregnancy and access. It’s an issue that comes up surprisingly often. The discussion around genitalia is so needlessly gendered, that people often fall into the trap of equating body parts with identity.

The equation of women with “having a uterus” or the ability to have children is obviously exclusionary to both trans men and trans women. Not everyone who can get pregnant is a woman and not every woman has the ability to get pregnant. It is also exclusionary to many of us with disabilities.

The social equation of women with having a uterus is extremely damaging to women who, for one reason or another, have lost their ovaries, or uterus. Many of them struggle with feelings of inadequacy or identity loss for this reason. Harmful concepts, like those established by patriarchy and outdated feminist concepts that reduce women to their genitalia, only make the struggle more difficult.

Continue reading “Your Transantagonism is also Ableist”

Your Transantagonism is also Ableist

Rant: $13 a Pill is Still Ridiculous

The internet has been alive in the last few days with regards to the hedge fund manager who raised the cost of a pill from $13.50 to several hundred. People were outraged, his email was made public, and the anger even received news attention. The public outcry was so great, that the businessman involved returned the price back to normal, or so it was recently reported.

The pill in question, was widely reported to be an HIV drug. People could understand that most people with HIV would never be able to afford such a dramatic increase. There was discussion and outrage over how many people would die as a direct result of this unfair price increase.

I’m glad the outrage happened, and I am glad that the discussion came up, but what surprises me is that in all the commentary, no one pointed out just how ridiculous the original cost of the pill already was. $13.50 a pill, for a pill that needs to be taken daily amounts to almost $5000 a year. That’s over $400 a month. What’s more, this medication isn’t even a treatment for HIV. Rather it is a prophylactic for some of the opportune infections suffered by people with compromised immune systems. The drugs that treat HIV can be even more expensive. There are people dying because of the costs NOW.

It’s not just HIV treatments either. My own medication Remicade, even in Canada, costs $1000 a vial. I take 10 vials every 6 weeks to treat my Crohn’s disease. That’s $10,000 every six weeks. I had to apply for special coverage for this medication from the government. A program called Trillium that gives prescription coverage to low income people. The problem is that they get to decide whether or not I get my medication. Because Remicade is still on Patent and being studied, there is a coordinator who has to have special forms filled out every year to evaluate whether or not the government will continue paying for it.

Continue reading “Rant: $13 a Pill is Still Ridiculous”

Rant: $13 a Pill is Still Ridiculous

They're Taking Your Money and Giving it to Your Boss's Boss

The marketing campaign that made everyone fear deficits was a brilliant one. Politicians have been using that fear to fake economic policies ever since then, to the detriment of everyone. One of the favorite comparisons out there regarding the budget of any country is the one to the household budget. Different candidates wax poetic about the importance of living within one’s means and how the same rules must apply to a country and so forth and so on.

The idea of living within one’s means is one that often gets trotted out to “teach” poor people not to be poor, under the mistaken belief that the poverty is the fault of the people living within it.

Like any person actually living in poverty will tell you, it’s not really about not spending money you don’t have, but making sure that such expenses pay dividends. No one lives within their means, except for the very poor. For everyone else, there are credit cards, mortgages, financing, and so forth. All of which are examples of spending more than you make.

It’s the very poor, who don’t qualify for those loans, people on disability, on welfare, homeless people, who live entirely within their means because they don’t have the privilege of not doing that. Where the problem arises is that “within their means” does not equate to “while having the basic necessities needed for survival”.

Continue reading “They're Taking Your Money and Giving it to Your Boss's Boss”

They're Taking Your Money and Giving it to Your Boss's Boss

Why Are my Guts Crying (x-post with Angie)

Cartoon of Angie Jackson

This is a post co-written by Ania and Angie. 

“Because I ate a balanced breakfast”

Cartoon Ania

“Because I saw a piece of lettuce on someone else’s plate”


“Because I forgot my mother’s birthday”

“Because your Instagram pictures of flax seed everything gave me fiber by osmosis.”

“Because the dilaudid they gave me to treat the pain from my diarrhea made me constipated”

“Because I didn’t drink coffee.”
“Because I did drink coffee.”

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Why Are my Guts Crying (x-post with Angie)

Crack in the Womb

[Spoilers for the Season 1 finale of Steven Universe follow.]

The moment that sealed Steven Universe into richly-deserved fame and a place in future discussions of the evolution of pop culture was the 52nd episode, ”Jail Break.”  In addition to pointedly and thoroughly burnishing the show’s credentials as queer-inclusive and emotionally complex, it provided viewers with a beautifully-composed song-and-fight sequence, from the only one of the four main characters to have avoided a musical number until then:

The words of “Stronger Than You” are poetic and poignant, particularly these:

I am a conversation.

I am made

O-o-o-o-of

Lo-o-o-o-ove o-o-o-o-of

And it’s stronger than you.

Continue reading “Crack in the Womb”

Crack in the Womb