This is a guide on how to deal with sanism. This guide will focus more specifically on sanism towards Bipolar Disorder, Schizophrenia and any of the Axis II diagnoses (Schizoid Personality Disorder, Paranoid Personality Disorder, Borderline Personality Disorder, etc. etc.).
First, let's identify examples of sanism. Sanism is the discrimination and/or oppression towards those with psychiatric diagnoses.
Signs of Sanism
- Assumption that you are out of touch with reality/have no self awareness and treats and convinces you as such (gaslighting)
- Assumption that since you are diagnosed with x you will commit y regardless.
- Assumption that anything and everything you do or think revolves around your disorder.
- Assumption that they as "sane" people are more aware of your situation and knows what is better for you than you do and will not let you speak for yourself.
- Produces an "us vs them" mentality between the undiagnosed and the diagnosed.
- Invalidates, minimizes or normalizes any levels of abuse you've been through because of your diagnoses.
- Patronizing/Condescending behavior because they think your diagnoses makes you lower than them.
- Scapegoating. Ex: "The treatment is not working because you don't want it too."; "You only feel that way because you have [insert psychiatric diagnoses here]"
- Uses your diagnoses against you to their advantage else. Ex: A rapist accuses victim of lying about the sexual assault because he or she has a personality disorder that is known to enjoy manipulating for attention.
- Places you in a double bind or a catch-22. Ex: Say symptoms of your disorder is feeling invalidated- uses claim to invalidate your opinions and your point of view.; Intentionally treats you in a way they know is hurtful but blames that you choose to feel that way when no one has a choice on how they feel
- Dehumanizes and Antagonizes anyone with a psych disorder. Ex: people who avoid associating with you because they think your disorder means you are a danger.
- Victim-Blaming Ex: Blames you that you made them treat you negatively when they are well in control of their own actions.
- "Boxes" you in your diagnoses. They assume because you have a diagnoses you are incapable of living your life or making choices like a normal person without any direct proof you can't.
- Uses psychiatric diagnoses in a derogatory or mocking way. Ex: "The weather has been so Bipolar."
- Stereotypes those with psychiatric diagnoses. Ex:authors who writes that what made their antagonist murderers was that are is because they have schizophrenia or mentally ill parents.
- Sees you as a label or diagnoses rather than a whole person
- Bias confirmation; takes anything you say or do out of context to confirm to your diagnose or their perceived diagnoses of you.
- Accuses you of stigmatizing Psychiatric treatment; or are a Scientologist, Anti-Psychiatry, Religious, etc.; or accuses you of inappropriate psychological behavior (projection, label you as crazy) if you express any level of skepticism, disagreement or unfortunate personal experience within the mental healthcare system. note: This is VERY common
There are MANY MANY MORE examples and it is by no means limited to what I have listed. For more info you can Google sanism, signs of an unhealthy or abusive therapist and how therapists abuse their clients. If you know of any more, you can reply with other examples of sanism.
How to Deal with Sanism.
These are advice for practical day to day living among the general public to avoid discrimination or from making it worse. This is like if you were in a situation trying to avoid backlash or you work with very bigoted and gossip-y people you can't avoid. This isn't applicable for more serious matters such as lawsuits, a mental health professional breaching confidentiality, institutional discrimination, or if you were to discuss this privately. These advices are not meant to condone sanism but how to deal with it on a daily basis from the public. Also, these are advices, you are not obliged to take them if you feel they won't help.
Don't turn it into a political argument.
- Like any other field, Psychology and Psychiatry are politically loaded but not many people are aware of it and most refuse to be. If you encounter sanism don't try to counter it with political claims, they will see you as an preachy conspiracest who wears a tin foil hat and you will become a target of sanism.
Don't share any disagreement about the mental healthcare system /Don't share any negative experience you had within the mental healthcare system
- Your opinions and experiences are real but sanists don't share those same sentiments. When you have a disagreement or a bad experience in mental healthcare they will immediately assumed that there is something wrong you instead and not them. Some people will also antagonize and accuse you of stigmatizing mental health treatment.
Try to brush it off.
- Sanism hurts. Discrimination over something you didn't choose to have is both depressing and exhausting. Unfortunately it is something you will encounter as long as people refuse to discuss it and that will probably be for a long time. Don't waste energy on arrogant people if it can be helped, especially if they aren't important to you.
Keep your diagnoses private
- This might be difficult to deal with. In an ideal world we shouldn't have to hide something that isn't something to be ashamed of but in reality majority of people don't think that way and the trouble is not worth the cost. It makes us a target of harassment and discrimination that we don't deserve.
Don't show that it bothers you/Don't argue
- Showing that you are bothered by the judgments against those with a mental disorder will make people suspicious that you might have a disorder and they will not react well to it. Unethical therapists might see it as a symptom of a diagnoses rather than an actual concern.
Have confidence in yourself.
- A lot about sanism is about underestimating the confidence of the individual. It is one thing to check yourself and your behavior every once in awhile like any other human being but it is another thing once you are second guessing yourself and your own judgement constantly. Don't be afraid to pay attention to your gut feelings. If something doesn't feel right odds are it is because there is something that isn't.
Reassure yourself you are not alone
- Although there are not as many resources and support for people who are targets of sanism there are few where people are willing to speak up. You are not alone, there is nothing odd or weird about you.
Anonymously write about it or talk about it.
- If writing or talking about something about it helps you remember to do it anonymously. If your identity is revealed with the disagreements you have about the mental healthcare system it will hinder your reputation and lifestyle.
Avoid websites and discussions that you know will be filled with sanism.
- It's not worth it. You can't educate everyone and it will add more stress and distraught you don't need. The goal is to live among the public conflict-free as much as possible. Your time and energy is precious.
Don't be afraid to acknowledge to yourself you have feelings
- How you cope with your feelings is different from having those feelings in the first place. When something hurts, it hurts and being stigmatized is no stroll in the park. Don't linger on to those emotions but don't belittle them either.
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So this is something I put together. Sorry if I repeated myself a few times or if there are grammatical errors. I only found very few sources that discusses and identifies what are inappropriate ways to treat someone with a psych disorder (I can count them on one hand) but nothing on how to deal with it. I also found that the majority of the public doesn't believe that discrimination against someone with a mental disorder exists and that it is overall for the good of the person which is dangerous and harmful. I found that this also means reporting such behavior becomes futile or long and tedious.
Please feel free to reply with any recommendations, changes, advice or any of your personal experience you've had that has helped you deal with the prejudice of being diagnosed with a mental disorder.