I have schizophrenia, they tell me. They line up my symptoms and thrust the diagnosis in my face. So here are your pills.
When I stop taking those medications I lose my grip on reality, but I don't know this. They, my psychiatrist, a security guard, the police, bring me to the hospital (again) and I am told (again) that I have schizophrenia.
No, I don't. People with schizophrenia don't have a Master's degree in Neuroscience. I'm simply too intelligent to have schizophrenia, right?
Then why do rats eat my brain, why do voices yell at me, and why am I being stalked by a homicidal man with a sniper gun (I've got proof)? I assume it is normal. I don't have any friends and I have withdrawn from my family so no one but Them (doctors, nurses -- everyone in league with the enemy) diagnose me, treat me. So here are your pills.
I remember my first antipsychotic. I was in the psychiatric hospital after a failed suicide attempt and, after drawing me out, my psychiatrist decided to start me on Risperidone. She did not tell me what it would do. Soon, my Voices were quieter, quieter, quieter. Rats stopped chewing and the sniper stopped tracking me. Wow, I thought. Those were symptoms? That was schizophrenia? The scientist in me knew it wasn't a simple placebo effect, since I had had no idea what those little pills were going to do. I became open to the idea that I might have schizophrenia.
Yet repeatedly, over the next half-dozen years, I would leave the hospital quietly, only to be forcibly returned after "decompensation due to medical noncompliance." That is, I fell into the oh-so-common trap of thinking: "I am doing well. I don't need these pills any more. I'm cured." Round and round the revolving door.
You would think that after all of this, I would surely realize that I had schizophrenia. I didn't, though. I was under the heavy spell of anosognosia: the physiological inability to recognize that one has an illness. It is common, and strong, in schizophrenia. But in me, equally strong was a scientist. So, experiment number one: recall that first antipsychotic? Well, it did strange things, things I was not expecting.
My second hypothesis: maybe I was just in it for the attention. When psychotic and certified in the hospital, I would bash my head against the concrete wall until both it and I were bloody; that bled the brain-eating rats out. It also earned me restraints, physical and chemical, which I raged against. I screamed and kicked and cried but the strong security guards tying me up and the nurses with injections (rat-laden!) for me always won. That was attention, I reasoned. So I decided to do it. Bang head, fight restraints, scream over injections... it was a good show, but it felt foreign. I was an actor, not a true patient, that time, making me realize that all the other times had actually felt real.
Then there were the Voices that harassed me continually. They yelled at me to kill myself, forbade me to buy even a coffee, and hissed at me if I dared talk to anyone. When these receded with medication, I later -- when everything schizophrenic seemed out of focus -- attempted a third experiment: I tried to create Voices. I thought really hard but to no avail. All I could generate was the "little voice in my head" that everyone experiences from time to time.
Finally, convinced I was too smart to have schizophrenia (an idea of mine echoed by an arrogant psychiatrist), I fought to keep an A+ average at university. I earned prestigious scholarships (two NSERCs, a Michael Smith scholarship, and various others). That's not something someone with schizophrenia does, right? No; there are other people with schizophrenia who attain graduate-level education. It is very hard, but it can be done, particularly when the person is stable on medication.
So a neuroscientist with schizophrenia. I tried so hard to prove I was immune to schizophrenia, but because of my experiments, I am convinced. It was a relief of sorts: an explanation, a treatment, a hope. It came to prove not that I didn't have the disorder, but that I can live beyond it. For me, medication is key; taking it reliably, the master key. And I become a person with schizophrenia who is well.
Interested in my story? My memoir, When Quietness Came: A Neuroscientist's Personal Journey With Schizophrenia, is available on Amazon.