Note: This is a very serious one. Read. Share. Forgive. It’s all we’ve got.

This is for Dave W, Bobbie B, Bud D, Tricia K, and the one’s who live with those unseen wounds which simply won’t heal.

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A broken limb is obvious. A cast, a sling, a set of crutches or even a knee cart, and people can see the problem, understand the delays and compromises. We move aside or assist in any way we can.

What happens when someone injures their mind, breaks their thought process, when a person cracks their perception of reality and ration? The world is quick to judge the results of some unseen wound festering in their frontal lobe. “They’re lazy,” we say; “They’ve given up,” we say; “They keep asking for help and I’ve had enough,” we say. No one replies to the unfortunate soul with some walker, “No, sorry. I’m not helping you anymore.”

Well, in both cases the likelihood of one asking for help is pretty slim anyway.    

Monsters such as depression, anxiety, and nervous breakdowns can destroy a person’s ability to function. People can’t think as clearly so they lose jobs, they make bad financial decisions and lose money and property. “They could have done something else; they could have sought help from a professional if that was true,” we say.

And when nothing makes sense anymore and the world is too much with them and there is absolutely no meaning in anything—when numbness overtakes the idle sadness, they find a way out.  

The truth is suicide is not always the result of depression; it is not always a person simply giving up. In fact, it is often seen by the psychologically afflicted as the perfect solution. It is not doing harm; it is solving problems. The mind no longer functions the same as others’ minds. If they even want to ask for help, they don’t even know what it looks like to ask for anything in particular, so they seek solutions on their own, like sleep, like cutting off contact, like shutting the brain down for good. It is not life they fear or wish to escape; it is their mind. It is a difficult task to escape one’s own thoughts.

“There is medicine for that,” we say.

Not really. Sure, there is medicine to help someone cover up the wound, like a Band Aid, but the sore doesn’t heal as much as it is buried. The infection will return as soon as

well 

as soon as it rains, or when the next call comes from a creditor because they can’t work enough to keep up, or, worse, when a call doesn’t come any longer from friends and they suddenly remember they were better once, and they won’t be like that again. But even that’s not accurate since they simply are like this now, and apparently always were, and the moment it happened is an allusive memory.

Because while in the movies when someone has a nervous breakdown, they flail their hands and scream, cry, and someone might slap them, tell them to snap out of it, in reality that’s not what happens. The truth doesn’t play well on film. In reality they say nothing. They might drink, of course, or become addicted to some pain reliever, some vice that keeps their brain in the moment like alcohol or other self-defeating measures that keep their mind from dwelling on some past or future attack, but they might just as easily sleep all day, or more likely not sleep at night. They try and work but the ability to focus is gone; not ignored or delayed—the actual part of the brain that helps them do work or see a reason to exist at all has a hole in the middle of it, the circuits are infected and surrounded by puss, but no one can see that, so it can’t possibly be anything other than “a phase,” “laziness.”

Later, afterwards, people say they didn’t know, “They always seemed fine.” “I thought they were going through something.” “They said it was no big deal.”

They say, “I wish they had asked for help.” They say, “I did all I could.”

They say, “What a shame.”

Indeed.

Did Hemingway have another novel, Van Gogh another masterpiece, Robin Williams another routine for the thousands of kids he used to visit in hospitals?

Depression and mental illness often caused by a mental breakdown can cause lives to rip apart, and the only explanation they have when they ask for help again and again is “I’m trying.” And eventually that simply isn’t good enough no matter how much they are loved. They live out on the fringe, they hold signs, they sleep on grates. Likewise, they live in country houses and city apartments. They seem to try, they try to seem to fit in.

Maybe if they wore a cast, had sutures across their forehead. We like to see problems before we help solve them. We don’t offer help to people when we don’t know they’re suffering; how could we? Unless we know them well.

And that’s the problem. No one knows them at all. They’re funny and outgoing. They make light of serious situations. They can work a room. So they either never ask at all or, when they do so too often say “I need help,” it is difficult to see how. “Again?” we reply. “Why now?” we ask. The thing is in a few days they will not even remember they ever asked for help to begin with. This is true; the compromised brain actually blocks that out completely. To us they can either be absolutely silent or seem constantly desperate; but to them it just happened.

Here’s the problem:

How can we find that line between someone who really needs help and someone who just needs a bit more tough love? What do we do if there is no visible “mistake” that needs correcting? What do we say when they say nothing at all, or if we do ask if they need help, they say, “No thank you, it’ll be fine,” more out of a notion of being too embarrassed to say yes. Too ashamed. They’d rather…what?

They’d rather die. To be sure. I remember a phone call early one morning when I just didn’t want to hear it again. I remember a visit from someone who needed more than I could give. I recall calling once and the phone kept ringing. I’ll never forget that one.

Where is the line between knowing whether we helped enough and we could have done more?

Honestly, it runs right down the middle of the rest of our lives, and we walk it aimlessly, hoping we made the right call, that there was nothing we could do. Even if we’d rather be on the side of foolishness, helping people way more than they probably deserve, we can’t ever know.

So we call and talk, stop by, we get them to laugh because apparently we think laughter is the best medicine.

That’s not how a nervous breakdown plays out. Trust me on this one. But there is no Habitat for Humanity that helps people rebuild their minds. So they lose everything: their homes, their families, their purpose. And there’s not a damn thing we can do about it. Well, sure there is, but the place between knowing and not knowing is dark and difficult to navigate.

So. What do we do?

We forgive them for finding a solution the rest of us thinks is foolish. We forgive them for believing that the pleasure found by watching their kids and grandkids grow, watching another sunset with someone, laughing at lunch with friends, still isn’t worth the pain—the constant and debilitating pain—that comes constantly to infect their mind; constantly, day and night. Even their dreams are saturated with pain.

Forgiveness for something we do not understand is a monumental task. But then for some, so is life.

If you need help, Call 988 immediately.

If you know someone who needs help, Call them. You don’t have to know what to say. Say anything.

If you are living with the memory of someone you feel like you could have helped more, it isn’t your fault. It isn’t their fault. Forgive them. Forgive yourself.

Remember what we learned as toddlers: How would we want them to react if it was us? What would we want them to remember if it was us?

Not everyone is fine. It’s that simple.