One of my biggest mantras and theories about experiencing a successful recovery is ‘too big to fail.’ I am borrowing this phrase from the automotive bailout under President Obama’s administration. During the bailout, the president deemed the industry and critical companies “too big to fail.”
Industries too vital and essential to the economy to go out of business are too big to fail. Whether the companies employ large amounts of workers or are a symbol of American prowess, the auto industry, and all that stems from its existence, needs to be saved. As I continue to think, President Obama believed then that some things are too important to disappear or die off.
Of course, I am drawing a comparison. I don’t own a major American company and don’t employ many workers. I share the same belief as the president. Some companies are too critical to the country’s economic well-being to fail personally and on a micro level.
I am also too essential to wither away and unravel. I am too big to fail. I have too many friends to care for and too much to offer the world. With this sense of self-importance and self-love, I am more likely to seek help when I am in danger or need something to move my recovery forward.
Undeniably, our support systems, both natural and artificial, play a vital role in our health and capacity to heal from sickness. Our supports have several crucial functions in our recovery and ability to problem-solve challenging situations without incident.
As a clinician and peer struggling with a significant mental health disorder, my professional experience has taught me that we are only as strong as our weakest support. The “weak link” in your support system may be a bad or unempathetic friend. Maybe the weak link is a poorly trained service worker (e.g., case manager or therapist).
The formula I am dispensing needs to signal to all people carrying a mental health diagnosis that proper and speedy healing means identifying your helpers and finding players who have a vested interest in your mental health. I have been privileged in my recovery and healing in so many ways. Without these resources, I would not be able to conceptualize this idea of being too big to fail.
A big piece of the Too Big to Fail theory intersects privilege. The more privileges you have available in your life, the more likely you will have access to available support in times of need. Of course, knowing when you need help comes before understanding how to access your support. If you aren’t self-aware enough to know you are sick or need help, why would you even seek additional help? You wouldn’t.
In my life, most of my recovery after the first onset of psychosis, I have always been blessed with a litany of helpers to guide and oversee my journey through the mental health system. When I was first diagnosed with schizophrenia, I had family visiting me regularly in the hospital with their ever-present gaze (watchful, nurturing eyes) to ensure there was no mistreatment by staff members. In addition to my parent’s treatment participation, my family was a large part of my discharge plan back to the community and my rehabilitation from unresolved symptoms that weren’t “cured” quite yet at the time of discharge from the state hospital.
I had the opportunity to witness countless patients without the same support I had from my family. I noticed patients without visitors, friends, or outside professionals visiting them in the hospital. Even worse, patients without a natural home call their own in the community. Some folks are released after their recovery in the hospital to a group home and have no natural support during their recovery.
Whatever the problem was during my ‘break,’ the hospital staff’s complaints regarding my behavior and treatment progress had an outlet. I had family for the team to lodge their complaints. I had friends visiting from time to time to ensure there was no mistreatment by staff, and I was relatively comfortable in the hospital. Supports and friendly visitors became unofficial members of my outpatient treatment team. When I re-entered the community and began outpatient treatment, my team of helpers was always there to advocate and facilitate my healing at every subsequent turn in my recovery. In addition to family and friends, I leaned on my professional contacts to push the system along.
There will be “stuck moments” with complex cases. Complexities may incur holding patterns before benefits or services can be dispensed to the patient, and many people slip through the cracks due to lag time. My regular contact with the more extensive system played a significant role in getting the benefits I needed so I wouldn’t relapse and re-enter the system at a lower level of care and lose ground.
Failure or a sense of defeat and isolation has never emerged in my landscape of health and healing. My horizon reaches beyond my immediate personal space into a large, unending pool of resources I continue to draw from when I feel like I am not making the progress I want to experience. There are external mechanisms that a valuable support system can fix to continue healing and recovery. With this said, you want motivated helpers. You want helpers proficient in designing the plan of care and your personal history of struggling with your diagnosis. This way, your support can operate without your immediate supervision if you are sick and act on their terms when you might not be available, given your priority is healing.
Too Big to Fail means you have so many people in your corner that you can fall back into a learning moment without losing ground.
I have also seen people move the system to work for them because of their interests and the key people who espouse shared interests. Shared interests may be a case that involves multiple agencies and is on everyone’s radar. I have noticed the government is more motivated to squash “noise” and complaints out of fear patients might relapse without extra support or create an unseemly public display. Such displays jeopardize the veneer of hope the system is supposed to develop for those it serves.
Ultimately, there are limits to leaning on your helpers for support. Calling upon your helpers, whether it be friends or family, to do everything is not only unrealistic, it can become abusive. Helpers should understand and accept your limitations. There is never a license issued for the next phase of your healing to be bound up in learned helplessness. Healing is a product of your strength in the end. It should reflect your work in recovery predominantly and not your helpers’ political, financial, or family obligation to be there when you need it the most.
Author Info:
Max E. Guttman
Max E. Guttman is the owner of Mindful Living LCSW, PLLC, a private mental health practice in Yonkers, New York.
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