Drug Addiction and Stigma (+ my experiences with both)

Drug addiction is an illness, which can – often, but certainly not always – accompany other mental illnesses; particularly those mental health conditions associated with impulsivity, such as my own diagnosis of BPD (Borderline Personality Disorder).

Drug addiction comes attached with its own batch of stigma; and, often, when a person is struggling with addiction, this can be perceived by others – particularly those who know of their addiction - as their one and only defining feature, for which they can be demonised for.

Common perception of a drug addict is that of that of a person whom is ‘immoral’ and 'a danger to society’; and, although, some may turn to crime to feed a habit, the image of the “immoral addict” is – in most cases – untrue, with its basis in prejudice.

Drug addiction is generally highly stigmatised due to the (mistaken) perception that, not only is an addict dangerous, but that they are the ones responsible for their problems - i.e. their addiction is self-inflicted.

But this stigmatisation is damaging; and, it is a large factor in contributing towards a person hiding their addiction, as well as keeping them in denial.

I’d like to take you back for a moment to FYM’s previous blog post in which I wrote about my most recent stay on a psychiatric ward, where I felt I’d been “over-medicated” and felt angry at the drug therapy I received whilst in hospital.

I didn’t, however, make it clear in my last blog post that this anger stemmed from my own ongoing struggles with drug addiction (and my addictions in general; self-harm included), and from my feelings that compliance with some of the (compulsory) medication is detrimental  to the likelihood of me making a successful recovery.

My appearance has become dishevelled of late, my skin is pale, and my eyes appear heavy; ongoing life-problems and mental health problems have taken their toll and it shows in my appearance.

Most of the prescribed medication makes my pupils dilate – so, although, it is apparent I am “on” a drug, it would be impossible to know which one - which sends out the image associated with the perception of the “immoral addict”, particularly to those who do not know me.  (The dilation of my pupils are due to compliance with medication; although, I have now requested to not be prescribed any addictive or dependency inducing drugs.)

However, this perceived image of me could not be further from the truth. And, the stigma displayed by strangers on the street – passers-by who pre-judge and making discriminatory comments – seems to be more persistent and is affecting me more than usual at this period when I am most sensitive.

Despite my ongoing struggles with addiction it is by no means a defining characteristic – everyday is a continuing battle with addiction, one in which I will persevere in fighting – but,  as I have written about previously on this blog, my illness does not define me.

Drug addiction is highly stigmatised due to a number of reasons, including, the taboos surrounding drugs and drug use, the perception that a drug addict is immoral, and the perception that a drug addict is responsible for their own plight.

But, like all stigma, the stigmatisation of drug addiction is damaging. Demonising a person purely on the basis of their illness seems thoughtless, and can cause hurt and pain to a person whom is already suffering.

Should interviewer have given Charlie Sheen "bipolar diagnosis"?

Recent events involving Charlie Sheen have really disturbed me - when I say this I am actually talking about not only the media treatment of his mental illness, but, more specifically, why anyone would ever think it is okay to "diagnose" someone during a televised interview!
(See Below)


In the above interview Sheen is being interviewed and asked questions about his drug addiction. At the end of the interview the interviewer tells him that "psychologists" say he has bipolar.

My thoughts on this are that I feel it is highly irresponsible to take someone you believe to be seriously mentally ill and having a manic episode, interview them purely for "entertainment" purposes (I honestly can't see any other reason to conduct an interview such as this), and then "diagnose" them at the end of it.

The interviewer also talks of "psychologists" coming up with a bipolar diagnosis. This doesn't sit right with me. I'd genuinely would like to know who these "psychologists" are?! Psychologists can't (or, at least, shouldn't!) diagnose anyone without a proper assessment. Personally (please tell me if you disagree) I think  that to reach a "conclusive" diagnosis several assessments have to take place over periods of months or years.

And surely if a psychologist had diagnosed Sheen why would they be giving this information to an interviewer, and not to him personally or to someone else close to him???

If I were in the above situation, chances are I would have said the same or similar as Sheen.

Speaking as a recovered drug-addict with BPD (Borderline Personality Disorder), whom has also experienced manic episodes, I can honestly say Sheen's behavior in the above interview is pretty "normal"  for anyone suffering a manic episode or a bipolar "high". Also, before I did finally get sober, if you'd asked me then if I got high or if I thought I might relapse I would have denied it whatever the circumstances were. And as for trying to make me see I was ill or getting me to understand I could die - if it was back then - you could forget it!

Obviously Sheen is mentally ill - drug-addiction is in itself a mental illness - and he does appear to be on a manic bipolar high. But my big issue (the subject of this post) is with the irresponsibility of conducting the above interview and then claiming to have a diagnosis. As I said before, even if a trained psychologist/psychiatrist had been saying the same as this interviewer to me when I was manic and on drugs, it would have gone in one ear and out the other; therefore, I know if I were in the above situation, not only would the interview have pushed me further into denial but it would also have messed my head quite a bit. ((For example; a few years ago, whilst I was suffering a manic episode, my parents were asked to  keep notes on my behavior, and when I found these notes I was convinced my behavior was being recorded so that they could report back to the "government" whom I believed were studying me as part of a large-scale "experiment" that everyone else in the world was in on.))

Whatever you think of Sheen - it's not nice to see anyone suffer in this way.

I'm writing this after taking issue with what I believe to be a irresponsible way of treating someone with a mental illness. I could speculate Sheen's diagnosis - but I don't see the point. Or I could discuss the fact that anyone else (i.e. someone who isn't a Hollywood actor) is likely to have been sectioned by now - but I don't feel I could add anything to the discussion which hasn't been said before.

After watching the above interview, I strongly felt a need to express my thoughts on this. What do you think? Have I got a point? Or do you feel I'm going over-the-top?