Sam Dylan Finch

What could trigger an episode? My life was perfect now. I took my meds (most of the time, anyway). I was a mental health advocate for a living, for crying out loud; I knew what I was doing. Besides, it had been so long since I’d experienced a real episode — I was practically cured. I couldn’t even remember what it felt like to hit rock bottom, and really, was it ever THAT bad?

Everyone, whether they have a mental illness or not, knows what it’s like to be in total despair and have no idea what to do about it. You’re curled up in bed, you don’t want to move, and you desperately wish you knew how to make things better.

Have you ever lived somewhere and thought to yourself, “I’m not home yet”? That’s what my body has felt like the last 24 years of my life — a mere point in time; a temporary condition. Looking in the mirror was the equivalent of sleeping in a stranger’s bed. I felt like a visitor in my own body.

I’ve heard a lot about this magical thing called “closure.” It sounds really great. My understanding of it is that, as time goes on, this person from the past becomes so distant that you no longer feel an emotional attachment. New romances fill the void left in your heart, and eventually this person who was once so significant suddenly becomes a blip on the screen.

I used to think that I would only be happy if I came as close to being “neurotypical” as possible. I thought that I needed to be cured to live a whole, fulfilling life (which is one of the downsides of the medicalization of our struggles, but that’s a story for another day).

You were on the back burner — I thought you were Type 2, manageable, no big deal — which goes to show just how deeply I’d slid into denial. But there’s no denial here anymore. Just statistics and medical terms floating around in my brain, reminding me that I can’t afford to forget you, that you’re too “severe” for that.

For years, I didn’t know I was hearing voices. When it started to happen, it felt like someone else’s thoughts were being inserted into my mind, shouting at me, undermining my reality — impossible to control.

I spent many sleepless nights worrying that being transgender meant that I would live a troubled life.