Sam Dylan Finch

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.

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).

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

I used to be the one that pushed everyone away out of fear that I was too demanding or too toxic or “too much.” But I’m finally at a place in my life where I understand just how important it is to lean on your support system — and so I’m committed to not running away anymore.

You can swear up and down that you meant it some other way, but the reality is that “crazy” and “insanity” refer to a lack of sanity, which will always circle back to and affect mentally ill people, especially when it’s used in ways that diminish or sensationalize our experiences.

A thousand Bach violin concertos swirling around my crib, imprinting those melodies on my brain, had not changed the fact that I was meant to be a cellist. And a thousand “she’s,” beginning from the moment that I was born, had not changed the fact that I had grown up to be a “he.”

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.

Dating while trans is scary, especially when you’re starting to “pass.” What are his expectations for my body, if any, and what if I’m not what he had in mind and he rejects me outright?

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?

One thing I’ve noticed about mental illness is that it’s a mess of contradictions. It tells us one thing, urges us to do another. We have one desire, but then act totally to the contrary because… reasons.