“We should make it clear that getting help isn’t a sign of weakness — it’s a sign of strength.” – Michelle Obama

I have always struggled with mental health. My first bout of poor mental health was at age six. I did not comprehend why I felt tearful or had a heavy feeling in my chest for weeks. I just knew I wanted to end my life. This depression continued for years, and my family refused to help me. I suffered alone. I became very ill at university but managed to formally get a diagnosis of multiple mental health problems: depression, social anxiety, general anxiety and borderline personality disorder (BPD).
Finally, I had a weight taken off. I was not going crazy – I had conditions that were and still are very valid. A formal diagnosis allowed me to seek help from doctors, start a course of medication and learn more about my cognitive behaviour. These diagnoses happened two and a half years ago.
In early October, my I decided to be a tourist and explore the suburbs of south London. Armed with Google Maps and very little money, I hopped on the bus and headed towards Bethlem Mental Health Hospital, London. I had no idea what to expect. The grounds are pleasant in the autumn sun. It was peaceful. Yet, I felt a little uneasy walking through the main entrance onto the grounds. I was not sure why. I dropped the thought and wandered toward the gallery. Inside, the reception looked like any other gallery with an exhibition.
Except, this the work was from a patient and demonstrated their observations from their time there. It was their form of therapy. From the interior of their room to cutlery, there was comfort in seeing how everyday items become art subjects. Bethlem Hospital has done incredible work with patients and has helped a few people gain art grants to support their work. However, going up the main staircase is where my uneasiness deepened. I came face to face with the statues Raving Madness and Melancholy Madness. Created by Caius Gabriel Cibber, they once adorned the entrance gates of the hospital’s second home in Moorfields, marking a dark time in mental health treatment.
Their faces were worn; their soulless eyes and gaping mouths shook me. One is wearing shackles too. Is this really what people thoguht of others with mental health conditions? Whilst eye-opening, I cannot unsee those faces and what they represent. To call them Raving Madness and Melancholy Madness in this day and age made my blood boil. We cannot erase history, but they could have updated names, especially since they are within the grounds of a mental health hospital.
Upstairs, there lay a timeline of the history of Bethlem Mental Hospital around the stairs. I was comforted to see how this hospital has vastly improved conversations around mental health and Bethlem’s support for people in the latter half of the timeline. They are doing incredible work within the mental health field today. Yet, I cannot forget their compliance with the poor treatment of those in the past. This feeling only grew as I walked around the museum. Starting with stories from the modern day, I felt fine knowing those who told their story had received respect and support during their time at Bethlem. Their projected videos made me feel understood by those reciting their stories. From learning how they came to the realisation they needed support from professionals to having difficult conversations with family, I knew their feelings well.
Nevertheless, it was seeing a real-life record of patients from the 1800s that brought fear to me. I read a list of all female names. They were my age; twenty-three to twenty-four. They never left the institution.
Electro-shock therapy instruments, scalpels and an apothecary of Victorian-looking glasses lined the cabinets. From straight jackets to the padded walls, the museum became a fear come to life. How could someone be treated like this? It made me think of the pain they suffered and my guilt of being fortunate to live in a society where mental health issues are becoming less taboo. However, I feel disgusted to know that in some rare cases, people with severe depression may still receive electric shock therapy. I had many negative emotions, but I did not understand why until I read their mental health guide.
After analysing myself, I realised that despite appearing well, it is a facade. In particular, their section on grief and depression stood out. I had not properly grieved the loss of my grandmother last year. I have regrets, and I could not accept her death. I felt guilty for not visiting her at the hospital during the pandemic. It was this manifestation of my depression projected onto what I was seeing. I felt obliged to be angry on behalf of those names I read because it was easier to have this emotion than deal with my mental health issues. I felt vindicated to be mad because there was a lot of information on depression and schizophrenia but very little on other mental health problems. I was scared. Scared because I also have BPD; people will not understand.
Having BPD on top of other mental health problems made me feel like an outsider. On reflection, whilst there is not a section right now, that does not mean there will never be. Work by psychiatrists and staff at the hospital to improve the lives of those with the same condition or other mental health problems is incredible.
Bethlem has succeeded in supporting patients with complex mental health needs and is pioneering its approach to art therapy. They are working to keep mental health at the forefront of society and educating people of all ages about how we can make places safe spaces for those who need support. And most important of all, it is okay to not be okay.
If you or a loved one have been suffering with poor mental health, please reach out to The Samaritans on 116 123 if calling from a UK number. If from the US, you can reach the Suicide and Crisis Lifeline on 988. For other country lines, please consult http://www.suicidestop.com




