Linda Gask, "Out of Her Mind: How We Are Failing Women's Mental Health and What Must Change"

Linda Gask is a retired consultant psychiatrist and academic at the University of Manchester and also the author of two memoirs about her own experience of mental illness, The Other Side of Silence: A Psychiatrist’s Memoir of Depression and of moving to live in Orkney off the north coast of Scotland, and Finding True North: The Healing Power of Place. She is also a lifelong feminist. 

About Out of Her Mind, by Linda Gask
Despite advances in our understanding of mental health, women and girls are still disproportionately disadvantaged when it comes to addressing the real causes and consequences of their mental health problems such as depression and self-harm. 

Why are they hurting so much today and why is it so hard for them to find the kind of help they really need? What is happening in a health care system overburdened by demand? Why have so many women and girls lost faith in mental health care? Are women, once again, being forgotten? 

Drawing on many new interviews with women of all ages and backgrounds who tell her their stories, expert commentators, current events, recent history and her personal and professional experience, Linda Gask examines how society, mental health care and even feminism are failing women’s mental health. 

And above all she answers the questions "What must change?" and "What can we all do?"

You can read more about Out of Her Mind on the publisher's website here. Below, you can read an excerpt from the book. 

From Out of Her Mind

"Men are the losers now": Discuss.

Manchester 2016. An email arrived out of the blue asking if I would like to take part in a debate for Women’s Week.

"Why me?"

"Because you know the facts – you are an academic."

But I’m also a psychiatrist.

"OK, so which side do you want me to speak for?"

I didn’t really want to argue for the motion but knew I could make a case for it if I had to. A good one. For two decades we have been bombarding men across the world to try to get them to talk about their feelings before it’s too late. The suicide rate for men in the UK is three times the rate for women. It has always been higher for men but since the crash in 2008 and the recession that followed, it hasn’t just been young men who have been taking their own lives – the greatest rise for suicide is in middle-aged men who not only lose their self-esteem, but also sometimes their will to live when their jobs disappear, and their relationships break down. How we feel about ourselves and the way in which the world treats us has a significant impact on our mental health. It is key to our sense of wellbeing, and it can be very hard for men; but that’s not the whole story. Many women are desperate too and women really are still losing out disproportionately, particularly in the mental health stakes.

"We have speakers for the motion," came the reply. "We’d like you to second on the other side."

Assuaging the slight dent to my ego at not being asked to lead with a huge dollop of relief that I wouldn’t have to speak first, I agreed to do it. Because women are still suffering with their mental health and are not being heard ...

Linda Gask, "Finding the True North: The Healing Power of Place"

 

Linda Gask trained in Medicine in Edinburgh and is Emerita Professor of Primary Care Psychiatry at the University of Manchester. Having worked as a consultant psychiatrist for many years she is now retired and lives on Orkney. She maintains a popular mental health blog, Patching the Soul, and contributes to Twitter as a mental health influencer @suzpuss. She is the author of The Other Side of Silence (2015), which was featured on BBC Radio 4 Woman’s Hour and serialised in the Times Magazine. In 2017 she was awarded the prestigious President’s Medal by the Royal College of Psychiatrists.

About Finding True North: The Healing Power of Place, by Linda Gask

Finding True North grew out of my desire to try and recover from depression, coming to terms with being diagnosed with a chronic illness, and moving to live, part-time at first, in Orkney. It’s not only about trying to put into practice all those things I spent my life telling my patients to do, and failing to do myself, but also trying to understand what ‘recovery’ from depression means. Struggling to find a way forward meant I had to revisit the past. Gradually, I began to realise that, in my many years of travelling around the world as an academic, I had really been seeking a place where I could feel much more grounded in myself. 

The following brief excerpt describes a scene from my return to Haida Gwaii, a remote forested archipelago off the North-West of Canada which is home to the Haida people … and what I learned about myself on that journey’.

From Finding True North

It is early September and Orkney’s dark autumnal skies are filled with geese in transit, flying in their familiar V formation, which I always imagine is led by a bad-tempered senior with the flaps of his leather hood trailing as he turns to shout ‘keep up.’ Sitting at my desk, I am writing about the climax of the Canadian expedition.

After two days, we reached our furthest point into the wilderness: the world heritage site of SG̱ang Gwaay and a row of totem poles that has stood for over a hundred years, since the inhabitants moved to the modern settlement they live in now. The only audible sound came from the waves as they breached the shore, and a watchman, a celebrated modern Haida artist, who told us the story of each carving.

‘The poles of the houses are slowly being absorbed by the forest. Doesn’t that make you feel kind of sad?’ one of our group asked.

‘Everything goes back to the earth eventually,’ he said. ‘One day each of these poles will fall. It is what is meant to happen.’

We walked back over the crest of the island to the boat, through virgin temperate rainforest of red cedar, spruce and hemlock, drunk with the heavy scent of dark earth and damp, lush vegetation spread with a seamless down of moss. More hung from the trees like tinsel on a Christmas tree and unfamiliar fungi colonised the stumps. Even the light which filtered through the canopy was tinged green. This was exactly as I have always imagined the underworld. It was eerie, not of this world, and I felt disappointed when we emerged into the light because in that other place time seemed to be suspended.

During those few days I began to feel more optimistic than I had since receiving my diagnosis of kidney disease. Having recovered from sepsis, a life-threatening disease, I became more at ease with the future. I have the freedom to make of it what I choose, but the anxiety that has been with me all my life still exists and will probably never leave.

However, there was something about Haida Gwaii that reminded me of the Buddhist concept of the flow of life. Like the forest plants all around them, the remains of the villages will be recycled by nature. This is the reality of our existence. We make the most of the lifewe have, however brief, but the outcome is inevitable. 

What are we going to do with our time? 

What really matters to us?

There is something about caring for others in extremis that touches the core of who we are. It can enhance us through reflection on the profound questions of what it means to be human, but it can, in equal strength, damage us and leave us less capable of responding with humanity.

It is very hard to separate ‘me’ from the doctor I trained to be. My ‘self’ has become altered by being entwined both with my professional persona and the lives of my patients, and it is difficult to tell my story without recourse to the clinical tales that illustrate it. Now, the stories filed in my memory are those of people I meet along the way.