Kay Redfield Jamison

WITH A NEW PREFACE BY THE AUTHOR In her bestselling classic, An Unquiet Mind, Kay Redfield Jamison changed the way we think about moods and madness. Dr. Jamison is one of the foremost authorities on manic-depressive (bipolar) illness; she has also experienced it firsthand. For even while she was pursuing her career in academic medicine, Jamison found herself succumbing to the same exhilarating highs and catastrophic depressions that afflicted many of her patients, as her disorder launched her into ruinous spending sprees, episodes of violence, and an attempted suicide. Here Jamison examines bipolar illness from the dual perspectives of the healer and the healed, revealing both its terrors and the cruel allure that at times prompted her to resist taking medication. An Unquiet Mind is a memoir of enormous candor, vividness, and wisdom—a deeply powerful book that has both transformed and saved lives.

A Memoir of Moods and Madness

An Unquiet Mind

Looking back over those years with the cool clinical perspective acquired much later, I realize that I was experiencing what is so coldly and prosaically known as a remission — common in the early years of manic-depressive illness and a deceptive respite from the savagely recurrent course that the untreated illness ultimately takes — but I assumed I was just back to my normal self.

Somehow, like so many people who get depressed, we felt our depressions were more complicated and existentially based than they actually were. Antidepressants might be indicated for psychiatric patients, for those of weaker stock, but not for us. It was a costly attitude; our upbringing and pride held us hostage. 

My career plans also had changed. It had become clear to me over time that my mercurial temperament and physical restlessness were going to make medical school — especially the first two years, which required sitting still in lecture halls for hours at a time — an unlikely proposition. I found it difficult to stay put for long and found that I learned best on my own. I loved research and writing, and the thought of being chained to the kind of schedule that medical school required was increasingly repugnant.

There were, however, definite advantages to studying invertebrate zoology. For starters, unlike in psychology, you could eat your subjects. The lobsters — fresh from the sea and delicious — were especially popular. We cooked them in beakers over Bunsen burners until one of our lecturers, remarking that "It has not gone unnoticed that some of your subjects seem to be letting themselves out of their tanks at night," put a halt to our attempts to supplement college meals.

University administrators do not consider the pronounced seasonal changes in behaviors and abilities that are part and parcel of the lives of most manic-depressives. My undergraduate transcript, consequently, was riddled with failing grades and incompleted classes, but my research papers, fortunately, offset my often dreary grades. My mercurial moods and recurrent, very black depressions took a huge personal and academic toll during those college years.

It never occurred to me that I was ill; my brain just didn't put it in those terms. Finally, however, after hearing a lecture about depression in my abnormal psychology course, I went to the student health service with the intention of asking to see a psychiatrist. I got as far as the stairwell just outside the clinic but was only able to sit there, paralyzed with fear and shame, unable to go in and unable to leave. I must have sat there, head in my hands, sobbing, for more than an hour. Then I left and never went back. Eventually, the depression went away of its own accord, but only long enough for it to regroup and mobilize for the next attack.

Being particularly given to strong and absolute passions, I was at one point desperately convinced that we had to have a sloth as a pet. My mother, who had been pushed about as far as possible by allowing me to keep dogs, cats, birds, fish, turtles, lizards, frogs, and mice, was less than wildly enthusiastic. My father convinced me to put together a detailed scientific and literary notebook about sloths. He suggested that, in addition to providing practical information about their dietary needs, living space, and veterinary requirements, I also write a series of poems about sloths and essays about what they meant to me, design a habitat for them that would work within our current house, and make detailed observations of their behavior at the zoo; if I did all this, he said, my parents would then consider finding a sloth for me.

Mother, who has an absolute belief that it is not the cards that one is dealt in life, it is how one plays them, is, by far, the highest card I was dealt.

The long and important years of childhood and early adolescence were, for the most part, very happy ones for me, and they afforded me a solid base of warmth, friendship, and confidence. They were to be an extremely powerful amulet, a potent and positive countervailing force against future unhappiness. My sister had no such years, no such amulets. Not surprisingly, perhaps, when both she and I had to deal with our respective demons, my sister saw the darkness as being within and part of herself, the family, and the world. I, instead, saw it as a stranger; however lodged within my mind and soul the darkness became, it almost always seemed an outside force that was at war with my natural self.

Credit cards revoked, bounced checks to cover, explanations due at work, apologies to make, intermittent memories (what did I do?), friendships gone or drained, a ruined marriage. And always, when will it happen again? Which of my feelings are real? Which of the me's is me? The wild, impulsive, chaotic, energetic, and crazy one? Or the shy, withdrawn, desperate, suicidal, doomed, and tired one? Probably a bit of both, hopefully much that is neither. Virginia Woolf, in her dives and climbs, said it all: "How far do our feelings take their colour from the dive underground? I mean, what is the reality of any feeling?"

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