Book Review: An Unquiet Mind by Kay Redfield Jamison

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Title: An Unquiet Mind: A Memoir of Moods and Madness

Author: Kay Redfield Jamison

Genre: Non-Fiction, Autobiography, Psychology

First Published: 1995

 

Over the course of the last couple of decades, the medical world has made significant progress in finding effective diagnostic and treatment procedures for Bipolar Disorder, formerly known as Manic Depression. The onset of social media has also contributed greatly in disseminating information and dispelling biases against the disorder. And yet, while we are seeing change in the public’s attitude towards the illness, there are just a handful of autobiographical accounts that tackle both the personal and medical effects of the illness as brilliantly as Kay Redfield Jamison’s An Unquiet Mind: A Memoir of Moods and Madness.

Written in the early 90s by Kay Redfield Jamison, a Professor of Psychiatry at Johns Hopkins University School of Medicine, An Unquiet Mind is an eye-opening memoir that effectively changes the way one views bipolar disorder. Now, one of the factors that make the book so compelling is how Jamison—one of the world’s foremost experts on the disorder—pulls from her own experiences as a manic depressive to provide a holistic view of the illness. Bear in mind that this was written during a period wherein an admission such as this could have major personal and professional repercussions for a medical practitioner. Despite the confession’s possible effects on her personal life and career, Jamison decided that to make a difference in the lives of other manic depressives, she needed to speak up. She was also tired of hiding and having to feel as if she had something to hide. In her words:

 

“One is what one is, and the dishonesty of hiding behind a degree, or a title, or any manner and collection of words is still exactly that, dishonest.”

It is with this fearless attitude that she lays bare her struggles against an illness that has brought some of the world’s brightest minds on or past the brink of suicide. In An Unquiet Mind, Jamison paints a vivid picture of a life shaped and distorted by moods and madness. As a child, she was optimistic, driven, but also plagued by a mercurial temperament. Her first manic depressive episode in her late teens meant weeks of flying high only to burn out so quickly that it left her incapable of finding pleasure in anything.

“I counted upon my mind’s acuity, interest, and loyalty as a matter of course. Now, all of a sudden, my mind turned on me; it mocked me for my vapid enthusiasms; it laughed at all of my foolish plans; it no longer found anything interesting or worthwhile.”

As Jamison grew older, her moods continued to worsen. Three months into her work as an assistant professor in the UCLA Department of Psychiatry, she had become a raving psychotic. Initially, her manic episodes conferred terrific advantages—the need for little sleep had coupled with amazing productivity. But at the tail end of those manic moments were long bouts of depression that had her frequently contemplating suicide. Eventually, the lines between the two states of mind became blurred. These episodes became even more pronounced during the time she was battling her way into the male-dominated world of clinical psychology.

After a terrible bout of depression, a colleague managed to convince her to see a psychiatrist. His diagnosis shook her to her very core.

“The endless questioning finally ended. My psychiatrist looked at me, there was no uncertainty in his voice. ‘Manic depressive illness.’ I admired his bluntness. I wished him locusts on his lands and a pox upon his house. Silent, unbelievable rage. I smiled pleasantly. He smiled back. The war had just begun.”

Indeed, the war wasn’t over for Jamison. She had been prescribed lithium—a life-saving drug that tempered her moods but also brought with it an unpleasant string of side effects. For a long time, she went on and off the drug intermittently. At one particularly bleak moment, she decided to kill herself. Her method of choice was overdosing on the drug that was meant to save her. She reveled in its irony. But help came on time, and over the years she realized that the pros of taking lithium greatly outweighed its admittedly many cons.

Ultimately, An Unquiet Mind is a lot more than just a ‘memoir of moods and madness.’ It is an illuminating piece that educates its readers about one of the most misunderstood mental disorders in the world. It’s also a success story, a light at the end of the tunnel for people struggling with bipolar disorder.

Written in incredibly magnetic and eloquent prose, this is a book that effectively pulls the reader in. At times, the emotions from the page became so palpable that it left me breathless. This is a book that has moved me to tears, the first, second, and third time I’ve read it. It has been an honor to have chanced upon this seminal work—and now it takes its place on my metaphorical shelf of literary greats.

Rating: A+++

Definitely a must-read and must-keep.