Book review: Solitaire by Alice Oseman

HarperTeen, an imprint of HarperCollins Publishers, 2015

This enticing and compelling read is not a quick page-turner but instead delves into depression and how a conformist attitude hurts the victims, perpetrators, even the extremely passive bystanders like the main character, Tori. Individuals who chart their own course (love interest) seeking to change a world deadset on not changing are hurt worst. For Tori, it’s best to view everything as all good and don’t burden anyone which does more harm than good, but Tori isn’t herself as depicted by the previous highly exaggerated letter that’s at odds from who she is now: dulled by lack of not caring.

Mental breakdowns come out of the blue as they do in this book where Tori’s ramblings have no immediate backstory. Tori isn’t judgmental but instead mentally ill. The suicide attempt and self-harm relapse are written well and relatable.

This book doesn’t lend itself to problematic ideas but instead shows a realistic portrayal of mental health issues with the perfect amount of seriousness with a good climax breakdown that is a hopeful but realistic end to this story.

Relapse

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One surefire way to go into relapse is not taking medications. Why or how would that occur? Degree of insight into the illness, disorganized thinking (forgetfulness of a complex meds regimen), prescription costs, negative side effects, or stigma towards taking anti-psychotics. For the longest time I thought that I was in control of my problem and that nothing really was wrong: I wrote the symptoms off as other things (PTSD or anxiety). Then I took meds for another more acceptable problem (depression). I shouldn’t have hidden my symptoms for so long; but I was afraid.

What are other possible reasons for a possible relapse? Susceptibility to stressful interpersonal conflicts, adherence to the complex meds schedule, or discouragement are but a few. My family knows to watch for the signs of relapse: withdrawal from social situations, changes in sleep patterns or eating habits, staying focused, controlling behavior, being obsessive or compulsive, fear of common things or places, strange or risky behaviors, feeling targeted, or definitely seeing or hearing things that aren’t there.

It is difficult enough with all the possibilities of relapse; but the one we shouldn’t have to worry about is stigma. Myths and misperceptions are preventable.People with schizophrenia aren’t serial killers or don’t have split personalities. Shame, humiliation, and/or isolation need not be another things that people with schizophrenia need to cope with in addition to all the other reasons for relapse.