I am the first person in my entire family to have ever received mental healthcare. The profound stigma against mental healthcare was so overbearing, oppressive that none of my family members, even in their darkest, most lonely times could find the empowerment or conviction to pursue it. They called it a weakness, an indication of failing as an individual. But even with such overwhelming shame attached to therapy and mental healthcare, confronting the criticism of my family was perhaps the least difficult part of my mental health journey.
The most visible indication of my internal conflict was in my eating disorder. The shrinking of my body to account for the shrinking world and experience that I was able to cope with. I grew up in an immensely poor and rural community and from a young age I was isolated, unpopular, too odd to fit into a community that was already relegated to the outskirts of society. It had no place for a child who was interested in different places or experiences. In places like this, people band together tightly, almost suffocatingly. And they band together young. As a girl who loved reading and school, whose parents had only lived in town for 20 years and so were considered ‘newcomers’, I was not considered a good candidate for friendship, for invitation to birthday parties or sleepovers. While the benefit of an early onset of social isolation gave the experience some sense of normalcy, it was still heartbreaking. To an eight-year-old child, being excluded is the greatest form of punishment and I was too young and too naïve to understand that I was excluded because I did not fit the social narrative that had been enforced in my community for decades. It felt personal, not just to me, but also to my peers, I was doing something wrong and none of us could overcome that offense.
There is a sort of bravado that I see now in the small Montana town where I live that exactly mirrors what I witnessed in my hometown of 800 in New Hampshire. Despite being thousands of miles apart from each other, each place has adopted the identity that was cast on them as a stigma and has turned it into something that we all follow in unspoken acquiescence. Small town pride. There is something gut-wrenching to me now about it, because there is a sadness in it that I was never able to comprehend until years of therapy gave me better eyes to see what before had been a violent sea above which I needed to keep my head for mere survival.
Eating disorders are a symptom of deep, underlying trauma, as diverse as the individuals who are affected by them. I will never forget, in one of my group therapy sessions, our therapist asked us what it feels like to not engage in disordered behaviors. And the girl next to me, immediately responded:
“I want to peel my head like it’s an orange.”
The tone she held, the way she said it, deadpan, like it was the deepest truth held within her, struck me like a physical blow. It is one of the most unforgettable moments of my life. Because, for as horrifying as it was, it was equally relatable. I had always felt like my eating disorder, which reached its fullest form during my adolescence and early twenties, was like wearing the wrong size shoes every waking moment, a deep and unbearable ache that I could not feel the beginning or end of. Until finally what made the most sense was to carve away at my own flesh to ease the pain. The world around me felt wrong, the only thing I could cut away were parts of myself. A desperate act, but there felt like there were no choices left.
Small town America didn’t fit me. Or so I was told, and so I believed, for two decades of my life. I thought nowhere could hold me. Nowhere could handle an outspoken and independent woman who was angry about being told she was trash because of the hometown she came from, even though that town didn’t even want to take ownership of her. It is many years of therapy later that I see how much my own story has in common with the story of rural American towns.
Now, as a thirty-year-old woman I look at my hometown, smaller and poorer than ever before, I look at the suicide rates, the addiction, I see the small-town pride, but I feel where it cuts into its own people instead of supporting them. Something that was once well intentioned, becoming a vine that strangles the new growth and potential of the living being itself. There was no space for me, but there is no space for so many people. There are unfulfilled dreams, there are love stories that will never be written, passions that remain unignited. People conducting amputations of parts of themselves because the world does not seem ready or able to hold them. It rends my heart. Despite my pain that occurred in my hometown, and the ongoing recovery that I must continue to pursue, likely for the rest of my life, I have a desire to tend to this plight of rural America.
The need for mental health care and social work in these towns and regions is immeasurable. It is the number one reason that I have decided to pursue my Masters in Social work at Columbia University. My ultimate goal is to work in low income and rural communities in school systems to try and create more opportunity and access to mental health care and support in young adults and adolescents. I want to create space so that they may find their way and lead authentic and fulfilling lives, and subsequently they can create more diverse, more empathetic and expansive communities in small-town America.