Personal blog of Dr Alex Mendelsohn

Category: Thoughts (Page 3 of 3)

The depressed honey bee

This blog post discusses how the emotions of desire and avoidance dictate the world of a honey bee. Flowers and predators are the only things that stand out to a honey bee, and their world is mostly in greyscale. A depressed honey bee would lose the ability to see colour and would remain in the hive because there would be nothing to fly away to. An anxious honey bee, on the other hand, would see the entire world as red, including flowers, and would be paralyzed by the overwhelming redness. Alex suggests that human emotions are similar to those of a honey bee, with depression and anxiety being complicated conditions that can make the world seem gray or filled with dark red


I imagine the honey bee’s world is dictated by two emotions: desire and avoidance. When a honey bee sees a flower off in the distance, it has a strong desire to fly towards it, to rid it of its nectar. A small reward circuit lights up in its little mind whenever it comes across a flower. Similarly, whenever a honey bee sees a predator, like a bear, spider or bird an avoidance circuit lights up (or in dire situations an attack circuit).

To a honey bee, it is like their world is in greyscale, with only the flowers in green and predators in red standing proudly out against the background. A honey bee does not care about the bright blue sky, or a trickling waterfall, or a lush field of grass. Neither does it care about the mundane, like roads, bricks or trees. To a honey bee, it is as if these things don’t exist. While it sees them, knows they are there, it pays these phenomena absolutely no attention. The honey bee’s world is almost entirely determined by the green flowers and red predators.

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The similarity between needing to pee and mental illness

Alex describes their experience of living with mental illness and the difficulty they face in explaining their feelings to healthcare professionals. They highlight the constant feeling of “okayness” that healthy individuals have, which is absent in those with severe mental illness. Alex compares their struggle to describe their experience to the feeling of needing to pee but not being able to find a toilet. They describe the similarity between the urge to hold on and the temptation to give in to the suffering in both situations. The article ends by emphasizing the difference between the inevitability of relief when one needs to pee and the absence of relief for those living with severe mental illness.


I had just left an rTMS session a little frustrated. The nurses ask how I have been to report back to the doctor, and I always find it difficult to describe. Not because there is some doubt as to what I am feeling (even if I do not understand why I am feeling it) nor because I do not have the language to describe it. I have realised after years of living with mental illness that my words become misinterpreted. I have felt consistently that every doctor and psychiatrist I have had so far has thought I am at least 3x better than I actually am. I think those who have never lived with a severe mental illness don’t realise that for the entirety of their lives they have this background feeling of ‘you are safe enough right now’ running through their heads – sometimes even through deep feelings of grief, sadness, anger and worry. This background ‘okayness’ may only go away for a moment, a day, a month at most (but usually remains in some form even if it doesn’t feel like it). But to the healthy-minded it always comes back. There is eventual relief. This does not happen with the mentally ill.

I was trying to describe to the nurse how a little bit of this ‘okayness’ had started to come back after I started lithium treatment. I said “the days are easier, time goes by faster than it did before”. After some more discussion, the nurse says “so time used to drag and now it is not?”. Time being a drag is like boredom. What I was experiencing was most definitely not boredom. But no matter how hard I thought (thinking is very hard nowadays) I couldn’t think of a way to explain what I was feeling in a way that the nurses could understand. How do you tell someone that under specific circumstances, the feeling they have in the back of their minds they don’t even realise is there, can go away?

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