Lockdown and mental health

It has worried me from the start that politicians aren’t factoring mental health impacts into their choices. I thought today I’d talk about some of what I can see happening, in the hopes that if any of you are experiencing this, there will be some comfort in identifying the mechanics. This is UK based but may apply other places.

We’re social creatures, so being asked to isolate is really hard. Doing it heroically to save lives is feasible, most of us can get behind that and sustain it. Doing it when economically based contact is allowed, but love is not, is brutal. We can go back to work, but we cannot go to family, friends and lovers who do not live in the same house as us. We are allowed our economic relationships, but not the ones that matter.

None of this ever made any sense. The biggest source of spreading is households. If one person gets it, everyone gets it because most of us don’t have room to isolate from our families. We should never have been asked to do this. Ill people should have been isolated in medical facilities, keeping their nearest and dearest safe. If you have vulnerable people in your household the advice has been to go to work and isolate from them at home. Technically difficult, and emotionally harrowing. We should be able to cling tight to the people we love, and be confident we can keep them safe.

Big events with hefty financial aspects were allowed to go ahead when they should have been cancelled. Plane loads of people from virus-afflicted areas were allowed in unchecked. We were put at risk, all of us, for the sake of money. This kind of treatment will impact on your mental health. We’ve been lied to and blamed, over and over. This is gaslighting, and it makes people mentally ill.

The whole thing has been organised the wrong way round from the beginning. We should have been protecting close relationships and getting people away from numbers of strangers. We’re safer when we can assess our risks together. The friend I can talk to about how we handle this is far less hazard to me than the stranger who coughs on me in a supermarket. Not being allowed to keep the people we live with safe has massive mental health implications for many people, as well as the hideous virus implications.

Usual mental health advice is all about staying connected with people who can support you. We know what people need to be well, but that knowledge has been ignored throughout this crisis. If we put mental health first, we give people resilience. If we had protected intimate relationships and sacrificed economic ones, we’d be better off. If we had done this the other way, people would have felt less need to push back against the rules.

Usual mental health advice also tells us to get fresh air and exercise. The mental health of people with no gardens, and people living in cramped conditions is not being talked about. It should always have been ok to sunbathe at a distance from others. It should never have been ok to force non-essential, usually low paid workers to keep working and commuting. One of these things runs the real risk of spreading disease and the other, simply does not.

Faced with political choices where you and your loved ones are at risk, and you can’t do the things that might sustain your mental health – little wonder if many of us are suffering. We should always have been putting life ahead of money, and mental health is a key part of life, not some kind of luxury extra for the better off.

Everything is political

I notice a lot of people saying we shouldn’t politicise the virus, or that making a political point in a crisis isn’t the right response. This assumes it is possible for something not to be political. Just because we don’t see the political dimension of something, we imagine it isn’t there. This does not help us.

Everything we are allowed to do, required to do and forbidden to do is held by laws that have been decided on through our political systems. There is no area of our lives where this isn’t relevant. Alongside that, the rights, freedoms, obligations or the lack thereof for companies, wealthy individuals, landowners, and politicians also impact on us.

There are so many ways in which lockdown and the virus are inherently political issues. Funding decisions over the last ten years have undermined the NHS. Political ideas about Europe have cost us protective gear and ventilators. Treating the economy as more important than lives has killed people. These are all political choices. The degree to which we are battered by all this, the number of people who die and the economic damage we take are all tied to political choices. The crushing of whole areas of economic activity – arts, leisure, self employed folk, is a political choice that will have long term consequences. Funding billionaire tax dodgers while letting small businesses go to the wall, is a political choice.

Everything about the virus is political. The decision to not treat it as a political issue is also a political issue. If we insist on not being political about it, we do not call politicians to account. We accept that they could not have done better – and they so clearly could. We accept that the political decisions creating the context for our poor handling of the pandemic, were not important. That’s really dangerous territory. What do we think politics are for, if not for creating the framework in which we all operate? If that framework fails us – as is happening now – ignoring the political part of that is an act of powerlessness, of our abdicated responsibility as well as theirs.