Sort of a Film Review: Silver Linings Playbook

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Initially, I was skeptical about Silver Linings Playbook, but it disabused me of the misconception that all rom-coms are silly affairs in which an attractive young woman and man fall in love after overcoming a series of obstacles. SLP, like other movies of the genre, shows us that the quest for love is universal. Its two protagonists, played by Bradley Cooper and Jennifer Lawrence, are very pretty, as you would expect. I had dismissed Bradley Cooper as an exceptionally good-looking comic actor, and I wasn't familiar with Jennifer Lawrence. However, she won me over as the wounded yet feisty and self-aware young woman; I found her character so intriguing I forgave her being so young, talented and beautiful. And, I gained an appreciation for Bradley Cooper as a man with bipolar disorder just released from a long stay in a psychiatric hospital. His performance did not embarrass; he didn’t simply play “crazy.” Instead, he played a man whose capacity for suffering emotional pain was monumentally greater than most people’s because of the illness. 

As a mental health professional, I appreciated how the film treated mental illness with depth, humour and fairness; I am hoping that it can lift the some of the stigma that keeps people from accessing mental health services. 

These are some of the reasons why I recommend Silver Linings Playbook:

1. By no means should Cooper’s character be mistaken for a clinical case study of bipolar disorder, but it portrayed BD's main features in a believable way. Also, his father's (played by Robert DeNiro) compulsive and superstitious dependence on numbers was a lighthearted look at OCD-like behavior, perhaps to suggest that predisposition to mental illness can be hereditary. 

2. The movie shows that character's bizarre behavior of Bradley Cooper's character did not come about in a vacuum (it's important to note that he did not have delusions or hallucinations, symptoms of psychosis). The distress of catching his wife with another man had triggered his hypersensitivity to a full-blown episode of mania and depression (although we did not see his depressive symptoms). His reaction went above and beyond the "functional range" of emotional response, and, as a result, he was hospitalized. Symptoms of mental illness, especially mood disorders, are extreme (pathological) reactions to life’s inevitable ups and downs, and they are disruptive and upsetting to the sufferer and their family and friends. But, the point is that everyone of us have experienced these symptoms to some degree, because this is what it means to be human. 

3. Medication works. It does not “cure” but, under the care of an able psychiatrist, it can manage and control the symptoms and improve the quality of life for the patient and their family. It enables the patient to work, be in relationships and seek talk therapy to complement the pharmacotherapy, which only addresses brain chemistry. The most effective treatment for mental illness is drug therapy with concurrent psychotherapy. 

4. People diagnosed with mental illness have unique personalities and real lives, and they are capable of great achievements. They are more than their symptoms or diagnosis. One can LIVE with mental illness.

5. Mental health professionals are real people. We have real lives that are sometime messy and have interests outside work that may seem incongruent with what we do professionally. However, I am not a fanatical fan of any sports team.

Sort of a Film Review: Flight

As you may already know the awards season has begun. Usually I am just an avid watcher and not a reviewer, but this year a couple of movies caught my attention, and I thought they related to what I am trying to do here. Here is my two cents on Flight.

Denzel Washington has been nominated for an Oscar for best actor for Flight directed by Robert Zemeckis. Washington's character, Whip Whitaker, is a commercial jet pilot and a functioning alcoholic. Did I get your attention yet? Just the premise alone is compelling! Predictably, things fall apart (literally, in the sky) for our anti-hero – there wouldn’t be a movie otherwise – and the reality of his addiction unfolds in a nightmarish scenario. For this reason, you won’t be seeing Flight as an in-flight entertainment option. The fatal crash/accident is part one of Whip’s hitting bottom, and the second part… Let’s just say there is a Hollywood ending, and he is redeemed.

What is interesting is the portrayal of addiction with its near limitless potential for denial. Even after a broken marriage, loss of his son’s love and respect because of his drinking, and the resulting social isolation (his only friend it seems is his drug dealer), Whip is so blinded by alcoholism’s cycle of shame, guilt and physical dependence, he can’t and won’t see what it has done to him. Unresolved shame and guilt lead to continued use because chemically altering the brain is the easiest way to avoid the painful act of self-reflection. The medicine that numbs uncomfortable thoughts and feelings also happens to be the source of discontent. As it is said there is no free lunch, one way or another there is a price to pay for delaying what is inevitable. To feel at ease with life requires that we take a long, hard look at who we are and come to terms with it, or make changes so that we can live with ourselves. For many who are caught in alcohol and drugs’ dark embrace, until something dramatic happens where they are forced to, they can’t listen or look at themselves. 

What is the lesson from Flight? Listen to yourself and watch for how you feel. Are you unhappy? Are you sad? Are you lonely? Are you tormented by feelings of shame and guilt because of your out-of-control drinking and/or drug use? If you feel that you are partying a bit too much, do something about it, talk to friends or family members, or a professional, before it takes off on its own dangerous course.