1. “Sap? Ahh in full pls? Yohhh I’m legit outttttt.”— Sandra, 23.
I spent Mashujaa Day in a gallery in Kibera. Every Saturday, the gallery, Maasai Mbili, has poetry readings, and I, together with a friend, had gone for one of these. When we got there, we found one of the regulars talking about his shujaas. First, my mother, he said, because it wasn’t easy raising a person like me. We nodded, and someone in the room said that all mothers are heroes. He went on. Next, Moi, because he led the country well, and presided over the economy well, unlike other presidents.
I’ve been thinking a lot about this sentiment, this feeling that Moi was good for the economy, and that any disruptions to the economy were due to foreign malcontents. Rasna Warah has written about this, the sanitization of Daniel Moi into a kindly old man who held the country together. I’ve also been thinking about the whitewashing of history that led to information about Moi’s economic incompetencies being hidden away from generations of children who were not alive at the time, or too young to remember. I’m also thinking about SAPs, and how their knowledge is not part of the histories of a certain generation.
2. “So, I don’t really know what SAPs are, but I’ve heard them in conversation. They are important, they keep us in check. They are like a ‘learning point.’ They teach a man how to fish and he won’t ever grow hungry again. The fuel increase is one way SAPs have affected us. Don’t know any other…I don’t think it’s an everyday conversation, unless it’s something you are aware about/interested in and you have like minded people to discuss it with.” — Sabina, 26
I am unable to remember Moi as president. My memory of politics begins with Danson Mungatana telling Raila, “Kama yeye anakula samaki wa Lake Victoria, mwambie mimi nakula mamba za River Tana.” Moi, for me, exists as a distant event, like the Mau Mau and Patrice Lumumba and the extension of the Lunatic Express to Port Florence in 1901; events that happened, and were important to our histories, but which I never encountered directly.
A few years ago, when I was preparing to join campus, my parents and I had a conversation about their campus experiences. Back when my father had been doing his BSc and his subsequent MSc, he had been the recipient of a monthly government stipend. Every month, he told me, the government would deposit money into their accounts for their general upkeep. For my father, who was a child of the city, the child of middle class parents, this payout meant that he enjoyed a measure of independence from his parents. My mother, on the other hand, came for a large family whose patriarch had died early in her life, and whose matriarch was a single uneducated woman living in the village. For her, this payout meant that she could pay for her younger sisters’ school fees. A few years after they were done with campus, as part of the Structural Adjustment Programmes of the late 80s and early 90s, these stipends for campus students were halted. The wanton kleptocracy and naive economics of Moi’s government meant that decades later, we would have to go through campus by our own means, or face the weight of student loans.
3. “Yeah, I don’t know what SAPs are…No, why would I bother with them? All I know is we are being forced to celebrate a dictator who killed people.” — Nyasetia, 23.
As part of my thinking about Moi, I’ve been thinking about SAP’s, what they are, and what they represented. Ngala Chome writes about growing up in Kisauni in the 90s, and about how the implementation of the SAPs ravaged his community. For them, kids born at the turn of the Cold War years, “the tumultuous period of the 1990s reared its ugly head when the colour of ugali turned from white to yellow; when teachers stopped showing up for class; and when trips to the shop to get candles became more frequent.”
My parents got married during this period of the yellowing of ugali. We often rewatched the VHS tape of their wedding and, for years, it, together with Holes and The Gods Must Be Crazy were my favorite audio-visual experiences. That is, until I discovered Hillary Ng’weno’s The Making of a Nation. In a 2011 interview, Chacha Mwita, who was the managing editor of The Standard newspaper when government functionaries raided their offices, described Ng’weno as “one of those people without whom you cannot understand Kenyan journalism.”
4. “Bana, mimi nilimaliza tu shule…Ni kitu nishawaisoma mahali, though I don’t have much info about it.” — Nigel, 22.
How do you make a nation? How are the stories of a nation made? Who makes a nation? Do the stories of a nation make themselves? And after the stories of a stories are made, who makes them disappear? What are the stories of a nation? What came first, the stories or the nation?
5. “What I know about SAPs is that they were a program initiated by the World Bank in the 90s in Kenya, and I think some other African countries, when there was an economic crisis, to kind of ‘streamline’ spending in the country…I’ve tried asking my parents about this…but they give very avoidant answers that say a lot without explaining anything really.” — Hilda, 24.
Moi’s destruction of the Kenyan economy was not the dominant event in the global economy in the 1990s. Around the same time when ugali was turning yellow, the Russian economy was being gobbled up by a group of Russian robber barons. While Mikhail Gorbachev’s envisioning of the perestroika might have been altruistic, he was unable to understand what ‘opening up the economy’ would mean to the average Russian citizen who was either unable or unwilling to take part in the strongest-in-the-jungle catfight that would follow. Or, they had not read the History of Kenya and the 1970s opening up of the country’s economy recommended by the Ndegwa Commission on Public Structure and Remuneration that would lead to an oligarch class before the oligarchy.
In his book, Not Yet Uhuru, Oginga Odinga famously dismisses Daniel Moi, describing him as “…influenced by the missions, overawed by settler power, and making a slow adjustment to political trends and the need to make independent judgement.” It was this type of dismissive attitude that led cynics to dismiss Moi as a passing cloud when he ascended to the presidency, and later, to postulate to the argument that he had done his best with the little resources he had, mental or otherwise. I do not know how accurate Oginga’s assessment of Moi was. I’ll add it to the list of things I know not.
6. “I don’t know what these are…I have heard of it but I don’t know what they are.” — Anita, 19.
Things I know not: How it was to grow up in the SAP-afflicted economy of 90s Kenya; whether Danson Mungatana actually does eat mamba za River Tana or whether he was just beating stories; how the stories of a country are made, and who makes them; how J.M. Kariuki, one of the original robber barons, came to be described as a maker of a nation; what a nation is; whether they were on a break; whether the future history of Kenya will be written to say that the current robber barons in charge of Kenya did what they could with the economy, and that the economy collapsing the way it is was the fault of malicious foreign malcontents who were trying to spoil Kenya; and why Awilo Mike and Riziki split up.
7. “No idea.” — Paul, 22.
When I was in class eight, my school decided that, to motivate us, it would give class eight students milk. Everyday, at 3.10, on trays placed in the corridors outside our classes, we would each pick a glass of milk. We knew, of course, that the milk was useless with regards to our KCPE performance. After all, what was the use of milk if the school decided that we ought to stop attending classes? What was the use of milk if it was the only form of nutrition we got because our broke parents were unable to put food on the table because they had lost their jobs? Wasn’t the free milk just a vanity project if, because of programs brought on by kleptocracy and economic incompetence, healthcare and education were unreachable and expensive? Still, we drank our milk, because it was to keep us motivated enough to do well in our exams. However, a few days into the milk program, it was cancelled and we were switched to juice. Turns out the school had been buying expired milk.
Depression Is an Illness of the Soul, and My Faith Failed Me
When we grow up in a religious nation, a huge part of our identity rests on religion/faith/God, whatever you wish to call it. When this is shaken, the centre cannot hold, and we crumble.
In 2014, a friend confessed that he had been battling depression and had been on anti-depressants for a number of years. This friend is one of the most brilliant minds I have ever met, he seems to have it all together, and is admired by many. This confession took me by surprise because I never could have imagined that someone like him would be struggling with depression. I voiced my doubts to him; I told him he seemed okay, he didn’t look like it, was he sure? My naivety on the subject was clear. But that confession did for me was life changing, and took me on my own journey to face my own demons.
What I knew about depression was that people who suffered from it were sad all the time. That’s it. However, since that conversation, my understanding has changed dramatically, especially suicidal depression. Looking back at my life in the months prior to that conversation, and as I read and educated myself on mental health, I concluded that if there is a spectrum on depression, then I am somewhere on it – despite my quick reassurances to my friend that day. I have days when I am overwhelmed with life, I question my existence and can’t find a good enough reason for it. It leaves me with a profound emptiness, which I do not know what to do with but sit with it, cover myself with and stew in it.
They say depression is a mental illness, but I think it is more than that. It is an illness of the soul. The soul as defined by Wikipedia is the “incorporeal essence of a living being. It is the mental ability of a living being: reason, character, feeling, consciousness, memory, perception, thinking, etc.” ‘Incorporeal’ means without a physical body, presence or form. Therefore, it makes sense to me that it is a sort of malfunction of the soul.
I have heard numerous psychologists rightfully say that some symptoms of depression include not enjoying the activities one used to, social isolation, and difficulty getting out of bed. On that last point, it is not the usual oh-my-god-its-Monday-I-can’t-get-up, rather it is that you literally and inexplicably cannot get out of bed. The thing about sleep in this case, like many of life’s vices including alcohol and drugs, is that for a moment you forget everything and do not exist. Getting out of bed means facing yourself in this mess, and it is too much.
On some days, the mess falls to the background, and there you are – smiling, getting work done, having a social life, being productive. However, the mess still clings to you, it never leaves, hence the yo-yo effect of: today I’m fine, next week I’m back in the thick of it. Sometimes this cycle is weeks or months long. And no, talking to someone does not seem to help. You don’t even want to talk to anyone, even a good friend. I lost a great friendship during one of these periods because I couldn’t bring myself to pick up phone calls as I felt I couldn’t do it.
As a nation that is religious, or spiritual if you will, depression can be closely linked with God. Let me explain. Like most Kenyans, I have grown up going to church. I grew up Catholic and even served at the altar. Every Sunday, my mother would wake us up, scolding us when we were not moving fast enough to make it for the 9am service. The struggle to get up and get ready to go to church, with all the rushing and scolding, always felt like a punishment.
If you are Catholic, then you know how ceremonial the mass is. Because everything is structured so tightly and unfolds in the same way every time, after attending for years you can be present in the body but be totally checked out mentally during mass. So because I knew the flow, I had gotten used to zoning out after the second reading when it was time for the priest to deliver the sermon. Around me were people dozing off, so I thought zoning out was better than blatantly sleeping in church. Besides, what if my mom’s friends from Jumuia saw me and told her?!
In any case, we sang, “Jesus Loves Me” long before we could comprehend what that love looks like. We were taught to pray and love God more as an obligation than because we meant it. We were taught to profess our love to God – more than actually understand it. Why should we love Him? Because he made us, His son died on the cross for our sins, because we hope to go to Heaven when life on earth ends. Doesn’t the Bible teach us to instruct our children in the way of the Lord and they will never depart from it? So, we grew up believing all of this before we had time to question any of it. We are told that as children of God, we are special and are here for a purpose.
It reached a point when I could no longer carry on with all of this simply out of obligation. In 2015, I started questioning this whole notion of a God-given purpose after going through a year of overwhelming hopelessness. I wanted to know for myself who God was, if He exists, if he loved me, what He wants from me and so on. I was really going out of my mind at this point because I was having an identity crisis. Relying on the idea of God loving me because the Bible says so wasn’t enough. I needed to know for myself, and I didn’t. The reason this is important is because when we grow up in a religious nation, a huge part of our identity rests on religion/faith/God, whatever you wish to call it. When this is shaken, the centre cannot hold, and we crumble.
I didn’t know just how huge a part of my identity God was until I was shaken and felt I had lost myself. The death in my life came from a loss of faith. It was time to get out of the childish way of obligatory faith, and really believe as a choice. But the truth is, I couldn’t find my footing. Feeling worthless, I began seeking out answers to my existence. I’m sure to those around me, I looked fine and had accomplished a lot, but inside I was stuck. My whole life felt like a lie the moment I wondered what my purpose in life was. Answers on the mystery of God, on how we should not question His ways were no longer good enough. It is like when someone dies, and people quickly say that His will is being done. Such answers didn’t cut it for me any more. I wondered, was I an agnostic, a nihilist? Are all depression sufferers just pessimists? It was the beginning of an identity breakdown that has brought me to my knees and left me there. I don’t know who I am, and the personality and character attributes ascribed to me by others feel foreign.
What I know is that on some days, it is like I am trapped in limbo, neither alive nor dead. I wonder why I am wrapped in this mess, never moving forward or backwards. It is like you are sitting on the edge of a cliff and you can’t jump off nor retreat to safety. This is what depression looks like to and for me. The anti-depressants you might be prescribed ensure you keep retreating to safety while suicidal ideation ensures you take that leap.
When I think about people I know or I know about who have died by suicide, including Millie Kithinji, Stephen Mumbo, Robin Williams, Anthony Bourdain, Kate Spade, Avicii, several students in Kenyan universities… I am certain of one thing. Prior to their deaths, they were on this cliff, like so many of us are. Questioning their existence, even those who seemed to have it all – money, fame, love, power. Even with all this, they must have asked: who am I? They must have felt guilty and ashamed at the same time.
I know it sounds selfish especially to those of us struggling financially. You wonder, this person “had it all” and still ended their life. And so, people call them sinners and criminals for ending their lives, and we reach for the refrain we have always been told since childhood – that life is precious and a gift from God, even when we don’t feel it and when our cruel society shows us our lives don’t matter, especially if you are not rich and not politically connected.
Take Millie Kithinji, who died by suicide this March. This wasn’t a spur of the moment decision for her – for a long time, since around 2017, she had been begging God for strength and grace to carry on through the trials she was facing, going by her Facebook posts. She was unemployed with a young daughter, the father of her child had abandoned her, and she was struggling to make ends meet.
The spiral was slow but steady. We don’t know what else was shaking her identity, to the point where she wondered what she was doing alive instead of dead. Who knows how many times she came close to ending her life, but perhaps the thought of her daughter kept her going, until this last time. Ultimately, ending the pain took the upper hand to holding on for the sake of love.
Another recent case was Stephen Mumbo, who was a star employee at audit firm Price Waterhouse Coopers (PwC). He was intelligent, a family man and a committed employee, he was put together and had everything going for him. The death of his mother shook him, and perhaps other things we don’t know. Piecing his last moments alive reveals a trail of work-related stress and a man who was broken long before he fell to his death.
Those like Millie and Stephen were on the cliff, hurting, feeling the burden of their mess and how all the love from their families did not count in that moment before they jumped off the cliff. “They will be better off without me,” they must have thought.
When you are on the cliff, you sit there until jumping is the only viable option to end the pain. It is the only option because you have retreated to safety many times (perhaps from friends who checked up on you, or the thought of loved ones) yet here you are back at the cliff, and the pain is too much. Yes, suicide is a choice. It is the only choice in that moment, and if you have ever come close to jumping, then you understand. Granted, I still don’t have answers, I can only describe what my depression looks like in hopes that someone out there might see themselves through this. You don’t have to know my name, gender, age, or educational status to resonate with me. Because the truth is that a lot of things will bring you and your mess to the edge of the cliff. Mine is my identity crisis. What you can bear might be too much for another person. What has brought me here is a mess perhaps easily cleaned up by somebody else. What will bring you here is a mess that I could easily discard. What is your mess? Are you sitting on the edge of the cliff too?
If you or someone you know is experiencing depression or suicidal thoughts, or if you want to know more, reach out to Befrienders Kenya on +254 722 178 177, or the Meshack Samson Foundation, at +254 715 713 212. You can also find these organisations on Facebook.
Land, Dance and Finding a Way Through This Painful Life Together
Trusting one’s body, and one’s experience of the world is not celebrated or even tolerated in the formal education forced on Africa through missionary and colonial education. School and religion alienated me and us from ourselves, and from the Earth.
For British colonisers, the lands that now form Kenya were a space that needed to be traversed on the way to the ‘Pearl of Africa’, Uganda.
The Pearl of Africa was a place where kingdoms, a form of governance recognisable to colonisers from a kingdom country, existed. It was the place where the long-sought source of the Nile was found, and with it the assurance of outwitting challengers to the control of Sudan and Egypt. In Uganda, on top of the cotton varieties they found, the British saw potential for commercial cotton production. A place rolling with greenery, lots of rain, lakes and rivers, teeming with flora and fauna. Winston Churchill visiting in 1807 recommended that Britain should “concentrate on Uganda” whose people, climate, scenery and vegetation were “different to anything else in Africa”, and his statement reaffirmed the title of Pearl that had been given to Uganda earlier by other colonial scouts, Speke and Stanley.
However, to get to the Pearl there was the problem of a strip of coastal lands controlled by the Sultan of Zanzibar (and having had numerous other controllers in centuries prior), and the vast lands and peoples in between the coast and the prized kingdoms. No such fancy names as Pearl were reserved for what was to become Kenya and Kenyans. We were in the way. When the Uganda Railway (note the name), proved expensive, the lands and people that now form Kenya were dispossessed of their inherent value and of themselves, made objects, and turned to profit-making to enable this venture.
This was unseeing violence. Disembedding violence. Dispossessing violence. Appropriative violence. Thingifying violence. It must do something to you to know that you are only a throughway to a thing, body or place more desired. Your value only tied to enabling arrival elsewhere.
The first violence remade land into an inert source of potential capital to be realised through exploitation by a colonial State, and now by a post-independent and still colonial State. Life was rethought dead, chopped up and offered at a cheap price to profit settlers, who were producing value, to enable the journey to the Pearl. It was violence peoples’ bodies, being-ways, knowledge-ways, economies, cultures, and psychologies, on their embodied and unembodied earth relations, and on the interrelationships amongst them.
The dispossession and appropriation that birthed the Kenyan State in the late 1800s, did not end with flag independence in 1963, but was reinforced, frozen, made ‘State-ic’.
Peter Ekeh helps me understand how. In a theory of two publics which I think of as the two Africas, the psychological disruption of Africans who participated in the colonial system caused an unsettlement. To regain equilibrium, these unsettled Africans attempted settlement by being better at being the coloniser than the colonisers were. They regained a kind of psychological balance by being better at performing violence than those who first performed violence on our spirits, human, Earth and ancestral.
This goes on even today. Newspaper headlines regularly detail the numerous ways in which lands and bodies turned into things are appropriated and made disposable for the benefit of the few in State. It happens so frequently and so efficiently that we are numb, frozen, as we watch and hear play-by-play accounts of who can violate us more, like commentary in a football match.
Slowing down enough to feel the pain
Violence hurts. Violence injures. One common response to violence is to brace oneself and keep moving. After all no use in crying over spilt milk, right? And there is so much more that needs doing, who has the time to feel? Not feeling is a powerful protection against potential future vulnerability and violence, and there are times we need this survival. But this does not, cannot, go on forever.
In my psychology study and practice I have come to learn that trauma which doesn’t get processed gets stuck and continues to replay until we acknowledge it and move it through our bodies and psyches. Slowing down enough to feel and witness the pain of the historic and present day violences on our spirits is far from indulgence. Rather it is what enables me, and us, to be resilient and to retain my humanity, pushing back against the actions and forces that would have me be an object with no inherent value. Here is an example:
It is August 2018. I am at a protest and memorial for the 34 humans slain during the Marikana Strike in 2012. This protest is happening outside the South African High Commission in London. Speeches are made, we sing and hold signs. A tall thin man, briefcase in hand, walks past us briskly. After he goes some distance, he turns and shouts, “You already got your independence, fuck off!” I laughed at his receding back.
What I didn’t say was “ouch.” Later that evening I am in a group workshop on racism and colonialism. We are doing some role play, and one man is taking the role of a coloniser. He says this, acknowledging a truth he didn’t even realise, “We took what we wanted, and we left what we didn’t want.”
A dam breaks and I weep. Slowed down, I can breathe my pain – the same one I couldn’t when the brisk walker shouted. In that moment I have the space to create a relationship to my own hurt and pain at the violence we and I have been through and continue to go through. Through the tears a song comes – the same one I had led at the protest: Senzeni na. What have we done? A comrade sings with me.
Even while it is not always easy or comfortable, I have learnt that I need to go through my pain to pick up my power, lest I harden, and also become a perpetrator of appropriative violence, seeking to outdo the one who was first violent towards me.
Seeing with new eyes
When a people are mired in the unseeing dynamics of dispossessing violence, we begin to believe that there is nothing to see in ourselves, our places, our histories after all. So I have to remind myself of all that was unseen, in order to reclaim our value.
British colonisers unsaw us and all who we are. I mean us in the full sense of community: human spirits, embodied and unembodied earth spirits (plants, animals, ancestors, and more). They unsaw the remarkable irrigation systems of the Cheranganis, the wonder of setting life to the rhythm of bee migrations, the beauty of decentralised cohesiveness in various governance systems, the science of making rains, the studied play of producing life from an equally dancing set of ecologies as pastoralists do, the connective rituals with which we ensured cycles of life, incorporating the past, present and future, and so much more.
It doesn’t help that for the majority, our upbringing doesn’t tell us of these lives and lifeways either. I recall my high school geography class for instance, which focused on how we can do more unseeing in the style of those that first unsaw us. “Tropical indigenous forests are uneconomical because they grow in mixed stand [i.e. haphazardly, going by that worldview]. Planted coniferous forest is more efficient as it enables mechanised harvest.” This is true, if your goal is to take without reciprocity. And there is no need for reciprocity where the other is a thing without value. The goal of the coloniser was to take, and to enable arrival and capture of the Pearl without putting back.
I set different goals – reciprocity, rebuilding and reconnecting relationships.
We are not the dregs of humanity. We are not what is not wanted. I am not what is not wanted. I see my self, our selves. I want to always sink deep into the knowledge that I have value. We have value.
Re-membering land as living entity
Trusting one’s body, and one’s experience of the world is not celebrated or even tolerated in the formal education forced on Africa through missionary and colonial education. School and religion alienated me and us from ourselves, and from the Earth. I, and we, learnt to trust only in our teachers and in the state-approved textbooks for knowledge.
In trying to reconnect broken relationships I am constantly re-evaluating my relationship with land and with those with whom I share this Earth – plants, animals, soil, etc. I recollect and learn new practices that reaffirm the intrinsic value and self-possession of embodied and unembodied entities that collectively share the Earth.
I do this by talking to plants and trees, approaching them as the living selves they are, and listening to what they say. Thanking my food for making its way to me. Sitting in silence by water and acknowledging how often we treat water badly. Lying on the Earth and taking the time to really feel how the Earth holds me from my heels to the back of my head, inch by inch.
Appropriative violence empties all of spirithood or personhood, making all living things parts of a machine, a means to an end. Acknowledging that I am held and nurtured by the Earth puts a pause on that lie, and helps me to be present to what kind of interaction I want to have with all my Earth relations. This replenishes my stores of care and value that I then come to the rest of life with.
Building collective power
What does one do when they are stuck? Move. The violence that continues to (re)play out today in ever tenacious forms is a collective violence. As I seek ways to name what happened/happens, and to see, feel and move through it, there is work that must be collectively done to repair the harms inflicted on us. Movement and movements do that for me.
Moving my body and doing so with others through dance is a form of collective healing to unstick the stuck places in order to be well, and to be well with others. Dancing with presence has become a practice to shift and move things that I cannot do only with words.
I also work to build movements that can acknowledge and heal this collective violence so that we can start again from a different place. I combine working for justice with healing in my movement building, and understanding healing to also be justice work. I think this is necessary if we are to avoid the race to outdo each other in who is better at performing appropriative violence. It is a way of rewriting our origin story to begin elsewhere. An elsewhere that acknowledges our value – all of us, human, Earth and ancestral spirits.
An ADHD Diagnosis: ‘My Nights Were Characterized by Racing Ideas, and Days Filled with Failed Projects’
My mind had failed me so many times I could no longer trust the ideas it put forth, no matter how brilliant or mundane they were. The tipping point came after a violent altercation with my cousin, which landed her in hospital and me in the refurbished blue container recounting my life story, and eventually, finding a turning point.
The diagnosis came about seven months ago. I was sitting in the counselling room of the hospital, a refurbished 40-ft shipping container painted light blue. I remember being annoyed by the breaks in the painting caused by the vertical ridges on the walls, and sucked on piece after piece of hard candy to calm down.
After a series of routine questions to get my history, an analysis by the psychiatrist, and several written tests, the verdict was delivered to me. Attention Deficit Hyperactivity Disorder. At first I was skeptical about the diagnosis. It was a strange case of déjà vu, one on which I’d sat in the same position across a psychiatrist two years ago and was given a host of diagnoses: I was told I had major depressive disorder, then affective disorder and then bipolar 1 disorder.
So I prodded the doctor, testing to find out if my symptoms covered a wide scope of diseases, or comorbidities, as the medical fraternity called them. To put my heart at ease, he showed me a TED Talk of a lady talking about her struggle with the condition, and the end of the video, I broke down and cried.
I’ll call the beginning of my visible symptoms as the crash. I’d excelled academically in primary and high school. I was a relentless high achiever, adapting the routine of school life which accommodated my bursts of energy and productivity. I graduated from high school with a good grade and joined university. But campus life came with the absence of a strict routine, and the unravelling at the seams of the thread of my life began.
I dropped out of my course after one semester and was kicked out of the halls of residence after failing to pay accommodation fees, due to procrastination. I resorted to clever methods to hide the absences in school from my parents. To cope, I drank and smoked a lot of weed. My nights were characterized by racing ideas, and days filled with failed projects because I couldn’t map them out; the brainstorm process ended up being crowded by other ideas and my mind couldn’t shut down. Then came the shame and low self-esteem. My mind had failed me so many times I could no longer trust the ideas it put forth, no matter how brilliant or mundane they were.
The first psychiatrist I visited was a referral from a general doctor. I’d arrived at the triage suicidal, struggling to breathe, and paranoid that I was being followed and watched. He prescribed some sleeping pills and handed me a sealed envelope addressed to a private psychiatrist clinic at the Doctor’s Plaza at Nairobi Hospital.
I didn’t feel bipolar – I was told bipolar disorder entailed massive mood swings, and this didn’t quite apply to me – but I accepted the diagnosis as it gave me a semblance of peace. At least I had a reason for my behaviour.
For two years, it cost nearly Ksh800 a day to pay for consultation and medication. Physically, the drugs left me feeling comatose on most days, and demoralised because I was still messy and erratic, but with a Ksh288,000 annual price tag to keep me stable. I sunk further into depression, culminating in a failed suicide attempt.
At the peak of my treatment, I was on a cocktail of seven different pills in the class of antipsychotics, antidepressants, and anti-anxiety medication. They gave me sleep jerks at night and vivid nightmares — eventually, I developed a dependency on the lulling effects of the anti-anxiety pills to help me sleep. The tipping point came after a violent altercation with my cousin, which landed her in hospital and me in the refurbished blue container recounting my life story, and eventually, finding a turning point.
The psycho-stimulants prescribed by the doctor were a relief. I could finally consistently complete my tasks and rein in errant thoughts, but the new ADHD diagnosis was exhausting. I imagined having to explain myself again to my friends about my condition over and over like I’d done for the past two years, and I was hardly prepared for the emotional or mental labour.
ADHD is a condition of limited self-regulation rather than a deficit of attention. A person with ADHD is able to concentrate for long periods of time in a state known as hyperfocus, that is when they are interested. ADHD exists on a spectrum and some people have it worse than others. We all have moments of ‘zoning out’ and procrastination, but for the ADHD individual, their symptoms fall on the extreme end of the scale and can be crippling.
Dopamine is a neurotransmitter that is responsible for a range of functions in the human body including emotional regulation, and motivation to guide your brain to accomplish specific tasks in order to get the desired reward. To use an analogy a psychologist gave – our brains are engines. Different parts initiate and receive tasks, others execute them and help manage one’s routine. Dopamine is the fuel between these areas, but ADHD brains have a deficit of dopamine. The result is that coordination is missing.
ADHD is a highly comorbid condition, meaning it exists with other mental conditions such as anxiety and depression. The emotional dysregulation and hyperfocus often leads to misdiagnosis as bipolar disorder, borderline personality disorder or other affective disorders – like it happened in my case.
The DSM V – a diagnostic criteria by the American Psychiatric Association used to identify mental illnesses, leaves out a key factor of ADHD diagnosis – emotional dysregulation – from its list of symptoms, further increasing the likelihood of misdiagnosis.
While ADHD in children is extensively studied and treated, very little academic literature covers adult ADHD, and in particular ADHD in women, which is complicated by changing estrogen levels that affect the availability of dopamine in the brain at different points in the menstrual cycle. The link between estrogen and ADHD means that at different times of the month, the symptoms get worse and might require a recalibration of medication and more money to cover the cost of drugs.
By the time an adult is given an ADHD diagnosis, their lives are littered with failure because of trying to conform in a neurotypical world, with shame, guilt, broken relationships, and a calcified negative view of themselves as lazy, inconsistent, rude, violent, stupid…the list goes on and on.
As I discovered, conventional therapy is often expensive and limited to brief sessions with the psychiatrist and counselor once a month. Adults with ADHD need extensive help, an almost round the clock treatment in the form of non-judgemental accountability partners to help them form a routine, map out their life and follow through on decisions. In the case of an adult diagnosis, and given the individual demands of everyone else’s lives, such accommodations seem like ridiculous requests and one continues to live with their dysphoria.
ADHD and its treatment is very misunderstood. There are stereotypes such as “We are all a little ADD”, and there’s scepticism over whether or not it’s a real illness. Misleading media coverage about the alleged performance-enhancing abilities of the drugs used in treatment also hinder objective discourse about the reality of living with ADHD. The victims are the adults who continue to suffer, very often without knowing what their condition really is, at the workplace, in school or in their homes.
My life hasn’t completely changed, but it’s a lot better than it was. I have interacted with other adults who also live with ADHD and formed a small support group of sorts. I got back on track with my studies and graduated. Living with ADHD forced me to be extremely honest with myself about what I can and cannot do, who I can be and who I am not. There can be no illusions about my strengths, weaknesses and ability to commit to tasks, in order to avoid that vicious cycle of depression and anxiety.
As for the medication, it is not a panacea. I needed to be honest with myself about this too. It was easy to use the drugs as a crutch and avoid putting in place mechanisms to regulate my behaviour – and then blame mishaps on ‘being off the meds’.
What do I look forward to? More research. Particularly on ADHD and women and how environmental factors, socialisation and biology exaggerates or diminishes how the symptoms manifest. I keep a journal and note down observations on days where something strikes me as odd, and use that to inform my treatment. It’s the beginning of my own personal research, and I hope it can help someone else someday.
To conclude, ADHD is neither a gift nor a disability. We can have no illusions about that. It can make you prone to certain harmful behaviours and may give you some advantages over neurotypical brains, but the labels of gift or disability may prevent us from being objective about its management. But with a little more knowledge, and a lot more empathy, we can create a society where lives are not littered with failures that could have been avoided.
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