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This is a courageous article.

Sadly, it seems mental illnesses are one of the great taboos of today (and don't even get me started on the state of mental health care in the US). Similarly, mental illnesses are extremely misunderstood, and people tend to distrust people who suffer from one even though illnesses such as depression may affect 5 to 10% of the population [1] and as much as one in four adults are affected by a mental illness in general in a given year [2]. A significant portion of the population is affected, but for the most part it remains unadvisable to talk about it. It's the elephant in the room.

This is compounded by the fact American culture in particular tends to disproportionately value extroversion and appearance of happiness. This leads many people to remain closeted by fear of repercussions, both on one's social and work life. Even worse, it prevents people from seeking necessary help because of the attached stigma ("but I'm not crazy!"). There are known cases where people are punished for having seeked professional help. For exemple, people who admitted to "suicidal tendencies", however serious, may be refused US visas [3]. The discrepancy between how willingly people talk about their trip to a doctor vs. a therapist is huge and obvious, and it shouldn't be.

Now why should this be relevant for the HN crowd? As someone who's very close to these issues, it seems to me this is one of the few social issues where the tech industry is not as progressive as it could be. Our industry tends to produce myths of super(wo)men with alpha personalities; we admire leaders, disrupters, bigger-than-life personalities, sometimes even assholes. Furthermore, this is a small world where, for better or for worse, a lot depends on word-of-mouth and personal reputation, and where "cultural fit" is openly hailed as a criterion for employment despite the vagueness of the term, which can hide what would otherwise be considered blatant discrimination (cf. that article on ageism not so long ago). The same goes for founders: would you think twice about investing in a non-established individual with a history of OCD? Depression?

What I am getting at is that mental illness is a combination of neurobiological and psychological causes, not a weakness in character -- but in an industry that values strength of character above everything else, the fact many ignore this can be extremely destructive.

We can do better. The author has done the world a great service by publishing his story. I hope more follow suit.

[1] http://www.nimh.nih.gov/statistics/1mdd_adult.shtml

[2] http://www.nimh.nih.gov/health/publications/the-numbers-coun...

[3] http://www.nolo.com/legal-encyclopedia/how-health-issues-can...




Thank you for these comments. I really appreciate your thoughts.




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