Mental health

7 Truths About Mental Illness Related Fatigue

“I often wished that more people understood the invisible side of things. Even the people who seemed to understand, didn’t really.”

Jennifer Starzec, Determination (5k, Ballet, #2)

Dear Readers,

Fatigue is one of the most stigmatized topics in mental health. Often times onlookers suspect an embellishment or falsehood of some kind. Even more often, age discrimination becomes real. Things like, “Be grateful you’re so young and healthy…” or “You just slept 12 hours, how could you be tired?…” or “Why can’t you get out of bed?…” really drive a knife into my side. Afterall, how could I possibly be advantageous enough to educate someone who just doesn’t know any better when I can’t lift my own legs?

Fatigue, or excessive exhaustion resulting from mental or physical exertion or illness, is a complex issue and often manifests itself differently in a wide range of circumstances. The same can be said within the realm of mental health alone, as exhaustion varies and fluctuates from one individual to the next. See below for the various ways fatigue presents itself in my life, and how different symptoms require different coping skills.

1. Insomnia

The inability to fall asleep.

2. Sleep Disturbances

The inability to stay asleep.

3. Anxiety

The ever energy-consuming disorder that is the physical manifestation of a psychological event. Symptoms include shaking, nausea, changes in cardiac health, disproportionate fear, crying, nausea, vomiting, loss of appetite, numbness or tingling in the extremeties, trouble breathing and chest pain.

4. Bi-Polar Disorder


Racing thoughts, increased energy, pressured speech, grand ideas with no real execution, psychosis, decreased need for sleep – all from which there will be a hard-hitting physical crash.


Loss of interest, loss of appetite and general apathy all lead to feelings of fatigue. Ironically, depression can be a saving grace as it often results in a significant paralysis that leaves you unable to execute self destructive behavior.


Nightmares, hypervigilance, guilt, flashbacks, sensory input and overstimulation all contribute to an inflamed sense of stress and insomnia.

6. Chronic Pain & Migraines

Inflammation, swelling, paralysis, joint, bone & nerve pain related to a slipped disc in my spine resulting in sciatic nerve compression, trouble walking and episodic pain flares. Migraines consistent with auras, tension, nausea, light sensitivity, and writhing pain.

7. Medication

Medication side effects may include restlessness, insomnia, drowsiness, or sedation.

It doesn’t take a scholar to understand how draining these experiences can be. Add to that morning exhaustion a full plate of daily obligation and you have yourself the perfect recipe for a total nervous breakdown, complete with snot bubbles. So, what’s my answer to all this?






My hope is that this post will serve as a resource for those who may not understand the sleepy behaviors of their loved ones, as well as promote awareness and tolerance in otherwise difficult situations. Additionally, may it serve as a validating referral for those of you who suffer.

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!

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