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Is it that mood regulation struggles, labelled as a mental illnesses, has more to do with outside factors instead of the person "just being that way"? Is it therefore unlikely for someone to have struggles with mood regulation if they cant identify any external causes that would cause them to be, for example, extremely agoraphobic or to have anger management issues? Im asking this for myself mainly, cause i always had intense agoraphobia no matter how i often go outside my home (in fact it was worse when i was a teen and i was outside the house in even more back then). I cant think of any reason for me to be like this than chemical imbalances in my brain.

the specific 'chemical imbalance' myth i was talking about in this post is the idea that depression is caused by low serotonin, and that therefore SSRIs—serotonin re-uptake inhibitors, ie drugs that cause a higher level of serotonin in the brain—ought to cure or at least ameliorate depression. this conjecture is belied by the fact that SSRIs don't, at a population level, reliably perform better than placebo.

although a neurobiological cause of 'mental illness' has long been the holy grail of psychiatry, the serotonin imbalance myth is far from the only hypothesis that psychiatrists and neuroscientists have proposed. so, a critique of the serotonin myth is not synonymous with, or generalisable to, a critique of every neurobiological mechanism purported to explain psychiatric diagnoses. you may be interested to know, though, that genomics and neuroscience have not identified a biological cause of any psychiatric diagnosis (p. 851).

all human experiences are biologically instantiated, including in the brain and wider nervous system. we are embodied beings. however, it is a leap to assume that such instantiation is automatically equivalent to a causal explanation or disease etiology. in other words, to deny that psychiatric diagnoses are known to be biologically caused does not mean we deny that thoughts and thought patterns express in the physical matter of neuroanatomy. this is a major philosophical sticking point to keep in mind whenever you're looking at something like, eg, a study that purports to show 'brain differences' in those assigned a certain psychiatric diagnosis. another thing to consider is whether these papers are plagued with methodological issues or financial conflicts of interest.

i can't possibly tell you why you exhibit agoraphobia. however, when i talk about social, economic, and environmental factors that may contribute to the patterns of behaviour labelled as 'mental illness', i'm talking about much more than the individual choice to leave your house. since phobias are 'anxiety disorders', i might start by probing into questions like: is the world you live in safe? do you perceive it as safe? do you or your community face existential threats that may confront you more obviously when you go outside? are you nervous around other people, and if so, might that be connected to fears (well-founded or not) about interpersonal violence and harm? do you think any of these anxieties may be connected to the hostility and inaccessible design of the social environment and economic conditions?

human behaviour and thought varies. some of those variations may be totally benign; others may be helpful or harmful to the person living with them. it would be weird if every single of the 8 billion people on earth experienced precisely the same amount of anxiety about any situation, no? all of this is to say: yeah, it's entirely possible you have been, for one reason or another (genetic, neuroanatomical, social, &c) predisposed to experience high, even debilitating levels of anxiety when leaving your home. most human characteristics develop from a tangle of social, environmental, material causes—ie, from a combination of 'nature' and 'nurture'. what doesn't follow, though, is the claim that there is therefore a discrete, 'diseased' element of your brain or brain functioning that can simply be cured or eliminated through psychiatric intervention.

Absolutely insane lines to just drop in the middle of an academic text btw. Feeling so normal about this.

Florida Redbelly Turtle aka Florida Red-bellied Cooter  (Pseudemys nelsoni), family Emydidae, Florida, USA

Intellect is rooted in ableist systems and stupidity and intelligence are pointless social constructs that don't relate to morals or character.

I try to be a pretty good person, I fight for human rights, I regularly engage in mutual aid, and I care for my community. I try to do the right thing and support causes I care about and make positive changes in the world.

But I also am not very smart. I have several neurodevelopmental disorders, as well as cognitive disabilities. I can’t do simple, basic math, it’s hard for me to remember facts or algorithms, I rely entirely on spellcheck and speech-to-text to write, I failed many classes in high school and I barely passed with a low GPA, I had low pSAT scores and I never took the SATs. I moved around a lot all through school starting in third grade, and I missed a lot of basic fundamentals in learning (like how to do division and multiplication) so when I went to a different school they had already passed it and expected me to know. After my TBI, I could barely read AFTER I was cleared from my “concussion” symptoms because letters and words would flip around and I’d get headaches. Which still happens sometimes.

A lot of people see me as smart because I've learned a lot of academic language and can formulate thoughts into cohesive posts. But I lack a lot of necessary skills and rely on my caretakers to assist me. Things like budgeting and planning are extremely difficult for me. If I need to do simple addition or subtraction, even with a calculator, I quickly get confused and struggle. I forget basic information about myself all the time, let alone other subjects. I'm talking, has to check my ID for my birthday type confused. Doesn't know my name or address or what year it is confused. It happens daily, sometimes multiple times a day. Being able to type out posts like this often takes weeks and many adaptive tools to get there. Focusing is extremely difficult on many fronts, severe chronic pain, ADHD, dissociation, fatigue, migraines, and TBI, are just some of the contributing factors. I struggle daily with many things because of my lack of intellect.

I’m also privileged in the fact that I had some access to education as a homeless youth, that I had some supports in place to help me (towards the end of school), that I was somewhat able-bodied at the time and could walk or bike to and from school when the school system didn’t provide transportation. I was fortunate to have a chance to succeed, and I’m proud that I graduated high school because it was a difficult task for me, and others often aren’t offered that chance or get accommodations. I almost didn’t and I dropped out many times before graduation. I passed on sheer luck and what little privileges I had. 

That all being said, me being stupid (reclaiming it here) doesn't make me a bad person. I don't hurt people because I can't do math. I may mess up things or get confused but it doesn't make me want to harm others.

We often (wrongfully) equate morals with intellect. Being ‘stupid’, ‘dumb’, or an ‘idiot’ doesn’t automatically make someone a bad person. Plenty of evil, awful, and abusive people are extremely intelligent. 

I see this most notably with people advocating for IQ tests to be able to vote. Often from left-leaning people, in hopes it'll make the right (that they view as unintelligent), unable to vote. The reality is, it just hurts some of our most vulnerable members of the community while not actively doing anything to restrict some of the most dangerous members of our community-- those who know what they're doing to harm others and deliberately doing so. My voice matters, and I speak up against injustice and participate in dismantling oppressive systems. Taking away my right to vote won't make the right stop oppressing minorities (which also puts a lot of faith into the two-party voting system, which is a post for another day).

Additionally, legislative measures that discriminate against intellectually disabled people such as IQ tests for voting are also rooted in racism and classism. 

Yes, education can be a vital tool when it comes to addressing discrimination and creating safer communities. But the kind of education that is measured with an IQ test (or any test) isn't the same. Building compassion and caring for others can (and should) happen at any IQ level. We can all practice this, we can all participate.