An Unreliable Mind: Being OCD in the Academy

Written by Clare Griffin 

I am writing the first draft of this on a flight home, feeling emotional after a crappy connection. Is it a good idea to start writing this now? Is it a good idea to write it at all? To publish it, where anyone could read it? What do I hope to achieve by this? How much will it hurt me to publish it? How much good could it possibly do? For me, or for anyone else? Do I mean everything I am saying? And will anyone believe it?

This, and a thousand other worries come to me on bad days, when the OCD I was diagnosed with a few years ago takes over. At some points in my life, all I had were bad days. Now, I have a lot of good days, and still some bad days, and the bad is manageably bad.

After much treatment, and much help, life is easier. Easier is not the same as easy. But some days, easier is everything.

My OCD rewrites the world for me. It pushes me into false certainties where only uncertainties lie. If a friend doesn’t reply to me, they must certainly hate me; yet I can only be uncertain as to the motivations of others. My mind can be unreliable, yet my work, my career, my life, rely on my mind and on my judgement. How can an unreliable mind be an academic mind? If I can’t always trust my judgement, how can anyone else?

My OCD gets me praise. If I have scrutinised every detail of a piece of work or of an event, my OCD will still have me check again, and again, and again, and again. I am early for deadlines, always there for meetings and the most reliable collaborator – until I’m not. Until the compulsion that drives me to check, and recheck, and check again, pushes my brain too far, and I have to lie in the dark to try to make it stop. How can I feel well in an Academy where other people look at pain and see productivity, see the shadow on the wall cast by a pathology and declare it a work ethic? How can I function here? How can I function anywhere?

And yet I know for certain - with actual certainty, not the false kind the OCD sends - that people with mental health and neurological problems are valuable, intelligent people. I know for certain that academics with these conditions make major contributions. I know for certain that those people who have been open about their conditions, and their problems, have helped me. Cartoonists, writers, presenters, literary studies scholars, and historians have all made important and beautiful works out of their pain. If I can unquestioningly accept the value of the intellectual work of other people - other creators and academics with problems like mine - can I accept the value of my own mind? Can I believe that other people will?

Why did I decide to write this? Is it to free myself from the prison of shame that keeping medical conditions private can create? Is it to find sympathy? To aggrandise myself or pity myself, or hurt myself? To martyr myself? Will I cause myself too much pain with the vain and self-important idea that I will help others by writing this? Will people react negatively to this? Or will they not even notice it? Have I disclosed enough to help people? Or have I exposed myself by sharing far too much? The reality I must live with is - I just don’t know.

About the Author

Clare Griffin is a historian of early modern science

Portrait photo of Clare who is 
dressed smartly and facing the camera 
in front of a plain background.

and assistant professor at Nazarbayev University, Republic of Kazakhstan. Her work focuses on global exchanges, practical knowledge, and translation, especially as this relates to the early modern Russian Empire.

Taking medical Leave: What I would tell myself now

Written by Stephanie

Let me start by saying I have no professional qualifications whatsoever to give anyone advice as to making a decision about taking medical leave. So I won’t. What I will do is tell you what I would have told myself when I was faced with this very decision in my own career, not so long ago.

First, here’s the brief backstory of how I found myself at the point of medical leave.

I was in the second year of my PhD. Anyone from the outside looking in would have said things were going very well. I had completed and passed my qualifying exam (called various things in different country contexts, but essentially the big exam in which you defend your research proposal). This meant I had the green light to go ahead and actually start doing the research I planned for so long and was excited about. I had publications in the works and a slew of upcoming conferences. I was working as a teaching assistant for a course on a subject matter I loved.

But one morning a disastrous thought floated through my head and it was downhill from there. I didn’t know what was happening at the time, but later was diagnosed with obsessive-compulsive disorder, or OCD. You can read more about my experience here: https://thesecretillness.com/2015/09/01/stephanie-33-ontario-canada/. All this to say, I reached a point where I was pretty much debilitated, but I was actually able to keep up with work (for a while), and even still do it well. I think that’s one of our best guises in academia—we can keep up appearances and sustain unhealthy practices dressed up as success—but that’s another story. I probably could have kept plugging away like this, miserably, for some time. But I realized that if I were to actually get better, I needed to dedicate my attention and energy to treatment. Treatment alone needed to be my priority. This could not happen in the (off)balance of my PhD life. Of course, knowing what you need to do and actually doing it are two different things and I wrestled with the decision to a medical leave of absence from my PhD program. In the end I took a 4-month leave and it was the best decision of my life.

Looking back now, here are a few things I would have told myself at that difficult moment in time that might have eased my angst about taking the leap into medical leave.

If you can’t be happy and healthy enough to enjoy your professional success, it’s just not worth it.

Sure, in academia there are tough moments when we all grin and bear it and our work-life balance may get temporarily out of whack. But that’s not what I’m talking about here. When I was in the deepest, darkest grips of my OCD, I received the incredible news that I had been awarded an extremely competitive multi-year federal doctoral research award. This was something I had worked so hard for. This was an achievement that could not only step up my career trajectory, but it would make my life so much easier for the next few years. My funding was secure. No more applying for grants and the award included money for research expenses, meaning no more conferences out of my own pocket! When I got this news, I should have been jumping for joy. Instead, it was like…thud. In fact, it almost made me feel worse. I felt like I didn’t deserve it. I was so consumed by the doom of my OCD fears I could not even enjoy and savour this moment of success. And we all know that these can be few and far between in academia! That’s when I knew how far gone I was—that I couldn’t take pleasure in an accomplishment that I had worked so hard for and that was so important to me. It was at that point that I knew I could not continue to just push ahead in my PhD. I had to get well again or there was no point in continuing. If I couldn’t take pleasure in such an achievement, what was I doing in this PhD?

Things can and will wait.

Academic timelines are brutal. Often everything has a sense of urgency. We are an overworked bunch, for sure. The truth is 4 months, 1 year, whatever it is, will not make that much of a difference, if any, in the long run and the investment in your health will pay off with much greater returns. Yes, I’m scheduled now to finish my PhD 4 months later than I would have if I had been healthy. But the reality for me is that if I hadn’t taken leave for treatment I may not have finished at all and now that I am back to work, I can tell you that the leave did not have a significant impact on my trajectory. There were no critical opportunities in that time that I missed out on—even if there were, I know there would have been others in the future. All of the publications I had in the works still made their way out the door. My career went on.

Medical leave is not time off.

As academics we are notorious for not giving ourselves a break, and when we do we’re often ridden with guilt that we should be working but it is important to remember that medical leave is not time off. It is not a break. Medical leave has an objective—and that is to improve and attend to your health, whatever your needs may be. For me, it provided me the dedicated time I needed to focus on treatment. I was finally able to see a psychiatrist for assessment and diagnosis. I had the time I needed to read and educate myself about my condition. And the kind of treatment I underwent (ironically!) had plenty of homework. Whether your condition is physical or psychological, it is important to remember that the purpose of medical leave is to get better. And that is not something we should allow ourselves feel guilty about!

Don’t half-ass it.

For a time, I toyed with the idea of not taking a formal leave of absence and just sort of “taking it easy” over the summer. But thankfully a wise mentor said to me, “I know you, and you won’t stop working or feel like you should be working if you don’t take a formal leave” and she was right. I can see now that I would not have properly prioritized my treatment if I didn’t make it formal. Maybe this is also a by-product of our academic formalities and habit self-induced guilt—formalizing my leave gave it the legitimacy I needed to allow myself to prioritize it. As an academic I was so used to giving 110% to everything, but I almost thought about giving myself a half-assed leave!

Don’t let the red tape scare you.

There is paperwork but it is doable and you might have to be your own advocate to navigate some of it or perhaps you have a supervisor or partner who can help. In my case, I did have to do some manoeuvring through the bureaucracy, and this was not without some stress and uncertainty. For example, my university initially told me they would withhold my funding during my leave. But I reviewed the policies of the funding agency granting my scholarship and learned they actually had policy for paid medical leave, which superseded my university’s policy. I then had to present this information back to my university. I also had to request leave both from my university and from the granting agency. In the end, it all got sorted out and my university was actually very supportive, which I give them a lot of credit for. All this to say, don’t let any red tape deter you. It’s just part and parcel of the ridiculousness of some university bureaucracies. And as academics we’re used to that.

It’s nobody’s business if you don’t want it to be.

Yes, you need to communicate with your supervisor and the appropriate administration. But actually, very few people need to know, if at all, that you are taking medical leave. And really no one other than probably one high-level administrator who actually receives the confidential note from your doctor needs to know the reason for your leave. I was very open with some people about my leave, and didn’t even bother telling others. You should not feel pressure to disclose anything you’re not comfortable with.

***

I can tell you in no uncertain terms now that if I didn’t take leave and treat my OCD I may have left academia altogether. This realization helped me to cement a new-found commitment to put my wellness first. Everything else stems from that. I’m pleased to say that having returned to my PhD post-treatment, I’ve been able to more than simply re-connect with the passion for my research that brought me there in the first place—I’ve been able to experience what it’s like to be healthy AND pursue a PhD I’m passionate about. That’s a powerful combination. I have more passion to go around. I take pleasure in discovery. And I even enjoy some of my successes. I now engage with my career on my terms. And those terms prioritize my OCD recovery and living well.

About me

Stephanie is a PhD Candidate at a University in Ontario.