I’m in the middle of creating a series of posts, relating to mental health, from a fiction writer’s perspective. See my previous post, in which I shared some thoughts regarding research. Now, I’m going to cover an area that’s particularly close to my heart.

As someone with both mental and physical health issues, I face many specific difficulties: one of which is feeling that I’m never quite represented, by organisations, awareness campaigns, and so on, which tend to focus upon one or the other.

And the fact is that, at this point, there is actually more of a tendency, within mental health communities, to be tactless and insensitive about physical disability, than occurs the other way around. Yes, I said that.

I’m not a wheelchair user myself, but do have multiple physical health issues, and am fed-up, to put it mildly, with seeing images of crossed out wheelchairs on social media images, relating to mental health awareness.

Yes, it’s true that many people out there do assume that terms such as “disability” refer exclusively to physical disabilities, and of course that is wrong. But, as the saying goes, two wrongs don’t make a right. In this case, that is certainly applicable.

Making people with physical health issues feel unwelcome within mental health communities is simply not acceptable.

It is also an unhelpful generalisation that all physical illness is visible, and that the opposite is true for mental health.

Can you see a migraine? Would you necessarily know, simply to look at me, that I have dyspraxia?

And are self-harm scars invisible? Or the extreme weight loss associated with anorexia nervosa? In fact, eating disorders, and many addictions, such as drug addiction and alcoholism, are, by definition, both physical and mental health conditions.

Cancer doesn’t avoid us because we have a mental illness. People who use wheelchairs may also be struggling with mental health issues. Assumptions are harmful.

And how does this relate to us specifically, as fiction writers?

Well, we should ensure that we take this into consideration. I myself feel that I probably neglect physical illness in my stories, certainly compared to mental illness, and hopefully, simply becoming aware of this, will plant a seed in my mind.

I would like to be able to say that I cover both, and that I represent the challenges faced by many of us, who struggle daily with mental and physical health issues. That matters to me.