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Would there be mental illness in a utopia? | Elizabeth Tunbridge | TEDxWhitehall


imagine imagine you live in a utopia

imagine imagine you live in a utopia what does it look like

what does it look like

what does it look like maybe it’s filled with futuristic cities

maybe it’s filled with futuristic cities

maybe it’s filled with futuristic cities maybe it’s a rural world in which people

maybe it’s a rural world in which people

maybe it’s a rural world in which people live in harmony with the natural

live in harmony with the natural

live in harmony with the natural environment I wonder if my utopia is the

environment I wonder if my utopia is the

environment I wonder if my utopia is the same as your utopia or the person

same as your utopia or the person

same as your utopia or the person sitting next to you I wonder if there’s

sitting next to you I wonder if there’s

sitting next to you I wonder if there’s mental illness in your utopia about

mental illness in your utopia about

mental illness in your utopia about about 10 years ago I was driving around

about 10 years ago I was driving around

about 10 years ago I was driving around the m25 and my car helpfully decided to

the m25 and my car helpfully decided to

the m25 and my car helpfully decided to dump its coolant to all over the road I

dump its coolant to all over the road I

dump its coolant to all over the road I called the breakdown service and a very

called the breakdown service and a very

called the breakdown service and a very nice guy called Graham came out looked

nice guy called Graham came out looked

nice guy called Graham came out looked at my car and confirmed that it did

at my car and confirmed that it did

at my car and confirmed that it did indeed it did in the deed need to be

indeed it did in the deed need to be

indeed it did in the deed need to be towed it’s a couple of hours drive from

towed it’s a couple of hours drive from

towed it’s a couple of hours drive from London to Oxford so he had quite a long

London to Oxford so he had quite a long

London to Oxford so he had quite a long time to chat on the journey as as you do

time to chat on the journey as as you do

time to chat on the journey as as you do he asked me what it is that I do for a

he asked me what it is that I do for a

he asked me what it is that I do for a living and I explained that I’m a

living and I explained that I’m a

living and I explained that I’m a scientist I’m interested in the

scientist I’m interested in the

scientist I’m interested in the biological basis of mental health and

biological basis of mental health and

biological basis of mental health and mental illness he then told me the most

mental illness he then told me the most

mental illness he then told me the most extraordinary story about his childhood

extraordinary story about his childhood

extraordinary story about his childhood extraordinary because he was raised by

extraordinary because he was raised by

extraordinary because he was raised by his mum who was later diagnosed with

his mum who was later diagnosed with

his mum who was later diagnosed with bipolar disorder he told me very vividly

bipolar disorder he told me very vividly

bipolar disorder he told me very vividly what it was like to see her symptoms

what it was like to see her symptoms

what it was like to see her symptoms through a child’s eyes and there was one

through a child’s eyes and there was one

through a child’s eyes and there was one thing that he said in particular that

thing that he said in particular that

thing that he said in particular that has really struck struck me and stuck

has really struck struck me and stuck

has really struck struck me and stuck with me he said that one day she taken

with me he said that one day she taken

with me he said that one day she taken to her bed she was very depressed and

to her bed she was very depressed and

to her bed she was very depressed and she couldn’t get up he’d gone in to see

she couldn’t get up he’d gone in to see

she couldn’t get up he’d gone in to see if he could coax her out of bed but he

if he could coax her out of bed but he

if he could coax her out of bed but he said as soon as he walked in the door he

said as soon as he walked in the door he

said as soon as he walked in the door he knew that that wasn’t going to happen in

knew that that wasn’t going to happen in

knew that that wasn’t going to happen in his words I looked at the bed and I saw

his words I looked at the bed and I saw

his words I looked at the bed and I saw this woman in the bed that looked like

this woman in the bed that looked like

this woman in the bed that looked like my mum but I could see it wasn’t my mum

my mum but I could see it wasn’t my mum

my mum but I could see it wasn’t my mum really in subsequent years I’ve had the

really in subsequent years I’ve had the

really in subsequent years I’ve had the privilege to talk to lots and lots of

privilege to talk to lots and lots of

privilege to talk to lots and lots of people about their experiences with

people about their experiences with

people about their experiences with mental health and mental illness I doubt

mental health and mental illness I doubt

mental health and mental illness I doubt there’s a single person here who hasn’t

there’s a single person here who hasn’t

there’s a single person here who hasn’t been touched by this in some way and

been touched by this in some way and

been touched by this in some way and what I’ve learned is that everybody’s

what I’ve learned is that everybody’s

what I’ve learned is that everybody’s experience is different some people see

experience is different some people see

experience is different some people see their illness as entirely separate from

their illness as entirely separate from

their illness as entirely separate from themselves you may have heard how

themselves you may have heard how

themselves you may have heard how Churchill used to refer to his

Churchill used to refer to his

Churchill used to refer to his depression as a black dog but for other

depression as a black dog but for other

depression as a black dog but for other people it’s more complicated they find

people it’s more complicated they find

people it’s more complicated they find their symptoms into oven with who they

their symptoms into oven with who they

their symptoms into oven with who they are as individuals some people have told

are as individuals some people have told

are as individuals some people have told me they see their ill self is like a

me they see their ill self is like a

me they see their ill self is like a shadow self of themselves whilst for

shadow self of themselves whilst for

shadow self of themselves whilst for other people their symptoms are a core

other people their symptoms are a core

other people their symptoms are a core part of who

part of who

part of who their personality and who they are as

their personality and who they are as

their personality and who they are as individuals it’s this complexity that

individuals it’s this complexity that

individuals it’s this complexity that drove me to work in this field I think

drove me to work in this field I think

drove me to work in this field I think it’s absolutely fascinating that we can

it’s absolutely fascinating that we can

it’s absolutely fascinating that we can start to understand these things from a

start to understand these things from a

start to understand these things from a biological point of view and

biological point of view and

biological point of view and fundamentally I think that understanding

fundamentally I think that understanding

fundamentally I think that understanding the biology of mental health and mental

the biology of mental health and mental

the biology of mental health and mental illness tells us a lot about who we are

illness tells us a lot about who we are

illness tells us a lot about who we are as humans before we can consider whether

as humans before we can consider whether

as humans before we can consider whether there would be mental illness in a

there would be mental illness in a

there would be mental illness in a utopia I’d like to spend a few minutes

utopia I’d like to spend a few minutes

utopia I’d like to spend a few minutes telling you about what we know about the

telling you about what we know about the

telling you about what we know about the causes of mental illness

causes of mental illness

causes of mental illness the first thing probably the most

the first thing probably the most

the first thing probably the most important thing is that there is no

important thing is that there is no

important thing is that there is no single cause of mental illness instead

single cause of mental illness instead

single cause of mental illness instead and the symptoms that we see in people

and the symptoms that we see in people

and the symptoms that we see in people appear to arise from lots of things that

appear to arise from lots of things that

appear to arise from lots of things that individually slightly increase

individually slightly increase

individually slightly increase somebody’s risk of becoming ill we call

somebody’s risk of becoming ill we call

somebody’s risk of becoming ill we call these risk factors another thing that we

these risk factors another thing that we

these risk factors another thing that we know is that genes are really important

know is that genes are really important

know is that genes are really important we know that genes form a major

we know that genes form a major

we know that genes form a major component of all of the major mental

component of all of the major mental

component of all of the major mental illnesses the extent to which genes are

illnesses the extent to which genes are

illnesses the extent to which genes are important varies between different

important varies between different

important varies between different diagnoses for example they seem to be

diagnoses for example they seem to be

diagnoses for example they seem to be less important in depression than they

less important in depression than they

less important in depression than they are in schizophrenia and bipolar

are in schizophrenia and bipolar

are in schizophrenia and bipolar disorder but nonetheless genes are

disorder but nonetheless genes are

disorder but nonetheless genes are important in all of these conditions in

important in all of these conditions in

important in all of these conditions in the last year’s it’s really exciting

the last year’s it’s really exciting

the last year’s it’s really exciting time for me to be working in the field

time for me to be working in the field

time for me to be working in the field because we’ve started to move from the

because we’ve started to move from the

because we’ve started to move from the sort of generic understanding that genes

sort of generic understanding that genes

sort of generic understanding that genes are important to understanding the

are important to understanding the

are important to understanding the specifics in the last few years people

specifics in the last few years people

specifics in the last few years people have started to identify the precise

have started to identify the precise

have started to identify the precise parts of the human genome that is our

parts of the human genome that is our

parts of the human genome that is our entire genetic makeup that predispose us

entire genetic makeup that predispose us

entire genetic makeup that predispose us to develop mental illness as a biologist

to develop mental illness as a biologist

to develop mental illness as a biologist this is hugely exciting but it’s also a

this is hugely exciting but it’s also a

this is hugely exciting but it’s also a massive challenge because what genes

massive challenge because what genes

massive challenge because what genes absolutely don’t do is to encode mental

absolutely don’t do is to encode mental

absolutely don’t do is to encode mental illness genes don’t encode

illness genes don’t encode

illness genes don’t encode hallucinations psychosis low mood mania

hallucinations psychosis low mood mania

hallucinations psychosis low mood mania or edit any of the other complex

or edit any of the other complex

or edit any of the other complex symptoms that we see in people instead

symptoms that we see in people instead

symptoms that we see in people instead what genes do is to encode molecules

what genes do is to encode molecules

what genes do is to encode molecules these molecules form to build cells

these molecules form to build cells

these molecules form to build cells these cells form networks in the brain

these cells form networks in the brain

these cells form networks in the brain and it’s this network activity that

and it’s this network activity that

and it’s this network activity that gives rise to the complex psychological

gives rise to the complex psychological

gives rise to the complex psychological processes that are altered in patients

processes that are altered in patients

processes that are altered in patients with mental illness so for me the

with mental illness so for me the

with mental illness so for me the challenge that is to understand these

challenge that is to understand these

challenge that is to understand these links how do we get from a single part

links how do we get from a single part

links how do we get from a single part of the human genome up to the complex

of the human genome up to the complex

of the human genome up to the complex symptoms that people experience

symptoms that people experience

symptoms that people experience it’s a massive challenge but I think it

it’s a massive challenge but I think it

it’s a massive challenge but I think it has huge potential not only in

has huge potential not only in

has huge potential not only in understanding these illnesses better but

understanding these illnesses better but

understanding these illnesses better but also in terms of developing treatments

also in terms of developing treatments

also in terms of developing treatments to give you an example from my own

to give you an example from my own

to give you an example from my own research

research

research I’m currently interested in a family of

I’m currently interested in a family of

I’m currently interested in a family of genes that encode calcium channels what

genes that encode calcium channels what

genes that encode calcium channels what these genes do is they sit on the

these genes do is they sit on the

these genes do is they sit on the surface of electrically active cells

surface of electrically active cells

surface of electrically active cells like heart cells and brain cells and

like heart cells and brain cells and

like heart cells and brain cells and they allow calcium into the cell when

they allow calcium into the cell when

they allow calcium into the cell when the cell is electrically active

the cell is electrically active

the cell is electrically active the thing is though these genes are

the thing is though these genes are

the thing is though these genes are really complicated they don’t each gene

really complicated they don’t each gene

really complicated they don’t each gene doesn’t just encode one calcium channel

doesn’t just encode one calcium channel

doesn’t just encode one calcium channel but instead encodes tens or maybe even

but instead encodes tens or maybe even

but instead encodes tens or maybe even hundreds of different slightly different

hundreds of different slightly different

hundreds of different slightly different calcium channels so what my research is

calcium channels so what my research is

calcium channels so what my research is trying to do is to understand which of

trying to do is to understand which of

trying to do is to understand which of these calcium channels are most

these calcium channels are most

these calcium channels are most important for mental illness because I

important for mental illness because I

important for mental illness because I think this will give us some insight

think this will give us some insight

think this will give us some insight into the biology in addition I’m also

into the biology in addition I’m also

into the biology in addition I’m also trying to identify those that are

trying to identify those that are

trying to identify those that are present in the brain versus other

present in the brain versus other

present in the brain versus other electrically active tissues like the

electrically active tissues like the

electrically active tissues like the heart I think this could be really

heart I think this could be really

heart I think this could be really important for developing new treatments

important for developing new treatments

important for developing new treatments because obviously if we want to treat

because obviously if we want to treat

because obviously if we want to treat the symptoms of psychiatric illnesses

the symptoms of psychiatric illnesses

the symptoms of psychiatric illnesses mental illnesses we probably want to

mental illnesses we probably want to

mental illnesses we probably want to target the calcium channels that are

target the calcium channels that are

target the calcium channels that are present in the brain and not those that

present in the brain and not those that

present in the brain and not those that are present in the heart because doing

are present in the heart because doing

are present in the heart because doing so is likely to cause side effects

so is likely to cause side effects

so is likely to cause side effects well they genes are really important

well they genes are really important

well they genes are really important they’re far from being the entire story

they’re far from being the entire story

they’re far from being the entire story we know that the environment plays a

we know that the environment plays a

we know that the environment plays a huge role in predisposition to mental

huge role in predisposition to mental

huge role in predisposition to mental illness stress and trauma for example

illness stress and trauma for example

illness stress and trauma for example are big risk factors for developing

are big risk factors for developing

are big risk factors for developing depression and birth complications and

depression and birth complications and

depression and birth complications and the use of cannabis during adolescence

the use of cannabis during adolescence

the use of cannabis during adolescence have small but measurable effects on

have small but measurable effects on

have small but measurable effects on risk for things like schizophrenia it’s

risk for things like schizophrenia it’s

risk for things like schizophrenia it’s tempting always to kind of argue about

tempting always to kind of argue about

tempting always to kind of argue about where the genes environment are more

where the genes environment are more

where the genes environment are more importance and this does happen a lot

importance and this does happen a lot

importance and this does happen a lot both in my field and more widely but I

both in my field and more widely but I

both in my field and more widely but I think to do so misses the point because

think to do so misses the point because

think to do so misses the point because what these things do genes and

what these things do genes and

what these things do genes and environment is to alter the function of

environment is to alter the function of

environment is to alter the function of the brain and it’s the brain and the

the brain and it’s the brain and the

the brain and it’s the brain and the psychological processes that it gives

psychological processes that it gives

psychological processes that it gives rise to that are core to mental illness

rise to that are core to mental illness

rise to that are core to mental illness so simplistically you could think that

so simplistically you could think that

so simplistically you could think that maybe what your genes do is to build

maybe what your genes do is to build

maybe what your genes do is to build your brain to be a certain way that

your brain to be a certain way that

your brain to be a certain way that makes you more or less resilient so the

makes you more or less resilient so the

makes you more or less resilient so the things that you encounter as you go

things that you encounter as you go

things that you encounter as you go about your business in the world but I

about your business in the world but I

about your business in the world but I think this is an

think this is an

think this is an simplification your brain is it just a

simplification your brain is it just a

simplification your brain is it just a blob of jelly hanging about in your

blob of jelly hanging about in your

blob of jelly hanging about in your heads waiting to see what happens when

heads waiting to see what happens when

heads waiting to see what happens when you blunder around the world the brain

you blunder around the world the brain

you blunder around the world the brain is highly dynamic and it’s extremely

is highly dynamic and it’s extremely

is highly dynamic and it’s extremely plastic it changes in response to

plastic it changes in response to

plastic it changes in response to absolutely everything we do so waking up

absolutely everything we do so waking up

absolutely everything we do so waking up this morning having a cup of coffee that

this morning having a cup of coffee that

this morning having a cup of coffee that you had before you came in here learning

you had before you came in here learning

you had before you came in here learning something new all of these things have

something new all of these things have

something new all of these things have measurable effects on your brain so the

measurable effects on your brain so the

measurable effects on your brain so the environment changes our brain we also

environment changes our brain we also

environment changes our brain we also know that the environment changes the

know that the environment changes the

know that the environment changes the way in which our genes operate but

way in which our genes operate but

way in which our genes operate but perhaps counter-intuitively I think that

perhaps counter-intuitively I think that

perhaps counter-intuitively I think that our genes also influence the environment

our genes also influence the environment

our genes also influence the environment in which we find ourselves I know this

in which we find ourselves I know this

in which we find ourselves I know this is a slightly kind of odd concept so

is a slightly kind of odd concept so

is a slightly kind of odd concept so I’ll walk you through an example we know

I’ll walk you through an example we know

I’ll walk you through an example we know that genes influence how light you

that genes influence how light you

that genes influence how light you people people are to be risk seeking or

people people are to be risk seeking or

people people are to be risk seeking or risk averse we also know that people who

risk averse we also know that people who

risk averse we also know that people who are more risk seeking are more likely to

are more risk seeking are more likely to

are more risk seeking are more likely to use illicit drugs or cannabis so this is

use illicit drugs or cannabis so this is

use illicit drugs or cannabis so this is an example whereby if your genes make

an example whereby if your genes make

an example whereby if your genes make you more risk seeking you you might be

you more risk seeking you you might be

you more risk seeking you you might be more likely to use cannabis which is one

more likely to use cannabis which is one

more likely to use cannabis which is one of the environmental risk factors so

of the environmental risk factors so

of the environmental risk factors so taking all of this together the causes

taking all of this together the causes

taking all of this together the causes of mental illness are extremely complex

of mental illness are extremely complex

of mental illness are extremely complex both genes and the environment are

both genes and the environment are

both genes and the environment are important but I think that what we

important but I think that what we

important but I think that what we should really be thinking about is in

should really be thinking about is in

should really be thinking about is in terms of what these things do to the

terms of what these things do to the

terms of what these things do to the brain and the psychological process is

brain and the psychological process is

brain and the psychological process is that the brain gives rise to notably all

that the brain gives rise to notably all

that the brain gives rise to notably all the treatments we have for mental

the treatments we have for mental

the treatments we have for mental illness at the moment target the brain

illness at the moment target the brain

illness at the moment target the brain either directly by influencing direct

either directly by influencing direct

either directly by influencing direct brain function in the case of drugs or

brain function in the case of drugs or

brain function in the case of drugs or indirectly in the case of psychological

indirectly in the case of psychological

indirectly in the case of psychological therapies by acting on the psychological

therapies by acting on the psychological

therapies by acting on the psychological processes that the brain gives rise to

processes that the brain gives rise to

processes that the brain gives rise to so what does all this mean for our

so what does all this mean for our

so what does all this mean for our utopia what even is a utopia I strongly

utopia what even is a utopia I strongly

utopia what even is a utopia I strongly suspect that when I asked you to think

suspect that when I asked you to think

suspect that when I asked you to think about that everybody was thinking about

about that everybody was thinking about

about that everybody was thinking about something slightly different however for

something slightly different however for

something slightly different however for the purposes of argument we need to have

the purposes of argument we need to have

the purposes of argument we need to have a definition of a utopia because I’m

a definition of a utopia because I’m

a definition of a utopia because I’m standing here on this stage we’re going

standing here on this stage we’re going

standing here on this stage we’re going to go with my utopia and if you want to

to go with my utopia and if you want to

to go with my utopia and if you want to live in my utopia you have to live by my

live in my utopia you have to live by my

live in my utopia you have to live by my rules rule 1 no changing genes

rules rule 1 no changing genes

rules rule 1 no changing genes I’ve seen enough sci-fi movies to know

I’ve seen enough sci-fi movies to know

I’ve seen enough sci-fi movies to know that this never ends well but there’s

that this never ends well but there’s

that this never ends well but there’s two very good reasons in the case of

two very good reasons in the case of

two very good reasons in the case of mental illness why we absolutely

mental illness why we absolutely

mental illness why we absolutely wouldn’t want to do this the first is

wouldn’t want to do this the first is

wouldn’t want to do this the first is pragmatic

pragmatic

pragmatic the genetics of mental illness are

the genetics of mental illness are

the genetics of mental illness are incredibly complicated it’s not the case

incredibly complicated it’s not the case

incredibly complicated it’s not the case that it’s just one or two genes that are

that it’s just one or two genes that are

that it’s just one or two genes that are altering our risk for mental illness

altering our risk for mental illness

altering our risk for mental illness rather it’s tens hundreds or perhaps

rather it’s tens hundreds or perhaps

rather it’s tens hundreds or perhaps even thousands so I can’t see that we

even thousands so I can’t see that we

even thousands so I can’t see that we would ever be able to get to a place

would ever be able to get to a place

would ever be able to get to a place where we can look at somebody’s genetics

where we can look at somebody’s genetics

where we can look at somebody’s genetics and predict with any level of certainty

and predict with any level of certainty

and predict with any level of certainty whether or not they are going to become

whether or not they are going to become

whether or not they are going to become ill the second reason is more

ill the second reason is more

ill the second reason is more philosophical but I think it’s actually

philosophical but I think it’s actually

philosophical but I think it’s actually more important and that is this the

more important and that is this the

more important and that is this the genes that alter our risk for mental

genes that alter our risk for mental

genes that alter our risk for mental illness are the ones that influence

illness are the ones that influence

illness are the ones that influence brain function as such I think it’s

brain function as such I think it’s

brain function as such I think it’s highly likely that these are also the

highly likely that these are also the

highly likely that these are also the same genes that influence who we are as

same genes that influence who we are as

same genes that influence who we are as individuals our unique personalities in

individuals our unique personalities in

individuals our unique personalities in my utopia I don’t want it filled with

my utopia I don’t want it filled with

my utopia I don’t want it filled with everybody who’s the same with a perfect

everybody who’s the same with a perfect

everybody who’s the same with a perfect brain who thinks in a certain way I want

brain who thinks in a certain way I want

brain who thinks in a certain way I want to capture all of the unique human

to capture all of the unique human

to capture all of the unique human diversity in the world

diversity in the world

diversity in the world so no changing genes the environment

so no changing genes the environment

so no changing genes the environment however that definitely needs to change

however that definitely needs to change

however that definitely needs to change my utopia is an egalitarian society

my utopia is an egalitarian society

my utopia is an egalitarian society where people are treated with equally

where people are treated with equally

where people are treated with equally and with equal respect for one another

and with equal respect for one another

and with equal respect for one another as a result levels of trauma and stress

as a result levels of trauma and stress

as a result levels of trauma and stress plummet and with them risk for things

plummet and with them risk for things

plummet and with them risk for things like depression particularly so we would

like depression particularly so we would

like depression particularly so we would definitely see a decrease in levels of

definitely see a decrease in levels of

definitely see a decrease in levels of mental illness within the population

mental illness within the population

mental illness within the population other environmental risk factors might

other environmental risk factors might

other environmental risk factors might be more difficult to change however if

be more difficult to change however if

be more difficult to change however if you think about birth complications for

you think about birth complications for

you think about birth complications for example obviously in my utopia mental

example obviously in my utopia mental

example obviously in my utopia mental health medical care will be exemplary

health medical care will be exemplary

health medical care will be exemplary but I think we’re going to struggle to

but I think we’re going to struggle to

but I think we’re going to struggle to completely eliminate birth complications

completely eliminate birth complications

completely eliminate birth complications for the simple reason that we’ve evolved

for the simple reason that we’ve evolved

for the simple reason that we’ve evolved to be a species that has a very large

to be a species that has a very large

to be a species that has a very large brain and a very big head and ultimately

brain and a very big head and ultimately

brain and a very big head and ultimately a small body and just so the logistics

a small body and just so the logistics

a small body and just so the logistics of birth are inherently risky for us so

of birth are inherently risky for us so

of birth are inherently risky for us so some things in the environment we can

some things in the environment we can

some things in the environment we can change some things we may or may not be

change some things we may or may not be

change some things we may or may not be able to change in the middle though I

able to change in the middle though I

able to change in the middle though I think there’s quite an interesting gray

think there’s quite an interesting gray

think there’s quite an interesting gray area I strongly suspect that when you

area I strongly suspect that when you

area I strongly suspect that when you take out big risk factors for mental

take out big risk factors for mental

take out big risk factors for mental illness like stress and trauma that

illness like stress and trauma that

illness like stress and trauma that you’ll start to see other environmental

you’ll start to see other environmental

you’ll start to see other environmental risk factors emerge that we can’t detect

risk factors emerge that we can’t detect

risk factors emerge that we can’t detect at the moment ultimately I think

at the moment ultimately I think

at the moment ultimately I think anything that’s not great for our brain

anything that’s not great for our brain

anything that’s not great for our brain is probably going to be an environmental

is probably going to be an environmental

is probably going to be an environmental risk factor for mental

risk factor for mental

risk factor for mental on this so why not get rid of all of

on this so why not get rid of all of

on this so why not get rid of all of these things well we could do that but

these things well we could do that but

these things well we could do that but three of my favorite things are surfing

three of my favorite things are surfing

three of my favorite things are surfing skiing and glass of red wine none of

skiing and glass of red wine none of

skiing and glass of red wine none of these things sorry to break it to you

these things sorry to break it to you

these things sorry to break it to you are likely to be terribly good for my

are likely to be terribly good for my

are likely to be terribly good for my brain but I can’t imagine a utopia in

brain but I can’t imagine a utopia in

brain but I can’t imagine a utopia in which I wasn’t allowed to do these

which I wasn’t allowed to do these

which I wasn’t allowed to do these things taking all of this together I

things taking all of this together I

things taking all of this together I think that there would definitely be a

think that there would definitely be a

think that there would definitely be a decrease a dramatic decrease in the

decrease a dramatic decrease in the

decrease a dramatic decrease in the amount of mental illness and utopia but

amount of mental illness and utopia but

amount of mental illness and utopia but I think there will still be some level

I think there will still be some level

I think there will still be some level of mental illness present I also think

of mental illness present I also think

of mental illness present I also think the types of mental illness that we see

the types of mental illness that we see

the types of mental illness that we see will change quite markedly so I think

will change quite markedly so I think

will change quite markedly so I think factors that are more affected by

factors that are more affected by

factors that are more affected by environment like depression for example

environment like depression for example

environment like depression for example and anxiety will be more more reduced in

and anxiety will be more more reduced in

and anxiety will be more more reduced in this utopia than the kind of diagnosis

this utopia than the kind of diagnosis

this utopia than the kind of diagnosis like bipolar disorder and depression

like bipolar disorder and depression

like bipolar disorder and depression which are more genetic in origin so I

which are more genetic in origin so I

which are more genetic in origin so I just want to leave you with one final

just want to leave you with one final

just want to leave you with one final thought and that is this I believes

thought and that is this I believes

thought and that is this I believes firmly that the risk factors for mental

firmly that the risk factors for mental

firmly that the risk factors for mental illness overlap substantially with the

illness overlap substantially with the

illness overlap substantially with the risk factors with the factors that make

risk factors with the factors that make

risk factors with the factors that make us our individual unique people and

us our individual unique people and

us our individual unique people and therefore I think on some level mental

therefore I think on some level mental

therefore I think on some level mental illness is the price that we pay for our

illness is the price that we pay for our

illness is the price that we pay for our unique and diverse humanity thank you

”

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