Many politicians, celebrities, businessmen and women, and community leaders now are open about their struggles with mental illnesses, something almost unheard of when I began. Together, we are spreading the word that mental health affects all of us and deserves our support and attention.

Mania is as bad as it gets. If not treated, it will become worse, more frequent, and harder to treat.

my brain had begun to endure its familiar siege: panic and dislocation, and a sense that my thought processes were being engulfed by a toxic and unnameable tide that obliterated any enjoyable response to the living world.

My mother struggled immensely with mental illness, and so did I. She grew up bipolar, but it was never diagnosed nor recognized. It was shrugged off like a 'symptom' of being female - of her being weak. I also experienced this growing up: I felt that the great pain I experienced was a dramatisation.

I speak of a clinical depression that is the background of your entire life, a background of anguish and anxiety, a sense that nothing goes well, that pleasure is unavailable and all your strategies collapse.

One of the manifestations of depression for me is that I lose my will. And I thereby lose my ability to focus. I don't think I'll ever have the day-to-day consistency in my performance that something like This American Life has. If I'm not depressed and I'm on and I can focus and I can think through something hard and without interruption and without existential emptiness that comes from depression, that gives me - not mania. But I exalt. I exalt in not being depressed.