True Detective and Mental Illness

Recently, I have discovered this fantastic drama on HBO and have been riveted by its storyline, characters, and foreboding mood. I love the cosmic horror connection as well.

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As a fan of both noir pulp and weird fiction, it does justice to both genres. What is also fascinating to me is how certain mental health issues are portrayed in the series, such as addiction and depression. Detective Cohle shows many symptoms of a form of depression called dysthymia. The symptoms of dysthymia include depressed mood on an almost daily basis, restless or rundown, insomnia, thoughts of death and feelings of hopelessness. A more exhaustive discussion from WebMD can be found here.

Throughout the series (thus far), Detective Cohle has exhibited all of these symptoms at some point, such as showing up to Detective Hart's for dinner in a rundown state and with a depressed affect. In addition to dysthymia, by his own admission, Cohle is battling an addiction to substances, especially alcohol and stimulants (probably to self-medicate). Cohle started using while an undercover narcotics investigator in Texas but found he could not stop. Cohle is able to stay sober at the beginning of the series but as the investigation into the "Yellow King" and "Carcosa" cult deepens, so does his cravings and his inability to resist his desires. At the same time, it is clear Cohle is an incredibly intelligent and astute investigator.

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Again, this interests me since I have worked with so many interesting and intelligent people battling depression through self-medication via alcohol and stimulants. Stress and triggers have a huge impact on a person's ability to stay sober and healthy. I am always excited to see an accurate depiction of mental illness on television. It is very important in normalizing an experience that many people struggle with at some point in their lives. The stigma surrounding mental illness keeps this issue in the dark and we need to do more to help bring people out of this darkness and into appropriate treatment.

Unfortunately, people with mental illness are still viewed as aberrations and highly dangerous. I hope True Detective continues to explore mental illness. I have a feeling things aren't going to end well for either character. However, I am grateful for being able to watch an interesting and competent protagonist struggle with demons that many in the real world struggle with as well.


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