A crossroads with different roads named caste, gender, economics, sexuality. You exist at the point where they converge.
Mental health sits flush at the intersection of our many identities.

Wanted: Sanity

Let's start at the beginning. What's wrong with the term "mental health", why is "sanity" better, and what does that mean for you, my reader?

Tanmoy Goswami
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Hello! I am Tanmoy, a newly unemployed, therapy-loving, pill-popping journalist writing on the politics, economics, and culture of mental health. Welcome to Sanity by Tanmoy.

When I told an ex-colleague this is what I’d decided to call my newsletter, she said it sounded like a perfume brand. Amen! I thought. After all, we need all the help we can get to cope with the enormous stink 2020 has produced, which will haunt us long after the year’s done.

Before you scroll further: do note that producing high-quality writing on mental health takes time and a lot of taxing emotional labour. While everything here will be free for the first three months, please consider signing up and picking up a paid subscription if you can afford it.

A doodle showing a jumble of concentric oval shapes in red against a white background
Artist’s impression of the human brain circa 2020-21. Also this platform's logo.

Now, back to that name. No, this newsletter wasn’t inspired by Chanel. It gets its name from my last job as the world’s first and only Sanity correspondent.

For 18 glorious months between August 2019 and December 2020, I held that title at The Correspondent, an ad-free, reader-funded journalism platform that rejected the “breaking news!” circus and instead chose to shed light on the foundational realities of our world. At its peak, it had over 55,000 paying members in over 140 countries.

I worked for and with this amazing, transnational community of readers to create a brand-new template of mental-health journalism that didn’t exist anywhere else. My work was featured in The Syllabus. I made podcast appearances and gave talks around the world expounding my ideas. It was the most profoundly meaningful time of my 16-year career and played a big role in my own healing.

Then, we were hit by 2020’s perfect shit storm. The Correspondent’s model proved too fragile in the face of the pandemic-induced global economic ruin and too much of an outlier given the world’s heightened hunger for news (“When’s the vaccine coming?” “When will schools open again?”). The platform, along with our jobs, ceased to exist as of January 1, 2021.

For some time after I first discovered this news barely 10 days ago, I alternated between abject panic and sadness. It was the first time in my career that I was made redundant. I didn’t know how to process the twin blow of abruptly losing my life’s purpose and my livelihood.

But soon, something wondrous happened. I started getting messages like this.

A tweet from a reader saying: "Tanmoy's insight and reporting on global mental health issues needs to find a new home. Follow him, read him wherever he goes."

And this.

Another reader tweet saying: "Losing Tanmoy's writing will be devastating to the future of global mental health. We must keep it alive!"

I am still shocked and scared, but the outpouring of solidarity from my readers means I will not give up on the vision of a new kind of mental health storytelling and community that we together dreamt of building.

So, here I am. Ready to do this once again with a little help from you.

What will Sanity by Tanmoy do?

When I started at The Correspondent, mental health was already hot. By the end of 2020, a year when loneliness, loss, and grief covered us like permafrost, our culture’s craving for that heat has crescendoed. To borrow a phrase that grew like a rash towards the last phase of my 12 years in business journalism before The Correspondent, mental health is firmly the Next Big Thing.

Need proof? Here’s some: By the third quarter of the year, venture capital funding in US mental-health startups had reached $1.37 billion, more than quadrupling since 2015.

This exploding fascination for mental health is also evident in the mushrooming of columns, blogs, podcasts, webinars, and “feel happy quick!” schemes. Every other movie or series now has a main character grappling with psychosis or at least garden-variety anxiety. The therapist’s clinic (or Zoom room) is the new gym. “Mental-health enthusiast” is now an au courant Twitter bio (just like “startup enthusiast” was in the halcyon days of Silicon Valley).

While the (seeming) democratisation of the mental-health conversation is fantastic news, it has also aggravated existing problems.

First, it has emboldened an obnoxious species whose only brief is to spread myths and fake news on mental health. You’ve seen them among your family, friends, colleagues, and Twitter trolls. They are easily identifiable by their urge to spew a variation of “be a man” or “snap out of it”. I call them “uncles with unwanted opinion”.

A venn diagram with two circles labelled as "rich person's depression" and "poor person's depression". The intersecting part is labelled "uncles with unwanted opinion".

Second, despite all the excitement, the mental-health conversation is still shockingly biased in favour of traditional pockets of privilege. These are best exemplified by the walled gardens meant for specialists, such as psychology and psychiatry journals, mostly controlled by (white, male) western academics. They ignore the ground realities of the vast majority of the world’s population and remain stubbornly fixated with their WEIRD - western, educated, industrialised, rich, and democratic - heritage.

Finally, and as an offshoot of the above, the mental-health ecosystem remains wedded to the western biomedical model. The incumbent powers in the mental health ecosystem, none more muscular than Big Pharma, continue to undermine the social factors behind mental health problems and insist that they are simply a matter of “chemicals in the brain”.

If the reason you are depressed or anxious is a malfunction in your brain - well then the burden to feel better is also fully yours. Society can pontificate about the wonders of meditation, mindfulness or goat yoga, and pretend that socially engineered evil like inequality, discrimination, or violence have nothing to do with why you feel like crap. It’s the perfect con.

Increasingly, first-person accounts of survivors are emerging as an antidote to this. But these stories are, by definition, intensely personal. Also, the spaces where they thrive, such as social media, aren’t open to or safe for those who are truly marginalised because of their caste, class, gender, sexuality, or other vulnerabilities.

There is an urgent need for a platform that will tell authentic, universal stories establishing the intersectional nature of mental health; marry the rigour of research with the soul of lived experience; and amplify ignored voices. This is what Sanity by Tanmoy will slowly aim to become.
Give yourself the gift of Sanity. Pick up a monthly or annual subscription and support independent, ad-free, 100% reader-funded mental health journalism.

Keywords: intersectional and slow

Mental health isn’t an island. It is intersectional, meaning it impacts everything and is in turn impacted by everything in your life. It is dynamic and is woven into your identity, and it changes with every change in your identity.

For instance, until recently I was a cis-het, upper-class, upper-class man in a patriarchal society. All things remaining constant, my vulnerability score was very low. But I just lost my job, which makes me a jobless man in a patriarchal society. Vulnerability: rising, but still not a patch on what anyone who doesn’t share my caste, gender, or sexual identity would be living with.

The other key word in my mission is slowly. I am not in the “content” game. I will not pester you into paying attention by bombarding you with a story a day. At the moment, I don’t even know if this will pay (any of) my bills.

I am also keenly aware that an English newsletter delivered via the Internet suffers from much of the same elitism that I critique. The last thing I want is for this newsletter to appropriate the stories and voices of those it seeks to serve. I want to collaborate and co-create, not do parachute journalism. This kind of work takes time, and is, at best, a risky experiment.

What kind of stories can you expect?

My journalism is person-first and unabashedly subjective. I believe credibility doesn’t merely comes from degrees or job titles, and I frequently cite people that mainstream media doesn’t consider experts. Over the past 18 months, I have repeatedly demonstrated that people all over the world - from Ethiopia to Australia to the US to India - are hungry for and willing to support this new kind of storytelling.

Using insights from my own long journey through depression and anxiety - and together with an incredibly engaged community of readers, including common folk as well as mental health researchers and practitioners who didn’t just sponsor my writing but actively shaped it as sources, collaborators, and fact-checkers - I’ve built a body of work that I am very proud of and that I hope to continue building on here.

Take a look at some of my favourite stories to get a sense of my journalism:

Multiple chats with corporate employees in three continents helped me expose how workplace happiness programmes end up making people unhappier.

A 92-year old reader from the Netherlands led me to investigate the ageism in the media’s booming interest in depression.

An American reader with spinal muscular atrophy seeded a story on touch deprivation in people with disabilities.

Partnering with suicide prevention experts and readers with first-hand experience of disasters helped me create a guide for managing suicide risk after the pandemic.

Listening to a friend in agony over the prevailing political climate in India helped me uncover how the profession of therapy is responding to the growing number of people suffering from “political depression” by shedding its old apolitical biases.

My stories proved that mental health intersects with every theme underlying contemporary human experience: Technology; capitalism; how anxiety became an “epidemic”; minority identities; guilt, forgiveness, and justice; modern sport; entertainment; and last but not the least, the oppressive stench of colonialism in the ostensibly “global” mental health movement.

The last of those stories resulted in epiphanies such as this shared by a Dutch public health expert:

“Thanks for this very relevant article! I will take this along in my teaching. And I will never read or understand the term 'global' with regard to mental health the same anymore.”

What I mean when I say “sanity”

I use the word sanity and not, well, mental health, because I feel the latter term has been hijacked by Big Pharma/wellness snake oil sellers/motivational Instagrammers. And that the real sweep of “mental health” far exceeds the narrow ambit of the health sector.

I hear “mental health”, and I expect to find a slick medical representative upselling the latest wonder drug for depression (and I'm not even a pill shamer, see line 1 of this newsletter); or a lifestyle guru in a Rolex and a robe peddling the latest mindfulness trick; or an influencer asking me to smile, because “smiling takes fewer muscles than frowning”.

I prefer sanity because it is free from these perversions, but also because sanity is rare, especially in the world of 2020.

Sanity is the guarantee that if our mind is sick, we will get the best possible care.

Sanity means knowing that we won't be fired at work because we "can't handle it".

Sanity is the right of the ill and their caregivers to scream at vote-seeking politicians, "Give us a better deal, or else."

Sanity means investing in prevention rather than cure.

Sanity means stories of hope and resilience.

Sanity is the acknowledgment that there is no single “you” and therefore no single, perfect formula for mental health.

All the things that make me who I am: lived experience expert, frightened father, fumbling partner, struggling son. the world's first sanity correspondent, a cishet upper-class, upper-caste man, a retired business hack, and a suicide prevention activist.
Who am I?

Sanity is reversing the hierarchy of power that allocates low- and mid-income countries less than 20% of the share of the mental health resources, even though they are home to over 80% of the global population.

Sanity is weeding out racism (“depression is black”), sexism (“don’t cry like a girl”), and ableism (“crippled by anxiety”) from our language.

Sanity is reparation for the harm done to marginalised communities.

Sanity is access to knowledge that lets anyone - not just doctors - locate the amygdala in the human brain and say, "Aha, so this is where my flight response is manufactured.'"

Sanity is questioning every pill you put inside your body.

Sanity is the comfort that a phase when you hate yourself and the world doesn’t make you weird. It makes you just like everyone else.

Sanity is hard-earned equilibrium in a world that resists it tooth and nail. I hope you will find our collective pursuit of it worthwhile.

As an independent creator, I depend on your support.

Give yourself the gift of Sanity. Pick up a monthly or annual subscription and support independent, ad-free, 100% reader-funded mental health journalism.