When You Can’t Trust the Stories Your Mind Is Telling

The National Institute of Mental Health estimates that nearly one in five adults in America lives with a mental illness. And we have plenty of evidence — from suicide rates to the percentage of Americans on psychopharmaceuticals — that our collective mental health is getting worse. But beyond mental health diagnoses lies a whole, complicated landscape of difficult, often painful, mental states that all of us experience at some point in our lives. Rachel Aviv is a longtime staff writer at The New Yorker and the author of the new book “Strangers to Ourselves: Unsettled Minds and the Stories That Make Us.” Aviv has done some of the best reporting toward answering questions like: How do people cope with their changing — and sometimes truly disturbing — mental states? What can diagnosis capture, and what does it leave out? Why do treatments succeed or fail for different people? And how do all of us tell stories about ourselves — and our minds — that can either trap us in excruciating thought patterns or liber