I’m two days into my nicotine-free project: detox and withdrawal. And, though it’s nothing like coming off of something harder, my head is an ironic opera. Every now and then I forget…and when I remember again, like the death of a loved one, the longing is once again as fresh as it was the moment I started this project. Other times I forget my project and look for my vape pen—but before I find it, before I get a chance for relief, I realize what I’m about to do and wither with shame. I read yesterday that things are supposed to get harder for a few weeks following the third day of detox. I’m not looking forward to that.
Before I quit nicotine and became incapable of thinking about anything else, I was thinking a lot about the past. Specifically, the things I have done in the past when I have been under the influence of alcohol or drugs, or—and I was focusing quite a bit on this one in particular—when I have been experiencing a bipolar episode, or having had a psychotic break.
My main question is: to what extent should we be held responsible for the things we do when we are in a psychotic state? What about mania, but not psychosis? We know that our grounding in reality is eroded; we know that our ability to reason is gone; we know that something other than us seems to be sitting in the passenger seat but having an awful lot of say over what we do. (Why do we want to please that voice so much?)
Or maybe I was just hypomanic, was more or less grounded in reality—as much as I could be on old school antipsychotics—and simply do not remember doing something hurtful, ill advised, and destructive. Should my carer have taken the reigns here? Or am I required to take full responsibility of my actions in such a state too? I can’t see how I would have been able to make an informed decision because I had no sense that what I was doing was wrong or hurtful.
What about when I’m nicotine detoxing. Am I responsible for my disoriented behaviors in this hardcore slow-motion life transition?
Kidding aside, I would love to know what the law says about culpability in altered states. It does seem strange to hold a person accountable for what she has done in a psychotic, manic, or detox episode.