CHAPTER 3 What is Nervous Illness?

It will be appreciated that there are different grades of ‘nervous’ suffering. Countless people have ‘bad nerves’ and many of them, although distressed, continue at their work and cannot be said to suffer from nervous breakdown. Indeed, while they readily admit to having ‘bad nerves’, they would indignantly refute any suggestion of breakdown. And yet a nervous breakdown is no more than an intensification of their symptoms. Although this book is concerned mainly with the development and treatment of nervous breakdown, almost every symptom complained of by people with ‘bad nerves’ will be found here, and such people will recognize themselves again and again in the patients with breakdown described in the following chapters. The symptoms are the same, it is but their severity that varies. The person with breakdown feels these symptoms so much more intensely.

Where do ‘bad nerves’ end and where does nervous breakdown begin? By nervous breakdown we mean a state in which a person’s ‘nervous’ symptoms are so intense that he copes inadequately with his daily work or does not cope at all. Doctors are asked if people really ‘break’, and if so, how? We are also asked how a nervous breakdown begins and develops.