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Words on Bathroom Walls centers on Adam’s experience with schizophrenia, as well as his struggle to deal with and understand the illness. Latin for “splitting the mind,” schizophrenia is typically diagnosed in the late teens or twenties, putting Adam’s diagnosis early at the age of 12. Schizophrenia manifests in different ways for different people. Adam experiences visual and auditory hallucinations, reduced motivation, and trouble focusing—the last shown by journal entries that sometimes jump around and present information in a disorganized way.
Throughout the book, Adam tries to view himself as separate from his illness. His goal is to eliminate his schizophrenia so that only a “normal” Adam remains. This motivates Adam to keep the illness a secret, as schizophrenia symbolizes everything about him that he hates and wishes to change. While his mind fights a battle against itself, Adam fights against the disease’s existence. He believes the schizophrenia makes him “abnormal” and “crazy,” something only medication can manage.
The novel tries to demonstrate that this illness is not something to be feared. While Adam’s life would likely be easier without schizophrenia, the disease does not mean he is incapable of living a life he deems “normal.” The novel does not shy away from showing the real struggles people with mental illness face: Apart from Adam’s sometimes disturbing hallucinations, he must deal with his classmates’ lack of empathy and understanding and society’s stigma around mental illness. In Chapter 18, the school shooting brings out the school’s fear that mental illness is inherently dangerous; the novel emphasizes that the danger most often is to the person living with it rather than those around them. Adam is not violent and has no desire to be violent. Rather, he wants his hallucinations to leave him alone, and when he believes they are real, he resorts to harmful actions to get rid of them.
ToZaPrex is the drug for which Adam participates in the research study. It represents Adam’s relationship with schizophrenia and his journey through his day-to-day life at school and home. ToZaPrex means different things depending on the dosage, whether Adam is increasing or decreasing the dose, and whether he is on or off the drug.
At the beginning of Words on Bathroom Walls, Adam sees ToZaPrex as hope: The first in a long line of medicines that might stop his hallucinations and the other symptoms of his illness. As his doctors titrate up his dosage, Adam feels a greater sense of control over his schizophrenia. He starts to imagine a life free of mental illness. Being able to tell the difference between reality and hallucination allows him to make friends, participate in school activities, and enjoy time with his family.
When Adam develops immunity to ToZaPrex, the drug’s meaning changes: It now symbolizes false hope, showing the fallacy of Adam assuming that schizophrenia is somehow a separate from him. Adam fears that without ToZaPrex he will never know the difference between reality and hallucination again. In desperation, he takes several ToZaPrex pills to try and be “normal” the night of prom—an overdose that leads to a severe schizophrenic episode and hospitalization.
Getting off ToZaPrex represents a turning point in Adam’s understanding of his illness. Before, he believed only medication could help him live with the schizophrenia. When it isn’t the cure he’d hoped for, he realizes that must learn to accept his situation. He will always be a person living with schizophrenia, so therapy and being truthful with the people who care about him are the things that will help him forge a productive and healthy life.
Cooking makes Adam feel “normal,” and it represents how he wants to feel all the time: He enjoys it, is good at it, and the activity calms his mind, which helps control his hallucinations. Adam’s experience with cooking shows the power of focus in Adam’s particular case of schizophrenia. Adam is most susceptible to schizophrenic symptoms when his thoughts wander. Cooking forces him to be in the moment, so outside thoughts have less space to intrude.
At the same time, cooking can also become an unhealthy obsession or crutch. In Chapter 20, a distraught Adam cooks all night. Rather than using the activity to regain calm, he becomes hyper-focused—a state that unhelpfully exacerbates the paranoia Adam sometimes feels as a result of the disease.
Cooking also bonds Adam to the important people in his life. He provides the desserts for his mother’s baby shower, which gives him purpose and connection to the baby as well. He also cooks for Maya and her family because food is how Adam shows he cares. The novel makes this association more broad when in Chapter 41, Ian gives Adam homemade cookies as part of his apology for showing the video at prom. Since Adam uses food to show people how he feels, he understands that Ian’s apology is sincere because Ian wouldn’t have gone to the trouble of making cookies for an insincere apology.
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