It is one thing to read about bipolar disorder in a textbook, and another thing to observe it firsthand. Some of us have friends or family members whom we have seen in the throes of a manic episode. As a psychiatrist, I have witnessed mania at close range literally hundreds of times. But to be an audience member and to experience it in a way that manages to be both educational and entertaining is a rare privilege. And to do so as a multimedia event, fusing theater with visual arts, is surely unique.  

Sam Kissajukian’s one-man show 300 Paintings is a must-see that is currently enjoying a return engagement at the Vineyard Theatre in New York. (It is purely a coincidence that the theater, just off Union Square, is a block away from my former psychiatric office of eighteen years.)  

Kissajukian is an Australian stand-up comic. In 2021, during the pandemic, he experienced a five-month bipolar manic episode. During that time, despite having no previous background in visual arts, he decided to become a painter. Moving into a warehouse, he began to paint. He barely slept, frequently turning out multiple works a day. By the end of the episode he had created three hundred paintings, documenting his mental state.  

Kinssajukian has created the show he calls 300 Paintings as the culmination of his personal and artistic journey. The show has won numerous awards, including Best Comedy at Sydney Fringe 2022 and 2023, and the Mental Health Awareness Award at Adelaide Fringe 2024. It has played at the Edinburgh Fringe Festival, and it first came to the Vineyard last fall. He has also had several exhibitions of his paintings, and has come out as a strong advocate for mental health awareness. 

While 300 Paintings calls on the author’s experience as a comic, it is no mere stand-up routine. At 80 minutes it has the dimension and scope of a play. There are serious undertones, yet there are many undoubtedly funny parts: We hear how at his most grandiose Kinssajukian thinks of himself as a “Pisscasso” who goes through a blue period in days, rather than years. At another point he describes how he affected a beret. Funny or serious, he is always charming and engaging, and he breaks it up by showing projections of his work.  

There are times when the dialogue takes on the rapid, pressured speech of a person who is manic, and his thought process shows the jumping from topic to topic that a psychiatrist refers to as “flight of ideas,” But this feels intentional. At no time do you worry that the performer does not have it under control. And he readily attributes this to his rapid diagnosis and treatment by a psychiatrist.  

At the end of the performance, Kissajukian announces that a curated exhibition of his paintings is on view in the lobby, and that he will be available to meet the audience.  

Two Paintings by Kissajukian

Podcast

Web image provided by Sam Kissajukian

We feature James Dickey’s poem, Diabetes, with our guest, the renowned physician-poet Dr. Jack Coulehan. We discuss insights the poem offers about the trajectory of type 2 diabetes from the time of symptom onset until the time a balance is achieved between maximum compliance with disease management requirements and the compromises an acceptable lifestyle can necessitate for many individuals. In addition to providing his perspectives on how the poem expands on the biomedical components of diabetes in recognizing effects such as fear, anxiety, frustration, and oppression, Dr. Coulehan recounts how he has used this poem and others in teaching medical students and residents. He also tells stories of particular instances in which he used poetry as part of the care he provided certain patients, and as a way to connect with them. 

Links:
Dr. Jack Coulehan’s bio and posts on Medhum.org

The poem, Diabetes, and the comparative biomedical text discussed can be seen here in Russell Teagarden’s blog, According to the Arts. 

Dr. Coulehan’s poem, I’m Gonna Slap Those Doctors, which was central to one of the stories he told, can be accessed here. And, his poem, The Man with Stars Inside Him, which was central to another story he told, can be accessed here.

In this episode, we make a distinction between illness as the subjective perceptions of a health problem and disease as the pathological basis of a health problem. This distinction is explained in much greater depth here in According to the Arts. 

The Clinic & The Person is a podcast developed by our editor Russell Teagarden to summon or quicken the attention of health care professionals, their educators, researchers and others to the interests and plights of people with specific health problems aided through knowledge and perspectives the humanities provide.

Feature image by Álvaro Serrano