“Schizophrenia is a little like cancer. You can’t trust that it will ever go away completely.” Michael Schofield begins with these reflections as he chronicles his journey to understand and combat his daughter January’s mental illness in January First: A Child’s Descent into Madness and Her Father’s Struggle to Save Her. For the first five years of her life, Michael and his wife Susan knew only a few certainties about January. First, she was a genius, with an IQ of 146. Second, she had an extremely active imagination, to the point where she created her own private world and hundreds of imaginary friends. Third, she rarely slept and needed constant stimulation, keeping both parents in a state of total exhaustion and often despair. January was also more prone than the average child to tantrums and fits of rage, which intensified after the birth of her brother, Bodhi. The Schofields had hoped that a sibling would give January a much-needed companion, but were horrified when she tried time and again to physically harm the infant. After many wrong turns and countless battles with California’s mental health and education systems, January was diagnosed with childhood schizophrenia, a condition much more severe in children than in adults.
Schofield’s complete honesty, even when it means portraying himself in a less than flattering light, is one of the most powerful draws of this book. He lays bare the family’s physical, emotional and financial struggles. Conveyed particularly well are the immense frustrations the Schofields experience on a daily basis, as they deal with insurance companies, doctors who won’t return calls, and a child who does not respond to traditional reinforcements or punishments. At present, the situation with January has improved, thanks in large part to a creative living situation – for several years the Schofields kept two apartments so January and Bodhi could live apart - and a drug cocktail which has reduced the severity of her hallucinations. As Schofield concludes, the family has learned to embrace the positive in each day but know that January’s condition may still deteriorate.