Should We Lock Up the Sane?

Posted on by

A new study — the MacArthur Violence Risk Assessment Study — found that those living with classic mental illness — schizophrenia, bipolar disorder, and depression — alone are not likely to use guns when they commit acts of violence:

“For the small group of people with mental illness who are at risk of committing gun violence, improved collaborations with the criminal justice system are clearly indicated,” the researchers stated. “However, directly targeting mental illness as the major driver of gun violence is misguided. … Prior violence, substance use, and early trauma are more likely to contribute to subsequent violence than is mental illness per se. In this regard, the politically inspired haste to focus gun control efforts on people being treated for a mental illness, rather than on people with demonstrated indicators of violence risk, such as restraining orders related to domestic violence, seems particularly misdirected.”

This contradicts the latest psychophobic reign of error that comes upon the shooting in Charleston, South Carolina. It isn’t the mentally ill who shoot people, but those who have no psychiatric diagnosis. So what are we going to do about them?

Continue reading →

Charleston AME Shooting

Posted on by

As I write this, I can only begin to imagine the number of people who have jumped to the conclusion that the shooter at the Charleston AME Church was mentally ill. By this time tomorrow, even if the shooter has not been caught, we will hear the pundits debating what kind of disability afflicted the shooter. Undoubtedly there will be more calls for Forced Outpatient Treatment.

There are a few things to keep in mind before we turn Charleston into our reason-to-support-Murphy’s-Law-of-the-day:

  • We have no idea who the shooter is at this point, except that he is white and in his twenties or thirties.
  • South Carolina has “Assisted” Outpatient Treatment. So even if he was mentally ill, the much ballyhooed program sure as hell didn’t prevent anything here.
  • The man had a gun that let him kill a lot of people including a state senator.
  • White supremacist activity has been on the rise.

Rest assured that the NRA — which backs the Helping Families in Mental Health Crisis Act — will blame this on mental illness at the earliest possible press conference. We’re the scapegoat for this kind of thing every time it happens.

Continue reading →

What I know and what I don’t

Posted on by

I have never attempted suicide myself, but an uncle of mine did once, and well, paid the ultimate price, his life. He was unofficially diagnosed by my mother and her sisters as Bipolar, whether or not that was true, we will never know. What I do know for sure is that he was pushed to a point where he no longer found meaning in his life. I also know that I have felt such despair that I wish someone would take my babies and just let me sleep. I have felt so depressed and in the midst of nothingness that all I wanted to do was lay in my bed and do and be nothing. Just nothing. This would usually come after a late night, a restless, sleepless night. Or, when I “forgot” to take my medication because I know better than the psychiatrist. Wrong!! So wrong!!

I now know that I don’t know more than any psychiatrist no matter how flawed I may think they are or how much higher my IQ may be, I am at the mercy of their education and experience. I put it so dramatically because that is how I sometimes feel. I feel as though I am helpless sometimes and not only at the mercy of the psychiatrists, but at the mercy of my mind. Why? Because it leads me to think things, things I should not be thinking. Like, “don’t take your meds, you’re fine”, “your mood swings are totally typical”, and my favorite, “you are not Bipolar, everyone else is.”

I also know that everyone’s life has meaning, no matter what you or others may think. And sometimes it’s hard to see through all the mugginess and fog, but believe me, your life has meaning. Whatever it may be, make it your mission to find it. Make that your daily goal! I dare you.

 

Advice For Those Who Support Your Bipolar Disorder About Suicide

Posted on by

Suicide attempts are a real concern for persons with bipolar disorder. It is estimated that of the suicide attempts in the United States by persons with mental illness, up to 70% suffer from major depression disorder and/or bipolar disorder. Not only is it important, therefore, for a person that supports an individual with bipolar disorder to understand the warning signs preceding a suicide attempt, it is also important to know exactly how to handle the situation should you believe they are serious or they tell you they are going to commit suicide. If you are a person that has bipolar, these tips can be invaluable to your support group in an instance where you are unable to reach out for support.

Why A Person May Want To Die
It is common opinion that committing suicide is a selfish act. Objectively, this is true. Friends and family are left with overwhelming guilt and anger, wondering what they could have done differently to stop their loved one from such an act. Children with a parent that attempts or succeeds in committing suicide are two to three times more likely to attempt suicide themselves than other children. Marriages where a child succeeds in committing suicide often end in divorce.

Unfortunately, a person that attempts suicide can no longer see the act as selfish. For them, suicide becomes a last resort to escape what has become unbearable. They see no other option. It is important to understand that it isn’t an issue of the person not wanting to see they have any other option. It is a matter that they can’t see any other option, at least not in that moment of decision. It is like asking a person to walk on air. It isn’t going to happen. Most suicides are an act of passion in the heat of the moment. Fewer are actually planned out, and usually by those that have attempted suicide before. However, the root cause is still one of two reasons.

  • A major traumatic event has occurred in a person’s life such as financial ruin, loss of a loved one due to break-up, divorce or death, etc.
  • constant struggle and pain of living with a difficult situation, such as bipolar disorder, has destroyed the mental capacity and reasoning of a person to a degree that they no longer want to live. They believe they are an unwelcome burden in other’s lives and feel friends and family are better off without them. They actually are past the point of pain. They are mentally exhausted and numb, incapable of rational feeling.

Warning Signs
A person considering suicide is not likely to openly admit that fact. However, there are signs that this is where their thought process is headed, sometimes before they themselves realize or admit suicide is an option. The more signs a person shows, the more likely it is that they are considering suicide.

  • They may make comments such as, “You would be better off without me”, “I just don’t think I can do this anymore”, “I am tired of living”, “I feel trapped”.
  • They may withdraw from you and/or activities they normally enjoy, isolating themselves. You may notice they begin to give vague answers when asked how they feel or suddenly stop talking or seeing you.
  • You may notice changes in their personal hygiene, no longer taking care of themselves as they become increasingly unconcerned with things around them.
  • They may attempt to give prized possessions away.
  • Their sleeping habits may change, either sleeping very little or too much.
  • They may begin to abuse alcohol or drugs.
  • They may express an interest in getting their affairs in order, or actually do it.
  • They may seem easily irritated or become more aggressive.
    They may suddenly become calm and happy.

    • What To Say To A Person That May Be Suicidal

  • Let them know you care and you want to be there for them if they can or want to talk.
  • Let them know you are willing to listen without judgement and won’t offer advice unless they ask.
  • Check up on them. More than once. A person considering suicide may not ask for help or call you as they get worse. They will take your silence as evidence that their reasons are valid.
  • Give them the National Suicide Hotline phone number – 800.273.8255 (800.799.4889 for deaf individuals). Encourage them to call so they can talk to someone else that is an objective, trained professional. Assure them they are still also welcome to talk to you.
  • Don’t be afraid to gently ask them if they are considering harming themselves. Assure them you are asking because you care.
  • Never accuse them of being dramatic or selfish. Don’t engage in confrontational conversation. Don’t ask them to promise they won’t and expect them to follow that promise.

    • What To Do When A Person Tells You They Are Going To Commit Suicide

  • Never ignore what they say. Don’t tell them they are being dramatic or selfish. Don’t engage in confrontational conversation. Do not ask them to promise you they won’t and expect them to follow that promise.
  • Do NOT try to handle the situation yourself. Call their local police department (call 911 and ask them for the person’s local police department so you can report a potential suicide attempt). When calling, tell the police you need to request a mental health check due to threat of suicide. Ask the police department if they have officers trained in handling mental illness crisis and request those officers are the ones dispatched.
  • If possible, remain in contact with the person until officers arrive. There is no need to tell the person you called police. The officers will handle everything according to protocol once they arrive.
  • Tell the person what they mean to you and how it would effect you to lose them. Encourage them to talk to you about how they feel. Name people that love them and would miss them. Talk about anything to try to take up time while officers are on their way.

    • Final Thoughts
    To a person that has never considered suicide, the thought of taking your own life will seem unfathomable. Try to understand that to the person who wants to end their life, continuing to live seems just as unfathomable. Following the advice above can save a life and help a person want to live.

    Buzzfeed Petition

    Posted on by

    I am deeply disturbed by the recent quiz on Playbuzz that purports to inform its takers whether or not they are bipolar. For this reason I have composed the following petition on change.org which I ask you to sign and circulate among your friends:

    Buzzfeed calls itself the largest humor site on Facebook. It reaches nearly 500,000 people, many of whom are impressionable teenagers and young adults.

    Recently, it published quizzes purporting to identify whether the test taker was bipolar or OCD. There were many problems with these quizzes.

    The first was that many of the questions — especially on the Bipolar quiz — had nothing to do with the disease itself. People with bipolar disorder who have taken the test have been told that they don’t have the disease. Others who don’t have it, have been told that they have.

    Second, they make light of syndromes that wreck the lives of those who struggle with them.

    Third, the results may give the people the illusion that they have the disease when they don’t or don’t have it when they do. This can lead people to unwisely abandon their treatment or eat up valuable time at the psychiatrist assuaging their fears that they have the illness when they do not.

    Fourth, the test has no medical disclaimers to the effect that it is no substitute for accurate diagnosis by a medical professional.

    Fifth, the staff at Buzzfeed has been disingenuous about these harms and refuses to remove the tests from their site on the grounds that they are “just entertainment”.

    We who live with mental illness live with the hardship of stigma. We are treated like children. We are told that we are faking our symptoms or that they “really aren’t that bad”. Buzzfeed’s arrant insensitivity must end.

    Please sign the petition at the site.

    On Refusing to Take Medication

    Posted on by

    I avoided medications of all varieties for much of my adult life. When I was 36, I had had too much of my depression and opted to start taking Prozac under the care of a psychiatrist at Redwood City Kaiser. I stayed on anti-depressants alone until I was 47 when I finally acknowledged my bipolar disorder after a suicide attempt and added mood stabilizers to the list of drugs that I was taking. Why did I go so long before I sought relief? Mostly because of a prejudice that had been drummed into my head by my mother, a registered nurse, who believed that medications should be avoided at all costs and that my depression and manic swings were character flaws. When I stopped listening to her, the quality of my life improved and I was able to be the person who I always knew that I was.

    Many people feel that people who refuse to take medications should be forced to take them. They cite incidents such as a New York City man who went off his meds and started hitting people with a hammer or a schizophrenic woman who killed her baby in a fast food restaurant’s bathroom. The recitation of such litanies by certain advocates who favor forced medication is stigmatizing because the vast majority of people who go unmedicated don’t commit such crimes. Their struggles are worse than those of us who don’t take them, but it is important to understand their reasons for refusing.

    Continue reading →

    Grandiosity, Branding, and the Purposeless Driven Life

    Posted on by

    >Any inclination of mine to become a famous bipolar author — the kind that writes a best-selling book, gets invited to national conventions, gets coverage in the national magazines, etc. –is curbed by one reality: that I live with bipolar disorder and one of my symptoms is grandiosity. Grandiosity — for you outsiders — is different from narcissism in that the latter is strictly an extreme self-love while the former is a beyond-passionate-conviction in a crusade and the belief that one is ordained to be the leader of that crusade. It is a thing that easily falls into a shambles as people are scared away by our hyper-exuberance. As we ramp up into psychosis, we may style ourselves as prophets or even God him/herself. I have been there — once I talked a Quaker Meeting into sponsoring me for a trip to former Yugoslavia in the middle of the 1992 war when I had no clue why it was important for me to be there, other than it being important for me to be there.

    Oh, I developed a rationale for my spiritual mission, and I did interesting things such as become one of the first non-journalists to report first-hand on a crisis using the Net. The governments over there didn’t like me much but that is to be expected when you know the Truth and report it through that warped, half-melted lens. The incident leaves me with several doubts about myself — where was this belief that the Spirit was calling me to do this really coming from? and Should I repay those who financed me now that I am disabused myself of the sacredness of my mission? I believe some people — quite a few — tell you that I did good and maybe I did. Others grew to hate me. Since my diagnosis, I am wary of any motivation which suggests that I alone possess a message that should be heard.

    Continue reading →

    The Merry Month of Self-Murder

    Posted on by

    The sky was open to Space and the world was green. The sun shone on the grass as only it can in January. But despite the pleasant weather, my brain filled with pessimism. For many years, I had answered the question “Are you thinking of killing yourself” with “Not the fast way. The slow way.” What I meant was I propelled myself towards death by eating badly and refusing to exercise. Eventually I would suffer a major heart attack and that would be the end of it. But on that January day I texted my last will and testament to my wife, sat down on a log, and began to study the veins in my wrist.

    I bucked the statistics by my choice of time. The media gets it wrong; the holidays and the winters that follow are not the time when hospitals see an increase in the number of suicides: it is May. Scientists have not hit upon why self-murder spikes at this time of year, but they have made some observations:

    Doctors first observed in the 1820s that suicide rates spike during late spring. Researchers have since postulated and tested all sorts of explanations for the global phenomenon, making this one of the most studied questions in psychiatry. There’s still no consensus, but evidence suggests it has to do with so-called sociodemographic factors. During the winter, many people go into semihibernation: They work less, see fewer people, and are exposed to less frustration and conflict. That all changes in the spring, when increased interaction with others and the stress of work may trigger suicidal thoughts. The theory is based on a couple of observations. First, the spring suicide peak is more pronounced among people employed on farms or in factories who experience greater seasonal variation in the intensity of work and social interactions. In addition, developing countries with a higher proportion of agricultural workers see more seasonal change in the suicide rate than do developed countries. The magnitude of seasonal changes in the suicide rate is more than 10 times higher in Uruguay, for example, than in Belgium. Researchers have also detected a smoothing out of the seasonal variation in suicides in recent decades as more people move from farm to office. (There are smaller peaks in other parts of the year. Cubicle workers are more likely to commit suicide in the fall than in the spring, as are mothers who send their children off to school in September.)

    I am not so sure of this theory or of some of the others. Some link the suicide rate to the weather. The amount of sunshine in the day, pollen counts, and air pollution have all been indicted. But one thing that I think affects me heavily by the time May rolls around hasn’t been investigated: Daylight Savings Time.

    Why? Because Daylight Savings Time interferes with our inner clock. It makes us wake up an hour earlier than we are used to waking up. It hits us like a hammer in March and continues its drumming through the Spring. The ones who are worst affected are those who are most susceptible to bipolar disorder: night owls.

    Owls aren’t early risers like larks. A Lark doesn’t feel the shift much if he has to wake up an hour earlier, but for an owl — who already has a hard time getting up early in the morning — the moving forward of the clock is catastrophic. Six o’clock is taken over by five a.m. A whole hour is stolen and it is not given back until the fall. I have met few people with bipolar disorder who like Daylight Savings Time. It’s proponents, in fact, are few. But big industry — especially retail — like it because people are more likely to leave the house to buy during daylight hours than during darkness. Oil companies like it because people do more driving and more driving requires more gasoline. Despite the health risks, we keep this destructive institution for the profit of a few.

    I know that my sleep is sucky at this time of year. When my alarm goes off, it wakes me out of a deep sleep that my body has made no plans to end for another hour. I am dizzy and depressed on many mornings. A gray malaise overcomes me. This darkening of the mood affects my thoughts and those thoughts turn increasingly to negativity and the belief that I am a burden to others. Wouldn’t the world be better off without me?

    The cheap fixes I employ are to adjust my medications if the depression gets too deep and to seek out the help of my therapist more often. I stick to my clock, however. Millions of others are in the same boat. So why do we persist in this? Well, our country puts corporate interest over people. What is my life to them? I am collateral damage.

    For Further Reading:

  • The Suicide Rate Doesn’t Peak During the Holidays. Why Does It Peak in Spring?

    • I was forced to grow up

    Posted on by

    At age 20, I was diagnosed with Bipolar I after a manic episode mixed with psychosis which sent me straight to a psychiatric hospital. Well not really a hospital, rather, a rehabilitation center in Georgia. No, I’m not from Georgia nor have ever lived there, but it just so happens that I was visiting a friend when I went “manic”.

    But don’t be alarmed, this is not an account of my (mal) treatment in the rehabilitation center or in the jail I was held for 5 days because of all things, my mania began at the Atlanta airport. No, this is about how I was forced to grow up after my experiences. How I could no longer consider myself just a care free college girl with no worries, but rather, an adult woman with a mental health diagnosis, which was tough, at best.

    I could not accept my diagnosis, nor did I want to admit that perhaps I needed help from someone other than myself. As a psychology major I should have known better than to fall prey to stigmatizing myself and my diagnosis, I thought “But I’m not crazy.” How ignorant and little of me to think such a thing.

    And after yet another stint in a psychiatric ward in the Bay Area, literally three days after returning from Georgia, I was convinced I had Bipolar I. It wasn’t the psychiatrists who convinced me, nor my arsenal of daily meds that did it. No. It was my mood swings. My constant flow between happy and sad. My to and fro, that’s what convinced me I had Bipolar I, and yes I needed help.

    I became my own advocate, then. Seeking help and resources in my community. Standing up for myself whenever necessary and becoming an adult, in a manner of speech. I never thought I would have to grow up so fast and so soon, it was in the summer before my Senior year in college.

    I felt as though the Universe had screwed me over, big time. And after wallowing in my self-pity, I got it. I understood. Sometimes it takes a huge life change to make you appreciate life better and make you a better person. It’s life’s way of putting you back in your place and giving you perspective. And wow, did I ever get perspectified! Yes, it’s a new word, I just made it up because I can do that. 🙂

     

     

    Review: Rethinking Positive Thinking

    Posted on by

    Rethinking Positive Thinking: Inside the New Science of Motivation by Gabriele Oettingen

    I don’t know how many times I have listened to people in support groups declare that they have decided to apply positive thinking to their lives and then watched them crash and burn. People declare all kinds of objectives for their affirmations. They will lose weight. They will master their drug problem. They will control their anger. They will grow rich. Money will come to them without effort. They will find a millionaire and marry him. They will find a fabulous new job and leave all the cares of the old one behind them. Some goals are realistic. Others are simply fantastic.

    Studies show that plain old positive thinking drags people into a depressive rut. Oettingen cites the example of her work examining the attitudes of East Germans versus West Germans. East Germans spend a lot of time thinking positively. They see themselves as rich, as coming into opportunities of a lifetime which change their life situation for the better. But they still end up at bars trying to drink their melancholy away, and they never get anywhere with these plans. West Germans set reasonable objectives, put in the work, and succeed. Even though their goals are less grandiose, they are happier than their former Communist counterparts.

    Continue reading →