Archives for Opinion
People with bipolar disorder often struggle with weight gain, because it's a side effect of so many medications used to treat depression and mania. Compounding the issue is the fact that the more you worry about weight and try to "shed the pounds" the harder it may be to lose weight. Meanwhile, all you accomplish is feeling bad about your body. I recommend a different approach, one that focuses on health and happiness and banishes body shaming.
May is Mental Health Awareness month, and today is Child Mental Health Awareness Day. Our goal, as healthcare providers, family members, and people living with mental illness, is to spotlight the presence of mental illness in our communities and to spread the word that these are identifiable and treatable medical and neurodevelopmental conditions which are not cause for shame.
My wife, Cecie, has bipolar disorder. Recently, she got into some trouble at work over a policy she violated. Not that it's anyone's business, but I'd better explain what she did (with her permission, of course), so you don't imagine something worse than it is. Cecie is a teacher. She brought her new puppy to school for a couple days and had two (high school) students take it outside the school building (located in a very safe area) without signing out. She received a written reprimand over the incident, which I personally think was a little over the top, but so be it.
Sandra lives with bipolar disorder. I am her psychiatrist or p-doc or shrink (as in Dr. Fink, the shrink). Sandra (not her real name), and I have worked together for many years. At today's appointment, she is moving a little slowly due to some back pain, but she tells me that her mood and energy have remained steady. That is outstanding news, because until a couple of months ago she was experiencing a terrible mood episode that rocked her life—a difficult mixed episode (mania and depression), along with substance use and memory and thinking problems. Her symptoms disrupted relationships with her family and worsened existing financial troubles. But, fortunately, her mood and energy level have not wavered to any clinically significant degree. Today she smiles and tells me about her volunteer work and playing tennis with a friend. Then she stops, and she cries softly and asks me how to help her parents understand what is wrong with her. While the good news is that many people in Sandra's life are starting to grasp that bipolar disorder is the problem (and that Sandra is not the problem), her own family of origin shuns and shames her, telling her that they have been advised to "stop enabling" her "bad behavior." They will not let her come to stay with them, and she has been excluded from family events. Sandra is heartbroken.
In our NAMI support group and Family-to-Family Education Program, we use two interesting words that I never gave much thought to before: normative and normalize. As I was preparing to co-teach Class 1, these two words sounded like jargon to me. Why not just use the word normal instead? I wondered what these words meant, so I looked them up in my Merriam Webster's Collegiate Dictionary, Eleventh Edition, and here's what I found: normalizeto make conform to or reduce to a norm or standardnormativeof, relating to, or determining norms or standardsI was not enlightened.
I just watched President Obama's "Shameful Day for Washington" speech, and I take issue with the fact that he included people with severe mental illness in a group he described as "dangerous individuals." Here's what he said: "By now it's well known that 90 percent of the American people support universal background checks that make it harder for a dangerous person to buy a gun. We're talking about convicted felons, people convicted of domestic violence, people with a severe mental illness."
"We have no national database of these lunatics... We have a completely cracked mentally ill system that has these monsters walking the streets." — Wayne LaPierre, Executive Vice President NRA Since the tragedy at Sandy Hook Elementary School in Newtown, Connecticut there have been pages and pages written and hours of audio and video created by people from all sides of the gun control/gun safety discussion. The conversation about the need for better mental health awareness and care, especially for children, is welcome. Comments like Mr. LaPierre's are not.
Yesterday, I served on a panel of family members who have loved ones with mental illness, where we talked to a room full of police officers (approximately 30 of them) as part of their crisis intervention team (CIT) training. NAMI-WCI (West Central Indiana) provided the training. As I prepared my story for the presentation, I realized that I am never the one who calls 911 when my wife is experiencing a manic episode. My wife has always been the one to call, usually because she is experiencing paranoia and psychosis and feels the need to call the police for protection. This made me wonder... why?