Blame it on the weather

somber-mood-blog

Over the years I’ve noticed my mood changes when the weather changes.  Like most people, in the spring and summer I’m pretty happy.  But when the fall season starts to come I imagine somewhere in my brain there are all these little monsters who take up residence and it’s their sole job to wreck havoc with my mood.  If they can’t succeed in making me really depressed, than they tend to settle for just detached and a little irritable.  It’s in these moments that I wish I had a team of “ghost busters” to come into my brain and rid myself of these terrible creatures.

How much of this is bipolar disorder and how much is “normal?”

I think those of us who have learned to manage bipolar disorder can get pretty hyper-sensitive about our moods.  Maybe monitoring ourselves to the point of over analysis.  But I have to say it’s really difficult to strike a balance between what is just a natural reaction to circumstances and what is the ugly illness that rears it’s head.

But it is true there is actually an illness called Seasonal Affective Disorder.  When the seasons change the lovely depression is ushered in.  She sits in a powerful position sucking the life out of her victims.  She brings a cloud of fog that gets sprayed directly into the frontal lobe, making memory, concentration and just wanting to get out of bed a challenge.  If depression were a person with a name, I’d call her a B**CH.  And sorry ladies I hate to pick on the females, but depression certainly has the male version as well.  That’s the irritable, mean party where nothing that comes out of my mouth is positive.  That depression is clearly a male and he is a B***TARD.

So just when I think I’m going to spend most of my time writing thoughtful articles about vulnerability and maybe even start writing about other topics as well.  I got stopped in my tracks with a nasty episode that’s kind of dragging it’s way through my nice little life.  I can blame it all on the weather, except the past few days have been beautiful.  Blue skies and sunshine.  Not very depressing.

At the end of the day, I’m just taking a deep breath and accepting what is.  I’m gonna go to sleep early and get up at the crack of dawn.  I’m always hopeful the fog will lift in the morning.  But with a mood disorder, you never know what you’re gonna get.  It’s sneaky like that…not very reliable.

Before I sign off I just have to say, “I HATE depression.”  There.  That made me feel better.

 

 

 

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It’s not sexy to be a mental health advocate

BeVocal_Logo

October is breast cancer awareness month.  I didn’t know that until eight days into October.  My realization started when I went to the local grocery store and every other cashier light (you know the one that tells you when their open) was pink.  And they were asking for donations at the register for breast cancer research dollars.  Still didn’t realize it, because people ask for money for everything now.

Then, I went shopping.  Pink shirts for sale everywhere.  I was so impressed.  Everyone, unless of course you’ve been living under a rock, knows pink is the color for breast cancer.  It’s a highly successful awareness campaign that started in full force over twenty years ago.  Heck, even the NFL is “pinked out” in October.  As a mental health advocate I dream about the day when everyone knows mental health awareness is green and guys like Brandon Marshall (click here for Brandon’s mental health advocacy organization) don’t get fined $10,000 dollars by the NFL for wearing green cleats.

But when something is successful it warrants looking at their model and learning from all the good things breast cancer awareness advocacy organizations have done.  In fact, it all peaked my interest in finding out just how much money is spent annually on breast cancer research.

The answer-cloudy.  Mmmm….what do I mean by that?

Well, turns out that breast cancer awareness and research are lumped into one big estimated sum of $6 billion a year.  Of course there are critics who think all money should be research money.  But you don’t get research donations without awareness.

Why is this important to mental health advocacy?  Because the National Institute of Mental Health has an annual budget of only $1.5 billion.  The National Institute of Mental Health funds research for mental illness and neurological conditions (brain illnesses), like bipolar disorder, schizophrenia, dementia, depression, etc.  All of these illnesses have a fraction of money spent on research.

I compared the annual budget of the Susan G. Komen Foundation, a breast cancer advocacy organization based in Texas, (well known for the trademarked tagline “Race for the Cure”) to that of the National Alliance on Mental Illness, the largest mental health advocacy organization in the country.  I found the Komen foundation listed as #54 on the Forbes list of U.S. most wealthy charities with $250 million in annual revenue in 2016.  That’s for one year folks.  On the other hand, NAMI based in Arlington, VA has a little over $10 million in revenue.

In all fairness, NAMI has affiliaties in all 50 states who also have revenue, but I doubt even including all of them would break a $50 million in total revenue.

What’s my point?

How are we going to make sizable contributions as mental health advocates when the largest organization of advocacy only nets $10 million a year?  So many diseases to lobby for research on-so few dollars.  So many issues to battle, so few people to do the work.

And then there’s this…

#1)  STIGMA. It’s not cool to be a mental health advocate.

#2)  STIGMA. It’s not sexy to go out and raise money for people who have a mental illness.

#3) STIGMA. These illnesses are misunderstood.  They are often not looked at as an illness.

#4) STIGMA.  People are ashamed to come out and say they are living with a mental illness.

#5)  STIGMA. Policy makers don’t understand it, unless it effects them.

#6) STIGMA.  Family members don’t want people to know their loved ones live with a mental illness.

And…

I could go on and on.  You get the point.  We have limited resources for a very complex problem that most people don’t understand and many fear and are afraid to talk about.

So..if you’re reading this please pick up an advocacy banner.  There’s an enormous amount of work that needs done.  The Susan G. Komen Foundation started with raising awareness for breast cancer.  Mental Health Adovocates have to do the same thing.  We have to help one another do this work.

If you’re local to the Wheeling area you can start your advocacy work by showing up at the NAMI Greater Wheeling Walk on October 21 @Wheeling Park.  Registration starts at 10am.

And…

We even have cool tee-shirts.

 

 

 

A little bit of hope

hope

I have been blessed the past three weeks to travel around the state of West Virginia and speak about mental health to college students.  One campus had a young man who had died by suicide a few months ago.  He had been a member of one of the sports teams and suddenly quit.  He began isolating himself and stopped hanging out with friends.  Those things he did are warning signs of suicide.  But people around him didn’t know those signs.  Now they do.

Another campus had a young woman who died by suicide.  She had a diagnosed, serious mental illness.  I believe all family members who have loved ones who live with mental illness should be trained in mental health first aid.  They should know the warning signs of suicide.  Before it’s too late.

I go to college campuses to shed light on mental illness.  I want people to know there is help and there is hope.  Sometimes I get to hear the stories that inspire me and keep me fired up about spreading this message.

I had a college athlete approach me and say, “Ahh…I kinda struggle with this stuff.”  I smiled.  He knew I understood him.  It didn’t take a lot of words to hear the emotional pain in his voice.  His struggle is depression and often times that means a battle with suicidal thoughts.  When he shook my hand and said, “Thank you for sharing your story.”  It was a gift to me that in some small way I spread a little bit of hope.

Then, a few days ago I received an email from a man who had experienced a lot of tradgedy in his life.  He was overwhelmed with grief, depression and was self-medicating with alcohol.  He told me, “Thank you for what you do.  You just might have saved my life.”

I didn’t respond to his email right away.  I was overwhelmed with the responsibility of my work.  On some level I knew how important educating people about mental illness and suicide is.  But on a deeper level grasping the fact that your work can help save someone’s life takes every word I say when I give these talks to a hire level.  But the work is not about me.  It’s about reaching people of all ages, one person at a time, and allowing the gifts, talents and skills I have been blessed with to help other people.

As I’ve become more visible, I’ve received some healthy feedback, mostly positive.  But there are people out there who don’t understand why I would do this work.  Why I would write a book that would highlight some of the most difficult experiences in my life.  I did it and I would do it again.  Because sometimes all some folks need to hear is “you’re not alone in this fight.”

Turns out–a little bit of hope saves lives.  I’m humbled by this work.  I’m honored for this calling.

 

 

Remember – Mental Illness is The Enemy!

Several years ago I received a call from a friend of mine who wanted to tell me she was diagnosed with breast cancer.  It was a rather traumatic diagnosis for her to hear.  Certainly life threatening, but also treatable.  I was impressed with how she dealt with it.  She made cancer her enemy and did everything she could to fight against it.  And you know what?  She beat it.  She is now over 15 years cancer free.

What I’ve learned about mental illness is that it is also life threatening.  From the first time I experienced suicidal thoughts as a sophomore in college to the relentless dogging of “you should just kill yourself” tapes that played in my mind a few years ago.  I learned from the time I was twenty years old that depression was and will continue to be my number one enemy.  It threatens my life and makes me vulnerable at times to the hopeless thoughts that wander aimlessly into my brain.

The difference between cancer and mental illness is that there is a cure for many types of cancer.  There’s no such thing for mental illness of any kind.  Of course there are medications that make it more tolerable, but nothing that takes away all of the symptoms.  It’s a fight.  Sometimes a daily battle and other times an intermittent harsh reality of living with a chronic illness.

If you ask most people if they were afraid of cancer they would say, “yes.”  No one wants to get cancer.  But people are afraid of mental illness for all the wrong reasons.

Many people have no concept of what it’s like to suffer from so much anxiety a person can’t leave their house.  People still believe a person with depression just isn’t trying hard enough and he’s just plain lazy.  Those with bipolar disorder are labeled as trouble makers and moody.  People with schizophrenia – just plain crazy.

When my friend went to the doctor for her breast cancer consultation, I went with her.  As a matter of fact, I jumped on a 2 hour plane flight to go to her doctor appointments with her.  I wanted to show support.  I wanted her to know she wasn’t alone in the fight against her number one enemy.  The disease that was threatening to take her away from all of us much to soon.

This is how we all should rally around those who are struggling with mental illness.  The enemy is not the person who has the illness.  The enemy is the mental illness.  It’s the disease that causes an interference in thinking, emotions and behavior.  It affects the most important organ in our entire body – the brain.

Yet, those who have mental illness are often left to fend for themselves.  Especially when they aren’t fun anymore.  When the struggle is the most difficult and support is truly needed, many are left isolated and alone.  That isolation leads to a worsening of symptoms.  A more complex illness.

I want people to know that my bipolar disorder is a serious life threatening illness.  I manage it well.  But the moment I let my guard down, the minute I miss a day of taking medication, the days I don’t get enough sleep, is when the enemy threatens my life and everything I have worked hard for.  The enemy nearly destroyed me and I’m not going to let that happen again.

I just wish everyone knew mental illness is the enemy.  And if we are not diligent it will continue to steal our loved ones from us in one shape or form or the other.  Sometimes the difference is having a team to fight the illness with us.

The next time your loved one complains of depression symptoms or has a panic attack, offer compassion and a kind word.  Sometimes all it takes is saying, “Are you okay?  How can I help?”

 

I AM Depression…

I’m the fog clouding the pathway of your life journey. Sometimes I come even when the sun shines. I’m eerie and heavy. I make it hard for you to see. I cause deep emotional pain. But I’m invisible to others. Only you know I’m here.

My presence is haunting. I get inside your mind and shout ugly things. I scream, “You’re not worth anything. You’re a failure! You’re lazy.” Then, I sliver up to you when you least expect it and tell you the world would be better off without you. I tell you I’ll make the voices stop, if you’ll just make a deal with me.

Then, you cry. I like it when you cry. I like to see what effect I’m having on you. When you wipe your tears I’m still here. You can’t cry me away. I don’t like other people around you, because they tell you to fight me. I convince you—you’re better off alone.

Alone. I’m the only one who controls you. I love polluting your thoughts. It gives me pleasure to watch you fall deeper into my grasp. My ultimate goal is to fill you up with nothingness. You’ll only be a shell of yourself. People will leave you alone. You won’t be fun anymore. But I will be with you. I won’t let go. Please don’t try to fight me.

You start to whisper a prayer. I hate prayers. Prayers are hopeful. Prayers destroy my power.

You take yourself to the doctor and ask for help. I hate the doctor. The doctor will help you.

You get a pill box and start taking medication. I hate medication. It causes my power to fade.

You make yourself fight me, but I’m a tough opponent. I’m not going away easily.

You start reaching out and talking to others. They know my secrets.

You win the battle. But there will be more. I’m always lurking. Waiting to reappear.

I AM depression.

 

5 Reasons why I don’t like psychiatric medications – but I still take them

Overview

I am guessing you may have heard the reasons why people don’t like to take medications for psychiatric conditions.  It all sounds so easy, “It’s just like taking a blood pressure pill.”  “It’s no different than taking insulin for diabetes.”  Well, the truth is it is very different and there are several reasons why.  Here is the top 5 on my list.

#1 – They make you gain weight

There are few classes of psychiatric medications that do not cause weight gain.  With the exception of some medications for anxiety, almost all the medications for depression, bipolar and schizophrenia cause weight gain.  I managed to gain a slim 80 pounds!  It seemed like every time I was put on a new medication I gained 20 pounds.  I don’t know anyone who likes to gain weight.  But the reality is medications made me feel better and if I have to work at losing weight that’s just the trade off.  It is a valid concern for those of us with a mental illness.

#2 – Some make you feel like a “zombie” from the Walking Dead

Take a blood pressure pill and you rarely have a side effect.  On the other hand, take some high powered psychotropic drugs and you might feel like a zombie.  Usually this side effect goes away in time, but if it does not I encourage people to talk with their doctor to help adjust the medication or the dosage.  No one wants to feel worse and sometimes that is what happens.  Older medications are notorious for causing lethargy, work with your doctor there are many choices that might not make you feel as bad.  Above anything – don’t stop taking your medication without talking with your doctor first.  There can be some serious effects from stopping abruptly.

#3 – The Stigma of Mental Illness

It is the shame and misunderstanding that comes from stigma.  No one wants to feel as if they are not “sane.”  It is about credibility.  Not being different from other people.  We all want a sense of belonging, but not to a group that is discriminated against.  This no longer effects me much but in the past this really bothered me.

#4 – The medical community does not know the long-term effects

Less funding for research means less understanding for the long-term effects of medications.  Especially for a class of drugs called anti-psychotics.  They are used for many off-label conditions and the long-term effects are truly unknown.  What we do know is that people who have schizophrenia live on average 25 years less than other people.  We don’t know if that is related to medications or a number of other factors.  It’s hard to want to continue taking a medication without knowing what it will do to your body.

#5 – Branded products are expensive

The latest greatest products are extremely expensive.  Some drugs can cost $1600 a month making it impossible for people without great insurance to afford the medications that may have less side effects.  Generic drugs don’t cost much at all and some have been shown to be as effective as the newer products.  If you take 3 or 4 prescriptions a month it gets a little pricey.

So these are my top 5 reasons why I don’t like psychiatric medications.  But here is the disclaimer – I still take them because I know without them I can’t live a good life.  They help my symptoms and make it possible for me to live a “normal” life.  Without the medications I don’t know what would happen to me and I am unwilling to take the risk to find out.  But there are a group of people who don’t believe in them, I am not one of them.  Suffering is not worth going without a medication that is going to make you feel better in the long term.  There are trade offs with everything in life.

 

Hope helps depression


I am somewhat amazed that people still believe depression is something we can just “get over.”  Depression is a real, treatable illness that often requires medical attention.

Outside of traditional medicine I have discovered when I could find even a glimmer of hope I could survive for just one more day.  For someone who does not live with bipolar depression or depression it may be hard to understand I am not being dramatic when I talk like this.

As I was thinking about the title for this blog it took me back to a time several years ago when I was experiencing  months of relentless depression and daily battles with suicidal thoughts. I was already very down when my dog of 18 years died.  The grief on top of my long battle with depression made me numb with emotions.

Just when I started to have a breakthrough my other dog died and it set me back into intense emotional pain.  Sometimes when I look back at where I have traveled from it is easy to see why my struggles were so long and challenging.

I have a memory of one day in particular when I was crying in my bed.  My eyes were swollen with tears, my head ached from crying so long and the suicidal thoughts repeated over and over.  I squeezed my eyes closed and opened just a crack.  I saw light shining through the blinds.  It was not a lot but it was a sign I was looking for.  My sliver of light was the hope that things were going to get better and one day I was going to recover.

I have battled depression for years.  I know that finding hope in a seemingly hopeless state of mind is very difficult.  But I also know that surviving depression boils down to toiling one day at a time.

Each and everyday I find myself depressed I search for something that makes me feel hopeful.  I picture the smiles on loved ones faces.  I find hope and inspiration in the little things in life like my cat rolling over on my feet.

And my solid rock is my faith.  When there is no rainbow I know I am watched over even in the midst of the darkest storm.  In this I find gives me hope and a will to survive even the toughest times.

Hope long enough until you can believe that things will get better.

Beating Mental Illness

How do you beat a mental illness?

There are many different ways to overcome a mental illness.  In my view my greatest victory came when I was no longer absorbed with my diagnosis and everything that negatively resulted because of it.

This meant I had many months and years of healing.  I grieved for my losses and gave thanks for all my gains.  But I had to face each one of these challenges, give it a name and work to overcome it.  I delved deep into every emotion I felt.  I challenged myself to be okay with the disappointments.  I gave in to not worrying about changing the past.

I learned every single thing I could about bipolar disorder.  I needed to know my enemy to beat my enemy.  Because I don’t perceive anything positive about having an illness.  I don’t like mania because I lose my good judgment.  I abore depression and can find no positive aspect about living with it.  Unlike some people who believe their illness is a part of them I refuse to embrace it.  I fight for wellness.  I manage bipolar disorder to the point where I rarely have any symptoms.

How do you win?

Winning in life is a personal definition.  We all have our own views as to what that looks like.  When it comes to mental illness I define winning as equivalent to recover.  So if I recover I win!

I have recovered and continue to recover. Each and every experience has moved me closer and closer to living the life I have created for myself.

I wanted to be a mental health advocate and that is what I have become.  I wanted to speak about recovery and I will be giving a keynote speech in November.  I wanted to be more involved in the community and now I am on two non-profit boards.

I am winning because I have chosen to fight.  I deal with the naysayers who want to keep me stuck in a nice and neat bipolar box.  But I refuse to be pigeonholed in that way.  I have broken through to a new frontier where I can finally look at myself and all of my experiences.  Much bigger than only a mental illness diagnosis.

I am winning by putting my life back together.  What was once rich and fulfilling before bipolar disorder has now returned to that level of enjoyment.  Rebuilding life means I am actively engaged in creating my own masterpiece.  I am not allowing others to paint a picture of how they think my life should look.  I truly enjoy beating the odds and defying all the negativity that can come from having a mental illness.

In short here is what it takes to beat mental illness:

#1-Information and education

#2-Providers who will listen and work with you

#3-A fighting spirit

#4- Live authentically

#5-A vision for recovery

#6-A dose of healing potion to deal with the past

#7- Refuse to settle for less than you deserve

You beat mental illness by facing it toe to toe and never giving up the battle.  Fight. “Never give up.  Never give in.  Never never never.” ~Winston Churchill

How does Orange is the New Black handle Mental Illness

If you are a Netflix viewer you may have recently watched Season 4 of Orange is the New Black and could not have missed the storylines with mental illness.  It was not a subtle portrayal.  Mental illness was everywhere.

The character who saves another inmates life was hearing voices and experiencing delusions.  They gave us the back story and she was a person with mental illness who lost her job as a journalist when her mental illness started to get worse.  Loly ends up homeless and eventually arrested for disorderly conduct.  She gets slammed on the ground by two police officers who come upon her because people in an upscale neighborhood were complaining about her being there.  The police throw her on the ground and handcuff her while calling in to dispatch how she may be “drunk” or “psychotic.”  This is how she ends up in prison.  The police officers obviously don’t have crisis intervention training nor mental heath first aid.

By the end of season four Loly gets locked up in the forensic psych unit for allegedly murdering someone.  She starts to scream and cry while the audience is shown someone in the background who is yelling and is restrained forcefully.  Everyone in the prison knows you don’t want to get sent to the “psych unit.”  It does foster a bit of the stereotypical way we view inpatient psychiatric care, then again it is a prison so the psych unit might be portrayed appropriately.

The one thing that bothered me about this scenario was the fact that she had to have a mental illness and be accused of murder.  Everything else was really handled so well.  It is likely that a consequence of untreated severe mental illness can be joblessness and homelessness.  It happens more frequently than we like to believe.  But the murder part I could do without (spoiler alert:  she actually didn’t do it but thinks she did).

Then there was the character Mr. Heely.  He is the inmate counselor who walks into a lake with the intention of taking his own life.  In just the right time he gets a phone call from work and realized Loly’s delusions about saying their was a dead man buried in the garden were actually true.  By the end of the show he is voluntarily admitting himself to inpatient psychiatric care that is actually scripted quite well.  The last season shows him sitting on his bed knitting – minus the knitting needles which they don’t have in a psych unit because people may use those to hurt themselves – the gist is right on the money.

The courage of him taking himself to the psych unit is amazing.  One of the few men on the show and he admits himself for psychiatric care…wow!  This is a little more hard to believe because it is very difficult for males to admit they have a problem let alone seek treatment.  But good for the show creators to lead us in the proper direction of how it should be done.

One of the main characters is called “Crazy Eyes.”  She actually had been doing quite well with her mental health until the last few episodes.  But as the name implies she does have a tendency to get a little “crazy.”  She gets violent after being provoked and beats someone up.  She goes into a “zombie” like trance and then has a horrible accident.  The way the character has been developed you know she is a short fuse away from having some type of tragic accident.  But she is also vulnerable and that point is made very well.

Overall, I would have to give the creators of “Orange is the New Black” an A- in trying to tackle mental illness.  They obviously put a great deal of thought into how to delicately dramatize a person’s fragile mental state.  A significant amount of time was spent teaching us about hallucinations and delusions through a character’s suffering.  I like how they did not shy away from any of it.

I can see how all of it might just be very close to reality.

 

 

 

It’s Time to Ring the Bell

bell

This is a Mental Health Bell:  A Symbol of Hope – which was created in 1953 made of all the chains and shackles from mental asylums in the United States.  The bell is now the symbol of the oldest mental health advocacy group – Mental Health America.

I am a person who lives with bipolar illness and I am also an activist.  I desire to be a part of social change.

There is a movement in the world of mental health awareness.  More people are beginning to come forward and own their illness publicly.  Where you see the most of this happening is with social media.  There are many twitter accounts and blogs of people who live with mental illness advocating for change.  Expressing their viewpoints openly, honestly and courageously.

But what is the change we seek?

I am interested in bringing awareness of mental health conditions and eliminating stigma so people will not feel ashamed to seek help.  I don’t want to feel patronized or discriminated against because I have publicly declared I live with a mental illness.  I chose to share my personal struggle because I wanted to help participate in social change.  I want the young people I talk too to know you can live with a severe mental illness and still be successful.

But I have to tell you even in the places where you would think pure advocates would exists stigma flows well.  There is a term people use to describe those of us who live with a mental illness it is called “consumer.”  I don’t care for consumer because it implies that I am different from everyone else.  It rings with “less than” and sort of implies I am my diagnosis.  But the word is not going away anytime soon.  And neither are prevailing attitudes about people who live with a mental illness.

Change takes time

In 1909 the first Mental Health Advocacy organization was created by a man named Clifford Beers who lived with bipolar illness.  He was hospitalized for three years and was subjected to poor treatment at the hands of his caretakers.  At one point he was placed in a straight jacket for 21 days.  He was also a profound business person on Wallstreet and a Yale graduate.  A year after he was released from the institution he started a movement that helped change lives.

Now is the time

I have discovered that now is my time to ring that bell.  With so many courageous people who have lived before me to show the way on how to become an activist, I am up for the challenge.

The time is now to join the movement.  If you are reading this blog I want to encourage you to get involved in social change.  Join an advocacy group, write a blog, tweet, form a support group, use your voice and ring that bell!

“I decided to stand on my past and look my future in the face.”  ~Clifford Beers, Founder Mental Health America