Tag Archives: mental health

 Unquiet Mind.

Imagine one day your brain is overflowing with ideas, bursting with creativity; you can’t stop the thoughts from coming, faster and faster and faster. You’re exhilarated, you don’t sleep, you see everything with a clarity you didn’t think possible; your brain is on fire with understanding. You’re euphoric, delighted, inspired by life.

And then it isn’t and you aren’t.

Instead you can’t get out of bed. You can’t go to work. You don’t eat or you eat too much. You stop showering. You’re apathetic, possibly suicidal. Nothing matters, nothing is exciting, everything is pointless. You’re tired. You’re done.

That’s life with bi-polar disorder. There’s no in-between.

UnquietMind

Kay Jamison is a clinical psychologist and an expert in the field of mood disorders. She has also suffered from bipolar disorder since early adulthood. A good friend with bipolar disorder asked me to read her book, so that I might understand him and his illness. I’ll confess, the idea of “mania” is seductive to me. As someone who is pretty even-tempered, the idea of going off the rails is tempting. However, the personal and financial fall-out is too scary—and that’s what makes me different from someone suffering from bipolar disorder.

Jamison wrote Unquiet Mind as a memoir, so it doesn’t get too scientific—though she does explain the science behind drugs (some work, some don’t and it seems like all of them deaden) and brain chemistry. But ultimately, it’s her story about years of refusing medication—even while studying it! At one point, instead of finding a therapist, she buys a horse. She racks up piles and piles of bills, is evicted multiple times and yet completes a PhD. It’s a highly personal glance into someone’s very personal struggle.

Do I understand my friend’s illness better now? Maybe?

May is Mental Health Awareness Month, by the way, so it’s a great time to read Unquiet Mind!

suzy

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Take Good Care

“I was kind of a sludgy mud-dweller… everything was really slooooow.” – Neko Case

nekocase

I’ve long admired the talented musician Neko Case, and when she came out last year in interviews as having dealt with major depression, I was deeply moved. What struck me most about these interviews was her honesty, humor, and utter nonchalance while speaking about the illness—depression is not often talked about this openly by public figures. And yet, according to the National Council for Behavioral Health, nearly 7% of the North American population experiences depression in any given year. I have been one of those people.

After attending a training entitled Mental Health First Aid a couple weeks ago I was reminded of the stigma and shame attached to mental and mood disorders—illnesses that people often have no more control over than say, epilepsy or diabetes. I’ve always been pretty hesitant to talk about my own experiences with dysthymia (chronic depression) for this very reason, but I’ve made it a goal of mine to be more open about it from now on. I think it’s important that other people feel they’re not alone, and also that they’re aware of resources for getting help. We all need a little help sometimes.

I’ve compiled a few helpful resources here for those dealing with a mental or mood disorder (with a focus on the under- or uninsured), or for the loved ones of those who are struggling.


 

re:solve Crisis Network: 1-888-7 YOU CAN (1-888-796-8226) — This 24-hour hotline is staffed by mental health professionals who can assist callers in avoiding a mental health crisis. They can also direct callers towards in-person care.

Allegheny County Mental Health Services:  Allegheny County Information, Referral and Emergency Services (IRES) (412) 350-4457 — This number is also answered 24 hours a day /7 days a week and puts you in contact with an Allegheny County staff member who can provide information, find someone to provide ongoing help, or help you arrange involuntary examination and treatment when needed.

Allegheny County Peer Support Warmline: 1-866-661-9276 — This hotline provides supportive listening, problem solving, resource sharing and peer support for mental health service users or anyone else 18 and older.

Anonymous Mental Health Screening for In/Active Members of the Military: This service is designed specifically for members of the armed forces. These free, self-administered, online screenings can help determine if behaviors related to mood or anxiety levels might be related to a mental health concern and/or indicate that a professional consultation could be helpful.

Birmingham Free Clinic: Basic primary care, blood pressure and blood glucose screening, smoking cessation, and physicals are provided. Mental health assessment and counseling by appointment only for existing patients. Provides free health care to uninsured Latino patients on Saturdays.

Mental Health America – Allegheny County: A comprehensive list of services available to residents of Allegheny County. The “Where to Call Guide” is especially helpful.

NAMI Family-to-Family Education Program: A free 12-week course for family caregivers of individuals with severe mental illnesses that discusses the clinical treatment of these illnesses and teaches the knowledge and skills that family members need to cope more effectively. NAMI De Familia a Familia, Contact Alby 412-244-3142 or Jorge 412-788-4582.

Pittsburgh Action Against Rape: PAAR offers English and Spanish language counseling for victims of sexual violence. Additional services offered include preventative education and mental health counseling for both adults and children. Offices are on the South Side at 81 S. 19th Street. Contact Teresa Otoya-McAdams 412-431-5665 or teresao@paar.net.

Psychology Clinic: Duquesne University has a free clinic that requires no insurance or personal documentation. There is no limit to the number of sessions a person can have. Family members are welcome. It does not have addiction and substance abuse services.


 

One good thing that has come out of my own (ongoing) experiences with depression—I’ve realized that mental and mood disorders can happen to almost anyone, and I need to give people the benefit of the doubt and be gentle when they’re having a hard time.

So be kind to your fellow travelers and take good care,

Tara

PS – Bonus resource: the Mental Health Channel has a series called The Inside Story that profiles people who “reveal their mental health diagnoses and their paths to overcome them.” It’s terrific!

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Hitting All the Keyes

I am a huge fan of Marian Keyes. She’s an Irish writer who early in her successful career wrote humorous books about the lives and loves of Dublin-based career women, interested in fashion and popular culture. Keyes was unfortunately pigeon-holed in the fiction category of chick lit, “a genre concentrating on young working women and their emotional lives.” The reviews of her novels often refer to her “quirky characters,” droll dialog, wordplay, and madcap antics, but her books are so, so much more.

Although she has also written eight stand-alone novels–the best of these being This Charming Man–Keyes has a terrific extended series, begun in 1995, about the five Walsh sisters of Dublin. What is especially engaging about Keyes’s books is that there is usually a problem or issue at the core of the story that said “chick” confronts. Despite the serious themes, Keyes’s realistic approach to life is often reflected in downright funny scenes and glib conversations. The empathy this style engenders draws the reader in and doesn’t let go. You not only care about these characters but you feel personally invested in their arriving at a successful outcome, though not necessarily a “happy” ending. The Walsh Sisters series includes:

watermelon  Watermelon. Clair Walsh is abandoned by her husband in the maternity ward as she is giving birth to their first child. So she goes home to her dysfunctional family in Dublin to try to start over.

Rachel’s Holiday. When Rachel Walsh’s family stages an intervention for her serious recreational drug use, Rachel agrees to rachelsholidayenter rehab at the Cloisters, an exclusive treatment center. Rachel finds she is not on a “holiday” at a posh retreat but rather a true rehabilitative respite where she must confront her addictions.

angelsAngels. Maggie Walsh discovers her husband is unfaithful and she’s about to lose a job she loves, so she runs away to Hollywood to visit her best friend…and soon discovers that this may be the place she’s meant to be.

Anybody Out There. Anna Walsh’s PR career in New York unravels when tragedy strikes, and she seeks solace from her family outtherein Dublin while trying to find answers to a devastating loss.

The most recent in this series was published this past April in the U.S. It’s called The Mystery of Mercy Close. More about it in a bit…

As an obsessive-compulsive reader, I keep a calendar each year to track when my favorite author’s new books are expected to be released. Patricia Cornwell is late fall, Harlan Coben is spring, Mary Balogh is late summer, Elin Hilderbrand and Elizabeth Lowell are both early summer, etc.

Keyes wrote The Brightest Star in the Sky in 2010. When her next book didn’t show up in 2011, I thought, check again in six months. When I searched again, there was still nothing. I was vaguely aware that the author’s personal encounters with addiction and depression contributed to the autobiographical nature of some of her plots; Being the good librarian that I am, I Googled Keyes and located her personal website. There I found Marian’s newsletter, where she was painfully recounting her most recent depression and the accompanying writers’ block. It saddened me greatly that she was suffering so when she was responsible for so many funny and profound insights in her clever, poignant stories.

So I continued to check on her from time to time and gratefully watched her begin to show signs of joy in life again. Last summer she published a cookbook, Saved By Cake: Over 80 Ways to Bake Yourself Happy. In the preface she describes the onset in 2009 of this dark mood while she was publicizing Brightest Star. She writes:

But I didn’t feel depressed; what I felt was very, very afraid. I felt like I’d been poisoned, like my brain had been poisoned. I felt like there had been an avalanche in my head and I’d been shunted along by some awful force, to some strange place, off the map, where there was nothing I recognized and no one familiar. I was totally lost.

Keyes considered suicide, and was beyond the reach of her loved ones. Then the simple act of baking a birthday cake for a friend provided a focus: identify a recipe, gather the ingredients, follow the directions, and voila. The science of baking, the trial and error, the eating and the giving of cake–and cupcakes and cookies–supplied the delicious “magic” she needed to go on. To that, all I can say is, thank heavens!

If you don’t know this part of Keyes’s personal story, you will not fully grasp the depth and realism of the last Walsh sister’s struggle.  Helen, the youngest of Mammie Walsh’s daughters, fights her own demons in The Mystery of Mercy Close. Helen has lost her income and her apartment. Hard economic times in Ireland have impacted her lucrative job as a private investigator. As a dark mood descends on her, Helen is hired by an ex-boyfriend to locate a suddenly missing member of a ’90s Irish boy band, The Laddz, who are just about to stage a big comeback. The systematic process of the search for Wayne Diffney provides Helen with the focus she needs to climb her way back and reclaim her own life.

If you know, or have known, someone in your life who has struggled with mental illness, and you have been frustrated and saddened by what they are going through, and you just want to shake your fist at them and say, “Can’t you just get over it?,” you will have a deeper understanding of why that’s not so simple by reading this story. And you will see how it is hope–whether it’s for solving a mystery, baking a great cake, or finding the reason for just getting on to what is next–can make life worth living. Marian Keyes’s deeply personal story in The Mystery of Mercy Close is moving, funny, and well worth reading. And yes, it is about the emotional life and loves of a career girl, steeped in popular culture. But “chick lit” it is not; it is much more.

Be well, Marian. Your voice is important.

–Sheila

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