From Facebook - Depression is a flaw in Chemistry - The Stigmas of Suffering

"I slept and dreamt that life was joy. I awoke and saw that life was service. I acted and behold, service was joy.”

~Rabindranath Tagore

Mental illness is tied intimately to suffering.  This is because we live  through our minds and our thoughts. It is one of our most important tools. It is our interface to everything that we experience. It is the battlefield of suffering. It is the veritable, "ground-zero", if you will. It is the epicenter of the struggle for those with a mental illness.

This battle begins with your strongest weapon broken. From the beginning there is a problem something is broken. Why it is broken, really does not matter. Sometimes broken is just simply broken. It is not a moral matter. There is something far more basic and fundamentally practical about the situation. It is something that has to be dealt with no matter why.

The flaws that you that you see may not be motivating the odd behaviors and thoughts. It won't help you put into context what you may see and hear from that person. Research suggests there is usually a lot to it. It is a disease of the mind, body and spirit. There are many things that seem to contribute to what is going on.

It seems that chemistry, genes, and social factors are all likely contributors to the list. Truthfully, in many cases I don't think we really know many of the reasons why. Many of the providers of care are pretty removed from the lives of the people who need the care. It is very hard to provide comprehensive care for people out in the community. While we have some institutional care, we need more care where the people are. Out in the actual community, and not held up and controlled in the institutions. We are not reaching people. If we spent more time out in the community with these people and got to know more about them we would learn more about the real reasons why that people are sick. Maybe then we can head some of the problems off at the pass. It would probably be more cost effective too. Institutions are expensive. Although I will acknowledge some that there are some truly, incredibly talented, and motivated people in some of those institutions.

So while you may find it easy to blame a character flaw; it really has not been easy to find out why people have mental illness. For some people, their level of sickness, some seem to have no reasonable explanations at all. I deal with some of those people. Some are just more sick than we can explain. Perhaps the simple explanation is that life is very hard.

We have come into this world, equipped with the hand we were dealt with. It is all that we can bring to bear. It is what we can use to contend with what gets thrown at us. No matter if we are strong in one, many or few areas of life. We must still try to deal with it all. Because of this  pressure on everyone seems to be intense. If we are wise, we can try to remain conscience and hopefully sane while doing so. The choices we make about how humbly and bravely we face our life, -- that defines our character. Consider this, we are all frail beings. There are many more powerful animals out there.  Yet we have adapted, improvised and overcome most of this planet. There is hope. The same can also be said for mental illness. You can do a lot to adapt, improvise, and overcome. It takes someone of character do anything in this life.

Whether or not someone has a mental illness or cancer, either fight for them or at least get out of their way. The greatest moral and spiritual truth, practice, and social philosophy that I have come to realize is -- don't be a jerk".

I encourage you to this resolve because; you know what your own suffering is like. How much do you really need to know about anyone else's life, to know that it probably sucks for them too? If you know pain sucks for you, then you understand it can for them too right? Don't we all seek hope that things will be okay? This makes us all common. This can and should be the basis for our common pursuit of character.

Finding character can actually happen from having a mental illness. It grants a series of collegiate tests of the spirit and soul. Actually I am finding it to be one of the most important parts of my life's curriculum. It has taught me most of what I consider to be worth knowing. Going out of my mind has been the sanest thing that I have ever done.

I wish you wellness always. Though, if you feel that mental illness is a flawed character, that I take issue with that belief. Mental illness is just that, an illness and not a flaw  Find your path. Don't be a jerk. If you can't help an other find their path, then for your own sake, don't get in their way. Hopefully someone won't get in yours. While life is not easy, mental illness is a not character flaw!

If You Label Me, You Negate Me – A Dialogue On The Labels That Are Used About Mental Illnesses

Introduction

I consider myself to be very fortunate. I get to have dialogues with people on a wide range of topics. one of the topics that I am most passionate about his recovery from mental illness. To that effect, I participate in many discussion groups on the Internet. LinkedIn is one such resource for me. From time to time, I post my responses to others on my blog as articles.

The post that I responded to, unedited

"I haven't seen that particular documentary, Bill, but will check it out. Treatment models in other countries were noted throughout this thread. Some good DVDs to check out are "Healing Homes: An Alternative Swedish Model for Healing Psychosis", "Open Dialogue: An Alternative Finnish Approach to Healing Psychosis", "Crazy for Life" and "Take These Broken Wings". Working to Recovery offers 2 excellent DVDs, "How to Start and Run a Hearing Voices Group" and "Talking with Voices: An Introduction to Voice Dialogue". We hope to bring Ron Coleman and his wife, Wales, UK, who are now researchers in the field, to Wisconsin this coming spring to help teach voice dialoguing to people with lived experience and their clinicians about this effective model of healing for people with psychotic disorders.

Bi-Polar Bear (Photo credit: oxygeon)

I have found that the language we use also lends itself to supporting or dispelling the social stigma around mental illness/substance use disorders. If I may gently point out, you state "I am Bi-Polar". May I suggest that you are NOT your illness. You have Bi-Polar. As a NAMI Connections state trainer, we teach our facilitators that people are not their disorders and we no longer go around and identify each other by our disorders when opening Connection support group meetings. We are so much more than our disorders. I am joyous that you have found a recovery path that works for you. Each individual can do so and we need to foster and support that hope."

My response verbatim - Name Redacted

As always you are a great resource. I find it very interesting to hear the perspectives from other countries. I'll have to check these out.

I don't doubt the labels can and do reinforce social beliefs, including stigma. To reinforce this point, the Dutch theologian Kierkegaard says, "if you label me you negate me". I look at diagnoses is terms that are useful to describe a general predicament. Each pilgrim has there own path up the mountain. Everyone with the mental illness has to find their path to recovery. In my case, I'm grateful for my predicament. I have never encountered anything more instructive. It has led me to a greater understanding of compassion and hope. It has been beneficial in helping to support others. It's that lived experience that we talk about in peer support.

Words themselves have great limitations. For instance, the word moon, is not actually the moon. It is more like a finger pointing at the moon. As far as not being my illness, I suppose that means that I'm not a "graduate" of a masters program (2 of them actually), am not a father, or any other term that we might classify ourselves with. Again, these are merely labels.

The real substance of these labels does not encapsulate me or anyone else. It's interesting though when we

Veronica538 at work as truckdriver (Photo credit: Wikipedia)

ask people in our society what they do for a living they tend to make statements about their jobs as who they are. For instance, A person could drive a truck. How many hours a day are you a truck driver? Are you always a truck driver? At night when you lay in bed are you a sleeper as compared to a truck driver?

I am not disputing what you have to say in any way. As a matter fact I am a great believer that people should understand these terms as a general description of a circumstance. We still call people with cancer, cancer patients. But it is far from inclusive of their whole being.

I would encourage you to look at the body of my work on my blog. I try to be pretty clear in my writing and work with others that they are more than a diagnosis. These issues are more like facets on a diamond, part of the whole. I hope to continue to be able to grow in my ability to not use labels as time goes on.

When I sit next to the bed of someone who has tried to kill themselves I don't look at them as a diagnosis but instead as a human being. I don't try to tell them that I know better about their lives than they do. Most of the people that they've encountered in the mental health system have already tried that. Instead, I feel the most humane thing that can be done in these circumstances is to merely hold their hand and cry with them. In this context, I am a "friend".

So frankly, I am truly grateful for my predicament and could care less if you call me bipolar, Bill or any other label. I do realize though that for some people these terms are a great burden. So again, I would encourage you to read my work. It would be wonderful to get your feedback in areas that I can grow in. I think however that I support what you say entirely. It's just a shame that we do not have more elegant expressions.

I spend most of my life working with various professionals, doctors, lawyers, judges, and my peers (all labels by the way) to teach them to see beyond these terms. To everyone of them I suggest that a person is more than one aspect of their being. I encouraged them all to see people as people no matter the diagnosis.

I was a founding member of the Painting Pathways Clubhouse. I love the term that we use, "colleagues". But again it still a label. It just happens to be a more palatable label than mentally ill. At the clubhouse I have seen many miracles. For a group of people who were supposedly dysfunctional, I have seen us come together as a community and do things that supposedly other "normal people" can't do. Thank you for your continued work. I appreciate you.

With A Little Help From Your Friends - Peer Supported Respite

Institute of Mental Health 6, Nov 06 (Photo credit: Wikipedia)

 Introduction

"What is clear from the results is that these patients could do as well or better in a less restrictive environment," said Tom Greenfield

There is an increasing mental health crisis around the entire world. With worldwide financial resources quickly eroding many countries are running out of the ability to care for those with a mental illness. Due to this, we need to re-evaluate our practices and systems of treatment. Hospitalization, medications, and cognitive therapy may not be enough to promote psychological growth.

Logo of the National Institute of Mental Health. (Photo credit: Wikipedia)

From research done by the State Of Massachusetts, the National Institute of Mental Health, the Substance Abuse and Mental Health Services Administration shows that there is hope for increasing mental health and reduce many of the higher costs of services and treatment. Further there are articles in the American Journal of Community Psychology that cover this research extensively.

The goal is to provide a more prophylactic treatment protocol through the use of services such as peer supported respite centers. Peer supported respite centers are residential, pre-crisis and crisis facilities that are staffed by certified professional peer support specialists. According to one study from Massachusetts peer supported respite is not only cost effective but is more likely to lead to psychological growth.

Institute of Mental Health 4, Nov 06 (Photo credit: Wikipedia)

A different and less threatening environment

Respite care is different from traditional inpatient hospitalization. Most respite centers are not locked down wards. The average stay at a peer supported respite center may be longer in duration than hospitalization. This is largely possible due to lower total cost of care that consumers receive.  

The longer duration of inpatient care offers opportunities to build skills in self-advocacy, establishing good support networks, and how to deal with crisis in a safe and effective manner. These centers also allow for more time to adjust to changes in medication. This significantly helps with the side effects and allows for emotional support until therapeutic benefits are realized.

Experienced staffing

These facilities are generally staffed by professionals who have been diagnosed with mental illnesses. These people have very practical experience dealing with mental illness and recovery. They have what is referred to as, “lived experience” and have reached a meaningful level of recovery themselves. This enables them to provide very individualized care and treatment plans. Often these practitioners work closely with human service organizations and other peer supported services in the community. These relationships help to establish long term stability and to overcome problems like housing which can be a significant problem.

Respite care and the criminal justice system
Peer supported care is being looked at more often as a resource for alternative sentencing agreements for those who are involved in the criminal court process. The desired outcomes of this would be to reduce re-entry into the system, increase compliance, and reduce the cost of administering these cases. According to the federal government 61% of inmates have a significant mental illness. Often these people are not receiving adequate care even within traditional systems of mental health. It would seem that financial resources are a major contributing factor. One department of corrections director told me that to get any real change in caring for those with mental illness is to sue them. They have repeatedly asked for money to deal with the increased populations that they are mandated to treat. This problem is extended when inmates are released under community supervision.

If you consider the benefits and outcomes from peer supported respite, it is easy to come to the conclusion that a community based respite center can bring both financial and emotional relief. I encourage the leaders of our communities, counties, and states to take a serious look at this option. If we build stronger Americans, we build a stronger America. Respite centers may offer a significant resource in accomplishing that goal.

Alas Poor Vince I Knew Him Well - Suicide of A Kind Soul

Suffering (Photo credit: Mockney Rebel)

Last week, one of the people that I have been privileged to work with found that life was too difficult to bear. It would seem that he had no self-preservation instinct left at all. I know this place all to well. I have been there too. The difference between Vince and myself is that I got caught.

This man may have been one of the most kind and gentle souls that I have ever known. He lived in absolute terror for many years. He had the overwhelming feeling and belief that people were watching him and out to get him. Unfortunately many of the people who were supposed to be looking out for him fell short of their responsibility. I say this because I have heard comments from other practitioners who did not accept that he had strong paranoid beliefs. I’m not writing this to condemn them. I am however suggesting that it is very easy for us to discredit the feelings and symptoms of those people that we work with. I think that this is somewhat understandable with the enormous caseloads and limited resources that many of us have to help others.

It’s very likely that in this case his kind and gentle demeanor worked against him. It simply amazed me that anybody who was so kind and gracious could believe that people were out to get him. We talked often. I never doubted that he was scared. I never doubted that he was troubled. We walked side-by-side, hand-in-hand, together for a while.. On a daily basis I saw how much fear this man went through. It may sound odd, but I don’t mourn his death. Death comes to us all. What I do mourn is his suffering. Perhaps this is because suffering is something that almost everybody can identify with.

The Buddha suggests that all of life can offer the substance of suffering. Life involves suffering. Death involves suffering. Sickness involves suffering. Getting what you want involves suffering. Getting what you don’t want involves suffering, the more we struggle to hold on to everything, the more we suffer. Life is a process of constant change and continued losses.

We do not ultimately become happy because of that car, that girl, that job, or any other external factor. When we cannot see anything but incomprehensible fear, none of these things can have a lasting positive impact. All of these things will feel like a loss in time. This is particularly true in the case of people who have mental illnesses. Unless you have lived in this space you may not truly be able to understand. I don’t believe anyone wishes to have a life comprised of a repressive mind. Perhaps this is why I am not trying to impeach the practitioners that he worked with. It can be very difficult to identify with the details and the symptoms unless we can make a comparison to our own suffering. How can we clearly look at someone who has a mental illness? What factors occlude our views of others?

I think there’s a trap that we set for ourselves when we work with others. Do we see those  that we work with as people? Can we recognize their humanity, or do we see them as a collection of symptoms? Do we see them as a diagnosis? Without the recognition of their humanity you cannot make a lasting impact on somebody’s life. Unfortunately, the way that these cases are delivered to us are via a diagnosis and symptoms. These diagnoses indicate certain protocols. It would seem that there is a one-sized, fits all, application of treatment. This does not work well in an environment where each individual has their own set of challenges.

Each of us, has our own path up the mountain. Due to this, I would like to challenge those who work with those who suffer to see each person in a holistic light. Strive to not see them as just a diagnosis. Strive to see the diagnosis as a description, a general description, of a predicament. When we look at our treatment protocols, we have to consider the whole person in order to help them. We have to look beyond the newest fads in treatments. Instead we should look at working with people as other craftsmen look at their trade. A master craftsman looks at his projects to find their hidden potential and selects his tools carefully to affect that outcome. I would like to urge all of us to look at people in this way. Hopefully, we will become ever more experienced at creatively meeting the needs  of others.

For me Vince will have a lasting legacy. He is such an excellent example of a compassionate soul that he has taught me a lot. These lessons have been incorporated into my set of tools. With each individual that I meet, I seek that hidden potential. Perhaps the example that he set with his gentle and kind manner can lead me to better understand those around me. I am certain that it will help me to continue to look at people with compassion and hope. I am confident that through his example I can increase my ability to be a servant to those around me.

Vince, I want to thank you for all that you’ve taught me and the confidence that you put in me. To gladden the mind we need to consider things a virtue. Without a doubt, my time with you, and my experiences of you, are full of virtue. With your passing, I will celebrate your life in the best way that I can. You will be with me always.

Western Vs Alternative & Complimentary Medicine - How to Decide?

The original advisory opinion was requested by the World Health Organization in 1993. (Photo credit: Wikipedia)

What is wellness?

According to the World Health Organization wellness, "is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity." This is not a measurement you are likely to nail down in one neat package. So figuring out what systems of medicine to use is a hard choice if you only consider one way of looking at it.

Each System Produces Data

In 2005 there was an article about the correlation between Chiropractic care and the levels of serum thiol. Serum thiol is a tool that is used to measure your body's ability to heal its own DNA. Although this test is not completely inclusive it does give a good estimate of the overall potential for wellness. It does not actually indicate wellness. The research compared the clinical result of the thiol with ratings of wellness as a result of chiropractic care. In general the relationship between high levels of thiol in the serum correlated to high levels of wellness as it was perceived by the patients. What is it that the data really tells us?

While this paper does show a strong connection between these tests it is only anecdotal. This can only show an anecdotal relationship because the data does not really have a one-to-one relationship. The data is not the same type of measurement and therefore cannot speak directly to the relationship between the two. It does show statistically how often levels occur high on both tests. If these levels are both high at the same time we know that they are likely to indicate wellness. This is a lot like testing soil. When the chemistry is right, there is an environment that is conducive to getting healthy plants. It does not guaranty healthy plants however.

A Difference In Perspective

It is hard to find a common perspective for tests measuring clinical levels of a substance to a subjective rating of wellness. It starts to become clear that finding wellness for ourselves is a life-long process of learning. We have to consider our condition and what various systems of medicine provide us to individually address our wellness. We must look at a number of factors which may include trial and error to figure it out. We can compare systems of medicine based on the outcomes in overall wellness. There are challenges to understanding what tools may be best for us.

What makes comparing systems of medicine so hard is often how the systems see things. Some systems of medicine were developed to manage the disease and infirmity in us. In many ways these systems are effective at stabilizing and managing these diseases. Westernized Medicine has been busy over the years developing tools to detect disease. It is not surprising to learn that tests used to detect disease are not particularly effective at testing wellness. The definition of wellness contains not only the lack of disease, but a more completely harmonious state of being. These systems are helpful to alleviate disease in many cases. That certainly contributes to wellness. At lease most of the time.

When A Medicine System Is Not Helpful

There are definite times when these medicines decrease wellness. It would not be helpful to take a medicine that introduced an overall drop in wellness. Sometimes this drop may be due to undesirable side-effects. At other times wellness would not be present without the medicines. We have to understand how to evaluate things based on our needs. There is more than even how our bodies feel to consider.

Social scientists have also looked to apply metrics to wellness with much the same result. In the desire to cure mental disease traditional medical treatment indicated medication to both stabilize and manage the disease. Again this does not measure wellness. It measures how often a person has undesirable mental conditions and what medications are likely to change that state of being. It only addresses chemistry based on diagnosis of disease. Since it only considers one part of a person's illness it can be considered myopic in its approach. It is in many cases an important factor in care but not a complete solution.

A Balanced Approach

The study of peer supported care systems has shown that they support wellness and recovery from mental illness. This data showed that wellness was not limited to any specific facet of their lives. It seems to be better at managing manifestation of disease than medication or therapy alone. Again, for some people medication is an important part of care. So it would be a poor choice to use one and not consider the other.

What systems will you choose?

Comparing Westernized Medicine and Alternative and Complimentary Medicine can be a daunting task. The data that is produced from the process of studying them is different. To understand the dynamics of these choices we may consider things like the serum thiol. We can now collect a list of things that work most of the time. This can give us a great place to start. We must begin use other tools to narrow in on the solution that is right for us. Look for the markers that indicate your wellness and combine those in to what systems of medicine you choose. This will promote your health and well-being. It is at this point that you can decide, Western vs Alternative Medicine.

The Role of Peer Support In Mental Illness Recovery

Rethink Mental Illness (Photo credit: Wikipedia)

It is safe to say the dominant concerns of mental health institutions are to stabilize and manage the effects of mental illness. Less attention is brought to bear on actual recovery. There is a growing body of evidence that supports Peer Support Specialists as an effective tool for helping people find recovery. There is enough evidence that Medicare and most Medicaid programs accept billing from certified Peer Support Specialists. There are a growing number of private insurance companies that are accepting billings too. The ones who aren't accepting billings seem to be studying the dynamics of it. It seems foreign to many of us to think of mental health as something that you have a chance of recovery from.

Carl Rogers was a professor and researcher in psychology. He was distinguished enough in his achievements in mental health that the American Psychological Association gave him an award. His research showed that if you build the person behind the disease you heal the whole person. He noted that for this to work you had to have a very open view of someone. Many therapists could not practice at that level so it is not used much. It seems that people who have recovered from a mental illness can adopt this mindset easily. These people can see the person behind the disease. It offers hope when someone truly understands the challenges you face. The Buddhists suggest that we heal with our presence. Where we offer peace, here is peace. Where we offer healing, there healing is also. We do effect the people around us. Peer Support Specialists impact their consumers in a meaningful way.

So what is a Peer Support Specialist? A Peer Support Specialist is a person who has made significant progress in their own recovery. They are people who are generally interested in the wellness of others. These people are dedicated and seek certification by their state to bill and practice as a Peer Support Specialist. Peer Support Specialists have practical experience in building support for lives challenged by mental illness. They have done it themselves and often know the best local resources. They will know where to help you look for help and know how to speak the language of those sources. Many of them have worked with the agencies for their own needs and have built many good contacts.

Peer Support Specialists work at all levels in the system for example, the CMHS National GAINS Center for Systemic Change for Justice-Involved Persons with Mental Illness is highly supportive of what they call Forensic Peer Support. This is peer support for those with mental illness involved in the criminal justice systems. Some Peer Support Specialists work directly for insurance companies. Some county mental health systems are also using Peer Support Specialists to help in times of shrinking resources and it seems to be working. These individuals, working as a part of a team of practitioners are making a big contribution in the lives of others.

If you are looking to become a certified Peer Support Specialist the Depression and Bipolar Support Alliance is a good place to start. They have excellent information listed on their web site. They are also a good resource for information if you are looking to contact peer support too.

If you are recovering and not yet sure that you wish to become a Peer Support Specialist that is okay. When you are ready it is rewarding experience to invest yourself in someone's recovery. To those Peer Support Specialists, agencies, and people effected by mental illness, keep up the good work. It is never to late to begin recovery.

Alternative Medicine In America

Journal of Alternative and Complementary Medicine (Photo credit: Wikipedia)

Americans Use Less Alternative Medicine Than Other Countries

World-wide the amount of people who use some form of complementary and alternative medicine, or CAM, is estimated to be 65% to 80%. This translates roughly into 3 billion individuals who use systems of medicine other than the model we are most familiar with here in the United States. In our country the use of alternative medicine is estimated to be about 36%.  The typical American person will use these therapies in addition to our westernized system of medicine.


To change the balance of how much CAM and regular medicine we have to change certain aspects of both our culture and system of care. In the past our doctors were trained around treating symptoms and disease in a reactionary model. Certain conditions indicated specific intervention. Then our doctors started to focus more preventative care. This was reinforced by research that showed that perhaps we could take a slightly longer view on medical care. At this point there was still a large reliance on intervention with medicines or procedures. 

Western Medicine vs. Alternative Medicine

Logo of the United States National Center for Complementary and Alternative Medicine , part of the National Institutes of Health. (Photo credit: Wikipedia)

This system of medicine has made some wonderful strides. During the process it evolved into an 

institution where often the most humble and human qualities were ignored. This is in contrast to many alternative systems of medicine. Much of the philosophy behind these systems strive to seek a balance in all of life. Physical, mental, and spiritual factors must be addressed to have complete wellness in life. 

Alternative Medicine Acceptance Grows

Our growth as a society has begun to really change both individual acceptance of alternative 

medicine and that of the medical community. Approximately one-third of all American schools of medicine offer classes in alternative medicine.  Some of the schools that are included in this list are Harvard, Yale, John’s Hopkins, and Georgetown University. This new found acceptance has spread to encourage some alternative medicine coverage by insurance companies. A recent comment from insurance carrier Mutual of Omaha said that it saves about $6.50 in covering alternative medicine. 

Image by Sprengben  via Flickr

While alternative medicine in our society is less prolific than in other parts of the world it is growing. Support for this has come from a new trend being considered by our institutions that are charged with overseeing and paying for medical care. This consideration is called “Evidence Based Medicine”. Simply if the research shows that something works, use it. This is true even if it may not come from your tool chest. With continued research into the efficacy of alternative medicine the percent of Americans that use it will grow quickly.

Positive Psychology - A Consumer's Story - Todd Mueller

This story is part of an ongoing series about people who have mental illness and are beginning to find or have found a meaningful level of recovery. I think it’s good to hear the experiences of others who are dealing with their own mental illnesses. We can use these to help us accept ourselves and identify our issues in a tender and loving way. Todd is a wonderful man and has made some great strides in his life. I would expect this to continue as he becomes more involved in the clubhouse where he is a member.

Hello My Name Is Todd Mueller And This Is My Story

I had a normal childhood. I had excellent scores in grade school. But high school was a different story. I started going to parties when I was 15 and continued until I was 23. I turned 18 in my senior year and was able to go to bars. When I graduated in 1977, jobs were plentiful. I started working at Manitowoc Ice.when I turned 23 I met my wife Ronnie and was married in 1985.

My misery started in 1999 with backaches. I tried Vicodin and it didn’t help. I was sent to Green Bay and put on an old antidepressant called amitriptyline. It worked. I saw many doctors and made many trips to to clinics and hospitals including the Marshfield clinic. From the numerous MRIs, CT scans and a spinal tap, the doctors diagnosed me as having migraines. My migraines happen on a daily basis so I stayed in the dark as much as I could.

You can’t imagine the suffering I had. The physical illnesses were constantly rolling around in my head. Finally I started to realize something else was wrong. Mental illness. Finally the clinic in Two Rivers talked to me about seeing a psychiatrist. The psychiatrist was in the Manitowoc. She said I had anxiety, and gave me some medication samples and sent me on my way. The second time I saw her was in the waiting room and I was crying. The next week I committed myself to holy family mental health unit with a nervous breakdown. I stayed in there for six days. I met a psychiatrist there. That was 1999. He worked with me until 2002 and said he could not help me anymore and that I should go to Green Bay. That is when I quit my job. I could function no more.

Todd Mueller -Photo Credit William Ehrendreich

I found a psychiatrist in Green Bay and the first thing he said after looking at me is you need to get on disability. He interviewed me for two hours. Diagnosis: severe bipolar mixed type I and type II and also an anxiety disorder. After two tries and a lawyer I got my disability. My psychiatrist and I continue to work on combinations of medications that helped me for about three years. I had faith in him. We finally came up with a combination of medications that help me. We worked together when I needed adjustments or am depressed or stressed out. I sometimes have suicidal thoughts. The migraines were resolved by a knowledgeable neurologist with a daily medication which I still take today. In approximately 2005 I started to drink in bars again. This put a big strain on my marriage. Finally I quit in drinking entirely in 2010. I have not had a beer since.

I started seeing the new therapist in 2012. She found painting pathways clubhouse on the Internet. She printed it out and I decided to give it a try. I was impressed. I became a member a week later. I now know other people who have mental illnesses and could speak to them freely about it. I’m learning to build self-confidence. I’m getting a sense of being somebody. People take me as I am and I can trust them. I even laugh once in awhile. This is because I’m happy to be here! I try to stay busy and take short breaks in between my projects. Just like my recovery, there will be baby steps.

I tried to take a large leap a few weeks ago but just went backwards for about three days. The staff members told me to take it easy but I did not listen. I think I now know better. From now on I will take their advice in consideration. This is also a part of my recovery.

My psychiatrist does not want me working right now because I can’t take the stress he’s afraid I will go backwards and then Roni, my wife, gets the brunt of my stress.I look at painting pathways as a means to get success. I am learning to navigate on the computers. I’m learning new ways to meet people. I’m helping others and I am volunteering. I have a feeling of usefulness. When I came here I was afraid of starting a conversation and now I’ve overcome that. I will talk to anyone who just like a conversation or to help guide them to where they want to go. I would like to thank my wife for sticking with me through the difficult times then, now, and in the future.

I think I see a pattern that is beginning to to develop. A loving and accepting community helps to build the confidence and compassion that a person needs to renovate their lives. If you have a mental illness and are struggling with it, I would urge you to seek out recovery-based organizations and practices. Soon perhaps, you too will be able to create your own positive psychology story. Soon, you’ll be able to celebrate your own success and him recovery.

Bipolar Disorder In Children

What Is Bipolar Disorder?

According to the National Institute Of Mental Health (NIMH) Bipolar Disorder is a serious mental illness that can affect the brain. While less diagnosed, Bipolar Disorder in children can have as much impact as adults with Bipolar Disorder. In the past Bipolar Disorder was known as manic-depression. The term manic-depression is less used today. In basic terms a Bipolar person experiences cycles of unusually intense emotional states. These emotional states are typically seen as periods of either intense high or low emotions. These states of mind and emotion are distinctive.

From time to time we all may feel depression. For individuals with Bipolar Disorder, the depressive phase tends to be extreme. This depression if often incapacitating. This may lead to prolonged or frequent absences from work, school, or other important responsibilities. Bipolar depression may impact personal hygiene and physical wellness. Bipolar Disorder in children has been linked to poor school attendance, behavioral problems, and academic failure. 

As we can see the depressive phase can have significant impact. Bipolar mania may be just as troublesome. Bipolar mania is characterized by periods of extreme energy, excessive and fragmented speech, and often wild or intense beliefs. For example a person in a state of intense Bipolar mania may think that they are somehow superhuman in aspects of their lives. For some this manifests as a completely delusional state of mind. At this level Bipolar Disorder can have a significant impact on both the Bipolar person and those around them. Other symptoms of Bipolar mania can include; Extreme happiness or silliness, rapid speech, trouble falling asleep, loss of focus, risky behaviors, sexual extremes. 

Bipolar Disorder should be diagnosed by an experienced physician. Bipolar Disorder in children can often be a complicated diagnosis. Both children and teenagers can show signs of Bipolar Disorder that are actually symptoms of ADHD or other serious medical conditions. This makes it hard to diagnose children with this disease. 

There are generally three types of Bipolar Disorder that are diagnosed. These are; Bipolar type I, type II, and Bipolar effective. Bipolar I & II are generally determined by the speed that the cycles of the depression and mania. 

Bipolar Disorder Associated With Other Medical Conditions

Percent of Youth 4-17 ever diagnosed with Attention-Deficit/Hyperactivity Disorder: National Survey of Children's Health, 2007 (Photo credit: Wikipedia)

It is likely that persons with Bipolar Disorder may experience other related medical conditions. Doctors refer to these other conditions as being, "co-morbid". These co-morbid aspects may show up as; substance abuse, Attention Deficit/Hyperactivity Disorder (ADHD), Anxiety disorders, Separation Disorder and others. Sometimes the Bipolar Disorder co-morbidity may be due to side effects of the medications that are given to treat the disease. It is quite common to find a Bipolar patient is over-weight, has elevated blood sugars which may lead to diabetes, or in the case of medicines like Lithium it may be toxic in high doses.  In addition to these conditions bipolar medications my cause a condition known as, "Tardive Dyskinesia". Tardive Dyskinesia is a condition that may be permanent. People with Tardive Dyskinesia have problems with repeated movements of the tongue, face, or other

movement issues.

How Does Bipolar Disorder In Children Different From Bipolar Adults?

Currently the treatment of Bipolar Disorder in children may be less effective then treatment of adults. Often children experience more severe behavior problems and symptoms. Children are more likely to suffer from continual symptoms. This can significantly impact the ability for a Bipolar child to see meaningful recovery. It is important to look at a wide range of support for your child. Since Bipolar Disorder is a life-long disease it is important that you work with your child's teachers, doctors and therapists in order to help your child break the cycles of suffering. Good management of Bipolar Disorder must help to mitigate the impact of this illness in every aspect of their lives. While it is important to teach your child good life skills, Bipolar Disorder in children requires that we work with the child to build long lasting and meaningful support systems. For example a child may have a difficult time performing various tasks in life. This may lead to a breakdown in the ability of a child to deal with the basic life responsibilities. 

Although it may be hard for a child to do certain things on their own, it is possible to get everything they need taken care of in a responsible manner. Responsible behavior may be less about what a person can do as compare with what a person can get done. It is important to get an inventory of the life skills that a child possesses. From there a plan must be developed to either improve the life skills that a child has or to develop solutions for getting these needs taken care of. 

Bipolar Disease in children has been shown to impact their ability to participate in education. It is reasonable to understand that children with Bipolar Disorder may not have sufficient attention to successfully complete assignments or retain the information that they receive. It is very important to build a relationship with the educators that work with your child. 

Over time it is possible for children to realize meaningful recovery. When you work with doctors, therapists, and other professionals you will find medications and techniques that work for your child's specific needs. It is important to find a path for your child that directly effects your child's illness. Each person has different experiencess with Bipolar Disorder. Every path to recovery is specific to the person with disease. It is important to treat the person behind the disease. When you develop the person you have a good chance at mitigating the impact of their mental illness. 

How can I help My Bipolar Child?

It can be very hard to deal with the ramifications of Bipolar children. It is important to educate your self and to find support for yourself. The stress that is induced in you must be accounted for. You can find support for yourself from organizations like the National Alliance on Mental Illness (NAMI). NAMI offers education about mental illness, support for families and peer support. The United States government has several organizations that deal with mental health. These organizations like the fore mentioned National Institute Of Mental Health (NIMH) and the Substance Abuse & Mental Health Services Administration (SAMHSA) offer great information and resources on Bipolar Disorder. Another good resource for dealing with Bipolar Disorder is the Depression & Bipolar Support Alliance.

It is important that you be patient with your child. Please encourage your child to talk about their problems. Be open and listen. Often a Bipolar person will feel isolated and alone. Open support for your child will help them to feel that they are not alone and understood. Help your child to educate themselves about their disease. Hold on to the belief that Bipolar Disorder in children is something that they can recover from. Your children can lead happy and productive lives. Work together closely and you will see lasting change for the better. 

The link between sleep and Bipolar Disorder is becoming more and more clear. A regular and consistent sleep schedule will help your child to deal better with their illness and can have a big impact on the cycles of Bipolar Disorder. 

Threats Of Suicide

It is important that your child receive immediate medical support if they talk about or demonstrate intentions to commit suicide. Every threat or indication must be taken seriously. Do not write off these indications as a need for attention. This could easily lead to the loss of your child. Sometimes these conditions exist because of reactions with medications. This is why it is important to address these issues with a competent medical professional. Another good resource is the toll-free suicide helpline 800-273-Talk (8255) this is run by the National Suicide Prevention Lifeline.

With your help and encouragement the Bipolar Disorder in children is treatable and manageable. With the right tools and resources you can succeed in helping to child with this often troublesome disease.

Bipolar Insomnia

Bipolar Insomnia

Mental illness is often a leading cause for sleeplessness for those who have been diagnosed with a mental illness. For individuals with bipolar disorder sleep can be a major problem. In some cases without medical intervention people who suffer from this disease can be sleepless for days. For general practitioners, diagnosing a sleep disorder may not include consideration of bipolar disorder. This is particularly true in situations where medical history does not include the diagnosis for this disease or when a patient does not self-identify as being bipolar.

Bipolar disorder is estimated to affect from 2% to 7% of the people in the United States. It is further estimated that almost 10,000,000 people will develop the illness at some point during their lives. Bipolar disorder is often misdiagnosed because it can be confused with other diseases. Often people with mental illnesses have more than one diagnosable disease. For instance, if you are bipolar it is highly likely that you will have substance abuse issues, high-risk sexual behaviors, or other symptoms. Sometimes these symptoms can be very hard to differentiate. If you have sleep problems and are bipolar make sure that you tell your doctor. It will help significantly. Keeping your doctor informed can help you to find relief from symptoms sooner. It also becomes easier to find the proper treatment.

Sleep is a major factor in maintaining stability

For all individuals sleep is an important part of maintaining physical and mental well-being. There are various reasons that people have problems sleeping. Research shows that individuals who have bipolar disorder are at high risk for instability without appropriate sleep. Sleep is a basic component in managing the stability of this disease. Without proper cycles of sleep our bodies' basic biorhythms can be significantly disturbed. These biorhythms or "circadian rhythms" manage or contribute to not only our mental well-being but our physical well-being also. Sleeplessness is not the only problem. Too much sleep can also be a major factor of instability. It can contribute significantly to depressive cycles.

If you suffer from bipolar insomnia, it's important to take some basic steps that will help you to manage sleep. The steps can be called sleep hygiene. Sleep hygiene includes several factors:

• 1. Try to avoid napping. If you do need to nap limit napping to the early afternoon and for a short duration.
• 2. Cut down or avoid the use of caffeine entirely.
• 3. Limit your consumption of alcohol.
• 4. Regular exercise is important because it helps to limit factors like adrenaline and quiets the body. The quiet body helps to produce a quiet mind.
• 5. Meditation or relaxation methods can help significantly when patients have sleeplessness. Often this helps to attack the problems that are introduced by hypomania and mania.
• 6. A helpful tool to help you and your doctor understand your sleep situation is to record your sleep cycles and other pertinent information in a log book or journal.
• 
  

Treating Bipolar Insomnia

If you're experiencing bipolar insomnia, there are several ways that your doctor may choose to treat your illness. Often this will be through the use of medication. Medications such as Seroquel can help to induce sleep. This class of medicines is called atypical antipsychotics. These medicines can act in a powerful way to induce sleep. For some patients with bipolar insomnia traditional sleep medications like Lunesta or Ambienmay not work. Trazodone may also be used as an off-label treatment for insomnia. Trazodone is an older treatment for depression. Generally with people who have bipolar disorder antidepressants are not used. It can cause the bipolar individual to have a, "bipolar switch". This switch can cause a person to come out of depression and enter mania. Careful consultation with your doctor is recommended. For those with bipolar induced insomnia it is recommended that treatment should come from a properly trained psychiatrist.

Over-the-counter medications for sleep

Over-the-counter medications for sleep are generally formulated from antihistamine medications. Many of these medications are older drugs. These antihistamines tend to make people sleepy. This is a major factor in why antihistamine medications have been changed. Newer antihistamines do not generally stimulate sleep. Other over-the-counter medications or supplements may also contain ingredients such as Valerian root, melatonin, or other herbal central nervous system depressants. Bipolar insomnia may not respond to over-the-counter medications.

Finding solutions for bipolar insomnia

To find the right solution you may have to try several approaches. It also might require the use of more than one of these options at the same time to help the bipolar individual stabilize both their sleep and their lives.

Information for this article is based on research by the National Institute of Mental Health, the Substance Abuse and Mental Health Services Administration, the New England Journal of Medicine, and the Mayo Clinic.