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February 28, 2006

Video of the day: "Sprout and the Bean"

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I hesitate to mention Joanna Newsom to those who aren't familiar with her, because her little-girl voice can make one homicidal. Plus, she plays the harp, which is kind of a goofy instrument to most (but I think it's kind of cool). But when I opened my iTunes today, and couldn't decide what to listen to, I plunked a virtual finger down in the middle of my library and hers is the album that came on. Call it fate.

Newsom often has baffling lyrics, which she and her contemporaries in the New Weird America (I'm looking at you, Devendra) seem to think is hip rather than Tolkien-nerdy. Fair enough. (I'm guessing Newsom also thinks that dress is attractive.)

I think the whole package comes across better when you see Newsom live. This video is undeniably charming.

Sprout, Bean, other oddities video

Patch me in

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I always wanted to try to quit smoking using the patch, but it ended up that my asthma got the better of me and I had to stop anyway. Now there's the possibility that someday, maybe soon, I'll get to put a sticker on my arm or butt or something, and even though it won't be a puffy unicorn sticker (I don't think, though wouldn't that be great?), it might be fun to try.

My ex has a phobia of stickers (also crabs), so if I ever got really mad at him I could slap one of these on him. Maybe it would cheer him up.

Regulators OK Patch to Treat Depression

 

 

 

Another celebrity comes out of the closet

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Okay, this guy's only a celebrity in Australia, and only for sports fans. But his honesty is nice anyway.

Former AFL star battled depression

Karl Rove loves me

Quoth he: “The whole incident in the fall of 2004 showed really the power of the 'blogosphere' because in essence you had now, an army of self-appointed experts looking over the shoulder of the mainstream media and bringing to bear enormously sophisticated skills."

I don't really look over many shoulders, but I'm sure if Rove read The Trouble With Spikol, he would appreciate my alternative media credentials and my sophisticated skill at, um, chess and pet-toy choosing.

BUSH CHEERS DECLINE OF MAINSTREAM MEDIA, RISE OF ALTERNATIVE PRESS [Drudge Report]

Special Effexor: Perhaps I spoke too soon.

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Well, last night was kind of unpleasant, as I tried to take the Effexor on a mostly empty stomach. Not a good idea, but I haven't had much of an appetite, so it's a conundrum. I ate a few strips of bacon and some halvah, which doesn't really constitute a dinner. It's at moments like these when my boyfriend, an excellent cook, gets completely frustrated with me, to the point of disgust. The way he looks at me when I say I'm not hungry is like I'm covered in some stinky goo that's eating away at my skin. Shock. Horror. Repulsion. He doesn't understand people who don't eat.

I'm still a little shaky this morning, but I'm less tired. I think it's going to be okay. True, the adjustment's taking a little while, but I think it's going to work out. My optimism is borne of an eternal ability to put things in perspective. Like, yes, this is somewhat tricky and a mite uncomfortable but it's nothing like being in Auschwitz or having cancer.

So cheer up!

February 27, 2006

Top 10 signs it's time for the day to be over

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1. You start to lose control of your saliva.
2. You frantically comb through your desk drawer to see if you have any speed left from the days when you used to be an addict.
3. You find five ephedra pills in said drawer, and don't take any because you're afraid of depleting the earth's dwindling ephedra supply.
4. You write an entire blog entry that's funny and smart and delete it by clicking the back button.
5. You catch sight of your fuzzy earmuffs and jump because you thought you saw a chipmunk.
6. Your discover the sizzling sound you've been hearing for days is not a hallucination, but your Ikea desk lamp.
7. You consider letting the lampshade burst into flame just so you could have an excuse to go home and fall into bed.
8. You download the wrong João Gilberto album from iTunes.
9. You resort to turning on the overhead fluorescent lights to stay awake.
10. You realize a top 10 list is supposed to go from 10 to 1, and you could change the order to be more Letterman-like, but you're just too tired to even do it.

Effexor rocks!

Whither progress?

A class exercise at NYU provides a revealing look at students' perceptions of the mentally ill (the news ain't good):

A letter to Liz Spikol [Livejournal]

Going bananas

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Someone just sent me an email titled "After Reading THIS, you'll NEVER look at a banana in the same way again!" It's not from Chiquita or anything, just a regular person. It's the most pro-bananas document I've ever seen. The only thing bananas don't do, it seems, is cure cancer and end world hunger.

Here's what the email says about the things that matter to you and me, i.e., can they make us less crazy?

Depression: According to a recent survey undertaken by MIND amongst people suffering from depression, many felt much better after eating a banana. This is because bananas contain tryptophan, a type of protein that the body converts into serotonin, known to make you relax, improve your mood and generally make you feel happier.


PMS:
The vitamin B6 a banana contains regulates blood glucose levels, which can affect your mood.

Nerves:
Bananas are high in B vitamins that help calm the nervous system.

Seasonal Affective Disorder (SAD):
Bananas can help SAD sufferers because they contain the natural mood enhancer tryptophan.

Stress:
Potassium is a vital mineral, which helps normalize the heartbeat, sends oxygen to the brain and regulates your body's water balance. When we are stressed, our metabolic rate rises, thereby reducing our potassium levels. These can be rebalanced with the help of a high-potassium banana snack.

And for those of us who self-medicate:

Hangovers: One of the quickest ways of curing a hangover is to make a banana milkshake, sweetened with honey. The banana calms the stomach and, with the help of the honey, builds up depleted blood sugar levels, while the milk soothes and re-hydrates your system.

[Photo courtesy bananaflickr.com]

Headlines: international

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China:
Chinese Show Increasing Awareness of Mental Health [China Broadcast]

Ireland:
Ireland demands safeguards on sale of St Joseph's [Limerick Post]

New Zealand:
Untold story of suicide in North among Maori families [Northern Advocate]

India:
Repatriated prisoner's mental health better [Rediff.com]

Malayasia:
More People Exposed To Risk Of Cancer, Mental Illness [Bernama.com]

Nigeria:
Attempted suicide: Man, 36, jumps into Ogun River [Vanguard]

Australia:
Police on mental health 'frontline' [The Australian]

[Photo of the Ogun River, Nigeria]

In Memorium: "Mrs. A"

Mental health pioneer model of compassion [London Free Press]

Utah: Worse than you thought

BYU study: Perceived racism leads to depression among Hispanics [Daily Herald]

Special Effexor: Puke not, my friends!

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Okay, it's been something like 10 days since I doubled my dose (up to 75 mg), and I finally think I've got the nausea kicked. I put it like that because it really does feel sometimes like I'm in a martial arts battle with these side effects. Take that, nausea! Kick to the head!

I've found that initial side effects tend to go away if you hang in there long enough. Now I just have to get through the fatigue. Yesterday I fell asleep in my chair in a noisy hotel lobby. Despite going to bed at 10:30 last night, I wasn't able to wake up until 10:30 this morning.

But I know the fatigue will dissipate, at which point I'll be able to truly assess whether the medication is working to lessen my depression. I try to give a new med at least a month before I question its efficacy. So far I'm too overwhelmed by the physical side effects to tell if I feel less depressed.

Ka-bang!

February 24, 2006

Song of the day: Man Man's "Van Helsing Boombox"

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It's a carnival. It's a coffee shop. It's Tom Waits drinking on Frank Zappa's grave with the Triplets of Belleville soundtrack playing in the background and Cerberus Shoal along for the ride.


Van Helsing Boombox mp3

Man Man website
Man Man at Ace Fu

Special Effexor: Less is more, and honesty is the best policy

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Last night, fearing a repeat of the blinding nausea of the night before, I only took three-quarters of a pill instead of the whole one. (I'm in love with my pill-splitter.) And I ate a sandwich too, even though I was feeling queasy.

Both strategies seem to have worked for the moment. Today was easier, and I feel less hopeless than I did yesterday, when I quit my chess lessons.

"I just don't know when I'm going to feel better," I told my teacher. "I can't concentrate on the game."

He was disappointed, and so was I, but it felt good not to lie. Normally I would've skipped classes and backed out by calling and saying I couldn't afford it. Instead I went in person and told the truth: I'm depressed, I'm struggling to get through it, the medication is making me physically sick. I didn't blame a phsyical illness to make it seem better. My psychiatric illness is just as "real" as any of the strictly physical illnesses I've pretended to have over the years. One time I even lied to an employer and said I was quitting my job to deal with anorexia. An eating disorder seemed more palatable (yeah, yeah) than bipolar disorder.

My chess teacher was eminently sympathetic, as I've found most people are if you're honest about things. "I've been through a lot of things in a lot of years," he said. "Call me anytime."

The frankness of the conversation made me actually feel like I might be able to continue with the lessons sometime soon. It's such a relief not to pretend. Sometimes the pretending is half the struggle.

A rave review

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A couple years ago a study came out that claimed that Ecstasy causes depression. The pro-Ecstasy people never believed it.

Now a study shows that children who suffer from depression are more likely to use Ecstasy later in life—meaning the depression may be inherent in the people rather than the drug.

Either way, if you wear a "glo" necklace, you're a geek.

Study questions ecstasy link to depression [MSNBC]

[Photo by vinirusso via Flickr.]

PW interns rock

I want to give major thanks to Philadelphia Weekly interns Benae Mosby and Jess Fuerst for making the list of local resources linkable. It's now better than ever. Check out their handiwork below. Brings a tear to me eye, it does.

Local resources linked beautifully

Fun with Google News results

Second paragraph.

STMicroelectronics, Freescale Join Hands

Your stories: Leonard

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I'm sorry to read that you are depressed. I doubt persons who haven't suffered from depression know what it is like - the sense of hopelessness, the despair, and the feeling that the blackness will never lift.
I too go into the non-communicative mode when depressed and it is doubtless unhealthy. I figure who wants to speak to me when I'm not entertaining? So I crawl into bed, let the answering machine do its voodoo, and hope the depression will magically, mysteriously lift (C'mon anti-depressants do your thing!). Of course, personal hygiene goes south - why should I shower, shave and brush my teeth when my immediate goal is to sleep?
I've tried a kitchen sink's worth of anti-depressants and since I suffer from OCD with comorbid depression I am often prescribed high dosages. I'm currently on 60 mg. of Lexapro daily which is three times the manufacturers maximum recommended dose. Of course, I've taken a host of adjunctive medications. I'm now on Lamictal too and have frequently taken what appears to be the "Holy Trinity" of depression treatment - a SSRI, an anti-convulsant and an antipsychotic.
I only wish that anti-depressants alone would grant entry to a life which is rewarding, empowering, filled with love and caring, and devoid of isolation. Just like those pharma's commercials which rely on "slice of life" advertising.
I'll try to heed the moral of one of your earlier posts. Here's something along the same lines - "The opposite of play isn't work. It's depression. To play is to act out and be willful, exultant and committed, as if one is assured of one's prospects." - Brian Sutton-Smith, the dean of Play Studies at the University of Pennsylvania.
Please continue to share how you're doing. I'm certain all your readers are concerned about your well being and wish you the very best as I do.

[Photo courtesy Louis via Flickr]

February 23, 2006

God bless America

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Before today I'd never read Woman's World, "the Woman's Weekly," even though it's placed at every checkout counter in every store in the country. What's generally deterred me from picking it up is what it says at the top: "God Bless America." Ew. That's just disgusting.

But I picked it up this week for the mental health tips. According to WW, it's all about visualization. Hypnotherapist Kerstin Sjoquist suggests different images for different moods. Tense? Imagine the sun! Angry? Imagine your own private island! Worried? Imagine a babbling brook (even though that's the most annoying setting on your noise machine)!

I am depressed, thus I'm going to imagine "a shower of flowers":

"Envision: delicate blossoms drifting through the air. Watch them softly falling, cascading around you and covering the ground. 'Breathe in the luscious scents,' says Sjoquist. 'Actually feel the flowers caressing you, their gentle touch remind you of all that's good in your day."

I gave it a try, but it just made me dizzy trying to figure out which kind of flower should be falling at my sun-dappled feet. Orchids? Too complex. Roses? Too trite. Lilies? Do I even know what lilies look like?

I think I'll visualize my bed instead. Sheets enwrapping my tired soul. Pillows like clouds beneath my head. Ahhhh.

Follow-up to Wall Street Journal's article on forced drugging

In the beginning of the month, the WSJ ran a lengthy article about the issue of forcing mentally ill people to take medication—even when they don't want to. It's a question of civil rights vs. medical intervention. When I posted the article here it received many comments, including one from a man who'd been profiled in the piece.

Yesterday MindFreedom International sent out the full text of the letters to the editor that ran in WSJ. They perfectly articulate both sides of the debate. You'll find them after the jump...


_Wall Street Journal_

Wed., February 22, 2006

LETTERS

MindFreedom International sends out alerts as part of our "MindFreedom
Shield" to encourage and support people who are seeking an underground
railroad to shelter them from coerced psychiatric drugging. Such
underground railroads provide support and assistance in a manner that
is completely legal and essential for these individuals. But an
underground railroad itself isn't a program of MindFreedom, as you
reported.

You described MindFreedom as an organization of "mentally ill people
that opposes coerced drug treatment." While many members are people who
have experienced abuse in the mental health system, or "psychiatric
survivors" as we call ourselves, we don't refer to our membership as
"mentally ill." In fact, many have spent much of their lives
passionately defending themselves against such damaging, false and
unscientific labels.

While you quoted several proponents of forced drugging, you ought to
have quoted even one of the many organized groups of psychiatric
survivors. After all, we are the ones who end up on the sharp end of
the needle.

David Oaks
Director
MindFreedom International
Eugene, Ore.


For the Mentally Ill: Caring or Incarceration?

One of the great tragedies of modern psychiatry is the large number of
incarcerated individuals who are mentally ill or drug addicted ("A
Doctor's Fight: More Forced Care for the Mentally Ill," page one, Feb.
1). This is the inevitable consequence of our reluctance to use caring,
coercive approaches, such as assisted outpatient treatment. A person
suffering from paranoid schizophrenia with a history of multiple
hospitalizations for being dangerous and a reluctance to abide by
outpatient treatment is a perfect example of someone who would benefit
from these approaches. We must balance individual rights and freedom
with policies aimed at caring coercion. Our responsibility to each
other and our respect for personal rights lie at the center of our
social and moral choices as Americans.

The Treatment Advocacy Center is to be commended for its sustained
advocacy on behalf of the most vulnerable mentally ill patients who
lack the insight to seek and continue effective care and benefit from
assisted outpatient treatment.

Steven S. Sharfstein, M.D.
President
American Psychiatric Association
Arlington, Va.

While forced care is sometimes necessary when a person is a danger to
himself or others, the call to expand its usage underestimates the
risks of imposing a different standard of civil liberty onto people
with mental illness than is guaranteed to the rest of us.

E. Fuller Torrey's movement is part of an attitude of paternalism from
which people with mental illness are working hard to break free.
Moreover, his database of anecdotes on violence is misleading since
most people with mental illness aren't violent and are more often the
victims of crime, not the assailants. There is a long history of our
country taking away the rights of people with mental illness who are
penalized merely for being "scary" and "burdensome." It is time to go
forward, not backward.

Anthony M. Zipple, Sc.D., M.B.A.
Chief Executive Officer
Thresholds Psychiatric
Rehabilitation Centers
Chicago

My 41-year-old brother has suffered from serious mental illness since
he was 15. At times, his behavior has become sufficiently threatening
or dangerous to require involuntary hospitalization. Like many others
with this disease, he doesn't believe that he is ill (a neurological
deficit known as anosognosia) and therefore refuses to voluntarily
comply with treatment or to take medication, even though it has proven
remarkably effective. As a result, my smart, funny and talented brother
has spent much of the past 25 years homeless, jobless and delusional. I
can safely say to the civil libertarians that this isn't the life he
would have chosen for himself; it was chosen for him by his untreated
illness.

Before Kendra's Law, there was nothing my family could do to force him
to obtain treatment. Although the law isn't a panacea and the mental
health system is a disgrace, being forced to stay in treatment is the
only chance he has of resurrecting his life.

Shari L. Steinberg
New York

Dr. Torrey complains about "taking heat" for being "politically
incorrect," but he's not really paying any penalty for his position. A
real penalty, however, is being paid by those who are targeted by the
laws he pushes through. To force outpatient "treatment" on anyone who
has ever been on the wrong end of the mental health system because of
the actions of the criminals in Dr. Torrey's database is as unfair as
it would be to force such treatment on all physicians because of the
actions of Dr. Mengele.

Kent Reedy
San Diego

Using the term "force" to describe state laws authorizing court-ordered
treatment overlooks the point about what these laws are intended to
accomplish. Most people with serious mental illnesses are able to make
informed decisions about treatment. In a minority of cases, mental
illness negatively affects insight and ability to recognize the need
for treatment. The greatest risk is to the individuals themselves.

A New York State Office of Mental Health report shows that the impact
of Kendra's Law has been positive in reducing hospitalizations,
arrests, homelessness and other consequences from lack of treatment.
And most people treated under Kendra's Law say it has helped them. When
narrowly crafted and sufficiently protective of civil liberties, laws
authorizing court-ordered outpatient treatment can be both humane and
beneficial.

Michael Fitzpatrick
Executive Director
National Alliance on Mental Illness
Arlington, Va.


If he's not qualified, I don't know who is

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Actor Art Malik, who played Zubin Kahn for two years on the BBC's hospital drama Holby City, is going to bless a mental health facility. Here's Zubin's bio from the TV show's website:

"Professor Kahn was an outstanding anaesthetist and was the pivotal figure in the operating room. His colleagues had the utmost respect for him. Zubin left Holby following Paris's death and his break up with Jess. He's gone to America to spend more time with his daughter."


Malik backs new mental heath unit
[BBC, of course]

I love my city

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Last night, after watching The 40-Year-Old Virgin because everyone told me how funny it was and it would cheer me up, I suddenly felt overwhelmed by loneliness. True, the sugar gliders were there, but I see them differently since they cannabilized Little Moxie.

Normally my boyfriend is somewhere in evidence, futzing around with domestic chores in a way that makes me feel safe, but he's away for business. So last night, with the Effexor sloshing uncomfortably in my stomach, I felt reality start slipping away in a neo-psychotic way, so I turned on the local news to reconnect.

The local news here is a source of great hilarity. Last night on Channel 3 Larry Mendte, a very nice man who happens to have a stupid job, said: "Coming up, weather, sports, and a sneak peek at heaven."

What? I rubbed my eyes and stared at the screen. I started to worry that I was becoming delusional. A sneak peek at heaven? Was God going to be there? Probably not. They would have hyped that. "Coming up: arson's on the rise, and a frank conversation with Yahweh."

It was totally weird, and totally Philly. I couldn't watch the rest of the segment. I was afraid it would be like looking at an eclipse, and my eyes would burn out of my head.

February 22, 2006

Least surprising celebrity revelation ever

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Morrissey was depressed [Virgin.net]


 



 

Medication side effects: a response

Here's a comment, from Nanina, in response to my mini tirade about putting up with medication side effects:


I always felt I'd put up with anything as long as a drug 'helped.' I felt this way about medication until 6 months out, a year out on a 'new med' I was still throwing up, still dizzy, still fatigued, still staggering around like a roach sprayed with Raid. Some people never can tolerate the side effects. Some people have irrepairable memory damage due to ECT. Some people with mental illness just have to tough it out with psychotherapy. I envy the people who get relief, improvement and hope from medication. I've never been one of them. But I'm pulling for you.

I appreciate what Nanina is saying here. I've gone through many, many years of hellish medication trials, and I'm also one of those people who has brain damage from ECT, so I know how tough it can be to find treatment solutions. Sometimes it's impossible to stick with the meds—if the cure is worse than the disease, what's the point? I know meds don't work for everyone. How I wish they did.

Headlines: national

Columbus Group Protesting Mental Health Cuts
Mental health group battles DHR
Mental health workers strive to meet African American needs
Anti-Tax Author Claims Mental Illness
Worry grows over rising suicide rate

Special Effexor: Day 6? Day 7?

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Last night I doubled my dosage, and feared the worst. I woke up at 6 a.m., and grabbed a handful of Saltines—strategically placed on my night table before I went to bed—to settle my stomach, then washed them down with a gulp of club soda. It was hard to get back to sleep, but I finally did, for a half-hour, around 8.

The nausea is staying with me, but isn't deterring me from eating gummi worms that came in the mail today as part of a promotion. (Sometimes, the swag you get here is so nice, you feel like you should mail it back to maintain your integrity. Other times, it's a bag of gummi worms.)

So, yes, I'm having side effects, but I'm going to hang in there. You know why? Because feeling a little queasy is waaaaay better than being mentally ill. One of my enduring frustrations is when I talk to people who refuse to take medication because they don't like the side effects. Most often these are people whose lives have been completely derailed by their illnesses, people who are out of work, who struggle to function on a daily basis. Yet they stop taking a medication because it gives them dry mouth.

You know what? You can stuff a bag filled with cotton balls in my throat, and leave it there, and I'll still take the meds. Because what's dry mouth compared to my sanity? I don't want to gain weight, or feel sick, or be so tired I have to leave work early. But is it better than being psychotic? Oh, yeah. So much better. I'd rather lose my libido entirely than go through the crap I've been dealing with for the past few months. So bring on the side effects! If the medication works, I'll deal with anything.

[Photo of organic cotton from The Kids Window]

But the good news is...

The art of parody lives on. Thanks to Mike for sending this link, as TTWS is clearly on a dolphin kick:

Study: Dolphins Not So Intelligent On Land [The Onion]

In Memorium: Little Moxie

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This morning I awoke to discover that my sugar glider parents had eaten one of their babies. She was so tiny to begin with—the runt of the two-joey litter—and her back legs were kind of underdeveloped. While her brother was able to thrive, she continued to seem more fragile each time I looked in on her. I went online to see what I should do, and got more conflicting information than if I went to look up medication side effects. Hand-raising her, which a surprising number of people do, was impossible, as it involved feeding her every two hours and keeping her in a Kleenex in my bra all day. (Are a high number of sugar-glider owners unemployed?) I can imagine how well that would go over here. Oh, don't mind that bump on my chest—the third one, I mean—it's just my baby marsupial. Very professional.

Now, for the elegy: Last night, after the parents threw her out of the nest several times, I picked her up and held her close. Her tiny claws clung to my finger, and she made a pathetic crying noise, which is sort of like a wheezy hiss. Her little head wobbled, and I tickled her soft little ears. When I put her back in the cage, she struggled to find her mother, though she didn't even have eyes yet. I thought, "Gee, what moxie." And I decided to name her that if she survived.

I had a feeling she might be dead this morning because she seemed so weak, but I had no idea the parents would eat her and leave such sad remains. I put what was left of her in an Ann Taylor gift box, and placed it gently into the trash.

Happy gliding in, er, sugar heaven, Little Moxie. Hope there are lots of mealworms and yogurt drops for you to eat.

[Photo from Sugar Glider University. Clearly, I've got a ways to go before I get my degree.]

February 21, 2006

Throwing in the towel

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For whatever reason (I blame the Effexor) it has become clear to me that I can longer remain vertical. Thus I'm going home and falling into bed. Tomorrow I double the Effexor, thereby (I guess) doubling the fatigue and the nausea. Fabulous. I'll see you then.

Special Effexor: A reader shares.

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This is from a blog reader named Liam, vis-a-vis Effexor withdrawal and other pharmacological cocktails.

Honestly, for all the horror stories, Effexor withdrawal is a little scary, but not all that bad, if you need to go off it. The "shocks" that get reported on all the websites will scare the shit out of you the first time or two they happen (I was convinced I was having an epileptic seizure or a heart attack) but aren't dangerous or painful, and as long as you aren't driving or operating heavy machinery, they're not incompatible with leading a normal life for the 2 or 3 weeks you get them. (It's interesting to note that the antidepressants which people complain the most about withdrawal from, Effexor and Paxil, both have extremely short half-lives.)
Also, I would hope that down as you've seemed to be the last few weeks that you wouldn't just stop taking Effexor-- if you get switched to another drug or drugs, as long as they're hitting both receptors (norepinephrine and seratonin), you should get few or no withdrawal symptoms. That means an SSRI and Wellbutrin, or a tricyclic or tetracyclic, should do the trick. I'd place Effexor withdrawal just below Paxil withdrawal for unpleasantness, but both of them of are an order of magnitude less unpleasant than Klonopin or Adderall withdrawal, both of which I've done as well.
I can't take Prozac either-- I'm the only person in four generations of my family who's unipolar/dysthymic (though I'm still in my early 30s, so who knows?) rather than type 1 bipolar, but the genetics are there, so docs have always been afraid to give me Prozac, which can take a week to get out of your system if you start getting loopy on it. Zoloft I'm on now, but in almost homeopathic doses-- more than 75mg a day, and I get all of the most unpleasant SSRI side effects. (My current cocktail is a mix of Zoloft, Pamelor, and Adderall. Worked so far for a bit more than a year.) Over the years, I've been on Paxil (pooped out, but great while it lasted), Effexor (ditto, wouldn't have made it through law school without it), Pamelor (tough side effects at doses higher than 75mg/day), Wellbutrin (doesn't agree with my stomach), Celexa (made me unbelievably sick), Strattera (did nothing but give me dry mouth), and the aforementioned Zoloft, in addition to the lithium and Depakote I was on as a teenager when everyone was concerned I'd get manic if I was on antidepressants. And the usual variety of benzos for anxiety, but I think I've been happier off Klonopin than on it, and Atavan screws with my memory, bad.

I find hearing from people like Liam very helpful. Write to me or post a comment here about your own experience.

Release from the Renfrew Center

PHILADELPHIA, PA (February X, 2006) Experts at The Renfrew Center, the country's leading authority on eating disorders, have seen a dramatic increase in the number of bulimic patients who are also battling substance abuse. This information supports the government's recent findings that in 2004, adolescent girls surpassed boys in the abuse of prescription drugs, and more adolescent girls than boys started using marijuana and alcohol in the same year.

The results of The Renfrew Center's study, announced in conjunction with Eating Disorders Awareness Week (Feb. 26-Mar. 4), illustrate that since 2003, the center has seen the number of bulimic patients with substance or alcohol addictions more than double. In 2003, 16 percent of the bulimic patients at Renfrew had abused drugs and alcohol as compared to 35 percent in 2005.

These numbers are especially large when compared to the number of anorexic patients who abuse substances. The Renfrew Center cites that in 2003, approximately 8 percent of anorexic patients reported abusing drugs and alcohol, which grew only slightly to 9 percent in 2005.

"While those with anorexia may also abuse drugs and alcohol, we have seen a startling increase in the number of bulimics who abuse substances as part of their disorder," says Gayle Brooks, PhD, Vice President of The Renfrew Center and Clinical Director of The Renfrew Center of Florida. "Often these women abuse alcohol as well as illicit, prescription, and over the counter drugs, to help increase their metabolism, control their weight and self-medicate."

As part of Eating Disorders Awareness Week, The Renfrew Center is committed to educating the public about eating disorders and related behavioral health issues.

Eating disorders are serious health- and life-threatening physical disorders that usually stem from some underlying emotional causes. They usually fall into three categories: Bulimia Nervosa, the repeated cycle of out-of-control eating followed by some form of purging; Anorexia Nervosa, or self-imposed starvation; and Binge Eating Disorder, or compulsive overeating. If eating disorders are diagnosed and treated early, there is a much better response to treatment and a higher rate of recovery.

Some of the common warning signs that indicate that a person may be suffering from bulimia include:
 Engages in binge eating and cannot voluntarily stop.
 Feels guilty or ashamed about eating.
 Uses the bathroom frequently after meals.

Some of the common warning signs that indicate that a person may be suffering from anorexia include:
 Continues to diet or restrict foods even though she is not overweight (ie., is thin and keeps getting thinner).
 Has distorted body image˜feels fat even when she is thin.
 Exercises obsessively and weighs herself frequently.

Some of the common warning signs that indicate that a person may be suffering from binge eating disorder include:
 Eats large amounts of food when not physically hungry.
 Eats much more rapidly than normal.
 Often eats alone because of shame or embarrassment.

The Renfrew Center, the country's first eating disorder facility, has treated over 45,000 women since opening its doors in 1985. Renfrew has residential and outpatient facilities in Philadelphia, PA and Greater Ft. Lauderdale, FL as well as outpatient sites in Bryn Mawr, PA; New Jersey; New York City and Southern Connecticut. The Renfrew Center specializes in the treatment of eating disorders, including anorexia, bulimia, binge eating disorder and related behavioral health issues.

To learn more about eating disorders or to find out additional information about The Renfrew
Center or any of its programs, call 1-800-RENFREW or visit Renfrew Center

Signs of life from the Times

Two good mental health stories in the New York Times:

The Dilemma of Depression for Mothers-to-Be

A Teacher's Fall at a Turbulent School

"Trolling for chicks on the psych ward"

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That's what they're talking about on WYSP right now. A guy's girlfriend (who's "hot" but "crazy") tried to kill herself and is now at Belmont. And the guy is calling the Barsky Show to tell them there are some really "hot chicks" at the mental hospital. No wonder his girlfriend tried to kill herself!

Barsky suggests the guy break up with her if she turns bulimic. Classy.

WYSP

Dolphins, again

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Since I started this blog, I've had the opportunity to talk about dolphins one time already, when I wrote about Tyra Banks' strange phobia of the gentle sea creatures. But everyone loves dolphins (’cept Tyra), so here's more.

A new study says dolphins remedy depression. (Not that a beautiful supermodel with a successful talk show has anything to be depressed about, but mental illness can hit anyone! At any time! Look at Anne Heche.)

"There's no words to describe it. It completely changed my life," said dolphin therapy patient Marcella Sandrin. Sandrin says her depression disappeared after swimming with dolphins off Hawaii. "For the first time, I really experienced unconditional love and joy," said Sandrin. Swimming with these creatures did more for her than anything else she's ever tried. "I've done counseling and meditations and exercising. I am a much happier person. I don't feel hopeless anymore," said Sandrin.

Dolphins May Be Remedy For Depression [10news.com, San Diego]

[Photo courtesy * No. Pip, no!!! * (Ana María & Santiago)'s photos via Flickr.]

February 20, 2006

Song of the day: "Fireflies in a Steel Mill"

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An abandoned mill, glass windows cracked, dark at night, old electrical cords coiled like black snakes on the floors. The grit crunches beneath your shoes, you stumble over a wooden broom handle, wish for a light. Suddenly: a yellow flicker. Then another. What...? Fireflies. How beautiful.

The Elected's "Fireflies in a Steel Mill"

Blobbing about blogs. No. Blogging about blobs. Yeah, that's right.

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I've had just about enough of those stupid Zoloft blobs. The other day I opened a magazine and saw a cartoon strip that said: "Zoloft has helped millions with depression. This is Cynthia's story."

Then right below, in small type, it said: "Cynthia S., age 57, Portland, WA."

Then right below that, in smaller type, it said: "Story not based on actual person." Huh?

So not only doesn't Cynthia live in Portland, WA.; not only isn't she in her 50s; not only doesn't her last name begin with S; she doesn't even exist!

Which means that when she says, "When Tom and I divorced..." we know the truth: Not only wasn't there any divorce, there is no Tom!

Oh my God, it's an existential mind-bender.

I wish I could punch one of those stupid blobs in their stupid puffy faces with a giant gummy bear that would tear their radii to bits. Or how about this match-up: Zoloft blob vs. Marshmallow Peep. Any bored animators out there? Get to it. For now we're still laughing at this:

Zoloft ad parody

Buddha can

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An earnest friend sent me an article from the World Tribune, a Buddhist publication. I know nothing about Buddhism, to be frank, but he's found practicing it to be very calming and rewarding. He sometimes chants for my health, which is nice and (maybe?) intermittently effective.

The article he sent is about Kim, a ballet dancer turned drug addict who was diagnosed with both schizophrenia and bipolar disorder. In the piece, Kim and her mother Clare talk about how they found solace for Kim, despite the jail stints, hospitalizations, homelessness, hallucinations, etc. It's a powerful story that, if you read between the lines, I think is really about how medication works to treat psychosis. The family ascribes Kim's wellness to chanting and faith, and maybe that's true too. But as a non-believer, it seems more likely to me that the "much stronger medication" was the answer. This story is also a strong example of the way mental illness impacts family members, especially parents.

I couldn't find the article online, so I typed the whole thing in myself. Please read it (after the jump). My fingers hurt.

[Photo by awfulsara via Flickr.]

Clare: I started practicing Nichiren Buddhism 33 years ago, married Ray in the 1970s and in 1979 had a beautiful daughter, Kim. She practiced Buddhism happily from the get-go and loved performing with the SGI-USA youth division’s music corps.

Kim: I felt loved and happy. My parents gave me all I needed and a lot more. I started taking dance classes at age 7. Shortly after, I decided to become a world famous ballerina. I remember telling my teacher and my father that. Ballet became my passion. I continued with other dance and art forms as well—jazz, modern, tap, acting and singing. My parents made me happy and so did my dancing. I felt loved by everyone.

Clare: After high school Kim moved to New York to follow her dream. She seemed extremely happy.

Kim: I got a scholarship at a school called STEPS right on Broadway. I was beginning to live my dream. I danced every day, practically all day. I was 5-feet-9 and had long struggled with anorexic tendencies. I started having trouble with my legs and feet, but I figured it was part of being a ballerina. Then, abruptly, unable to completely understand why, I quit ballet. I thought, I’m too anorexic. It’s too cold in New York, and I’ll never make it big. So I moved back home to LA. My dream died. That’s when my dad told me that he and my mom were separating. I had vaguely known that my parents were having problems, but it never affected my happiness.

Clare: I didn’t understand how she could give up her dream, but I was happy to have her near us again. Kim worked and seemed happy. After a year back home, however, her behavior grew increasingly strange. Early one morning, without telling me or Ray why, she flew back to New York. We had no idea how to find her. That was when I first chanted to connect to her through the universal Law of Nam-myoho-renge-kyo. I used every available minute to chant for her. I chanted for her to understand how special and important she is. She returned as unexpectedly as she left. She was OK but scared. She told us she had chanted on the airplane all the way back that she saw funny things in the clouds and heard loud voiced in her head. But she felt my connection through it all, which gave her comfort. Things got worse. One days she was uncontrollable and I called the police. She hit her father, ran out of the door, leaped over the garage wall and on to the street, where the police picked her up. They took her to a mental hospital for a 72-hour hold and kept her locked up for 30 more days.

Kim: I was diagnosed with schizophrenia and bipolar disorder. That was the day, when, in my mind, people started talking at me, not with me. I was hearing voices. I didn’t know where they were coming from, and I couldn’t understand what people were talking about. I hated the mental ward. I was put on medication and dealt with the side effects, which included gaining weight, anxiety, depression and being unable to speak or see clearly. It was like constantly treading water and almost drowning.

Clare: That was in 2000. I couldn’t believe this was happening. I was so frozen, I didn’t chant. I could do almost nothing. By this time I was practicing Nichiren Buddhism in an area that was not near to my many close SGI-USA friends. A few, however, continued to chant with me, but none knew the hell I was in or how weak my Buddhist practice had become. I had no clue about mental illness, so I took education classes, went to lectures and obtained the best doctor I could for Kim. No matter how much I learned, however, it didn’t help the numbness and despair I felt.

Kim: I returned to my mother’s home, but I felt trapped. I felt like no one cared about me—not my parents, not my family, not my friends. I experienced fear, sorrow, anger and hostility; emotions I never thought I’d ever feel. I was in hell.

Clare: When Kim returned home from her hospital stay, the first of many, Ray and I had to watch her every minute. Even though we were separated, we worked together for Kim’s sake. Most nights Ray slept on Kim’s bedroom floor because she would wake up screaming, with loud voices in her head. I didn’t sleep much and felt I was in hell most days, always afraid of Kim’s next move. She had become someone I didn’t know. She had lost her beautiful spirit.

Kim: I began to use cocaine, crystal meth and marijuana. I started drinking too. I was out getting high with everyone and anyone who’d give me drugs. I was raped more than once. I spent two separate nights in jail and lived in seven mental hospitals and two board-and-care facilities. I was in several car accidents, and I did a lot of bad things. I lost my voice and my ability to express myself, and I felt weak. No one wanted to be around me. Mom kicked me out of the house for coming home high a couple times, and I was homeless on a couple of occasions. I had gone from living in a beautiful home to a shack. I thought I’d never see the light in my life again. The only reason I didn’t commit suicide was because of my chanting.

Clare: Kim would stay away from home for days and sometimes return with a male stranger in the early morning hours. I had to put down rules, which in turn led to her staying out on the street more often. Whenever she was out, Ray and I would drive up and down the streets, checking coffeehouses, jails and even the morgue looking for her. I was so scared. I finally woke up and began putting my Buddhist practice first. How had I forgotten this? I started a major effort to chant Nam-myoho-renge-kyo, joined by many members. SGI president Ikeda’s words gave me much hope, particularly when he described how much chanting Nam-myoho-renge-kyo can open even the heaviest door that may block our way. He says, for example: “Difficulties impede the progress of those who are weak. For the strong, however, they are opportunities to open wide the doors to a bright future. Everything is determined by our attitude, by our resolve.” I became more certain that I am a Buddha, that I am connected to the universe and again I realized I am connected to all life. I gained the wisdom that I needed to make changed within instead of looking at what Kim had to do. I felt a strong connection to the Gohonzon and deep appreciation for my life. I was lifted above my despair and able to take action once again. People around me were surprised to see my happy face and saw new strength in me. They began asking questions, so I brought them to SGI-USA meetings. My determination was to chant with the same conviction as Nichiren Daishonin every day. In August 22004 Kim was again brought into a local hospital by the police. This time, her personal doctor convinced them to work with her to start her on a new, much stronger medication. He was hesitant to prescribe this because Kim would have to get weekly blood tests for as long as she took it. Also, patients on this medication typically gain weight, always a concern for Kim. It was, however, our last resort. Kim agreed to try. Almost immediately my daughter was back to being loving, spiritual and kind.

Kim: That wasn’t the only change I made. I began to chant Nam-myoho-renge-kyo as often as I could and once again began attending SGI-USA meetings. That was my turning point.

Clare: The day Kim returned to my home was my birthday, and she asked immediately if we could recite the evening prayers together. I will never forget that birthday present. Now when she shares her experience at SGI-USA meetings, I’m amazed at how deep an understanding of life she has gained.

Kim: Since I renewed my Buddhist practice, stopped using street drugs and started taking action for my life, I feel 100 percent better. I’ve been drug-free for more than a year. I’m not completely recovered, but instead of waking up to a day of hell, I wake up to one of joy. I have many goals, including finding a job and getting a car. I also love to perform. I want to get married and have kids. My greatest goal is total recovery. It’s wonderful to focus on my dreams again instead of merely surviving each day. I recently moved into a board-and-care facility, and I love it. I no longer feel trapped. My home now feels like a mansion instead of a shack.

Clare: There is so much more to tell, but mostly I want to express how deeply I appreciate Nichiren Daishonin, President Ikeda and all the people who stood by us through days and nights of chanting Nam-myoho-renge-kyo. My SGI family never let me give up. I’ve learned to look outside myself for answers and changes. I love the journey of my life and, with conviction in my own Buddhahood, I know my daughter will live a fulfilling life.

Kim: I’m living again, and I love it.

Special Effexor: A diary. Day 5.

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This weekend was about 10 times better than last. I started taking the Effexor on Wednesday, after talking to my doctor about my concerns, namely the withdrawal horror stories you read online. "You've been through much worse," he reminded me, referring specifically to the Klonopin withdrawal and the methamphetamine withdrawal. True, if I survived those—equally horrible in their own peculiar ways—I can get through a little Effexor backlash if it turns out I don't like it.

Thing is, so far I like it. I've had three solid nights' sleep for the first time in weeks. I feel more clear, and I haven't cried once. The zipping and beeping and bugs are gone, which were perhaps as much a product of sleep deprivation as anything else. Alternately, the drug could be taking effect already, which would be great.

I feel more optimistic now. I'm still quite tired, but everything looks a little less grim and Moscow-during-Communism. I'd give the Effexor a thumbs-up for the moment. Wednesday I double the dose, so we'll see. But let's put it this way: Yesterday I baked a cake.

Stormy weather

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I've always wanted to give blood, but I generally don't weigh enough. So I look with longing at all those prone, pasty people, their corpuscles gushing into a plastic bag, waiting for the moment they can scarf down the from-concentrate OJ and a donut or two.

I'm constantly trying to think of new ways to do something good—to be engaged with social justice in the way my Quaker high school and hippie college taught me to. Now I'm thinking of taking a few days and going down to New Orleans. I got an email from an activist there, and they really need the help. I don't know if I'll get the chance, or be selfless enough to try, but if you have some time on your hands and are looking for a larger purpose in your life, here are some sites to consulte for volunteer opportunities. Tyvek suit highly recommended.

Common Ground Relief
Bayou Liberty Relief

Post-Katrina stress still weighs on New Orleans [Reuters]

[Photo via Kristin Breaux via Flickr]

February 19, 2006

Your stories: Joshua

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I've been getting a fair number of comments in response to the posts here, and every now and then I like to highlight one that represents the feelings and experiences of a lot of the people reading this. Below is Joshua's story, a remarkable tale of endurance and tenacity, and an ultimate realization that sometimes the illness needs to be the first priority, unfortunately. Thanks, Joshua, for sharing your story with us.

I've been reading your column for years now and it has provided me an exteremly valuable assisstance in my recovery from mental illness and my psychotherapy practice at a community mental health center. Like you my main goal in life is making it day to day while offering hope and empathy for my severely mentallly ill clients. But my time for nuturing others is running out.
After 30 years as a practicing psychotherapist I find that I must, for my own recovery, admit that I can no loner perform my activities as a mental health specialist to the degree that I've subscribed. In 30 years I've seen it all and managed to find growth for myself and my clients. Now I'm coming to a lost for finding the gifts that I've offered due to the severity of my own illness.
I was permanently disabled for almost 10 years and could hardly function in life. After many hospitalizations, med changes and ECT I slowly regained my faculties and humanity and returned to work. I continue to endeavour to provide the best of care for my clients but I'm sometimes fighting a battle for my own grasp on reality that robs me of my sense of purpose in assissting others. When I'm with my clients I am truly there for them but my personal integrity is continually robbed of some of the most elementary abilities that allow a consumer to treat a very needy population.
My therapist, PDoc and friends and family are supportive in my sense that it may be time to end my professional career and move on to something that will be less stressful and more suited to the reality of my severe bi-polar disorder. I come to this conclusion with dissappointment and regret. I'm a good therapist. And also very ill. I've had to withdraw from facilitating a support group as it was too much to contribute to the needs of more consumers when I really need a forum to help me with my own needs that were not being met. I have five rescued critters that give me affection, loyaliity and hope.
I'm not sure where I'm going to wind up in the near future. I've signed up for training from the Office of Vocational Training but am at a loss to see what is in the future for a mentally disabled clinician who has met the end of his game.

Joshua, you are not alone. There are many of us pulling for you. I trust that you'll be able to find a place for yourself even though it's hard right now. We'll keep you in our thoughts, and you keep us posted as to where you are.

[Photo courtesy jonjohnson via Flickr.]

February 17, 2006

I can't tell if this is funny or offensive

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The running gag is: The WWE's Tim White—"a very depressed man" (pictured here)—tries to kill himself in a variety of ways after his career as a ref is cut short. Funny or offensive? I think offensive, but maybe only because the comedy isn't that good.

Tim White's Suicide


 

Headlines from Hanoi (and elsewhere)

Hanoi girls survive suicide attempt [Thanh Nien Daily]
Couple commits suicide after killing child [Times of India]
Bereaved families demand suicide prevention services boost [Press Association, Northern Ireland]
School worker suicide 'avoidable' [BBC]

Special Effexor: A diary.

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So. Let me give you a sense of the psychotic depression. I hear things and see things that aren't there. I lash out at people. I cry a lot. I can't focus. I don't know what I'm doing half the time. I dial phone numbers and don't know why. When it's time for me to leave my house, it seems impossible. Is there another world? Why do I have to be in it? I feel like I can't see. When it's time for me to leave my office, I panic. How can I get from one place to another? People have to pick me up. I have to remind myself not to talk to myself when I'm in public. My eyes are attracted to bright things, like earrings and sequins. I have to keep myself from staring at people's necklaces, or shiny buttons on their coats. I don't sleep, or I sleep a little, then I get up half in dream and half out and do strange things. The next morning I don't know what's happened. I think bugs are zipping in and out of the room. I hear beeping. I'm so on the edge, and out of control. I can keep it together at work, but it unravels at home.

And then there's the depression. Everything is hopeless. My life is a mess. What's the point? What's the future? It's a dark hole. I just have to make it through each day. Just get from bed in the morning to bed at night—just fill that space—and I'll be okay. I'll have made it through another day. For what? I don't know. Bed to bed.

I just know this: I've been here before, and I've crawled out of it. So I guess I'll do it again.

Today is my second day on the Effexor. For the first time in many days, I slept through the night last night—no hallucinations waking me up, no nightmares. I think I'll go see a movie tonight.

I know the Effexor won't really kick in for another week or so, maybe more. But the sleep? It makes a huge difference, so for that, I'm grateful.

Down New Mexico way

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I dreamt I was in New Mexico on a business trip. I thought the unnamed town looked quite nice, like San Antonio, kind of. I ducked into a diner, and there were several punked out kids there, one of them a lanky teen with dyed pink hair and huge glasses wearing a black Dead Kennedys t-shirt. I thought it was strange that there was such a counter-culture there, and I asked someone why.
"Oh, it's because Yale University is right across the street, so we get a lot of college kids in here."
"I thought Yale was in New Haven."
"This here's a satellite campus."
I walked down the street, then passed out. People surrounded me as I came to. I had a piece of paper in my hand, and I was showing it to people. "I like it in New Mexico," I said. And the people just shook their heads.

Turned out, I'd had a psychotic break. I was still in Philadelphia—on the dirty sidewalk, in fact. They started laughing at me. "You're crazy. You need to be in the hospital. You're sick." And I started crying because I knew they were right. I was crazy, and not only would I never get better, I'd never see New Mexico after all.

For some real news from New Mexico, forced outpatient psychiatric drugging has been stopped in that state, at least for the moment. Read the MindFreedom update after the jump.

The following is a release from MindFreedom.org.

Today, New Mexico's Senate adjourned without passing an involuntary outpatient commitment law. The law would have made New Mexico the 43rd USA state to allow courts to order peaceful citizens living out in the community in their own homes to take powerful psychiatric drugs against their will, even though the drugs can cause brain damage.

Hundreds of New Mexico's citizens united to resist this bill, vastly outnumbering proponents. Congratulations to Ken Collins and Al Galves, two of the MindFreedom members who participated in this historic cross-disability rights victory.

BELOW is a statement from a mental health advocacy group, NYAPRS, that
flew their director Harvey Rosenthal down to New Mexico to fight the bill.

Thank you New Mexico for showing us all: If we unite, we can win human rights!

~~~~~~~~

Kendra's Law Stalls in New Mexico Senate

NYAPRS Issues Statement Urging New Focus on True System Reform

The New Mexico state legislature adjourned at noon today without taking final action on their version of Kendra's Law and its reliance on forced outpatient treatment as a false solution to real, comprehensive mental health reforms.

In doing so, they give New Mexicans the time to avoid rushed, headline
driven policy and to get down to the business of crafting real
solutions that will truly improve social conditions and services for
New Mexicans with psychiatric disabilities and their families.

Absent of a special session, the New Mexico legislature is not
scheduled to meet until next year. While the measure ultimately passed
the House despite a number of committee meetings that heard powerful
testimony from opponents, its movement slowed down in the Senate in
consideration of several amendments and eventually, the clock ran out.

Under Governor Bill Richardson, New Mexico has assembled a 15 state
agency Behavioral Health Collaborative that, with input from all
stakeholders, can effectively overcome the problems in access,
adequacy, quality and capacity of what hopefully will be a recovery and person-centered public mental health system that saves lives and
advances the wellness and community integration of New Mexicans in
need.

The movement against involuntary outpatient commitment and for recovery reforms in New Mexico has been a truly unprecedented and inspirational one. In most other states, political leaders have succumbed to a juggernaut of pressure to pass IOC initiatives or to be targeted as 'soft on crime' or turning their backs on the suffering of those with psychiatric disabilities and their families.

The rights and rehabilitation movement in New Mexico, peopled by
hundreds of advocates from the consumer, provider, family
and disability rights communities, rose up and passionately revealed
their personal stories and their personal conviction in the power of
recovery and the great potential of progressive mental health system
reform to effectively engage even the most distressed and/or isolated
individuals.

If there is any victor today, it is them. In doing so, they have given
hope to true system reformers and proponents of recovery,
rehabilitation and rights across the nation.

It is now time for mental health advocates to stop diverting precious
time and resources to fighting over forced treatment and instead to
come together to craft true mental health system reform.

This 'Mental Health E-News' posting is a service of the New York Ass'n
of Psychiatric Rehabilitation Services, a statewide coalition of people who use and/or provide community mental health services dedicated to improving services and social conditions for people with psychiatric disabilities by promoting their recovery, rehabilitation and rights.

~~~~~~~~~

Congratulations to everyone in Connecticut, Maine, Maryland, Nevada,
New Jersey, and Tennessee -- along with New Mexico -- for living in the last seven USA states to say "no," so far, to the psychiatric industry invading our own homes!

February 16, 2006

Secret agent

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When I'm depressed, every little slight feels horrendous. Today I was given the brush-off by a New York literary agent who'd previously been quite enthused to work with me. Is the New York publishing world so fickle? Don't answer that.

I wish I had the energy to do some blind-item Gawker-y thing that would get reposted everywhere. But I don't think that would be fair to the agent. Her tonal shift was noticeably weird, but this is an awkward time for agents who represent non-fiction writers. And you know what? My second junior proposal, written purely to please her, wasn't any good. So it's my own fault.

The good news? The Independent just published a superb front-page story on Iraq vets with PTSD. Check it out:

Military under fire for 'abandoning' more than 1,000 veterans with mental problems [Independent Online U.K.]

Another celebrity gets diagnosed!

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Kerry Katona Diagnosed With Bipolar Affective Disorder [EntertainmentWise U.K.]


Katona arrested after club brawl
[BBC]


 

Song of the day: "FEMA Blues"

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I love radicals. And I love the Independent Media Center. The IMC Radio Network recorded a press conference on FEMA's treatment of children during and after the Katrina disaster.

The speakers at the conference:

It's quite a catchy tune.

Audio Press Conference: Has FEMA failed our nation's children? [IMC Radio Network]

Medisucks Part D update

There's a lot of news of the Part D front, so let's just cut to the chase. From NAMI:

Medicare Drug Benefit Update: Consumer and Family Tip Sheet Available to Help Dual Eligibles Address Coverage Problems; Bills Introduced in Congress to Address Gap
The Medicare Part D drug benefit is now 45 days old and while many of the problems that plagued the early days of the benefit have been addressed, some problems persist. Of particular concern to NAMI are coverage gaps faced by low-income beneficiaries with severe mental illness who are concurrently (dually) eligible for both Medicare and Medicaid.

More than 22 states are currently using Medicaid to cover medications for dual eligibles. But since the beginning of February, a number of states have suspended temporary coverage for dual eligibles in order to press pharmacies to first seek payment from Medicare drug plans and only use state Medicaid as a payor of last resort. As noted in an E-News last week, the Centers for Medicare and Medicaid Services (CMS) extended transition guidance that requires Medicare drug plans to cover all medications prescribed to dual eligibles through at least March 31, 2006.

Tip Sheets for Consumers and Families

Perhaps the biggest challenge facing the new drug benefit in these early days is the persistent gap between the coverage and transition obligations imposed on drug plans by CMS and what drug p