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March 31, 2007

Bipolar child: follow-up

From Charles:

There has been a remarkable increase in the awareness of bipolar disorder recently. This is partly due to pharmaceutical/academic campaigns such as the infamous Lilly campaign much maligned by the likes of David Healy in the UK, but it is also due I think to a genuine desire by psychiatrists and sufferers alike to blow away the stigma and misunderstanding associated with the label of BPD. The recent television documentary on the subject presented by the commedian Stephen Fry, in which he discusses in great detail his own illness, had a great impact on awareness in the UK.

As a researcher into bipolar disorder in the pharmaceutical industry I have listened to many discussions about "early onset" bipolar disorder. I have never heard comments that might justify the charge of disease mongering, but I have myself considered whether there might be a prodromal state of bipolar disorder that might be treated in order to prevent the emergence of the full blown disorder. For example, if a child's family history suggests that he or she is at risk of BPD, then would it be worthwhile considering lifestyle changes or career counseling to avoid the stressors that can precipitate the illness? Easier said than done!

However, I do agree that medication would probably not be the best approach... yet. The problem is that we know so little about the aetiology and development of BPD, and given the plasticity of a child's brain we risk alot giving medications that we know can alter brain chemistry and function. We've got a very long way to go with BPD; however, I'm hopefull that we are making some progress. There certainly needs to be more informed debate on the subject of childhood mental illness, because if the adult disorder does arise from changes occuring during adolescence or earlier then there may be a much better chance of applying a correctional treatment at that stage.

March 30, 2007

The medicated child

In my post about childhood diagnosis, I wrote: "I cannot imagine how my growth--both physical and mental--would have been compromised had I been put on OCD meds as a 9-year-old."

A TTWS, name witheld, has the following answer:

At age 11, I started seeing a psychiatrist four times a week who prescribed Thorazine for my OCD. He continued to increase the dosage without associating the photosensitivity I experienced with the medication he prescribed. Eventually, the photosensitivity became so severe that I largely ceased going outside. My inability to engage in normal childhood outdoor activities caused me to dissipate my energy in my family's apartment. This led, in part, to my placement in residential treatment where I spent the next three years.

Preventing depression

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An article in the Cinncinati Enquirer says new research shows that preventive treatment for depression can be effective in at-risk populations, like those with SAD, or people with diabetes and heart disease. In two studies the preventive treatment was antidepressants. In the third it was psychotherapy.

I've used this strategy myself in the past, to grapple with pretty dramatic depression due to PMS. I used to take Zoloft for a week before the PMS, and then stop it when I got my period. It worked for a long time, but the Zoloft ultimately caused side effects I didn't feel like dealing with, so I don't take it anymore.

However, this kind of treatment makes me nervous. While it's true that heart disease sufferers are at higher risk for depression, does it make sense to start the meds before knowing if this particular patient will struggle with those symptoms?

I think I'd only employ this treatment strategy in relation to postpartum depression, which is a major factor in my not wanting to have a baby biologically.

Depression can sometimes be prevented

[Don't the Zoloft round things look just like the characters in the Korean anime Doggy Poo?]

March 29, 2007

I'm confused

If this is true, why have my depressive symptoms responded so favorably to Effexor? Does this mean I don't have bipolar disorder? I'm so confused!

Antidepressants don't help bipolar patients, study finds

The bipolar child: myth or reality?

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I've been fairly candid about my opinion of the increase in bipolar diagnosis: It's bunkum. The more something gets into the public consciousness, the more people report it. It's a zeitgeist contagion, and even I'm not immune. Last night, I was talking to a mental health activist at the University of Pennsylvania. She said she always thought Sylvia Plath (pictured) was schizophrenic, but learned at a Mental Health Awareness Week Quizo (brilliant idea, BTW) that Plath was actually depressed. "Well," I said, "today she'd probably be diagnosed as bipolar."

Then I thought about it: Why did I say that? Nothing in Plath's chronicle of her struggle or her history suggests bipolar disorder; I said it because it has become a reflex. It's almost as though people are questioning the very existence of clinical depression. I'd hate for people to think, "Have I ever been in a good mood? I guess I'm bipolar!" And the increase in diagnosis among clinicians has more to do with big pharma than observable patterns of behavior (she said cynically).

In the recent past this flurry of bipolar enthusiasm has garnered media attention, due, in part, to the case of Rebecca Riley, the little girl who was diagnosed with BP at age 2, and who died of an overdose of her psych meds. Her story is horrifying. I am completely opposed to using multiple psych meds in small children, and I'm extremely wary of attributing a 2-year-old's behavior to a complex (and not fully understood) disorder like bipolar. Okay, I'm being cagey in case a p-doc challenges me. The truth is, I simply do not believe it's possible to diagnose a toddler with mental illness.

When I was 9, I started exhibiting bizarre compulsive behaviors, which I won't get into now, but which may arise in a future column. My mother was concerned, and had me talk to a friend of hers who was a psychiatrist, who believed the problem was not with my brain, but with my mind. She linked the behaviors to anxiety, and worked with me to identify the source of the anxiety. The behaviors disappeared.

Many years later, in my 20s, I began to exhibit similar behavior. I was diagnosed with OCD and put on Klonopin, a drug I became addicted to and stayed on until just a couple years ago, when I went through the hell of withdrawal. I cannot imagine how my growth--both physical and mental--would have been compromised had I been put on OCD meds as a 9-year-old. And yet, if the same episode took place today, I would most certainly be given drugs as the first line of defense. I'm so grateful that didn't happen.

There will be a backlash to all this overdiagnosing and overmedicating, and I hope it begins with a serious reassessment of what we're doing to generations of children when we put them on harsh psych drugs as small children. I know of kids who started meds at 5 and have never been off them, even through college. How do these people have any idea what's truly wrong? How is it possible that their family practitioners keep calling the prescription in to the pharmacy without requiring a consultation with a psychiatrist--someone new to the case?

Ugh. I could go on and on, but you should head over to Furious Seasons, where there's some heated debate on this subject. This is an issue that cannot be ignored.

McManamy Talks Bipolar Child Paradigm Again

A Bipolar Child Murdered: Prosecutors Allege Parents Made Up Symptoms

Bipolar Made Me Do It: Burn My Husband's Clothes and Destroy a Hotel Room

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Thanks to TTWS reader Steve for alerting me to Mary Weiland's self-justification. Mary is the wife of Velvet Revolver's lead singer, Scott Weiland. Scott has been busted for possession, DUI and other criminal offenses, and like any good rock star, has been in rehab several times. (In Pennsylvania, he would've been given life without parole the first time around.)

Rolling Stone's Rock & Roll Daily blog seems to be skeptical of the Bipolar Made Me Do It rationale. They write: “'It’s okay, I’m just crazy'” seems to be the gist of Mary Weiland’s excuse for destroying a Burbank hotel room and lighting her husband’s clothes on fire."

As for that hotel brawl, Scott writes on VR's website: "My wife locked herself in the adjoining room when that damage was done. I want to make it clear that I called security when I heard the glass being broken from next door. Security was unable to enter until she let them in. I sent my children off to a safe place with my assistant (who witnessed all of the events of the evening, until my wife locked herself in the room), and I left the hotel in order to avoid conflict with my wife."

Those poor kids.

Weiland's Wife: Faulty Meds Led to Meltdown

[This image came from an MSNBC sotry about the troubled couple.]

March 28, 2007

Mental Illness Made Me Do It: Pretend to Sell Iraqi Money on eBay

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This is a weird one. Jennifer Noble, who claims that unspecified mental problems cloud her thinking, put Iraqi money up for sale on eBay. People from the U.S. and Australia and other big places paid her, but never received their moolah. (I say "moolah" because it sounds especially un-American.)

She's ordered to pay restitution of $9,700. Let's hope that's in American dollars.

New column: By the Book

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The Trouble With Spikol: By the Book

I came home and my books were spine-down on the floor, as though the bookshelves had heaved a great sigh and the books had slid off. Vince came in from the next room with more books in his arms.

What was he doing? Looting? While wearing a striped hoodie bathrobe?

He’d gotten tired of waiting for me to organize my books, he explained, and thought if they were all over the floor, I’d be forced to contend with them—a dire strategy, but warranted. I don’t contend with anything at home.

When Vince sees a spindly half-square of Life cereal on the bedspread, his head practically explodes. When I see it … well, I don’t see it. That’s the problem.

In Vince-o-Vision, a wet towel draped on a kitchen chair trips a blinding strobe light. Only returning the towel to the bathroom will shut the light off.

In Liz-o-Vision, the towel miraculously disappears, as does the chair. The room turns into a giant box of Life cereal, and I have to climb inside and crunch until I die.

Poor Vince was like a migraine sufferer. He had the flickering lights of my disorganized books in his eyes for two years.

But unlike anything else in my environment, I care about my books. And I’m vain—I think my collection is interesting and distinctive, and reveals the true essence of an eclectic, sloppy self. That’s why I’ve trucked crumbling, water-dodged volumes from one shithole to the next. The movers always said, “You have a lot of books.” I loved that.

And I loved the surprises. I’d be on my way to the bathroom and I’d catch sight of Delmore Schwartz’s letters, and I’d be reminded of my epistolary period, which started with Schwartz and ended years later with Laclos. “Screw Laclos,” I’d think. “He soured me on Schwartz.”

Or I’d run into a play by Brian Friel, and think, “Wait, didn’t he write something with Philadelphia in it?” and I’d comb through the wreckage and finally pull out Philadelphia, Here I Come from a cloud of cat hair and dust. It would be like running into a grade-school friend you thought moved out of town. You again!

But Vince wanted categories. His own books are beautifully shelved, and in sensible ways. When he wants to reference something, he knows just where it is. He knows to avoid certain shelves in certain moods; he knows where to go if he’s lonely for a particular voice. And there’s never any cat hair or dust.

His life is folded. Mine is wrinkled.

When Vince and I first started dating, I called my mother from his apartment: “Mom, I’m in over my head. His apartment is really nicely decorated with framed things on the walls. It’s neat and clean. There are scrubby things under the sink in the bathroom.”

“They’re called sponges,” she quipped.

I couldn’t imagine such a professional person would ever love me. I kept my messiness hidden for a long time. And by the time he knew I ate cereal in bed and cried for my dead cat, he’d moved from Chicago to Philadelphia. Too late to go home—but not too late to organize.

Vince suggested book categories I might want to use: 20th-century literary history, for instance, or cultural studies.

My categories, when I had any, were: books Bessie, my half-Beagle/half-Dachshund, ate when she was lonely, or super-old books I got for less than $10 but will be worth millions when I’m dead.

I did have all books about Chihuahuas in the same spot, but it just wasn’t enough. Hence the books on the floor.

As Vince and I worked together, I kind of got into it.

“Hey,” I’d marvel. “I forgot I had this.”

And then Vince would pick something else up and say, “I didn’t know you had this,” in a way that made me feel like the new girlfriend instead of the old muddled battle-ax.

But I did put my foot down about categories. Fiction. Nonfiction. Books with mostly pictures. Books with mostly words. That’s as far as I was willing to go.

After a few hours of toting books from one room to another, tempers flared. I hedged at alphabetization. I asked Vince if he insisted, half hoping he would just so I could stomp my foot and be mad. But he threw his hands up in the same way he does when I leave one sock in one room and another on the bed: “It’s hopeless.”

It seemed like a victory. “Hah!” I thought. “Miller before Melville. No one can infringe on my rights.” But later that week, when someone asked me about a book, I went over to the shelf and found myself annoyed.

“I thought the whole point of the organization was that we could find things,” I said irritably to Vince. Then I realized it was me who’d hindered perfection. Bah humbug, as they say on Fiction Shelf No. 3.

So tonight I’m putting Melville before Miller, and I’m ashamed to say I think I’m doing the right thing. I haven’t thought about what I’ll do if a new book enters this world order. But clearly it’ll have to behave. This ain’t no roadside flophouse. Not anymore.

Just the Facts

>> Best song about Delmore Schwartz: “My House,” by Lou Reed.

>> What Lou Reed had to say about Schwartz: “He was the smartest, funniest, saddest person I’d ever met. He had a large scar on his foregead he said he got dueling with Nietzsche.”

>> Best quote from a professional organizer: “Organizing comes from within,” says Rebecca Lang of Clutter Organizers (www.clutterorganizers.com).

>> Relatively local maker of custom bookshelves: Berg’s Craftsmanship in Wood, 477 Alleghenyville Rd., Mohnton. 610.856.7095. www.bergscustomfurniture.com

March 27, 2007

Wristcutters marketing

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From Mental Health America:

Dear friends,

We need your help. AfterDark Films plans to release a Lionsgate Entertainment movie this summer called Wristcutters: A Love Story. The film premiered at the Sundance Film Festival last year to some acclaim. Mental Health America and its national partners have not yet been able to view the film and cannot yet share any detail on the content.

This month, however, AfterDark will launch an alarming “shock and awe” advertising campaign featuring cutouts of the movie characters in the states in which they kill themselves (e.g., jumping off bridges and electrocuting and hanging themselves). These signs will hang from telephone poles and trees in communities nationwide.

Interestingly enough, recent outrage around the advertising campaign of another one of the companies’ films, Captivity, forced AfterDark to remove billboards that showed graphic images of women, being kidnapped, confined, tortured and killed.

On March 12, Mental Health America and 13 of its national colleagues signed a joint letter to AfterDark and Lionsgate, asking the companies to drop Wristcutters’ marketing campaign. Our letters and calls have gone unanswered by AfterDark. Lionsgate claims they have nothing to do with marketing decisions.

You Can Help stop the Wristcutters suicide marketing campaign.

* Send a handwritten or typed letter to Lionsgate and AfterDark demanding they pull the marketing campaign. Use the messages and contact information below.
* Send a letter to your mayor alerting him of the film’s marketing campaign and asking that he or she not allow the images in your community.
* Reach out to video rental stores who will receive the film and its marketing materials shortly after the movie’s theatrical release asking that they not display the film’s marketing materials.
* Send this email to your colleagues, friends and family.

Suggested messages:

* The planned marketing campaign for Wristcutters, which features graphic depictions of suicide, is both alarming and dangerous.
* Suicide is NOT entertainment. With more than 30,000 suicides and 1.4 million suicide attempts in the United States each year, it is a national crisis and tragedy.
* AfterDark must modify the planned marketing campaign for Wristcutters before rolling it out.
* Scientific evidence shows that portrayals of suicide pose the very real danger of ‘suicide contagion,’ the clinical term for ‘copy cat’ suicides.
* Images of suicide are cruel and offensive to people who have contemplated or attempted suicide or to those who have lost family or friends to suicide.
* This is not an issue of “political correctness” this is an issue of pubic health.

Please direct letters to:

Mr. Jon Feltheimer
CEO & Co-Chairman
Lionsgate Entertainment Corporation
2700 Colorado Ave.
Santa Monica, CA 90404
Office: 310- 449-9200
Fax: 310- 255-3870
Email: general-inquiries@lgf.com

Mr. Courtney Solomon
Partner
AfterDark Films
2161 N. Bronson Ave.
Los Angeles, CA 90068
Office: 323-468-9888
Email: info@wristcutters.com

If your email is returned because of the companies’ mailboxes are full, please consider calling, mailing or faxing your letter. It’s important that our voice be heard! And if their mailboxes overflow, that means we are being heard loud and clear.

To read the letter Mental Health America and its national colleagues sent to Lionsgate and AfterDark, visit http://www.mentalhealthamerica.net/go/about-us/pressroom/-wristcutters-letter.

Cute fix: Knut

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I don't know what's wrong with me. I cannot get past my obsession with this little bear. I've been watching him since he was incubator-tiny, and I've reveled in his progress and in his close relationship with Thomas, his caregiver. Every time I watch a video of him, I get really emotional. At first I thought it might be PMS, but even post-M I feel this way. I feel like ... like I love him. I know that sounds dumb, but it's true.

One time I was waxing poetic to my boyfriend about his brother. I was saying how great he was, and how much I liked his wife, and how great it was to visit with them. My boyfriend said, "I'm glad you like my brother so much." And I said, "I love him!" And then I realized how silly I sounded and I crawled under the table to hide.

Since that chagrin-filled moment, I've resisted pledging my platonic love. People are funny about non-romantic declarations of love--somehow that word feels too emotional in our cynical age. So to keep my cool, I no longer love anyone who's not in my immediate family. I like them and respect them.

But Knut. He's not only not in my immediate family, he's a polar bear. Yet I'm deeply moved by him. And I feel love, perhaps even more love than for my boyfriend's brother and his family.

I will continue to chronicle Knut's growth, given my personal stake in his future. So this is not just your typical cute fix. This is a love fix.

"Knut Day" in Berlin as polar bear cub goes public

[photo copyright Reuters/Hannibal Hanschke]

March 26, 2007

Heaven in a tablet

A cure for both my psychosis and my migraines? That's how I first read this, and I thought the company was making a super pill that would be a combo of Seroquel and Imitrex, my two beloveds. I guess it would be Serotrex, or Imiquel. But alas, the drugs are separate.

Alexza shares peak on drug test news

Speaking of cynical...

Thanks, Kent, for this article about The Good Mood Diet, in which Susan Kleiner guarantees: "Change your diet, and you’ll feel better in one day. In one week, your depression will vanish. In one month, you’ll lose weight for good."

Wow. This better be some book. If there were a cure that made depression vanish in a week, I think it's safe to say millions of people would be running out the door to read about it. Oh, wait...

Is Your Diet Making You Depressed?

VNS success?

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I get nervous when I read positive stories about Vagus Nerve Stimulation (VNS). I don't want people to get their hopes up, as so many people do with ECT. And given what a racket the ECT industry is, how ethically compromised, I have little faith that other like practices can be offered without similar corruption. Cynical, I know.

A story by Krista B. Ledbetter in the Oshkosh Northwestern about a family doctor's treatment-resistant depression isn't exactly a VNS success story, though the doctor, Jim Siepmann, believes it is. Putting aside the VNS angle, the article is an excellent articulation of what clinical depression feels like.

Man battles treatment-resistant depression

March 24, 2007

Clarification

Yeah, so I'm home and online on a Saturday night. What of it?

TTWS reader Terry B. writes:

"In Canada no one has been executed since the early 60s and we are among all the other
western powers who do not murder in the name of the state. There are at least 5 cases of mistaken verdicts where before capital punishment the accused would have been hung. How many executions can be justified for one mistake. What about Texas where Bush would laugh when he denied clemency and to quote Blazing Saddles to often when there is no obvious offender '...the n***** gets it.'"

So just for clarity's sake: I am adamantly opposed to the death penalty, which is barbaric and obscenely unjust.

That's your cheery thought for the night! Only ... you're not reading this because you're cooler than I am and have plans with friends or something. Boo on you.

March 22, 2007

Until we meet again...

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Tomorrow and Saturday I'll be in sunny Camp Hill, Pa., for a conference, so I won't be blogging. Last week when I couldn't blog on Friday, I did a special Suicide Saturday (yay! whee!), but this week you might have to wait for Suicide Sunday (whoopee! yahoo!).

But in the meanwhile, there are two things you must do. First, you must watch this video. I watched this twice through (it's kind of long), and both times I almost peed in my pants from feelings of love and joy. Seriously, my chest was contracting as though I was having a panic attack, but I was actually so happy, I hyperventilated.

The other thing you must do is: Have a good couple of days. "Yeah," you'll say. "Sure." But I mean it. Eat something you love, even if it's fattening. Watch a TV show that's dumb but funny. Listen to music and spin around in your living room until you're dizzy. Shower your pets with kisses and petting. Call a friend you haven't talked to in a while but who makes you laugh. Go to a stupid movie and get popcorn and a sugary soda and let yourself sink into it. TAKE A WALK IN THE SUN.

Most important, make yourself laugh--and not sad-laugh--at least four times before Sunday, no matter what you have to do to make it happen. And when we meet again, we'll all have had a vacation from ourselves, and we won't be angry at each other for not being productive or for wasting time.

And if none of the above works, watch the Knut video again. I know I plan to.

Accident Report

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A woman who was trying to commit suicide by walking into traffic did indeed get hit, but didn't die. That's all I know about the incident, which took place in Orange County, Calif., but I think that must be such a horrific experience. You think you're about to die, and that the pain will finally be over, and you find yourself not only alive, but in more pain than you could ever imagine.

Of course, in this case, I don't know with any certainty that the woman in question was seriously injured. But how do you walk away after being struck by a big rig? And the trauma of being snatched away from death like that--well, maybe it's transformative. Maybe she'll be glad she survived and this will open a whole new chapter for her.

Whoever you are, California lady, I hope you're okay. I'm pulling for you.

I must remember this is a public forum

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When I look at my blog-tracking software, and see that thousands of people come here every day, I think, "No, that's not right. It's mostly Kent, HS, EVS, Annette, Sachin, Dennis, Joe, Joseph, Amara, the staff of PW, Julio, Sally, ttq, Marissa, Jim, Susan, John, and about 10 other faithfuls who I'm forgetting right now [and potentially alienating]." I just can't process that there's more than about 30 people who wanna look at this thing.

But perhaps it would behoove me to be a little more judicious with my words, or at least spelling. Today, for instance, I discovered that I am quoted on the CBS News website in its Blogophile report by Melissa P. McNamara. I'm practically incoherent! The sentence is so awkward. But the write-up is interesting; it's about Internet addiction. Scroll down to where it says "Internet Rehab," and you'll see what I'm talking about.

From now on, I'm going to express myself deliberately and exquisitely. Peace out!

Special Report: Blogophile

Testing my resolve

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I am against the death penalty, and I work for an organization that advocates for humane treatment of incarcerated people. But the following case is a serious test of my willpower on both counts.

Angel Reyes was in court this week in nearby Delaware County to try to get his death sentence revoked. Reyes killed his toddler daughter, Marcia, after a fight with her mother. He was so pissed off, he grabbed Marcia, took her to a bridge and tossed her into Ridley Creek below. He knew she couldn't swim, and he knew she would die. After he dropped her in he came home, triumphant.

He was given the death sentence in 1994, and that penalty was upheld through years of legal wrangling. But his lawyers argued that if a jury was able to hear about Reyes' tragic childhood, they might reconsider. From the Delaware County Daily Times:

Reyes grew up in an impoverished home in Puerto Rico under the fist of an abusive father, who would beat his children with anything handy -- a bar, a rod, or his bare hands. They would be deprived of food for days as punishment. That led the adult Reyes, according to a defense psychiatrist, to be unable to control his anger and explained his sadistic behavior on the Fourth Street Bridge.

This latest court appearance was the first time Reyes expressed remorse for a crime he never denied committing. He told the jury he's found God, but they reaffirmed his death sentence anyway.

I appreciate the depth of Reyes' childhood trauma and don't argue that he's a damaged soul. The psychiatrist made the best case he could. But I can't say I feel that history mitigates his crime. I don't see the point of state-sponsored murder, but ...

What do you guys think?


[Photograph by StormyinGA]

Democrats in power: like a warm bath.

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Aside from all the oversight investigations that are revealing the true dysfunction and corruption of the Bush administration, Democratic legislators are speaking out and acting fast after revelations of poor veterans health services come over the transom.

Now the US House has enjoined the VA to create a program to address suicide among veterans. Those with PTSD will be the population well served by this kind of program.

I have to say, when it comes to veterans mental health issues, we have come a long way since Vietnam. We're not there yet (okay, it still sucks), but we've made progress. It's important to recognize that.

March 21, 2007

Hey, wanna be disgusted?

Well, I can help.

Doctors’ Ties to Drug Makers Are Put on Close View

Wide genes

There's an inflammation of the brain that has been found to cause or predispose for schizophrenia. I like this Canadian news release's wording:

"This could lead to new treatments for schizophrenia which is currently affecting a good number of people."

Somehow I think the original study was a little more precise.

Inflammation Linked To Schizophrenia

True confession: Wednesday, March 21, 2007

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Reading the new Martin Amis book, House of Meetings, on the trolley today made me want to smash a person's face in--that's how annoying it is. I even looked around for someone who looked like Amis, just for daydreaming "fun," but slim, effete, dashing, straight-toothed British gentlemen are in short supply on SEPTA's 34.

March 20, 2007

Somebody help this man!

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Hugh Laurie, of House (but, more excitingly, of Blackadder), is in serious emotional trouble, and I feel like he's not getting the care he needs. He's living alone in L.A., and his wife and kids are back in England, where he's from. Here are some excerpts from a Daily Mail article about him:

Hugh has for the past three years lived a solitary and joyless existence in California as he shoots the series for nine months at a time. Increasingly, say friends, the toll has been exacting. He says, "Mine’s not a happy day. I try not to affect other people by sulking and kicking the furniture if I don’t get something right, but there are days when I actually lose it and it’s not pretty. ... I am afraid I punched a door recently."

Tortured by his feelings of unworthiness and his obsession that his American accent is not up to scratch, Hugh’s famed melancholy has reached new and darker depths. New actors and crew working with the star on the set are routinely given advance warning by Fox TV producers that they can expect the show’s leading man to be morose and sullen.

Says a friend: "It is painfully obvious to everyone who knows him that Hugh is in not in good shape at the moment. God knows he can be the most unhappy bloke at the best of times, but this is different. He desperately misses the children and the separation has put pressure on the marriage."

Indeed, neighbours are used to seeing a morose Laurie sitting alone on a cheap, striped, fold-up chair on the balcony of the modest apartment where he lives.

Hugh, who has fought depression for years, has admitted in the past to considering suicide on more than one occasion.

You see what I'm saying? And he's not in counseling or therapy for any of this. He's just taking homeopathic drugs. Hey, L.A., you've got a bazillion shrinks out there. Can't one of them help Hugh out?

Honor thy caregiver

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One of my enduring missions for this site is to acknowledge caregivers--both the heroic work they do in tending to a loved one with an illness, and the mental health difficulties they encounter in doing so. This article puts a finer point on it:

Risk of Depression is Higher for ALS Caregivers Than for ALS Patients, Says Study

[And give your caregiver a soda, for god's sake!]

SFJane: Part III, revised

My apologies to SFJane for not correcting this last week. When I see that I have a lot of emails, comments or video responses, I start to hyperventilate and end up doing nothing productive. A famous-ish man (C. Northcote Parkinson) once said, "Delay is the deadliest form of denial." Amen, brother.

Here's the latest version of SFJane's chronicle of dealing with bipolar disorder. Thanks again, SF, for your honesty.

Special treat, ha ha

I've heard some people can't play the "Liz Spikol's Philadelphia" videos we post on the PW website, so here's an uncut version of the bingo excursion. (Thank god for Jess Fuerst's editing skills. At four minutes, I'm thinking this is a bit long.)

March 19, 2007

Vivid dream: Zev and Stellan are alive and well

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Last night all kinds of odd people entered my dream.

First it was Britney Spears, who I'm apparently quite worried about. She had released a new CD with an elaborate booklet filled with her in vaguely lewd positions--but still without any hair. In the liner notes she referenced Sinead O'Connor, as though another famous baldy justified her own smooth pate. Critics were generally horrified.

Then I dreamt that an Oberlin name came to me suddenly: Zev Berman. I didn't know him very well at school, but in my dream I decided to Google him. I quickly found an obituary for him. He'd died in 1995, just five years after graduation. In the dream he was photographed leaning against a wall, wearing a grayish shirt.

Then I ran into Peter Skarsgaard in a phone booth. He was shooting up, and looked really strung out. I said, "You're so talented and smart. You're ruining yourself with drugs." He looked up at me sheepishly as blood ran down his arm.

Okay, so I woke up and was like, Zev Berman? How random. I haven't thought about him since Oberlin, and at Oberlin I didn't think about him much. I Googled him and have discovered that he's now a film director, which is cool. I went to imdb and found him, and the photo of him looked EXACTLY like the one in my dream. (Only Steve Volk, PW senior staff writer, will believe that. But it's true.)

As for Peter Sarsgaard, I've always had a crush on him. He's one of those actors I'm sure would fall for me if we met. I also feel that way about Mark Ruffalo. (Yes, his wife is a gorgeous blond amazon named Sunshine. But ... we're very alike in other ways. Probably.)

Intent to kill?

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I admit, I try to banish all thoughts of insurance from my mind. For some reason, it makes me tense. But here's an interesting case: A woman was killed by her ex-boyfriend, who was mentally ill. According to Pennsylvania Law Weekly, "Warren Heisey expected his actions would cause his ex-girlfriend Janie S. Reim's death," which means the death was not accidental. Therefore the insurance company isn't required to pay out the policy to Reim's estate.

The case is important because it hinges on whether a mentally ill person is capable of conceiving intent. Was Heisey aware that his attack on Reim would cause her harm?

Mental Illness Evidence Doesn't Destroy Intent

[This image is an old ad for Prudential Insurance. Why was the poor little girl being sent away from her family? Did Aunt Martha die? I almost cried when I saw that.]

March 17, 2007

Marilyn news, rebuffed

In the below, Luther chides me for buying into the notion of Kennedy and Lawford orchestrating Marilyn's death:

Even though a newspaper from Australia might not be quite aware of the vicious attacks launched against anyone with "liberal" political tendencies by the FBI director J. Edger Hoover, you should be.

This report smacks of a FBI hatchet job. Where did the evidence come from? As a side note, you might read the following article which delinates the FBI's false reports created to fire and prevent advancement to any federal position of Clark Kerr, a member of the California University board of regents.

http://www.sfgate.com/cgi-bin/article.cgi?file=/c/a/2002/06/10/MN64831.DTL

Any report produced by the FBI from this time should definately be viewed with complete skepticism.

Suicide Saturday!

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How many websites offer that, I ask you. It's always a laugh over here at TTWS.

Three stories for today:

1) Brad Delp, of the execrable band Boston, died last week. His death has now been ruled a suicide. This article tries to explain his death, but is suicide ever the result of a single cause? Maybe in India, where farmers kill themselves after they get into horrible debt (see story No. 2), but with someone who calls himself a "lonely soul," there's probably a less pragmatic reason for his wanting to opt out.

2) Nearly 75,000 people commit suicide each year in India. Click here for more.

3) Most sensationally, a secret FBI report claims that Marilyn Monroe's death wasn't exactly suicide. Conspiracy theorists have been saying this for years--that Bobby Kennedy didn't want her to disclose their affair, and he and Peter Lawford cooked up a plan to spike her sleeping pills. Her maid was also involved. Here's more of the story.

March 15, 2007

Day off

Tomorrow (Friday, March 16), I will be out at Graterford Correctional Institution all day. I've never been inside a prison and I'm nervous but they said I can't bring my Ativan in with me. Nor can I blog from there. But I'll post something over the weekend. It'll build some suspense!

Meanwhile, click here to see my bingo video.

Editorial: Too much diagnosing, too little insight

The following is a Boston Globe op-ed about medication and psychiatry. Though it's a little silly to suggest teens can't be diagnosed with serious mental illness, I do agree with most of what the author says.

When the diagnosis is part of the problem

Dyspraxia sufferer takes aim

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James, 13, writes in to TTWS about the spoof I posted a few days ago under the Funny or Offensive? heading. James found it offensive, as did I:

I can't belive anyway would laugh at that. Its not dyspraxic peoples fault they were born with the disorder. I am dyspraxic and im only 13 and i dont find it amusing at all being dyspraxic, you can laugh at the way i flop my arms when i run ( if i do that) but if you were dyspraxic i doubt you would find it amusing. You think we are not as good as you? That person who wrote that 'parody' got something right, we are people too, he doesn't deserve to be British, hes scum and hes probley a decendent of Adolf Hitler, the way he talks.

The logo here is from DyspraxiaIreland.com, which seems a better U.K. site for serious information about this disorder. Thanks for sharing, James.

Bipolar Made Me Do It: Buy a car

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Well, this is an odd one. From Fox News:

TROY, Mich. — She went in for an oil change, but came out with a brand-new car.

Now a Michigan woman is suing the auto dealer, saying it took advantage of her bipolar disorder to sell her the $32,000 vehicle.

Amy Berner tells the Detroit News she suffers from "impulsivity and difficulty in decision-making," and the dealer used that to get her to sign a $444 per month lease for a Mazda CX-9.

Berner says she had gone to the dealer for an oil change for her car, which she had bought just six months earlier.

Berner's husband says the dealer agreed to take the car back if it got a doctor's letter detailing Berner's condition. He says the letter was sent, but the dealer delivered the CX-9 anyway, and left the keys in the mailbox. Suburban Imports of Troy says it can't comment on the suit because it hasn't received any legal papers yet.

Unfortunately, this kind of impulsivity is a very real problem with bipolar disorder. How many of us owe money we shouldn't have spent in the first place? I doubt such a lawsuit is going to work, though.

Cute fix: The kittens plot their escape

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It really does look like they're talking to each other, kirb_3.

Congratulations, Linda!

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I've long admired the work of ECT critic Linda Andre. I was saddened to hear that her beloved cat pased away recently, but am overjoyed to hear that her book about ECT is going to be published. I think it'll be a real breakthrough in the psychiatric industry, and I hope it'll change the way things are done. In my column of yesterday, I mentioned Kitty Dukakis' Shock as the most recent book on ECT. Then Linda then sent me this email:

Soon there will be another book on shock. And it will talk about hate of mental patients and especially shock patients, and how shock patients organized, and how no one listens to us because we are shock patients, and it will give all the dirtiest dirt on the bad guys. It is tentatively titled Doctors of Deception.

What great news. Linda's book is slated to come out summer 2008.

March 14, 2007

A (cl)ass act

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I'm sorry but I just think Rosie O'Donnell is vulgar, uninteresting and low-rent. Why is she famous? Do a lot of American women relate to her because she's "real"? I hope not.

Anyway, she's becoming an unlikely and unwelcome spokesperson for mental illness. Why, Lord, why? Is Angelina Jolie too well-balanced? Is this a busy year for Arianna Huffington? How about Andrea Mitchell, or even--for god's sake--Barbara Walters? Can't anyone else get depressed? Oof. How about me? This is a photo from a while ago in a glamorous moment. I'll go on The View! Sure, the coat is fake, but who cares?

From Fox:

A discussion about Richard Jeni's suicide ended in Rosie O'Donnell blasting Donald Trump for making fun of her depression.

The women on "The View" were talking about the revelation that Jeni had clinical depression and bouts of psychotic paranoia. O'Donnell said "make fun as much as you want, but it's an illness." Joy Behar jumped in to say "nobody makes fun of mental illness." O'Donnell responded, "Donald Trump does."

She repeated what Trump said earlier that she gets depressed when she looks in the mirror. O'Donnell then did her Donald Trump comb-over impression by pushing her hair to the side. The other co-hosts did the same.

O'Donnell then promised to "never mention that Dump Truck again." Dump Truck is her nickname for Trump.

I won't be able to blog tomorrow until the afternoon. Just an FYI.

Depression Confession: Halle Berry

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I've always had a little crush on Halle Berry. Isn't she pretty? Like, the prettiest person in the world? I'm talking about the whole package, head to toe. I just think she's cute as a button.

Turns out, she has mental health issues, too!

Thanks to EVS, for this tidbit from the "Tittle-Tattle" section of the Post Chronicle:

Movie pin-up Halle Berry has come clean about her therapy sessions, admitting she has a psychiatrist on standby for whenever she needs to get something off her chest.

The stunning Oscar winner tells Reader's Digest magazine she has attended secret group therapy sessions and is always keeping her mental health in check.

She says, "Whenever something is going a little off I check in and say, `Hey, let me get your thoughts on this.'"

Swoon!

My column

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I know this is long enough that I should jump it, but I can't bring myself to do it.

Fly Like an Eagleton

Remembering the man whose vice presidential aspirations were dashed by shock treatments.

by Liz Spikol


It’s been a week of learning.

This week I learned that if you make sugar-free, fat-free chocolate pudding, you’ll feel so elated by the lack of calories you’ll fall asleep with your face in the pudding bowl.

(Yes, I have a designated pudding bowl.)

I learned my cell phone has been snapping photographs while it’s in my purse, thus producing a memory-taxing backlog of lint pictures.

And I also learned—and this was the most sobering realization of all—I will never be president. Or—even sadder—vice president.

This isn’t because I hate wearing pants and thus can’t look like Hillary; nor is it because I was born in Jakarta, or am not yet 25 years old. I have the right stuff, except maybe the Jewish thing, but that can be negotiated. It’s not like I keep the Sabbath, and I haven’t worn a yarmulke in years.

No, the reason I can’t hold presidential or vice presidential office is that I’ve had shock treatments. And shock treatments, as American history has shown, are a deal-breaker.

Missouri Sen. Thomas Eagleton died last week at 77. He spent many colorful, sometimes controversial years in the U.S. Senate, making friends across the aisle and bringing humor and brisk intellect to 18 years of public service. He retired from the Senate in 1987, but never stopped having an opinion, as his 50 columns in the St. Louis Post-Dispatch can attest.

A tenacious pacifist, the senator was perhaps best known as the chief author of the federal War Powers Act, a piece of legislation that doesn’t much appeal to our current president—the plenty-mannish, native-born, old-enough, very non-Jewish head of state.

In 1970 Eagleton was a principal sponsor of the Clean Air Act. In 1973 he wrote an amendment to a defense bill that eliminated funding for the bombing of Cambodia. He founded the National Institute for Aging. He wrote a book called War and Presidential Power: A Chronicle of Congressional Surrender, and penned clean-water legislation.

You get the idea.

But Eagleton lost his most public quest. In 1972 he was George McGovern’s running mate on the Democratic ticket, but journalists got a tip that Eagleton had been hospitalized for depression three times—and had electroshock therapy twice.

McGovern wasn’t willing to have his campaign’s so-called dirty laundry aired without taking action first. So they preempted the news reports with a press conference at which Eagleton sheepishly admitted that, yes, years before—in the ’60s—he’d been … in the bin. And zapped.

Less than a month later he was forced to step down as McGovern’s running mate—a decent, bright man who left a campaign because people believed there was something shameful about hiding his illness, and indeed about having it in the first place.

It would be nice to think times have changed, that journalists in 2007 wouldn’t win a frickin’ Pulitzer (as they did in 1973) for revealing a politician had been treated for depression. After all, everyone’s depressed these days: Britney Spears, Zach Braff, Mandy Moore—all the great statesmen.

But electroshock treatments are another matter. They convey a sticky, almost contagious desperation—and a degree of illness we’re not comfortable with.

As Clark Hoyt, the Knight Ridder bureau chief who won that Pulitzer, recently wrote in the Houston Chronicle: “I believe Eagleton’s mental health history was relevant to his fitness for the office he was seeking, a heartbeat away from control of the nation’s military and nuclear arsenal, perhaps in a moment of international crisis.”

Dick Cheney may have accidentally shot someone in the face, but he’s never been depressed, by golly. Thank God.

I can’t believe Hoyt actually had the balls to memorialize the very man he brought down. In his self-justifying piece, Hoyt suggested that though Eagleton was a good man, he made a fatal error: He tried to hide his mental illness.

I think Eagleton’s mistake was admitting it.

Pre-deinstitutionalization, post-deinstitutionalization, it’s always the same. Trying to confront stigma only accrues it. When I tell people I’ve had electroconvulsive therapy (ECT), their eyes get a little unfocused and they look around the room. I’ve become part of “them”—no matter how “us” I feel.

At a recent public speaking engagement I spoke of ECT carefully because I knew that after I did so, only a few people would see me as they see themselves: without especial pity, without a significant remove.

But there are always folks at such gigs who come up to me afterward, and say, quietly, “I appreciate your talking about your experience because my brother/son/mother/father/sister-in-law/stepgrandchild/friend-from-the-second-grade/favorite-vice-presidential-candidate also has those problems.” That’s what makes disclosure rewarding.

Tom Eagleton got nothing positive from his disclosure, and I imagine if I were running for office, people would stop telling me how brave I am and start questioning my fitness. What if I had my finger on the button?

Of course if I ran for office in Philadelphia—the city of Mariano atop City Hall, the city of Milton Street, for God’s sake—I’d probably be fine. If someone challenged me, I’d say, “I got your Cianfrani right here,” and make a gesture unbecoming of, say, a vice president.


Just the Facts

>> Other famous people who’ve had electroshock therapy: Dick Cavett, Lou Reed, Ernest Hemingway, Sylvia Plath.

>> Most recent English-language book about both electroshock and (less so) politics: Kitty Dukakis’ Shock: The Healing Power of Electroconvulsive Therapy.

>> Most annoyingly arty any-language movie to feature ECT: Darren Aronofsky’s Requiem for a Dream.

R.I.P. Richard Jeni

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According to his family, the comedian Richard Jeni took his own life because of his mental illness. The coroner hasn't confirmed the cause of death, but Jeni's family is admirably candid about what did happen. Here is part of their statement on Jeni's website:

The family of Richard Jeni would like to put to rest any assumptions as to the cause of Richard’s death. Despite the fact that the coroner’s office has publicly stated that a suicide ruling will take two weeks, pending the results of an autopsy, Richard Jeni did take his own life.

Rumors have been circulating as to the cause of his death. The truth is: earlier this year Richard Jeni was diagnosed with severe clinical depression coupled with bouts of psychotic paranoia. One only needs to have a family member or friend with a mental illness to understand that there is nothing rational, predictable, or fair about these diseases. Mental illness is as serious as any physical affliction and can be just as devastating.

He was not down or blue, he was ill. Perhaps Richard’s passing will encourage people to have sympathy, compassion and understanding for those who are afflicted with mental illness.

I think I can speak for many mentally ill people when I say thank you to Jeni's family for speaking out in this way.

A few words from Richard Jeni

March 13, 2007

The Onion: Always Funny, Rarely Offensive

I Don't Want Health Care If Just Anyone Can Have It

Answer, and the island

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First of all, HS asked if my rheumatological symptoms were thought to be the result of Desoxyn. That was ultimately the conclusion reached, but only because when I stopped taking the Desoxyn, the symptoms disappeared. HOWEVER, I have another theory. I suffered from the symptoms when I lived in a loft apartment. Up in the loft there was a fine white powder that covered everything. I was constantly wiping it away, but I was so ill then, I mostly didn't clean it up. It got in my food and in my drink and I didn't care. The paint in that place was peeling and the walls were cracked, and the place was an unbelieveable mess. I didn't clean at all. There were bugs and cat feces and old food. It was truly disgusting, and I was really out of it. When I moved out of there, my overall health improved, as did the rheumy symptoms. That was also the same time I went to rehab, so who knows?

Also, just FYI, your fantasy island is NOT Staten Island, as you'll see from the below article. But I love this lede, by Lisa Schneider:

"The mass of men lead lives of quiet desperation," said the great American author Henry David Thoreau, an observation seemingly borne out by a new city Health Department study.

Anxiety, depression dominate Islanders' lives, health officials find

Philadelphia Weekly writer George Miller talks about Milton Street

Uncle Milty! We love you!

Mass guv speaks about his wife's depression

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Okay, well, he doesn't get into much detail, but apparently the Mass. first lady, Diane (pictured), has been suffering for a while, and is now hospitalized. I'm ashamed to say I didn't even know who the Mass. governor was--isn't that terrible? Then again, if you're not from PA, can you name our governor? No Googling! Maybe it's not so shameful that I'm out of touch with extra-state politics.

Thanks to Kevin for sending this in. Gov. Deval Patrick is quoted in the Boston Herald as saying: “I don’t want to pretend. My wife is the center of my world and, of course, she is very much on my mind and on my family’s mind. We’re not ashamed of it. Depression is something a lot of people suffer from. It was important for us to be as forthcoming as we could.”

That's admirable, but I wonder why they keep describing her condition as exhaustion and depression. What the hell is exhaustion? That's what the celebrities get. I mean, of course when you're depressed, you're also exhausted, but I kind of feel like exhaustion is the hysteria of the 20th/21st century.

March 12, 2007

Incompetent, but not down

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Thanks to EVS (again!) for sending this piece from the Tampa Tribune (it's a good day for Florida news outlets here at TTWS). In a plan that makes too much sense for most states to even consider it [at first I wrote "moist states." Ew.], those deemed incompetent to stand trial won't languish in jail without treatment options. From now on, they'll get mental health services, including psychiatric care and medication. From the article:

The idea is to treat the inmates before their conditions worsen, which is often the case after they are stuck waiting months in jail for a state [mental hospital] bed to open, Spellman said.

It's so basic, I'm surprised a fifth-grader didn't come up with it.

[Photo of a smart kid from the new TV show, Are You Smarter Than a 5th Grader?]

Least Surprising Headline of the Day

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When I was strung out on Desoxyn, I had a lot of physical problems, and one of them was joint swelling and pain. I went from one rheumatologist to the other, and was variously diagnosed as pre-lupus, unidentified connective-tissue disease, fibromyalgia and everything else under the sun. No one said, "Hey, what meds are you taking again?" My poor hands turned into hideous crabs, but it was only temporary; after rehab I fattened up and my skinny, knarled hands turned into bloated balloons. Lovely.

My point being: I understand this headline, all too well.


Rheumatic Disease Disfigurement Linked to Depression

Onion-worthy

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Thanks to Brian D. for sending me this priceless science brief from the Weekly World News. My favorite line:

"Dr. Grant believes that mental disease arises from a conflict between the blue and the gray parts of the brain."

[This image is from another superb WWN story, "NASA Announces First Mime in Space"]

Don't drink the water ... er, Red Bull

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Though Boca Raton--or Mouth of the Jewish Mouse--is not unknown to me, I confess that I don't tend to read its newspapers. But this story is simply too good to ignore: A Boca doctor (and I'm guessing there are more than a few there) says energy drinks like Red Bull can cause symptoms that are so erratic, they can be mistaken for schizophrenia.

The good doctor quoted in the Boca News:

"A retired couple just left my office after asking me, 'Is Britney Spears going through what our son, Eddy, went through with that Red Bull?' Their 22-year-old showed signs of disorganized and delusional thinking, insomnia for days, poor impulse control and judgment, angry and violent outbursts, and irresponsible behavior. As a result, he was diagnosed with schizophrenia in November 2006, hospitalized, and treated with antipsychotic and antidepressant medicines."

As soon as Eddy stopped drinking Red Bull, his "schizophrenia" disappeared. And he stopped parading around with a python around his neck.

Schiz-energy

March 09, 2007

Bipolar made him do it, so he won't do much time

PROBATION, NOT PRISON, FOR TONY ANCHUNDO

Remembering Genine Holznagel-Leary

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Tara writes:

Genine was a good friend of mine. She was 32 not 25. She died on her birthday. She was a caring and loving person. She was the type of person that would give her shirt off her back to someone, even if she did not know the person. I will miss her very much.

Thank you for that, Tara. I wondered about the age thing. The below article goes into more detail. I send my deepest condolences to family and friends of this generous woman. The murderer had been in and out of facilities, both healthcare and correctional. He had a history of violent offenses. The system failed Genine.

Fairbanks woman fatally stabbed

It was bound to happen...

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If I had my druthers, I'd do absolutely everything via email. I dislike talking on the phone (spot of social anxiety, that), and find that I'm better able to convey myself in print. People say new technology is burdensome and alienating. People don't talk to each other anymore. I prefer to think of it as the ultimate Luddite accommodation, and very Victorian. It reinvigorates the epistolary tradition, parchment or no.

So this is perfect:

Mental health charity launch e-mail support

Students get the boot

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Thanks to Masale Wallah for sending this Salon article about college kids who get kicked out of school for being suicidal. I can't imagine struggling through school, exposing your frailty to student health services or someone else, and then being told to leave rather than get needed treatment.

On the other hand, what can the schools do? If a kid does commit suicide on campus, parents and mental health groups are enraged, and it compromises the institution's future. But that doesn't excuse a callous attitude. If the mental health care at universities was better, a suicidal student could be treated while at school, thus forestalling the suicide (ideally) and protecting the school and student both.

The suicide test

[This is an image of St. Andrews in Scotland. Isn't it beautiful? I wish my college had looked like that.]

March 08, 2007

Cute fix: bunnies

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I'm sorry these last couple of days have been a little arid in terms of posting. I've been out of the office most of the time. But I want to share this image with you, and I'm placing it in as a thumbnail so you can clickity-click it as much as you want. I advise you to look at the teeth in the upper left, and also to imagine the softness and happinness that would result from pressing your face into a pile of sleeping bunnies.

[From Cute Overload, natch.]

I am available for testing!

The Broad Institute has received a research grant in the amount of $100 million to study heredity in people with schizophrenia and bipolar disorder. My mom and me, we both have bipolar, and we're willing to talk about it! For $1 million!

Broad Institute gets $100 million research grant