January 4th, 2009

Patty Duke To Share Story Of Mental Illness In Sarasota
Actress To talk About Bipolar Disorder At Symposium

By Donna Wright - Bradenton Herald
Jan 4, 2009

“A Brilliant Madness” is how actress Patty Duke describes her battle with bipolar disorder and its impact on her highly successful career that includes an Academy Award for a performance as Helen Keller in the “The Miracle Worker.”

“There is something going on inside me, in my eyes, in the cells of my face that is, in a strange way, so alive and yet so mysterious,” Duke writes in her memoir, co-authored by Gloria Hochman. “Is that mystery the gift? Is it the illness? Is it a certain intelligence? Or fear? In my opinion, it has to be a combination of all of those things.”

For Elyn R. Saks, associate dean at the University of Southern California, with triple appointments as a professor of law, psychology and psychiatry, “schizophrenia rolls in like a slow fog, becoming imperceptibly thicker as time goes on . . . After a while the sun is a dim light bulb behind a heavy cloth. The horizon has vanished into a grey mist and you feel a thick dampness in your lungs as you stand, cold and wet, the afternoon of the dark.”

In her highly acclaimed biography, “The Center Cannot Hold” Saks takes the reader along in her descent into madness and her ascent to a normal life through successful treatment.

Duke and Saks will share their struggles and ongoing recovery at the “Journey into Wellness from Mental Illness” a free community education program, 9 a.m. to 12:30 p.m. next Saturday at Van Wezel Performing Arts Hall. Sponsored by Sunshine From Darkness, (formerly NARSAD Florida), the weekend event includes a black tie gala Sunday evening when Duke, along with Lee and Bob Peterson, founders of NARSAD Florida will receive Luminary Awards for their advocacy for the mentally ill.

In exclusive interviews with the Bradenton Herald, Duke and Saks talked about how their lives have changed as the result of successful treatment and going public with their own battles.

For Duke, going public has had positive results.

“Being an advocate strengthens you,” Duke said. “One of the things people with mental illness sense is that we are truly alone in the world, but the more we talk about it the more realize that’s not true.”

Duke has found that sharing her story helps silent sufferers to speak up. “It is always remarkable to me when I stand in front of people and say you can recover. For some it may give that little push to go have it checked out,” she said.

In turn, Duke believes those conversations about mental illness are helping to dispel the public’s fear.

“I don’t know that there is significant change, but I see a forward thrust,” Duke said. “People on TV talk about mental illness openly. You can strike up a conversation on an airplane and find out that if not that person, then someone they know has a problem.”

But even when they open up, some people hold back, says Duke. “They are willing to talk about it, but many are not willing to go for help because of fear of the unknown. That’s why my saying, ‘I am going to show you mine and you can show my yours, if you want,’ helps breaks down barriers. I didn’t think there was any hope for me. Now I know there is hope.”

Still, mental illness carries a stigma that blocks support for more research and treatment options, says Saks.

“One of the reasons more people don’t support mental health programs is they don’t understand what mental illness and they fear people who are mentally ill,” Saks said. “In these economic hard times, treatment and intervention are less available. I count my lucky stars that I have had access to treatment.”

“We are a very judgmental society,” Duke said. “As much as we may be informed, there is still that shadow, that fear. Don’t go near that person, that person is nuts.”

Both Saks and Duke lament the disparity in mental health care.

“What we are trying to do is to connect with the government, so we can get more funding,” Duke said. “We had just a fraction of the money going toward heart disease and cancer research it would benefit thousands of people.”

“The loss is measured in lost lives and contributions to society,” says Saks. “It’s a tragedy that most people don’t get the help they need. If they got help, they would be much happier and higher-functioning.”

She fervently believes that people with mental disorders should be allowed to pursue their dreams.

“People think they are doing the right thing when they tell someone who has been diagnosed to lower expectations,” Saks said. “I say shoot for the stars to do the things you have always dreamed of doing before you got sick. To tell people to lower their expectations is to do them a great disservice.”

Saks is currently conducting a research study of schizophrenics who, like herself, have become very successful in the careers through treatment of their mental illnesses. Her goal is try to determine what common denominators might exist among the study group that may be the basis for treatment options for others with the same diagnosis.

I do believe that most psychiatric illnesses are biochemical,” Saks said. “Stress exacerbates illness. If you keep someone stress-free, they will do better.”

Learning how to recognize the onset of her psychotic episodes helped Saks develop ways to handle them, especially by avoiding overstimulation.

“Stressful situations can cause me to have a break,” said Saks. “My husband likes to say that psychosis is not an off/on switch but dimmer switch. At the one end I could be confused. At the far end at I could be cowering in the corner.”

Psychoanalysis, Saks says, helped her learn how to identify her delusions, allowing her to understand their relationship to reality. To date, Saks has not had a major psychotic episode since 2001.

Treatment, Duke says, helped her become more creative. By leveling out her highs and lows of her mood cycles, she was able to focus on her acting. Ironically that focus, Duke says, was heightened by her fear of death, which she admits is her greatest fear.”

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January 4th, 2009

Check out this study that shows a link between prematurity and mental illness.

“New Zealand Herald
Early Births Linked To Mental Illness
Jan 05, 2009

A study of premature babies has shown a link between pre-term births and mental illness, which an expert says has implications for the way mothers and babies should be treated.

The Swedish study of more than 500,000 babies showed infants born between 24 and 28 weeks were more than twice as likely to be admitted to hospital for a psychiatric disorder in their early 20s than those born at full term.

The study by researchers at Sweden’s Karolinska Institute showed 5.5 per cent of those born very early had been admitted to hospital for a psychiatric disorder, compared with 2.4 per cent of those born at full-term.

The conditions included mood disorders, stress-related complaints and suicide attempts or deaths. Even those in the moderate prematurity group, born at 33 to 36 weeks, were at risk, with 3 per cent having been admitted to hospital for a psychiatric disorder.

The study, which followed up premature babies born from 1973 to 1979 through their medical records, made adjustments for other mental illness risk factors, including family history and low socioeconomic status.

“Pre-term birth carries some risk for psychiatric disorders requiring hospitalisation in adolescence and young adulthood,” the researchers concluded in the study published in the journal Paediatrics.

Sydney University’s Brain and Mind Research Institute executive director Professor Ian Hickie said the study was one of the few to focus on the long-term mental development of premature babies.

Professor Hickie said premature birth disrupts a critical phase of brain development in the mid-to-late stages of pregnancy.

“The critical brain connections and the critical brain pathways are probably harmed by premature birth,” he said.

A renewed focus on the importance of maternal health, particularly in indigenous populations, would decrease the chances of prematurity, Professor Hickie said, as activities such as smoking and alcohol use in pregnancy contribute to premature birth and difficulties in the womb.

Babies born pre-term would benefit from being monitored through every stage of their development, “through into their teenage and early adult years, when there might be increased risk of developing one of the major psychiatric illnesses”.

- AAP”

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December 13th, 2008

I wanted to post something for all the new moms, or soon to be new moms, out there. Postpartum depression is a very real, very scary possibility after giving birth. You are exhausted, stressed, trying to adapt to a completely new life with a new person as your top priority, and on top of everything your hormones are dropping off drastically after 40 weeks of adjusting to the higher levels. If you are feeling any symptoms of this disorder, please talk to your doctor. It is so much more common that you think. I know that a lot of women feel ashamed that the are not blissfully happy after giving birth and don’t want to admit to it so they don’t seek treatment. This can be dangerous for both you and your baby. Remember how crazy you were during your pregnancy and how you accepted those wacky hormones as part of the process? This is the exact same thing; you’re reacting to abnormal hormone levels. Talk to your doctor and get the help you need so you can enjoy this wonderful time with your new child.

Sleep Lack Worsens Post-partum Depression
United Press International
Published: Dec. 11, 2008
Post-partum depression can lead to poor sleep, and depression symptoms worsen in patients when their quality of sleep declines, U.S. researchers said. All new mothers experience some sleep loss following childbirth, as their estrogen and progesterone hormone levels plunge. They typically spend 20 percent more of the day awake than average during the first six weeks after giving birth.

Study author Bobbie Posmontier of Drexel University in Philadelphia compared sleep patterns of 46 post-partum women — half with symptoms of post-partum depression and half without. Sleep patterns were monitored for seven consecutive days.

Results showed that mothers suffering from post-partum depression took longer to fall asleep and slept for shorter periods. The worse their sleep quality, the worse their depression.

Sleep deprivation can hamper a mother’s ability to care for her infant, as judgment and concentration decline. Sleep-deprived mothers may inadvertently compromise their infants’ sleep quality because infants often adopt their mothers’ circadian sleep rhythms.

Posmontier recommends that clinicians treating women for post-partum depression address the importance of adequate sleep.

The findings are published in the Journal of Obstetric, Gynecologic, & Neonatal Nursing.”

Postpartum Depression: More Than Just The “Baby Blues”
PotterWorldOnline

The earliest medical records about postpartum depression dates back to as far as the 4th Century BC. However, despite the early awareness about this form of depression, the postpartum sadness has not always been formally recognized as an illness. As a result, it continues to be under-diagnosed. There is no single cause for depression after childbirth. Physical, emotional, and lifestyle factors may all play a role. Unlike the “baby blues”, postpartum depression does not go away quickly. Very rarely, new moms develop something even more serious. They may stop eating, have trouble sleeping or develop insomnia, and become frantic or paranoid.

Postpartum depression affects 10-28% of new mothers. It can begin days, weeks, or months after delivery. Studies show that depressed mothers are less involved with their infant. They vending machine also shows signs of inconsistentcy in terms of how they respond to their infant. They can be loving and attentive one minute, and withdrawn the next. In addition to the signs mentioned, some other symptoms of postpartum depression may include:
Exhaustion
Excessive sleeping but still feeling exhausted
Loss of sexual interest
Crying spells without obvious cause
Feelings of guilt
Sadness
Anger
Feelings of despair and/or worthlessness
Forgetfulness
Difficulty making decisions
Poor concentration

Treatment for postpartum depression can be as varied as the symptoms. Some of the more common approaches to therapy or treatment include:
Creating a supportive environment for the mother
Self-Care
Joining a support groups
Counseling
Psychotherapy
Medication

More often, postpartum depression is not recognized or adequately treated because some normal post-pregnancy changes which cause similar symptoms in new mothers. Moreover, some women do not tell anyone vending machine their symptoms because they feel embarrassed, ashamed, or guilty about being depressed about their pregnancy and childbirth when the normal response would be that of elation or happiness.

Early detection and treatment of postpartum depression is critical not only for the mother but for the infant as well. It can also help if the father or another caregiver can assist in meeting the needs of the baby while the mom is depressed vending machine still recovering from depression. The less exposure the infant has to the mother’s depression, the lower the risk of long-term problems in the child.

Research shows that infants of depressed mothers are at increased risk of behavioral problems, emotional difficulties, and delays in growth and language development. If the mother’s depression is not treated promptly, the baby vending machine be greatly affected. Women with postpartum depression may feel like they are bad or inefficient mothers and might become increasingly reluctant to seek professional help. It is crucial to remember that hope and treatment are available to them. With a combination of proper medication and therapy, a woman can overcome postpartum depression and regain the ability to love and care for her newborn child.”

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December 13th, 2008

I have been looking for any new info to give to you guys but there really just not anything worth posting. Everything seems to be the same recycled info we’ve all read a hundred times. I did find this article and it explores a concept that seems both obvious and sad at the same time. Of course depression is going to have a profound effect on a marriage. It’s hard to be around someone who is depressed, especially if you can’t understand why they are always so sad. I know that when I’m really down, I can’t even stand myself. I sleep to avoid having to deal with my constant crying or over dramatic overreactions. I don’t even want to think about what the people around me are thinking. That being said, what ever happened to “in sickness and health”; Key word there being sickness? I was under the impression that a marriage is a partnership and not one you bail on when things get rough. Would you want someone to leave you if you developed diabetes? That disease also requires major lifestyle changes and, often, daily medication. People need to take their promises a little more seriously. In my grandmothers time one didn’t think about divorce unless things were so bad that there was no other option. Try counseling, talk to a friend going through something similar, talk to your preacher, look up info on the web, but most importantly talk to each other. Relationships are work; there’s no such thing as a perfect life with no complications.

Depression Can Have Major Impact On Marriage
By Bill Mitcham / Mooresville Tribune
Published: December 12, 2008

Nothing plays havoc with a marriage relationship like the depression of one spouse. It can be a gradual impact or it can be a sudden broadside of a marriage that was fun and fulfilling for both partners.

There are two kinds of depression. One is situational depression and the other is clinical depression.

Situational depression can surface over any loss or tragedy. It can be the loss of a job, the inability to get pregnant, the death of a parent or even the death of a pet. Chronic marriage problems that never seem to get better, like reoccurring conflict over the same issues, can lead to situational depression.

You can tell the difference between situational depression and clinical depression when you can detect the source or cause of the depression.

People can get clinically depressed when things are going well in their lives and thus there is no “reason” for the depression. Situational depression responds to exercise, rest, new experiences and conflict resolution, if it is a marital problem. However, many people do not know that situational depression, caused by chronic marital problems, can turn into clinical depression, a much more serious depression.

It is the same pattern I have seen in working with families who have a child with a disorder like autism or Down Syndrome. The depression starts out situational due to perpetual stress and hardship, as parents try to care for a child with special needs. After a while, the situational depression begins to affect the parent’s body chemistry. This is the major difference between clinical and situational depression. Another term used to describe clinical depression is “chemical depression,” since scientists have discovered an imbalance or malfunction in the brain of clinically depressed persons.

Our brains have a complex network of neurons (nerve cells) that send and receive messages. Each neuron sends chemical and electrical signals, allowing communication within and between neurons. The chemical messages are called neurotransmitters. When they function properly, they regulate all the brain activity, including our moods. When they dysfunction, our moods can depress or accelerate. We call the depressed moods major depression and accelerated moods manic episodes. A combination of both is called a bipolar disorder.

Individuals who get depressed (1 out of every 10 adults) have no control over this chemical malfunction. It is the same medical issue with a person who has diabetes. The body malfunctions. It has always puzzled me that society has a stigma for a depressed person but not for the person whose body does not regulate sugar properly.

The effect of depression on marriage can have devastating consequences. Untreated depression can cause a person to lose interest in life. Things they used to enjoy and take delight in are no longer desirable, including sexual intimacy. The other spouse tries desperately to help his/her depressed mate by encouraging them and suggesting that they snap out of it, think more positively, but all the suggestions are received as criticism and this makes the depression worse. Untreated depression can undermine a marriage and lead to divorce. Depression, on the other hand, is the most successfully treated mood disorder there is. Many marriages can be saved, if the depression is properly treated.”

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December 4th, 2008

This article focuses on the way blogging can be used to help deal with our current financial crisis but journaling has always been a therapeutic way of dealing with one’s thoughts, fears, and emotions. The only difference is now we do it on the computer and generally for all to see. I know I started this site as a sort of coping mechanism and in the hope that maybe someone else would find some comfort. And while I do put a lot out there, I still keep a written journal of things that are to painful or personal to be posted for anyone who stumbles across my site. I have always written and it is a terrific way to evaluate the situations in your life. When you write something in the heat of the moment it makes so much sense but then when you go back and read it later you realize how out of whack your thought process actually was. Also, sometimes for me seeing it in black and white on paper helps me finally accept the reality of a situation. I guess writing it makes it permanent somehow. I also have managed to embarrass myself pretty majorly by publicly blogging about situations that should have been kept to myself or after a night of heavy emotional drinking. Always a very bad idea. On a different site I have a blog titled friends shouldn’t let friends blog drunk, just keep this in mind when you are posting for the world to read. At any rate, blogging and journaling can be very helpful for dealing with everyday life and a fun way to express yourself.

Baltimoresun.com

Dec 4, 2008

The headline in the Los Angeles Times said it all: “Charities Can’t Keep Up with Deepening Poverty.”

America is facing a vicious charity Catch-22: The harsher the downturn, the more people in need of help but the fewer stepping up with donations. “As resources vanish,” wrote the Times, “the threads of the nation’s extensive social safety nets are fraying, leaving single mothers, elderly shut-ins and others ever more vulnerable.”

For months, we’ve been inundated with the raw data of the economic meltdown: unemployment figures, foreclosure numbers, massive bailout stats. At The Huffington Post, we want to do more to put a human face on the suffering: the recently laid off, the newly homeless, the students unable to afford college. And who better to tell their stories than the people themselves?

How is the downturn affecting you and your family? Have you lost your job? Your home? Are you seeing “For Sale” signs on your street? Are more businesses in your town going under? How are you making ends meet? What are you hearing from your friends, your neighbors, your co-workers? Even if you still have your job and your home, and the ability to send your kids to college, how has the deep economic recession affected your outlook, your mood, your spending habits? If you work for a charity or a food bank - what are you seeing?

Blogging about them and your feelings - including your anger, your fears, your hopes - is a great way to cope with the many personal, social and professional dislocations that the hard times are producing.

Losing your job (or even fearing that you might) can make you feel powerless. But at the same time you are looking for work - or learning a new skill - you can take up blogging. It doesn’t require anyone’s permission; there is no application process. You just need blogging software (some of the best is free) and the will to express yourself.

Blogging is all about connecting to others. The bond between blogger and reader creates an intimacy that is a much-needed corrective to the isolation that hard times bring. I’m always amazed by the things I learn from commenters I’ve never met but feel that I know. And I’m equally amazed by the things I keep discovering about myself in the course of writing and clarifying what’s important to me.

Andrew Sullivan fleshes this experience out in a terrific essay in The Atlantic called “Why I Blog.” “Alone in front of a computer, at any moment, are two people: a blogger and a reader,” he writes. “The proximity is palpable, the moment human - whatever authority a blogger has is derived not from the institution he works for but from the humanness he conveys. This is writing with emotion not just under but always breaking through the surface. It renders a writer and a reader not just connected but linked in a visceral, personal way. The only term that really describes this is friendship. And it is a relatively new thing to write for thousands and thousands of friends.”

It’s not therapy, but it’s the same principle - and a lot cheaper (depending on your co-pay). The blogger-reader connection can have practical consequences as well. You can get suggestions on anything and everything - from a job opening to finding a place to volunteer to help others (and help put your problems in perspective). As Mr. Sullivan writes, “A good blog is your own private Wikipedia.”

Blogging is clearly not the answer, but it’s a wonderful survival tool. A way to connect to others, a way to stay on top of how others are coping, a way to reach out, a way to stay sane.

There has already been a lot written about the similarities between the current downturn and the Great Depression. But one way today’s crisis is fundamentally different is the Internet. With its immediacy and transparency, and the instant debate over policy it provides, the Internet will allow citizens to feel more engaged in government than ever before. And blogging will also make a difference on the personal front as well.

This recession will be blogged. Join us.”

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