Archive for June, 2008

Addiction & Relapse

Saturday, June 14th, 2008

As is often the case with mental illness, one of my kids has a dual diagnosis. In layman’s terms that means he has bipolar disorder and addiction issues.

Sadly, he’s using again. This is more common than not, but each time a relapse occurs my husband, Mark, and I have to regroup, re-discuss, and determine where our ability to help ends. There is a fine line between enabling the addict and  supporting the ill.

The up side…we’ve learned innumerable skills and lessons from having been down this road many times before.

We no longer judge, blame, accuse, argue, or despair.

We talk about the realities of the situation, present clear alternatives, and allow Michael, whom we love and adore, to make his own choices.

We have peace despite challenge.

That is a wonderful gift.

Want to talk about it?

Medication Subsidies

Friday, June 13th, 2008

Docs often try new or cutting edge medications when treating medication resistant bipolar disorder. These often fall outside the limits of insurance company formularies.

If this happens to you, call the parmaceutical companies directly to ask about free or low-cost medications.

A list of contacts is available through NAMI .

Often, these are the meds that make the difference in a person’s life. Make every effort to follow your doctor’s treatment plan.

Wellness is Worth It!

Mommy I’m Still in Here on YouTube

Thursday, June 12th, 2008

An interview of Kate at BEA

Watch it. Pass on the link. Tell Oprah. :-)

Let me know what you think.

Mental Illness, Advocacy & Money…Why?

Wednesday, June 11th, 2008

I receive emails every day from bloggers and folks who’ve read my book. Two stood out this week.

One asked:

“…how much money do you make...blogging, writing, authoring a book, speaking and advocating for the mentally ill?”

It was a little discomforting to admit to him that my ventures actually cost Mark and me thousands of dollars a year.

He responded with the understandable:

Oh My Gosh! Why do you do this?”

Lots of reasons.

I do it…

for my children’s future. An informed society is a better place for them to live.

for your children’s futures. We should all share what we learn along the path.

because it must be done, and I can.

because it can be done, so I must.

And I do it because of people like Debra, who wrote this week:

“THANK YOU FOR THIS BLOG!!!!!!!

“THANK YOU FOR YOUR BOOK!!!!!!!!!

“You have a wonderful way of helping parents understand mental illness. I learn something every time I log onto your blog.

“You really are making a difference.

“I’m the mother from Colorado who called you one morning regarding my son. You really helped me to understand that he NEEDED to sleep and heal. I kissed him and told him to sleep as long as he needed. It was a beautiful moment for us.

“Have you seen Jill Bolte-Taylor on Oprah or TED.com? I bet your bloggers would love it.

“Thanks Again!!!!

“Debra”

If you were in my shoes, wouldn’t you do this?

Peace and Blessings,

Kate

Free or Reduced-Cost Medications

Wednesday, June 11th, 2008

I recently met a young mother of 4 whose husband has been classified as completely disabled because of his mental illness. In addition, he is not well enough to take on the full daily responsibilities of young children, so she is working part-time, with the help of her parents.

Not long ago, her husband’s doctor changed his medication. His new prescription is not covered by their insurance, and the $550 monthly cost is beyond their means.

I was happy to tell her that most major pharmaceutical companies offer free or subsidized medication to those who cannot afford what is prescribed. Click here for NAMI’s list of participating companies.

Please write to me if you’ve participated in a program like this.

Teen Depression Myth #1

Tuesday, June 10th, 2008

MYTH # 1

…parents will know if their teen is depressed…

Unlike other mental health issues, like panic attacks or mania, depression can be harder to identify. (more…)

Teen Depression–Myth #2

Monday, June 9th, 2008

If a teen is depressed, everyday activities and goals can seem overwhelming and unreachable. In trying to encourage our kids to do more, we may be causing more harm than good. This leads us to our next commonly held misbelief:

MYTH #2

…resuming normal routines helps depressed kids get better faster…

Parents (and I was terribly guilty of this for a very long time) often assume that their teen is out of sorts because he stopped participating in normal activities.

The truth is, depression caused the “stoppage.” Depression can make it almost impossible to keep up with every-day routines and favorite pastimes.

The goal of treatment is to get teens back into their regular routine, but pushing a still-ill kid can aggravate the medical condition. Just like any other illness, depression may require some accommodations until wellness returns. If we push for too much too soon, our kids may fail to reach those standards, thus reinforcing their already negative self-view.

What to do? (more…)

Teen Depression–Myth #3

Sunday, June 8th, 2008

I am often asked about gender in relation to serious mental illnesses. Here are the facts:

~ Bipolar disorder strikes males and females evenly.

~ Schizophrenia affects males 1.4 times as often as it affects females, according to a 2005 report in Schizophrenia Bulletin.

~ Depression strikes women twice as often as men.

This destroys the long-held MYTH #3

…depression affects teenage boys and girls equally…

Some interesting supporting data:

Recent studies conducted by the University of Illinois and the University of South Carolina indicated that young women experience twice as many “personal stressors” than their male counterparts, and that they also react more strongly.

These two factors lead to markedly more depression in females than in males.

Researchers don’t know exactly why this is, but are looking at the obvious involvement of female hormones.

Some even say that hormone manipulation / regulation may hold significant treatment promise. New research is on the horizon.

Teen Depression–Myth #4

Saturday, June 7th, 2008

MYTH #4

…Antidepressants are unsuitable for teenagers…

This mistaken assumption is killing young people!

In 2004 the US FDA and several other countries required that antidepressants carry a ‘ black label’ warning of their association with an increased risk of suicidal thinking, feeling and behavior in children and adolescents.

This single action incited a steep drop in antidepressant prescriptions for young people — followed almost immediately by a unprecedented increase in teen suicides.

Coincidence?

Doubtful.

Theories abound, but many agree that deeply depressed teens for whom medication is working sometimes pass through a stage when they’re no longer paralyzed by their mood — they’re getting better, but are still depressed– and they might act on previously held suicidal thoughts.

For this reason, careful monitoring by family and doctor, as well as some form of therapy, are vital adjuncts to medication.

Once kids pass through this critical phase, antidepressants are highly effective. Most teens vastly improve.

What Do We Know?

~ It is never wise to start with medications.

~ Changes in routines and habits, therapy, and family adjustments all come first.

~ If ultimately these approaches fail, and a teen, his parents and doctor agree that wellness is not foreseeable, medication should never be denied out of fear.

~ Antidepressant medications should only be prescribed to teens with concurrent therapy.

~ Monitoring moods and attitudes is vital in the treatment of teen depression.

~ Communication between the teen, his parents, and medical team are vital

Teen Depression–Myth #5

Friday, June 6th, 2008

MYTH # 5

…When a depressed teen refuses help, there’s nothing you can do…

False! False! False!

There’s a lot you can do. Consider the following… (more…)