The holidays can be extra difficult for folk living with mental illness. And, yes, mental illness is a real illness. Most everyone knows someone dealing with it in a very real way everyday. So, let’s attempt to raise our awareness to the subtleties of mental illness and attempt to “be there” for our friends, family, and neighbors. Here’s a great article to help us get started!

https://www.bphope.com/blog/when-friends-and-family-dont-understand-bipolar-disorder/

After an accident onboard a Navy ship, I had major, extensive surgery by a neurosurgeon to remove a tumor from my spinal cord. The tumor tethered my spinal cord and placed pressure on my brainstem. After the nine hours of surgery I experienced serious complications that continued for years. Predictably, I developed chronic depression that required professional, long-term treatment. Over time, I, like most people living with chronic depression, learned to wear a mask in order to go about life during the tough days. The author of the article describes many of my life experiences as I work to maintain wellness.
It’s a great article. Click on the link:

https://www.hopetocope.com/blog/masking-our-depression-and-anxiety-our-potemkin-villages/email/

I like these 10 points! Please read and give each serious consideration! (It’s a quick, fun read)


Namaste’


Thanks to The Mighty.com, Andrea Bems, July 2018




10 Ways I Make My Mental Illness More Bearable




When dealing with my mental illness, sometimes all I want to do is curl up in a ball and sleep for days. It’s easy for me to be frightened by my illness and to cut myself down all the time. Why am I feeling this way? Why do I have to act so “weird” when I’m in this state? Why can’t I just enjoy my life? Here is a list of ways I make dealing with my mental illness a bit more bearable.


1. I listen to my needs.


When I’m in a depressive phase or I am experiencing my physical symptoms, I have to think about what I need in order to cope. This might mean canceling a night out with friends, or leaving early from an event and just going home and doing something calming like taking a lavender bath, changing into my pajamas, turning on my fairy lights, and then reading a book or watching Netflix. I know that when I’m in this phase, I have to fill my life with happy things, so I usually choose something uplifting to read or watch. But sometimes, a friend is what I need. I’m not a fan of public areas when I’m in one of these phases (usually I’m overstimulated by the crowds and noise, which feed my symptoms), so I usually schedule a low-key evening with one or two close friends and either watch a movie or just talk. Good friends will always be there for support.


2. I track my mood and take notes for my therapy meetings.


This is something I’m still trying to get in the habit of doing. But, when I do it, I usually rate my mood, motivation, and anxiety on a scale of one to 10 and take notes about any symptoms I may be experiencing. Then I draw a colorful graph with my mood, motivation and anxiety levels in different colors. This may seem ambitious and overwhelming, but when I do it, it’s actually quite therapeutic and it’s an amazing visual representation of what I’m experiencing on which days and how frequently it’s happening. It’s also important to make note of things that happened on a particular day that may have influenced my mood, motivation and anxiety as well as keep track of my symptoms and how many days they last. It’s easy to forget, and having the information available is helpful for my psychiatrist in terms of medication adjustments.


3. I listen to music that makes me feel.


Music speaks the language of every emotion. Some people say you should listen to happy music when you’re feeling down, but I feel like I can’t truly enjoy happy music when I’m in a depressive phase. While I avoid music that brings me to a place that’s too dark, I listen to music that brings out more tepid emotions, and it’s nice and therapeutic.


4. I snuggle with my cat (and I don’t care about the hair).


Pet therapy is a real thing. Sometimes when my cat Sadie wants some snuggle time, I push her away because I don’t want hair on my clothes. But sometimes you just have to enjoy the warm fuzzy ball of love, a live being under your care that just wants your love. And it’s worth the mess.


5. I let my mental illness inspire my art.


Art is a beautiful therapy for those struggling with mental illness (and, really, anybody). Sometimes I draw quirky comics that illustrate a more humorous side to my mental illness (which is a great way to shift my perspective about my illness toward a more positive light) and sometimes I create more serious depictions of my illness, such as in my chapbook Free the Strange. Usually it depends on how I’m feeling, but both ways are equally therapeutic and, in my opinion, are productive in taking something ugly and creating beauty.


6. I dressed up my light box (and named it Phil).


This is another way I shift my perception of my mental illness towards a more positive light. I have a form of seasonal affective disorder (SAD), so I use light box therapy to get through the dark days of winter. Inspired by a suggestion from my therapist, I decided to personalize my light box. I named it Phil. And I made a doodle of a face with a speech bubble saying: “Good morning, Andrea! Here’s your daily dose of artificial sun!” and taped it on my light box and made it look as if it were holding it for me. It’s silly, but it made the methods of dealing with my illness a bit of fun.


7. I use a weighted blanket.


Weighted blankets are a wonderful tool for people with anxiety, depression or any other kind of mental illness (plus, they’re super warm and cozy). They’re supposed to be about 10 percent of a person’s weight, so when you lie underneath it, it’s like being covered with a safe, warm hug. Whenever I watch movies or read a book, I always have my weighted blanket on top of me, and it is glorious.


8. I journal about my mental state (and don’t care if the writing sucks).


As a writer, it’s difficult for me to journal because I feel like the writing has to be good. But I have to remember my journal is for my eyes only (and maybe for my therapist). And it doesn’t necessarily have to be in paragraph form, either. It could be a bulleted list or word collage or a brain dump of words on a page. And it gets the emotion out.


9. I see myself as a character in the low point of their story. (Which means good is on the way!)


I’ve always been a reader and writer, so that’s probably why this speaks to me. In fiction, a character must endure obstacles in order to attain what they desire — which, in my case, has been attaining my master’s degree, having a successful career, and being… well, happy. My mental illness has been a huge obstacle in attaining all these things. But when I think of it in terms of a plot of a novel, obstacles in the way of the character’s desires are necessary for character development. And when they overcome these obstacles, it makes the achievement all the more satisfying. Applying this way of thinking to my life has truly opened my eyes to the big picture and has given me the determination to carry on and not give up.


And finally…


10. When I’m feeling good, I enjoy every moment.


In this seemingly rare phase when I’m feeling great, it’s easy for me to take it for granted or not truly enjoy it. In many cases, I’m spending this time worrying about how long I have until my next episode, worrying it will happen during an important event or fun trip planned. And then I forget to enjoy feeling good. So, just recently, I started practicing mindfulness during my happy phases. When it’s a beautiful day, I close my eyes and feel the sun on my skin. When I taste something delicious, I take small bites and savor them slowly to make it last longer. When I schedule plans with friends, I take the time to tell them how much I value them as a person and enjoy the time I have with them. When I hear a wonderful song, I dance. I savor life. I savor these beautiful feelings. And I remember I may not feel this good tomorrow, but I will again.


Follow this journey on the author’s blog

​bp Hope Sept 2014

Demi Lovato & Bipolar: Stronger Than Ever! This platinum-selling recording artist is on a mission to spread her message of hope: We can get through dark times and find our strength!
By Rachel Rabkin Peachman


Platinum-selling recording artist Demi Lovato is a pro at performing in large concert venues. But on a Saturday afternoon just days before her 22nd birthday, Lovato took time away from her performing schedule to step onto a much smaller stage—with no backup band in sight. In an intimate lecture hall at Kean University in New Jersey, she spoke candidly to an enthralled audience about how she faced up to mental health challenges and lives well in recovery.
The appearance was part of The Mental Health Listening & Engagement Tour supported by Sunovion Pharmaceuticals Inc..
“It has become my personal mission to share with others that there is life on the other side of the dark times, and that they are not alone,” Lovato told bp Magazine afterward.
That’s a bit of a switch-up for the multitalented entertainer, whose early life was focused around her love of music and performing. Raised in Texas, she was acting and singing professionally by age 10. Her résumé as an adolescent includes Disney movies, her own Disney TV series, and two successful studio albums.
She achieved all that professional success even as she struggled to cope with emotional distress. Her inner pain found an outlet in eating disorders, substance abuse, and self-harm. As is true for many people, it took Lovato some time and setbacks before she fully committed to do whatever it took to get better.
So many of my fans have also experienced hardship … I think they appreciate my willingness to open up and put it all out there.
“There is so much shame and misunderstanding associated with mental illness,” Lovato reflected. “Along with that comes fear. I know that fear kept me from getting help.”
It wasn’t until Lovato had what she calls a “mental breakdown” in October 2010 that she went into treatment at a rehab facility. That’s when the underlying brain-based illness was diagnosed.
“When I finally got diagnosed with bipolar disorder, it was a relief in so many ways. It helped me start to make sense of my bipolar depression and the harmful things I was doing to cope with what I was experiencing.”
With a maturity that’s notable in a young adult, Lovato buckled down to get sober, find the right treatment plan, and adopt habits that help her maintain her wellness. She’s also turned her efforts outward, becoming an advocate for people affected by mental health conditions and substance abuse. (Lovato has a track record of public engagement, lending her support to causes like marriage equality, anti-bullying efforts, and civic involvement by Latino voters and young people.)
Lovato shared the early days of her recovery in an MTV documentary called Stay Strong, and published an inspirational best seller, Staying Strong: 365 Days a Year, all in an effort to save others from some of the pain she’s experienced.
“Imagine the hope we can give back to people by creating widespread support and showing the world that it’s possible to get through the darkest times and end up in a place of strength,” she said.
Lovato is proof positive that it’s possible to thrive with the right support and commitment.
“Since receiving help, I have been able to accomplish so much personally and professionally,” Lovato said.
In addition to holding her own as a judge alongside Simon Cowell for two seasons of The X Factor, she scored a recurring role on the popular series Glee. She released two more hit studio albums—the R&B-flavored Unbroken and Demi, an electro-pop compilation that made the charts overseas as well as in North America.
Top singles from those albums include “Really Don’t Care,” “Neon Lights,” “Heart Attack,” “Skyscraper” (which won the “best video with a message” award from MTV), and “Give Your Heart a Break.” Lovato is also known for the pop version of “Let it Go,” the belt-it-out anthem from the animated movie Frozen.
After wrapping up her second North American tour of the year this fall, Lovato is heading to the United Kingdom to tour with Enrique Iglesias.
Lovato’s music helps her process what she’s been through. On the resonant track “Warrior,” from Demi, Lovato sings, “And now I’m a warrior, I’m stronger than I’ve ever been … I’m a survivor in more ways than you know.”
Her devoted fans, known as Lovatics, do know—and Lovato welcomes their support.
“My fans are amazing. So many of my fans have also experienced hardship in their lives and I think they appreciate my willingness to open up and put it all out there,” Lovato told bp.
At her talk in New Jersey, that was clear. Alysa Bainbridge traveled from Leesport, Pennsylvania, to hear Lovato speak about bipolar disorder. The illness runs in Bainbridge’s family, and she admires Lovato’s courage to come out into the open despite stigma.
“That’s what I love most about her. She’s not afraid,” said Bainbridge. “She wants to make a difference by telling her story instead of hiding it, because she knows that it will help people.”
In that lecture hall at Kean University, Lovato shared her story with poise, down-to-earth humor, and a touch of sass. She took the stage wearing a black lace top and skirt. Her dark hair—which, in the past, has been shaved, blonde, and blue—was swept away from her face gracefully, with just a hint of blonde highlights glistening along the bottom.
Her appearance was part of the annual conference of New Jersey’s Depression and Bipolar Support Alliance. She chatted onstage with Allen Doederlein, national president of DBSA, for nearly an hour.


Here are highlights from their conversation, edited for clarity and length.

Q: What made you realize that you needed help?A: It took a mental breakdown for me to realize that I needed to go into treatment. I had tried many, many times to get help on my own, whether it was through a life coach, or through justmedication and not doing anything else to change my behaviors. And it never worked because I never combined all the things that I needed to do in order to live a happy and healthy life.
Rock bottom looks different for everybody. It doesn’t necessarily mean you have to end up in a psych ward or a sober living house to get the help that you need. It could be a moment of clarity in the car while you’re driving where you’re just sick and tired of being sick and tired.
I think that rock bottom for me was several things put together. What it took was a final intervention when my support group—my family, my management, my lawyers—said, ‘If you don’t get sober, we’re dropping you.’ My parents were there and they said, ‘If you don’t get sober, we can’t have you around your little sister. We’ll move back to Texas.’ That was a moment when I realized it was serious. It had been embedded in my mind from a very young age that I was never meant to be happy. And in fact, I thought it was a part of my “artistry” [using air quotes]. That’s what made me deep and artistic, just like Kurt Cobain and other troubled musicians and artists. I realized my illness shouldn’t stop me from being happy. And it shouldn’t define who I am as a person or an artist.


Q: You’ve mentioned self-harm, you mentioned self-medicating with drugs and alcohol, eating disorders, and then you’ve been brave and unique, frankly, in talking about bipolar disorder. Does that have a component that makes you feel vulnerable?A: Absolutely. First off, I see all of those issues as coping mechanisms for my manic [and] depressive states. But still, today when we talk about [bipolar], there’s a stigma around it that people don’t realize. For some reason, it’s a lot easier for people to talk about being bullied, or other types of mental illnesses, or addiction issues. It’s easier for people to say, ‘I’m an alcoholic’—even though that’s so difficult in the first place … But every time that I’ve ever talked about bipolar disorder—and even right now—a tiny part of me is still a bit uncomfortable because it makes me vulnerable sitting here and explaining to you that there’s something chemically wrong in my brain. And just because there is, it doesn’t mean that I’m crazy.
Since receiving help, I have been able to accomplish so much personally and professionally.
I am a normal human being with problems like everyone else. My “diabetes” happens to be my mental illness. And when I work out, when I take my therapy, when I take my medications, for me, that’s my treatment plan, that’s my insulin.


Q: After coming out of treatment, how did you keep your momentum?A: The way that I kept my momentum was always knowing in the back of my mind that I could lose the relationship with my family at any moment. It was also losing the ability to be able to perform onstage because I knew I could tarnish my career and my reputation. A habit of mine was self-sabotaging everything from relationships to progress. In order to break that pattern, I had to have a support team around me that really was honest with me, that told me what I needed to hear when I didn’t want to hear it. And for me, it was [committing to] sober living. Completely surrendering. The night of that intervention, in order to show them that I was going to fully surrender, I handed over my cell phone, handed over my credit cards, handed over my car keys. And I had a sober companion—which is someone who is with you 24/7—for over a year. Those were the measures that I needed to take in order to keep myself alive.
We’re not about surviving. We’re about thriving.
What people were seeing on the outside was a young Hollywood/Disney pop star. And I was really good at faking it, which is something I think a lot of people can relate to. In our society today, if you show any type of emotion, you’re considered weak. But I think that you actually show strength when you ask for help. It shows that you have some confidence in knowing who you are and saying, ‘It’s okay, I know I need help.’ Anybody who’s really good at faking it, I feel your pain, but I also encourage you to take contrary action.


Q: What do you mean by that?A: Contrary action is doing things for yourself when you don’t want to do it. For me, it’s working out when I’d rather watch [tv] shows. Or it’s going to an AA meeting when I don’t want to because I’m tired or it’s my day off. When I don’t [take contrary action], I feel it the very next day, if not later that day, especially with my medication. And I have to realize that every single thing in my life has to come together in order to form the right treatment plan for me.


Q: The right treatment plan can be hard-won. What does that treatment plan look like for you?A: I think [finding the right treatment plan] is a difficult journey and an emotional roller coaster. I also believe that it’s one that people are discouraged to take on because it takes, on average, about 10 years for someone with bipolar disorder to get accurately diagnosed. And I can relate to that because I knew there was something wrong [for years], and I was never told what it was until the day that I went into treatment.
But the right treatment plan is a combination of things. It’s seeing what works for you, seeing which doctors work for you, and it takes a while to process. But don’t give up. For me, my body had to adjust to certain medications and I didn’t know if they were going to work or not. It was a matter of me trying not to give up right away, to let my body adjust to them. And for so long I wasn’t consistent. Acceptance and consistency is my recovery.


Q: It’s so simple but it’s also so powerful.A: It’s complicated to make things simple and simple to make things complicated.


Q: The thought of knowing all of this when you are 21—the idea of knowing it when you’re 40, when you’re 50, when you’re 70—is impressive.A: Regardless of if I was 21 or 65 or 18, it is a blessing to know that I can get help. It is a blessing to know that there is hope. And sometimes it takes people 50, 60 years to have that moment of clarity and that ability to change—to have a spiritual experience or to finally hit rock bottom. I’ve lived a lot of life very fast at a very young age, and that put me in treatment at 18 rather than 45. Mental illness doesn’t discriminate based on age, gender, race, background, or ethnicity.


Q: I’m struck by how different this moment is than a lot of mental health conversations. The age of the front two rows [cheering young fans], and the exuberance and fun. That is what you, Demi, are bringing to the mental health community. Because we’re not just about surviving.A: We’re not about surviving. We’re about thriving. [Lovato waves her arm over her head and punctuates it with a dramatic snap of her fingers.] That really deserved a snap.


Q: I feel so encouraged that you’re taking this on.A: I’m excited about everyone here today. Because I truly believe that our future generation is going to consist of people who don’t have this negative stigma attached to mental illness. A while ago, people who were bullied were ashamed. But when people started speaking out, it became a conversation. People really started hearing—and I think that a lot of that was because our generation has an influence on people.
Another reason why I’m able to sit here and talk about mental health today is because I don’t take myself too seriously. I realize that when I speak about it, I don’t want it to be as heavy as it is. It is a very serious disease. And it ends up deadly. But I feel when you’re able to be authentic, honest, and find even the humor in it, it takes a little bit of the stigma away.


Q: And what we’re creating—mental health.A: Everybody in this room is helping to create it, no matter how old, who you are, or what species you are [referring to the therapy dog in the room]. It doesn’t matter as long as we’re talking about it. The more educated we become, the more aware people are of how serious this is, but also how common it is, and that it’s okay.


*   *   *   *   *


Demi in your cornerDemi Lovato, personal coach? That’s the feeling that comes through the pages of Staying Strong: 365 Days a Year (Feiwel & Friends, 2013), her book of affirmations and motivational advice.
Shortly after its release in November, the book entered the New York Times best seller list for advice books at No. 1.
The self-help volume is set up to be consulted daily. Each entry offers an inspirational quote, meditation, or lesson that Lovato found helpful in her own recovery journey, plus a goal to encourage the reader’s progress toward wellness.
For example, January 1 explains how Lovato created a meaningful, personal affirmation (“You are beautifully and wonderfully made”) and includes this invitation: “In this New Year, come up with a mantra that is just yours. Each day, look in the mirror and repeat it back to yourself.”
In her introduction, Lovato notes that “it’s important to have something that will motivate, inspire, and help us stay positive and keep moving forward.” Mission accomplished.


The Mental Health Listening & Engagement Tour Connects Demi Lovato with Mental Health Advocacy CommunityThe Mental Health Listening & Engagement Tour is a new kind of tour for Demi Lovato, a platinum-selling recording artist living with bipolar disorder. To support the mental health community’s vision of building a new generation of inspiring, informed mental health advocates, Demi is participating in a series of discussions with some of the nation’s leading advocates on the challenges currently facing the community. She is also candidly sharing her experience at advocacy events, encouraging and inspiring others with her own story of resilience and learning to live well with mental illness.
The Mental Health Listening & Engagement Tour is supported by Sunovion Pharmaceuticals Inc. as part of the company’s ongoing commitment to making a meaningful difference in the lives of individuals and families affected by mental illness.
In addition to her appearance at Depression and Bipolar Support Alliance New Jersey’s annual conference (where she posed with DBSA national president Allen Doederlein—above), tour stops include The Jed Foundation’s annual gala in New York City; the National Alliance on Mental Illness national convention in Washington, DC; and Mental Health America’s annual conference in Atlanta.

26 Little Signs You are getting over Depression
The Mghty.com
​April 2018

~ Thank you to themighty.com


To get a sense of how people with depression knew they were starting to feel better, we asked our mental health community to share little ways they knew they were recovering from depression.
1K+Save
Here’s what they shared with us:
1. “When I can wake up and get ready for the day. I shower, cook, clean up the house and just face the day like a ‘normal’ person…” — Amanda T.
2. “When I start cooking my own food again instead of wasting money on fast food. When I start showering and brushing my teeth on a more normal basis. When I start to laugh with meaning again. When my hobbies become enjoyable again. When I can get myself to work on time. When I sing. When I cuddle my significant other to enjoy his presence, not just to try and feel better. When I start enjoying the little things again, like a full moon or beautiful sunset.” — Stephanie F.
3. “Laughing, really laughing and realizing in that moment you are actually happy, and you forget everything else for those few seconds and relish in the moment because it’s been so long.” — Rebecca M.
4. “When I can start reading again. My concentration and focus improves.” — Sharyn H.
5. “It’s little things for me, and it usually happens without me noticing. Caring about what I put on in the morning, wanting to cook dinner, remembering and wanting to watch my favorite TV shows, actually laughing instead of saying ‘that’s funny.’ I’ll catch myself making the bed or washing my face in the morning and realize I am actually feeling better.” — Nichole H.
6. “When I no longer go to bed praying I don’t wake up and instead go to bed smiling because I feel worthy of life and happiness.” — Megan E.
7. “When my eyes get the life back into them. (When I smile with my eyes.) Becoming productive again. Spending less time in my room.” — Amanda A.
8. “When I start doing the things I love, no matter how skilled or unskilled I am: singing passionately; dancing as though my life depended on it; baking while licking the batter off the mixing spoons; and even laughing, and going outside, taking in just how beautiful the world can be outside of my windows.” — Ashley H.
9. “When I start noticing the beauty in the sunrise, how the clouds have different colors, actually seeing the leaves on the trees instead of them just being there. When I get motivation and energy to do stuff like housework, socializing, taking a walk. When I manage to enjoy a cup of coffee, not just drinking it to kickstart my level of energy.” — Rita O.
10. “Either of these, which will seem like the easiest things in the world for some people. 1. When I find I still can and do find things funny. 2. Getting up without feeling I’m about to explode from the pressure in my head or the need to immediately get back under the safety of the duvet.” — Louise F.
11. “I become more present during the day. Instead of feeling like I am just going through the motions, I begin to feel like life isn’t a hassle. To sum it up I look forward to my days and getting out of bed.” — Anjelica M.
12. “When I’m able to look past the present. When I am able to make future plans and further be excited about them. When I can see myself accomplishing more.” — Caroline S.
13. “When I feel like I can support those around me, like my husband and my mom. Like I can carry them on my shoulders rather than being crushed by the weight.” — Emily M.
1K+Save
14. “The days I accomplish something — anything — that’s when I feel like, ‘I can do this.’ After a year-long battle and months of therapy, I surprised myself when I not only played music but sang along! I imagine the true sign of getting better is when I can read, clean house daily, shower more than once or twice per week, and make a real meal more than once per week. It’s amazing how much of your life depression affects that others simply see as ‘normal.'” — Jazmyne F.
15. “Wanting to take care of myself. Simple things like taking a shower, brushing my hair, even putting make up on. Not because I have to but because I want to.” — Andrea B.
16. “When I actually try and make plans with the few friends I have left. Or I finally do household things I’ve been putting off for over a month because I don’t have the energy to get out of bed.” — Alexis M.
17. “I feel lighter. Like something has been lifted off my shoulders. I feel a warm burst of sunshine in my chest. I also feel relief.” — Sarah V.
18. “I start singing again, just humming while walking or doing things. I stop singing completely when depressed. First sign of light at the end of that dark tunnel is music back in my head and heart.” — Gaia F.
19. “When my sense of taste and smell improves and I can have lights on in the evening. (I normally live in the dark.)” — Julian N.
20. “When you can eat a meal willingly without your stomach feeling like there is a weight inside of it.” — Ashley B.
21. “Leaving the house to do things because I want to and not because I’m obligated.” — Alyse W.
22. “Singing in the car.” — Lucy D.
23. “When I wake up and don’t feel like I want to cry anymore.” — Adam B.
24. “When I no longer get angry at everything and everyone.” — Ceri C.
25. “I don’t have to force myself to smile.” — Hailie H.
26. “Colors get a little more vivid, and the world looks a little less hopeless.” — Michaela R

I am strong but still . . .

Choose life… Insure Tennessee

by hopeworkscommunity

Choose life. When in doubt, when you are not sure... When there is a question choose life.

The question of Insure Tennessee is a question of whether or not we will choose life. It is not a question of a better way to choose life. It is not a question of not this but that. As more and more stories pour in it is obvious. For thousands of Tennessean it is increasingly each day a question of life or death... a question of life or needless and preventable suffering... a future of hope or one bound by despair. It is not about finding an answer. It is about the common sense and political will to grab the one (the only one) in front of us and stop the unnecessary misery that defines the lives of so many vulnerable Tennesseans.

Chattanooga voted last night to choose life. Their city council voted overwhelmingly in favor of a resolution supporting Insure Tennessee. They joined a growing movement of cities and towns saying they support their neighbors, their friends, their families. No one should have to unnecessarily suffer or suffer as a direct result of governmental policy. Insure Tennessee.

The movement is growing. Thanks to the leadership of people like Pam Weston in East Tennessee and Meryl and Randall Rice in West Tennessee and the stories and words of more and more Tennesseans the movement is growing. It is the growing crescendo of more and more ordinary Tennesseans saying "CHOOSE LIFE!!!!!"

Imagine a flood, a hurricane in Tennessee. The waters are rising.. People are dying.... Many are on top of their houses waiting for a miracle.. a boat... a something... someone who cares.... hope. The government has boats. But they decide to wait. "Let's make sure this is a good idea..."

The waters still rise. For some it is too late. For others it will soon be too late. Action matters. The hurricane is here for thousands of Tennesseans. And they are on top of their houses waiting.

Join the movement to choose life. Talk to your local government. Ask them to join Chattanooga and the other towns and counties that have acted.

Today. Today please choose life.

Insure Tennessee

Larry Drain ~

Thanks to BP magazine for shining a bright light on a dark topic. I am glad to be a part of a support group that helps prevent suicide. For over 13 years our group has served the Jackson, Tn. community faithfully. "Thank you" to , A Better Tomorrow inspirational support group.

TAKING SUICIDE PREVENTION UPSTREAM

Across the country, school districts are providing mental health awareness and suicide prevention training for teachers and school personnel. Some are mandated or encouraged to do so by state law, others are motivated by recent incidents, and some introduce this kind of education because suicide is now the second-leading cause of death among youth aged 15-24.

Teacher and parent training are key components in any plan to address teen suicide. Increasingly, however, communities are recognizing that kids need to learn about mental health, too. Social and emotional learning across the lifespan reduces risk factors and promotes protection factors for violence, substance abuse, negative health outcomes, and suicide. One way to provide universal student training is by including a mental health component in the standard wellness or health curriculum. School districts and individual schools can implement individual, more targeted programs as well.

Knowing how to cope and developing resilience are at the core of mental health awareness and suicide prevention efforts being implemented in Massachusetts with children as young as elementary school. The Commonwealth of Massachusetts places a high value on suicide prevention, with dedicated line-item funding in the state budget for the Department of Public Health Suicide Prevention Program. With support from state officials, the DPH has launched suicide prevention programs across the state and for people across the lifespan.

Some of the skill-building and suicide prevention programs in Massachusetts schools are

• The PAX Good Behavior Game, which has been introduced by schools in collaboration with the DPH, teaches students self-regulation, self-control, and self-management in order to create an environment that is conducive to learning. (Ages 6-12)
• The Open Circle program, which strengthens students’ social and emotional learning skills to increase pro-social behaviors and reduce problem behaviors, is utilized by many school districts. (Grades K-5)
• Whyville utilizes problem-solving and other skills to help kids learn about their emotions in an online computer game. (Teens and pre-teens)
• SOS Signs of Suicide® focuses on prevention through education by teaching students to identify symptoms of depression, suicidality, and self-injury in themselves and their peers. (Grades 8-12)
• Break Free from Depression, developed by the Boston Children’s Hospital, focuses on increasing awareness about adolescent depression, how to recognize it, and how to get help. (High school)

There are dozens of programs that schools can use to promote skills development while fostering students’ mental health and their willingness to seek and accept help for mental health concerns. SAMHSA’s National Registry of Evidence-based Programs and Practices and the Suicide Prevention Resource Center Best Practices Registry include searchable descriptions for a wide variety of educational programs. For high school students, the SAMHSA Preventing Suicide: A Toolkit for High Schools has a comprehensive list of programs, but a search of the NREPP and BPR may yield programs added since the Toolkit was published.

What can you do? Find out how your school district handles mental health training and emotional skill building for students. If there is not currently a program and there is no interest from school officials, you might work with the parent-teacher organization, local mental health groups, and the local board of public health to raise awareness of the issue, then advocate for implementation of one or more programs. There may be grants available to cover the cost of training or there may be organizations in your community that would help subsidize the program.

The bottom line is that suicide prevention requires a comprehensive approach. It’s never too early to start and everyone – families, schools, communities, and peers that create supportive environments; individuals who learn and leverage positive coping skills; and mental and public health systems that treat and prevent risk factors – plays a part.

Your Turn

• What do you think about the mental health awareness and/or suicide prevention programs that are provided to kids in your community?
• What role should a school have in developing kids’ emotional and social skills?
• What steps will you take to improve mental health awareness and suicide prevention in your local schools?

Editor’s Note: The Families for Depression Awareness Teen Depression Webinaris an accessible, free resource for training parents, teachers, and others who work with youth to recognize depression, talk about depression with parents and youth, and know what to do to help a young person struggling with depression. Register for the Teen Depression Webinar live with Dr. Michael Tsappis on September 30. 

Thanks to the MA Department of Public Health Suicide Prevention Program and the Suicide Prevention Resource Center for their support in developing this post.

Thank you, Larry Drain, for making us think and feel about the serious matter of mental illness in the light of reality . . . Reality check, anyone?

hopeworkscommunity, Larry Drain

What is Murphy selling?

Donald Trump gave me the clue.

Even more than AOT or any other policy idea Tim Murphy is selling something far more visceral, far more compelling and far more appealing. Like Trump he is selling anger to those who feel like they or their loved ones have been hurt by a system that often doesn’t help very much. Like Trump he is selling justification and direction by telling them who is to blame. Like Trump he is selling redemption and hope by telling them if they just follow and support him he can change it. His message is one of quest and crusade and rescue of those hurt and victimized.

Like Trump he has never let the facts get in the way but that is not the subject of this post.

Murphy has tapped into something very real. It is far more than a few overcontrolling parents frustrated with their kids. I sat one night with one 72 year old man talking about his 38 year old schizophrenic son. The pain and outrage was real. His son had been attacked by police in a parking lot who thought he was drunk a couple of weeks before he sat down with me. He had been tased more than once and they thought some damage to his legs might be permanent. He was furious at the police but equally furious at a system that had never been there for his son and furious….well just furious that the son he loved was seemingly stuck in the life he had. I remember listening to a mother describe the day she screamed and begged the police not to shoot her son. He had a towel wrapped around his hand and they thought he might have a gun. I have heard a hundred more stories.

It is not so very different than the rage I hear when I hear people talk about the damage they feel the system has done to them. It is the rage of the 22 year old girl with no history of diabetes in her family who now, courtesy of the medication a psychiatrist had prescribed her, had just found out she now had diabetes. She screamed at me….”What the fuck am I supposed to do now?”

It is my rage. My nephew one night laid down in front of a train and died. He believed that treatment was for crazy people and he could think of few things worse than being crazy. He believed what the wider society told him about “mental illness.” He didn’t want to be embarrassed. He didn’t want to stick out. He tried to hide his desperation. He tried to macho his desperation. Finally he decided to kill it.

The rage is real. It may express itself different for different people but it is real.

I think people can find better lives. My nephew, my friend’s son and literally hundreds of thousands of other people deserve something better. And it literally makes me want to scream and scream and scream that so many never find it. It makes me want to scream when people are treated as less than people. It makes me want to scream when the only options people have are things that have already not worked. And it makes me scream when people in their zeal to control symptoms destroy the quality of the life they are trying to save.

Murphy is not going away. The rage is real.

I think back often to something I heard Robert Whitaker say once. He wondered if we would ever have an honest mental health system. What if it was just about what worked?

What if it was?

Maybe in the end that is the only real answer to the Murphys…

Mother Teresa practiced what she preached, serving her neighbors in great need. In contrast, every year Americans feel they must leave their suffering children "next door" to fly off to an exotic land to do God's work. Personally, I try to follow these words of the person who epitomized service and devotion to God.

I say, thank you, Mother Teresa, for leaving these words of wisdom and guidance.

Healthy Grieving-Denial

Amber Wilsey

After the diagnosis, I have had to walk through a grieving process.  I grieve for the “death” of who I was, for the person who I am, and for my future self. Confusion and loss of self are huge players in this grief process.  Of course, sadness does too, much sadness.  I believe it is the same type of journey we go through when we lose our loved ones. Except this time, the person is me.  

Those five stages of grief are denial, anger, bargaining, depression and acceptance. I would imagine the denial stage is probably the most difficult to move out of after being diagnosed with a mental illness.  It has been for me.  The denial phase looked similar to this:  I cannot believe I am bipolar; all I went in for was for ADD; the doctor can’t be right; I don’t even know what bipolar is, how is that ME?  As Gru’s minions say “Wha???”  It even looks like: these meds are making me worse; I’m not sick or have mental problems; maybe I was misdiagnosed; maybe I’m really not bipolar since the medicines are not working. On and on and on…

Since I am still fairly new with the diagnosis, I can see the reoccurrence of denial throughout the past few years.  Thankfully, I am not stuck in the vortex of complete denial.  It helps to read, to learn, to use the internet, to search for others who are walking the same walk.  Thankfully, you are out there for me to glean from and from you I have hope.  

http://news.vanderbilt.edu/2015/05/locating-the-brains-sad-center/

I'm writing my story in hopes that it will inspire others to share their story. I don't know if there is a "book" in everyone but I know for certain there is a story in there. I encourage you to share your story of overcoming some of life's challenges. Someone needs to hear what you have to say. They are waiting!

Tragic California Case Exposes Failings in Our Mental Health Care System

CareforYouMind Feb 10,'15

Rusty Selix
Executive Director, Legislative Advocate
California Council of Community Mental Health

In April 2012, Fred Paroutaud, a California man with no history of mental illness, experienced a psychotic episode. Mr. Paroutaud was hospitalized and diagnosed with bipolar disorder. Just 72 hours after he was admitted, and despite the fact that he was still experiencing hallucinations, he was discharged and referred to outpatient group therapy. Because his condition remained unstable he requested alternate therapy and one-on-one sessions with a psychiatrist. He was denied both by his health plan and his condition deteriorated.

Concerned by his worsening depression, his wife appealed to the health plan again and again. She pleaded that her husband required more supervised and personalized treatment. While waiting for an appointment with his psychiatrist, and just two months after his first psychosis, he died by suicide.

Mr. Paroutaud’s widow is convinced that if more intensive and timely care had been available, her husband would still be alive. In October 2013, she and two other plaintiffs filed a class-action lawsuit against the health plan claiming they were harmed by its systemic denial of timely access to mental health services.

Why this story sounds familiar
While Mr. Paroutaud’s story is unique, his circumstances were not. Upon his release from the hospital, he needed intensive, monitored care. That’s not what he got. Generally speaking, commercial health plans limit coverage to two levels of care: level one is a once a week therapy visit for mild to moderate problems and medication management; and level two is hospitalization.

Those two narrow levels of care are appropriate for many people, but not all, and certainly not for all stages of mental illness. The absence of those critical, in-between levels of care is one of the ways that our mental health system falls short and where it fails people like Fred Paroutaud and his family.

When someone is in the midst of a manic episode or considering suicide, hospitalization can provide the opportunity to stabilize the condition. Upon discharge, many patients require medically monitored care in a residential facility or highly personalized care in a medically-monitored outpatient setting. Unfortunately, that level and type of care is almost impossible to find in commercial health plans.

There is another way
My hope for a health system that offers comprehensive mental health services to better address the needs of individuals with a mental health condition is not pie-in-the-sky wishful thinking. In fact, this model of care, with multiple levels and degrees of intensity, already exists within the California Medicaid system. In our public programs, care ranges from community-based health management through low-intensity community-based services, high-intensity community-based services, medically-monitored non-residential services, medically-monitored residential services, and medically-managed residential services (i.e., inpatient treatment).

This structure, with six levels of care, is the backbone of the mental health system under California’s Medicaid system, and it provides a complete, stepped approach to rehabilitation.

This type of care should not be exclusive to the Medicaid population. One of the 10 essential health benefits under the Affordable Care Act is rehabilitation; another is mental health care. This means that rehabilitation for mental health care isan essential benefit, and all Americans in commercial health plans are entitled to more rehabilitation-focused mental health services.

What you can do now
Fred Paroutaud was denied access to stepped treatment and his story is tragic. It is thanks to his widow and her persistence that we know about it at all. Unfortunately, many people suffer similar situations and denials of care, but we do not hear about them.

With increased national attention on access to mental health care, now is the time to tell us about the problems you are having in accessing the care you need. We want to know what services you were denied and the barriers you faced, such as unaffordable out-of-pocket costs, transportation issues, or lack of trained providers in your plan’s network, etc.  We also need to know what you did or didn’t do in response and how this impacted your or your family member’s recovery. As advocates and advocacy organizations, we are positioned and prepared to knock on the door of government regulators and health plans and point out the disparity in care and demand access to appropriate rehabilitative services.

Many commercial insurers don’t cover rehabilitation services because they don’t believe they have to. And if no one demands otherwise, they are unlikely to ever change. Share your story. Don’t take ‘no’ as the only answer. Let’s realize the parity we deserve.

Questions

• How have you been denied equal insurance coverage for a mental health condition? Tell us your story.
• What levels of treatment are available to you under your health plan? Are they sufficient?

Bio

Rusty has been Executive Director and Legislative Advocate for CCCMHA since 1987. He is co-author of California’s Mental Health Services Act, a tax on personal incomes over $1 million to expand community mental health care. At CCMHA, he has been instrumental in moving forward a variety of critical mental health-related initiatives, including ensuring the implementation of the federal Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program to serve children with severe emotional disturbances. He also serves as Executive Director of the Mental Health Association in California.

What are some symptoms of BP? See what bipolar disorder can be like. Pass this along to someone in need. Dark Glasses & Kaleidoscopes - YouTube http://bit.ly/1ExeuNA

Allen Reflects on Thriving in 2014

As DBSA’s 2014: The Year of Thriving comes to a close, it seems appropriate to reflect on what we’ve accomplished this past year, and to think about what’s yet to come.

At the beginning of 2014, we outlined our vision of a future where every adult and child living with a mood disorder has the opportunity not just to survive, but to thrive. To some, this was a message of hope; to others, it seemed a goal almost impossible to imagine. I completely understand how some of my peers might find total wellness to be an unattainable goal. Indeed, I too have experienced times in my life when the only reality I could imagine was the intense pain of depression. In fact, I experienced times this very year when thriving seemed so very far away for me personally. But amidst messages about the danger and drain of people with mental health conditions, and my own concurrent thoughts of self-loathing and self-stigma, to know that there was a community that would hope for the return of my best self was a blessing. To hold hope when we cannot carry it ourselves: this has always seemed, to me, the fundamental purpose of peer support. DBSA was founded on a model of peer support, and DBSA will always be about creating opportunities for peer support, and through peer support—the thousands of people meeting in communities across the country—we are creating a world in which all of us may be reminded of our potential, our strength, and our best selves.

For me to return to a place of thriving took a lot of time and work and collaboration. It also took some luck. For I have been very lucky: to have found clinicians that do not put limitations on what my life can be; to have the support of loved ones and colleagues who remind me of who I am, not what condition I live with; to have insurance that gives me access to quality health care that covers both my physical and mental health; and to find inspiration in my work and the amazing people I have the privilege of working with, and for, in my role at DBSA.

Such good fortune—in clinical collaboration, in supportive community, in access to resources, in meaningful work—are what I, and the DBSA Board and staff, want for everyone, not just the very lucky.

So in 2014, we asked our peers, families, clinicians, researchers, politicians, and the public to expect more. We asked our community to promote and seek full wellness—because better is not well, and everyone deserves the opportunity to thrive. 

I am proud of the work DBSA accomplished in 2014, and I encourage you to review our 2014: Year of Thriving programs. I believe that we did open minds—and even a few doors—to the possibility of thriving. A few highlights include:

• In January, DBSA welcomed the Balanced Mind Parent Network into our family of programs to enable us to provide critical support for parents and to create a thriving future for children living with mood disorders.
• In April, Target Zero to Thrive asked clinicians and peers to set zero, not just reduced, symptoms as a new standard for successful treatment. 
• In May, DBSA kicked off our six-month Positive Six: Thrive campaign, challenging us to make a small change each month to support our health.
• In June, DBSA completed a third contract with the VA to train their Veteran peer specialist workforce.
• In August, DBSA joined forces with DBSA New Jersey to host the From Surviving to Thriving weekend of public and chapter educational events featuring a special interview with Demi Lovato.
• In September, DBSA hosted Better Is Not Well—a peer and professional panel that explored ways to elevate mental health treatment to complete wellness.
• This fall, DBSA hosted a series of webinars on Treatment Choices, Health Care Reform, and Restoring Intimacy.
  
• In November, DBSA issued the WHO-Five Challenge to mental health professionals to integrate wellness measurements, like the WHO-Five, into their practice.

But so much more must be done. So we ask,

“What needs to happen for us to have wellness change from being a possibility for some to a probability for most?”

It will require:

• Better Treatments: DBSA will continue to work with our esteemed Scientific Advisory Board to integrate peers into the development of new and better treatments— medical and non-medical. And, to connect our peers and parents to studies that hold the promise of a brighter future for ourselves, our children, and our peers.
• New Measurements: DSBSA will continue to promote widening the definition of treatment success to include not just elimination of symptoms, but presence of wellness.
• Access to Quality Mental Health Care: DBSA will continue to advocate for the rights of all adults and children living with mood disorders to receive access to quality mental and physical health care.
• Increased Expectations: DBSA will continue to spread the message that better is not good enough. That wellness IS possible. That everyone deserves the opportunity to not just survive, but thrive.
• Peer Support: DBSA is committed to continuing, and increasing both the availability and quality of, life-saving in-person and online peer support for people who have diagnoses, parents, family, and friends.
• Inspired, Imperfect Action: DBSA will continue to ask ourselves, our peers, our parents, our clinicians, our legislators, and our communities to take action. It may be small. It most certainly will not be perfect. But it will be progress—action inspires action, which in turn inspires more action.

We made some significant strides this past year, but we do not fool ourselves by believing that these first steps have produced monumental change. That will take persistence. That will take courage. That will take time. That will take hope. That will take ALL of us.

It is through thousands, indeed millions, of inspired, imperfect actions that we will slowly transform these small steps into big changes and create a future where wellness is no longer a possibility for only some lucky few, but a probability for all.

Thank you for joining us on this journey,

– Allen

http://wp.me/p4E9xY-aD

Governor Haslam says he is not as "optimistic" about a Tennessee Plan as he was 6 weeks ago.  I take this to mean the federal government is unlikely to accept any proposed elements of the Tennessee Plan that violate or contradict federal law or regulation.  He is not going to be able to write the rules.  He is going to have to follow them.  If the condition of him fighting for Tenn Care expansion is for it to be an easy fight he is not going to make the fight.

The election has been in the strangest of circumstances the "dead period" (What kind of political system makes it off limits to talk about the most important issue to face for fear someone would have to take a stand on it?)  It is now time to define the conversation that will govern the decision on Tenn Care expansion.

The people who would have us vote no on Tenn Care expansion will try to make us believe that a no vote is the only way to save us from a federal menace that will lead us to chaos.  In face of all the facts to the contrary that is momentous argument to make but that has never stopped a politician yet.

The voice missing is ours.  It is time for Tennessee to be for Tennesseans regardless of their socioeconomic status and for politicians to talk to the people they work for.  Share your story and your concerns today.  Call your legislator and speak to him today.  You will only be heard if you speak.

You are invited to legislative plaza in Nashville on November 10.  Linda and I will be having a "Speak to the people" rally.  46000 people have spoke.  They have signed a petition urging Governor Haslam to expand Tenn Care and we will deliver that petition.  Other people in the coverage gap will be speaking.  We hope to see you there about 11am. Please share this post and spread the word.

Thanks a lot.

Larry and Linda

Ordinary heroes: Drains honored for speaking out for health care equality

B

y Linda    Braden

Larry and Linda Drain are quiet, unassuming people. But when circumstances arose that threatened Linda’s life, they both began speaking out, their voices ringing loudly to bring awareness to — and a solution for — themselves and others who have fallen through the cracks of the health care system in Tennessee. Their income is too high to qualify for TennCare, Tennessee’s public insurance program, and too low to qualify for federal subsidies under the Affordable Care Act, also called Obamacare.

In acknowledgement of their efforts, the Tennessee Health Care Campaign presented the Drains with the 2014 Heroes for Health Award in August at the John Seigenthaler First Amendment Center, Nashville. The award was given “for your dedicated support to affordable access to high-quality health care for all Tennesseans.”

The event honoring the Heroes was part of the Tennessee Health Care Campaign’s 25th Anniversary celebration. In addition to the Drains, Laura Sell was honored for the major work she did as a volunteer to promote and support enrollment in the Patient Protection and Affordable Care Act, collaborating with the Blount County Public Library.

Larry said, “It was a very eventful night. We got to speak to a lot of people, meet a lot of people that were heavy-hitters that we knew about or read about. That was neat. And to get people to treat us like we were important. As we were walking out the door, I said, ‘Linda, do you ever get over being surprised when people treat us nice?’ I’m surprised every single, solitary time. It’s just been a strange happening. When it first started out, we didn’t have a clue ... The way we look at it is that we are extraordinarily ordinary people, and the idea that people would know who we are or that people would listen to what we have to say — I wouldn’t have predicted that in a thousand, million years. Then when it took off, it went insane.”

Story begins

The story began with Linda, who has been drawing Supplemental Security Income (SSI) for some time because of epilepsy, brain surgery and additional health conditions. Larry said, “She has TennCare. She has to have the TennCare in order to live. If she does not have the medication, if she doesn’t have the medical care, she will die.

“Ten years ago, a good day for her was having 10 to 15 grand mal seizures. She went through brain surgery, and the last 10 to 14 years have been extraordinarily eventful, but the medication is her pathway to life.”

After Larry turned 62 last September, he decided to take early retirement and begin drawing Social Security.

“If I had to take all the dumb, stupid, worst things in my entire life that I have ever done, that one is so far to the top that there is not a second place,” he said. “The way we had it figured out, we could live if we took what she made in SSI and what I made in retirement. We weren’t going to be rich — in fact, we were going to be poor — but we would be able to pay our bills, do what we needed to do. We were going to be OK.

“After a couple of months, Social Security called us in and said, ‘You guys make way too much money.’ They were very nice, not cruel or mean or anything like that. ... But they said, ‘We have a limit on unearned income, and you guys are way over it.’”

Larry questioned how that could be, and was told that his Social Security retirement is considered unearned income. He said, “I asked them, how could that be unearned income? I worked 47 years for that. It’s my money. They said, legally it’s unearned income. They told Linda that her check for $720 was going to become $20. We were going to lose $700. I said, ‘I’ll just give the retirement back. I’ll just get another job and we’ll be OK.’ And they said, ‘Well, you can do that, but the only way you can do that is to give us back every single penny we have given you today.’ Well, if I could give it all back today, I would never have needed it to begin with.”

No recourse

Larry thought he could continue drawing his retirement and also have a job to make ends meet. He said, “What they said after that has basically driven the whole situation. They said, ‘You have to understand, that because your wife is on TennCare, if you make over $85 in a month, she will lose her TennCare.’ So we went home, and we did all the figuring we could.”

Their projected budget for January would leave them with $30 for essentials such as food and gasoline, and the following months would be worse. “We looked at everything we could, trying to find a way. ... But there wasn’t a way,” Larry said. “We were in a position where, if I got a job to give us enough money to live on, it would kill my wife. It would take her insurance away, and it would kill her. If I didn’t get a job, we couldn’t live. We couldn’t live on a dollar a day. It just wasn’t doable. So on Dec. 26, after 33 years of marriage, we separated.”

The original plan was for Linda to stay with a relative until they could find her a permanent place so she could retain her SSI and TennCare. Larry would then find a place as close by as he could. Larry said, “At that time, our understanding was that, according to the way the laws were in the state of Tennessee, we would never again live together as man and wife.”

There were two possible solutions: Change Social Security laws or expand TennCare, the state’s managed Medicaid program which provides health care coverage primarily for low-income children, parents, pregnant women and elderly or disabled adults. Social Security laws were not going to be changed, but Tennessee Gov. Bill Haslam could spearhead expansion of Medicaid. Larry said, “If he expanded Medicaid, then Linda didn’t have to be a member of a category, she didn’t have to be ‘disabled,’ to get it. All she had to do was be poor. If he expanded Medicaid, then she would have her insurance, which meant we could live together, I could get a job, and although we’d struggle, we would live. Without him expanding Medicaid, we had no help at all.”

Letters to governor

Larry began drawing attention to the need for TennCare expansion by writing a series of letters to the governor. Some were very personal, some general and policy oriented, but in each letter, Larry pleaded with Haslam to submit a plan for TennCare expansion. The 100th letter was emailed on Sept. 2. As of that date, the governor had not responded to the Drains, but he did announce on Aug. 28 that he plans to submit a proposal to Washington to expand Tennessee’s Medicaid program. He did not release any details, however.

Larry said more than 1,200 individuals from across Tennessee have told him they also contacted Haslam. Larry’s 100th letter to the governor begins to list the names, and he plans to continue adding names in subsequent letters until every one is included.

Each letter is available atdeargovernorhaslam.wordpress.com and is viewed by 4,000 to 6,000 persons daily. In addition, a petition entitled “Gov. Haslam: Expand TennCare and Let Me Stay With My Wife!” at www.thepetitionsite.com has almost 46,000 signatures in support of the Drains.

The Drains’ story was told in the Nashville Tennessean and other major news outlets, drawing even more attention to those who, as Larry said, “didn’t fall through the cracks — we live in the cracks.”

Twenty-five miles separate this couple now. Linda is in Knox County, while Larry is in Blount County. They are waiting for the time when they can once again live together as man and wife without Linda losing her life.

Larry said, “I should not have to drive 25 miles to see my wife. It’s wrong in every sense of the word.”

Help available for dealing with depression

Beth Knoll 12:39 a.m. CDT August 27, 2014 The Jackson Sun

A life lived with depression can feel like a "deep, dark place," said Steve Brannon. But with a variety of pathways to recovery, hope is never out of reach — even during the toughest times.

Society often views depression in extremes, said Brannon, state director of Depression and Bipolar Support Alliance of Tennessee, as depression is often seen as an untreatable illness — or not as an illness at all. Depression should be taken very seriously, he said, but it shouldn't be approached in a "fatalistic" manner.

"Depression is treatable, and it responds quite well to treatment," Brannon said.

Describing depression as the "common cold of emotional mental disorders," Paul Deschenes — clinical psychologist and director of counseling services at Union University — said most people experience depression at some point in their life

Deschenes said depression can be caused by a variety of factors, including the weather or the loss of a loved one. Because depression can be genetically based, it has the potential to be passed from one generation to the next, Brannon said.

In many cases, feeling depressed is normal, as no one is happy all the time, Deschenes said. What is not normal is when the grief and sadness continues indefinitely and begins to interfere with major areas in a person's life — signaling a more significant form of depression.

"They might experience things like negative thinking, self-criticism," Deschenes said. "They might experience feelings of hopelessness. Some people have thoughts of self-blame, and generally the thinking gets very negative, pessimistic. They might see the glass as being half-empty rather than half-full."

Symptoms

Additional symptoms can vary and even seem contradictory, Brannon said. Some people develop an increased appetite when they are depressed, while others may lose their appetite. Some people may sleep more often, while others experience insomnia. Some people may voice their thoughts of hopelessness, while others may not say a word.

Brannon said that a person with depression may stop bathing or using proper hygiene, and he or she may stay in the same clothes for weeks at a time. Deschenes also noted that a person may feel a loss of energy in accomplishing everyday tasks, as well as experience a decreased sex drive.

People who are depressed are more likely to develop other health conditions such as diabetes and heart disease, Brannon said. Their lifespan also can be shortened up to 25 years.

"It might affect their relationships," Deschenes added, because people experiencing depression often decline invitations for social engagements or drop out of church. "Ultimately, left untreated, some depression might get so bad that it turns to suicide."

Deschenes said a depressed person often wants to sit at home and be alone with their thoughts, which can fuel negative feelings. As a result, he said people should get out of the house and begin taking small steps to return to a healthy level of functioning.

Steps forward

Picking up an enjoyable hobby or volunteering can help ease depression, Deschenes said. Because depression can cause distorted thinking, spending time with positive people can halt irrational and harmful thoughts as well.

Exercise also can help people overcome depression and could be as effective as medication in some cases, Deschenes added. In addition, he encouraged people to return to church if they have stopped attending, as a person's faith speaks to issues such as hope.

"Whatever help an individual goes for, we recommend that folks not only be very religious about medication but also go to counseling," Brannon said.

With new medical treatment options introduced regularly, Brannon said treatments can include transcranial magnetic stimulation, in which part of the brain is stimulated with magnetic waves. While the success rates can vary, he said the results have been encouraging and the technology is expected to continue improving.

Brannon added that people with depression should develop a support group. The individuals who form a person's support group need to check up on how the person feels emotionally, know whether the person is taking his or her medication and be available to talk whenever the person may need them.

The support group also needs to be able to recognize the symptoms of depression, as well as know when the depressed person is in need of medical attention, Brannon said.

Suicide

Noting that teenagers and the elderly are more susceptible to suicidal tendencies, Deschenes said people should not be afraid of causing a suicide by asking if someone is suicidal. If someone is hinting at suicide or displaying suicidal tendencies, he said family and friends should approach the situation seriously and take the person to a mental health professional.

People also should not think that a suicide is inevitable for someone experiencing suicidal thoughts, Deschenes said. Most of the time, a person averted from a suicide attempt and helped by professionals can regain and lead a normal life.

"When people get into a deep, dark place like Robin Williams did, trust seems to go away," Brannon noted, as a dangerous sign of suicide is when a person stops trusting others to help them manage their depression. "It is times like that the support network has to realize that they can't help this individual they love — they need someone to call."

The National Suicide Prevention Lifeline, which can be reached at 1(800) 273-8255, is a valuable resource for people contemplating suicide, Brannon said.

Support group

Brannon noted that Jackson also has a mood disorder support group, called "A Better Tomorrow." Meeting at 6:30 p.m. each Monday at St. Mary's Catholic Church, the group provides encouragement, education and information services for people with depression, as well as their family and friends.

The group often becomes like an extended family for members, Brannon said, as people with depression can understand what other group members face.

"It's something about being understood that's healing in itself," Brannon said. "That is so valuable for someone living with depression. You can't put a price on that."

To learn more about the Jackson depression support group, visit the Depression and Bipolar Support Alliance of Tennessee's website at dbsatennessee.org. The alliance also can be reached at (731) 215-7200.

Reach Beth Knoll at (731) 425-9641. Follow her on Twitter @merribethknoll.

What to know

• The National Suicide Prevention Lifeline, which can be reached at 1(800) 273-8255, is a valuable resource for people contemplating suicide.

• Jackson's mood disorder support group, called "A Better Tomorrow," meets at 6:30 p.m. each Monday at St. Mary's Catholic Church. The group provides encouragement, education and information services for people with depression, as well as their family and friends.

• To learn more about the Jackson depression support group, visit the Depression and Bipolar Support Alliance of Tennessee's website at dbsatennessee.org. The alliance also can be reached at (731) 215-7200.

Steve Brannon(Photo: Submitted)

Paul Deschenes(Photo: Submitted)

HEALTH

Haslam may submit Medicaid expansion plan in fall

Tom Wilemon, [email protected] and The Associated Press

1 day ago

• Facebook
• Twitter
• Google Plus
• more

Larry McCormack / File / The Tennessean

Gov. Bill Haslam said Thursday that the state may soon submit a proposal to Washington to expand Tennessee’s Medicaid program but did not release any new details on how it might work.

The Depression and Bipolar Support Alliance (DBSA) is the leading patient-directed national organization focusing on depression and bipolar disorder. The organization fosters an environment of understanding about the impact and management of these life-threatening illnesses by providing up-to-date,

scientifically-based tools and information. DBSA supports research to promote more timely diagnosis, develop more effective and tolerable treatments and discover a cure. The organization works to ensure that people living with mood disorders are treated equitably. Assisted by a scientific advisory board comprised of the leading researchers and clinicians in the field of mood disorders, DBSA has more than 750 peer-run support groups across the country. Nearly two million people request and receive information and assistance each year. DBSA’s mission is to improve the lives of people living with mood disorders. For more information about DBSA or depression and bipolar disorder, please visit www.DBSAlliance.org or call (800) 826-3632.

Allen Doederlein, President, DBSA

Nelly Piraja

Steve Brannon, State Director, DBSA Tennessee

Healthy Lifestyle May Buffer Against Stress-Related Cell Aging

UC San Francisco Study Suggests Healthy Diet, Sleep and Exercise Can Mitigate Negative Impacts of Stress

 

Newswise, July 24, 2014 — A new study from UC San Francisco is the first to show that while the impact of life’s stressors accumulate overtime and accelerate cellular aging, these negative effects may be reduced by maintaining a healthy diet, exercising and sleeping well.

 

“The study participants who exercised, slept well and ate well had less telomere shortening than the ones who didn’t maintain healthy lifestyles, even when they had similar levels of stress,” said lead author Eli Puterman, PhD, assistant professor in the department of psychiatry at UCSF. “It’s very important that we promote healthy living, especially under circumstances of typical experiences of life stressors like death, caregiving and job loss.”

 

The paper will be published in Molecular Psychiatry, a peer-reviewed science journal by Nature Publishing Group.

 

Telomeres are the protective caps at the ends of chromosomes that affect how quickly cells age. They are combinations of DNA and proteins that protect the ends of chromosomes and help them remain stable. As they become shorter, and as their structural integrity weakens, the cells age and die quicker. Telomeres also get shorter with age.

 

In the study, researchers examined three healthy behaviors –physical activity, dietary intake and sleep quality – over the course of one year in 239 post-menopausal, non-smoking women. The women provided blood samples at the beginning and end of the year for telomere measurement and reported on stressful events that occurred during those 12 months. In women who engaged in lower levels of healthy behaviors, there was a significantly greater decline in telomere length in their immune cells for every major life stressor that occurred during the year. Yet women who maintained active lifestyles, healthy diets, and good quality sleep appeared protected when exposed to stress – accumulated life stressors did not appear to lead to greater shortening.

 

“This is the first study that supports the idea, at least observationally, that stressful events can accelerate immune cell aging in adults, even in the short period of one year. Exciting, though, is that these results further suggest that keeping active, and eating and sleeping well during periods of high stress are particularly important to attenuate the accelerated aging of our immune cells,” said Puterman.

 

In recent years, shorter telomeres have become associated with a broad range of aging-related diseases, including stroke, vascular dementia, cardiovascular disease, obesity, osteoporosis diabetes, and many forms of cancer.

 

Research on telomeres, and the enzyme that makes them, telomerase, was pioneered by three Americans, including UCSF molecular biologist and co-author Elizabeth Blackburn, PhD. Blackburn co-discovered the telomerase enzyme in 1985. The scientists received the Nobel Prize in Physiology or Medicine in 2009 for their work.

 

“These new results are exciting yet observational at this point. They do provide the impetus to move forward with interventions to modify lifestyle in those experiencing a lot of stress, to test whether telomere attrition can truly be slowed,” said Blackburn.

 

Co-authors include senior author Elissa Epel, PhD, department of psychiatry, Jue Lin, PhD, department of biochemistry and biophysics, both of UCSF and Jeffrey Krauss, MD, division of physical medicine and rehabilitation at Stanford University. Lin, Epel and Blackburn are the co-founders of Telome Health Inc., a diagnostic company measuring telomere biology.

 

The study was supported by the Baumann Foundation and the Barney & Barbro Foundation. Puterman is supported by the National Heart, Lung and Blood Institute of the National Institutes of Health.

 

UCSF is the nation’s leading university exclusively focused on health. Now celebrating the 150th anniversary of its founding as a medical college, UCSF is dedicated to transforming health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy; a graduate division with world-renowned programs in the biological sciences, a preeminent biomedical research enterprise and two top-tier hospitals, UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco. Please visit www.ucsf.edu.

 

Source: University of California, San Francisco (UCSF)

 

 

Author:Newswise