“Mad as a Hatter” (Autumn & Mental Illness Part II)

Crazy? (Well, it was the cat's idea.)

Think of all the words we have for people who suffer mental illness.

Mad, insane, out of one’s mind, deranged,demented, not in one’s right mind, crazed, lunatic, non compos mentis, unhinged,mad as a hatter, mad as a March hare; informal: mental, nutty, nutty as a fruitcake, luny, nuts, whacko, off one’s rocker, not right in the head, round/around the bend, raving mad, batty,bonkers, cuckoo, loopy, ditzy, loony, bananas, loco, with a screw loose, touched,gaga, not all there, out to lunch, crackers, nutso, out of one’s tree, wacko, gonzo…

What did I miss?

Stigma maybe? Uhm. yep.

For some reason, in Autumn it seems like more pronounced incidents of mental illness symptoms surface. Maybe it’s just that I notice it more because I start to hunker down for winter.

Who is “mental”? The unexplainable is quickly isolated as “not good enough”. It’s easier to plug in a label or term, than to empathize.

In truth, any one of us may be”diagnosable” for some period of time in a given month. We may not persist with symptoms long enough to need intervening treatment, but if we are human, we are prone, at some point, to have an unhealthy mind. For some, a lack of noticeable symptoms can make it harder to get help.

For example:
Take a person addicted to pornography: Addiction is unhealthy in the mental/psychic capacity. Through this or any addiction, a person may become attached to unhealthy behaviors, thoughts, and actions, and then digress to mental instability and illness without anybody really knowing until the problem is truly unmanageable, or it has reaped awful consequences. On the other hand, a person having a schizophrenic episode and enduring auditory hallucinations, may quickly signal to others that medical assistance and support is needed. Stat.

The bigger question is which kinds of mental illness do we prefer?

We know much more about the brain, in 2011. We don’t assume someone with epilepsy has demons we should exorcise, or that some one who is hallucinating needs to be discipled and punished so they will stop at once. Many more people understand that if a person has a sick brain, they aren’t trying to. Though a proper diet and exercise can be helpful, they can’t think or will their illness away…otherwise they would. Just like a person with a broken leg cannot un-break his leg by thinking, “This disfunction and pain is fiction, so I think I’ll take a jog!”

Medications create the chemistry needed so many people can feel well again both mentally and physically. Without help, the pain–both physical pain and inner psychic pain–can be thoroughly unbearable. Something like brushing tea or getting up from bed may be too enervating, because it all truly hurts that badly. Too many take their lives because of feeling that there is no help or remedy. The illness simply is–and there is no escape, but one most terrible.

Bi-Polar Disorder (formerly called Manic-Depressive Disorder) is a brain chemistry condition in which the person endures major shifts (or polar opposite shifts) in mentality, mood, and behavior. The high end is termed “Mania” and the low end is termed “Depression”. I covered the symptoms of Depression in the last post.

Here are the Symptoms of Mania

(3 or more of these following symptoms for 14 days or more, or if the symptoms interfere with a person’s regular life, constitute Mania)

• Increased physical and mental activity and energy

• Extreme optimism and self-confidence

• Exalted self-importance

• Irritability, aggressiveness

• Decreased need for sleep

• Pressure speech and thoughts

• Impulsiveness and reckless behavior (spending money, risking behavior, driving, sex, substance abuse, etc.)

• Delusions (thinking things that aren’t real or true) and hallucinations (seeing or hearing things that aren’t there)

As I read the lists of symptoms and mental sicknesses in Kathryn Green-McCreight’s book (See the Book here.)…friends, acquaintances, family members, neighbors, and so forth, came to mind. Some have mental illness mildly; others endure it severely. Some self-medicate with various substances in order to cope. Nearly all of them are misunderstood, unaided…and (formally) undiagnosed. Imagine, if they could feel comfortable enough to get help, emotional support, and medicine, to feel better…

Is there anyone you wish would get help?

In the next part of this series, I’ll go over the symptoms of Schizophrenia, and helpful options for support, pastoral care, and aid for people with mental illnesses.

I appreciate your comments. And as always, you can post anonymously, if you’d like.

Autumn & Mental Illness (Part 1)

bi-polar MacBeth art (by Wiktor Sadowski)

Is Autumn ‘Mental Illness Season’?
It seems like Autumn and Mental Illness come as a pair, sometimes. From what I’ve been able to observe, if one’s going to suffer with something mentally, it’ll usually be between September-Februrary. Seriously, have you noticed this? Think back. Let me know. Is it not enough sunlight? Too many emotionally taxing holidays? Too chilly? Something with barometric pressures? I don’t know. But, let’s get on the same page.

What is Good Health vs. Normal Health?
If you’re healthy and you get a cold once in a while, you’re normal. If you get colds more frequently, you’re “a bit sickly”…but still, mostly, normal. What about if instead of a headache, sore throat, breathing troubles, and cough, it is your brain that “gets a cold”?

There is no reason to believe that the brain (with regards to chemistry, function, nutrition, environmental influences, etc) won’t be susceptible to maladies too, just like other parts of the body are. Science shows us clear indicators of genetic components. So, one can be prone to bad knees, or tendonitis, or sympathetic nervous system brain issues that make one prone to panic attacks, etc.

Of course, when one’s brain is ill, things can go badly quickly. For instance, one may be one’s worst advocate to resume health or find healing, if it is thinking which is impaired. Somehow, the brain (or we could say the “mind”: feelings/emotions + reason/intellect) gets tossed to another category when we think of the frailties of human illness. Saying you “sprained your brain” isn’t met with the same sympathy as saying you sprained your back, am I right?

Do We Love the Mentally Ill?
It’s an “untouchable,” or at least uncomfortable, category where someone’s inherent worth, inclusion in community, or spiritual devotion can be called into question. “Aw, uncle Boss? Sure he did that, he’s been more nuts ever since his time in the military…”

It’s a category we may fear or avoid talking about. Lines separating sane and insane get drawn. Such determinations sideline love, undermine grace, and even harm the true gospel message. Being “crazy” means that some one is alone in a special way. The numbers of Homeless who have a history of severe mental illness is about 25% (2009 National Coalition for the Homeless study).

So, if someone has brittle bones, falls, and breaks both legs? He’ll probably get more compassion or understanding than someone prone to mental illness who undergoes a bout with mania ending in a spending spree. Am I right?

The facts tell us that mental illnesses happen, more “normally” than we may care to imagine. Yet, it is those who are ill in the brain who feel so isolated and rejected during their tough times, compared to people who suffer in other ways.

For my Disability Studies class, I’m reading and learning not just about physical, and mental development impairments (wheelchairs and special education folks), but also of brain illness (mental illness). These are all people of the margins. Truly.

Darkness is My Only Companion: A Christian Response to Mental Illness, by Kathryn Greene-McCreight (Brazos Press 2006), is one of my course texts. I highly recommend it. Kathryn manages her Bipolar disorder, is theologian (Yale), an associate Episcopal priest, and a captivating writer.

See the Book.

Depression is one of the most common brain chemistry issues. By the year 2020, depression will be the 2nd most common health problem in the world. Read the rest of the Fast Fact Statistics here.

Here are the Symptoms of Depression from Greene-McCreight’s book, page 170.

5 or more of these 13 symptoms over a 14 day period, or if these symptoms interfere with a person’s normal life is considered Mental Illness or in this case, specifically, Depression.

• Major changes in appetite or sleep patterns

• Uncharacteristic irritability, anger

• Feeling sad, crying more than usual

• Worries, anxieties

• Pessimism, feelings of failure

• Loss of energy, libido

• Unexplained physical aches and pains

• Hopelessness, guilt

• Inability to concentrate or make decisions

• Inability to carry out or care about personal hygiene (showering, brushing teeth, etc.)

• Lack of enjoyment in things formerly enjoyed

• No desire to socalize

• Recuring thoughts of death or suicide

Has this ever been you, or someone you know?

Probably.
See, it’s fairly “normal”.

What are some ideas for helping those with mental illness? Your input is vital for this conversation. Thank you for your contributions, and spreading the word.

Here’s a Resource: Depression and Bipolar Support Alliance 
800-826-3632 

In Part II of this series, I’ll cover the symptoms of Mania and Schizophrenia…and more is to come.