7 Years

As I write this entry, we are almost at 7 years since my dad became a victim of suicide.  It has almost become a tradition that I reflect on this every year, and this time is no exception.  Let’s get to it.

As with every year that has passed since my dad’s death, there have been some major life events that have went on without him.  Thinking about my life alone, I have switched jobs, and I just had a surgery.  I have also went on several trips and have gotten to see and learn more about the world.  Casting the net even wider, my dad also has a new granddaughter this year, and I can only imagine how much he would have loved holding his third grandchild.

There are the big events, and then there are all the little things that make up our lives.  There has been a lot of laughter and some tears.  Some disagreements, and a lot of hugs and kisses.  Some days have been beautiful, others sad, but many times I catch myself wondering what my dad would have said if he had been here to see it all.

If there is anything different about this year, it is how this day has sort of snuck up on me this time – usually, once July hits I am thinking about his suicide more, but that hasn’t been the case.  I don’t think that changes much, but it is different.  I also seem to be in a phase where I can’t stop listening to Phil Collins, an artist that I listened to a lot with my dad.  I guess listening to Phil Collins makes me think I am hanging out with my dad again.

Overall, and as I would have suspected, 7 years does not make the grief any less.  It still sucks, and I will continue to carry that sadness with me.  I miss you Dad, and I love you.

ASMR

Today I want to touch on something I have experienced, but until now I did not know it had terminology associated with it.  The topic is autonomous sensory meridian response, also known as ASMR.  While doing a quick internet search, I felt like I did not come up with a lot of reputable or scientific articles on the subject.  However, it is out in the world, so I will do my best to give you what I understand about ASMR.

According to Wikipedia, ASMR is an experience categorized by a static-like or tingling sensation on the skin that typically begins on the scalp and makes its way down the back of the neck and the upper spine.  ASMR includes the subjective experience of a “low-grade euphoria “.  It is commonly triggered by specific auditory or visual stimuli, and less commonly by intentional attention control.  Some examples of ASMR “triggers” include:  a whispering voice, quiet, repetitive sounds such as turning book pages, tapping nails onto surfaces such as plastic or wood, and hand movements.  For those of you familiar with the reference, a prime example to me is listening to the painter Bob Ross talk while he paints on his old TV shows.

To tie ASMR to mental health, there are thoughts that ASMR can be helpful for depression and general mental well-being, among other things.  Again, as I noted above, there is not a lot of scientific evidence to support ASMR at this time, but based on experiences (and the millions of ASMR videos online), it appears that ASMR can provide some benefit.

How about you?  Are you familiar with ASMR?  Do you relate to the description of ASMR that I discussed above?  I know this topic has me intrigued, and I look forward to learning more about its benefits and applications.

Stamp Out Stigma

In today’s entry, I want to talk about another mental health organization that is out there making a difference.  The organization is called Stamp Out Stigma, and most of my information comes from their website at stampoutstigma.com

Their mission includes the following: challenging all of us to change the shape of mental health and addiction dialogue from a whisper to a conversation, recognizing the high prevalence of mental illness and substance use disorders, and reeducating ourselves, family, and friends on the truths of mental illness and addiction.  When these things happen we can help to reduce stigma.

At Stamp Out Stigma, the goal is to change perceptions, reduce stigma, and encourage people to talk about mental illness and substance use disorders.  Some of the ways they do this are through taking a pledge, sharing stories, showing support, and educating people.

In the pledge, The Three Rs are discussed – recognize, reeducate, and reduce.  Stamp Out Stigma also has wristbands that you can order and wear to show support.  In addition, there are videos, resources, and links that can help educate visitors to the website.  Overall, it is an easy website to explore and learn more about mental illness and substance use disorders.

In my opinion, I am glad to see Stamp Out Stigma, and it is interesting to note there are several big companies that support it as well.  While the number of those who have taken the pledge currently seems small to me, it is a start and I anticipate that the number will grow at a faster rate than it has in the past. 

How about you?  Have you heard of Stamp Out Stigma?  Are you interested in learning more?  Will you consider taking their pledge?  I have already taken the pledge, and I hope that all of you will consider doing the same.       

Minority Mental Health

As I write this entry, it is the beginning of July, and with a new month brings a new focus.  July is National Minority Mental Health Awareness Month, and I would like to explore this topic in today’s post.  Most of today’s information comes from the following page of NAMI’s website: https://www.nami.org/Get-Involved/Raise-Awareness/Awareness-Events/National-Minority-Mental-Health-Awareness-Month

National Minority Mental Health Awareness Month was started in 2008 to educate others that mental illness does not discriminate based on race, gender, color, or identity.  Anyone can experience the challenges of mental illness, but background and identity can make access to mental health treatment more difficult.  While taking on the challenges of mental health conditions, insurance coverage, and stigma involves all of us, in many communities these problems are increased by less access to care, cultural stigma, and a lower quality of care.

Although National Minority Mental Health Awareness Month has now been around for over 10 years, this is very likely the first time I have wrote about it or talked about it in my blog.  In fact, I do not know if I have spent any time talking about mental illness in different cultures or in minority populations.  Sadly, I do not know much about the issues here, and I need to do a better job of understanding how experiences and perceptions differ.  This is definitely not a subject of expertise for me, but awareness is at least one way to start.  Of course, once we are aware of the challenges and issues, we need to start thinking about solutions.

How about you?  Have you heard of National Minority Mental Health Awareness Month?  What do you know about the intersection of mental health and cultural differences?  I encourage you to learn more about this month as a way to understand the experience of mental health or illness in other cultural groups.

Blog Changes

Hello everyone – I wanted to let you know that I have decided to change the frequency of my posts yet again.  Instead of weekly, I am now going to post monthly.  While I certainly have not written all there is to know about mental health, I feel like this pace will be more sustainable and interesting for me and those that read my blog.  Posts will not necessarily be the same day of the month, but there should be at least one entry a month.  Thank you for your support and for reading my blog. 

Persistence

As I sit down to write today’s entry, I am having a serious lack of motivation.  I feel like I have a lot of other things to get to, and my heart is not entirely into the focus and concentration I need to create this post.

Of course, writing is not the only thing that can get discouraging at times.  When I think about all of the issues related to mental health, stigma, and how it intersects with other parts of life, I can lose my drive and passion for the topic.  Sometimes it gets old.  Sometimes it gets boring.  Sometimes I wish I didn’t feel like I had to say the same thing over and over again.  However, I am only human, and we can’t always be driven every moment of every day.

Yet here I am.  I may not be writing much of substance today, but I am here.  I am moving forward.  I am trying to share something relevant.  I am being real.  I am sharing the fact that being passionate or caring about something is not always easy.  This is probably not news to anyone, but it is good to have that reminder every once in awhile.  Essentially, I am persisting.

So, while today is definitely not my best day when it comes to advocating for mental health, I am still here.  Sometimes that is all I can do, and that is ok.  And, as far as I can see, I will continue to be here, writing and speaking and doing whatever I can to help others.  My hope is that while every day is different, I still have something to contribute, however small that may be.

How about you?  Are you passionate about mental health?  Does the topic ever get boring to you?  Tiring?  Overwhelming?  How do you persist in the fight against stigma?

Around the World of Emotions in a Day

As I write this, it is a Saturday morning.  It is currently quiet, and I have been able to take a few minutes to reflect on the last week.  And, as usual, it seemed to be as busy or busier than the last week or the week before.   Next, when I think of the emotions I have experienced recently, they have been all over the place.  Even in one day I could go from confident to apprehensive; excited to scared; hopeful to sad.  It has been all over the place, but if I think about it I doubt it is all that different from many days or weeks in my life.

At least in the United States, there is this intense focus to “be happy”.  What exactly does that mean?  My guess is your happy is different than my happy.  The other part of that intense focus is that you need to be happy all of the time.  It’s the notion that sadness or anger or doubt are emotions to be avoided.  Why?  What meaning can we assign to life if it is “happy” all of the time?  When I stop to reflect, I realize how unrealistic it is to be happy at all times.  That’s not real.  That’s not human.  The reminder and takeaway for me is to look at all of my emotions as ways of giving me information and helping me understand and navigate life. 

Of course, emotions can potentially go too far and lead to illness or impairment.  I’m not saying that piece is helpful.  However, things like sadness, anger, frustration, and others should not necessarily be shunned at all times.  I would argue that they are part of our daily lives, and need to be recognized for the value that they can bring in certain life experiences.

Mental Health America

In today’s entry I want to discuss another resource that I have heard about – Mental Health America.  Most of my information can be found at their website, which is https://www.mentalhealthamerica.net/

Mental Health America was founded in 1909, and is a community-based nonprofit dedicated to addressing the needs of those living with mental illness and to promoting overall mental health.  Their work is driven by a commitment to promoting mental health as a critical part of overall wellness, including prevention services for all, early identification and intervention for those at risk, integrated care, services, and supports for those who need it, with recovery as the goal. Much of their current work is guided by the Before Stage 4 (B4Stage4) philosophy – that mental health conditions should be treated long before they reach the most critical points in the disease process.

If you go to the Mental Health America website, you will find lots of great information on programs, finding help, doing more, learning more, donating, policies, news, and events.  What I find particularly interesting about the website is that it currently contains 10 screening tools for the following: depression, anxiety, bipolar, psychosis, PTSD, eating disorder, parents, youth, work health, and addiction.  Although these will not give you definitive diagnosis information, they can be helpful to guide decisions on when to seek help. 

While I currently do not know much about Mental Health America, it seems like another great organization dedicated to addressing and improving mental health for all.  My hope is to spend some more time looking into their activities, and I encourage you to do the same if you are not already familiar with it.

How about you?  Have you heard of Mental Health America before?  If so, what are your thoughts on their organization?  If this group is new to you, are you interested in learning more?

Zulresso

Earlier this year, the FDA approved the first drug for postpartum depression, and I would like to share some information on it today.  The brand name of the drug is called Zulresso, and the generic name is called brexanolone. 

 

Zulresso has many interesting features.  First of all, the drug has a unique mechanism of action, so it can target depression in a way that is different from all of the other current options.  Also, Zulresso is given as a one-time infusion over 60 hours, which is pretty unique as well.  Zulresso can cause excessive sedation, among other side effects, and requires administration and monitoring in a health care facility.  In addition, the drug will be very expensive, running in the tens of thousands of dollars.  One potential benefit from the drug is that depression symptoms can improve within 24 to 48 hours after starting the infusion. 

 

Based on the limited overview I have provided here, I am personally hesitant about how this drug will be utilized.  It is an infusion that requires hospitalization, and it is very expensive to administer.  Also, since it is a newly approved drug, the evidence is limited.  This means that we will probably see more side effects and get a better idea of its efficacy as it is used in a greater number of patients.  Hopefully it will really help women struggling with postpartum depression, but I am a little skeptical at this point.  While I applaud the fact that there is now something indicated for postpartum depression, I do not know how many women it will truly help based on some of the issues I already noted.

 

What do you think?  Are you excited about the first treatment indicated for postpartum depression?  Does its limitations concern you or should that be an issue at all?  I plan to continue to watch to see what happens with this new treatment.

Why I Care

As I write this entry, we are at the beginning of Mental Health Month, which is held in May.  This year, NAMI (National Alliance on Mental Illness) has a theme of WhyCare?, and more information can be found here: https://www.nami.org/Get-Involved/Awareness-Events/Why-Care 

Of course, this theme has gotten me to thinking about why I care, so I wanted to discuss this in further detail today.  There are so many reasons why I care, but I will highlight the ones that stand out to me on this day.  Here they are:

I care because I lost my dad to suicide, and I wish that no other family has to go through what we did

I care because it breaks my heart to think of the suffering that my dad experienced, and I believe no one should suffer in that way

I care because I lost two cousins to suicide, and I wish that no other family has to experience that kind of loss

I care because I know how hard it was to find people who did care when my dad was sick, and that cannot continue

I care because I worry about the mental health of all of the suicide loss survivors in my family

I care because I worry about the mental health of our children

I care because I worry about the mental health of every human being

I care because I know that as fellow human beings we can do better when it comes to taking care of our mental health

I care because I know we have a lot of education and advocacy that needs to be done around mental health

I care because I know that mental health touches every other issue (homelessness, hunger, literacy, etc.) out there

I have listed 10 reasons that I care, but I could go on and on.  Once you feel the impact of mental illness, it is hard to walk away from caring.

How about you?  Why do you care?  Whether it is May or not, it is important to reflect on why you care about mental health, because it helps guide you on what you can do to help.