Theresa Larsen
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Bring Mental Health Into The Light

2/24/2015

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My book club read my book Cutting the Soul for our reading material this month. I felt honored to have them want to read it. The book and topic of mental health brought up some amazing discussions. One of which was that we don't treat mental illness the same way that we treat a physical illness.

I read a fantastic article in an online Texas magazine called mySA by Frederick W. Hines. In the article Hines says:
"Imagine: 11-year-old Johnny falls during a game and breaks his arm. An ambulance rushes him to the emergency room, where the broken bone is set and a cast applied.

Johnny takes a selfie and posts to Instagram, while Mom checks-in on Facebook, thanking friends and family for their calls and support. Johnny attends school the next day where his accident is replayed over and over, each time with a little more bravado as kids line up to sign the cast and offer encouragement.

Neighbors bring over a casserole that evening and a batch of cookies to show their support.

Now imagine that Johnny was instead suffering from depression and anxiety. His circle of friends seems to be changing, he feels hopeless, and his parents are bewildered by what’s going on.

A routine visit to the pediatrician focuses on physical health, leaving Johnny feeling isolated.

Mom doesn’t know where to turn — after all, no one talks about mental, emotional or behavioral disorders. In fact, most parents feel blamed for their child’s mental illness, and worse, the child is often told to 'snap out of it.'

In desperation, Mom takes Johnny to the local ER after he expresses thoughts of harming himself. She has no idea that psychiatric services are not available at most area hospitals. They will spend hours and hours waiting, only to be told that the resources they need don’t exist in the ER.

As a community, we would never allow a child with a broken arm to go untreated, or wait three months for care. We would expose the issues and work together to resolve the system of care. We certainly wouldn’t blame the child or their parents for the situation. But we do it every day for children and families suffering from mental illness."

http://www.mysanantonio.com/opinion/commentary/article/Take-mental-health-out-of-the-shadows-talk-5925825.php

These are powerful words. Why do we allow mental illness to take a backseat to other illnesses? Are we afraid of those who have a mental illness? If we are afraid, wouldn't it be smarter to make sure treatment was received, without stigma, before the person became overwhelmed and did something dangerous?

We need to take this out of the shadows and talk about it.

This article goes on to tell us about a sight to get involved in to support children in need. Please have a look at it and #talkaboutit.
http://www.1in5minds.org/

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Mental Health a Topic at the Oscars

2/23/2015

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"The subject of suicide is not something we see all too often in films, and even fewer of these films where this is a central theme are prevalent at the Oscars. This year in the Best Documentary Short Award category, Crisis Hotline: Veterans Press 1 took home the Oscar gold. The film takes a look at the work of several Veteran’s Crisis Line employees who work the phones in a 24-hour hotline service. They provide both active and retired servicemen and women guidance, support, and hope during times of emotional, physical or financial troubles.

This is not the first time that Dana Perry has tackled the subject of suicide. In 2009, she spoke to Huffington Post about her film Boy Interrupted, a documentary where viewers learn about her son who committed suicide at 15.

“This is a movie one wishes one did not have to make. Maybe it will break down walls, and stigmas about talking openly about mental illness, to free people to do so without shame. The film asks a lot of questions in a public fashion and stirs up discussion about why we as a society are ashamed about mental illness. Educating people is a real challenge. And, education and treatment is the only suicide prevention. Let’s get the word out.”

During her Oscar acceptance speech last night, Perry mentioned that “we need to talk about suicide out loud.”

It wouldn’t be the last time that suicide was mentioned throughout the Oscars last night. When writer Graham Moore accepted his Oscar for Best Adapted Screenplay for his work with The Imitation Game, he gave a speech that left some celebrities teary eyed, insisting that it’s alright to be different.

“Alan Turing never got to stand on a stage like this and look out on all these disconcertingly attractive faces. And I do. And that’s the most unfair thing I think I’ve ever heard. And so in this brief time here what I want to use it to do is say this. When I was 16 years old I tried to kill myself, because I felt weird, and I felt different, and I felt like I did not belong. And now I’m standing here. And so I would like for this moment to be for that kid out there who feels like she’s weird or she’s different or she doesn’t fit in anywhere: Yes you do. I promise you do. Stay weird, and then when it’s your turn, and you are the one standing on this stage, please pass this message on.”

There were many incredible speeches made by the winners of the 2015 Oscars, however these two in particular did what others hadn’t: raised awareness of an illness that grips both young and old."


Read more at http://www.inquisitr.com/1868139/oscars-2015-brings-suicide-awareness-to-the-stage/#HbVFxVKRdVRrdMRf.99

http://www.inquisitr.com/1868139/oscars-2015-brings-suicide-awareness-to-the-stage/
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February 18th, 2015

2/18/2015

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Is Mental Illness Linked to Physical Illness?

2/17/2015

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I started this blog a week or so ago, didn't finish it, and put it in my draft pile. I found it fascinating that when I looked at Yahoo mail today there was an article on the same topic.

https://www.yahoo.com/health/depressed-anxious-it-could-be-an-early-symptom-111272880413.html

This article on Yahoo is based more on psychiatric symptoms being indicative of a serious illness like cancer, it still links mental health to physical health.

"In the January 2015 edition of Psychotherapy and Psychosomatics, a group of Italian researchers explored whether depression, anxiety, and other psychiatric mood disorders might be early symptoms of medical disorders, as opposed to being 'just' psychological symptoms."--
Jennifer Gerson Uffalussy

Another article in The Guardian by Caroline Williams says, "George Slavich, a clinical psychologist at the University of California in Los Angeles, has spent years studying depression, and has come to the conclusion that it has as much to do with the body as the mind.  'I don’t even talk about it as a psychiatric condition anymore,' he says. 'It does involve psychology, but it also involves equal parts of biology and physical health.'

The basis of this new view is blindingly obvious once it is pointed out: everyone feels miserable when they are ill. That feeling of being too tired, bored and fed up to move off the sofa and get on with life is known among psychologists as sickness behaviour. It happens for a good reason, helping us avoid doing more damage or spreading an infection any further.

It also looks a lot like depression. So if people with depression show classic sickness behaviour and sick people feel a lot like people with depression – might there be a common cause that accounts for both?

The answer to that seems to be yes, and the best candidate so far is inflammation – a part of the immune system that acts as a burglar alarm to close wounds and call other parts of the immune system into action. A family of proteins called cytokines sets off inflammation in the body, and switches the brain into sickness mode.

In between five to 10 years, says Carmine Pariante, a psychiatrist at Kings College London, there may be a blood test that can measure inflammation in people with depression so that they can be treated accordingly."

http://www.theguardian.com/lifeandstyle/2015/jan/04/depression-allergic-reaction-inflammation-immune-system

Is this something new that has just been discovered? The answer to that is NO. An article in the Psychiatric Times stated that, "Numerous studies document that infections, such as pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, syphilis, hepatitis C, and zoonotic (animal) diseases, can cause mental illness. The same syndrome may be caused by different infections in different individuals, and the same infection can cause different syndromes in different individuals."

http://www.psychiatrictimes.com/lyme-disease-comorbid-tick-borne-diseases-and-neuropsychiatric-disorders

This article wasn't written last week or even last year. It was posted in December 2007. This is not something doctors and researchers have just discovered. Could there really be an eventual end to mental illness? A cure? Maybe, only time will tell.


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February 10th, 2015

2/10/2015

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Is There a Link Between Lyme Disease and Mental Illness?

2/9/2015

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I was given some interesting information a few weeks ago about Lyme disease and its ability to mimic mental illness. I found the research fascinating and thought it was worth more investigation.

According to Dr. Richard Horowitz, "Lyme disease is a major cause of psychiatric symptoms. Psychiatric case reports, as reported by psychiatrist Dr Brian Fallon, have linked Lyme disease to paranoia, thought disorders, delusions with psychosis, schizophrenia, with or without visual, auditory or olfactory hallucinations, depression, panic attacks and anxiety, obsessive compulsive disorder, anorexia, mood lability with violent outbursts, mania, personality changes, catatonia and dementia.  Other psychiatric disorders in adults due to Lyme disease include atypical bipolar disorder, depersonalization/derealization, conversion disorders, somatization disorders, atypical psychoses, schizoaffective disorder and intermittent explosive disorders. In children and adolescents, Lyme disease can also mimic Specific or Pervasive Developmental Delays, Attention-Deficit Disorder (Inattentive subtype), oppositional defiant disorder and mood disorders, obsessive compulsive disorder (OCD), anorexia, Tourette’s syndrome, and pseudo-psychotic disorders. The take home message: Lyme is the “great imitator”. Don’t exclude Lyme disease and associated infections as a possible underlying cause of psychiatric symptoms, and don’t assume that a positive response to an antibiotic like minocycline is not treating an underlying infection."
http://www.psychologytoday.com/blog/why-can-t-i-get-better/201402/antibiotics-found-effective-in-schizophrenia

The Psychiatric Times also reported on tick borne diseases and neuropsychiatric disorders. It stated that Lyme disease can present itself in a multitude of manifestations, including psychiatric complaints. The article goes on to say that a patient who goes to a doctor with physical symptoms "...sees multiple specialists, each of whom restricts the examination to his area of expertise. Nothing is resolved, and the patient is frustrated that his symptoms cannot be explained. In view of the growing list of unexplained symptoms, including psychiatric symptoms, the patient is treated with tranquilizers and antidepressants with some benefit, but gradual decline persists."
When general medical explanations are exhausted "...the patient may be referred to a psychiatrist for 3 reasons: the unexplained medical symptoms give the appearance of a psychosomatic or somatoform condition; complex mental symptoms are thought to require psychiatric assessment; and a psychiatrist is thought to be needed to more effectively manage psychiatric treatments."

http://www.psychiatrictimes.com/lyme-disease-comorbid-tick-borne-diseases-and-neuropsychiatric-disorders

A lot of people can relate to the example above. How often do you go to a doctor and they send you to a specialist? If that person can't find anything wrong they send you to another, and so on. Then you become frustrated and depressed that no one can figure out what is wrong. Well what if it was Lyme disease or another inflammatory disease?

"When should we suspect Lyme disease as a potential etiological co-factor in psychiatric symptoms? Lyme disease is a multisystemic illness. If a patient presents with a symptom complex that comes and goes with good and bad days, with associated fevers, sweats and chills, fatigue, migratory joint and muscle pain, migratory neuralgias with tingling, numbness and burning sensations, a stiff neck and headache, memory and concentration problems, a sleep disorder and associated psychiatric symptoms (that may or may not be of recent onset), then we should suspect Lyme disease and associated co-infections."--www.psychologytoday.com 

If you are having unexplained illness and/or psychiatric symptoms have a look at these articles and make sure you are armed with the ammunition you need to steer your doctor toward helping you find the right tests and treatments.

Can all psychiatric symptoms be explained away with a physical illness? No, but it's nice to have options. And when medications are not working, maybe looking for an alternative issue is a good idea.


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February 09th, 2015

2/9/2015

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February 03rd, 2015

2/3/2015

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