Handling a Diagnosis of Tardive Dyskinesia

Tardive Dyskinesia (TD) is a condition of involuntary, repetitive movements of the jaw, tongue or other body movements. It frequently is a side effect of the long-term use of antipsychotic drugs used to treat schizophrenia or bipolar disorder. It is almost always permanent. I’ve been told Vitamin E might help a bit.  Benzodiazepines have also been used with mixed results on a short-term basis.

Some examples of these types of involuntary movements include:

  • Grimacing
  • Tongue movements
  • Lip smacking
  • Lip puckering
  • Pursing of the lips
  • Excessive eye blinking

(Wikipedia)

I recently was diagnosed as having TD after the use of Zyprexa. My version is my lower jaw moves from side-to-side, unless I concentrate on not doing it. I quickly revert to this involuntary movement when I’m not aware of it. I recently saw a video of myself (with my family) and sure enough there I was, doing the ‘jaw thing.’ It was very obvious. It was also very embarrassing. (I have the ‘lithium jitters’— where my hands always shake, but TD is different.)

There are a couple of things I might mention:
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1) I’ve discovered that there is a real social isolation with this TD stuff. To be doing this in public is “not acceptable.” I have had people come up to me wanting to know what’s my problem. Since I can’t control the movement I just say, “It’s my meds— they affect me this way.” In a way it’s like wearing a neon sign saying, “I’m a fruit cake.” Having a mental illness is stigma enough, but the TD just puts a new edge on it.

2) As a natural introvert the isolation has only deepened. (I avoid crowds and most social engagements.) I guess if the truth be told, I’m uncomfortable when others look at me strangely or whisper to each other. My standard ‘paranoia level’ has taken a new twist. I feel I’m compelled to explain. I guess I’m embarrassed when others are embarrassed.

3) I settle myself down in my faith to cope. I know I’m not alone in this– the Lord Jesus is always with me. He holds me tight through all these twists and turns. Since I isolate myself so much, I savor the connection I have with a few friends who have become inured to my condition. Social media helps out— Facebook is a big help, as well as my two blogs.

4) One of the things I try to remember are the issues of selfishness and pride. I keep reminding myself it’s not about me all the time. One of the significant areas mentally ill people deal with is self-absorbed thinking. It seems it comes with the illness.

5) I try to keep a sense of humor everyday. It breaks down the mental pain to tolerable levels. We can take ourselves too seriously sometimes. Be more patient with yourself. I know I have to.

I ask that you remember me in prayer from time-to-time. I’m in ‘uncharted waters’ (it seems) and I sometimes feel all alone with my mental illness and all its tangents. I want good to come out of this. (An instantaneous healing would be o.k. But, I’m not too finicky.) Sorry for so much.

If you can’t pray, don’t feel at all impinged upon.

A Friend of Sinners and the Ungodly

Anthony van Dyck – Christ Healing the Paralytic, 1619

“No matter how low down you are; no matter what your disposition has been; you may be low in your thoughts, words, and actions; you may be selfish; your heart may be overflowing with corruption and wickedness; yet Jesus will have compassion upon you. He will speak comforting words to you; not treat you coldly or spurn you, as perhaps those of earth would, but will speak tender words, and words of love and affection and kindness. Just come at once. He is a faithful friend – a friend that sticketh closer than a brother.”

–D.L. Moody

“The Son of Man has come eating and drinking, and you say, ‘Look at him! A glutton and a drunkard, a friend of tax collectors and sinners!’”

Luke 7:34

Bethesda, 31 A.D.

healing-the-lame

“Afterward Jesus returned to Jerusalem for one of the Jewish holy days. Inside the city, near the Sheep Gate, was the pool of Bethesda, with five covered porches. Crowds of sick people—blind, lame, or paralyzed—lay on the porches.One of the men lying there had been sick for thirty-eight years. When Jesus saw him and knew he had been ill for a long time, he asked him,“Would you like to get well?”

“I can’t, sir,” the sick man said, “for I have no one to put me into the pool when the water bubbles up. Someone else always gets there ahead of me.”

Jesus told him, “Stand up, pick up your mat, and walk!”

Instantly, the man was healed! He rolled up his sleeping mat and began walking! But this miracle happened on the Sabbath,

John 5:1-9, NLT

We were following Jesus and He led us to the pool of Bethesda. A crowd gathered quickly, but I jostled myself right up front. We stood waiting, we pretty much knew something big was going to happen. And it did. I can never be the same, after what I saw. This is my simple story.

So much was happening, and as I watched I realized that so much escapes me. I can’t take it all in. But when I decide to watch Jesus, I quickly become aware of what is important, what is real. It starts to make sense. The chaos of the moment becomes calm. At least it does when He takes charge.

There were hundreds of sick people camped out. They are laying under the roofs, with their thin mats. The smell alone was really bad, all were unwashed and some with putrid and festering sores. Dirty bandages are used over and over, and shared with all.

Finally, all are watching Jesus, they become quiet wondering what He will say. We’re all pretty curious. We see Jesus as He walks directly into this ugly field of suffering people. He doesn’t hesitate or flinch.

It is almost like He is at home in this dreadful place.

Just to have a religious teacher visit Bethesda is rare. They never come. And today is the Sabbath (and a special feast day at that) and that alone makes it impossible. And yet Jesus is here, and that somehow is wonderful.

Jesus stops to talk with a man who is an ‘old-timer’ here in this horrible place of pain. This man had been sitting here for almost 40 years, and that is a long, long time. Jesus speaks. “Do you want to get well?” Jesus waits quietly.

“Sir, when the water is stirred, I don’t have anybody to put me in the pool. By the time I get there, somebody else is already in.” The man explains. He has an excuse that seems like a reason. Nothing has ever gone right– ‘I always miss out, and I can’t find anyone to help me.’ And I suppose that this is the world of the blind, the crippled, the paralyzed in Israel. They are confined to Bethesda, with the weak hope of finally being healed. I don’t think that this is how it was meant to work.

This man was horribly discouraged.  It was then Jesus said, “Get up, take your bedroll, start walking.” And this very crippled man was healed on the spot. No ‘hocus-pocus’, no incantations, no magic dust or rubbing of sacred bones. Nothing.

He was healed by a few spoken words.

I cannot emphasize my own astonishment enough. It shook all of us to the core. We were all stunned, and undone. The crowds, and all the sick and the paralyzed just stopped and stared. There are so few moments in life, just like this. We just looked at each other sort of stunned.

The ramifications of what we all had witnessed were staggering. Shocked, we turned to each other, and a great fear fell on us like a heavy blanket. The crowd did not disperse, we were completely shocked, and pretty much speechless.

For years that sense of awe has never left me.

I don’t really listen to the scorners anymore– they simply have no idea. It completely changed my life. I was never the same after that.

“For the Son of Man came to seek and save those who are lost.”

Luke 19:10

Kyrie elesion,  (Lord, have mercy on us.)

Bryan
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Choosing a Christian Counselor

 
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Why Educate Yourself about Christian Counseling?

Perhaps you do not suffer from depression, have a great marriage, kids seem to be doing okay, everything is fine. Why should you look into various types of Christian counsel?
If you are a believing Christian, I MUST recommend seeking a Christian counselor.

1) Think of a Christian counselor as an invaluable resource, much like the family lawyer, pediatrician, or accountant. When problems arise, wouldn’t it be nice to already have the information you need regarding local counseling services?

2) It’s always a good idea to have information at hand so that you can guide distraught friends and family members to a trusted counselor who can offer biblical guidance and support.

“Consequently, you are no longer foreigners and aliens, but fellow citizens with God’s people and members of God’s household.”

Ephesians 2:19

There can be a problem with secular counsel.

Many secular counselors will take your faith into consideration when treating you. However, as citizens of heaven, seeking counsel from a non-Christian is much like seeking counsel from someone who doesn’t speak your language…and he or she does not speak yours. Progress and inroads could be made, but in the long run, little will be accomplished.

There’s seldom wisdom and truth apart from godly counsel:

“The godly offer good counsel; they know what is right from wrong.”

Psalm 37:30

Please try to find a Christian who is a professional counselor. There are a number of directories on the internet. Each individual counselor is different from the next, however, and you will need to interview any counselor before you decide to use his or her services.

If possible, find a specialist.

You may wish to choose a counselor who specializes in a specific area. There a number of issues for which people seek counsel, including:

  • Abuse
  • Addiction
  • Anger Management
  • Anxiety
  • Coping with Stress
  • Depression
  • Divorce
  • Eating disorders
  • Emotional trauma
  • Financial difficulties
  • Grief
  • Loss
  • Major life changes
  • Marital issues
  • Mental illness
  • Pain management
  • Parenting issues
  • Post-traumatic stress
  • Pre-marital counseling
  • Relationship conflict
  • Religious doubt/ confusion
  • Sexual/ intimacy difficulties

The first thing to consider when choosing a Christian counselor is whether or not they are capable or qualified to handle the particular issue you seek counsel for. A marriage counselor may not be the best person to go to if your thirteen-year-old daughter is battling anorexia. This seems like a given; however, be sure your counselor has experience handling your specific issue.

Decide whether or not you would feel more comfortable seeing a man or a woman for your particular problem.

Seek out a Licensed Professional
Also, if you seek counsel outside of your church, make sure your counselor is a licensed professional. I suggest finding a professional who holds a minimum of a master’s degree in their field of study, who have completed the required number of supervised hours, and who has passed your state’s examination to become a licensed counselor.

Remember that most counselors employed by churches are professional counselors, but some are not. A church counselor should be qualified through their educational experience, and have some sort of license or certification that enables them to counsel (generally they have a Christian counseling certification awarded from various Christian counseling training programs or colleges.)

Interview your prospective counselor BEFORE your first session.

Before your first session, make sure the counselor shares your faith and concerns about the issue at hand. If possible, bring a trusted companion along to get their opinion about the practice you are considering.

Some questions to ask your potential counselor are:
  • What is your Christian counseling approach?
  • Do they adhere strictly to biblical counseling or do they consider psychological approaches as well?
  • Will they work with your psychiatrist and or doctor?
  • What license or certification do you have? Is it from an accredited college? A Christian college? A training program?
  • Are you affiliated with any particular Christian counseling organization?
  • How do you integrate the Bible into your counseling sessions?
  • How do you incorporate prayer into your counseling practice?
  • Do you have experience counseling people with (insert the issue for which you seek counsel)?
  • What is your payment structure?
  • Will my insurance cover my sessions with you?
  • What is your view on psychoanalysis, medication treatments for psychological ailments, and other scientific approaches to mental illness?

If you have an opportunity to interview your potential counselor in his or her office, take a good look at the books on their bookshelves. The types of books displayed might give you an excellent indication of the types of counsel you will receive.

Before you make your final decision, pray on it, consult your Bible, and if possible, talk to your trusted general practitioner before seeking therapy.

Recap:

Educate yourself about the various types of Christian Counselors. When finding a Christian counselor, remember to find a licensed, experienced CHRISTIAN professional capable of addressing your specific issue. Interview your prospective counselor before attending your first session. Go prepared with a series of questions that will help you gain knowledge about the kind of counsel you will be receiving. Prayerfully consider whether or not you and the counselor are a good fit.

I unearthed this from somewhere. Thought it might help someone. I apologize for not being able to attribute the article.