Category: despair

Getting Both Barrels

Dual Diagnosis of Mental Illness and Substance Abuse

Drugs & booze are deadly

Dual diagnosis services are treatments for people who suffer from co-occurring disorders — mental illness and substance abuse. Research has strongly indicated that to recover fully, a consumer with co-occurring disorder needs treatment for both problems — focusing on one does not ensure the other will go away. Dual diagnosis services integrate assistance for each condition, helping people recover from both in one setting, at the same time.

Dual diagnosis services include different types of assistance that go beyond standard therapy or medication: assertive outreach, job and housing assistance, family counseling, even money and relationship management. The personalized treatment is viewed as long-term and can be begun at whatever stage of recovery the consumer is in. Positivity, hope and optimism are at the foundation of integrated treatment.

How often do people with severe mental illnesses also experience a co-occurring substance abuse problem?

There is a lack of information on the numbers of people with co-occurring disorders, but research has shown the disorders are very common. According to reports published in the Journal of the American Medical Association (JAMA):

  • Roughly 50 percent of individuals with severe mental disorders are affected by substance abuse.
  • Thirty-seven percent of alcohol abusers and 53 percent of drug abusers also have at least one serious mental illness.
  • Of all people diagnosed as mentally ill, 29 percent abuse either alcohol or drugs.

The best data available on the prevalence of co-occurring disorders are derived from two major surveys: the Epidemiologic Catchment Area (ECA) Survey (administered 1980-1984), and the National Comorbidity Survey (NCS), administered between 1990 and 1992.

Results of the NCS and the ECA Survey indicate high prevalence rates for co-occurring substance abuse disorders and mental disorders, as well as the increased risk for people with either a substance abuse disorder or mental disorder for developing a co-occurring disorder. For example, the NCS found that:

  • 42.7 percent of individuals with a 12-month addictive disorder had at least one 12-month mental disorder.
  • 14.7 percent of individuals with a 12-month mental disorder had at least one 12-month addictive disorder.

The ECA Survey found that individuals with severe mental disorders were at significant risk for developing a substance use disorder during their lifetime. Specifically:

  • 47 percent of individuals with schizophrenia also had a substance abuse disorder (more than four times as likely as the general population).
  • 61 percent of individuals with bipolar disorder also had a substance abuse disorder (more than five times as likely as the general population).

For the rest of this article, go to NAMI:  http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=23049

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Lonely, or Just Alone?

“Loneliness was the first thing that God saw that was not good”

John Milton

Are you lonely? It really doesn’t matter if you are married or single. Frankly, those who have a spouse can be powerfully affected by a sense of loneliness. (They obviously are pressured to suppress this.) But they truly feel very much alone.

When we find ourselves affected by this issue, we think a lot about being alone. We become an ‘island,’ isolated and separate, and the intense figure of this is the ‘castaway’ of those who, somehow end up completely alone on a deserted beach. 

There is nothing ‘romantic’ or ideal about this experience.

After a week, we start to feel the isolation. It creeps in on us, expands, and begins to ‘feed’ on our perceptions. And that can poison us.

To define it, to be lonely is the absence of human relationships. But to be alone is to be without connections.  They can overlap sometimes, but they are very separate issues. The unmarried 40-year-old could be free from loneliness, and the person who is married (with several kids) feels quite lonely.

We cannot attribute our ‘heart issues’ to our response to isolation.

Some will thrive, and others chafe. Many derive a sense of well-being by becoming married. Essentially they choose the fallacy that this may just solve their feeling of loneliness.  If I cut my hand, a band-aid will not heal the wound, it can only help (on a superficial level,) but the healing comes from within us.

There is a definite need to see the unique situation and understand how it does fluctuate. Things will move and our attitudes may change. We can cross back and forth, and that is quite understandable. But embedded sadness over being alone can be disastrous to a full and amazing life with Jesus.

“And I will ask the Father, and He will give you another Helper, that He may be with you forever.”

John 14:16, NASB.

We certainly need each other. That is ‘how we roll.’ But what is necessary and for certain is, “We are not alone, never.” The deep presence of Jesus can be profoundly close, and all we need is His nearness and our awareness, and it’s going to be ok.

There is so much we can do.

The first is to get real about the issues that are involved.  Go ahead and acknowledge the struggle you encountering.  Secondly, we need to admit the sin of harboring this, and even letting it to take control of our thinking. Thirdly, to actively turn away from sin, and then focus on Jesus as our dear companion and friend.

These three are just focal points. They will often take very different adjustments for each person. But they are definitely a starting point. Even as you work through this, allow the Holy Spirit to be your faithful guide.

 

Suicide– A Second Look

The World Health Organization estimates that approximately 1 million people die each year from suicide. What drives so many individuals to take their own lives? To those not in the grips of suicidal depression and despair, it’s difficult to understand. But a suicidal person is in so much pain that he or she can see no other option.

Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of self-loathing, hopelessness, and isolation, a suicidal person can’t see any way of finding relief except through death. But despite their desire for the pain to stop, most suicidal people are deeply conflicted about ending their own lives. They wish there was an alternative to committing suicide, but they just can’t see one. 

Suicide is not chosen; it happens
when pain exceeds
resources for coping with pain.

Because of their ambivalence about dying, suicidal individuals usually give warning signs or signals of their intentions. The best way to prevent suicide is to know and watch for these warning signs and to get involved if you spot them. If you believe that a friend or family member is suicidal, you can play a role in suicide prevention by pointing out the alternatives, showing that you care, and getting a doctor or psychologist involved.

Common Misconceptions about Suicide

FALSE: People who talk about suicide won’t really do it.
Almost everyone who commits or attempts suicide has given some clue or warning. Do not ignore suicide threats. Statements like “you’ll be sorry when I’m dead,” “I can’t see any way out,” — no matter how casually or jokingly said may indicate serious suicidal feelings.

FALSE: Anyone who tries to kill him/herself must be crazy.
Most suicidal people are not psychotic or insane. They must be upset, grief-stricken, depressed or despairing, but extreme distress and emotional pain are not necessarily signs of mental illness.

FALSE: If a person is determined to kill him/herself, nothing is going to stop him/her.
Even the most severely depressed person has mixed feelings about death, wavering until the very last moment between wanting to live and wanting to die. Most suicidal people do not want death; they want the pain to stop. The impulse to end it all, however overpowering, does not last forever.

FALSE: People who commit suicide are people who were unwilling to seek help . 
Studies of suicide victims have shown that more then half had sought medical help within six month before their deaths.

FALSE: Talking about suicide may give someone the idea.
You don’t give a suicidal person morbid ideas by talking about suicide. The opposite is true –bringing up the subject of suicide and discussing it openly is one of the most helpful things you can do.

 

Source: SAVE – Suicide Awareness Voices of Education

Excellent site: http://www.metanoia.org/suicide/

More info: http://www.helpguide.org/mental/suicide_prevention.htm

Upgrading to Joy

by Julie Anne Fidler, BB Weekly Contributor

I don’t know about you, but when I’m feeling ill – particularly with depression – I don’t want to do anything. Getting out of bed is a chore, tackling business or housework is excruciating, and when it’s all over we are twice as exhausted as we were when we started. Church seems out of the question. Reading the Bible seems impossible. Joy is a far-away star hurtling through the cosmos that you can’t grasp and reign in. Your world shuts down and you have no desire to grant access to anyone or anything. Sadness is a great isolator.

One of my favorite websites is www.dictionary.com (a writer’s best friend!) It defines joy as “the emotion of great delight or happiness caused by something exceptionally good or satisfying.” The primary words here are “caused by.”  We don’t always feel joy. Heck, nobody does. But if you battle mental illness, that statement is especially true. Satan comes to steal, kill, and destroy and he uses our brain chemistry to do so. He’s so, so good at stealing our joy. But knowing that joy is caused by something should give us a lot of hope!

Maybe the Enemy can snatch our joy, but we can snatch it back. How do we do that? We decide to go against our feelings of despair and exhaustion and pursue it. Job’s suffering makes ours seem almost laughable by comparison and yet even he was able to find the cause of joy and run to it.

“let their flesh be renewed like a child’s;
   let them be restored as in the days of their youth’—
26 then that person can pray to God and find favor with him,
   they will see God’s face and shout for joy;
   he will restore them to full well-being.
27 And they will go to others and say,
   ‘I have sinned, I have perverted what is right,
   but I did not get what I deserved.”

-Job 33:25-27

Job, a man who lost everything and was abandoned by everyone he ever cared for, understood what unlocks joy, and that was God himself.  Jesus, of course, understood the same concept.

“Until now you have not asked for anything in my name. Ask and you will receive, and your joy will be complete.” –John 16:24

 

During a very dark period in my life, I started visiting my current church with friends who were already members there. My church is a rather Pentecostal church (no snake-handling or anything crazy like that, I promise) and at the time I was visiting, I was a member of a much more subdued church. I was in so much emotional pain that I opted out of worship altogether. I sat in my seat and cried as others raised their hands and shouted praise and I wondered how they could be so happy when we live in a world that is so cold.

But a funny thing happened as I sat there in tears – the little layer of ice around my heart began to melt. I wasn’t on my feet dancing, but I felt warm peace seep into the frigid hopelessness. I had found a tiny bit of joy, CAUSED by getting out of bed, getting dressed, and sitting in that church pew.

Say the word “joy” and two different pictures come to mind. In the first image, I see someone jumping up and down, pumping their fist in the air, shouting praise to God. In the second image, I see someone quiet and reserved, eyes closed, a tiny, peaceful smile on their lips. I believe that both of these images apply to us. Sometimes joy is all-consuming and we can’t help but shout. Other times, joy is a quiet whisper of hope in our ear, a flicker of happiness that says “take heart, God loves you.”

And I am learning that if we have no joy, whether it’s because we’re suffering a rough bout with our disease or because life is just hard in general, it’s because we’re not close enough to the cause of joy. Often, our minds say there is no hope or joy in this world, so we have to make a decision – are we going to listen to our messed-up emotions, or live by fact, which translates into walking by faith? If we want joy, we have find it.

One of the associate pastors at my church once said something that stuck with me. He said, “I want to be under the spout where the stuff of Heaven comes out.” It may be a little bit cheesy but it’s true. Corporate worship, quiet time alone with God, reading the Word, private worship and surrounding ourselves with people who compliment and encourage our faith are all “the stuff of Heaven” that cause joy. We have to get to the spout.

If you feel the walls closing in around you today, deny your pain, get up, and go find joy.  The joy of the Lord is so powerful that a tiny drop is more than enough, I challenge you today to believe for an outpouring of it. Get up and get under that spout.

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Julie Anne Fidler is a contributing writer for Brokenbelievers.com.  She comes with a humble and understanding heart for those with a mental illness.  Her writing gift is valued greatly.  Look for her post weekly, on this blog.
She keeps a personal ministry blog at www.mymentalhealthday.blogspot.com.  Read more there.