Today’s Suicide Toll: Put Faces to the Numbers

It’s time to attach faces to numbers. In less than 24 hours, 1577 will commit suicide. If you look closely, you can see faces.

As believers, these are our business. They are God’s business. Be aware of this. And pray.

 

For more valuable information see:

http://www.facebook.com/puttingafaceonsuicide AND http://nami.org/

Double Trouble: A Dual Diagnosis

What is the relationship between drug abuse and mental illness?

Many chronic drug abusers–the individuals we commonly regard as addicts–often simultaneously suffer from a serious mental disorder. Drug treatment and medical professionals call this condition a co-occurring disorder or a dual diagnosis.

What is chronic drug abuse?

Chronic drug abuse is the habitual abuse of licit or illicit drugs to the extent that the abuse substantially injures a person’s health or substantially interferes with his or her social or economic functioning. Furthermore, any person who has lost the power of self-control over the use of drugs is considered a chronic drug abuser.

What are some serious mental disorders associated with chronic drug abuse?

Chronic drug abuse may occur in conjunction with any mental illness identified in the American Psychiatric Association (DSM-IV). Some common serious mental disorders associated with chronic drug abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, and antisocial personality disorder. Many of these disorders carry with them an increased risk of drug abuse.

Disorders With Increased Risk of Drug Abuse

  • Antisocial personality disorder 15.5%
  • Manic episode 14.5%
  • Schizophrenia 10.1%
  • Panic disorder 04. 3%
  • Major depressive episode 04.1%
  • Obsessive-compulsive disorder 03.4%
  • Phobias 02.1%

 Source: National Institute of Mental Health.

How prevalent are co-occurring disorders?

Co-occurring disorders are very common. In 2002 an estimated 4.0 million adults met the criteria for both serious mental illness and substance dependence or abuse in the past year.

Which occurs first–chronic drug abuse or serious mental illness?

It depends. In some cases, people suffering from serious mental disorders (often undiagnosed ones) take drugs to alleviate their symptoms–a practice known as self-medicating. According to the American Psychiatric Association, individuals with schizophrenia sometimes use substances such as marijuana to mitigate the disorder’s negative symptoms (depression, apathy, and social withdrawal), to combat auditory hallucinations and paranoid delusions, or to lessen the adverse effects of their medication, which can include depression and restlessness.

In other cases mental disorders are caused by drug abuse. For example, MDMA or Ecstasy, produces long-term deficits in serotonin function in the brain, leading to mental disorders such as depression and anxiety. Chronic drug abuse by adolescents during formative years is a particular concern because it can interfere with normal socialization and cognitive development and thus frequently contributes to the development of mental disorders.

Finally, chronic substance abuse and serious mental disorders may exist completely independently of one another.

Can people with co-occurring disorders be treated effectively?

Yes, chronic drug abusers who also suffer from mental illness can be treated. Researchers currently are investigating the most effective way to treat drug abusers with mental illness, and especially whether or not treating both conditions simultaneously leads to better recovery. Currently, the two conditions often are treated separately or without regard to each other. As a result, many individuals with co-occurring disorders are sent back and forth between substance abuse and mental health treatment settings.

Source: http://www.justice.gov/ndic/pubs7/7343/index.htm

For more info on the Dual Diagnosis see: http://bipolar.about.com/cs/dualdiag/a/0008_dual_diag.htm

Growth in the Troughs of Life

This post has been floating around in my head for almost two weeks now, and I had fully intended to post it here at Broken Believers last weekend, but just didn’t get it done. In retrospect, learning of the great trough our dear brother Bryan is going through, I realize that either I should have made the time or the timing of posting it today is part of God’s design. All I know for sure is that it needs to be posted.

I recently purchased a new book titled The Soul of C.S. Lewis that consists of one-page reflections on various quotes from many of Lewis’ best-loved writings followed by a Bible verse. The book has 10 different contributing authors, and each essay is not attributed to an individual author, but they are all wonderful. Today I want to share a little about one of those essays, along with my own thoughts on the topic at hand.

The Lewis quote that begins the essay is from The Screwtape Letters, one of my favorites of Lewis’ fiction. Although fictional, there is a great deal of truth about the struggles and potential downfalls of the believer in Christ to be found in this short collection of letters between Screwtape, a high-level demon, and Wormwood, his nephew who is a low-level tempter in the minions of Satan. The quote at hand is:

“It is during such trough periods, much more than during peak periods, that it is growing into the sort of creature He wants it to be.” Screwtape, chap. 8, p. 40.

The trough periods Screwtape refers to are the low times in life that for some are manifested as periods of deep depression. Many a strong Christian has experienced such troughs over and over throughout their lives. I have experienced them to differing degrees myself, and our dear Bryan is experiencing just such a trough now. They are certainly no fun, and we often wish we could avoid them altogether, but experience tells us that is not possible. Perhaps it is not even truly preferable in the grand scheme of things as God sees it.

In the essay based on this quote, the author writes:

“Although the emotional peaks are bright and lovely and certainly more enjoyable, that doesn’t mean that the trough is the wrong place for us. The truth is that God is often most at work in the troughs—the hard places where we feel most desolate and alone. Sometimes when we’re trying to clamber back up to the peak, God may be calling us to stay awhile in the trough.”

“At these times we often feel full of confusion, fear, and sadness because we cannot see God’s hand at work, molding us by the very things we wish to escape. It is often only afterward, when he has moved us to a different place, that we can look back and see how he was working in the midst of the difficult spots.” The Soul of C.S. Lewis, pg. 115.

As I read this essay, I was reminded of Psalm 23. This well-known and beloved Psalm begins and ends in the peaks – “The Lord is my Shepherd, I shall not want” and “I will dwell in the house of the LORD forever.” But in the middle is a definite trough – “the valley of the shadow of death.” I’m pretty sure there is no trough deeper or darker than this valley. But – and this is the important part – we don’t travel that valley alone. God is with us in the valley of the shadow of death, He is with us in the troughs of life.

The valleys of deep depression are not signs that we have been forsaken by God or that God has given up on us. He is walking with us through that valley, using every step of the way to help us grow in faith and grace, so that we will be able to dwell in the house of the Lord forever. So let us not try to clamber out of the troughs we encounter ahead of God and by our own power, but let us instead walk close by our Lord, following in His footsteps to see where He will lead. He is our Light in the darkness of the deep valley. May we stop to see all that He is illuminating there.

Jesus said, “I have come into the world as a light, so that no one who believes in me should stay in darkness.” John 12:46 (NIV).

In Pursuit of Happyness

By CARONAE HOWELL, From the New York Times, dated July 20, 2009

flight1
To fly away

I’m the kind of woman who spends entire days thinking of nothing but birds: woodcocks, goldfinches, kingfishers. I look for loons everywhere I go. Sometimes I find herons in Central Park and they are mysteries. There is one thing in this world that I envy: the hollowness of bird bones. In the three milliseconds of liftoff, a bird separates itself from its problems. The sky is the freest part of the world.

I have always been depressed, and I have always wanted to fly — not to emulate Superman or to travel faster. I want to fly because of the elation. In my dreams I am a butterfly or a fairy or a honeybee. Depression, for me, is when you want to be a bird, but can’t.

There is a specific moment in which I became a woman. It was February — always the worst month with its aching light and its slip-induced bruises. I had been trying to fall asleep for at least four hours. At 3 a.m., I found myself sobbing and shaking and confused, sitting on my metal dorm bed in the bird-with-a-­broken-wing position. I dug my fingernails into my forearms, leaving shell-shaped trenches behind. I have the kind of skin that refuses to heal, just stays eternally raw and mottled. It was five weeks into my fourth semester.

In late January, a freshman hanged himself in my old dorm. I found myself asking, really, how hard is it to suddenly find yourself perched on a sink, rope around your beautiful neck, ready to fly? How hard? My dad drove through four states to pick me up the next week. On the way home I had tea and ice cream. He asked me if I remembered the time he took too many of his antidepressants. I did not. Nor did I remember my uncle’s suicide (gun to the cerebrum) or my sister’s delicately sliced arms and hips. These were things I had only been told. The space between my skull and my irises hurts sometimes — hurts like the shatter of a tiny bird that has fallen midflight.

And so it was that sour February night that I took the delicate step into the adult world: realizing that I was too depressed to stay at college was realizing I had not only lost my flock; I had fallen from the air entirely. Michigan has many birds. My favorite might be the wood duck, with its banded neck and flat little wings. When I watch birds take off, I hold my breath. They always make it to the sky.

Every Monday morning at 9 I see my therapist, mug of green tea and honey close at hand. I take new pills now. I have a routine: oatmeal in the morning, Wednesday nights with my father. I tell my therapist about Toni Morrison’s “Song of Solomon.” Who isn’t searching for their people? I arrange my thoughts. (No, I have never been in love and I am, in fact, afraid of men; I panic in Times Square; I grow attached to almost everyone I meet.) I have feathers and questions.

I moved to New York City for college in 2007. School did not grow me into an adult, nor did voting for the first time or doing my own banking. These things were not confrontations. How did I arrive at the place where I could look at my disease and say, “Yes, you are here, but I will not let you take the joy out of looking for birds”? I like to think it was New York, or my newfound discipline, but it was a more internal revolution. I acknowledged my traumas: I was not crazy, just damaged. I was molting. Columbia gave me many new things: a copy of the “Iliad” with a note saying the first six books should be read before orientation, a job in the oral history office, a sense of time management.

But without my sanity — without joy — these things had little value. I knew nothing until I knew I was hardly living. Hobbes and Locke and all the philosophers in the world could not matter when each day was insurmountable and burning. In my year and a half at Columbia, I began to learn how to love myself. I tell my therapist about my earliest memories and the bizarre geography of my family. I’m anxious and I have no self-esteem. But I am mending. Fifteen lost credits is a small price to pay for happiness. Perhaps I am learning how to fly. My bones may not be hollow, and joy will never come easily, but the beauty is in the struggle. The birds are everywhere.

Caronae Howell, Columbia, class of 2011, history major