Category: mental health

Whim-Whams

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“In our family “whim-wham” is code, a defanged reference to any number of moods and psychological disorders, be they depressive, manic, or schizoaffective. Back in the 1970s and ’80s – when they were all straight depression – we called them “dark nights of the soul.” St. John of the Cross’s phrase ennobled our sickness, spiritualized it. We cut God out of it after the manic breaks started in 1986, the year my dad, brother, and I were all committed. Call it manic depression or by its new, polite name, bipolar disorder. Whichever you wish. We stick to our folklore and call it the whim-whams.”

— David Lovelace, Scattershot: My Bipolar Family

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Speaking in code is often our way of communicating to those who are curious. We seldom tell anyone we have bipolar disorder outright. Some of us tried, and failed; we fall back to “I’m just a little blue today,” or the classic, “I’m just woke up on the wrong side of the bed.” We really can be somewhat disingenuous.

All too often these are half-truths that deflect the sticky issues of a mental breakdown. We seek to salvage some kind of dignity, or evade the inevitable stigma that would certainly come if we told the truth. We choose to evade, but at a cost.

I struggle with the stigma of both bipolar disorder and epilepsy. I’m still uncomfortable when others seem uncomfortable with me. So, I have developed a general rule:

Bryan’s Rule #14, “Never reveal your illness, except to qualified people.”

I suppose this adds a layer of personal security. The occasions I have violated this rule have resulted in awkward pauses and odd looks. Afterwards, the relationship changed. It was as if I suddenly sprouted a second head, or something.

As Christian believers, I know we are supposed to walk in the truth. But exactly how truthful am I supposed to be? I’ve always had an iconoclastic streak, and I love stretching the social boundaries of others. Bipolar disorder has been an illness made-to-order for people like me.

Bryan’s Rule #15, “Openness can be a true step toward my healing.”

But it take truth to change. We really need to be honest by bringing things into the light. Obscuring the truth keeps us isolated and distant from others. Will speaking forthrightly about my bipolar disorder be a challenge? Of course. But necessary if I want to heal and cope.

I’m not advocating making a big sign and parading down Main Street. Just to be a bit more honest with others, and ultimately with ourselves. Let’s be comfortable with our own personal “whim-whams.”

aabryscript

 

How Does It Effect You?

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There are four areas that chronic depression will effect you.

  1. Emotions
  2. Thoughts
  3. Physical
  4. Behavior

We need to really visualize the areas in order to understand. This grasp of the facts will not change a thing, but will only give you a sense of what depression is doing to you, or your loved ones.

Some will emphasize one or another. But all four areas play a part in this disease. We may think we can twist around these, but we’ll find we are still trapped by the evil ogre of depression. (And he takes all the prisoners he can.)

We are hostages to this sickness. Depression truly destroys lives and hopes. It comes uninvited, and springs its trap on us. It can immobilize us in an instant.

David knew what it was like to be a hostage of depression. In Psalm 32:3-4 he wrote:

“For when I kept silent, my bones wasted away
    through my groaning all day long.
4 For day and night your hand was heavy upon me;
    my strength was dried up[b] as by the heat of summer.”

Many readers will relate. It carries with it an authenticity of a man that is a dear struggler. His experience, and his willingness to write openly provides us with comfort and understanding.

Paul knew all about depression. He wrote in 2 Corinthians 7:6:

 “But God, who comforts the depressed, comforted us by the coming of Titus;”

Ancient writers called it “the Noonday Demon.” Winston Churchill called his depression, “the black dog.” Both definitions seem spot on.

Christians will ask me whether depression is caused by an evil spirit, or is it biological? I usually answer both. There is strong evidence that it is a mental illness; an illness like any other (e.g. diabetes, or migraines). It can be treated, to a degree, with meds. But there is a spiritual dimension as well requiring “spiritual warfare” on an serious level.

My own meds have helped me greatly. But strong prayer and worship have assisted me just as much. Reading the Psalms are really helpful. I have made the personal discovery that the presence of God is a great way to walk free.

When you’re truly desperate, you will find a way. Of that I’m convinced. I leave with Philippians 1:6:

” And I am sure of this, that he who began a good work in you will bring it to completion at the day of Jesus Christ.”

aabryscript

Melancholy Beckons Me

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Objectively speaking, my life is pretty good, for the most part. I have a good job, been married 25 years, have a wonderful creative son, a terrific church home and family, blood family that I love, a cute loveable dog, a nice house, plenty to eat — I could go on and on about the blessings in my life, and I do try to focus on the greatest blessing of all, my dear Jesus.

And yet melancholy beckons me. It bids me turn my gaze from the Lord and my blessings, and instead focus on the one thing that is not as I would like it to be.

I feel a bit like Peter must have felt when he looked down at the crashing waves instead of at Jesus. Yes, there was a storm all about Peter, but he was standing safely above it as long as he kept his eyes on Jesus. Looking at the scene with the benefit of hindsight, I know that Jesus eventually calmed Peter’s storm. It was only when Peter looked away that he began to sink into the deep.

I know, too, that He will calm my storm. As the tempest rages and melancholy beckons, I know it is essential to keep my eyes on my Savior lest I sink into the deep. I know that I must trust in Jesus, and trust I do.

Still trust is so hard when tears well up behind sad eyes, when nothing changes and the storm continues to howl all around me. But in fact, upon closer examination, something has changed, and that is the tempest within. It is me He has changed as He strengthens my faith. He has changed violent anger and indignation to sadness and compassion, to melancholy.

Standing in the wings is indifference, worse even than melancholy, because indifference means giving up hope. It clings to pride and indignation, not wanting to let go. Indifference means a deliberate decision to not care about another, only self. But the change my Lord has wrought in my heart bids me stay clear of indifference. Melancholy is at least useful for self-examination and for reminding me of how desperately I need Jesus.

The Psalms are wonderful for times like this. Just this morning as I began my prayer time, I read Psalm 28 and came to these words of encouragement:

Blessed be the Lord,
Because He has heard the voice of my supplications!
The Lord is my strength and my shield;
My heart trusted in Him, and I am helped;
Therefore my heart greatly rejoices,
And with my song I will praise Him.
Psalm 28:6-7 (NKJV).

Melancholy beckons me, but though I succumb for a while I remember that my Redeemer will never leave me. Though my mind reflects with melancholy on what I pray He will change, my heart rejoices that He is faithful to keep His promises.

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Tobacco Use: Putting Down the Cigarette

By Brendan McLean, NAMI Communications Manager

Studies have shown that individuals living with mental illness die 25 years earlier than the general population. Part of the reason is due to smoking related diseases. At the end of July, the Smoking Cessation Leadership Center held a webinar on the importance of quitting smoking.

“Peers Helping Peers: Ways to Quit Tobacco with Rx for Change” consisted of a panel of experts from around the country, including Ken Duckworth, M.D., medical director of NAMI, and discussed the addictive power of tobacco, ways that will help people quit smoking and the role peer counselors can play.

Individuals living with mental illness are disproportionately represented among those who smoke. Forty-four percent of people who smoke have a mental illness. However, this percentage can be much higher when compared to a specific mental illness. For example, studies have shown that between 62 and 90 percent of individuals living with schizophrenia smoke.

This high rate of smoking means that one-half of the 435,000 tobacco related deaths that occur in the U.S. each year are people who have a mental illness. NAMI Hearts & Minds was created to offer resources on quitting smoking and other healthy lifestyle choices that promote wellness in both mind and body.

So why is smoking common among people who live with mental illness? As Frank Vitale, the National Director of the Pharmacy Partnership for Tobacco Cessation, states in the webinar , smoking was often used as a reward in psychiatric hospitals. “The culture has promoted smoking in a sense,” he said. “I remember working in a psychiatric hospital and we were literally told to tell patients that if you take your medication you can smoke. Or if you go to group you can smoke.”

Helping individuals living with mental illness who smoke can produce a number of benefits. As described by Vitale in the webinar, there are six benefits.

  1. It can improve the overall quality of life.
  2. It can increase the length and number of healthy years of life.
  3. It can improve the effects of medication. Hydrocarbons, which are produced when anything is burned, cause the body to metabolize medications faster than you normally would. As a consequence, many people who smoke often need more medication than if they did not smoke. However, if the individual decides to quit, their clinician should be alerted so they can adjust the amount of medication the individual is receiving.
  4. It can decrease social isolation. Many people who don’t smoke are often hesitant to socialize with those who do.
  5. It can save money—lots of money. Cigarette packs cost nearly $8 in D.C. and upwards of $15 in Manhattan. Over the course of 50 years, if a person were to only smoke one pack of cigarettes a day, at $6 a pack, one would spend nearly $110,000.
  6. It helps promote recovery.

The problem is that there has been lack of focus on smoking cessation by mental health providers. Some providers believed that doing so caused an increased risk of relapse: symptoms would worsen or the individual would return to abusing drugs or alcohol. However, research has shown that there is no truth to either of these claims.

The truth, though, is that people want to quit. Nearly 75 percent of current smokers have said they want to quit and 65 percent have tried to quit in the last year. But sometimes you just need a little help. To learn more about the importance of quitting smoking and how peers can help, listen to a recording of the webinar online.

Thank You, Nami

This is a terrific post dealing with a major issue with those of us who struggle so hard, with mental illness. Think this through and let me know what you think. Pastor Bryan can be reached at,  flash99603@hotmail.com

“How I finally quit smoking!” A Great Blog and a Super Post.

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