Hope for the Hopeless [Joy]

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12 Rejoice in hope, be patient in tribulation, be constant in prayer.”

Romans 12:12

Three things are critical for the New Testament believer:

  1. To rejoice out of a real hope,
  2. a deliberate endurance,
  3. and a prayer life that is unceasing.

These three are vital for us if we want to be authentic saints. These three aspects must become foremost in our discipleship.

Of the three, the first is to rejoice out of a real hope is the most important. It seems like I take the most “hits” over this one. There is a constant erosion  over my joy and my hope. I encounter the false belief that I will be one of the damned. A variation is that I’m ‘cursed’ by God and my life from this point is always going to be hellish and miserable. Frozen like a mosquito in ancient amber.

For me, my mental illness is a sin– the sin of despair. I don’t insist on the right terminology or of definitions. Some believe these issues are demonic. Some wonder about the use of meds, or the value of seeing a psychiatrist or going into therapy. These are all valid, but it seems like polishing the brass rails as the Titanic is seeking.

I won’t try to give answers, because there isn’t a single one to be found. There’s a complexity about the human heart, and God’s sovereign plan that I can’t venture anything. I will only suggest we give room for our own misunderstandings. Perhaps it’s the presence of Jesus we can agree on.

Rejoice in hope,” goes a long ways to combat the enemy, our own fallenness and our own sin of despair. A ‘song to the Lord’ breaks our souls free and is the brokenbelievers true hope is the best antidepressant. But I vote we keep singing out of our cells (Acts 16:25).

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A Day in the Life of a Mental Hospital Patient

6:30 am. “Rise and shine,” but this is debatable– you simply just breathe and walk, in this kind of a desperate mental fog,  (Simply put, ‘there will be no sunshine for you today.’) But, this only just seems to really matter to us, who have no hope.  You exchange brief greetings with your roommate, which only just seems proper, even at this level.  We are given “ratty” old surgical scrubs to wear through out the day.

We head down ‘en mass’ to the cafeteria.  I see the servers on the line, I notice that they avert their eyes from us as we form a hungry queue.  Sometimes, they will give us choices: “bacon or sausage?”  To a mental patient, this can be a Gordian Knot of complexity.  So the line moves slowly, as we try to sort out this conundrum.

There is no coffee for us, as patients.  It has been two weeks for me, and I dream of a cup of hot coffee, with cream.  Some of the attendants drink Pepsi, although it is done hiddenly, but we all know it.  We resent their liberty, especially when we have none.  There is a question of equity, with us, which has been violated.

8:40 am.  We are all race to be the first in line for our morning meds.  It almost seems we are afraid they are suddenly going to run out.  I get my Seroquil, my lithium, my Zoloft.  Additionally, because I am ‘post-op’ brain tumor, I am given a mild stimulant called Provigil to help me think clearly.  I have no idea if it works, or not. (I rather have a cup of coffee.)

We then gather into a day room full of clunky and ugly furniture.  It is big, and the chairs encircle a grimy tile floor to make a large open space.  This is not an orderly place, as people are wandering about, some stare at the wall or at a fake plant in the corner.  It is noisy, some even shout.  Others just “rock” back and forth to a song that only they can hear.  A few of us lie in “fetal position” of hiddenness, just wanting to disappear.

The thought occurred to me one day, of a ‘giant aquarium.’  It was constantly moving, swirling about.  If you stopped moving, it meant that you were dead.  Everyone was moving, and oblivious to the others who were also moving.  This seems to explain much.  (You will need to accept the ‘aquarium’ idea if you really want to process the moment.)

On one of my stays, weeks went by before I realized that this particular meeting actually existed, but I was very confused and seriously beyond any correction.  I was really struggling with clinical depression, so meals and meds was all I could manage.  When I finally figured this out, I quickly joined the fish bowl.  It was both good and bad.  But mostly good. Finally as bleak as it was, I started accepting reality.

11:00 am.  One thing you do notice is a lot of disjointed conversations.  You would speak to someone and 10 minutes later they would answer.  And for the most part, conversations would be muted, whispered to people.  As if there was a conspiracy involved, and a certain appropriateness must be taken. We were a paranoid bunch.

Sometimes an attendant would turn on the TV.  I can remember watching cartoons and just maybe I would think that they were communicating to me in code.  We did have a VCR for movies, but because one guy urinated into the machine, it shorted it out.  So, alas, no more movies.

During one stay (and there were several) I was suicidal.  The staff watched me like a hawk, sitting at my door out in the hallway. But I was desperate to cut my wrists, so I stood up in a chair.  I took down a clock and wrapped it in a blanket, to muffle the sound of breaking glass.  I managed to slash my wrists deeply and often, before the nurse came in my room.  For a moment, I brought an excitement to the staff.  And perhaps a certain meaning to me.

When you’re in a psych ward your days are beyond tedious.  One day is like the next.  The psychiatrist comes to see you for 10 minutes, and it is a high point of your day.  You discover that any new explanations, or treatment plans are done solely by the doctor.  That is one of the first cardinal rules on the ward.  Ask a nurse or an aide, and they invariably dodge.  But the psychiatrist “rules the roost.” Everyone follows his decision. This is useful to know.

1:00 pm.   Suddenly a young teen girl with schizophrenia, screaming and pounding her head against the wall has now becomes the focus.  Every couple of days this happens, and in a twisted way punctuates the drabness of the day.  She is artfully restrained by the staff and taken to “the padded cell.”  We are all told it is for her own protection,  but we as patients, we all rally behind her fight.  When she makes a break from the nurses we all cheer her effort and want her to escape.

The second cardinal rule of the floor is that you don’t “stick out” in any way. Creating an issue is never tolerated, whatsoever.  Demanding more TV time, or coffee, or a newspaper will hardly ever go over well.  Just before Thanksgiving, 2003, I timed my meeting with the pdoc to raise an issue of a fresh cup of coffee.  There was a nurse present at our meeting, and she had to respond to the doctor’s order that I was to be given coffee on Thanksgiving morning.  The next morning the coffee was delivered, but the nurse insisted that she would set in a chair next to me until I finished.  Nevertheless, it was a glorious moment.

3:00 pm.  I soon developed auditory hallucinations.  First, I kept hearing a CB radio, squawking constantly.  A few days later, I started to hear a telegraph, “dit-dot-dash.”  They both were very loud and insisting that I pay attention.  Also, I would have 3 or 4 moments of seeing black and hairy spiders climbing at me.  They were so real, and even volitionally know they were not real, I still panicked.

4:30 pm.  They’re other issues as well.  I basically hated phone calls from family.  When they did come they always seemed intrusive and seemed to work against the thinking on the ward.  When a few friends did visit, I would be abrasive and rude.  Wishing they hadn’t made the effort.  I imagined their hearts processing me and my need to be there, and it disturbed me.  Since I lived about 300 miles from the hospital, it took effort on their part to try to see me.  Looking back though, I wish I had been nicer.

8:48  pm.  Getting ready for bed.  It seems that is what I have waited for this all day.  These are moments I have started to live for.  Sleep = oblivion.  I fade to black, and life is paused.  There isn’t any issues for me to figure out.  For eight hours, I find peace,  Sleep is a deep mercy, a gift given to us from the Father.  Those of us, who struggle hard against the dark, understand the “gift” of grace in the form of sleep.  Depressives very often crave sleep. We often want to hide into it, as if doing so would solve our problems and issues. For me, sleep was the only time I was free from the ward.

I want to sleep, to close my eyes and to be gone.  I suppose that is true, for all of us who want to “commit suicide by sleep.”  We seek oblivion, and long for the moment when we can “check out.”  We want to be forgotten and overlooked. We deeply want to be erased, and move directly into forgottenness.

When we have been committed to the ward as patients, we will probably be shaken to our core.  Our insertion into a diverse floor of mental illness, will always introduce us to deep desperation. We are jolted that there is a darkness that is pursing us far beyond what seems is right.  We must call out to Him who can save us.

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kyrie elesion, Bryan

 

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The Numbers Don’t Lie: Mental Illness in America

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~Mental Illness in America, 2016

Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1

When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1

In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1

In the U.S., mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-V).4

Mood Disorders

Mood disorders include major depressive disorder, dysthymic disorder, and bipolar disorder.

  • Approximately 20.9 million American adults, or about 9.5 percent of the U.S. population age 18 and older in a given year, have a mood disorder.1,2
  • The median age of onset for mood disorders is 30 years.5
  • Depressive disorders often co-occur with anxiety disorders and substance abuse.5

Major Depressive Disorder

  • Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
  • Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
  • While major depressive disorder can develop at any age, the median age at onset is 32.5
  • Major depressive disorder is more prevalent in women than in men.6

Dysthymic Disorder

  • Symptoms of dysthymic disorder (chronic, mild depression) must persist for at least two years in adults (one year in children) to meet criteria for the diagnosis. Dysthymic disorder affects approximately 1.5 percent of the U.S. population age 18 and older in a given year.1, This figure translates to about 3.3 million American adults.2
  • The median age of onset of dysthymic disorder is 31.1

Bipolar Disorder

  • Bipolar disorder affects approximately 5.7 million American adults, or about 2.6 percent of the U.S. population age 18 and older in a given year.1, 2
  • The median age of onset for bipolar disorders is 25 years.5

Suicide

  • In 2006, 33,300 (approximately 11 per 100,000) people died by suicide in the U.S.7
  • More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder.8
  • The highest suicide rates in the U.S. are found in white men over age 85.9
  • Four times as many men as women die by suicide9; however, women attempt suicide two to three times as often as men.10

Schizophrenia

  • Approximately 2.4 million American adults, or about 1.1 percent of the population age 18 and older in a given year,11, 2 have schizophrenia.
  • Schizophrenia affects men and women with equal frequency.12
  • Schizophrenia often first appears in men in their late teens or early twenties. In contrast, women are generally affected in their twenties or early thirties.12

Anxiety Disorders

Anxiety disorders include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias (social phobia, agoraphobia, and specific phobia).

  • Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.1,2
  • Anxiety disorders frequently co-occur with depressive disorders or substance abuse.1
  • Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.5 5

Panic Disorder

  • Approximately 6 million American adults ages 18 and older, or about 2.7 percent of people in this age group in a given year, have panic disorder.1, 2
  • Panic disorder typically develops in early adulthood (median age of onset is 24), but the age of onset extends throughout adulthood.5
  • About one in three people with panic disorder develops agoraphobia, a condition in which the individual becomes afraid of being in any place or situation where escape might be difficult or help unavailable in the event of a panic attack.12

Obsessive-Compulsive Disorder (OCD)

  • Approximately 2.2 million American adults age 18 and older, or about 1.0 percent of people in this age group in a given year, have OCD.1, 2
  • The first symptoms of OCD often begin during childhood or adolescence, however, the median age of onset is 19.5

Post-Traumatic Stress Disorder (PTSD)

  • Approximately 7.7 million American adults age 18 and older, or about 3.5 percent of people in this age group in a given year, have PTSD.1, 2
  • PTSD can develop at any age, including childhood, but research shows that the median age of onset is 23 years.5
  • About 19 percent of Vietnam veterans experienced PTSD at some point after the war.13 The disorder also frequently occurs after violent personal assaults such as rape, mugging, or domestic violence; terrorism; natural or human-caused disasters; and accidents.

Generalized Anxiety Disorder (GAD)

  • Approximately 6.8 million American adults, or about 3.1 percent of people age 18 and over, have GAD in a given year.1, 2
  • GAD can begin across the life cycle, though the median age of onset is 31 years old.5
To finish reading this article, you will need to go to its source at:

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml  

 

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