NAMI loves consumers

A festive newsletter from NAMI, exhorting the consumer mentality. You don’t even have to get dressed up and go out.

This year, as you recover from your “turkey hangover,” start your holiday shopping from the comfort of your own computer by shopping at Amazon.com.

The best part? By shopping Amazon.com NAMI will receive a portion of the proceeds generated by the sale.

Those dollars will go directly to improving the lives of individuals and families affected by mental illness.

Time to practice what I preach

The teenage son of a colleague of mine has just been committed to a psychiatric hospital. He’s fourteen years old. He’s been receiving psychiatric help for years, but the situation was taking a new turn and becoming dangerous. His father feels all the psychiatry his son has had to date hasn’t prevented what is happening now.

Here’s an excellent opportunity for me to rush in and give my friend the benefit of all my experience, and yet, I don’t. At least, I don’t very much.

My advice wouldn’t be understood because it’s too soon for most people in crisis mode to absorb its simple and, at the same time, complicated message. Mental illness is so personal that it seems that nobody else can possibly have the answers for your own relative. And, of course that’s true to some extent. It seems all of us are fated to learn about how to get over mental illness the hard way.

It shouldn’t have to be this hard, but it is, because, unfortunately, most psychiatrists aren’t willing to embrace alternatives. Right now my friend’s son is in isolation, so early empathetic intervention à la Soteria or Open Dialogue isn’t being considered. Even if it’s not Soteria, doctors should get in there early and tell the parents it’s their job to be non-judgmental, low expressed emotion and unafraid. They should but they don’t. As long as the parents are scared stiff and worried, doctors can count on being in control.

In our own case, Chris’s psychiatrists have, at various times, rejected vitamins, second opinions, sound therapy, and ideas coming from us. Had Chris’s psychiatrist known about the Assemblage Point shift, well, I never even proposed it because I knew it would be rejected.  Most psychiatrists, even the ones I think have been helpful for Chris, don’t appreciate hearing about add-on therapies. I can understand that to a point. But it often looks more like they want to control the entire process, even if it means that recovery will never happen or be delayed.

So, what did I say to my colleague? Not much, but I tried to interject optimism and a positive attitude about his son’s future. I suggested that psychiatrists don’t have most of the answers and a healthy amount of skepticism is needed. I mentioned that the Internet is full of different views about mental health. It’s far too early to confide in him that one of the best therapies for Chris was for his parents to decide to change the family dynamics by changing ourselves, rather than our thinking that Chris was the problem in need of changing.

It’s too bad that psychiatry doesn’t share these insights with the family. If it did, recovery would be quicker than it actually is.

The Chandra Levy verdict

I am probably stretching it, but here goes.

You may ask what’s the recent verdict in the Chandra Levy case got to do with a diagnosis of schizophrenia?

Chandra Levy was an intern in Washington, D.C. who went out for a run one day in 2001 and never returned. Her body was discovered about a year later in a forested area off a jogging path.

On Monday Ingmar Guandique was convicted of her murder. Astonishingly, he was convicted despite the fact that there was no forensic evidence linking him to the crime, no murder weapon, no knowledge of what actually killed Chandra, no witnesses, and no confession on his part. Other lawyers declined the case because they felt it would be impossible to convict.
There was, however, testimony from a cell mate who claimed that Guandique “confessed” to the crime and from two female joggers who were molested by Guandique around the time that Chandra went missing.

It is astonishing that a conviction could be obtained based on lack of evidence and speculation. It looks like the jury based its verdict on what they would like to believe about the accused, and in doing so blithely overturned centuries of the common law principle of reasonable doubt. Other prosecution lawyers declined the case because they felt it was unwinnable.
A diagnosis of schizophrenia or other mental illness  is arrived at through similar leaps of faith. There is no scientific evidence that schizophrenia is a pathological disease, many people will not confess to being “sick,” and yet they will be “convicted” anyway, based on their appearance and of acting outside of social norms.

Is it so astonishing that the Chandra Levy verdict is being heavily criticized for its lack of scientific evidence when those of us in the trenches see lack of scientific evidence guiding most of the legal and policy decisions governing mental health treatment?

What’s it like for other people?

It is well-known that no two people labelled “schizophrenic” are alike. One of the hardest things for me at the beginning of this crisis was comparing how Chris was stacking up against “the competition.” The competition were the people who were doing better than Chris at the moment or the people who were much older and fully recovered. I was frightened that Chris would be part of the group that wouldn’t make it.

Well, I shouldn’t have been so worried (and neither should you be about your own relative) because Chris is making it and far surpassing the expectations of the psychiatrists who labelled him in the first place. Even though Chris is not like your son or daughter in the way the crisis unfolded in him it doesn’t mean that the remedies are different.  

The point I’m trying to make is that when I report progress with Chris, it may not at all ressemble anything that you are experiencing. When I write that I am pleased that Chris seems utterly bored these days, it may bear absolutely no relation to what’s happening with your relative. Yet, I wonder if boredom (or some other under-exercised emotion) is a significant sign of progress that can be applied to anybody in this situation, especially if your relative is the type who never expressed much discontent one way or the other. To be discontented means that something will eventually change. A light may go on. The trick here for me is not to leap in with all kinds of ideas to alleviate boredom. He needs to take sustained action himself.

Let him be bored.

Heroic GSK debunks own medication for a non-existent market

Omega-3 fish oil has been debunked as helpful for atrial fibrillation by a study sponsored by GlaxoSmithKline. Oddly, GSK sells the prescription omega-3 medication that was tested in the study. Lovaza is the only FDA approved medication made from omega-3 fish oil that is effective in lowering very high triglycerides.

The study’s leader, Dr. Peter Kowey, cardiology chief at Main Line Health Hospital System near Philadelphia, said many people take supplements and vitamins that have not been well tested.
“People are spending an enormous amount of money on stuff that doesn’t work,” he said.

Results were reported Monday at an American Heart Association conference in Chicago and published online by the Journal of the American Medical Association. . . . . The capsules used in the study are sold as Lovaza in the United States and as Zodin in Europe by GlaxoSmithKline PLC, which paid for the research.

You might well puzzle over this one. Why would GSK pay for a study that shows its own product to be not helpful for a certain condition? Well, one possibility is that GSK hopes that by doing this it will demonstrate to its critics that it is open and transparent. They will begin to see GSK as not just another company that buries data found unfavorable to it.

There’s always more to the story, especially when it involves those dastardly profit seekers.

Here’s my thinking on it. Atrial fibrillation, as far as I know, since I’ve got it myself, has no known cause and is not considered life-threatening.  I have never heard that it is associated with high triglycerides and the associated risk of stroke, for which this medication has FDA approval. I’ll admit I haven’t spent any time researching this one, and so this is the first time I have read about the horrible fate that awaits. (Hint: GSK is planting the idea by this study that atrial fibrillation is damn serious and something ought to be done about it.)

If people are taking omega-3 for atrial fibrillation, they are using it off-label. GSK knows that it is an elusive market. Plenty of smart people can by-pass the doctor’s office in favor of the health food store to stock up on their non-prescription omega-3s to cure whatever it is that they think needs curing. Waste of money? Only to doctors who would prefer that you get your prescriptions through them.

(GlaxoSmithKlein (Mighty Mouse) willing to take the hit) 

This is one GSK market can afford to lose, because it’s not its market in the first place. By cleverly allowing this one to escape, it’s building the new idea that atrial fibrillation is life-threatening. The market it wants from this study is me, and millions more like me, who once happily went about their lives unconcerned with the occasional flutter, and soon will be breaking down the doors of the doctor’s office to get whatever GSK has in its pipeline for atrial fibrillation.

And the moral of today’s story? “Beware a wolf in sheep’s clothing.”

Beliefs governing the universe

I have fallen in love with a book called Holy Spirit for Healing: Merging Ancient Wisdom with Modern Medicine, by Ron Roth, PhD. (available from Hay House). What I love about it is that the author, a former Catholic priest, is open-minded to all religious belief systems. He is especially interested in discovering the original meaning behind the Biblical words used today that so often obscure rather than clarify Jesus’ message. Jesus, like Buddha, Mohammed, and others, had what is called “cosmic consciousness.” He applied in his day to day teachings the laws governing the universe.

Roth has written an astonishing treatise on healing that shows that energy is the basis for healing, and love is the greatest healer of all. I’ll be writing more about this book later, but for now here is an excerpt below from an interview with Ron Roth in The Share Guide.

Ron: I began to meditate on these various concepts many years ago. I don’t take the scriptures dogmatically and doctrinally as many people do. In all my studies of the sacred scriptures, I look for understanding in the original Greek and Aramaic, the language of the original text. When we translate it into English, it is always a poor substitute. When I looked at the original text, the first thing I noticed was that the Greek word that is used, dynamis–which we took “dynamite” and “dynamic”–that word actually means energy. In the Phillips translation, the words for Holy Spirit are “that divine energy that raised Jesus from the dead.” He uses the term energy because it is the closest to the Greek. In the old testament and the new testament, it says “great balls of fire” came flying out of the sky when people were praying. I think it was their way of saying that there is an energy that is unexplainable. This energy is really an aspect of the Divine Spirit. I don’t believe that anybody has to belong to a certain religion to be healed or to be loved by God. I studied Christianity because that was my background. But there were a lot of things I did not like, and I could not see Jesus as being a promoter of those things.

The Share Guide: So you were seeking the original languages in which these holy books were written so as to get closer to the source, rather than working with thousands of years of interpretations?

Ron: That’s correct. I had a scripture professor who had PhD’s in Scripture, Aramaic and Sanskrit. He would say to us, “Gentlemen, whenever you are looking at passages, don’t look at the English because you have to understand what the situation was at the time that the scripture was written.” In other words, what did they mean by a particular phrase 2,000 years ago, which could mean something entirely different today? The word “awful” comes to mind. The word used to mean full of awe, respect, and reverence. Today it means something terrible. In the original context it still means “full of awe.” So if you read a passage that says our God is an awful God, it is a clear example.

The Share Guide: Are you saying that the phrase “Energy Medicine” is really tied with the Holy Spirit, the original healing energy of God?
Ron: When you get an understanding of what a true authentic prayer means and is, it is an “energy prayer.” It is not something we do; it is something the Spirit of God at the center of our being does. That divine connection keeps coming up from the spirit essence. So when you put prayer and spirit together and understand what they truly mean, you can define it as a tangible energy that people feel.

The Share Guide: Is this the same energy which in India is called prana or in the Orient called chi, the life essence?

Ron: Yes.

Adding trauma while combatting stigma

Kris Ulland recently wrote at Borderline Families about her feelings of apprehension when invited to attend a conference, the venue which was directly opposite the treatment facility her daughter had once attended. Many of us feel the same way. We do not like to be even in the vicinity of the psychiatric care facilities that our relatives attended. These days I only get mildly stressed when I pass the outpatient facility that Chris attended for two years. It’s hard to avoid because it’s on a well-travelled route within walking distance of our home.

Kris brings up a little discussed aspect of mental health care. It is traumatizing for the patients and families to revisit the “scene of the crime.” I assume that mental health care is aware of this and tries to stage events away from the hospital or clinic when at all possible. I attended one such event as a service to an older woman friend whose nephew had been released years ago from the US marines after his schizophrenia diagnosis.  The military would not reveal to the family what had happened to him during his time in the marines. His aunt is still grieving and bewildered.

The event was sponsored by a local family support group for schizophrenia and was held in a meeting hall unconnected to the hospital. The guest speaker was none other than Dr. Rx, an eminent psychopharmacologist and overall head of Chris’s treatment program. There he was, still wearing the same navy blazer and not looking a day older than when I had last seen him four years earlier. I slunk to our seats well in the back of the room and kept my head down, not wanting to make eye contact. This was already becoming a traumatizing experience.

If I recall correctly, the purpose of the meeting was to “end the stigma” surrounding schizophrenia. So, what did we watch? A French Canadian documentary entitled “Schizo,” if you can believe it. It was all the dreary stuff associated with schizophrenia, camera slightly out of focus, sad music, a feeling of impending doom. One of the psychiatrists interviewed in the film had a long grey beard. He  looked far crazier than his patients. The mother of Marc Lépine, the young man who massacred fourteen female engineering students at the University of Montreal in 1989, was interviewed, thus reinforcing schizophrenia with mass murder. All very sad, a downer really and what was I doing there? Oh, yes, to support my friend.

After watching a film about stigma that was stigmatizing, questions were taken from the floor by Dr. Rx and his assistant. A tall, well dressed man who appeared to be in his fifties stood up to ask a question. It was apparent by the rather enigmatic way he posed his question that he was a one time consumer of mental health services. Without my remembering the specifics, there was a challenge imbedded in his question to the doctors. Dr. Rx and his assistant, remember, they were there to stop the stigma, ignored him. They looked at each other when the question was posed, and appeared rather embarrassed that a consumer of their services had challenged them, even obliquely. The man sat down after getting nowhere with the two onstage. He tried again later, and got the same result. (The definition of insanity?)

Now, if I were a psychiatrist and that were me on stage, I would have welcomed an intervention from someone who had been there. (Remember, Dr. Rx was there to combat the stigma.) I would have tried a lot harder to bridge the gap. Dr. Rx and his assistant came across to me as wanting to retain their authority and overly afraid of exposure.

I was glad when it was finally over. Never again.

Laughter is the best medicine

I need more laughs in my life, I’ve decided. Let me put this in context. In the city where I live, I notice that nobody smiles. It’s not just me who has noticed this. Life is very serious here, apparently. I have lived in the same apartment block for thirteen years and only nod to the neighbours when we meet in the elevator. They give me a wan smile in return.

Now that Chris is well on the road to full recovery, ironically I am feeling sicker. I have spent the past few years reading, almost exclusively, psychiatric literature. Not many laughs there. I need a break.

For my birthday, Chris gave me Adrian Mole: The Prostrate Years. I’ve been a big fan of Adrian since he was aged 13 3/4. I laughed my way through the latest book in two sittings.

What tickles your funny bone?

When money meets schizophrenia

There is no shortage of glitzy events by the Napa Valley’s wine elite, but the annual music festival sponsored by Garen and Shari Staglin may be the most poignant.

When money meets schizophrenia (e.g. the Stanley Medical Research Institute), the condition becomes sad and chronic. Here is a supposedly feel good story about winery owners and their son. It doesn’t buck me, up, however. Where is the good news here about the person? The good news is in the glitz and the charitable do-gooderism. Why is the word “poignant” used in this article in reference to schizophrenia? It needlessly provokes, since so many others have recovered and moved on in their lives. The public is continously fed these kind of stories in relation to schizophrenia, much more so than with depression and bipolar.

Money can’t solve everything, it just confuses the issue when it comes to schizophrenia. Entrepreneurs are a class of individuals who feel that they can apply the same gung ho logic to human emotions, as if the human mind were a business plan or a balance sheet. The article is full of references to genetics, medications, and, unfortunately, resignation. Heaven help us if the Gates Foundation got involved with schizophrenia.

“Most people chose to bury or run away from the problem,” Garen Staglin said. “We chose to run toward it.”

Did you, really?

What medications do to the super healthy

We’ve all heard the news that psychiatric patients die, on average, twenty-five years earlier than the average life expectancy. There appears to be no empirical evidence as to why this is so. Most of us know the answer is tied up with the alarming insistence by the medical profession on medications to treat these conditions. In addition to causing diabetes, blood disorders and heart conditions, there can be fatal drug interactions. The statistic presumably include the rare person who kills himself, and the rarer person who starves to death.

I believe that people who end up with a diagnosis of schizophrenia are physically healthier than most people, so there is no reason related to just having a diagnosis of schizophrenia that should case premature death. Many are like Chris. My son has, to my recollection, never suffered from a cold, a fever, a cavity, or an ear infection. He has never spent a day in bed due to an illness. . . until he ended up with a diagnosis and went on medications. Dr. Abram Hoffer observed that his schizophrenia patients tended to be the super healthy.

Since being on the medications, Chris has suffered dizziness, weight gain, tiredness. He has had to have his heart regularly monitored. While he was on clozapine he had to go for a monthly blood test. Despite all this, he has still has never had a cold, a fever, a cavity or an earache.

If you are naturally super-healthy (you have received a diagnosis of schizophrenia), there is absolutely no way that you should be dying twenty-five years early. If anything, you should be living twenty-five years longer than the average life expectancy. If people with a diagnosis of schizophrenia are supposedly dying twenty-five years early, it must be the medications that are causing this in the majority of cases. Getting off or substantially reducing the medications, even if you have been on them for years, should be something worth thinking about.