Tag: mental health

  • Best Indie Films of 2018: The Fix Picks

    Best Indie Films of 2018: The Fix Picks

    In early recovery I had moments where I was sure I could not stay sober for one more minute. That’s when my friends offered sound advice: Don’t think, and go to movies.

    In early recovery I found myself inundated with obsessive worries scurrying around in my head. It was repetitive dark noise that I ached to shush with alcohol. At times I was sure that I could not stay sober for one more minute. That’s when my friends offered sound advice: “Don’t think, and go to movies.”

    So, as we head into fall with the looming Nov. 6 midterms, a real-life nail biter, let’s talk about the great escape—indies!

    This first film is an uplifting true story about an exceptional human being. He is a creative philanthropist with an unexpected approach to helping people with addiction and ex-cons who are way down on their luck.

    Skid Row Marathon is about a superior court judge in Los Angeles. Craig Mitchell is a one-man crusade helping addicts and ex-cons who live in tents and cardboard boxes on LA’s Skid Row. The worst part of his day job is sending criminals to prison. The compassionate judge came up with a way to have a positive impact. He gets the homeless back on their feet with a running club.

    Wife-and-husband team, Gabi and Mark Hayes, heard about the judge who trains the homeless to run marathons.

    Mark told The Fix. “Many of the homeless are on drugs—crack, heroin, crystal meth, alcohol, you name it. Gabi and I wanted to do something [to help]. My wife is the real runner. Me? I go kicking and screaming.”

    When the couple first approached Judge Mitchell about doing a documentary, Mark said Mitchell’s response was, “’You can’t just show up with a camera and start filming people at the lowest point of their lives.’”

    “The judge was right,” said Mark. “At first, some threw bottles at us. But we hung in there and put in the time to get to know them until they felt safe enough to speak to us. We were there to help, not exploit them.”

    The response to their film has been high praise and enthusiastic reviews.

    “I think [the film] resonates with so many audiences because people know everybody deserves a second chance,” said Gabi. “The homeless situation is heartbreaking and it keeps getting worse. More and more tents keep popping up and there are people lying in the streets. They just took a wrong turn in life.”

    Runners find purpose when they show up to run with the judge and are treated with respect. Their self-image improves which helps them to get off and stay off the drugs. Skid Row Marathon has raked in 21 awards at film festivals across America—including Best Director, Best Editing, and multiple audience awards. To find out how to see it, visit the website.

    For this next winner, it doesn’t matter if you weren’t born yet or if you can’t remember a thing about the 60s and 70s because you were too damn high. Any age is the right audience for this one.

    Nico, 1988 is about the last year in the life of German model-singer-actress Nico (neé Christa Päffgen). Her glory had faded long ago, as did her exquisite beauty. She looked ravaged beyond her years due to her 15-year heroin addiction. In one scene, Nico (Trine Dyrholm) is sharing a cigarette with a friend.

    “Am I ugly?” She asks. He jokingly replies: “Yeah. Really.”

    “Good,” she says. “I wasn’t happy when I was beautiful.”

    In her teens she was a model for Vogue and Elle which led to acting in a number of films. But Nico is best known as Andy Warhol’s muse and as a singer for the Velvet Underground. Lou Reed wrote the band’s revolutionary lyrics about heroin, prostitution, and sadism.

    In 2003, that first album ranked number 13 in Rolling Stone magazine’s “500 Greatest Albums of All Time.” If Nico had been alive to see that, she would not have been impressed.

    “I don’t need everybody to like me,” she says in the film. “I don’t care.”

    She says in the movie that Jim Morrison suggested that she form her own band. When asked if she’s disappointed that her band never had commercial success, she rasps “I hate the word commercial.”

    Smartly directed by Susanna Nicchiarelli, Nico, 1988 is a fiery and fascinating study of another rock and roll tragedy. Though there’s nothing glamorous about watching someone eaten away by drugs, it was a great reminder to stay sober. Don’t miss the explosive tour de force by Dryholm. It brings chills.

    After I gave up substances, I became aware of—and had to let go of—magical thinking. Ironically, my next pick is about two dreamers who built a fantastical world that sparkled like a disco ball:

    Studio 54

    In Manhattan, 254 West 54th Street was the place to be. Studio 54 opened in 1977 and it was a smash hit—a nightly revelry of drinking, drugging and disco dancing. We’re talking gobs of cocaine, mountains of Quaaludes, and A-listers. Everyone else had to wait outside hoping they would be allowed in.

    Owners Steve Rubell and Ian Schrager, two Jewish guys from Brooklyn, became great friends at Syracuse University. Rubell’s charisma was always on but Schrager avoided attention—until now. The 71-year-old finally told details from 40 years ago that nobody has ever heard. Director Matt Tyrnauer got his hands on loads of never-before-seen footage.

    The owners were not prepared for the club’s instant success. It became a haven for celebrating sex and drugs. You’ll see Rubell zipping around, spoiling his guests, flashing open a long coat to reveal a drugstore in pockets—a smorgasbord of chemical delights.

    Rubell paid steeply for his 24/7 bacchanal. So, although the flick triggered my euphoric recall—wild nights hoovering cocaine, glugging Bacardi and dancing all night—I also remember what it cost me. I’m lucky—I did survive, hey, hey.

    The following film is about an unusual triangle between a girl and a “good” mother (the only mom she’d known) and an alcoholic stranger that kicks off a psychodrama.

    Daughter of Mine (Figlia mia) is a fictional story set on the coast of Sardinia, Italy. Two women, adoptive-mom Tina (Valeria Golino) and alcoholic biological-mom Angelica (Alba Rohrwacher), compete for the love and attention of 10-year-old Vittoria (Sara Casu).

    The shy, fair-skinned, redheaded girl had no idea that she was adopted. Heavy drinker Angelica has a life that is totally unmanageable. She’s being kicked off a farm for not paying her bills, but before slinking out of town, this “bad” mom begs adoptive mom Tina to let her spend time with Vittoria. Tina, who is compassionate but wary, finally agrees. She thinks What’s the harm? Angelica will be gone soon.

    Vittoria, however, is enchanted by her wild birth mother that looks so much like her. As they bond, Tina’s anxiety skyrockets. The story is at times predictable but that doesn’t take away from its emotionality or the power of the acting.

    Italian director Laura Bispuri described it as “three characters who are all placed in a conflict that…breaks their heart.”

    The thoughtful, slower pace of a European indie is refreshing. The backdrop of rural Sardinia, with its cliffs, expansive sky and turquoise water, adds to the film’s richness. After the U.S. debut at Tribeca, Strand Releasing purchased this touching award-winner, which is now available on Netflix and DVD.

    This next indie won the top award at this year’s Tribeca Film Festival for Best Narrative Feature. It also won Best Screenplay and Best Cinematography. All prizes are well-deserved.

    Diane stars Mary Kay Place as a sad, retired widow (badly in need of Al-Anon, if you ask me) who exhausts herself by putting the needs of others first. Her mess-of-a-son Brian (Jake Lacy) is a man-child who’s in and out of rehabs and opiate stupors. It’s maddening to see what she puts up with. Both actors give industrial-super-strength performances, as does the rest of the cast which includes Estelle Parsons and Glynnis O’Connor. Diane is the first narrative feature for documentarian Kent Jones (Hitchcock/Truffaut) who wrote and directed. Jones is also Director of the New York Film Festival at Lincoln Center. Martin Scorsese is executive producer.

    Diane spends her days schlepping long distances, performing good deeds. She feeds the homeless at soup kitchens, visits sick friends, and tends to her dying cousin and the rest of the extended family. She meets her klatch of old friends for lunch, where she has angry outbursts (Oh, Diane! Get thee to Al-Anon). The actress is a master at comedic nuances. Her self-blame is a mystery until the satisfying reveal and her character’s profound spiritual arc. IFC bought the film. Theater release date to be announced.

     

    Mary Kay Place in Diane

    Next is an award-winning narrative feature from the UK. It’s got the right ingredients: excellent writing, directing, acting, and cinematography—all in the first sequence. Clever, subtle hints show the audience what they need to know about the year (2011), the place (London), and the protagonist.

    Obey is explosive. Nineteen-year-old Leon (Marcus Rutherford) has been gone for four years. He came home to care for his alcoholic mother (T’Nia Miller). But there is one condition: she has to stop drinking. The good news is that his father is gone. Bad news? His mother replaced Leon’s abusive dad with a creepy, scary boyfriend who enables her addiction.

    Leon likes to hang out with his friends, box at the gym, and inhale nitrous oxide from balloons. Things intensify when he meets the movie’s female lead, Twiggy (Sophie Kennedy Clark). She’s a blonde with big blue eyes and luscious full lips. Leon is transfixed but femme fatale Twiggy has a boyfriend. Leon’s tension builds. It’s all too much and he is going to blow. Leon hates his mother’s boyfriend and her alcoholism, and outside is the chaos of the 2011 London Riots. Director James Jones uses actual news footage seamlessly. To find out how to see it, visit the website.

    Blowin’ Up is a documentary about sex workers who are caught in the legal system. Many who end up in “the life” have substance use disorders. Director Stephanie Wang-Breal presents their gripping stories without judgment as the film zeroes in on an experimental program in a Queens court. The compassion in the film is its biggest strength. The heroes are an empathic team of women, including a judge and DA, who work diligently to help the workers find a new start. Counseling is used to help them fight their way off of drugs and out of the life-sucking cycle of turning tricks, getting arrested and seeing their lives circle the drain. This solution-oriented program offers a chance at redemption. The new approach toward an age-old problem appears to be working. It is inspiring and brings hope for America’s failing justice system where recidivism is commonplace.

    [Allison: What do you think of these 2 quick mentions as blurbs with internal links as a Sidebar?]

    Pssst. Don’t miss these options:

    Roll Red Roll is a documentary directed by Nancy Schwartzman. It tells the horrifying story of a sexual assault case that took place in Steubenville, Ohio. Male high-schoolers, clearly intoxicated, were caught on cell phone videos, laughing about raping a teenage girl while she was in and out of consciousness. Much of the town mocked her on social media and sided with the local boys. She was ridiculed for being drunk. It’s a powerful film that shines the light on how vulnerable one is when intoxicated. Crime blogger Alexandria Goddard broke the case. The hacking group Anonymous became involved in order to fight for justice. If you ask me, not enough justice was served.

    Read more: Roll Red Roll

    Jellyfish is a fictional story about Sarah Taylor (Liv Hill), an overburdened teenage girl living in Margate, a dreary seaside town in England. Her mother, Karen (Sinéad Matthews), stays in bed all day while Sarah rushes her younger siblings, boy and girl twins (Henry Lile and Jemima Newman) to school. Sarah pedals madly on a bicycle with the youngsters seated in a makeshift wooden trailer that’s hooked to the back. It’s a sad rickety setup that instantly conveys how poverty stricken they are.

    Read more: Jellyfish Captures the Reality of Growing Up with a Mentally Ill Parent

    View the original article at thefix.com

  • Experts Release New Guidelines For Treating Women With Depression

    Experts Release New Guidelines For Treating Women With Depression

    A panel of mental health professionals created new guidelines to get more women help with their mood disorders during middle age. 

    A team of medical professionals has released new guidelines for evaluating and treating depression in perimenopausal women, after finding that the condition is common in the years leading up to menopause. 

    “Perimenopause is a window of vulnerability for the development of both depressive symptoms and major depressive episodes,” Pauline Maki, lead study author and professor of psychology and psychiatry in the University of Illinois at Chicago College of Medicine, told Chicago Tonight. “The recent suicide of Kate Spade at 55 years of age shows the seriousness of mental health issues in midlife women, a group that has shown a 45% increase in suicide rates over the past 15 years.”

    Researchers found that in the three to four years before menopause, the time when periods become irregular and women experience symptoms including hot flashes, women are at an increased risk for depression. The risk is greatest for women with a history of depression, but it is also increased for those with no depressive background. 

    “If there is underlying low-level depression to begin with, perimenopause can increase the intensity of depressive symptoms,” Maki said.

    Despite the prevalence, Maki said that depression during middle age has been largely ignored by the medical community. That’s why a panel from the North American Menopause Society and the National Network of Depression Centers Women and Mood Disorders Task Group came together to form the guidelines in hopes of getting more women help with their mood disorders during middle age. 

    Maki says the message from the research and recommendations is two-fold. 

    “If your mood is low, if you’re feeling irritable, I want (women) to understand there is a consensus that this is normal during menopause,” she said. However, “this is something women don’t have to live with,” she added. 

    Maki speculates that hormonal changes in the brain, combined with life stressors including caring for adult children and aging parents, increase the risk for depression in the years before menopause. 

    “When you add in hormonal changes that can affect the brain’s ability to cope with these stressors, it’s no surprise that depression is a common occurrence in midlife women,” she said.

    Even low-level depression can have an impact on a person’s quality of life, so doctors and patients should be open to treating depression with antidepressants and therapy, Maki said. Hormone therapy to treat the physical symptoms of menopause—particularly hot flashes that interrupt sleep—can also improve depressive symptoms. 

    “It is important for women and their health care providers to recognize that these symptoms are common during perimenopause and can be treated,” she said. “By treating some menopausal symptoms, we can help overcome some of the depression symptoms.”

    View the original article at thefix.com

  • British Royals Launch "Mental Health At Work"

    British Royals Launch "Mental Health At Work"

    The new online resource for both employers and employees seeks to take the taboo out of discussing mental health at work.

    Continuing their campaign to promote mental wellness in the UK, the British Royals have launched a new effort to support workers’ mental health.

    According to a survey of more than 44,000 workers conducted by the mental health non-profit organization, Mind, nearly half of workers in the UK (48%) have experienced mental health problems at work. On top of that, only half of these individuals have addressed their issues with their employer.

    Mental Health at Work, the new online resource for both employers and employees on improving mental well-being in the workplace, seeks to bridge this gap and take the taboo out of discussing mental health at work.

    According to the Mind survey, by training employers on how to promote workers’ mental health, they will feel more confident in supporting their staff. In turn, staff who had a supportive employer or manager reported that they were far more comfortable opening up about their mental health at work.

    The goal of the new online resource is to provide information, resources and training for employers and employees who wish to address mental well-being in the workplace.

    “We know that employers want to do more and are starting to see mental health as a priority, but often don’t know where to start. The new online Mental Health at Work gateway will change that,” said Paul Farmer, chief executive of Mind, in a statement. “Even small changes to policy, approach and workplace culture can make a really big difference to the mental health of those around us. No matter the size of your workplace, and no matter where you work, Mental Health at Work can help you find what you need to start or continue your journey to better workplace well-being for everyone.”

    The website offers a variety of toolkits pertaining to different situations—some of them include “Promoting a positive culture” and “Tackling Stress in the Workplace.”

    Mental Health at Work is just another arm of the British Royals’ campaign for mental wellness. Prince William, Kate Middleton, and Prince Harry launched Heads Together in 2016 to change the conversation about mental health in the UK and urge Brits to be more vocal about their struggles with mental health.

    “There are times when, whoever we are, it is hard to cope with a challenge—and when that happens being open and honest and asking for help is life-changing,” said Prince William last year. “Talking to someone else is a positive and confident step to take, but for too long it has been a case of ‘Keep Quiet and Carry On.’ As a result, too many people have suffered in silence for too long, and the effects of this can be devastating.”

    View the original article at thefix.com

  • Link Between Suicide And Opioid Use Examined

    Link Between Suicide And Opioid Use Examined

    Researchers hope that the results of a new study will help them better identify those at risk for suicide. 

    A three-year, $1.4 million study will examine the connection between opioid use and death by suicide, in hopes of more effectively identifying high-risk patients.

    “We know that opioid use, opioid overdose and suicide are related, but we need much more specific information to guide our efforts at prevention,” Gregory Simon, MD, principal investigator of the Mental Health Research Network and a co-investigator on the study, told Health IT Analytics. “The findings from this study will be a great asset to the public health community.”

    The goal of the research is to develop predictive models that can help doctors better identify and intervene with patients who are at higher risk of attempting suicide.

    Researchers will analyze data covering about 24 million medical visits, 35,000 suicide attempts, and 2,600 suicide deaths. They will try to predict how likely it is that a suicide will occur within 90 days of the time an individual visits a medical professional. 

    Opioid overdose deaths have increased exponentially in the past decade, while deaths by suicide increased 27% between 1999 and 2015. During that time suicides that involved opioids doubled, and may have increased even more. 

    “We’ve done preliminary work suggesting that 22 to 37% of opioid-related overdoses are, in fact, suicides or suicide attempts,” said Bobbi Jo Yarborough, PsyD, an investigator at the Kaiser Permanente Center for Health Research in Portland, Oregon.

    Despite the rising risks, doctors and mental health providers often have difficultly identifying which patients are at risk for suicide. 

    “While health care settings are ideal places to intervene to prevent suicides, clinicians aren’t able to easily determine which of their patients are at elevated risk,” Yarborough said. “Our ultimate goal is to develop the most accurate suicide risk prediction tools and put them into the hands of clinicians. If our study is successful, clinicians will have a powerful new resource in the fight against suicide.”

    Researchers will look at risk factors including illegal or prescribed opioid use, opioid use disorder, discontinuation or substantial dose reduction of prescription opioids, and prior non-fatal opioid-related overdoses. They will also examine how these factors affect men and women differently in order to understand whether one group is more likely to attempt suicide while using opioids. 

    Healthcare providers say that while suicide is highly stigmatized, talking openly about it can reduce the number of deaths.

    “I have learned that it is important to talk about survivor stories. We know that suicide is preventable,” Dr. Anne Schuchat, the principal deputy director at the CDC, said in June. “We are in a different era right now, with social media increased and also social isolation is high… We think helping overcome the isolation can improve the connectedness.”

    View the original article at thefix.com

  • Don't Blame Ariana Grande for Mac Miller's Death

    Don't Blame Ariana Grande for Mac Miller's Death

    The idea that someone holds another person’s very life in their hands and has the power to determine whether that person lives or dies is a painful and damaging misconception.

    I’ll be the first to admit that I don’t know very much about Mac Miller. I’ve never listened to his music or attended one of his concerts. My knowledge of him has mostly been in the headlines I’ve seen about his relationship with Ariana Grande and their subsequent breakup earlier this year.

    And yet, the second that news broke of Miller’s death Friday, I instinctively knew what was coming. I knew that following the shock over his untimely death, the shame and blame would begin.

    I knew because I’ve been there. I’ve lived it. And I’m here to tell you that casting blame is just about the most unhelpful thing you can do for someone following the death of a loved one.

    Sadly, I was right. Just a few hours after it was reported that Miller died of a suspected overdose, people began hurling blame on social media. Their target: Grande, who first fended off trolls after their May split when fans blamed her for her ex’s DUI. She even took to Twitter to explain their relationship.

    Now, four months later, Grande is battling trolls yet again. Trolls who are blaming her for Miller’s death and leaving hateful comments on her Instagram like “His spirit will forever haunt you,” “There’s a special place in hell for people like u [sic],” “You could’ve done something,” and “You should have helped him.”

    Grande has since disabled comments on her Instagram and fans quickly came to her defense on Twitter, but unfortunately, what happened to her is nothing new. It’s reflective of a pattern we’ve seen before, most notably with Asia Argento following Anthony Bourdain’s suicide in June. Argento was cyberbullied and blamed for the celebrity chef’s death, which prompted those in Hollywood to rally around the actress in the form of an open letter published in the Los Angeles Times.

    When someone dies suddenly and traumatically, it’s typically their loved ones who are caught in the crosshairs of other people’s grief and the struggle to understand the death. But what about those who don’t have an army of support like Grande or Argento? How are they supposed to traverse the minefield of grief following a traumatic death when they have so many questions and those around them are saying things that are more harmful than healing?

    It’s human nature to want to make sense of death because a part of us will always resist the idea that death is natural. And when the death is unexpected, like Miller’s, we rail against death even more, looking for any explanation we can find that will help us make sense of everything. Even if it’s misguided, sometimes those explanations come in the form of lashing out and assigning blame to those closest to the deceased.

    However, trying to place all the blame in the world isn’t going to magically bring the person back to life. Death isn’t something that we can wrap up neatly like a half-hour sitcom where everything is solved by the end. Just like life, death doesn’t work like that.

    When I was 21, my father suddenly and unexpectedly died from suicide. Although the day he died was the most traumatic day of my life, I wrestled with feelings of guilt and shame for years. I was the last one to see my father alive, and the questions swirled around my head in a never-ending loop. What if I’d woken up just 15 minutes earlier? What if I’d seen the signs that he was struggling? What if he said something on the last day of his life, something significant that I just casually brushed aside?

    What it? What if? What if?

    Those are the questions that plagued me, and I’m sure those are the types of questions on Grande’s mind as she mourns the loss of Miller. The best thing we can do for her — and everyone grieving the loss of a loved one — is to let the grieving process take place. Let people mourn in peace without hurling vindictive words at them. Those words are incredibly hurtful, not to mention cruel and damaging. The idea that someone holds another person’s very life in their hands and has the power to determine whether that person lives or dies is a misconception that has no place in the journey following someone’s death.

    As much as we’d like to think otherwise, we’re not superheroes who can swoop in and rescue someone. We can do everything to help them, of course, but we don’t have the all-knowing power to save them. And maybe even more importantly, it’s not our job to cure them. We can offer love, hope and compassion, but in the end, everyone on this planet is responsible for their own life.

    I can only hope that those trolls who are blaming Grande have never lost a loved one to a traumatic death like Miller’s. Trust me, people who lose someone to an overdose or suicide struggle enough with self-blame. They don’t need the world shaming and blaming them too. What they need is love and compassion. And space to grieve without shame.

    View the original article at thefix.com

  • Depression in Recovery: Do You Have Low Dopamine Tone?

    Depression in Recovery: Do You Have Low Dopamine Tone?

    I just felt like shit and slept as much as I could. I showed up to work. I kept my commitments. I spoke when asked to, but I felt more than unhappy. I felt like I just didn’t care.

    (The Fix does not provide medical advice, diagnosis, or treatment, nor does anything on this website create a physician/patient relationship.  If you require medical advice, diagnosis, or treatment, please consult your physician.)

    I just came out of a six-week depression. That might not sound very long, but when you’re in hell it feels like forever. Good news: I didn’t bone any 25-year-old strangers; I didn’t cut myself; I didn’t get loaded; I didn’t smoke or vape although I really, really wanted to. I didn’t even eat pints of Ben and Jerry’s while binge-watching I Am A Killer. I just felt like shit and slept as much as I could. I showed up to work. I kept my commitments. I spoke when asked to, but I felt more than unhappy. I felt like I just didn’t care. I didn’t return phone calls. I didn’t wash my hair. Suicidal thoughts bounced around my head, but I ignored them like I do those annoying dudes with clipboards outside Whole Foods.

    I’ve suffered from symptoms of depression since I was 19, so it’s an old, old friend. What really annoys me was that some (dare I say many?) people think at five and a half years of sobriety, you shouldn’t feel depressed. What I kept hearing from AA fundamentalists was:

    “It’s your untreated alcoholism.”

    “Listen to these tapes about prayer and meditation.”

    “You’re not connected enough to your Higher Power.”

    “You’re not going to enough meetings.”

    “You need to do more service.”

    Thankfully my sponsor, who has a foot in the medical world, did not say something along those lines.

    One of my big problems with AA is that it looks at every mental problem through the paradigm of your “alcoholism.” If you’re suffering, you should look to the program for relief. Nobody would tell you to “drive around newcomers!” more if you had diabetes or kidney failure, but if you’re feeling down, that’s what you’re told to do. As it turns out, AA is not completely off the mark: “Addiction is a not a spiritually caused malady but a chemically based malady with spiritual symptoms,” addictionologist and psychiatrist Dr. Howard Wetsman told me. “When some people start working a 12-step program, they perceive a spiritual event but their midbrain is experiencing an anatomical event. When they’re working a program, they’re no longer isolated and they no longer feel ‘less than,’ so their dopamine receptor density goes back up [and they experience contentment],” he explained.

    But what if your program hasn’t changed or feels sufficient and you still feel depressed? What if you’re working your ass off in your steps and helping others and you still feel like shit?

    “Well, low dopamine tone experienced as low mood can be brought on by fear and low self-esteem (the untreated spiritual malady part of alcoholism/addiction) but it can also be brought on by biochemical issues,” Wetsman added.

    Huh?

    So was I experiencing the chemical part of my “addiction” or was I having a depressive episode? Perhaps my whole life I’d been confusing the two. Of course, all I wanted, like a typical addict, was a pill to fix it. But as I’ve done the medication merry-go-round (and around and around) with mild to moderate success, I was hesitant to start messing with meds again. I didn’t have a terrific psychiatrist, and SSRI’s can really screw with my epilepsy. And Wetsman was talking about dopamine here, not serotonin. Hmmm…

    Dr. Wetsman has some interesting stuff about brain chemistry and addiction on his vlog. He mentions something called “dopamine tone” which is a combination of how much dopamine your VTA (Ventral Tegmental Area) releases, how many dopamine receptors you have on your NA (Nucleus Accumbens), and how long your dopamine is there and available to those receptors. Stress can cause you to have fewer dopamine receptors and fewer receptors equals lower dopamine tone. He’d explained to me in previous conversations how almost all of the people with addiction he’d treated had what he described as “low dopamine tone.” When you have low dopamine tone, you don’t care about anything, have no motivation, can’t feel pleasure, can’t connect to others. In addition, low dopamine tone can affect how much serotonin is being released in the cortex. Low midbrain dopamine tone can lead to low serotonin which means, in addition to not giving a shit about anything, you also have no sense of well-being. Well, that certainly sounded familiar.

    Dr. Wetsman has a very convincing but still somewhat controversial theory that addiction is completely a brain disease and that using drugs is the result, not the cause. I really suggest you get his book, Questions and Answers on Addiction. It’s 90 pages — you could read half of it on the john and half of it while waiting at the carwash. It explains in detail why most of us addicts felt weird and off before we picked up and why we finally felt normal when we used. Again, it’s all about dopamine, and it’s fucking fascinating. No joke.

    In his vlog, he explains that dopamine production requires folic acid which you can get from green leafy veggies (which I admittedly don’t eat enough of) but it also requires an enzyme (called methylenetetrahydrofolate reductase or MTHFR for short) to convert folate into l-methylfolate. Certain people have a mutation in the gene that makes MTHFR, so they can’t turn folate into l-methylfolate as effectively, and those people are kind of fucked no matter how many kale smoothies they drink.

    But it’s not hopeless. If people with this genetic mutation take a supplement of l-methylfolate, their brain can make enough dopamine naturally. Of course once you have enough dopamine, you’ve got to make sure you release enough (but there’s medication for that) and that you have enough receptors and that it sits in the receptors long enough (and there’s meds for that too).

    So this all got me wondering if maybe my MTHFR enzyme was wonky or completely AWOL. Dr. Wetsman urged me to find a good psychiatrist (since I’m on Prozac and two epileptic medications) or a local addictionologist in addition to taking a genetic test for this mutation. In his experience, patients who had a strong reaction to taking the l-methylfolate supplement were frequently also on SSRIs. They either felt much better right away or really really shitty. But if they felt even shittier (because the higher serotonin levels work on a receptor on the VTA which then lowers dopamine), he would just lower their SSRI or sometimes even titrate them off it completely. And voila. Success.

    It’s all very complicated, and this whole brain reward system is a feedback loop and interconnected with all kinds of stuff like Gaba and Enkephalins (the brain’s opioids) and Glutamate. But you guys don’t read me for a neuroscience lesson so I’m trying to keep it simple. The basics: how do you know if you have too little dopamine? You have urges to use whatever you can to spike your dopamine: sex, food, gambling, drugs, smoking, and so on. What about too much dopamine? OCD, tics, stuttering, mental obsession and eventually psychosis. Too little serotonin? Anxiety and the symptoms of too high dopamine tone. Too much serotonin? The same thing as too little dopamine tone. Everything is intricately connected, not to mention confusing as all hell.

    Being broke and lazy and having had decades of shitty psychiatrists, I decided to go rogue on this whole mission (not recommended). I mean I used to shoot stuff into my arm that some stranger would hand me through the window of their 87 Honda Accord so why be uber careful now? This l-methylfolate supplement didn’t require a prescription anymore anyway. What did I have to lose? I did however run it by my sponsor whose response was: “I’m no doctor, honey, but it sounds benign. Go ahead.”

    I ordered a bottle. A few days later I heard the UPS guy drop the packet into my mail slot. I got out of bed, tore open the envelope and popped one of these bad boys. A few hours later I started to feel that dark cloud lift a little. Gotta be a placebo effect, right? The next day I felt even better. And the next day better still. I didn’t feel high or manic. I just felt “normal.” Whoa. It’s been weeks now and the change has been noticeable to friends and family.

    Normal. That’s all I ever really wanted to feel. And the first time I felt normal was when I tried methamphetamine at 24. It did what I wanted all those anti-depressants to do. It made me feel like I knew other people felt: not starting every day already 20 feet underwater. I found out later that my mother and uncle were also addicted to amphetamines which further corroborates my belief that there is some genetic anomaly in my inherited reward system.

    When I emailed Dr. Wetsman to tell him how miraculously better I felt, his first response was “Great. I’m glad. The key thing is to take the energy and put it into recovery. People go two ways when they feel amazingly better. One: ‘Oh, this is all I ever needed. I can stop all this recovery stuff.’ Or two: ‘Wow, I feel better. Who can I help?’ Helping others in recovery will actually increase your dopamine receptors and make this last. Not helping people will lead to shame, lowered dopamine receptors and it stops being so great.”

    So no, I’m not going to stop going to meetings or doing my steps or working with my sponsor and sponsees. Being part of a group, feeling included and accepted, even those things can create more dopamine receptors. But sadly I’m still an addict at heart and I want all the dopamine and dopamine receptors I can get. However, I also know that enough dopamine alone isn’t going to keep me from being a selfish asshole…. But maybe, just maybe, having sufficient dopamine tone and working a program will.

    View the original article at thefix.com

  • Tess Holliday On Postpartum Depression: I Wished I Could Disappear

    Tess Holliday On Postpartum Depression: I Wished I Could Disappear

    The model has been open about her struggles with postpartum depression on Instagram.

    Plus-sized model Tess Holliday opened up about her battle with postpartum depression to Cosmopolitan UK.

    The 33-year-old, who launched the body positive movement (#effyourbeautystandards) in 2013, struggled with postpartum depression after giving birth to her son Bowie, which lasted from January 2017 to the spring of 2018.

    “It felt like the water was boiling over and things were coming to the top again,” she recalled in a May post on Instagram. “I remember very vividly driving in the car with Bowie and I thought to myself, ‘I wish I could just disappear. I wish I could vanish.’”

    Holliday also confessed on Instagram, “I’ve never had suicidal thoughts, or self harm, but the thoughts of just wanting to stop hurting and feeling helpless were new and frankly overwhelming. I’ve been open about my struggles with Postpartum Depression, but it wasn’t until recently that I realized I had extreme PPD.”

    Holliday was afraid to turn to her family for help because she didn’t want to burden them. “I felt at that point like I was causing everyone around me so much pain,” she continued. “It felt like a never-ending black hole. I was so tired of hurting… I just didn’t want to be here any more.”

    Yet it was with the help of her family and antidepressants that she finally got out of the black hole. “Ask for help, talk to someone, find a support group or hell, message me. You aren’t alone and you don’t need to suffer alone.”

    Holliday confessed she still has tough days. “Some days are still filled with sadness, anxiety and helplessness,” she adds. “As I write this, I’m in the bath, crying to my life coach via text wondering how my life is so full of so many amazing things, but the good bits seem hard to reach… Moms are expected to ‘bounce back’ physically and emotionally. We are expected to ‘stay strong’ for the family. Yet most of us (myself included) still have days where we feel like a stranger in our bodies.”

    Holliday concluded, “I’m grateful to have support in my life, friends to talk to, but it got so bad that I had to take action and by doing so it potentially saved my life.” 

    View the original article at thefix.com

  • Singer JoJo On Mental Health: I Named My Depression Burlinda

    Singer JoJo On Mental Health: I Named My Depression Burlinda

    In a recent Instagram post, the pop star described the self-destructive habits that fueled her depression and anxiety.

    Depression and anxiety affects millions of Americans—and celebrities are not immune. Recently Noah Cyrus, Demi Lovato, Ariana Grande and Emma Stone were among a slew of young artists who’ve been public about their inner struggles.

    Now, singer JoJo (born Joanna Levesque) expanded on her experience with depression—which she nicknamed “Burlinda”—in a recent Instagram post.

    In the caption accompanying a candid photo of herself, the “Too Little Too Late” singer announced that she will log off of Instagram “for the week to see how it impacts my mental/emotional state.”

    “There’s no peace inside the anxious mind. Sporadically, for years, depression and anxiety have convinced me I’m unworthy of love, patience, (real) self-care, and forgiveness. Made me question if I’m ‘good enough’ to do anything consistently. Made it hard to follow through and to have healthy long-lasting romantic relationships without sabotaging them,” the 27-year-old singer wrote.

    Levesque described the self-destructive habits that fueled her depression/void, named Burlinda. “In so many ways I’ve invited [Burlinda] to stick around… feeding her instantly gratifying treats that keep her growing… late night food binges, mind-altering substances, gossip, sex, comparing my life to what I see my peers doing on social media, etc.”

    JoJo’s next steps include “changing habits that no longer serve me, reclaiming my time, re-evaluating the relationships in my life.”

    “I love to sing and perform more than anything I’ve ever loved and I’ve always wanted to be the soundtrack to your lives,” she wrote. “But sometimes I feel paralyzed. Time for a reset. I deserve me at my best. So do you.”

    In past interviews, JoJo addressed her parents’ history of alcoholism and addiction, as well as her own struggles with drinking.

    “(My 2015 single) ‘Save My Soul’ is a song about addiction, and I grew up seeing addiction very close to me: Both my parents have struggled with it. So as a kid, you don’t kinda know when the bottom is going to fall through or what’s gonna happen next,” she said.

    The song is “about feeling powerless, and I’ve struggled with addiction in different forms, whether it’s addiction to love, to a person who’s not good for you, to food, to negative feelings,” she said.

    She, too, has been down dark paths. “I’ve definitely abused alcohol; I’ve been depressed. You can just kind of go down a black hole and find yourself addicted to almost anything,” she said.

    “For a while, I coped by drinking too much. I wanted to get out of my mind. I wanted to stop picking myself apart. I just wanted to feel good, to chase that high. I wanted to stop worrying about my career.”

    View the original article at thefix.com

  • Michael Phelps, Jared Leto & More Join Mental Health Awareness Broadcast

    Michael Phelps, Jared Leto & More Join Mental Health Awareness Broadcast

    Celebs and rock stars will join mental health experts for the live radio broadcast airing on September 9th at 7am.

    Artists, athletes, and mental health experts will come together for a two-hour radio special “I’m Listening,” to help raise awareness of the growing trend of depression and suicide—airing in time for National Suicide Prevention Week (September 9-15).

    Listeners can call in to the program to share stories about how mental health issues and suicide affected their lives. They can also share their stories via ImListening.org or through social media using the hashtag #ImListening.

    The Alternative Press reports that Mike Shinoda (of the band Linkin Park) and Jared Leto (30 Seconds to Mars) will join the live broadcast—which airs Sunday, September 9 at 7 a.m.

    While on the road, Shinoda has been paying tribute to his former bandmate and friend, Linkin Park vocalist Chester Bennington, who died by suicide in 2017, shocking family and fans.

    Michael Phelps will also be a part of the “I’m Listening” broadcast. The celebrated Olympian, who’s won 23 gold medals, has become a vocal advocate of mental health—promoting mental wellness and the importance of seeking help by sharing his own battles with depression, suicidal thoughts and problem drinking.

    Singer Alessia Cara will also appear on the broadcast. The singer and songwriter appeared on the song “1-800-273-8255” (named after the National Suicide Prevention Hotline) alongside rapper Logic and singer Khalid. The song was Grammy-nominated for Song of the Year.

    Actor and musician Jared Leto, the lead singer of 30 Seconds to Mars, and members of Pearl Jam, the Stone Temple Pilots and Third Eye Blind will also be featured on the live special.

    Mental health professionals will also join the broadcast, like Dr. Christopher Nowinski. The former WWE wrestler co-founded the Concussion Legacy Foundation in 2007, and wrote the book Head Games: Football’s Concussion Crisis, which addresses the long-term effects of head trauma in sports.

    Another is Dr. Ursula Whiteside, a clinical psychologist and CEO of NowMattersNow.org, a website dedicated to teaching research-based tools for how to help manage suicidal thoughts and mental health issues.

    Dr. Whiteside, who is certified for group and individual Dialectical Behavior Therapy (DBT), works with high-risk suicidal clients in her Seattle-based practice.

    “Hearing stories about people’s lives helps us understand suicide so we can approach this topic with people we care about,” she said. “I look forward to answering questions via phone and providing resources even after the on-air broadcast has concluded. This is critical given that suicide is something that 4% of Americans seriously consider.”

    Suicide is the 10th leading cause of death in the United States, claiming the lives of nearly 45,000 Americans each year, according to the American Foundation for Suicide Prevention.

    Depression is also widespread. According to WebMD, nearly 18.8 Americans over the age of 18 suffer from major depression. The majority will not seek treatment.

    View the original article at thefix.com

  • Noah Cyrus Talks Anxiety, Depression

    Noah Cyrus Talks Anxiety, Depression

    On her new EP, Miley Cyrus’s younger sister opens up about depression and “how it’s okay to feel those feelings.”

    Noah Cyrus is the other famous daughter of country star Billy Ray Cyrus and she also has showbiz in her blood. She made her acting debut on the show Doc at the age of three, and sang the theme song for the animated movie Ponyo at the age of eight.

    Now Noah is one of a number of young pop stars who is getting candid about her depression and anxiety struggles.

    Noah says that her experiences with anxiety and depression shaped her upcoming EP. She told L’Officiel her latest release is “mostly just about how my emotions have been, and about my anxiety, and how I’ve been struggling with depression, and how it’s okay to feel those feelings.”

    Noah has dealt with the struggle of becoming a celebrity in the day and age of social media, adding, “A lot of people like to judge you, and make fun of you on the internet, and people make you feel crazy whenever you’re in a depression or having anxiety or having a panic attack.”

    Noah’s new music also deals with “being sad and having your emotions and not being able to ignore the feelings you’re having.”

    Her new music has been an outlet for her emotions, and with her latest single, “Make Me (Cry),” a duet with Labrinth, she’s showing the world more of her self-proclaimed “emo side.”

    Noah says that releasing a single where she’s more in touch with her feelings may have been influenced by her brother, Trace Cyrus, the lead singer of Metro Station. “I think [it] probably stems from growing up with Trace in my house because he was the king of emo.”

    In addition to being more in touch with her mental health in her music, Cyrus has also been dating rapper Lil Xan, who has been outspoken against drug abuse in the hip-hop community. They’ve already recorded a song together, “Live or Die,” and Cyrus told People, “He’s a little teddy bear.”

    In the past, Noah’s sister Miley has also been open about her own struggles with anxiety, depression and substance abuse. She announced to the world that she quit marijuana last year, and she told ABC in 2014, “I went through a time where I was really depressed. I locked myself in my room and my dad had to break my door down. It was a lot to do with, like, I had really bad skin, and I felt really bullied because of that.”

    View the original article at thefix.com