Tag: mental health

  • A Young Immigrant Has Mental Illness, and That’s Raising His Risk of Deportation

    A Young Immigrant Has Mental Illness, and That’s Raising His Risk of Deportation

    José’s son was diagnosed with schizophrenia and bipolar disorder last year and has faced barriers to getting affordable treatment, in part because he doesn’t have legal status.

    When José moved his family to the United States from Mexico nearly two decades ago, he had hopes of giving his children a better life.

    But now he worries about the future of his 21-year-old-son, who has lived in central Illinois since he was a toddler. José’s son has a criminal record, which could make him a target for deportation officers. KHN is not using the son’s name because of those risks and is using the father’s middle name, José, because both men are in the U.S. without legal permission.

    José’s son was diagnosed with schizophrenia and bipolar disorder last year and has faced barriers to getting affordable treatment, in part because he doesn’t have legal status. His untreated conditions have led to scrapes with the law.

    Mental health advocates say many people with untreated mental illness run the risk of cycling in and out of the criminal justice system, and the situation is particularly fraught for those without legal status.

    “If he gets deported, he’d practically be lost in Mexico, because he doesn’t know Mexico,” said José, speaking through an interpreter. “I brought him here very young and, with his illness, where is he going to go? He’s likely to end up on the street.”

    Legal Troubles

    José’s son has spent several weeks in jail and numerous days in court over the past year.

    On the most recent occasion, the young man sat nervously in the front row of a courtroom in Illnois’ Champaign County Courthouse. Wearing a white button-down shirt and dress pants, his hair parted neatly, he stared at the floor while waiting for the judge to enter.

    That day, he pleaded guilty to a criminal charge of property damage. The incident took place at his parents’ house earlier this year. He had gotten into a fight with his brother-in-law and broke a window. His father said it was yet another out-of-control moment from his son’s recent struggles with mental illness.

    Before beginning proceedings, the judge read a warning aloud — a practice that is now standard to make sure noncitizens are aware they could face deportation (or be denied citizenship or reentry to the U.S.) if they plead guilty in court.

    José’s son received 12 months of probation.

    After the hearing, he said that his life was good just a couple of years ago: He was living on his own, working and taking classes at a community college. But all that changed when he started hearing voices and began struggling to keep a grip on reality. He withdrew from his friends and family, including his dad.

    One time, he began driving erratically, thinking his car was telling him what to do. A month after that episode, he started having urges to kill himself and sometimes felt like hurting others.

    In 2018, he was hospitalized twice and finally diagnosed with schizophrenia and bipolar disorder.

    José said that during this time, his son — who had always been respectful and kind — grew increasingly argumentative and even threatened to hurt his parents. The psychiatric hospitalizations didn’t seem to make a difference.

    “He asked us for help, but we didn’t know how to help him,” José said. “He’d say, ‘Dad, I feel like I’m going crazy.’”

    José’s son said he met with a therapist a few times and took the medication he was prescribed in the hospital. He was also using marijuana to cope, he said.

    The prescribed medication helped, he said, but without insurance he couldn’t afford to pay the $180 monthly cost. When he stopped the meds, he struggled and continued having run-ins with the police.

    Undocumented and Uninsured

    For people who are both undocumented and living with a mental illness, the situation is “particularly excruciating,” said Carrie Chapman, an attorney and advocate with the Legal Council for Health Justice in Chicago who represents many clients like José’s son.

    “If you have a mental illness that makes it difficult for you to control behaviors, you can end up in the criminal justice system,” Chapman said.

    People with mental illness make up only a small percentage of violent offenders — they are actually more likely, compared with the general population, to be victims of violent crime.

    Chapman said the stakes are extremely high when people without legal status enter the criminal justice system: They risk getting deported to a country where they may not speak the language, or where it’s even more difficult to obtain quality mental health care.

    “It could be a death sentence for them there,” Chapman said. “It’s an incredible crisis, that such a vulnerable young person with serious mental illness falls through the cracks.”

    An estimated 4.1 million people under age 65 who live in the U.S. are ineligible for Medicaid or marketplace coverage under the Affordable Care Act because of their immigration status, according to the Kaiser Family Foundation. (Kaiser Health News is an editorially independent program of the foundation.)

    Among them are those who are undocumented and other immigrants who otherwise do not fall into one of the federal categories as a lawful U.S. resident. People protected from deportation through the federal government’s Deferred Action for Childhood Arrivals policy, or DACA, also are ineligible for coverage under those programs.

    For many people in all those groups, affordable health care is out of reach.

    Some states have opened up access to Medicaid to undocumented children, including Illinois, California, Massachusetts, New York, Oregon, Washington and the District of Columbia, according to the National State Conference of Legislatures. But residents lose that coverage at age 19, except in California, which recently expanded eligibility through 25.

    For those who can’t access affordable health insurance because of their undocumented status, medical care is largely limited to emergency services and treatments covered by charity care or provided by community health centers.

    It’s unclear how many people have been deported because of issues linked to mental illness; good records are not available, said Talia Inlender, an attorney for immigrants’ rights with the Los Angeles-based pro bono law firm Public Counsel. But estimates from the American Civil Liberties Union suggest that tens of thousands of immigrants deported each year have a mental disability.

    Inlender, who represents people with mental disabilities in deportation hearings, said that when the lack of access to community-based treatment eventually leads to a person being detained in an immigration facility, that person risks further deterioration because many facilities are not equipped to provide the needed care.

    On top of that, she said, immigrants facing deportation in most states don’t generally have a right to public counsel during the removal proceedings and have to represent themselves. Inlender points out that an immigrant with a mental disability could be particularly vulnerable without the help of a lawyer.

    (Following a class action lawsuit, the states of Washington, California and Arizona did establish a right to counsel for immigrants with severe mental illness facing deportation. For those in other states, a federal program is designed to provide the same right to counsel, but it’s only for certain detained immigrants.)

    Medicaid For More People?

    Chapman and other advocates for immigrants’ rights say expanding Medicaid to cover everyone who otherwise qualifies — regardless of legal status — and creating a broader pathway to U.S. citizenship would be good first steps toward helping people like José’s son.

    “Everything else is kind of a ‘spit and duct tape’ attempt by families and advocates to get somebody what they need,” Chapman said.

    Critics of the push to expand Medicaid to cover more undocumented people object to the costs, and argue that the money should be spent, instead, on those living in the country legally. (California’s move to expand Medicaid through age 25 will cost the state around $98 million, according to some estimates.)

    As for José’s son, he recently found a pharmacy that offers a cheaper version of the prescription drug he needs to treat his mental health condition — and he’s feeling better.

    He now works as a landscaper and hopes to get back to college someday to study business. But he fears his criminal record could stand in the way of those goals, and he’s aware that his history makes him a target for immigration sweeps.

    José said his greatest fear is that his son will end up back in Mexico — away from family and friends, in a country he knows little about.

    “There are thousands of people going through these issues … and they’re in the same situation,” José said. “They’re in the dark, not knowing what to do, where to go or who to ask for help.”

    Christine Herman is a recipient of a Rosalynn Carter fellowship for mental health journalism. Follow her on Twitter: @CTHerman.

    This story is part of a partnership that includes Side Effects Public MediaNPR and Kaiser Health News. Kaiser Health News is a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation, which is not affiliated with Kaiser Permanente.

    View the original article at thefix.com

  • Bella Hadid Drugs & On Past Depression: “I Would Cry Every Single Morning”

    Bella Hadid Drugs Use

    “I feel guilty for being able to live this incredible life, have the opportunities that I do, but somehow still be depressed. It doesn’t make sense.” Supermodel Bella Hadid is in a good place. She recently opened up about her private battle with depression at the Vogue Fashion Festival in Paris. The in-demand model describes feeling conflicted about feeling depressed in the midst of a thriving career that saw her working with fashion greats like the late Karl Lagerfield and Tom Ford. “For a while, I just didn’t want to talk about it, and I’ve gone through a lot in the past few years with my health,” she said. “I feel guilty for being able to live this incredible life, have the opportunities that I do, but somehow still be depressed. It doesn’t make sense.”

    Emotional Instability

    Depression can affect anyone, regardless of social status or economic background. Despite her storybook life, Hadid was struggling with depression symptoms. “I would cry every single morning, I would cry during my lunch breaks, I would cry before I slept,” she said. “I was very emotionally unstable for a while when I was working 14-hour days for four months straight as an 18-year-old. I think I just wanted to breathe a little bit. And so it kind of put me in a spiral.” Last month, Hadid took to Instagram to give a spotlight to those living with depression: She wrote, “Yesterday was mental health awareness day. A struggle that I know a majority of us have dealt with in the past or [are] dealing with currently. And if not, you probably know someone who is…something that I have been dealing with for a few years but [is] finally at a point where it doesn’t consume me as much as before.” While Hadid is doing better, she still has “bad days along with the good, but [I’m] grateful and proud of myself to be in the place that I am today.” Hadid decided that speaking out about living with depression was important. “I feel like I would be doing a disservice to myself if I didn’t speak about something such as mental health, because that’s pretty much what I’ve been going through for the past five years very intensely,” Hadid said. “Now we’re here and we’re good, but it took a while.”

    Gigi’s Anxiety

    Gigi Hadid, Bella’s older sister, has also spoken out about mental health, specifically dealing with anxiety. During a panel for Reebok, Gigi detailed how being in the public eye can take its toll on your psyche. She described how the pressure to live up to this perfect image has left her with anxious feelings. To combat the pressure, Gigi has taken social media breaks and uses positive affirmations to help her cope. Hadid wrote on Instagram that she still has “bad days along with the good, but [I’m] grateful and proud of myself to be in the place that I am today.” Supermodel Bella Hadid turned 23 on October 9, one day before World Mental Health Day, and she used the occasion to speak out about the importance of taking care of your mental health.
    Hadid wrote on Instagram that she still has “bad days along with the good, but [I’m] grateful and proud of myself to be in the place that I am today.”
    In an Instagram post, she wrote, “Yesterday was mental health awareness day. A struggle that I know a majority of us have dealt with in the past or [are] dealing with currently. And if not, you probably know someone who is…something that I have been dealing with for a few years but [is] finally at a point where it doesn’t consume me as much as before.” https://www.instagram.com/p/B3fOqawgrC9/?utm_source=ig_web_copy_link Hadid still has “bad days along with the good, but [I’m] grateful and proud of myself to be in the place that I am today.”
    Bella Hadid Drugs
    Bella Hadid Drugs
    In her post, Hadid included a statement from mental health advocate Hannah Blum, which read, “Even on those rainy days where it feels like the world is covered in grey, do not lose hope, because there has never been a storm that lasted forever. The sun is always present; it too has to find a way through the clouds.” Late last year, Hadid was asked by Vogue what she considered her biggest success, and she replied, “Probably my health and mental state right now.” Hadid was recovering from a bout with Lyme disease, and she told People, “This year I really just feel like I am myself again and happy and healthy in all aspects of my life.”

    Social Media & Mental Health

    Hadid then addressed how social media can affect your mental health (Hadid has over 26 million followers on Instagram). “I would like to add that everything you see online or through social media is not always what it seems,” she continued. “The happiness we create online while being sad in real life makes no sense, but sometimes it just seems easier to live within your sadness rather than talk about it. If it wasn’t for the people closest to me, I probably would have still been in that place, and for that, I am forever thankful to them.” In closing, Hadid wrote, “If you are reading this and feel like there’s no light at the end of the tunnel, there is…and I see you! You are strong, you are good enough and you DESERVE to be happy!”
  • From War Correspondent to Workplace Mental Health Advocate: An Interview with Dean Yates

    From War Correspondent to Workplace Mental Health Advocate: An Interview with Dean Yates

    People often think of PTSD as being something that affects the nervous system, the brain, the body. I think it also affects the soul.

    After years of covering war, terrorist attacks, and natural disasters in the Middle East and Southeast Asia for Reuters, journalist Dean Yates was diagnosed with PTSD and “Moral Injury.” He sought healing not only with professionals and clergy, but by writing and sharing his story with the world. What happened next created a new role for him at Reuters and an opportunity to turn something tragic into something inspiring. 

    After meeting at a conference in London, Dean Yates spoke with me from his home in Australia. 

    What did it mean to be a bureau chief for Reuters in Bagdad at the time you were there? 

    Yates: I was the bureau chief in Bagdad at the height of the Iraq war just before the surge of US troops into Iraq. This was George W. Bush’s last roll of the dice. It had plunged basically into civil war. That first six months of 2007 were the most violent period during the Iraq war. There were car bombs going off every day. That job entailed being responsible for coverage of that story but also being responsible for close to 100 men and women in the world’s most dangerous reporting zone. That made it an extremely stressful job. If I had half an idea of what it was going to be like, I’m not sure I would’ve gone there in retrospect because what ended up happening was way beyond anything I was prepared for. 


    On the roof of the Reuters office in Baghdad

    Over the years you reported on many tragic events including a nightclub massacre that killed 202 people in Bali in 2002 and a tsunami that killed 165,000 in Indonesias Aceh province in 2004 before you arrived in Bagdad. You’ve written in your stories about losing several colleagues in Iraq. Can you talk about what that was like? 

    What it comes down to really is, you know, I felt morally responsible for the safety of my staff. I think that’s something a lot of people experience. Even though people say you did everything you could, you shouldn’t blame yourself, that wasn’t how I felt. It surfaced later into this moral injury. I just couldn’t live with myself because of what I saw as my own culpability and my failure. It was a spiritual care worker at the psych ward who helped guide me through a healing ceremony where I was able to pay my respects to Namir (22) and Saeed (40), the two men who were killed in an attack by a U.S. Apache helicopter on July 12, 2007 in Baghdad. This spiritual care worker was able to be at my side. No clinician could have done that. I really found I was able to make peace with myself after that ceremony.

    What is Moral Injury? 

    Actually, you can trace it back to the writings of Homer, the ancient Greek poet, and his epic poems “The Iliad” and “The Odyssey.” What it really means is if someone feels there is something that they did or didn’t do or that they witnessed that so deeply contravenes their moral compass or ethical values, they end up with a moral injury. People often think of PTSD as being something that affects the nervous system, the brain, the body. I think it also affects the soul. Think of a soldier who believed he was doing something good for the community but the Taliban, it turned out, didn’t like what he was doing and so the end result is that children die. You can’t give someone medication for that or give them a bit of evidence-based therapy.

    That makes sense. I’ve heard a lot of people in recovery talk about how when they were using and drinking, they did things in service of their disease which were not in alignment with their own moral compass. 

    You talk in one of your stories about taking paracetamol and codeine tablets to get to sleep and about drinking heavily as well as staying in bed, do you feel you were self-medicating your undiagnosed condition at that time? 

    Oh yeah, totally. I honestly don’t think I’ve ever suffered from addiction. I went through bouts where I’d rely on alcohol or prescription medication but I was never in that years long cycle that some of my colleagues have been in. I had a little bit of an experience with it, but I got off the booze quite easily on my first psych ward admission.

    Journalists have been known as boozers for as long as the profession has existed. I remember one weekend I was on duty and I was in the office asleep on the couch so hungover and the boss walked into the office with his wife and I remember him saying to his wife “let’s be quiet, I think Dean’s had a big night, we don’t want to wake him.” If that happened now, I’d be fired. But back then it was all part of the journalist culture. We went out and got roaring drunk. It was how we dealt with a lot of the traumatic stories. When we were in Baghdad we used to spend huge amounts of money on alcohol. Because we had to. Otherwise we would have gone crazy.

    You’re lucky you were brave enough to seek out help and you did find the help you needed so you no longer had to self-medicate. We talk now in the addiction field about trauma being one of the main causes of addiction.

    Who can be affected by PTSD

    Oh anyone. All it takes is a severe enough traumatic event for someone to be at risk of developing PTSD. But the problem is that people associate PTSD with soldiers and increasingly with first responders. I’ve seen it across so many different sectors of the work force: nurses, doctors, and then in the civilian sphere—domestic violence, road accident victims. In Australia 70% of people will experience a traumatic event, according to Phoenix Australia (a center for post-traumatic mental health in Australia). In the U.S. the biggest group of people with PTSD are actually victims of rape. It doesn’t matter what brought you to the diagnosis. It doesn’t matter what your profession was. You all have flashbacks, nightmares, anxiety, depression. We have these things in common that I thought wouldn’t have been possible and it makes me angry that so many of these people suffering with PTSD are silenced. It’s the same with addiction. 

    Addiction is very much a disease of isolation. The whole idea of stigma contributes to the avoidance. It looks to me like avoidance has a role in the development of mental illness and PTSD in the first place. 

    Yes, I had isolated myself incredibly. The only people who knew I had PTSD were my family and a few close friends. It was the same when I was in the psych ward. When I walked in that door it was terrifying. You know once you go through that door you can’t take that back. How’s that going to look on your resume? Because people think you’re crazy.

    What do you think happened for you in the process of writing your story “The Road to Ward 17” even before you published it? 

    The writing process is cathartic, it’s therapeutic, you learn a lot about yourself; it’s part of the recovery process. There’s so much research out there about the power of writing and sharing your story with others. 

    When you wrote your story, how were your expectations different from what happened when you actually published it? 

    I had initially thought that this could maybe be used as a blog for other colleagues, but then I thought this should actually be published. One of the things I thought about in the psych ward was that these folks who were in there, they were going through really rough times, and no one could tell their story. But I thought if I tell my story it’s a little like telling their story. 

    The story ended up in the hands of our investigations editor in New York who is responsible for what’s called our special reports. We rarely publish first person account stories. But he really liked it. And when the story came out I wasn’t prepared for the response. I was more prepared to get negative responses. For people to be angry about me talking about the Apache attacks and Wikileaks. But I got messages from people all over the world and all walks of life who had experienced trauma just saying thanks for writing your story, thanks for putting this out there, thanks for telling it like it is. I’d only come out of the psych ward a couple months earlier. 

    The video of the attack that killed your two colleagues, and the way only parts of it were released, created a certain perspective that skewed much of the response to it, even your own if I read you right. What have you learned about perspective in all this? 

    Two weeks after Namir and Saeed had been killed, I was sitting in this office with these two generals and they started playing the tape and we had no idea that was coming. I saw the first— not even three minutes— of the tape and the tape was stopped at the moment the Apache fired on the men which included my staff. I walked out of that briefing with this one image in my head of our photographer peering around that corner. That image actually was burned into my brain for years and I just could not get that image out of my head to the point where I actually started seeing him as being responsible for what happened, whereas the order to fire had already been given before he even peered around the corner. And then when the (full) tape was released in 2010 I could not actually physically watch it. I knew what happened. I had read the transcripts by then but I hadn’t actually watched it. It was only when I wrote that story that I was able to watch that tape for the first time because I knew I had to get the timing of the events correct. So it did give me a different perspective. That tape to me shows the world what the Iraq war was really like.


    Tributes to Namir and Saeed

    Changing the Face of Mental Health at Work

    How are you transforming what was a tragic event into something inspiring in your new role at Reuters? 

    I wanted to try to create an environment where our staff felt comfortable putting their hands up and saying I’ve got mental illness or whatever and have management respond with compassion so that they could access the resources we have available. Because when you have an environment where people don’t feel comfortable talking about it, there’s not much you can do. 

    We’ve been doing a series of internal blogs at Reuters. I wrote about my PTSD issues, and what it did is it kicked off other journalists writing about their own issues. The next person was a journalist in the Middle East who wrote about his struggle with bi-polar, another woman wrote about her depression, another guy wrote about his burnout. Some of these journalists have been overwhelmed with responses which also makes them feel like they’ve got meaning out of what they’ve done. They’ve got purpose out of what they’ve done. 

    We’ve had about 30 now but not a single blog about addiction. So this colleague of mine in London is going to write about her addiction but she wants to remain anonymous. I think that just shows how much stigma there still is.

    Those blogs were very powerful in normalizing that conversation to the point where I think they’ve been as effective as anything we’ve done in getting that message out there that it’s okay to come forward, and that you’ll get the support you need. And it’s helpful for managers because if they’re reading about colleagues getting help, they’re thinking I want to be a good manager and make sure my people get the help they need,too. One of my areas of focus this year has been in training managers on how to look after the mental health of their team.

    This is an important endeavor considering that, according to the Mental Health at Work 2019 Report BiTC, 62% of managers faced situations where they put the interests of their organizations above the interest of their colleagues. 

    You’re not a psychologist or a psychiatrist but what you’re offering is peer support; you can explain to a manager how to talk to their staff who are struggling because you’ve been there. 

    Right, I know the profession and I’ve got the lived experience of mental illness. I try to operate in the early intervention space. I am not an expert but I can be an advocate. I’ve got the street cred. No one can look at me and say you don’t know what you’re talking about. Because I do.

    If the 12-step movement has taught us nothing else it’s taught us that peer support works. 

    It crosses my mind that there’s something in this for the corporate world. How does mental health and addiction effect a company’s level of productivity?

    I was able to function very highly for a long time but one of the symptoms of PTSD is avoidance. And so one of the great ways of avoiding your issues is through work and that was how I did it and I know a lot of people who have done the same thing. People want to contribute and they want to be part of something bigger than themselves. All the research shows that work is good for people’s mental health in general. But the point is: Don’t look after people’s mental health because it’s good for the business, look after people’s mental health because it’s the right thing to do. People with a mental health issue just want to be acknowledged. They want to be treated as if they had come into the office with their leg in a plaster (cast). You come into the office with your leg in plaster–it’s okay, we’ll sort this out; you’re supposed to be at that conference next week, we’ll send someone else; and okay, you’ve got to go to that doctor appointment, no problem. If you treat people like that, the numbers take care of themselves. 

    Fair enough, though it is interesting to note that at the Mad World Summit in London, where we met, Sir Vince Cable was quoted as saying, “Mental illness costs the UK economy more than Brexit.” Which is a lot of money. And, according to the CDC, by combining medical and behavioral health care services, the United States could save $37.6 billion to $67.8 billion a year.

    One last question. What would you say to someone out there who’s suffering in silence from depression or PTSD or trauma or substance use disorder or any kind of mental illness? 

    You are not alone.


    Dean Yates in Times Square, October 2019 (Helen Barrow/Evershine Productions)

    The Road to Ward 17: My Battle with PTSD
    Return to Ward 17: Making Peace with Lost Comrades

    View the original article at thefix.com

  • Upon Release from Prison, a New Kind of Nightmare

    Upon Release from Prison, a New Kind of Nightmare

    After staring at a wall for almost half of my life, being able to look out the windows of the halfway house at the world but not being able to go out and experience it was maddening.

    When you’re being escorted out of a federal court room in shackles and handcuffs, after being sentenced to almost two decades behind bars, you can almost feel the life ooze out of your pores. The pronounced slam of a gavel drives home the fact you’re not in Kansas anymore, while one hope creeps its way into your brain: the day those cuffs come off and you’re free. This image is your savior, your best and only friend to keep you company throughout the brutally unforgiving years of violence, isolation, and solitude. Visions of beautifully simple things like going to the park or eating strawberry pancakes shoot through your psyche in bright shining lights onto the faded white graffiti laced brick walls of your 9-by-6-foot cell of despair. 

    All this promise makes it all the more devastating when that magical day arrives for the nightmare to end, and you realize just how far you are from getting out of the rabbit hole.

    “Have you ever played a PlayStation? Hell, have you even used a cell phone?” These are the words the middle-aged Latino case manager told me through the battered food slot inside the cell door of the Special Housing Unit. 

    “Someone like you, I wouldn’t give more than 4 months. The world has passed you by…but good luck.”

    These words of encouragement came from someone who spent almost as much time in the Bureau of Prisons as I have. A man who has witnessed firsthand how hard it is to adjust to a world that will chew you up and spit you right back. He wasn’t talking about my transition back into the free world. He was talking about the federally funded center that was in charge of restoring my sanity. 

    Institutionalization, PTSD, and Post Incarceration Syndrome

    PTSD and its sister syndrome, PICS (Post Incarceration Syndrome), are disorders in which a person has difficulty recovering after experiencing or witnessing a terrifying event. The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions.

    During my 15 years of incarceration, I experienced and witnessed atrocities that would make most war veterans cringe. Divided racial lines and the total disregard for human life were the first things that greeted me behind the grimy walls down in the swamps of Louisiana, USP Pollock. The “slaughterhouse of the south” averaged 40 stabbings a month, while incurring 16 murders in an 18-month span. Desensitization set in rapidly when watching a stabbing was as common as watching a baseball game. This was just the first of four penitentiaries in which I was beaten, stabbed, isolated, and herded throughout half of my life.

    While President Bush was fighting his wars overseas, and smartphones, text messaging, and iPods were shaping humanity, I was envisioning a breathtakingly beautiful sun setting over the ocean. The sound of waves crashing danced through my ears, as I felt the cool wet sand beneath my feet. When President Obama was still fighting the war, and Google, Facebook, and YouTube took over society, I was sitting in solitary confinement, my stomach touching my ankles, as I dreamed of the family dinners at my parents’ house. The four cheeses of mom’s famous lasagna made my mouth water, as I imagined the smiling faces of better years sitting around the table listening to Dad’s old war stories. As President Trump was halfway through his reign of terror, the cuffs finally came off and I was released. But little did I know, the nightmare was far from being over.

    Institutionalization is a gradual normal reaction to the unnatural and abnormal conditions of prisoner life. The more extreme, harsh, dangerous, or otherwise psychologically taxing the nature of the confinement, the deeper the damage that will be done. During this process, a prisoner incorporates the norms of prison into their habits of thinking, feeling, and acting. It renders some people so dependent on external constraints that they gradually lose the capacity to rely on internal organization and self-imposed personal limits to guide their actions and restrain their conduct.

    When I was released from the SHU in Big Sandy Kentucky on July 29, 2017, the world seemed to be in hyperdrive. My parents and sister, along with the girlfriend I’ve never held, laughed as I bounced around the car like a dog in heat. The speed of everything left me spinning as I tried to comprehend the tiny screen in my hands that was speaking directions towards the home I’ve never seen. Inside that car I felt alive for the first time in over a decade and a half. Then we stopped a block short from my residence, and all the rules that I’d just broken by being with my family drove away with five minutes to spare, as a whole new nightmare began.

    Bait and Switch

    According to the Federal Bureau of Prisons: “Residential reentry centers provide a safe, structured, supervised environment, as well as employment counseling, job placement, financial management assistance and other programs and services. RRC’s help inmates gradually rebuild their ties to the community and facilitate supervising ex-offenders activities during this readjustment phase.” 

    When I walked into the reentry center in downtown Pittsburgh, I wasn’t greeted with a homecoming of old friends and relatives like in the movies. Instead, I sat in a drearily filthy break room as paramedics wheeled off a semi-conscious reentrant to a waiting ambulance. These overdoses, ranging from heroin to K-2, would become a normal part of my daily routine. Once I made my way to the seventh of eight floors, each floor packed to capacity with clueless ex-cons all trying to breathe free fresh air, the prison mentality quickly set back in.

    My case manager greeted me in her tiny cluttered office and gave me a list of all the rules and regulations that make readjustment damn near impossible. No smartphones, riding in cars, or being ANYWHERE without approval a week ahead of time. If I wanted to stop at 7-Eleven for a cup of coffee in the morning on my way to work, I would be in violation of my release. I also received the bonus of not being allowed to publish any of my writing or leave the city limits. She concluded her orientation with the added kick to the nuts of twenty five percent of my pay getting kicked back to the house for the opportunity to feel the sunshine on my face for the first time in a decade and a half.

    I also was given the one-time warning about being late. If I was more than 5 minutes late back from a pass, whether it be a late bus or a broken leg, it was back to the box to finish out the remainder of my sentence. Just riding on public transportation is enough to give me a panic attack after years of isolation. The need to sit with my back against the wall is uncontrollable while my hypervigilance runs wild surveying everyone and everything. When you add a traffic jam to that equation, it’s almost debilitating. Going from a world with nothing but time, to one that will literally put you in a cage if it’s mismanaged, was and still is one of the hardest things to deal with after my release.

    During the 15 years of my incarceration, I lived with a lot of different people. A redneck from Wyoming to a skinhead from Seattle, I’ve been forced to share a bathroom with the best of them. No matter where they were from, there was one thing in common: I didn’t like any of them. Even Mother Teresa is going to get on your nerves if you’re stuck in a broom closest with her 24 hours a day for months on end. 

    Standing on the Edge of Freedom

    In the late 70’s, psychologist Bruce K. Alexander conducted his Rat Park study. In this study he took lab rats and housed them in two different environments. In the first, “skinner boxes” (solitary confinement), they were completely deprived of everything, even movement was difficult. The second environment housed the rats in a space 200 times bigger, with wheels, and boxes and other rats to interact with. Inside both settings were two different water bottles. One filled with narcotics to numb the pain that will run through any being under such harsh conditions, and the other without. Each time when the rats are housed in skinner boxes, they go right for the drugs. But, when they’re in rat park with all their friends, free to make decisions and live a good life, they always chose the clean water.

    After staring at a wall for almost half of my life, being able to look out the windows of the halfway house at the world below but not being able to go out and experience what I’ve been dreaming about for so long was maddening. Having that freedom dangling in my face, after coming so far, was heartbreaking. After years of dreaming about what you want to do, where you want to go, who you want to see, and then discovering you won’t be doing any of those things for a long time, it absolutely puts you right back into that ‘I don’t give a fuck’ mentality.

    Institutionalization can be taken to extreme lengths or become chronic and deeply internalized so that even though the conditions of one’s life have changed, many of the once functional but now counterproductive patterns remain.

    I spent 14 months inside the halfway house after my release. It almost seemed to last as long as the 15 years that I did behind the walls of our fine penal system. During that time, I wasn’t allowed to go to the park, or take my girlfriend out on a date. I couldn’t sit down for those family meals or see that sunset on the beach, but I made it through it. 

    I absolutely know that I suffer from PTSD and PICS as a result of my incarceration, and I’m far from the only one who suffers from these syndromes. Anyone would feel the same way as I do if they grew up deep inside the belly of the beast. Who knows if the hypervigilance, paranoia, and anxiety will ever allow me to be at ease when I’m out in society. It took me getting out of the system completely before I could even begin to heal.

    View the original article at thefix.com

  • How Diet Culture Harms Women in Recovery

    How Diet Culture Harms Women in Recovery

    Overlooking the physical impact that substance use disorder has had on our bodies will exacerbate disordered eating and poor mental health. As many as 72% of women with alcohol use disorder also have an eating disorder.

    Diet culture is insidious. We spend our lives obsessed with our bodies — always wishing for a smaller shape, scrutinizing the size of the portions on our plates, and unscrupulously comparing ourselves to thinner people. It’s damaging because it leads us to equate our worth with our appearance. For people in recovery, that is especially harmful. We experience physiological changes quickly — including weight gain — once we find recovery, and we can often leap to the assumption that we have a food addiction and reach for harmful, quick-fix solutions.

    But what if that weight gain is actually the inevitable evolution of our bodies in early recovery?

    When we stop taking drugs and drinking and instead prioritize basic human needs that we previously neglected, like eating, we often gain weight. Unfortunately, before allowing our bodies and appetite to achieve homeostasis, we seek to avoid feelings of discomfort which makes us vulnerable to the pervasive messaging from diet culture.

    What Is Diet Culture?

    Diet culture affects people of all body sizes, but it is particularly harmful for people who have larger bodies. It also perpetuates eating disorders because being seen as fat is believed to be one of the worst things that can happen to a person. And in many ways, it is: we’re treated differently, we’re stigmatized, and we’re valued less.

    The National Eating Disorders Association states: “Diet culture creates the belief that it’s okay to risk the life of a fat person in order to make them a thin person.”

    In order to overcome diet culture, however, we must first create awareness of what it looks like. NEDA identified the key tenets of diet culture as:

    • Encouraging rules about what, when, and how much to eat. This can manifest as restrictive diets — perhaps marketed as juice cleanses or liquid diets — and the trend to label food “good” and “bad.” We can also see it demonstrated in fasting diets and not eating within certain time frames.
    • Suggesting that people are more or less good/moral/worthy based on their body size. As a culture, we reward people for thinness. Compliments are almost always based on how someone looks, and we’re particularly congratulatory if the person we’re complimenting looks like they’ve lost weight. Conversely, we stigmatize, oppress, stereotype, shame, and harass fat people because they don’t meet our perception of how we think they should look. Fatness is the butt of many jokes, it is the source of much ridicule, and it is the reason we make assumptions about people in larger bodies. We assume that fat people are lazy, that they sit in front of the TV favoring binge-eating over exercising, and that they are probably depressed.
    • Creating thin privilege. Weight becomes a barrier to jobs, benefits, support, comfort, and accommodation. Expecting that public transportation, amusement park rides, medical facility waiting rooms, and exam rooms will accommodate you is thin privilege.
    • Using exercise as punishment. Instead of exercise being joyful, movement is seen as a means of punishing ourselves for eating too much, or a way to “earn” a “cheat meal.”
    • Viewing fat people as higher risk medically. Clinicians often recommend restrictive surgeries or prescribe medications to fat people, even though there are serious (sometimes fatal) and lifelong risks associated with these treatments. These invasive and drastic measures are often favored by doctors over evidence-based interventions, completely overlooking the patient’s quality of life and the associated risks.

    The Risks of Diet Culture for People in Recovery

    We often overlook our physical needs in early recovery, instead focusing on getting and staying sober. But programs focused solely on spiritual well-being aren’t enough. Overlooking the physical impact that substance use disorder has had on our bodies will only exacerbate disordered eating and poor mental health. Prioritizing proper nutrition, however, has been shown to significantly improve rates of recovery.

    Substance use disorder can cause considerable damage to our bodies that can take years to even out. It can disrupt metabolic and hormonal processes leading to poor calorie consumption and nutrient deficiencies. These deficiencies can be serious as they impact our mental health, vital organs, and immunity — that’s why we often feel depressed, agitated, and out of sorts in early recovery. What we eat during this crucial time has the potential to impact our mental well-being and how our bodies heal. Part of that healing often includes weight gain, whether we like it or not.

    Once we remove drugs and alcohol, we experience biochemical changes that can lead to an increased appetite and a desire to boost our low mood. Our brains are now wired to seek that pleasure externally, so we look to highly palatable foods: candy, fried foods, fast food, cake, cookies, and sugary caffeinated drinks.

    People in recovery often lack sufficient nutritional education about the right foods to eat. We also move less in early recovery, sitting in meetings, spending a lot of time in coffee shops, or sleeping. The combination of increased consumption of highly palatable foods, disrupted bodily processes, poor food choices, and a lack of exercise inevitably lead to weight gain.

    However, despite the fact that many of us were underweight when we came into recovery, we still treat any weight gain as a negative. That’s because of diet culture. We are quick to label our sudden increase in appetite and desire for highly palatable food as a problem. Some jump to the conclusion that they are addicted to sugar or food.

    Many women in recovery have a disordered relationship with food. As many as 72 percent of women with alcohol use disorder also have an eating disorder. This makes it even more crucial that we allow the process of recovery to take place and eat a balanced diet free from restrictions.

    Carbohydrates are needed to produce the neurochemical serotonin to balance our mood, help us sleep, curb food cravings, and sustain energy. Protein is crucial to healing and mental health: a lack of dopamine can trigger a return to substance use to improve mood. Fat is essential for mental health and also plays a role in stabilizing mood and reducing symptoms of anxiety and depression.

    It can be hard to accept weight gain. It leads us to look at our bodies and our relationship with food more critically. But this hyper-focus on our appearance leads to further harming our already damaged self-esteem.

    “Women in recovery have already been through a tremendous amount of shame,” says intuitive eating coach and RN Tiffany Thoen.

    “Feeling that we are not good enough or that there is something wrong with us is familiar and contributes to the desire to change ourselves to be ‘better,’” she says. “Diet culture preys on these feelings of low self-worth for profit. For women in recovery, this adds to self-loathing by becoming one more way we aren’t good enough.”

    Rather than acknowledge that our bodies need food in order to heal and what we are experiencing is a normal part of recovery, we try to reverse that weight gain by going on restrictive diets, which only undermines the healing process. It can also have disastrous consequences: it can inhibit the healing process and our ability to function, trigger co-occurring conditions like eating disorders, and risk a return to using substances.

    How Do We Combat Diet Culture?

    In order to focus on our healing, we must allow for the process of recovery and not get sucked into diet culture. Thoen recommends that we empower ourselves to reject diet culture by taking these steps:

    • Cultivate awareness around negative self-talk
    • Notice where you might see messages promoting diet culture: on TV, in magazines, or on social media
    • Consider who is benefiting from your believing these messages
    • Set boundaries with friends and family around diet talk and commenting on bodies
    • If you use social media, follow people of all shapes and sizes doing a variety of things, such as the hashtag #womeneatingfood
    • Cultivate respect, acceptance, and gratitude for your body as it is today, because our bodies are doing their best to support us
    • Do the inner work around value, worth, and self-forgiveness
    • Get support from the many available resources, books, podcasts, online groups, coaches, etc. so you don’t have to do it alone

    Don’t lose hope. As Thoen says, “Diet culture is insidious and can keep up in a cycle of self-loathing. Healing your relationship with food and body is possible.”

    View the original article at thefix.com

  • The Opioid Crisis Is Our Greatest Opportunity

    The Opioid Crisis Is Our Greatest Opportunity

    Overdose survivors need more than a second (or third) chance: they need a parachute. When you’re in free fall, a little more time isn’t much help.

    Perhaps everything that is terrible is,
    in the deepest sense, something
    that wants our love.

    Rilke

    The overdose epidemic in the U.S. has been called “the greatest public health crisis of our time.” It’s also our greatest opportunity.

    The opioid crisis is an identity crisis: it’s a challenge to how we see ourselves. Do we truly believe that we are all in this together? One answer leads us deeper into despair. The other, into a hopeful future.

    It’s been said that “doing more things faster is no substitute for doing the right things.” What are the “right things,” the measures that can resolve the crisis, not just postpone it? The right actions come from the right thoughts. Those thoughts come from feelings, and feelings are never right or wrong. But there are some feelings we are born with. They are our birthright. And one of them is love.

    The Kindness of Strangers

    Hatred never ceases by hatred, but by love alone is healed.

    The Buddha

    Behind the opioid epidemic is a prevailing lack of compassion, of caring about everyone equally. At the heart (or lack of it) of this societal disease is rampant inequality. The social determinants of health: stress, unemployment, lack of support, poor health care, etc. are major drivers of addiction. Many authors promote this view, including Gabor MateBruce AlexanderSam QuinonesRobert Putnam, and Harry Nelson.

    Our increasing fragmentation affects everyone, poor or rich.

    Drug overdose is the leading cause of death for Americans under the age of fifty…

    Our material lives may be outwardly prosperous, but our psychological and spiritual lives are in freefall. What is driving us to self-destruction? There are many factors, all with one unifying theme: we are no longer living in community with one another and, consequently, we are lonely.

    Francie Hart Broghammer

    We all hunger for the same thing. The question is this: do we love our neighbor as ourselves? That’s not just a commandment; it’s a requirement. How do we rebuild community? First, by taking full responsibility for the fallout of not being one.

    For Whom the Boom Tolls

    Compassion is not a relationship between the healer and the wounded. It’s a relationship between equals. Compassion becomes real when we recognize our shared humanity.

    Pema Chodron

    I live in Asheville, a city that has recently, like the opioid crisis, exploded. Tourism is at an all-time high, and Asheville has appeared in dozens of destination top ten lists. It has also been ranked second in the country in gentrification.

    Asheville sits in the heart of Appalachia, where the opioid crisis is at its worst. In 2017, North Carolina had the second highest increase in opioid deaths in the country. The Blue Ridge Parkway runs through town and I spend a lot of time there, mostly foraging. That’s where last summer, for the first time, I found not mushrooms, but needles.

    Despite the crisis, the city just spent six months trying to shut down the local syringe exchange. The same thing is happening in other cities. In Asheville, the exchange had been operating without incident for over two years — until the houseless (a.k.a., homeless) in adjacent areas were kicked out to make way for new development.

    Addiction depends on denial. What if development is the real addiction? Will we face up to the dark side of gentrification or just try to make it “go away?”

    If a canary dies in a coal mine, you don’t blame the canary. Yet blaming the victim is exactly what we’ve been doing.


    Blue Ridge Parkway, 8/20/18 

    License to Ill

    A man came to the Rabbi and said, “Rebbe, my son has turned against me. What should I do?” The rabbi said, “love him even more.”

    Hasidic story

    Most people by now have heard that naloxone (Narcan) can prevent a deadly overdose. So many Americans are dying — often from a mix of drugs, but mainly due to opioids — that naloxone should be as ubiquitous as aspirin. Everyone using a drug that may contain opioids should carry it like an EPI pen. And with the increasing prevalence of fentanyl, a single dose may not be enough. Everyone should know how to tell how much naloxone to give someone in the midst of an overdose. This should be basic, universal knowledge.

    But keeping someone alive is just the beginning. In fact, while naloxone may be physically safe, it does have one significant side effect: precipitated withdrawal. And not helping someone through it is like catching them from falling only to drop them from higher up.

    A Devil’s Bargain

    Be kind, for everyone you meet is fighting a hard battle.

    Ian Maclaren

    As one response coordinator describes it, precipitated withdrawal is like “the worst flu you’ve had… times 100.” For some, the feeling is so bad that they find themselves dying, so to speak, to use again.

    To the uninformed, it is inconceivable that someone who nearly died from a drug would run out that very same day and buy more of it. Narcan works by binding to opioid receptors, blocking the effect of narcotics like heroin. In drug users with a physical dependency, it also has the effect of causing severe withdrawal symptoms. This all but guarantees that the first thing a user will think of after their overdose is reversed is getting another fix

    Christopher Moraff

    Naloxone is not just a “bandaid on a bullet hole.” It can feel like ripping open a wound. For “withdrawal is the very situation that [users] are seeking to avoid in the first place.”

    “A dose of naloxone,” according to the Chief Medical Officer for a Connecticut health agency, “is a chance. But if it’s not coupled with immediate offers of treatment, it may be a slim chance that leaves the revived individual running back to the same dealer who sold them their last lethal dose.”

    Overdose survivors need more than a second (or third) chance: they need a parachute. When you’re in free fall, a little more time isn’t much help.

    Back on the Chain Gang

    Without forgiveness, our lives are chained, forced to carry the sufferings of the past and repeat them with no release.

    Jack Kornfield

    “They’re usually very angry when we bring them around,” says one responder. “One kid yelled at me, ‘You think this will make me stop doing drugs?’” Indeed, one substance abuse specialist in Ohio says that 67% of people revived with naloxone in her area use again within 24 hours. NPR reports that “about 30 percent of those revived with Narcan at Boston Medical Center have been revived there more than once… and about 10 percent of patients more than three times. Those statistics are in line with what’s seen in ERs elsewhere, public health officials say.”

    According to a former agent for the DEA, one woman in Ohio, within 24 hours of being revived for the the sixth time, was using again. In the first half of 2017, one man in North Carolina was revived fourteen times.

    To be clear, I am not saying naloxone provides a safety net that encourages people to take bigger chances. Studies have shown that naloxone does not increase drug use any more than free condoms increase sex. Nor am I saying we should place limits on the number of times we revive people.

    What I am saying is that naloxone is no miracle drug. When you “come to,” the problem remains. Overdose survivors are 24 times more likely than the general population to die in the following year. One study found that for those revived with naloxone, nearly one in ten are dead within a year, the majority within the first month. Follow up is critical. But even that is not enough.

    Not by Locks Alone

    Few things can help an individual more than to place responsibility on him, and to let him know that you trust him.

    Booker T. Washington

    In June of 2019, New Jersey became the first state to allow paramedics to administer buprenorphine along with naloxone to ease the pain of withdrawal. Buprenorphine is the drug that, like methadone, is used in opioid replacement therapy. But this measure will, according to one expert, “make a meaningful difference only if rescued individuals are linked immediately to ongoing treatment and agree to participate in that treatment.”

    “Immediate” is key. And at least one hospital in New Jersey has been making that link, through state-paid recovery coaches, since 2017. A coach might work with someone “for weeks or months.” And the cost to taxpayers of helping people in this way is surely far less than the cost of leaving them on their own.

    Unfortunately, however, getting people into treatment is not enough. Not all treatment is good treatment. In fact, much of it is worse than doing nothing at all.

    Under the Rug

    Beware of all enterprises that require new clothes, and not rather a new wearer of clothes.

    Thoreau

    People usually go to rehab for 28 days, maybe a month and a half. In most cases, the treatment fails, if you regard failure as return to use. A study reported in the Irish Medical Journal found that 91% of people who go through rehab are using again within a year; 80% in the first month.

    “Most honest program directors,” says veteran addiction expert Julia Ross, “will admit to 90% relapse rates, and I assume that if they admit to 90%, it’s probably worse.” Drug courts are no better. A national study of seventy-six drug courts found a reduction in the rate of rearrest of only 10 percent.

    Moreover, when people come out of abstinence-based rehab, their tolerance has gone way down, so they are more likely to overdose. This is a common reason why fentanyl is killing people: it’s much stronger than they are expecting, especially in an opioid-naïve state. Making fentanyl test strips available can help prevent overdose, but that still doesn’t deal with the basic issue of why they’re using in the first place. What pain are they killing?

    Zero Tolerance

    Winning isn’t everything; it’s the only thing.

    Henry “Red” Sanders

    I watched my grandmother die a very slow death. At 90 years old, after three cancers, open heart surgery, and several strokes, she still fought tooth and nail. Christopher Ryan, author of Civilized to Death, compares our approach to death to the final minutes of an NBA basketball game. We drag it out. We go for quantity instead of quality. Is that also our approach to addiction? As long as they don’t die, we’re OK. This is similar to abstinence-based approaches to addiction treatment: As long as you don’t use, you’re OK. This amounts to saying, “it’s more important to look good than to feel good.”

    To be clear: I’m not saying we should just let our neighbors die. I’m saying we need to do more than just keep people alive; not less. We need to treat the cause, not just the symptom.

    Spare the Prod

    If you want to be heard, whisper.

    Author Unknown

    The overdose crisis is part of a larger epidemic of despair. The facade of America as the “land of opportunity” is failing. Asheville today is “booming.” For whom? Are we saving lives or just saving face?

    Fortunately, Asheville has begun to address its weak spots, and we now have three needle exchanges. We all need to look in the mirror and face where we — as a community, as a country — are really at. Because not doing so is killing us. Whether we die quickly from overdose or slowly from alcoholism, cancer, or depression, we are ALL canaries in a coal mine. And you can’t just rake the canary over the coals.

    It’s one thing to save lives. But throwing someone into withdrawal without providing detox support or throwing them out of treatment because they’ve relapsed is like hitting a child to make them stop hitting other children. Such heavy-handed measures only perpetuate a cycle of abuse. Even a magic bullet leaves a wound.

    Sticks and Phones

    Can you love people and lead them
    without imposing your will?

    …leading and not trying to control:
    this is the supreme virtue.

    The Tao Te Ching

    There’s a reason our greatest leaders practice nonviolence. If all we do is arm people with naloxone, if we fight firearms with firearms, the conflict will only escalate. Stronger opioids are already requiring stronger antidotes.

    With this approach, we may win a few battles, but we will lose the war. You can’t win when you see this as a war to begin with. Because you can’t force someone out of addiction any more than you can force them to stay alive. Force is what causes addiction.

    In 2015, Victoria Siegel, 18, died of a methadone overdose precipitated by cyberbullying. We worry about bullying in schools. What about parental bullying — or governmental? Some of us are aware of the alarming incidence of domestic violence. How many of us recognize how our culture is inherently abusive, our very way of life?

    Sometimes we forget that we are treating people, not diseases. We are bio-psycho-social beings. We have feelings. If addiction comes from pain, and pain comes from hurt, then we need to reduce hurt, not just harm.

    A Dying Shame

    You cannot be lonely if you like the person you’re alone with.

    Wayne Dyer

    We will not end drug abuse until we end human abuse. We will not end human abuse until we end abusive thinking, because violence starts with what you think. A saying often attributed to Martin Luther King Jr. is that “you can have no influence over those for whom you have underlying contempt.” As long as I think, “you’re not good enough; this is all your fault,” or I say that to myself, addiction has a foothold.

    The blame game has no winners. “We’ve lost what it means to just be ourselves and for that to be ok and for that to be enough. So we find ways to self-medicate,” says Rev. Shannon Spencer. People will use painkillers as long as the pain is killing them, for there are few emotions more agonizing than shame.

    We Are Faminy

    I don’t remember now how many days we stayed—long enough to hear David sing often and tease us about white people’s music, which, according to him, is only about “love.” He observed that the Hopi have many songs about water, which they consider the rarest and most precious of resources, and then asked, with feigned innocence, if white people sang so often about love because it was equally rare in our world.

    Peter Coyote

    To many, opioids feel like the opposite of shame. One user describes the feeling as “like being hugged by Jesus.” Indeed, “the very essence of the opiate high,” according to Gabor Mate, is that it feels “like a warm soft hug.” This is the feeling of unconditional acceptance and support, or love.

    We live in a culture where love is the one thing we sorely lack. Millions of people are starving for just a few drops of it. If only for a few moments, we desperately need to feel like we’re OK, that someone wants us to be here, as we truly are. Like they say, it is rain that grows flowers, not thunder.

    Inside, we know we’re not just here to feed The System. We know it should be feeding us. We should not be starving. We should not have to be forced, or force ourselves, to do anything. People need to be supported to decide for themselves what healing looks like for them and to approach it in their own time.

    The Emperor in the Room

    Opioids are like guns handed out in a suicide ward; they have certainly made the total epidemic much worse, but they are not the cause of the underlying depression.

    Anne Case and Angus Deaton

    To solve the drug problem, we need to focus on more than drugs. Otherwise, we are shooting the messenger. Drugs are like the emperor’s clothes; it’s time to look at who’s wearing them.

    Like Dr. Jekyll and Mr. Hyde, opioids and their antagonists are two sides of the same coin. Focusing on either is like looking for your keys under the streetlamp when you know you dropped them further up the street. There is an “upstream” issue here. That issue is our domination-based, “have to” culture. If we stick to our guns, if we continue to be violent, inside and out, we will continue to die.

    Whether we kill another person, the planet, or ourselves, we are a culture committing suicide. We are overdosing on “progress.” We are addicted to things far more insidious than opioids; you’re looking at one.

    Progress isn’t progress when it’s in the wrong direction. The direction we’re going is apart. The direction we need to go is back together.

    Only the Lonely

    Humanity’s current crisis may not, at its root, be an economic crisis or an environmental crisis. It may well be a crisis of consciousness, a crisis in how see ourselves and the world around.

    Peter Russell

    If you’re in the right place at the right time, armed with enough naloxone, you can save a life. But what about an hour later, or the next day? You might get someone into treatment, but what about after that? A person that susceptible to overdose can scarcely be left alone. And that aloneness is the real problem. In fact, it’s how addiction starts.

    The connection between social isolation and addiction shows up on many levels, from treatment to prevention. The most obvious is that you can get naloxone into the hands of every drug user, but it will do them no good if they overdose alone.

    Human beings may be the most social animals on earth. Social isolation can drive us to despair, addiction, and even suicide. Loneliness is self-reinforcing and can lead to shame, for it can mean “I don’t deserve to be loved.” This can be the underlying emotional pain that comes back during withdrawal, whether from an opioid or from someone withholding their affection. And that lack of affection could be the primary cause of addiction.

    Fatal Attraction

    If one has a friend, what need has one of medicines?

    Bhartrihari

    There can be no healing without community. “This unique American moment asks not for a call to arms, but for a call to neighborliness.” (Francie Hart Broghammer)

    No amount of “care” can substitute for the watchful eye of loving family, friends, or neighbors. No amount of “treatment” can make up for how we treat each other. It truly takes a village.

    Ultimately, it’s not drugs that are killing us; they are just finishing us off. Whether or not we beat the horse, we’re already practically dead. Something has weakened us enough to succumb to drugs. It’s the same thing that allows dealers to intentionally make some of their merchandise deadly, or if it’s naloxone, to jack up their prices.

    What our culture is most addicted to is exploitation. It’s what the system is set up for. It compels us not to care. As Ken Eisold says, “The loss of community is not a problem that can be dealt with through psychotherapy,” for what needs rehabilitation is our society. There’s something wrong “with the village.”

    The greatest tool I know for rebuilding community is Nonviolent Communication (NVC). The best approach I’ve encountered for addressing the disconnection inherent in addiction is SeekHealing.

    We are the Medicine

    At the root of the opioid epidemic are deeper questions that we have to ask about society. What kind of society do we want to live in? Do we want to live in a society where we believe every life truly matters? Do we want to live in a society where we all chip in, recognizing that we are vulnerable in some way, whether it’s to addiction or loneliness or other conditions, and that we are stronger when we come together, when we recognize our interdependence, and when we help each other?

    As tragic as the opioid epidemic is, if it can move us in a direction of shared understanding about our interdependence, if it can help us address these deeper social roots of disease, then I believe that we will have used it ultimately to improve ourselves to become stronger as a country.

    Vivek Murthy

    To make it out of this crisis, we need to look at the big picture. As writer David Dobbs puts it, “trying to understand mental illness without accounting for the power of social connection is like studying planetary motion without accounting for gravity.” If we only look at addiction on an individual level, we are missing the forest for the trees. If you don’t heal the forest, it gets harder and harder to heal each tree.

    It’s especially hard to heal when you’re continually cut down. In this culture of mutual exploitation, we treat each other like truffula trees. We factory-farm humans and clear-cut them for fuel. We do it to each other and we do it to ourselves. All to feed the machine, the matrix. To race into space, we’re melting our wings.

    Saving lives, then, is only the beginning. It’s the tip of the iceberg. Because it is we, not “they,” who have an addiction. This isn’t about how we use drugs; it’s about how we use each other. Because ultimately, there are no others. We are not just a bunch of individuals. We are one, interdependent whole. Our greatest public health crisis is that we’ve forgotten who we are.

    The Opposite of Addiction

    Sometimes out of really horrible things come really beautiful things.

    Anthony Kiedis

    This crisis is an opportunity, a wake-up call. If we take responsibility for it, there’s no limit to what we can do. It’s said that anything is possible if it doesn’t matter who gets credit for it. The same is true of blame.

    We are all in this together. That’s the bottom line. There is but one answer to this crisis, and we each carry it at the bottom of our heart.

    View the original article at thefix.com

  • Getting Better Meant Getting Bigger

    Getting Better Meant Getting Bigger

    It meant eating past the point of comfort. It meant not letting yourself feel that high, that addictive strength that filled your stomach when you kept it empty of everything else.

    Your fingers fumble to find the key to your front door. Your breath is ragged, tired from climbing the three flights of stairs to get here. 

    It took you 12 minutes to bike back to your small and pointy two-by-two apartment from the university, where you teach two English courses to 50 first-year students who care as much about writing as they do about their parents’ sex lives. 

    Finally finding the right key, you open, walk through, push shut your front door and switch on the dining room light to find the box of a greasy, half-eaten frozen pizza and two empty bottles of diet Coke on the table. Wads of dirty napkins are crumpled and scattered across both the table and floor beneath the mess. Your roommate’s caffeine-induced chatter wafts from down the hall, she’s on the phone with her boyfriend again, as you slink off your backpack and take two steps into your tiny kitchen. Bits of crumbled sausage and cheese strings stretch across the stove’s burners. 

    The smell of hot meat and milk still linger in the air. You pull them from the stovetop in an effort to clean the mess and turn towards the laundry room, which holds your trash bin. It’s overflowing, which pisses you off. In fact, you’d sworn to yourself that you’d let the mess keep piling until your roommate might finally notice that there is, astonishingly, no such thing as a trash fairy. You don’t know yet that before you go to sleep tonight you’ll have emptied and replaced the bin, grumbling the whole time about people who never clean up their messes. But now you only toss the scrapings of cheese and stale sausage into the sink behind you before reaching for the second cabinet from the fridge. 

    Hunger

    You’re tired, hungry, and looking for something to make for dinner. You look into the cabinet, one hand gripping the silver metal knob you’d pulled to open the door, the other pushed up against a corner’s edge. You lean into the structure, arms raised slightly higher than your head, and stare at the boxes inside

    bland bran cereal

    whole wheat pasta shells

    cannellini beans

    light tuna packed in water. 

    You’d paid for these things with small handfuls of change you’d found squirreled away in secret spots across your apartment, as if you’d been preparing for a harsh winter back in central New York where you grew up. 

    When you were eight, maybe nine years old, you’d save your coins from doing chores, searching between couch cushions, found under pillows after losing a tooth the day before. You’d tuck them in between the slats of cedar wood that held your twin bed up off the floor. Behind stacks of messily folded socks and underwear in your top dresser drawer. Between the pages of your favorite Dr. Seuss books—savings you’d use to buy green eggs and ham or a wocket for your empty pocket. You’d learned to hide your money from your brother, who’d once used the two dollars you’d gotten from vacuuming the living room to buy a deck of Pokémon cards from the Indian gas station in town; you never stopped stashing your fortunes since.

    Seventeen years later, in Texas, you continually hide your change in new places. Some in the right breast pocket of a jacket you hadn’t worn in weeks. Some folded and stuffed into a back zippered pouch of the fading brown leather purse you stole from your mother back in high school. More still, wadded up somewhere in the depths of your backpack, amidst the books and pens and folders, almost forgotten. The bills and quarters, dimes and nickels and pennies you pulled from their spaces like hidden treasures elated you at first, but within minutes an unease would set in. 

    When you were eight and your father, on Sundays after getting home from golfing with his buddies from the Legion, asked if you wanted to head to Buell’s Fuels before dinner, you’d collect your coins and clench them in your tiny hands the whole drive to North Bay, anticipating mouthfuls of Skittles or Jolly Ranchers, shaking with excitement as if you’d already been on the sugar rush. Your father wasn’t driving you these days though. Now, your trips were only made when your cabinets got so bare, your fridge so empty, that your roommate might ask you if you were going away for the weekend. 

    A Higher Level of Care

    You knew you needed to make a trip soon. At the thought of it alone, you could feel the anxiety bubbling into the base of your stomach like acid from a science experiment gone wrong. The acid burned harsher though when, three days ago, your nutritionist called to tell you it was time to consider a higher level of care. I don’t think we can continue to see you, she said, not after seeing so many abnormalities in your bloodwork. Your psychiatrist had taken your weight before your last meeting, asked you more questions than usual, looked at you longer after each of your answers as if she was searching for things left unsaid. She suggested increasing your meds, sent you home, then reached out to your doctor.

    The next morning, he called you to discuss your alarming drop in weight and the dangerous condition he believed you were now in.

    These people suggested taking a leave of absence from work, from school, after you lost another eight pounds over the past month. Their words made you feel smaller than you already were. Their concerns, meant to help, made you feel lost, unsure of yourself, desperate to get back in control of the life you’d begun here, before they could force you out of it. 

    You worked too hard to get here. Left behind your last job, your home, your friends and family in upstate New York to come here. You wouldn’t let them take that away from you, so you stopped answering their phone calls, replying to their emails, and promised not to keep making excuses to not eat. You’d get better without them. Getting better meant getting bigger. It meant eating past the point of comfort. It meant not letting yourself feel that high, that addictive strength that filled your stomach when you kept it empty of everything else. In your mind, it was all about control: the less you ate, the more power you had.

    It was glorious, going without, but no one seemed to understand that. Maybe not even you. 

    You couldn’t afford to feel that way anymore, though. You couldn’t afford to keep saving your change in tucked-away corners and worn pockets like you did when you were eight. You were 25 now and sat in the driver’s seat of a black SUV that you paid $200 a month for, as you drove four minutes down the road, money clenched in hand, to the bulk-foods store where you walked down aisle after aisle, admiring the rows of temptation. Finally, painfully, you surrendered to one box of pasta, one of cereal, a can of beans and a tin of tuna.

    Life or Death

    Opponents, you think, staring back at the food now sitting inside the white-wood cabinet. Enemies challenging you to yet another battle, to life or death. Your head drops, eyes close, and you breathe out a sigh of exhaustion. Your stomach’s growling, a pestering nudge from the audience egging you on to face the attack and adding to the tension held within your unsettled gut, your sallow skin, the crease between your tired eyes that’s grown two-fold over the past year from moments like this.

    Focusing in on the dingy gray tiles of the kitchen floor, you think about the last phone call you had with your father. When he answered after three rings with a throat-deep ghuh-hemmm to clear away the beer-induced phlegm that had collected there before bringing up the most recent bill he’d gotten from the eating disorder treatment center you’d stayed at over the summer.

    Another couple hundred bucks, he said. Guess I won’t be getting the truck fixed this week. A joke. A laugh. Not from you.

    Herrr-hummm. You’d be staring out your passenger seat window, watching rows of tourists’ summer cottages whir by, while your father tapped his construction work-callused fingers against the steering wheel. Winding along paths paved alongside towering oak trees, driving down dusty dirt roads on a lake’s shore in central New York, you looked out at the passing arbors and breathed in the sickly-sweet smell of hydrangea bushes dotting the lawns. One bush after another of their hazy heated blossoms; some wedding-dress white, others a soft cashmere pink, still more in robin’s-egg blue. The smell of summer, of eight years old, of drives with your father to North Bay for lottery tickets and candy.

    You loved the 12 minutes it took to get from his house to Buell’s, loved to walk up and down the aisles inside looking at the brightly-colored bags of Sour Patch Kids, Slim-Jims, or tropical Skittles before he’d yell to you to come pick out a ticket at the register. You’d grab a bag of Cheetos and skip to his side, glance up at the man behind the counter, then spot the six-pack of Milwaukee’s Best sitting next to the ticket case. You’d look away from the beer, knowing the two men were waiting on your decision, and silently imagine choosing a scratch-off that could win you a night without your father’s drinking. Number four, you’d say, perhaps subconsciously, as you knew this would be the number of cans finished by the time you ate dinner. You’d never choose ticket five, because that’s the number when things started to get messy.

    Back in the kitchen, you notice your grip has tightened on the cabinet’s side panel. Your knuckles are white around bones that jab out like sticks, and you’re thinking about how much you hate that this is what dinner on an ordinary Thursday night has come to.

    Food wasn’t always so difficult for you. You remember the way you used to sprint down the staircase and bolt out the front door when your grandpa asked if you wanted to go get ice cream from Harpoon Eddie’s, how you’d look at the list of flavors and wonder if you could ever choose between cookie dough or moose tracks, until eventually deciding to get both for good measure. You remember when you could eat an entire box of Kraft macaroni and cheese, the kind shaped like Scooby-Doo or Spongebob, that your grandmother would make in her kitchen when you stayed home sick from school. You remember licking off the streaks of butter, cheese, and whole milk until your green plastic bowl was spotless. You remember when you could look into a cupboard filled with boxes and tins without thinking about the calories listed on their labels.

    What you don’t remember is when you started to think this way. It seems now that life without these thoughts would be impossible, as if they always were and always would be a part of you, a part of your anatomical structure passed down through generations of grandparents or great-aunts, or maybe fathers. 

    With your arms still flanking the cabinet in front of you, maybe you’ll start to wish that you’d been an alcoholic instead, like your mother always warned you about when you were 16 and starting to drink shitty, watered-down beer in your best friends’ basements after soccer practice. Maybe you’ll wish you were more like your father, who could glug down a gallon of beer without a second thought. How easy that would be, to be able to escape the stress of reality by simply sipping. You might be thinking it’d be an easier addiction to have, one that could be abstained from, unlike yours that ran solely on abstaining itself.

    Control

    Your father faced cabinets filled with beer cans: ones that could be bought or not, drunk or not, their taking in a nice but unnecessary addition to life. His high came from the insides of cans, while yours came from depriving your insides of cans. His addiction, like yours, helped him escape, to separate himself from who he was in reality. With every beer he became the man he wanted to be: powerful, strong, in control. By not sipping or slurping or swallowing, you’d found you could do the same. Not eating was one choice you could always make, one way to feel in control when everything else seemed to be accelerating without you.

    Still staring at the food before you, you might think about the years spent driving to Buell’s and strolling down aisles of Doritos and M&Ms, picking out lottery tickets, listening to your father’s drunken comments and targeted jokes, and remember how small you felt then, too. How his big voice bellowed even louder after a couple beers, and you sat in silence next to him. You hadn’t understood then, sitting in the bucket seat of his truck in Buell’s parking lot, that he drank to feel bigger himself. He craved the burning, trembling, passionate power that came when he was in control of something, of you. But you wouldn’t understand that until years later when you felt the same thing after not finishing your food or avoiding the cabinet that you stared into now.

    Instead, you’ll find yourself cursing your father between labored breaths, as you look at the boxes and tins in between your skinny, raised arms, trying to just make dinner. 

    Your stomach growls louder, hungrier, so you ease your grip and raise your head, hoping to forget about him. You shake back brittle strands of auburn hair from your cheeks, unclench your squeezed-shut eyes to stare once more into the rows of boxes and cans you’ve collected over the past week, hoping to see something that you can fathom choking down but find, instead, a cabinet filled with nothing but Milwaukee’s Best. Your eyes dart between cans. Confused. Panicked. Desperate. You squeeze them shut once more and reach blindly inside, grab whatever you can with two hands, and close the door before you open your eyes to see a box of spaghetti and a can of tuna in your grip. 

    You grab your roommate’s small saucepot from the back burner, fill it half-way with water from the sink behind you, and turn the stove’s dial to HIGH without bothering to clean out the stuck-on ramen noodles she’d made the night before. You toss a handful of pasta strands into the pot before waiting for the water to boil because you know if you don’t, you’ll never bring yourself to put them in at all. And while your pulse slows back to its usual 48-per-minute beat, you’ll notice that your roommate has stopped talking.

    You hate the silence, partly because it makes you feel alone, but also for making you feel like you’re parked back in Buell’s parking lot with a box of beer and a couple scratch-offs in your lap. 

    It’s All Crap 

    Your father refused to listen to the radio when you guys took trips to North Bay. It’s all crap, he said when you asked him why. Once, when he was still cashing out inside, you turned on the local country station and bobbed your head from side to side, eyes closed, before he opened the door and pushed the power button off before ever hearing a note of Shania Twain’s twangy tune. He already had a can popped open and half-guzzled before stepping out of the store, a second one cracked as you nickeled or pennied away the colored foil from your number four scratch-off. You handed him his ticket, one of the longer crossword-style ones, and wished it could slow him down a bit; as if the speed of his scratching could parry his drinking and make less time for the snide remarks and sarcastic jabs that were surely on their way.

    As usual, he scratched off the bottom section of his ticket to reveal the three letters that tell if your ticket’s a winner or not, a secret he’d taught you to save time, and you knew with those letters that you’d lose that night just as quickly as he’d lost on his ticket. 

    Your father tossed his empty can onto the floor by your feet and reached for a second. You bent over to wipe away a splash of beer that dribbled down your bare, sunburnt calf and, annoyed, returned to scratching. You made sure to get every corner of the foil off mostly just to spite his insolence, while he talked to some wrinkly, beer-bellied man he must know from the Legion standing outside his window.

    You opened your snack pack of Cheetos, grabbed a handful and ravenously stuffed them into your mouth while staring out the window. A woman pulled empty Coke cans from a black garbage bag and fed them to a giant machine with the words “Redemption” plastered on top. While your father kept talking you grabbed the empty can of Milwaukee’s Best he’d thrown at your feet and ran it over to the woman. She thanked you, glanced past your shoulder to your father’s black truck, and turned back to the machine with a look of what you’d one day realize was pity.

    Running back to the truck, you pulled your door shut and went back to your Cheetos. After a couple more minutes, your father turned to ask if you were ready to head home, never having realized you’d gotten out. Sure, you answered, noisily sucking Cheeto dust off of your fingers but quickly regretting it for the mixed metallic taste leftover from your scratch-off.

    Bigger Than Everything

    Your left pointer finger is in your mouth, and you’re not entirely sure why, until you realize that same taste of metal is coating your tongue. You pull out your finger, hold your hand in front of your face as the smell of tuna mixes nauseatingly with the taste of blood, and watch as a stream of red goo oozes from a two-inch slit in your skin. You don’t recall ever taking the can opener out of the drawer, clipping it to the can of fish, and cranking the knob in circles until, apparently, your finger decided to somehow get in the way. You try to think if you have any Band-Aids in your bedroom closet, assume you probably don’t, and decide that the green and beige polka-dotted kitchen towel will make a fine tourniquet. Your hands shake as you wrap the dishcloth tighter around your finger.

    It’s now 7:45 and you’re starting to feel faint. The last thing you ate was half a cucumber, sliced and salted, at three o’clock between teaching classes. 

    You pick a brown potholder from the same drawer you’d pulled the can opener from, grab the plastic handle flanking your roommate’s pot, and drain the starchy pasta water from the noodles. You see that only a few drops of blood got on the stovetop, adding to the red specks of pizza sauce, while unfortunately, your tuna is clean. You consider accidentally dropping the dirty dishtowel into the pot of pasta, making an excuse to not eat it, but ultimately push aside the thought as your vision goes slightly hazy. You start to feel lightheaded, your mind a tornado like the kind you get when you stand up too quickly, so you grab onto the countertop to steady yourself. You normally love this feeling. You welcome it, encourage it, get off on the dizziness that you, no one else, willed into being.

    Ironically, feeling dizzy made you feel grounded, powerful, an unstoppable force like the kind your father became when he drank. You became a body that was bigger than any German mustached man in a run-down corner store parking lot. 

    Bigger than yourself. 

    Bigger than everything. 

    But you’d made too many storms over the past couple of months; your body couldn’t handle any more. 

    Eat, you say, maybe out loud. Just eat, damnit. 

    Beat, you dump out the flakes of fish into the pot with your pasta, grind some pepper on top, and jab a fork into your dinner. Twirling a couple strands of spaghetti onto it, you bring it half to your mouth before, in one final attempt to stall your eating, you decide to clean up the mess you made. You place the pot back onto the still-warm burner, your makeshift tourniquet still intact, and push the cardboard pasta box back into the white-wood cupboard above your head, then reach for the empty tuna can still on the counter. Turning to the laundry room once more, you see the overflowing trash can sitting just inside the door.

    And as you stare at the garbage spilling onto your wood-paneled floor, irritated, exhausted, despaired, the heat of the stove still in the air and can still clutched in hand, you wonder if you’ll ever find steady ground.

    View the original article at thefix.com

  • Shia LaBeouf Says Co-Star With Down Syndrome Saved Him From Alcohol

    Shia LaBeouf Says Co-Star With Down Syndrome Saved Him From Alcohol

    His “The Peanut Butter Falcon” co-star Zack Gottswagen made LaBeouf promise to never do “that kind of stuff again.”

    Actor Shia LaBeouf told interviewers on the UK’s Channel 4 that he was saved by tough love doled out by his The Peanut Butter Falcon co-star Zack Gottsagen. At the time, LaBeouf was dealing with the backlash from his drunken arrest, during which he launched into a racist rant against his arresting officers.

    LaBeouf and Gottsagen star in the movie, with Gottsagen playing a man with Down syndrome who has dreams of becoming a professional wrestler. Notably, Gottsagen lives with the condition in real life. The unfiltered and unflinching bluntness from Gottsagen helped LaBeouf get his head on straight.

    A Straight Shooter

    “Zack can’t not shoot straight,” he admitted to Esquire in an interview. “And bless him for it, ’cause in that moment, I needed a straight shooter who I couldn’t argue with.”

    As the story goes, LaBeouf was skulking around on the set of The Peanut Butter Falcon the day after his embarrassing arrest, unable to muster the will to make eye contact with any of the cast on the boat where they were filming. Gottsagen, sitting next to LaBeouf, put his hand on his shoulder.

    “He nursed me back, on a boat, during a scene where we’re talking about, like, the painful past,” LaBeouf said in the interview.

    The Ultimatum

    Gottsagen also gave an ultimatum to LaBeouf.

    “I was sad and cried,” Gottsagen said to Channel 4. “But I’m still gonna take a chance for myself to give Shia one chance to prove to himself… never, never, never do this kind of stuff again.”

    LaBeouf had been arrested for becoming disorderly after being refused a cigarette by a stranger. TMZ obtained video of the actor screaming at his arresting officers, including some racially charged comments.

    “So you wanna arrest, what, white people who give a f— who ask for cigarettes? I came up trying to be nice, you stupid b—,” LaBeouf said on camera, among other things. “I got more millionaire lawyers than you know what to do with, you stupid b—.”

    But thanks to his co-star, LaBeouf eventually got his head on straight.

    When asked by Channel 4 presenter Cathy Newman if he felt the film saved him, in a way, the actor was definitive in his answer.

    “No, it’s not too dramatic to say,” LaBeouf admitted.

    Gottsagen’s mother, Shelly, says that conversation is the reason LaBeouf hasn’t had a drink since.

    The film The Peanut Butter Falcon is out in theaters now.

    View the original article at thefix.com

  • Prince Harry, Ed Sheeran Team Up To Bring Awareness To Gingers, er, Mental Health

    Prince Harry, Ed Sheeran Team Up To Bring Awareness To Gingers, er, Mental Health

    Their mental health awareness video starts with a gag—Sheeran “mistakenly” believing their team-up was to bring ginger awareness.

    Prince Harry and musician Ed Sheeran teamed up to bring awareness to Mental Health Day, October 10, taking a moment to run a gag about their shared hair color. On a video shared to both of their Instagram accounts, Sheeran seems to have “mistaken” the purpose of their get-together.

    “Really excited today,” Sheeran says in what looks like a behind-the-scenes interview. “I’m gonna go and, uh, film a thing with Prince Harry. (He) contacted me about doing a charity video with him, which is gonna be good. I’ve long admired him from afar.”

    A Great Misunderstanding

    Prince Harry pushes along the misunderstanding with ambiguous comments.

    “This, for me, is a subject and a conversation that’s just not talked about enough,” said Prince Harry. “I mean, people all over the world are really suffering.”

    The two then start to write a song, but soon their misunderstanding becomes evident.

    “People just don’t understand what it’s like for people like us,” Sheeran says in the video. “The jokes and the snide comments, and I just feel like it’s time we stood up and said, ‘We’re not going to take this anymore. We’re ginger, and we’re going to fight.’”

    Prince Harry then tries to set the record straight.

    World Mental Health Day

    “Um, OK,” he says to Sheeran. “Slightly awkward. This might have been maybe a miscommunication, but this is about World Mental Health Day.”

    Sheeran tries to play it off.

    “Oh, yeah, yeah. Of course. No, no. I definitely knew that,” he says, deleting the phrase “GINGERS UNITE” from the document draft on his laptop.

    The pair get back on message after the gag, encouraging everyone to be aware of those around them who might be struggling with mental health issues.

    “Guys, this World Mental Health Day, reach out, make sure that your friends, strangers, look out for anybody that might be suffering in silence,” Prince Harry tells viewers with Sheeran sitting by his side. “We’re all in this together.”

    Prince Harry has been an advocate for mental health, struggling himself as he grappled with the sudden death of his mother, Princess Diana, as a child.

    “My way of dealing with it was sticking my head in the sand, refusing to ever think about my mum, because why would that help?” he told The Telegraph in a 2017 interview. “It’s only going to make you sad; it’s not going to bring her back. So, from an emotional side, I was like ‘Right, don’t ever let your emotions be part of anything.’ So, I was a typical sort of 20, 25, 28-year-old running around going ‘Life is great’, or ‘Life is fine’ and that was exactly it.”

    Recently, Prince Harry has set his sights on the popular video game Fortnite, which he blasts as addictive and irresponsible.

    View the original article at thefix.com

  • The Perils of Dating While Sober

    The Perils of Dating While Sober

    I am acutely aware of how careful I am to minimize my recovery journey when I first start dating someone.

    A few months ago, a male friend and I were talking about the frustrations and disappointments of dating. I mentioned how lonely it can be navigating this world on my own, without a traveling companion, a long-term lover, or a hiking partner, without someone with whom to Netflix and chill on a rainy Sunday.

    He said, “Dating is complicated for everyone, but for you, with your history? I can only imagine. Maybe guys are afraid of you, afraid of your intelligence and strength.” He hesitated and then continued, “Or maybe they’re just afraid to get close because of your bipolar diagnosis and…well, you’re an alcoholic. So a drink in a bar is out. Your history makes them wary. It’s going to take someone special, someone who’s willing to accept that risk and all your baggage.”

    All Your Baggage

    All your baggage. My old shame rose up, and his words fell on me like a one-hundred story building collapsing, cinder block by cinder block, The only words I could say in clipped retort? 

    “It’s called alcohol-use disorder now,” I said. “Update your vocabulary.”

    For days I replayed his assessment in a loop, an auto-play rumination and in self-defense, even wrote out a bulleted response:

    • Men afraid of me? Seriously? Maybe he’s afraid of my brain, but I’m afraid of his brawn. I’ve been sexually assaulted twice by two different men. Statistics show that women are more likely to be harassed and assaulted and raped—their lives endangered—by men than vice versa. 
    • I’m on a low dose of lithium now, and eight years stable and on an even keel since my divorce. My psychiatrist thinks I may not really be bipolar, or that maybe my bipolar instability was triggered by the conditions of my marriage.
    • And on dating apps, so many men post pictures swigging beer, wine, and booze and list beer, wine, and booze as hobbies. Almost always the first message they send is, “Do you want to get a drink?” And when I suggest a walk, a museum, non-boozy meetup? They disappear.
    • No drama, no crazies, no baggage: an oft-repeated list of No’s on dating profiles, but then these men (perhaps women do this, too?) indicate that they are married and looking for discretion, no strings attached; they also like to post photos of bloodsport: bare chested with AK-15’s and dead animals. But no drama!
    • And finally, too risky to love me? I’m a safe bet now! Look at the evidence: Sober, stable, all my s*** sorted!

    Doth the lady protest too much? Might my bulleted explanation be my armor against latent shame? Because what I am admitting to in my list is that I am lovable only now that I am well, and that when I was unwell? I was unlovable. 

    Love Is an Inherently Risky Proposition

    “I stopped loving you when you got sick,” my ex-husband told me when we decided to divorce, and it’s what I have secretly believed for so long. Hence, my adamant insistence that I am well, well, well and have been now for years, years, years. 

    But this narrative—I am such a scary person to love that it will take someone with extra-special love powers to love me—is one that no one with any diagnosis or at any stage of recovery should ever buy into. Love is an inherently risky proposition. We are at our most vulnerable when we love, trusting our hopes and fears to each other. And there is always the risk of love’s end, but, too, always the possibility of love’s beginnings, its growing and expanding.

    And yet, finding our way to a beginning of love with someone can be daunting and terrifying as we have to negotiate our commitment to honesty, open-mindedness, and willingness. We must reconcile that old shame that rises up, sometimes in ripples, sometimes in waves, when we summarize our histories or share how we still struggle with one day at a time with a new partner. I am acutely aware of how careful I am to minimize my recovery journey when I first start dating someone.

    “Oh,” I might say, “I stopped drinking because I wanted to live a healthier life, and for a few years I struggled with depression, but it’s all good now. Really, all good now.” Again that adamant insistence, again that background noise in my head: If he can fall in love with me now in all my lovableness, then none of my previous unlovableness will matter. Of course, even for those who have not struggled with mental illness or alcohol or substance use disorders, it is impossible for “all” to be forever good.

    “Really Crazy”

    I recently ended a relationship with someone after two months of mostly happy, breezy fun but I realized I’d been dodging my shame. When we first met, he mentioned early on that his ex-wife was bipolar. “Really crazy,” he said, and gave me a look that put me on notice.

    So I casually mentioned to him that I had bipolar as well, but “Stabilized!” I said, with a giant calm smile plastered across my face, and I even fluttered my eyelashes in flirty dismissal.

    He said he could see I was in a “good place” and not at all like his ex. And because I want the world to believe that I am in a good place (and most days I am), I nodded in enthusiastic agreement. 

    But then, a few weeks later, he mentioned that my town was known for the State Psychiatric Hospital, opened in the 1840’s and now shuttered. 

    “Have you ever been there?” I asked, because it is now a tourist stop—The Walking Dead once filmed a scene at the mostly abandoned grounds and there are historical markers describing the troubling treatment of the mentally ill across its almost 150 year history.

    “No,” he said, immediately and with a laugh. “I’m not one of the crazies.”

    Of course, during a period of my own instability, I was once one of those “crazies,” in and out of a psychiatric hospital. He knew this by now, though maybe because I “presented” as so very very well, he couldn’t believe that was part of my history.

    To be fair, he made these comments casually, without malice, the kind of talk that generally surrounds those of us who suffer from mental illnesses or who are on a recovery journey. They were the kind of comments I often hear because most people assume, by looking at me and my “got it all together life,” that I am one of them, i.e., “not crazy.”

    But even if his comment was thoughtless, I felt that old shame rise up and stayed silent because I didn’t want him to suddenly see me as sick, and hence unlovable, and consequently maybe leave this beginning of us. So I made a silly remark about ghosts who must surely haunt those grounds. 

    No bulleted list at the ready but here’s what I should have said:

    “It’s hurtful to hear you call someone with my diagnosis ‘really crazy,’ and to call those in treatment ‘crazies.’ We all have our baggage, don’t we? We live and stumble and get up and try to live better, always. All of us.”

    But his remarks and my silence unsettled me. How easy it is for me to talk the talk, but how hard it can be to walk the walk. A few weeks later, I ended this beginning because, yes, I have baggage, and it is not just a free carry-on roller bag, but one of those $20K vintage Louis Vuitton trunks that have drawers and a hanger rod, room enough for my pain and my joy, my mistakes and my amends, my shame and my wisdom. 

    That is, a trunk big enough to carry all my necessities for this continuing journey.

    View the original article at thefix.com