Gangs and mental health

images-1A British study of gang members found many suffer mental health problems, primarily related to exposure to  violence.

Anxiety disorders and PTSD seem to be common, reports the BBC

“Experts said opportunities to help young people were often missed.

“The research team from Queen Mary, University of London, started by surveying 4,664 men aged between 18 and 34 in Britain. Researchers included significant numbers of men from areas of the country with high gang memberships, such as Hackney and Glasgow East, from areas with high ethnic minority populations and areas of social deprivation.

“The gang members and the violent men were found to be particularly prone to mental disorders and more likely to access psychiatric services. Prof Jeremy Coid, lead study author and director of the forensic psychiatry research unit at Queen Mary, University of London, explained the likely cause.

“It is probable that, among gang members, high levels of anxiety disorder and psychosis were explained by post-traumatic stress disorder (PTSD), the most frequent psychiatric outcome of exposure to violence.” He said the fear of future violence and victimisation led young men to experience extreme anxiety. Continue reading “Gangs and mental health”

Alzhheimer’s, dementia, and stigma

In a time of medical breakthroughs, where cures are created for many conditions that were once terminal, it’s easy to forget that some conditions are still incurable and almost impossible to prevent or slow down, reports the Irish Times.

“Longer life expectancy means that by 2041 there will be 1.4 million people in Ireland aged 65 and over, making up 22 per cent of the population.

imgres

“Dementia and old age go hand in hand so the number diagnosed with dementia is expected to increase three-fold to more than 120,000 in the next 30 years. Currently, there are nearly 42,000 people living with dementia in Ireland.

“Alzheimer’s disease, a common form of dementia, causes memory loss and there is very little medically that can be done. Certain drugs may slow down the progression of the condition, but they are not a cure. The World Alzheimer Report 2012 looked at the stigma attached to dementia and Alzheimer’s. Families and friends often don’t know how to deal with it, which creates feelings of isolation and exclusion for people with dementia.  Continue reading “Alzhheimer’s, dementia, and stigma”

The morning after bill

In a society driven by consuming, can shopping mania be an illness?images

For some people, overspending might mean ordering the lobster or splurging on an extra pair of shoes at Macy’s, reports YahooFinance.

“For Julie Fast it’s different. The Portland, Oregon, author woke up one day and decided to go on a trip to China. She obtained a visa, hopped on a flight, enrolled in language school and was conversing in Mandarin within weeks. Along the way, she blew through around $10,000. Shortly after that, and partly as a result of the impromptu and costly spree, she was diagnosed with bipolar disorder. Wild overspending often goes along with the manic highs that, when interspersed with depressing lows, characterize the disorder, which afflicts roughly 5.7 million Americans.

“When you have manias, that voice of caution is literally taken away. It is gone,” says Fast, 49, who co-wrote the book “Take Charge of Bipolar Disorder” and helped advise actress Claire Danes for her role as a federal agent afflicted with bipolar disorder on the popular TV series “Homeland.” One sufferer she knows impulsively spent $40,000 on a piece of art. Another bought an entire mini-mall – the whole building and the shops within it.”I have known people who have used up their whole 401(k)s, who have gambled it all away, who have taken their kids’ college money,” she said. At the time, “it feels so good that you don’t even worry or feel guilty.” Continue reading “The morning after bill”

Deployment and suicide

The military suicide numbers, from the years 2008 to 2011, upend the popular belief that a large increase in suicides over the last decade stems from the psychological toll of combat and repeated deployments to war, reports today’s Los Angeles Times

“To researchers trying to unravel the causes of the rise, the statistics suggest that the mental health and life circumstances of new recruits are at least as important — and possibly more so — than the pressures of being in the military. It is clear that some enter with a predisposition to suicide and that stressors other than war are pushing them over the edge, experts said.imgres-1

“A lot of the risk for suicide in the military is the stuff they bring with them,” said Dr. Murray Stein, a psychiatrist at UC San Diego who is studying suicide in the Army. Among the unanswered questions: Did the type of people volunteering for service change after 9/11, when going to war — and dying — went from being an abstract possibility to a significant risk? One theory is that more recruits have backgrounds and psychological histories that make them prone to suicide. “Wartime is almost certainly going to be different than peacetime,” said Ronald Kessler, a Harvard sociologist and suicide authority.

“The Times interviewed relatives and friends of five service members who committed suicide without having gone to Afghanistan or Iraq. All were men who married young. In four cases, their relationships were over or crumbling. They struggled with the direction of their lives and joined the military in search of purpose or meaning, their relatives and friends said. And they concealed their psychological problems. Four of the men longed to go to war, and the disappointment of not being sent only heightened a sense of desperation.For Michael Griffin, enlisting in the Army at age 25 was a last-ditch effort to right his life. A former skinhead, he was struggling to find work, and he and his wife had separated. Active-duty military suicides reached a high in 2012, and a significant number of inactive reserve and National Guard troops also took their own lives. Continue reading “Deployment and suicide”

New mental health support for Aussie vets

A new Veteran Mental Health Strategy to support contemporary Australian veterans and their families was released Monday by Minister for Veterans’ Affairs Warren Snowdon, reports Xinhuanet.

“The strategy sets out a ten-year framework for providing mental health care to veterans, underpinning the 26.4 million Australian dollars (25.89 million U.S. dollars) veteran mental health package announced in the 2013 federal budget.

“Initiatives include 14.6 million Australian dollars (14.32 million U.S. dollars) to extend access to treatment without the need for compensation claims and 6.4 million Australian dollars (6. 28 million U.S. dollars) to introduce counselling for peacetime service and family groups.images-1

“The launch also coincided with the inaugural meeting of the Veteran Mental Health Clinical Reference Group, which will support the implementation of the strategy. Snowdon said supporting the mental health needs of all veterans, including those who have recently left the defence force, is a high priority for the Department of Veterans’ Affairs (DVA) Continue reading “New mental health support for Aussie vets”

That crazy time of year

Spring has sprung, at least for most of us, which means sundresses, seersucker and boozy croquet parties on the front lawn. Goodbye happy lamp, hello mimosa.

But it’s not just champagne that’s lifting our spirits and banishing the wintertime blues. According to Salon.com (and a team of researchers from the University of Southern California, Harvard and Johns Hopkins) mental illnesses — such as obsessive compulsive disorder, depression and anorexia — are far more seasonal than we think.

“The epidemiologists, led by John Ayers, combed through every Google search performed in the United States and Australia between 2006 and 2010, looking for queries like “symptoms of” and “medications for” OCD, anxiety, ADHD, bipolar, depression, anorexia, bulimia and schizophrenia.images-2

“The Internet, the authors note in a study forthcoming in the American Journal of Preventive Medicine, is “the world’s most relied-on health resource. Because of mental health’s complexity, stigma, and obstacles to care, patients are likely to investigate their problems online.” At the same time, tracking a population’s longterm mental health indicators is difficult for epidemiologists; phone surveys are often unreliable — would you want to discuss the voices in your head with a complete stranger? — and cost prohibitive. Google queries, on the other hand, are nakedly honest and free to collect. Continue reading “That crazy time of year”

Banning smoking in psychiatric facilities

A few days ago, Worlding.org presented an item about the high prevalence of smoking among people with mental health diagnoses.

Now comes word that the problem has been exacerbated in psychiatric facilities that, unlike most hospitals, routinely tolerate or even encourage smoking. All that is about to change, as the New York Times reports:

imgres-5

“After decades in which smoking by people with mental illness was supported and even encouraged — a legacy that experts say is causing patients to die prematurely from smoking-related illnesses — Louisiana’s move reflects a growing effort by federal, state and other health officials to reverse course. But these efforts are hardly simple given the longstanding obstacles. Continue reading “Banning smoking in psychiatric facilities”

Smoking and mental illness linked

imgres-4People with mental illness are 70 percent more likely to smoke cigarettes than people without mental illness.

“New data from the Centers for Disease Control and Prevention and the Substance Abuse and Mental Health Services Administration show that one of every three adults with mental illness smokes, compared with one in five adults without mental illness,” reports today’s New York Times

“Adults with mental illness smoke about a third of all the cigarettes in the United States, and they smoke more cigarettes per month and are significantly less likely to quit than people without mental illness, the report said. There are nearly 46 million adults with mental illness in the United States, about a fifth of the population.

‘Many people with mental illness are at greater risk of dying early from smoking than of dying from their mental health conditions,’ said Dr. Thomas R. Frieden, director of the Centers for Disease Control, during a press briefing.

“The report is based on information from the National Survey on Drug Use and Health, which interviewed 138,000 adults in their homes from 2009 to 2011. Continue reading “Smoking and mental illness linked”

Difficulties in predicting violent acts

Only a severely disturbed individual marches into an elementary school or a movie theater and guns down innocent people.

But how can society stop such people in time to avert tragedy?This question now “drives the public longing for a mental health system

imgres-2

that produces clear warning signals and can somehow stop the violence.And it is now fueling a surge in legislative activity, in Washington and New York,” reports a story by Benedict Carey and Anemona Hartcollis in today’s New York Times. The piece continues: Continue reading “Difficulties in predicting violent acts”

Horse sense

An American church is promising gay men they will be cured of their homosexuality if they stroke horses, reports a story today in GayStarNews.

“The Cowboy Church of Virginia, led by chief pastor Raymond Bell, believes homosexuality and other ‘addictions’ can be cured by Equine Assisted Psychotherapy.imgres-1

“Horse therapy, in the right hands, can be used to help overcome fears, develop communication skills, and is generally beneficial to mental health.
But Bell says the horses in his church, a cowboy ranch in the south, are part of teaching men to stop being gay and encourage them to be more masculine.‘EAP can help any person who is living the homosexual lifestyle or involved in it in anyway,’ he told Gay Star News.‘The first common misconception is that homosexuality is genetic, or hereditary, or as some say “born this way”. Continue reading “Horse sense”

Dean Spade on the shootings and mental health care

“We have a long history in the US of giving people involuntary medical treatment and using mental institutions to lock up people who are “different” or threatening to social norms,” says University of Washington law professor Dean Spade, author of the book,  Normal Life: Administrative Violence, Critical Trans Politics and the Limits of Law.imgres-3

Spade was speaking about California’s “Laura’s Law” which provides court-ordered outpatient treatment for the seriously mentally ill.  “So many people who could use mental health care do not reach out for it because they are afraid that they will be locked up involuntarily if they reach out to a provider,” Spade said.

Spade is the subject of an interview appearing in today’s issue of The Nation conducted by Laura Flanders. The article begins,

“Exactly as the shootings debate is playing out, funding for mental health services are teetering on the fiscal brink. Obama and Speaker John Continue reading “Dean Spade on the shootings and mental health care”

Autism means reduced health care access

Autism is in the media spotlight these days, but for all the wrong reasons. Despite the absence of any causal connection between autistic spectrum diagnoses and propensities for violence, worries abound nevertheless following the Sandy Hook shootings. 6.57_AUTISM-CURE-PUZZLEMeanwhile, children and adults with some form of autism become the subject of greater stigma – and their odds of receiving adequate care diminishes further. Autism already is highly misunderstood in terms of its origins, causes, manifestations, and treatment. Continue reading “Autism means reduced health care access”

Mental illness creates disability around the globe

Mental illness is the largest contributor to worldwide disability, according to a report card on the health across the globe. The seven papers comprising storyimages_braininheadbwlthe report and two commentaries will be published in a collection entitled “The Global Burden of Disease” (GBD) in The Lancet. As reported in Bioscience Technology:

“GBD 2010 is a collaborative project led by the Institute for Health Metrics and Evaluation at the University of Washington (UW) in the US and involves 302 institutions across 50 countries. This is the first report since the inaugural study was published in the early 1990s. Continue reading “Mental illness creates disability around the globe”

Autism is not linked to violence

“Among the details to emerge in the aftermath of the Connecticut elementary school massacre was the possibility that the gunman had some form of autism,” reports todays Los Angeles Times

“Adam Lanza, 20, had a personality disorder or autism, his brother reportedly told police. Former classmates described him as socially awkward, friendless and painfully shy.

“While those are all traits of autism, a propensity for premeditated violence is not. Several experts said that at most, autism would have played a tangential role in the mass shooting — if Lanza had it at all. ’Many significant psychiatric disorders involve social isolation,’ said Catherine Lord, director of the Center for Autism and the Developing Brain at New York-Presbyterian Hospital.

Autism, she said, has become a catch-all term to describe anybody who is awkward. Some type of schizophrenia, delusional disorder or psychotic break would more clearly fit the crime, experts said. Continue reading “Autism is not linked to violence”

“I am” Adam Lanza’s mother

The essay below was written by Lisa Long, not the actual mother of Adam Lanza, but a woman whose son has some of diagnoses attributed to the young man who committed the recent murders at the Sandy Hook Elementary School in Connecticut. The essay is about the complexities of living with and caring about a child whose behavior makes parental love a challenge.

“Three days before 20 year-old Adam Lanza killed his mother, then opened fire on a classroom full of Connecticut kindergartners, my 13-year old son Michael (name changed) missed his bus because he was wearing the wrong color pants.

“‘I can wear these pants,”’ he said, his tone increasingly belligerent, the black-hole pupils of his eyes swallowing the blue irises.

“‘They are navy blue,’ I told him. ‘Your school’s dress code says black or khaki pants only.’ Continue reading ““I am” Adam Lanza’s mother”

Far from the tree

For anyone who hasn’t heard about Andrew Solomon’s Far from the Tree, this book is much more than a tome (900+ pages) about parents and special-needs kids. Solomon has written a tour-de-force discussion on difference and identity worthy of anyone’s attentions, especially those of us who do not conform to the tyranny of normativity. Julie Myerson wrote a wonderful piece on the book in a recent New York Times Book Review. While the later chapters in Far From the Tree each could be their own separate books about specific conditions of being, the first 200 pages are pure gold. As Myerson begins her review,

“How does it feel to be the mother of a teenage dwarf who’s desperate to start dating? What if you love the daughter you conceived when you were raped but can’t bear to be touched by her? And, as the father of a happy, yet profoundly deaf son who’s forgotten how it feels to hear, how do you deal with your memories of the times you played music together? Continue reading “Far from the tree”

Diagnostic quandaries and PTSD

In what follows, Elspeth Cameron Ritchie discusses PTSD with a degree of nuance not always seen in mainstream journalism. Ritchie notes her ambivalence over the frequency with which the diagnosis is assigned to milirary personnel, inasmuch as other disorders can go untreated as a consequence. As she writes, “This is the last in my series of posts on the ethics of treating posttraumatic stress disorder (PTSD) (the first simply outlined ethical issues for military mental-health personnel; then I wrote about the right time to send a service member back into combat; Continue reading “Diagnostic quandaries and PTSD”

Now we can talk about mental illness

This doesn’t get talked about much, but the Affordable Care Act guarantees coverage for people with mental health problems – care that would have been eliminated if the republicans had their way. Psychiatric illnesses are surprisingly common, yet receive little attention because they are stigmatized, misunderstood, and definitely not especially photogenic.

Think about this:  20 percent of American adults suffer from a diagnosable mental illness. That’s more than 40 million potential voters. So when you think about it, things like depression, bi-polar disorder, PTSD,  or addiction are not issues that affect anonymous strangers. These conditions face many around us at work, school and  home, even though those who struggle with mental illness often do so in silence.

Not long ago the Los Angeles Times carried a piece entitled “Mental health care at stake in 2012 vote.” It said that “Just to provide a little context, according to the American Cancer Society’s latest numbers, about 12 million Americans are living with some form of cancer; 400,000 Continue reading “Now we can talk about mental illness”

The science of forgetting

As the baby boom generation ages towards retirement, attention grows over how people can remain mentally sharp. Alzheimer’s and other forms of dementia make  boomers start to worry when they lose their car keys or stumble over a name. At the same time, Internet search engines
and home data storage have made the actual need to remember less important. Add to this the rapid pace of media and the public’s seemingly relentless focus on immediacy over history, and it seems like a wholesale assault on memory is sweeping the culture. So a story like “The Forgetting Pill Erases Painful Memories” recently appearing in Wired magazine would seem to support the current culture of amnesia. Continue reading “The science of forgetting”