Splicetoday

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Jul 17, 2015, 09:43AM

America Needs a Mental Health Revolution

Budgets have been cut and services are lacking. 

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Since my first hospitalization for anorexia and depression at the age of 12, the way mental health is regarded in America hasn’t progressed. As a child, I tried to keep my diagnoses a secret. Coming up with excuses for why I’d leave school early and couldn’t play with friends was difficult in middle school. Going to therapy and seeing a nutritionist was embarrassing, and I’d often spend the sessions in silence, looking out the window and pretending to be anywhere else.

Throughout adolescence, dealing with my mental health was an excruciating ordeal. I was sensitive to the social stigma, noting each time a movie like Shutter Island depicted mental illness as a horrible affliction, something to run and hide from. And usually, that’s exactly what I did. Drugs, alcohol, and harmful relationships were how I coped with depression. I engaged in self-harm and unhealthy eating habits, unaware that these decisions were creating an environment for emotional instability to flourish.

Normally an excellent student, my academic performance was hindered by a lack of self-worth. Hobbies that were rooted in my childhood were forgotten as I spent time trying to flee from reality. Depression and an abusive relationship ruined my senior year of high school. I didn’t meet my school’s graduation standards, but a caring guidance counselor vouched for me and I managed to walk across the stage to receive my diploma.

After spending a decade feeling ashamed, I’ve come to the conclusion that my affliction is little different than diabetes or a heart condition. My brain chemistry is based on genetics, factors beyond my control. It’s unacceptable that anyone should be made to think that they are somehow sub-par because of the ignorant way that mental health is often construed. Despite the fact that in America about $549 million is spent on self-help books and that nearly one in four people are diagnosed with a form of mental illness each year, we don’t seem to be getting the hint. Out of the nearly 62 million people struggling, there are only about 156,300 mental health counselors. That figure was taken in 2010, but budget cuts have been made since then. During the recession, a trying time when many Americans felt additional stress and sadness, states cut $1.8 billion from mental health budgets. In my experiences at mental health facilities, there have been a striking percentage of patients who are seen for substance abuse in addition to mental illness. It has also evident that people in urgent situations regarding mental health are frequently disadvantaged and left untreated for long periods of time.

In recent months I’ve had a surprisingly difficult time finding a psychiatrist who took my insurance and had appointments available within the next several months. I’m still in the process of searching for one, as many aren’t taking patients. It’s a clear indicator that the practices are simply full, and there aren’t enough resources for everyone.

A specific archetype is prevalent in American pop culture. The idea of a super-protagonist, a person who lacks superhuman abilities yet is capable of doing extraordinary things, is a staple in modern film and TV. Even in zombie flicks like World War Z, main character Gerry is portrayed as the perfect human—fighting bravely and displaying tenacious intelligence, while being a loving father and husband. Of course, Brad Pitt plays him. There’s nothing imperfect about him except his bad luck, having lived to endure a zombie apocalypse. Consider the unrealistic measurements of models, the unfeasible expectation of a “perfect life,” and the materialistic understanding of success; and one can begin to understand how Americans, especially younger ones, might feel pressure to prove themselves to society and ignore their mental health. I hope we’ll soon see a shift in how mental health is treated in this country. People who, despite the hardships of life, are able to maintain an optimistic outlook inspire me more than movie characters.

Discussion
  • My BA is psychology was in '66. I recall at the time that talk therapy, Rogerian, psychotherapy, were just coming to the unhappy conclusion that what we had was organic and a trip to the pharmacist might be more effective.Schizophrenia was to be treated by 3-5 years of depth psychotherapy. It's taking a long time to get over that. The diagnoses of mental illness go up or down depending on criteria. For example, what is called PTSD today was what soldiers carried home from earlier wars without mention. I knew WWII vets who were bothered their entire lives. The change in diagnostic criteria changes the numbers. Additionally, naming a problem does not automatically say a solution is available. The budget for institutionalizing--which we do less of today--one person can be stretched over many people seeing a counselor. So looking at the aggregate budget doesn't tell us what we need to know. Psychiatry is a difficult profession. You spend your working life involved in other people's delusions, pain, and counterproductive choices. Not sure how you'd make more of them available.

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  • Translation for the above reply: You're getting zero empathy from me, but let me show you how smart I am. You're truly a dickhead Richard.

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  • sub. Sympathy is for one circumstance, defining the issue another. And, yeah, having a half-century old acquaintance with the issues does put me ahead of the weep-on-cue ignoramuses.

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  • Your rambling diatribe was mostly irrelevant.

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  • Irrelevant to what? The writer had a problem which messed up her early life and isn't being dealt with now. We get that. To go from that to the state of mental health treatment is a separate issue. I get that dealing with the latter can be considered lacking in sympathy for the former, but she brought it up. Clever shaming tactic which...like a lot of them around here, doesn't work. I have a relation whose son, bouncing between criminal justice and mental health venues, killed himself in jail. She is active in the movement to make mental health a "brain disease", entirely organic. The movement may be right, although, as with mental health issues, you never know for sure. That being the case, there's supposed to be a pill for that. Somehow. Some kind of treatment. She's also coming close to favoring involuntary commitment and treatment on the orders of a government office yet to be named. Some level of eccentricity and...off you go. Because people have a right to be right in their minds. In a not entirely unrelated case, Dinesh d'Souza's punishment for campaign finance violations includes psychotherapy. Presumably, he'll have to convince the shrink he's okay to be let out. One of the problems of my relation's son is that he wouldn't take his meds, or see the professionals because he thought he was fine. Somebody's going to have to figure out a way to make him do that. And you know who needs the treatment retroactively. The son. Holmes, in Colorado. Oh, wait, he was being seen. Lanza, mixed reports as to whether he was taking psychotropics. His mother was working on involuntary commitment. Meantime, he was no weirder than a good many others who don't shoot up schools. The last--I hope but perhaps i should say the most recent--Ft. Hood shooter was certified by a bona fide psychiatrist as not a threat, the week before. Paul de Kruif, author of Microbe Hunters, wrote a couple of scorching articles decades ago about the treatments for TB and for diabetes. Apparently his father had died of the latter--of a "river of sugar". You read these and you rage. Against somebody. But, when they were written...that was the best that could be done. My relation rages, the writer rages, my relation's colleagues in the movement rage. But that doesn't mean we know what to do. It's possible that we might be, some day, one pill away from health. It's also possible we don't have the pill yet. Hell, I have a friend who is bipolar. He doesn't take his meds because, as he says, it makes him feel as if he has a glove on his mind. So, even when we have the pill.... WRT measuring against pop culture. First, you have to know it's a story. Back when I worked with a youth group, I had a mantra the late el ed early jr. hi. girls had to memorize. Me. "What is the function of Seventeen magazine?" Them. "To make us feel bad about ourselves so we'll buy what's advertised to get better." No reason you couldn't start that with your kid about age...five. My folks sneered at pop culture and celebrities more than they probably cared about same. But they wanted us to know better.

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  • As the mother of the writer, a person whose sibling took her own life less than a year ago and the Senior Editor of this website, Aubrey I can assure you that my daughter is very much "dealing with" her issues (and is very brave in writing about this issue) and I am asking you please to just try to learn when to shut the fuck up.

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  • marymac. I guess you didn't like the last one. Let's try again. The title of the piece is" America Needs A Mental Health Revolution". Not "I Have A Problem". That means the subject is the American mental health system. And the problem with discussing the American mental health system after a piece on the American mental health system is....?

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  • What was that about "shaming tactics"? Richard, I would never try to shame you. But I'm allowed to notice that you're racist.

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  • C. T. You mean the zeitgeist allows you to accuse others of racism, baselessly, hoping to get them to self-censor whatever it is you find both valid and inconvenient. I think we've been over this before. It wore out years ago. Nobody buys it. You know it's bogus. I know it's bogus. Now you know I know it's bogus. You can try something else. "Hate" is kind of weak, but it still has a couple of amps lefty. "priviilege" fools nobody even in the first use. Can't think of any other suggestions. Sorry.

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  • You're stamping your foot, Richard.

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  • I have some tolerance for bigots. An above average amount. But I don't pretend they're not bigots.

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  • You can say what you want. But I can notice what you say. Seems fair.

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  • C. T. I keep telling you. Bogus accusations don't work any longer. They used to, I suppose. But not any longer.

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  • Apparently, you don't like Splice Today much. Why do you waste your time commenting on articles? Isn't it time to get back to re-reading all those Tom Clancy novels?

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  • Russ. Apparently you don't like disagreement. And where did Clancy come in? Are you a frustrated writer who can't get past the transom?

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