Mental Health and More...
Discussions on mental health issues, treatments, and other related information. Also, opinions and stories.
Monday, January 16, 2012
Mental Health Change: The Knight in Rusty Armor
"The Knight in Rusty Armor" is a metaphorical story about change and the simplicity and complexity of it. I know that sounds dissonant, because it is. The main character is a Knight who spends his days fighting dragons, rescuing damsels in distress, and buying castles for his wife and son. He dons himself with the shiniest and strongest armor money can buy. He likes it so much he never takes it off. Eventually, he leaves it on for so long that his own child doesn't know what he looks like, his wife misses seeing him, and he is afraid to take it off. When he decides to remove the armor, he finds that it cannot be removed. Therefore, he goes on a journey to find Merlin the Magician who teaches him how to remove it which requires him to go on a quest. It's a fun book about change and the difficulties and simplicity of it. I recommend all to read it.
Jamison
Expressions of Addiction in Art
I am no art connoisseur. However, a few years ago my wife tied me to a chair and duct-taped my eyes open forcing me to watch "So You Think You Can Dance." Humiliated, I succumbed to watching and found myself moved by a dance (see the link below) that described addiction. I was blown away at how the dance described through movements and music the experiences my current clients go through. Watch it!
http://www.youtube.com/watch?v=_FlkY5F85Lc&feature=fvwrel
Monday, January 09, 2012
Addictions, ADD, Mental Health, and the DSM V Concerns
I read an article by the Huffington Post this morning that discusses the problems with diagnosing using the DSM, over-diagnosis of many disorders such as ADHD, bipolar disorder, depression, etc. and the overuse of psychotropic medications. The article is written by a psychiatrist who was on the task force for the development of the DSM-IV. He reports that diagnosis is often done by general practitioners, rather than psychiatrists who may have insufficient training in mental health diagnostics and treatment. Furthermore, he reports that the the upcoming DSM V may cause an increase in similar aforementioned problems. It is an interesting read that also includes the difficulties in studying the human brain and bridging the gap between psychology and neurology. The link below will take you to the article. Enjoy!
Jamison D. Law, LPC, NCC
http://www.huffingtonpost.com/allen-frances/america-is-over-diagnosed_b_1157898.html
Monday, October 24, 2011
"Richard...Is There A Mark On My Face? It Hurts."
The title of this article may or may not have anything to do with the article, but I liked it. It comes from a scene in the movie "Tommy Boy" after David Spade hits Chris Farley in the face with a 2X4. The clincher is that they are friends, or at least trying to be friends and they get in a fight. How often do we do similar things?
I am not saying that we get hit in the face by others, at least I hope that does not happen. Rather, we invest our time, energy, and emotions into a relationship and get the proverbial slap in the face...or we get burned. These very situations came to mind recently when a friend approached me and asked for my thoughts on professional burnout. Burnout is a mental state of exhaustion and can be observed by "emotional depletion and a loss of motivation and commitment" and are usually associated with job factors rather than biological reasons" (Schaufeli, DATE, p. 7). It leads to physical symptoms (fatigue, muscle tension, G.I. distress, etc.), absenteeism, and job turnover. It can also be affected by a lack of social support in the work place. It happens due to job stress that exceeds an individual's resources. It results ultimately in the professional demonstrating behaviors of cynicism, apathy, and rigidity in the workplace. Overall, it affects the professional's capacity to function, especially in the helping profession.
It is a tiring place to be. My friend described his situation and it sounded similar to the definitions above. I can relate as I have experienced "burnout" or "compassion fatigue" as they now call it. Trust in human beings is depleted, you question your own self-worth, etc. But, rather than go into a slow spiral into the abyss of burnout, I'd rather talk about how to work through it.
By definition, it relates to stress and one's own personal resources. Therefore, it stands to say that if the resources were not sufficient or failed, then they need to be looked at. It may require a break from the career field, if possible, the professional will need to seek their own help (i.e. counseling). One has to make self-care the priority, rather than work. Activities, recreation, reading a good book, exercise, setting goals and completing them, and many more are just some examples. I know with myself, I have had to rely on others for a time to pull out of the burnout. I have had to take a good look at my own belief system regarding my role as a professional, a father, a husband, a friend, etc. and see what beliefs were adding to the burnout. The results can be liberating, but the climb out is uncomfortable, yet possible. It is easy to get stuck in it and become a victim of it, but relying on a Higher Power (to use the AA verbage) or God can result in fostering a sense of hope. Most importantly, relying on close family and friends as a resource can be the difference between success and continued burnout.
I hope this helps!
Jamison
The above reference comes from:
http://books.google.com/books?hl=en&lr=&id=4kEbMr8B4NMC&oi=fnd&pg=PR11&dq=professional+burnout&ots=edQawU-et5&sig=Vmin7zc_uhf8YazlTJOvEWX69IM#v=onepage&q&f=false
Friday, October 21, 2011
Trauma and Resiliency, Responsibility, and Agency...What a Boring Title!
The following is an excerpt from an unpublished paper I wrote on psychological resiliency after enduring a difficult or traumatic event. I would love to hear anyone's thoughts
Focus on responsibility and agency.
Several clients come into our offices talking about their individual traumas and how they have made things difficult for them. They also talk about how it has affected their relationship with the perpetrator(s), other close people, the community, and God. Many of them have guilt and blame themselves and/or hold severe grudges and harbor anger and hate towards the perpetrators. At times they question why life has been more difficult for them than for others and how they were dealt such a poor hand. The following is going to be more of an explanation based on psychology and spirituality in hopes to answer some of the questions.
Traumatized clients’ relationships change and function on a level that deviates from the norm. Much of that is due to the trust that has been broken time and time again. In Maslow’s heirarchy of needs, their level of safety, love, and esteem have not been established or maintained. Therefore, their ability to self-actualize (Maslow’s hierarchy) is not possible. The only level that is actually, at times, maintained is their physiological needs (i.e. food, water, shelter, etc.), though that can be in question with neglected children/childhood as well. On the level of safety, an individual must feel comfortable and secure in their environment with minimal attack on their physical, mental, emotional, and spiritual self. If attacked, their capacity for moving to the higher hierarchical needs is diminished. They may struggle with giving and receiving love or having esteem for themselves and others. Thus, can be a large factor with esteem. When a client has been traumatized time and time again they begin to lose trust with initially the perpetrator, and then it can spread to others who are close to them, the community, and to God (depending on their beliefs). Recently, a client (whose name we’ll call Matthew) disclosed horrific traumas from his childhood. Much of it involved abuse and neglect from his family and a large part involved a neighbor who befriended then molested him time and time again. He did not trust his family for help so endured the continued abuse. He described other economic difficulties, physical health problems, and general loneliness. He asked why it is that he was given a difficult life. He felt that it must have been something he did to deserve the pain and suffering without much respite. To try to escape the pain he had attempted suicide many times, though without success. When asking why he had to suffer I explained something to him, that I hope will help others. First and foremost, everyone has the right to act (free will). Anyone can do what they want. Whether they are conscious of the results depends on each individual. Some people, however, have made the choices to act against others in a way that is harmful, degrading, and usually self-serving. Such acts can be considered abusive, because it is in an attempt to remove or negate another’s free will and control them or change their acts. Such self-serving acts do not serve the victim (the receiver of the self-serving acts) in any positive ways. It can change the victim’s life perspective (specifically on relationships) and attacks their general need for safety (Maslow’s hierarchy). Therefore, the abuser (the one who acts self-servingly) is responsible for their acts and how it affected the victim. Responsibility lies solely with them and none other, especially the victim. Therefore, the victim is not the guilty party. The guilty party in the technical sense is only the abuser. Guilty signifies “1 : justly chargeable with or responsible for a usually grave breach of conduct or a crime. 2 obsolete : justly liable to or deserving of a penalty” according to the Merriam-Webster online dictionary. Therefore, it is not possible for the victim to be guilty for the self-serving act when they were the individual being acted upon rather than acting. Matthew blamed himself as that was the only logical reason he could come up with. Why else would it happen if there wasn’t something so terribly wrong with him or his character–something innate that called to abusers “Here I am! Hurt me! That’s what I’m here for!” The truth of the matter is that each person can act in whichever way that they please, selflessly or selfishly.
That brings us to the next point that Matthew brought up, which is also a point other clients have made regarding God. If God was a merciful and a just God, how is it that he could let such terrible things happen to undeserving people and let the abusers go unpunished? At that point one can revert back to free will. If free will is truly something that exists, an ability given to all to act; and God is God–all powerful and all knowing with the ability to do what He wants, would he not allow the individual to exercise their free will “according to the dictates of their own conscience?” Any other way would be tyrannical, dictatorial and contraindicative of what free will is.
The power of free will is that many can exercise it in a way achieve Maslow’s highest achievement which is self-actualization. In spite of the difficulties one has faced, or the traumas caused, one can utilize and strengthen their ability to act to achieve safety and overcome the trauma–thus developing resiliency.
There are no guarantees with behavior, thoughts, or emotions. There can be guarantees with action due to agency and responsibility.
Is There Life After Graduate School? Well...
A few months ago I had the opportunity of having a student luncheon with Dr. Gerald Corey. Anyone who is a counselor knows who he is. He has written many of the books that we study in graduate school. Most of us have watched videos that he and his wife produced on group counseling. However, during the luncheon he focused mainly on what students can do to continue their professional and personal growth. The presentation was very personal as he shared his experiences in working with other professionals. Then, tonight I came across this article that parallels the luncheon subject.
The URL for the actual article is below, but in my review there are a few headlines from his article. He encourages students to have "courage" to become the person and professional they want. It is interesting that these are similar words we use with clients. He encourages students to not let setbacks or problems slow them down; to learn how to network; find volunteer opportunities in areas that interest them; and to attend local and national professional conferences.
As Dr. Corey gave these suggestions, he shared personal stories in his career when he had setbacks and disappointments, as well as how he continued through them. From my viewpoint, it was helpful hearing that he was just as human as I feel I am. Even if you aren't a therapist, the suggestions are universal. Check it out!
For more information, see the link below.
http://ct.counseling.org/2008/08/is-there-life-after-graduate-school/
Mental Health In War-torn Afghanistan
It puts things into perspective when one reads how easy it is to go to a doctor and get antidepressants or receive a referral to see a therapist in our U.S. communities (generally speaking), when you read the following:
http://blog.ted.com/2010/09/29/helping-afghan-people-find-peace-of-mind-inge-missmahl-on-ted-com/
At one point, there was only a dozen or so therapists in Afghanistan, which is a war-torn and traumatized country. Read this brief message and/or watch the attached video to learn more about it. It does change the idea of how truly blessed we are in a free country.
Jamison
Monday, October 17, 2011
Science Fiction Becoming Reality
Check out the link below. Scientists are growing neurons in petri dishes to see what they look like with patients who have schizophrenia, depression, autism and more. They then study how meds affect the neurons. Amazing stuff!
http://www.kavlifoundation.org/science-spotlights/neuroscience-diseases-dish-modeling-mental-disorders
Monday, October 03, 2011
Mmmm...Chocolate!
I am in the process of changing jobs. My new job includes working with individuals addicted to various substances and activities. My job is not only to help them with their addictions, but to work through the core issues that drive the addiction. I have been reminded that most, if not all of us are addicts to something. Whether it's chocolate, alcohol, cocaine, pornography, or Mt. Dew, there are many things that the mind and body can crave and will do anything to seek it out. In the process of working at this new site, myself and a few others are coming up with activities to do as part of a processing group. Below are some of my own thoughts. I began using the principles below and it appeared to be well-received by the members of my work community. Take a look, and tell me what you think.
Working With The Addict Ego-State: A mindful and strength-based approach.
The addict inside of us is egotistical, self-centered, and self-pleasuring. When left uncontrolled, it can run amok within the inter and intrapersonal system. It will begin to engage in activities that the true individual is not accustomed to, nor would normally do. One way of describing this is seeing the addict in a different light. If you were to look at an addict from a developmental standpoint it would appear to be a child. Most people only notice and focus on the negative characteristics, defects, and flaws of the addict. However, though children can be self-centered and egotistical, by nature they can be benevolent, loving, forgiving, and playful. They want and crave to be loved. They want to be special. They already believe that they are special and unique. They are confident. When we look at the addict as a child, we can see that they have many wonderful traits and characteristics. In fact, they are so loving that they are willing and able to accept pain and hurt from others and forgive them of it with a simple “I am sorry.” So, the question is, what would an addict do if he/she could extricate the addict part from themselves, sit it down in front of them, and learn from it. What would they see? How would the addict look, feel, behave, act, etc.?
The addict part inside may not be an addict at all. It may have become one to cover up pain and like a child sought out the first thing it could put into its mouth to pacify it. It might be afraid, just like a child.
Think of how you would take care of a frightened or hurt child…and do it.
Think of the needs of a child…and make it happen.
Help the child be aware of emotions and learn from them. Help the child develop to be strong and depend on others while it learns to depend on itself.
Use mindfulness techniques to train the individual on how to deal with and accept the pain and hurt and emotions that will crop up as the addict portion loses strength.
1. Awareness
2. Equanimity
3. Acceptance
4. Objectivity
Tuesday, September 27, 2011
Psychiatry is a Soft Science? What?
The following is a brief article I received this morning on the CES-NET listserv. I thought it was interesting as it discusses counseling and psychiatry and its purposes.
"Not all of life's myriad problems are psychiatric illnesses. Not all psychiatric disorders are 'chemical imbalance' or amenable to simply taking a pill. There is no shame in admitting that we still don't understand the causes of mental illness- the rest of medicine deals with much simpler organs, but the causes of most illnesses remain obscure. Although we have general outlines that are valuable in guiding treatment, each person is unique and each treatment regimen must be something of a trial an error experiment to custom fit the needs of the patient. If patient and psychiatrist work and think hard and put their hearts into it, something good usually happens.
Psychiatry does best when it sticks to doing what it does well. Let's treat the disorders we know how to treat in people who really need help. The greatest problem in the past fifteen years of psychiatry has been diagnostic inflation and the over treatment of people who really don't need it. This misallocates scarce resources away from those who do most desperately need and can most use our help. I fear DSM-5 because it threatens to further medicalize normality and spread psychiatry too thin."
This was written by Dr. Allen Frances, chair of the DSM-IV Task Force. He sounds rather like a counselor.
The full article is at http://www.psychologytoday.com/blog/dsm5-in-distress/201109/why-psychiatry-is-wonderful
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