The Dangerous Type

Four years ago this week, (the third week of February) I was discharged from Spring Harbor, a psychiatric hospital in Westbrook, Maine.

It was my most recent hospitalization. I have been in and out of psychiatric hospitals for more than 40 years, sometimes on a voluntary basis; other times as an involuntary patient. I have been hospitalized in Arizona, Tennessee, Oregon and Maine. So, I consider myself a little bit of an expert on this subject.

Trust me on this: being a patient on a psychiatric ward sucks. In all fairness, being a patient in any kind of hospital for any reason is no picnic for anyone. Hospitals are typically places we go to when we are ill or injured. Other than child birth, most people do their very best to avoid hospitals.

It is the same for psychiatric patients. I have heard people say or joke that they could use a “vacation” on a psych unit or that “mental people use hospitals to avoid their responsibilities.” These are actual quotations.

I have been on vacations. I have been a patient on a psychiatric unit. Believe me. There is nothing similar between these two things. Nothing.

For more than four decades now I have been taking a wide variety of psychiatric medications. Today, I take five different medications to treat everything from life-sucking depression to anxiety and yes, the consequences of a schizo-affective disorder.

Imagine your spouse telling you that they had to stay in the basement in order to get away from the government? Or imagine what it would be like if your sibling called you, crying and confused because they had gotten lost on the way home from work?

Imagine not being able to remember anything that happened last week or being unable to read more than two pages a day? This is my life off medications. And yup, this is also my life on medications. The meds just make the consequences less frequent and less severe.

Why do I say all this? Am I just looking for sympathy? Shouldn’t I keep this stuff private?

Take me to the river

I have been publicly open about my mental illness for several years now. That, and my pitiful attempts at trying to be a father, are the two things I want to be remembered for. They are the two things in my life, other than Laura, that matter most to me. They are my only real contributions to society, to the world around me.

It doesn’t get any better than this: My sons and I enjoying some time together on the banks of the Saco River.

Of course, like most people, I am generally selective about what I share on social media. I try to portray myself as witty, as some kind of half-assed satirist, a fun-loving guy, someone you would want to be friends with; a hard-working and responsible member of society; a successful husband and father.

Maybe I am those things. Maybe not.

But it seems that publicly sharing my personal struggles with mental illness gives others permission to reach out to me in search of a friendly ear, advice about a family member or their own struggle with some kind of psychiatric illness.

That is so gratifying to me. Beyond words.

I want to break down and destroy the myths and stereotypes that accompany mental illness. Imagine a friend telling you that they have been diagnosed with brain cancer. What would you say? What would you do?

I’m almost positive you would not say something like “stop feeling sorry for yourself,” or “it’s all in your head,” which, ironically is sort of true about brain cancer. Why is mental illness different? Why is it still okay for Hollywood to refer to psychiatrists as “shrinks?”

Those battling cancer are described as brave and courageous. We wear ribbons to show our support. We are quick to offer our empathy, our support, our understanding.

Tell someone that you are hearing voices and the reaction is a lot different. Trust me. Way different.

Honestly, what do you think of when you think about someone with a psychiatric illness? Do you think about someone like the character “Multiple Miggs” in the movie Silence of the Lambs; or do you think of them as your neighbor, co-worker or someone walking their dog past your home?

At the start of this piece, I stated that I have been in and out of psychiatric units for more than four decades. That is true. What is also true is that during the same time period, I have purchased a home, paid taxes, worked hard and was promoted in the private sector, raised two kids, held together a marriage for more than 19 years (and counting). Today I still mow my lawn, pay my bills and spend time with friends and family.

The scary thing? I’m a lot like you and other people you know and trust. The idea of being diagnosed with cancer is terrifying and for good reason. I have lost close friends to that horrible disease. Unfortunately, I have also lost some very good and close friends to mental illness.

So that’s why I’m open about my struggles. That’s why I try to remember to take my meds, even though they sometimes adversely impact my libido, my energy, my sleep and appetite.

Later this week, I am scheduled to have another ECT treatment (Electro-Convulsive Therapy). ECT treatments terrify me. I am afraid that I will not wake up from the anesthesia. Basically, ECT involves having enough electricity beamed into your brain to induce a seizure. So why do I go through with it?

Because, for me and many, many others, it works. It allows me to live. Once a month, I participate in an ECT support ZOOM meeting with other patients. It is so gratifying to see the progress that many of these people have made. To see them smile, laugh and be able to hold a conversation. To hear them say they were reluctant to get ECT until they heard me and others share our own experiences.

That’s what matters. That’s what is important to me.

If you ever want to reach out; if you ever need a friendly ear, please do not hesitate to contact me. If you don’t know me or have my contact info, you can ALWAYS reach out 24/7 365 days a year toll free at 1.888.568.1112 if you are concerned about yourself or somebody else.

Thank you,

I think I’m turning Japanese

Two stories I found on the pages of the Portland Press Herald today:

  • [Maine’s] Riverview Psychiatric Center faces the loss of an estimated $20 million in federal funding because the federal government has decided that the hospital in Augusta has not solved staffing and governance problems.” Full story
  • The mother of a Connecticut woman who was shot to death by police after trying to breach a barrier at the White House said her daughter was suffering from post-partum depression. Mother: Daughter in Capitol chase was depressed

Considering the earth shattering news that Republicans are opposing Democrats, it’s understandably tough to remember things that happened a couple of weeks ago, like the Navy Yard shooting where Aaron Alexis, a former Navy reservist, used a shotgun to begin a massacre that left 12 people dead.

A few weeks before, Alexis called police in Rhode Island, telling them that he was getting messages from his microwave, according to the Associated Press.

“The mass of men lead lives of quiet desperation,” wrote Henry David Thoreau.

But just look what happens when those desperate folks stop being quiet.

It’s easy and sexy to argue about the Affordable Care Act, gun control . . . my guy versus your guy.

But the silence becomes deafening if we dare mention other topics that (not surprisingly) have a direct and immediate impact on all the other stuff we love to debate.

Fewer than 24 hours after the incident in which a depressed woman was shot (justifiably) by Capitol police, that story has already become buried under the weight of Congressional bickering.

And the Aaron Alexis story did not fit into any of the convenient arguments for or against gun control. Don’t expect any tearful Congressional testimony there.

I return you now to the sport of pointing fingers and assigning blame. Enjoy.

Catch 22

There is a disturbing new trend in the U.S. military, and it’s killing our troops with increasing frequency.

No, we’re not talking about roadside bombs or militant terrorists. We’re talking about something that is much more frightening: suicide.

The U.S. military’s highest court is wrestling this week with whether it makes sense to punish service members who attempt suicide.

According to an article in USA Today, the military’s Court of Appeals appears perplexed about whether it makes sense to prosecute soldiers who make an attempt to end their own lives. The uncomfortable subject matter reared its ugly head during an appeal filed by attorneys for a Marine private who was court-martialed after slitting his own wrists.

From the article: Underpinning the case is the question of why the military criminalizes attempted suicide when it does not treat successful suicide as a crime.

“If (the marine) had succeeded, like 3,000 service members have in the past decade, he would have been treated like his service was honorable, his family would have received a letter of condolence from the president and his death would have been considered in the line of duty. Because he failed, he was prosecuted,” noted Navy Lt. Michael Hanzel, the military lawyer representing [the appellant].

Suicides among active-duty troops have soared in recent years, from less than 200 in 2005 to 309 in 2009, and a spike this year has put 2012 on track to set a new record high.

As someone who struggles daily with a mental illness, this story caught my attention for a number of reasons, including my own dismal military performance.

I received an honorable discharge from the United States Air Force, but it’s hard for me to think of anything “honorable” about it. Like me, this young Marine was never in a combat situation, making it all the more difficult for most people to understand — nevermind legitimize — his claim of post-traumatic stress disorder.

According to the article: “Mental health experts say criminalizing attempted suicide will undermine the Pentagon’s efforts to prevent troops from taking their own lives. Those laws might make troops reluctant to come forward, seek help and be candid with mental health counselors if they fear potential prosecution.”

So, we are left with a situation that clearly mirrors the foundations of Joseph Heller’s classic novel, Catch-22.

Essentially, the Catch 22 argument is one that predicates an outcome upon a contradictory set of rules. For example, if you are sane enough to seek discharge from the military because of a mental impairment, then you are not mentally impaired. You can only be mentally impaired if you are in complete denial that you are mentally impaired. Thus, you cannot say that you are mentally impaired and must remain in the military.

It’s actually understandable why the military is wrestling with this case. It’s damn hard to know the difference if someone is simply using the guise of a mental impairment to escape the otherwise uncomfortable bounds of their own consequences. I say this as someone who has made a serious suicide attempt.

I mean the kind of suicide attempt when you don’t write a note. You don’t make a call. There is no drama. There is just cold, dark, insufferable pain that you desperately want to end.

It happens. It’s not convenient or a light subject but it cannot be ignored without consequence.

Today, I am doing everything possible to avoid ever being in that situation again. But how much harder would that be if I knew I could be criminally prosecuted for my admission?

If you are so inclined, you can click on this link to sign an online  petition to urge the military to stop prosecuting U.S. service members who attempt suicide.

As always, thank you for reading.