0 Native Americans and Suicide

By Arshya
Vahabzadeh, MD & Brad Zehring, DO





 Mental illness does not discriminate - it affects every age, sex, religion, and ethnic group.

The Indian Health Service conducted a study in 2008 that noted that the rate of suicide for American Indians and Alaska Natives is higher than any ethnic group within the United States. The study reported that suicide in these populations is up to 70% higher, especially in ages 10 to 24. Sadly, this statistic is not decreasing. Mental health professionals and society need to recognize the etiology of the despair that leads to suicide so that treatment and appropriate allocation of resources can be made.

The statistics are alarming, but possibly more alarming is the silence around this tragedy. Since suicide is taboo on most reservations - there are reports that a death by suicide often is not reported or legal authorities classify it as an accident. Due to the silence and misrepresentation, the numbers could be even greater.



It is important to break the silence on the troubling trends within Native American reservations. Native Americans must be willing to discuss their stressors and be open to getting education necessary to cope, deal, and treat their stressors. Mental Health professionals must be willing to understand their culture and adapt. Alex Crosby, MD, MPH, medical epidemiologist of the CDC has been recorded as saying that Native American suicide is so prevalent that it has become acceptable practice when tensions build up. Suicide should never be an acceptable option.



Reasons for troubling trends among Native Americans

There are a lot of thoughts on why mental illness and suicide have increased in the Native American population. There has been a lot of discussion of generational trauma due to the disempowerment and oppression of Native Americans and Alaska Natives. It has been discussed that this has caused adverse childhood experiences that lead to high rates of depression and other mental illness that are precursors to suicide.

While disempowerment and oppression could very well be contributing factors - poverty seems to be a growing problem on reservations. Poverty tends to put stress on educational standards decreasing the educational opportunities for those on the reservation – leading to a viscous cycle. There are few jobs on the reservation causing adolescents and young adults to leave their families and move to where there are jobs. However, parents age and get ill causing tension between the traditional Native American family structures where youth takes care of the elderly and providing for the immediate family.

In addition to poverty, substance abuse is a big problem on the reservation. Substance abuse can affect mood, often negatively, which increases the tension and is a risk factor for suicide. Domestic violence and sexual assault are also known problems on the reservation. These stressors have led to unstable environments for children growing up. Add untreated mental illness to the mix and it is easy to see how hopelessness and despair thrive often leading to the belief that suicide is the only way out.

The Way Forward

Recently, the American Foundation for Suicide Prevention joined a Native American Mental Health panel sponsored by Congressional Native American Caucus and Center for Native American Youth. The panel focused on ways of improving mental health resources and suicide prevention. The IHS and the Substance Abuse and Mental Health Services Administration (SAMHSA) collaborated on targeted suicide prevention programs. The IHS established the Suicide Prevention Initiative and SAMHSA provided funding to the IHS to address youth suicide and provide suicide prevention for high-risk populations.

As we move forward as Mental Health professionals, it will be important to continue to collaborate with the Native American population, especially with Mental Health professionals with experience with the population and their culture. Understanding their culture and etiology of stressors will go a long way in providing the appropriate resources and treatment.

Resources for Help

In the US:

·         Suicide help

·         1-800-273-TALK



Outside the US:

·         International Association of Suicide Prevention (IASP)

Detail: Native Americans and Suicide

0 Adult Bullying in the Workplace

By Brad Zehring, DO

I would rather be a
little nobody, then to be an evil somebody - Abraham Lincoln

Typically, when bullying is talked about it is in the
context of children or adolescents during some level of schooling. Rarely do we
think about bullying as an adult issue. However, much more attention has been
focused on adult bullying – more specifically, adult bullying in the workplace.

According to various sources, citing research and survey’s, it
has been reported that as many as 1 in 4 adults will face some form of bullying
in their career.  It is important to
point out the differences between constructive criticism, workplace conflict,
and bullying. Workplace bullying focuses on the person rather than the
performance or task being completed by the person. In addition, the person
being targeted feels powerless to stop it. Making the situation worse, is when
the adult being bullied goes to management to report the offense and the abuse
is minimized or discounted altogether. Complicating the issue further is the
difficulty verbalizing what is taking place or being unaware that what is
occurring is bullying, leading to worsening suffering.

What are some forms
of workplace bullying?

As discussed earlier, workplace bullying can be described as
an extreme pattern where the person is isolated apart from his/her performance
or task. Some examples of workplace bullying are: being left-out of
work-related social events, coworkers refusing to help when asked, coworkers
leaving the room when you enter or routinely arriving to meetings late that
when you call them, being yelled at, put down, or disciplined in front of your
coworkers. These are some of the ways that workplace bullying presents, but it
is not an exhaustive list.

How workplace
bullying is harmful

For individuals who are being bullied in the workplace,
their desire to go into work day after day is diminished and their satisfaction
in their performance and with their employer decreases.  Many reports discuss the loss of productivity
when job satisfaction decreases. Beyond the psychological stress (depression,
anxiety, PTSD, etc) – which should not be minimized, stress from bullying can
lead to physical illness such as stroke, heart attacks, chronic fatigue or dissatisfaction
in an person’s personal life – including leading to suicide. There are many reports
documenting poor job satisfaction negatively affecting all areas on one’s life.
Feeling accomplished and satisfied in a career can lead to a happier personal
life and vice versa.



How to prevent or
deal with workplace bullying

While recognizing or speaking up about workplace bullying
can be a difficult task - it is important not to be silent about bullying experiences,
whether personal attacks or witnessed attacks on colleagues, or isolate from
those that may be able to help. Currently, states are working on anti-bullying
bills to encourage healthy workplace environments, but fostering a workplace
for your coworkers that doesn’t tolerate bullying is key. Many organizations
provide or contract with mental health professionals willing to discuss,
advise, and help an individual navigate the process. It is important to
document your concerns and be specific and concise with the message you are
trying to convey if you feel you are being bullied. Despite how difficult it
may be, it is important to approach the bully or go to your supervisor with a
calm demeanor and discuss your concerns rationally. Lastly, it is important to
have an open mind about the situation. Sometimes it may be that the “bully”
does not realize how his/her actions have affected you. Approaching them, or
the situation, calmly will provide an environment for understanding and
increase the probability for change.

How to "Bully-Proof " Kids

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0 Williams’ death reminds us that a patient’s relief might be a warning sign

By
H. Steven Moffic, MD

One
of my favorite movie moments is when Robin Williams signs on as an edgy D.J. by
exclaiming "Good Morning, Vietnam" from the 1987 movie of the same name.
Sometimes, I played the audio over and over, as if it could promise a good day.
As he did so often, he found a way to not only lighten the sadness, but to do
it in such a way that might be constructively critical.

Surely,
the real life mornings were not often happy ones, as so many of our troops died
or ended up with post-traumatic stress disorder (PTSD) from that war. It is a
lesson we are still learning, so that movie and his role is worth seeing again
soon.

Now,
after his reported suicide, that good morning seems more like a final good
night.

Although
he is probably best known for his manic comedy, he also played many serious
roles. Most ironically now, he won an academy award in 1997 for playing an
empathic therapist in the film “Good Will Hunting.”

Indeed,
beloved entertainers like Robin Williams have a therapeutic role of sorts for
society in the sense that they provide some relief—even if briefly—for the
grief and stress of everyday life. For playing that societal role, such people
become a repository for our hopes, dreams and demons. As we know for so many
famous entertainers, it is not easy for them to have a successful private
life—a private life that the public also tries to invade, as if they were
related to us.

What
we do know publicly is that Williams suffered from chronic depression and
intermittent substance abuse. It is reported that he received treatment,
including entering rehab just last month. Obviously, money to get the best
treatment was not an issue, though how good the treatment was will remain
unknown. We do know, however, that wealthy VIPs often receive treatment just as
poor as low-income folks without resources. We also know that occasionally
depression is a terminal illness, though that ending is not predictable.

Beyond
the public information, and despite the understandable curiosity, this is not
the time, nor should it ever be the time, to speculate about his diagnosis and
reasons for committing suicide. In fact, the so-called "Goldwater
Rule," called that for the inappropriate professional speculation about
presidential candidate Barry Goldwater, ethically prohibits such speculations
on the part of psychiatrists like myself.


Given
this professional ethical principle, as well as the family's request for
privacy, is there anything we can still learn from this apparent tragedy? The
most intriguing detail that caught my attention was his last tweet and
Instagram on July 31. Reportedly, he had wished his daughter a happy 25th
birthday.

Why
might this positive communication be of importance to us?

It
reminded me of the only patient I ever had who committed suicide, long ago,
when I was a resident in training. In the second session, the depression of
this elderly man seemed to be less severe, but after that session he walked
into Lake Michigan and drown. In the psychological autopsy, I never forgot the
warning that when a depressed patient starts to seem better, they actually can
be at higher risk for suicide.

Risky
time

Why
is that time of apparent improvement a risky time? The person can have more
energy, then plan and complete a suicide. They may also feel relief at their
decision, causing others to paradoxically feel relief. That is one of the
reasons why it is so common to hear of the genuine surprise that the suicide
occurred, as the person seemed to be happier.

What
this means, not only for professionals, but for the public, is not to take at
face value if a depressed person seems better. Be sure there is a sound
explanation for the apparent improvement. 

Our
only consolation must be that entertainers like Robin Williams keep on living
in the form of their life’s work, like the movie “Good Morning, Vietnam,” that
is so ubiquitously available nowadays. Even so, it would not be surprising if
at the times we laugh once again at Robin William's humor, that the laughter
will also be accompanied by some tears of grief.

Bio

H. Steven Moffic, MD, is a Life Fellow of the APA. Currently, he blogs regularly for Psychiatric Times, Behavioral
Healthcare, and The Hastings Center's Over 65.



This blog was originally published in Behavioral Healthcare.
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0 When recovery from depression seems hopeless, are there other options? A patient's perspective

By Andy Behrman, Guest Blogger

My experience with electroconvulsive therapy (ECT) began in 1995, when I opted for ECT as a last resort for treating my bipolar disorder. For so many people who were termed medication resistant and suffering with depression or bipolar disorder, ECT was the “last stop” when it came to treatment. But the variety of medications and other treatments now available to patients suffering from depression has expanded dramatically over the last 17 years.

I recently became extremely curious about a treatment for depression called TMS (transcranial magnetic stimulation). I was surprised to discover that even though TMS is a non-invasive outpatient procedure with few side effects, does not require anesthesia, and was approved by the FDA as far back as 2008, it is still very much “under the radar” and is a treatment which many patients are not very familiar.

According to Kira Stein, M.D., psychiatrist and medical director of Los Angeles-based West Coast TMS Institute, “In a recently published multicenter naturalistic study, 58% of patients significantly responded to TMS treatment, with 37% undergoing complete remission."

Today, TMS is primarily being used to treat those of us suffering with depression. The statistics for depression are alarming: 1 in 6 people experience it in their lifetime, which means that more than 50 million Americans are likely to struggle with clinical depression. Unfortunately, of this population, only 1 in 4 people get adequate treatment. One of the biggest concerns is the risk of suicide, as more than 36,000 people in the United States take their lives every year. Untreated depression, which causes disability at work and disrupted family and interpersonal relationships, can also lead to self-medication with drugs and alcohol. Depression has reached epidemic proportions and has become a silent killer.

When I speak to audiences about mental illness, I always encourage people who suffer from depression to seek advice from a mental health professional. Sometimes, getting people to overcome the stigma of suffering from depression is one of the hardest jobs I have to do. It is often the patient who resists seeking help, often because of the stigma, who really ends up at risk. But today, there are more treatment options than when I was ill. Technology is giving doctors more tools, and patients much more hope, for recovery.

Andy Behrman is the author of “Electroboy: A Memoir of Mania,” a personal story about his bipolar disorder, his experience electroconvulsive therapy (ECT), and his recovery from drug and alcohol addiction. Behrman advocates for mental health awareness and suicide prevention. He speaks to college audiences, health care professionals, and local and national mental health support groups working to stop stigma surrounding mental illness.

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0 Suicide Prevention for Seniors and African Americans

By Gina N. Duncan, M.D.

Don Cornelius’s death shocked many of us. The report that his death was a suicide has made it all the more tragic. Best known as the founder of Soul Train, Don was an icon in American music history. Unfortunately, as noted by others commenting on his death, the “Love, Peace, and Soul” he promoted as a public figure may have eluded Don in his personal life, particularly in his later years.

Now we are further shocked by the untimely death of Whitney Houston. Her battle with drug abuse was well known, though the cause of her death has not yet been determined. In our sensational, media-driven culture, the very personal details of celebrities’ mental, emotional, and family struggles are often on display for public entertainment, sympathy, judgment, and criticism. In recent years, with the tragic losses of Michael Jackson, Amy Winehouse, Heath Ledger, and others, the dangers of illegal and prescription drug abuse have been given an increasing spotlight in the media.

 

Don Cornelius’s death, however, highlights two mental health issues that are significantly under-discussed in the public: suicide in African Americans and in seniors.

Depression is under-diagnosed in older adults. It often co-occurs with medical illnesses such as heart disease, diabetes, stroke, and cancer, and can be associated with the social difficulties and financial strain many older adults experience. Because of this, we tend to accept depression as a natural consequence of aging, but this is not so. When depression is present, it not only diminishes a person’s quality of life but also increases his / her risk of death by delaying or worsening recovery from the medical illness or by suicide. Depression is also under-recognized and under-treated among African Americans and other minorities. 

I recently spoke at a National Alliance on Mental Illness (NAMI) program called "Sharing Hope: Understanding Mental Health" in Augusta, GA. “Sharing Hope” is an educational program designed to raise awareness of mental health issues in African American church congregations. One woman there told us that her brother had died from suicide not long ago. She explained that he had been troubled for some time and had made threats before but not acted on them. She asked: Were there signs she and her family missed? Was there some way they could have prevented it? She expressed feelings of guilt and shared that she and her family blamed themselves for not having done more, yet at the same time, they didn’t know what more they could have done. 

My heart goes out to her and to anyone who has been affected by the suicide of a loved one. Feelings of guilt, self-blame, and shame are common. Perhaps some consolation can be found in the recognition that it’s impossible to fully control the decisions and actions of another adult. There are support groups for survivors of suicide that provide a place to express these complex emotions. Seek support from your faith if that is relevant to you, and tune out those who would make negative remarks about your loved one's fate after death, as none of us have the final say in that matter. 

The best suicide prevention is early recognition and treatment of depression. Depression may be masked by factors such as medical illness, dementia, personality style, and other mental illnesses, so understand the symptoms. 

If you are concerned about a loved one, please follow these suggestions:

1)  Do not be afraid to ask if they are considering suicide--you will not plant the thought in their mind by asking.

2)   Stage an intervention if necessary, where you can express your concerns and encourage them to get treatment.

3)  Take any and all threats or gestures seriously--seek help from their doctor immediately or call 911.

We should celebrate the achievements of Whitney Houston, Don Cornelius, and the other amazing talents we’ve recently lost; our lives are richer for their contributions. I hope that by raising awareness of these critical mental health issues, their untimely deaths will cause others to seek help and to heal. 

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0 Supporting Gay Youth as a Way to Prevent Suicide

By Tristan Gorrindo, MD



Coming out of the closet is one of the hardest things that a gay, lesbian, or bisexual person will do.

“Coming out,” is the process of revealing to friends, parents, family members, and acquaintances that he or she is gay. It is more that just a simple act or decision to announce that a person is gay, but rather a process that unfolds overtime, usually in small steps. For many people, it involves telling one person, then a group of friends or family members, then classmates or co-workers, and finally the world at large. But for each person, the journey is different and often filled with emotional ups and downs.

Recent events in the national media have highlighted the issues surrounding coming out and youth suicide. By some estimates, as many as nine gay youth died by suicide since September 1, 2010. Government officials and celebrities have publicly referred to this as a national crisis.



Many population scientists have tried to understand why gay teens are at such high risk for suicide -- by some estimates 7 times the national average for their age. And although there are many possible contributors to what might make a gay teen suicidal, we must first remember that all teens, gay and straight alike, are struggling with basic questions about self-identity.



A friend of mine once described being a teenager is like, “being at a costume ball where the costumes and guests are constantly changing.” As part of normal teenage development, teens are “trying on” different roles, different groups of friends, and even different kinds of dress. It is a time when teens are first experimenting with the idea of romantic relationships and at the same time trying to separate from their parents. Gay teens have the added burden of sorting out the confusing, often negative messages from the culture about what it means to be gay. When these ingredients mix -- unsure sense of self-identify, novice experience with romance, trying to separate from one’s parents, and fear of what it means to be gay -- gay teens run the risk of feeling quite isolated and alone.



Regardless of one’s personal views of homosexuality, I think we can all agree on the importance of supporting our youth during difficult times. The American Psychiatric Association is committed to reducing the stigma around homosexuality and to promoting the psychological health of gay, straight, and bisexual individuals.



We owe it to our teens to make sure that they know that coming out is not a process that they have to go through alone. A wide variety of resources exist, from grass-roots YouTube videos which offer gay teens hope, as in The Make It Better Project, to 24-hour suicide hotline for gay teens offered through The Trevor Project. Additionally, The National Suicide Prevention Lifeline also is available 24/7 at 1-800-273-TALK (8255) to anyone struggling with suicidal thoughts. The Healthy Minds website is a source of clear factual information on sexual orientation. And let us not forget the parents that may also be struggling with how to help their gay child; for them there is support and advice offered through PFLAG.

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0 Mental Health Disparities – Focus on Asian Americans

By Felicia Wong, M.D.

APA's Division of Diversity and Health Equity works to promote diversity and cultural competence and to eliminate disparities in mental health care. They published a report on Asian Americans and Mental Health that revealed some troubling statistics.










photo courtesy Bjoern Kommerell






• While the overall prevalence rate of mental illness is similar or somewhat lower among Asian Americans than whites, Asian Americans are significantly less likely to use mental health services than other populations.


• Asian Americans are much less likely than whites to report mental health problems to friends or relatives, psychiatrists or other mental health specialists, or to physicians. It has been postulated that shame and stigma figure prominently in the lower utilization rates of Asian American/Pacific Islander (AA/PI) communities.


• AA/PI’s often consider expression of mental illness a personal weakness and are more likely than Westerners to express emotional distress through physical symptoms.


• The suicide rates of elderly Asian American women and young Asian American women (15‐24 years old) are significantly higher than that of other women of the same ages.

In an attempt to address the barriers to mental health care that pertain to the Asian American community, I created a website http://www.asianmentalwellness.com/ which I hope will dispel some of the misconceptions that the AA/PI community may have about mental health, and will provide information and links that will help raise awareness about the importance of mental health and wellness. Please share this website with those who you feel might find it useful.

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0 How to Help Someone Who Refuses Help for a Mental Illness: Tips for Family Members and Friends

By Molly McVoy, M.D.



What do I do if my husband won’t listen to me? My mom? My friend? My daughter? I hear this question all the time. Someone recognizes the possibility of depression, anxiety, ADHD in a friend or relative, but the other person just doesn’t see it. They refuse to go see someone for help. What do you do?

You keep talking to them. It is quite common for individuals to be unaware of a mental health problem they may have or to actively deny that such a problem exists. Sometimes it takes hearing it for the tenth or even the 100th time before someone listens and seeks care. Even though you may feel you’re not being heard, you may be the one person who’s willing to plant the seed and start that person thinking about getting help.



Finally, you’re not alone. If you are worried someone in your family or group of friends is seriously ill, at risk of hurting themselves or hurting someone else, call for help. Most cities in the United States have a 24 hour suicide hotline, and nationally, you can call 1-800-suicide. There are people trained to help you with this, even if your friend or family member won’t call, you can and start the journey towards mental health.





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0 Cyberbullying: How do you Protect Children from Online Bullies?

By Roberto Blanco, M.D.

With the proliferation of cellular phones and social networking sites, bullying as we once knew it has been changed forever. Gone are the days where the classic nickname pasted on the back or intimidation on the playground were the main forms of peer-to-peer humiliation. Cellular phones with texting and Internet capabilities have allowed adolescents to bully and intimidate their peers at all hours of the day and night. In fact, this type of bullying can begin as early as elementary school.

The meaning and value of friendships and relationships has also been changed. If adolescence wasn´t bad enough, gossip, secrets, and fallouts from former relationships are being broadcast online for all to see. In addition, several high-profile teen suicides have highlighted the importance of educating children about how to protect themselves from cyberbullying and the vicissitudes of the social networking world.

An article in The New York Times identified some of the challenges surrounding cyberbullying, including the roles and responsibilities of children, parents, the schools, and the legal system. The article raises more questions than it provides answers. It makes it clear, however, that children need to be educated about how to prevent cyberbullying, what to do if they are being bullied, and how to use digital media responsibly. Here are some ideas for you and your child to prevent or manage cyberbullying:

• Talk to your children about cyberbullying as they are getting a cell phone or a social networking account. Explain the warning signs of cyberbullying for themselves and towards others. They should have had a firm lesson in the golden rule and how they should be treated and treat others.

• Discuss with your children how to protect themselves from cyberbullying. They should only “friend” actual friends and not just acquaintances on social networking sites. They should not post or send via cell phone anything that they would not want everyone to see. ´Sexting´or the sending of nude photos is strictly prohibited and talk to them about the possible consequences of this type of behavior. Let them know that any photos posted on the Internet, stay on the Internet.

• Monitor your child´s behavior on cell phones and online through frequent conversations. If you think that they may be in danger, you may need to increase the amount of monitoring by getting account passwords or using random cell phone checks.

• Discuss who they can talk to if they are being bullied – parents, a trusted teacher, counselor, or a responsible friend. Adolescents are often wary of talking to parents about this for fear of overreaction, so give them other good options.

• If bullying continues to be a problem, problem-solve with your child. Consider talking to the bullies' parents, school administrators, or if severe enough, to the legal system or law enforcement. Consider changing cell phone numbers or closing accounts.

• If your child is doing the bullying or using the cell phone or social networking account inappropriately after re-direction, consider taking away the cell phone or closing social networking accounts. While there are many positives to this type of technology, remember that it is a privilege and not a right.

For more information, check out the National Crime Prevention Council and http://www.stopcyberbullying.org/. Read more about bullying on HealthyMinds.org. 

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0 But not my kid!

By R. Scott Benson, M.D.



A recent study by the Jed Foundation and the American Psychiatric Foundation showed that most parents of college age children understand that there is a high rate of depression, suicide, and substance abuse problems in college.



“But not my kid!” Nearly two-thirds thought these problems would not affect their children.



Surveys of college students show that most experience important mental health issues in themselves or a friend. And other studies have shown that emotional problems are a leading impediment to college success.



Now that the excitement of senior trips and graduation has settled families are putting the finishing touches on a transition plan as their teenager moves to the excitement of higher education. Most families have discussed the obvious needs – a place to live, what courses to take, how to pay for all of it. But families should take time to discuss the possibility of problems and how to get help.



Since this new territory is fraught with emotional pitfalls the American Psychiatric Foundation has teamed with the Jed Foundation to develop a website of information that will provide a framework for this important discussion. Transition Year has material to help parents and teens learn the warning signs of problems. And systematically collect contact information preparing for the situation where help is needed. The site has collected links to reliable sources of information about psychiatric conditions that are often seen in college age youth.



The site would be useful to families who are still considering their child’s college options. An entire section on “Choosing a school” provides guidance on important issues to explore in order to find a best fit.



Of course in some communities the choice is simple. Go, Gators!

Detail: But not my kid!

0 Suicide Prevention – What You Should Know

By Jeffrey Borenstein, M.D.



More Americans die as a result of suicide than from homicide. What can you do to minimize the risk of suicide for your family and friends? I was recently interviewed by US News and World Report on this important topic.



The vast majority of people who die by suicide have depression, chemical dependency or another underlying psychiatric condition – all of which are treatable. My advice to people is not to suffer in silence, but to seek treatment.



And, if your loved one appears depressed, encourage him or her to get professional help. If someone expresses thoughts about hurting themselves, take this seriously. If a person has chest pain, you take them to an ER to be evaluated by a physician. If a person has suicidal thoughts – they should also receive a careful evaluation and treatment.



Over the years, I have had the opportunity to treat people who attempted suicide but fortunately were not successful. These people have an important perspective in common: with treatment, once their depression lifted or once they began to recover from chemical dependency, they were thankful to be alive and happy that their suicide attempt was unsuccessful. The key point is that with help, there’s hope. And with help we can prevent the tragedy of a suicide.



If You or Someone You Know Is in Crisis and Needs Immediate Help

• Call your physician’s office.


• Call 911 for emergency services.


• Go to the nearest hospital emergency room.


• Call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255).


• Ask a family member or friend to help you make these calls or take you to the hospital.

Detail: Suicide Prevention – What You Should Know

0 Am I Alone?

by Gariane Phillips Gunter, M.D.

















Am I Alone? by Megan Hance



I get a funny feeling, it comes from deep inside.



I get all mad and angry, wanting to go and hide.



My doctor calls it depression, my dad says it's just me.



But the thoughts and feelings, no one will ever be able to see.



Some say I'm psycho, some say I'm just weird.



It's like I'm a different person, and the old me just disappeared.



I get really edgy, I want to commit suicide real bad.



Then I get a headache, followed by feeling sad.



I wish I could get help, I wish it would go away.



Maybe if I keep praying real hard, it will some day.





I came across this poem and think that the author does a beautiful job of describing the stigma often experienced by those with mental illnesses. The holiday season can be a particularly difficult time as symptoms of depression and anxiety may flare, and feelings of hopelessness creep in.



If you feel yourself slipping away, please contact your doctor or a friend and get help right away. Receive the gift of treatment that everyone deserves. I wish you all a safe and Merry Christmas.

Detail: Am I Alone?