Bipolar1Blog

Men & Depression: NHL Goalie, Clint Malarchuck

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This is an interview that Clint Malarchuk did for ESPERANZA Hope Magazine. I’ve been looking for it and finally found it. It’s a brilliant interview. Very worth everyone’s time to read.

http://www.hopetocope.com/men-depression-nhl-goalie-clint-malarchuck/

The former hockey goalie shares his story on confronting his depression and anxiety.

By Linda Childers

There was a time when the face mask Clint Malarchuk wore as protection against hurtling hockey pucks mirrored the façade he donned to get through the day. In a rough-and-tumble sport where players are valued for their “manly” ability to get physical and play aggressively, the award-winning goaltender became a master at hiding the inner turmoil of anxiety and depression.

“Goalies are the guy everyone looks to for confidence,” explains Malarchuk, who began his professional hockey career before he turned 21. With his high-pressure job plus the stress of keeping up appearances, he says, “I felt that I had to be twice as strong.”

Over 14 years, Malarchuk tended the crease for the National Hockey League’s Quebec Nordiques, Washington Capitals, and Buffalo Sabres before finishing out his playing days with the Las Vegas Thunder of the International Hockey League. When he was out on the ice, immersed in a game, he was able to find some peace. Off the ice, not so much.

“In the locker room, I was the easygoing clown of the team, yet inside, I felt like my brain was on fire,” he recalls.

From puck drop to final whistle, Malarchuk was focused on “the save”—keeping the puck from entering the net. Nowadays “save” has a different interpretation for him—as in, keeping others who grapple with mental distress from feeling alone and hopeless.

He’s a powerful role model for other men. When he speaks in public, Malarchuk tries to stress that depression isn’t just a “woman’s disease” and how important it is for men to confront their depression and seek out treatment.

“I always knew I was physically tough, but I believed I was mentally weak until I started talking to other men and finding out how many of them also suffered from depression,” he says.

At a recent event, Malarchuk recalls, he was approached by a father and his teenage son.  Malarchuk told the young man something he wished someone had shared with him at an earlier age.

“I emphasized how there’s help … not only in the form of medication, but also in therapy, and in talking openly with others.”

‘COWBOY UP’

Malarchuk, 53, details his own struggles in his new memoir, A Matter of Inches: How I Survived in the Crease and Beyond (titled The Crazy Game in Canada). Take that “survived” literally: In a horrifying 1989 incident—witnessed by a nation of TV viewers tuned in to a Buffalo Sabres game—Malarchuk nearly lost his life when a skate blade slashed his neck.

The accident left Malarchuk with post-traumatic stress disorder—although it wasn’t diagnosed until years later—and deepened an emotional maelstrom that began during his difficult boyhood. He got a very different message then from the one he now promotes.

“From childhood, I was taught to cowboy up and move on,” says Malarchuk, who was raised on a ranch in Edmonton, Alberta.

His mask was already in place as he struggled through school and spent restless nights at the mercy of his anxiety and fear. “I remember thinking I was the only person on the planet who felt like their head was always spinning,” he says.

When he was skating, hockey stick in hand, the spinning stopped. The ice was his refuge, and the ebb and flow of the game would override his troubled thoughts. Malarchuk threw himself into the sport—and into obsessive conditioning. He would run 12 to 20 miles each day, lift weights, and box.

The “man up” message also drove Malarchuk to less healthy ways of coping: drinking heavily and erupting in anger.

“I don’t get angry anymore, but in the past, my drinking would often lead to me picking fights and being verbally abusive. I wasn’t even aware of some of the things I said when I lashed out,” Malarchuk recalls. “When I relapsed, I was angry at myself for not being strong enough to control the feelings I thought I had put behind me.”

After working with the team’s doctors and then a psychiatrist who diagnosed his obsessive-compulsive disorder and depression, Malarchuk finally found medication “that helped tremendously.” It also helped with shame and self-doubt when the psychiatrist “compared taking antidepressants to a diabetic needing insulin,” he recalls. “The doctor was the first to explain that my OCD and depression were the result of a chemical imbalance.”

While medication didn’t erase all Malarchuk’s symptoms, it did serve to quiet his mind. He continued his hockey career as a goalie and, after hanging up his jersey in 1996, as a coach.

BETTER TOOLS

Learning to manage his depression has been an ongoing enterprise. After a serious relapse in 2008, Malarchuk finally sought out talk therapy. He was challenged to face unresolved emotions related to his traumatic neck injury years earlier.

“In therapy, I had to … cry, and to acknowledge my feelings,” he admits.

He also learned more about overall mental wellness.

“I’ve tried to change my habits and focus on staying in the right emotional, mental and spiritual state,” he says.

Malarchuk relapsed again while writing his memoir, turning back to old coping methods as old anguish resurfaced. He was goaltender coach for the Calgary Flames at the time, and team administrators offered to send him to a treatment center. Part of the month-long rehab involved targeting the underlying causes of his alcohol use.

Malarchuk says he learned more about tools like self-talk, personal time-outs, problem-solving and relaxation techniques.

Last summer, Malarchuk began a new chapter in his life. He retired from hockey to live full-time on his ranch in Nevada, where he’s been raising emus for years. He is devoting himself to a second career as an equine chiropractor and dentist.

Malarchuk is living the dream, part 2. As a teen, he worked as a ranch hand during summers and thought about becoming a veterinarian. Throughout his hockey years—the dream, part 1—he maintained a love for horses, ranching, and rodeo. (Thus his nickname “the cowboy goalie.”)

“Being around horses comforts me,” Malarchuk says. “The smell of the barn and the horses, even watching them eat calms me.”

(He also gets some animal therapy from one of the house dogs, a Yorkie, “who senses when I’m anxious or upset,” Malarchuk says. “He’ll come up to me and want to nuzzle close to my neck and offer comfort.”)

FAMILY MAN

Where playing hockey was once his escape, now the barn is Malarchuk’s refuge. His office is there, and a gym space where he lifts weights and works out every day he’s home.

“Sometimes when I start to feel down or anxious, I’ll tell my wife, Joanie that I need to take some time out and go to the barn to meditate,” Malarchuk says. “Joanie has been very supportive and is great about encouraging me to do whatever I need to, in order to stay healthy mentally.”

A father of three, with one teenage daughter still in the nest, Malarchuk tries to be open with his children about his depression. He recalls one occasion last winter when depressive symptoms arose and he began to cry. Instead of hiding away, he asked his daughter to come sit with him.

“I asked if she had ever felt depressed, and I told her that no matter what she was going through, that she could always talk to me,” he explains.
Malarchuk hopes he can be there for his own children the way his mom, Jean, has been there for him.

“My mom and I are very close,” he says. “She has always supported me through good and bad, and I don’t know what I would do without her and Joanie in my life.”

In recent months, Malarchuk and his wife have been traveling across North America to promote his book. At book signings and in emails, other men often thank him for “being honest about my feelings because it has helped them to be more open and to better manage their own depression,” Malarchuk says. “I also get e-mails from women who thank me for helping their husband or their son realize that depression is a true illness.”

In the past, Malarchuk’s honesty has opened him up to attacks that he’s somehow weak. He’s heard taunts—“Hey, Malarchuk, pop another pill.” He recognizes that depression can be hard to understand for someone who hasn’t been through it. That’s partly why he’s so passionate about speaking out.

“I used to think my purpose in life was being in the NHL as a player and then a coach,” Malarchuk says. “I realize now that playing hockey gave me the platform for my real purpose—to raise awareness of mental illness, and to help reduce the stigma surrounding depression and anxiety so that no one has to feel alone.”

Sidebar: How Clint copes

By looking outward: Malarchuk has learned that focusing his energy on helping others is an antidote for his own depression, whether it’s caring for horses or answering e-mails from people who write him about their struggles.

By looking inward: Malarchuk practices his own form of meditation. “I lay down and read a book of daily reflections, and I meditate on the reflection,” he says. “I also use this time to pray about the things in my life that I have control over, and that I can take charge of, while releasing the things that are beyond my control to a higher power.”

By looking beyond: When Malarchuk begins to feel anxious or depressed, he searches for the root cause. He was experiencing symptoms after a recent trip and determined that he hadn’t been sleeping enough while traveling. “I’ve learned that it’s important for me to get 8 to 10 hours of sleep each night in order to feel my best,” he notes.

“Claims About Andreas Lubitz’s Mental Health Further Stigmatize Mental Illnesses” from The Blog HuffPost

http://www.huffingtonpost.com/muffy-walker/claims-about-andreas-lubi_b_6963932.html

Sensationalizing this tragic news story about Andreas Lubitz crashing the Germanwings jetliner into the Alps and saying things like “Crazed rookie pilot murdered 149, Madman in the Cockpit.” as The Sun (United Kingdom) did when really nothing is known about the reason the pilot did this is further stigmatizing mental illness. Stigma stops mentally ill people from reaching out for the help they desperately need. Perhaps, if Lubitz did have problems with mental illness, stigma is the exact thing that stopped him from getting help!  So why? Why print sensational and irresponsible headlines about this event, why create more stigma? Why say things that have no basis in fact? Why not be responsible and present the facts as they unfold? If it is found out that it was mental illness that caused the pilot to commit this awful act, then by all means say it was. But until then, don’t make up headlines out of incomplete data. Yes I know headlines sell newspapers, but sensationalizing and making up stories when all the information is not known, well, that’s just bad journalism.

Here’s a wonderful list of things to do and don’t do from the Huff Post article (link above):

“Here are some specific do’s and don’t’s:

  • Share your experience with mental disorder. Your story can convey to others that having a mental disorder is nothing to be embarrassed about.
  • Help people with mental disorder reenter society. Support their efforts to obtain housing and jobs.
  • Watch the language you use:
  • don’t use generic labels: “retarded,” “our mentally ill”
  • don’t use psychiatric diagnoses as metaphors: “schizophrenic situation”
  • don’t use offensive words: “psycho,” “loony,” “crazy,” “wacko,” “slow,” “crackpot”
  • don’t refer to a person as a diagnosis: “he’s bipolar,” instead say, “he has bipolar disorder”
  • Document stigma in the media whenever possible
  • The media also offers our best hope for eradicating stigma because of its power to educate and influence public opinion, so remember to thank journalists when they get it right.
  • Send letters, make phone calls, or e-mail the offending parties
  • Ask your local, regional, and national leaders to take a stand
  • Support efforts to actively expose stigma in the media
  • Educate yourself – the elimination of stigma begins with you
  • Volunteer, join an anti-stigma campaign”

These are helpful, what The Sun is doing is not!

5035 Views of Bipolar1Blog!

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Today I reached over 5000 views on this blog. Woohoo! I started this blog because I wanted to tell my story, because I was tired of semi hiding the fact that I had bipolar d/o. And most importantly, I started this blog so that other people who have mental illnesses might read my posts and find some comfort in them, find some help in them, some solace and strength. Thank you viewers, readers and friends for reading Bipolar1Blog!

#WORLDBIPOLARDAY

DSCN5473 - Version 2 I am a Mom, a Molecular Biologist, I have an MSEd. I act in plays, I love to take pictures. I also have bipolar disorder type 1. Yes this disease has taken a toll on me, my life and my loved ones. But I fight it daily. I will never let it win. I am stronger than this illness. I did not choose to have this disease, but I do choose to never let it vanquish me. I choose to live my life with as little interference from this illness as possible. And I want to tell everyone with mental illnesses that if I can try and succeed, not totally, but to a large extent, then so can YOU!

Germanwings 9525: More news

germanwings

Well they found out that the German airline copilot was having vision problems as well as unspecified psychiatric problems. Both of which he had hidden from the airlines. And he locked the Captain out of the cockpit, and according to French authorities, purposely crashed the plane into the Alps. Still nothing definitive, but the pieces are being put together and it looks like he did crash the plane on purpose. Dismayed and upset beyond belief over this. Why did he not get the help he needed? If he was going to a psychiatrist and had voiced any of his plans, why were the aviation authorities not notified? Or perhaps he didn’t say anything to anyone. He had a girlfriend, did she know anything? How can such a disaster be prevented? Mental illness questionnaires for pilots and co pilots? He was 27 years old, he had his whole life ahead of him, he was apparently a good pilot who loved flying. What would make someone like that do something like this? And taking 149 people with him, that is the most unconscionable part for me. I mean to end your own life is horrendous enough, but to take 149 people to their death with you? I don’t understand. Mental illness is difficult enough to tolerate on a personal level, but when it happens like this in a horrible public way and to people who are innocent bystanders, it is very hard to accept. And of course, then, people’s fear of mentally ill people increases. And so the stigma increases leading to less honesty and possibly even treatment for the mentally ill.

We take medications, we go to psychiatrists. Sometimes these very medications can make people psychotic (out of touch with reality, not a good thing), sometimes the doctors can put us on wrong medications or the wrong doses. Sometimes the doctors can be sexually, physically, verbally abusive or harassing towards their patients. Yes these are among the difficulties of having a mental illness. But none of these explains or excuses what happened with the Germanwings airliner. That was bad, just plain bad. I hope there is some way found that can prevent these sorts of things. I hope there are better treatments and screenings also found so these things can be prevented. I hope that stigma is also banished. This would make it easier for people to be truthful about their mental illness, and not hide or not get treatment.

Just some of my thoughts, I’m having trouble with this awful thing that happened.

German Co Pilot. Cringeworthy. Stigma. Even Though Most People With Mental Illness are NOT Violent.

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“Co-Pilot in Germanwings Crash Hid Mental Illness From Employer, Authorities Say” from NYTimes.com see link to article below.

http://www.nytimes.com/2015/03/28/world/europe/germanwings-crash-andreas-lubitz.html?hp&action=click&pgtype=Homepage&module=first-column-region&region=top-news&WT.nav=top-news&_r=0

It is possible that the co pilot, Andreas Lubitz, at the controls of the Germanwings jetliner that recently crashed into the Alps had undisclosed mental illness. The authorities found notes in his apartment from several doctors that said he was too ill to work, including a note from the day of the crash. He had been seen at a German hospital and they released a statement saying he was there for diagnostic purposes. No one really knows what the nature of his illness was, but now everyone is speculating. If it was mental illness, was it depression? No suicide note was found. I suppose it is logical to assume that he did this because of his illness, and suppose that this illness was mental illness. But nothing has yet been found to completely support these ideas. If he did, indeed, do this because he wanted to commit suicide because he was in a depression, how awful! In so many ways. Of course, it’s tragic for the passengers’ families and the co pilot’s family as well. Then it is also really bad for the German airlines, perhaps all airlines, that they hired this man who apparently hid his medical records from them. After that, it is really bad for us, who have mental illnesses. Yes sadly this is possible, it can happen that a person with mental illness would do this sort of thing. This is the kind of thing that reinforces the stigma against people with mental illnesses. That mentally ill people are dangerous and violent and frightening. Yes, some are. But the vast majority of violent crimes are perpetrated by people who are NOT mentally ill.

See: http://depts.washington.edu/mhreport/facts_violence.php

In fact look at the whole google search I did here: https://www.google.com/webhp?sourceid=chrome-instant&ion=1&espv=2&ie=UTF-8#q=what%20percentage%20of%20mentally%20ill%20are%20dangerous

I understand other people’s fears. I understand that they are afraid of mental illness. But I also am a person with a mental illness, and know others who have it and I can’t think of anyone who has committed a violent crime. Yes, I know, it’s only anecdotal evidence, but please look at the google search I did to see that it really is true, that most mentally ill people are not violent, and also that most violent crimes are committed by people who are NOT mentally.

Aaah, this is cringeworthy indeed. I would be the happiest person on this earth if all mental illness was cured. But until that happens, please wait and see what the facts are before jumping to the conclusion, and it may well be true, that the pilot killed himself due to depression and took a 149 people with him. Heinous no matter why he did it.

Why Don’t Animals Get Schizophrenia (and How Come We Do)? Article in Scientific American

schizophrenia

Short answer: Because their brains aren’t as complex as human brains. Unfortunately that’s the price we people with prefrontal cortexes pay. In bipolar disorder, as in schizophrenia, people with these illnesses can become out of touch with reality. This is called psychosis, or being psychotic. Auditory hallucinations happen to 90% of people with schizophrenia, i.e. they hear voices, this also happens up to 80% of people with bipolar d/o. There are also visual hallucinations (seeing things), even olfactory hallucinations, where you may smell something that isn’t there! (Luckily for me, I have never had auditory hallucinations, I am forever grateful for this! Interestingly enough, I have had olfactory hallucinations, I smelled the scent of Camay soap once when it was nowhere to be found.)

Let’s get back to the point of this article from Scientific American. It basically says that schizophrenia 9and I assume bipolar d/o in psychosis) are the price we pay for a much more complex brain. It is a defect of the gamma amino butyric acid (GABA) system. This is an inhibitory neurotransmitter, meaning it inhibits neurons from firing, in part by suppressing dopamine in certain parts of the brain. So when there is a problem with this system, then neurons that wouldn’t normally be firing are firing, and dopamine is also not suppressed, and this is happening in the prefrontal cortex (PFC). This leads to hallucinations. See quote below.

Yes the psychotic brain, whether in schizophrenia or bipolar d/o runs amok. And it can run so crazily amok because it is so complicated. So complicated that when things go wrong, they go wrong in a big way. Hence hallucinations.

http://www.scientificamerican.com/article/why-don-t-animals-get-schizophrenia-and-how-come-we-do/

“They also found that these culprit genes are involved in various essential human neurological functions within the PFC, including the synaptic transmission of the neurotransmitter GABA. GABA serves as an inhibitor or regulator of neuronal activity, in part by suppressing dopamine in certain parts of the brain, and it’s impaired transmission is thought to be involved in schizophrenia. If GABA malfunctions, dopamine runs wild, contributing to the hallucinations, delusions and disorganized thinking common to psychosis. In other words, the schizophrenic brain lacks restraint.”

My Short Video For The Healthline.com “You’ve Got This” Series.

You've got this!

I made this video for Healthline.com (link below.) It’s a series called “You’ve Got This!” and it’s meant to be a positive inspirational message for people who have been newly diagnosed with bipolar d/o. Here’s the link to the video I made. It was quite an emotional experience, even though it’s short, it brought up a lot of emotions about when I found out I had bipolar d/o and when my brother was diagnosed with it, he was the first one in my family to start showing symptoms of this illness. Sort of a hellish time. We didn’t know what to expect, what was going to happen to my brother. Then I was diagnosed with it. A time of upheaval and terror, really. So I am so happy to be able to offer reassurances to people who are newly diagnosed that things will be fine. It is imperative that they stay in touch with their doctor and follow the doctor’s advice. And their lives will be their own again.

https://www.youtube.com/watch?v=10FFEnBtXGY

Oh Please Catch On!

living room living room 1

This is exactly the kind of thing I have talked about for years! When I didn’t feel well, manic mostly, sometimes depressed, but it wasn’t to the degree that I needed hospitalization, these “Living Rooms” would have been perfect! There have been PLENTY of times when I have been super anxious, manicky, dysfunctional, and a burden to my husband and friends 😦 but not sick enough to be hospitalized. In those times, the Living room would have been perfect. Also my experience at the Comprehensive Psychiatric Emergency Program (CPEP) at Columbia Presbyterian Hospital in New York City was traumatic to say the least. I was out of touch with reality, but only periodically, yes, I was. And I was in no danger of hurting myself. I knew that full well. The doctor in the ER did not believe me and they kept me there against my will for at least 24 hours in a sort of dungeon like environment (CPEP) until a bed opened up and I could move up to the regular psychiatric floor. Being kept there against my will, being dispossessed of all my clothing, my purse, makeup, jewelry, everything I had on me, was so extremely depersonalizing and traumatizing. It brought my stress levels exponentially higher than when I had walked into the emergency room. I obviously felt imprisoned, trapped, felt that all my rights had been taken away, and I was, frankly, afraid of the big burly guards in the “dungeon.”

Now contrast my experience with walking into a place where the staff welcome you with open arms, offer you (soft) drinks, and try to make you feel absolutely at home and Voila, you have the Living Rooms that are now open in Illinois and paid for by the state. They also make arrangements for longer term care if you are in need of it.

Oh boy, if I could have gone there instead of to the dungeon, that would have been amazing! And I and my friends (who don’t have any mental illness, but know my history and my plight intimately) have talked about just such a place as the Living Room, where you can go and just chill out if you need to or get more comprehensive care if that is what is needed.

That sounds like a dream!

Below is the whole article and another link to a Psychology Today article, read and enjoy.

https://www.psychologytoday.com/blog/the-bipolar-coaster/201306/the-living-room-turning-point-skokie-illinois

http://mic.com/articles/109946/our-mental-health-care-system-needs-more-places-for-people-to-chill-out

Kessler’s lack of control over his own mental state scared him, as did preparing for a six-story free-fall. But the scariest part of that night came later, when he voluntarily went to the emergency room. The prospect of going to the psych ward, to join the real crazy people, Kessler recalls, terrified him more than deliberating suicide.

“I still had the basic idea of a psych ward from TV,” he said. “But when I got there, the other people were a lot like me, just experiencing too much stress without the right coping mechanisms.”

In the end, he was glad he went. While the process of handing over his personal belongings and donning a hospital gown was by no means pleasant, Kessler knew he needed to get out of his dorm room and put his fate in someone else’s hands. In fact, he credits his two-night stay in the psychiatric ward with saving his life. Today, as a suicide prevention specialist, Kessler urges teenagers and young adults who find themselves in a dark place to go get help, even if that means checking in somewhere so they don’t check out.

Note: Kessler talks about his suicide attempt in the video below.

A 2013 video in which Misha Kessler talks about his suicide attempt.
Source: Youtube via Misha Kessler

But Kessler ended up at the hospital because he didn’t see another option. Emergency rooms are designed to revive trauma victims and pump stomachs, not address mental health crises. Patients who need immediate psychiatric care endure a drawn-out intake process that often involves repeatedly explaining why they’re at the ER and waiting hours for beds to free up in a psych unit. It’s re-traumatizing, ineffective and expensive. That’s why Illinois created  Living Rooms, state-funded, alternative ER centers for mental health crises.

The U.S. has radically shifted its approach to psychiatric care a number of times. During the second half of the 20th century, a policy of deinstitutionalization resulted in the discharge of thousands of mentally ill and developmentally disabled Americans from psychiatric hospitals, many of which subsequently shut down. The policy, though well-intentioned, received criticism for leaving former in-patients to flounder.

Similar criticism resurfaced recently, when studies revealed just how many incarcerated Americans suffer from severe mental illness. At least 15% of state prison inmates have a psychotic disorder. Some argue that the U.S. just shifted the burden — jails are the new mental hospitals. We haven’t quite figured out a system of comprehensive mental health care that doesn’t infringe on people’s basic civil rights.

More Living Rooms may be part of the solution.

Illinois opened the first of its five Living Rooms in 2011 as a non-clinical crisis center for people in the throes of a mental health meltdown. People can drop in to get immediate help and access to resources for longer-term care. A mental health crisis, to use the same definition as The Living Room does, is “a state in which an individual becomes overwhelmed and their usual coping mechanisms are not adequate, which leave them with disorganized thoughts and life processes … if a crisis state is not properly treated, the condition can quickly escalate, leading to a mental health emergency.”

As the name suggests, the centers are supposed to feel more like homes than hospitals. When guests walk into the Living Room, according to a 2014 study published in the journal Issues in Mental Health Nursing, staff members greet them “with open arms” and offer beverages — anything to make them feel at home, supported and in control of their own treatment.

It’s really a disarmingly simple idea: Normalize the practice of seeking help and offer people a place to chill out when they feel bad.

Within the mental health field, the Living Room is thought to be a creative approach, according to Ken Duckworth, medical director at the National Alliance for the Mentally Ill.

In addition to keeping doctors and psychiatric nurses on staff, the centers employ peer counselors who have been through, and emerged from, mental health crises themselves. Their presence has proven to be a strength of the Living Room model, according to Living Room coordinator Peter Robichaux. The stubborn stigma surrounding mental illness often makes people hesitant to seek treatment and uncomfortable when they do. Peer counselors get it; they’ve been there too. As one peer counselor said in the Issues in Mental Health Nursing study, “We’re not going to judge you because we are you.”

Kessler, who works at the Campbell Center, a D.C.-based nonprofit, says that peer support is a resource in hospitals too. As important as high-quality doctors are, young adults benefit when relatable liaisons enter the picture.

The Living Room model of care jibes with psychiatrist Patrick Corrigan’s theory of destigmatization. Corrigan, a researcher at the Illinois Institute of Technology, believes that destigmatizing mental illness hinges on more people coming out as mentally ill. We can learn about the causes and rates of various mood disorders, but living and working alongside people who’ve openly battled schizophrenia or bipolar disease is ultimately the way to change public perception. Corrigan looks to the gay rights movement for comparison. The movement really took off, he pointed out, when non-straight people became more visible in everyday life.

The Living Room model also helps stretch the state’s health care budget. During its first year, the original Living Room had 228 visits from 87 guests, most of them diverted from the ER, which saved upwards of $500,000.

Source: Jon Bradley via Getty/Getty

It’s really a disarmingly simple idea: Normalize the practice of seeking help and offer people a place to chill out when they feel bad. And while Illinois’ Living Rooms stand out in the U.S., non-clinical mental health care centers are the norm in Australia. In 2006, the Australian government launched Headspace, a national network of fully funded health care centers where Australians between the ages of 12 and 25 go when they’re having a tough time. People can stop in whether they’re battling ongoing mental illness or just feeling stressed and lonely.

The Living Room approach may be catching on stateside too. Over the past few months, mental health urgent care centers have popped up on both coasts. Los Angeles County officials opened one such center in late 2014 to relieve pressure from county hospitals and jails running low on psychiatric beds. In January, Rhode Island opened its first walk-in mental health urgent care center for similar reasons, according to an AP story. Both facilities seem to skew more clinical than the Living Room, but they fill the same broad purpose: to be there for people who need help and provide services specifically tailored to mental illness. One county supervisor who led the effort in LA,Kaiser Health News reported, described the center as a more humane approach than traditional hospitalization.

It’s hard to say that any single service will fix our mental health care system, but based on history, we’re willing to make big changes. The Living Room model shows that small changes — a place to go, people to talk to — may be just as important.

World Bipolar Day Is March 30th, Van Gogh’s Birthday

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http://www.isbd.org/advocacy-and-patient-resources/world-bipolar-day

World Bipolar Day (WBD) will be celebrated each year on March 30th, the birthday of Vincent Van Gogh, who was posthumously diagnosed as probably having bipolar disorder.  The vision of WBD is to bring world awareness to bipolar disorders and eliminate social stigma. Through international collaboration the goal of World Bipolar Day is to bring the world population information about bipolar disorders that will educate and improve sensitivity towards the illness.

Bipolar Disorder is a mental illness that represents a significant challenge to patients, health care workers, family members and our communities.  While growing acceptance of bipolar disorder as a medical condition, like diabetes and heart disease, has taken hold in some parts of the world, unfortunately the stigma associated with the illness is a barrier to care and continues to impede early diagnosis and effective treatment.  In order to address the disparity in how bipolar disorder is viewed in different parts of the world, the Asian Network of Bipolar Disorder (ANBD),the International Bipolar Foundation (IBPF), and the International Society for Bipolar Disorders (ISBD) came together to work on the concept of a world bipolar day.

Willem Nolen, Immediate Past President of the ISBD, shares his enthusiasm about this initiative

 “When the ANBD, who came up with the idea, approached the ISBD we immediately decided that we should support it actively.  The initiative helps to achieve our goals to improve the lives of bipolar patients and their relatives.  We immediately invited the IBPF to join in the initiative and are excited to work with such a great group of organizations.  I am confident that World Bipolar Day will grow in the upcoming years and will help reduce stigma.” 

Muffy Walker, Founder and President of IBPF, said the following when asked why she felt it important to be involved with WBD,

“As Martin Luther King once said, I have a dream that one day our nations will rise up and create all men equal. And I have a dream that my son, who has lived most of his life with bipolar disorder, will one day live in a nation where he will not be judged by his illness, but rather by the content of his character. I believe that World Bipolar Day will help bring my dream to fruition.” 

Manuel Sanchez de Carmona, ISBD President, believes that

“WBD is an excellent opportunity for us [ISBD members] to reach out to patients, families and advocacy groups to invite them to work together on this global project to sensitize and bring awareness to bipolar disorders.  WBD is a platform to think global and act local – our vision will be attained with a motivated and strong local effort.” 

It is estimated that the global prevalence of bipolar disorder is between 1 and 2% and has been said to be as high as 5% and, according to the World Health Organization, is the 6th leading cause of disability in the world.  In order to address this global problem, we need a global solution.  With support from leading experts from around the world, groups like ANBD, IBPF, and ISBD are supporting efforts to investigate biological causes, targets for drug treatment, better treatments, better methods of diagnosis, the genetic components of the illness, and strategies for living well with bipolar disorder and this is just the beginning. Collaborations between research and advocacy groups are continuing to grow, and WBD is a tribute to the success of this strategy.

Christine Saenz, a patient and blogger, explains,

“I am so excited about this project and its message.  It is so important to educate the world and fight the stigma that is associated with mental illness.  Bipolar does not have to be scary. I am the face of Bipolar.  I am just like everyone else. With the right treatment plan, I am able to live a stable and happy life.”

As the day draws near we encourage you to organize and publicize local events, which can be shared with the world through distribution on the WBD Facebook page (www.facebook.com/worldbipolarday).  While a permanent home on the web has not yet been established, in the interim, ISBD will host your announcements on a special section of our website devoted to WBD.  The WBD page will ultimately host press releases for these events, as well as provide a place to post photos, stories and share inspiration with others who share the vision of WBD.

For more information about WBD, or for any questions, comments, or event announcements, please contact Jill Olds at jillo@isbd.org

The WBD logo and its derivations  must be used in a manner consistent with the spirit of World Bipolar Day, and would naturally be expected to exclude:

1.       Activities whose principle purpose is to generate income

2.       Activities that exclude anyone on the basis of race, religion, gender, etc.

3.       Activities that may further harmful stereotypes or otherwise contribute to further stigmatization of bipolar illness

4.       Activities that do not relate to bipolar disorder in some way

5.       Activities or messages that contain “hate speech”

6.   Use of the logo in conjunction with pharmaceutical support