Treating mental illness as a disability | PostIndependent.com – Glenwood Springs Post Independent

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When we think of disabled people, we often think of physical challenges, but mental health disabilities are just as challenging and more common than society gives notice.

Lawrence Altman, co-founder of Aspen Strong — which provides resources and financial help for mental health challenges — candidly said, “Mental illness is a disability.”



Altman considers himself disabled because he daily deals with depression and social anxiety disorder. But while he spiraled downward in 2019, he emerged healthier and hopes others thrive as he did.

Altman, once a successful Wall Street oil trader, witnessed the second plane hit the World Trade Center on 9/11. Many of his trader friends died on the 92nd floor of the South Tower. “It was incredibly impactful,” Altman said. “But looking back, I always suffered from depression and anxiety. Growing up, though, our idea of mental illness was state institutions where crazies went.”



There’s still a stigma against mental illness, he said. “It’s the reason I’m talking about my life, to get rid of the stigma. I struggle with mental health every day, but I’ve survived, and if I help one person, it’s worth it.”

When Altman moved to Aspen after 9/11, he realized his problems didn’t disappear with a new locale. Some family members had a mental illness, and he still had to face his own. His life appeared to be perfect, with a great family, great house, great town; he was a football and lacrosse coach, and he competed in Ironman triathlons — it all looked so good.

“That’s part of the stigma: people think, ‘You have everything, why are you complaining?’ Altman said. “But it’s hard being perfect. It was literally killing me.” He suffered kidney stones and self-medicated with alcohol and drugs.

At his darkest, he also saw the light. With therapy, Altman faced his mental disability with honesty and vulnerability. “I don’t think depression and social anxiety ever go away completely; you have to work on it constantly, but you can have a good life,” he said.

Altman established the Aspen Mental Health Fund to provide financial assistance for those who can’t afford mental treatment. Aspen Strong is under that financial umbrella.

Aspen Strong’s mission is to raise awareness and improve mental health with financial resources. The goal is to inspire a movement that promotes dialogue where mental wellness is supported. Contact Aspen Strong at 970-718-2842 and aspenstrong.org.

Altman encourages people suffering from mental disabilities to ask for help. “I have to learn to live with my disability every day. But it isn’t a death sentence; no emotion or thought can kill you. I’ve learned to live comfortably with my disability. Be honest and vulnerable enough to reach out and ask for help. Absolutely, there is hope.”

Local nonprofit Valley Life for All is working to build inclusive communities where people of all abilities belong and contribute. Find us at http://www.valleylifeforall.org or on Facebook.

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New measure to predict stress resilience

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Researchers at the University of Zurich show that increased sensitivity in a specific region of the brain contributes to the development of anxiety and depression in response to real-life stress. Their study establishes an objective neurobiological measure for stress resilience in humans.

Some people don’t seem to be too bothered when it comes to handling stress. For others, however, prolonged exposure to stress can lead to symptoms of anxiety and depression. While stress resilience is a widely discussed concept, it is still very challenging to predict people’s individual response to increased levels of stress. Lab experiments can only go so far in replicating the chronic stress many people experience in their day-to-day lives, as stress simulated in the lab is always limited in exposure time and intensity.

It is possible, however, to observe a group of medical students who are all about to face real-life stress for an extended period — during their six-month internship in the emergency room. This is precisely the real-life situation on which a team of researchers involving Marcus Grueschow and Christian Ruff from the UZH Zurich Center for Neuroeconomics and Birgit Kleim from the Department of Psychology and the University Hospital of Psychiatry Zurich based their study.

Stress as a response to cognitive conflict and loss of control

Before starting their internship, the subjects were given a task that required them to process conflicting information. This conflict task activates the locus coeruleus-norepinephrine (LC-NE) system, a region of the brain associated with regulating our response to stress and resolving conflict. However, the intensity of LC-NE activation — often referred to as the “firing rate” — varies from one person to the next.

Subjects with a higher LC-NE responsivity showed more symptoms of anxiety and depression following their emergency room internships. “The more responsive the LC-NE system, the more likely a person will develop symptoms of anxiety and depression when they’re exposed to prolonged stress,” Marcus Grueschow summarizes their findings.

Objective measure predicting stress resilience

With their study, the scientists have identified an objective neurobiological measure that can predict a person’s stress response. This is the first demonstration that in humans, differences in LC-NE responsivity can be used as an indicator for stress resilience. “Having an objective measure of a person’s ability to cope with stress can be very helpful, for example when it comes to choosing a profession. Or it could be applied in stress resilience training with neuro-feedback,” Marcus Grueschow explains.

This does not mean that aspiring doctors or future police officers will all have to have their brain scanned. “There might be an even more accessible indicator for stress resilience,” Christian Ruff says. Research with animals suggests that stimulation of the LC-NE system correlates with pupil dilation. “If we could establish the same causal link between pupil dilation and the LC-NE system in humans, it would open up another avenue,” he adds.

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The genes of mental illness: Inside the mind of an American family – WFMZ Allentown

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Hearing voices, paranoia, irrational and angry thoughts, these are just some of the symptoms people with schizophrenia deal with. More than 2.6 million Americans are living with it right now. There is no cure and treatment involves medication and therapy, but more than 40 percent of people living do not seek help.

There are many questions as to what causes it. Ivanhoe talked to one woman whose family is speaking out about their lifelong journey through mental illness and how they’re helping researchers get to the root of the problem.

These are the Galvins — 10 boys and two girls. Good looks run in the family and so does schizophrenia.

“Every one of us spent a good portion of our lives fearing,” Lindsay Rauch told Ivanhoe.

Lindsay is the youngest and watched as one brother after another fell victim.

Six out of ten brothers were diagnosed.

Lindsay vocalized, “Some of my most vivid, early childhood memories are of his illness.”

“Hidden Valley Road: Inside the Mind of An American Family “details what it was like for the Galvin family.

“It is traumatic to watch somebody really struggling with paranoid delusions,” Lindsay remarked.

In the 1950s, researchers blamed it on over or under-parenting. Now, doctors believe it’s a combination of genes and environment.

“Some of those environmental factors include exposure to toxins, substance use, some in-utero complications, such as malnutrition or exposure to a disease or virus,” stated Susan Albers-Bowling, PsyD, a psychologist at The Cleveland Clinic.

There’s a wide range of early warning signs.

“Some of these symptoms can be very subtle and unfortunately, family members sometimes chalk it up to stress, family life transition,” affirmed Albers-Bowling.

Donald Rauch suffered delusions, at one point running straight into a bonfire.

“He was having major hallucinations that there were people, and he said, ‘CIA outside the home.’ It’s really quite remarkable that these people even can function as little as they do,” noted Lindsay.

Lindsay hopes her commitment to finding answers will help thousands of other families, as well as future generations of her own family.

Three of the Galvin brothers are deceased; two died from heart complications associated with the illness, and another in a murder-suicide.

You’ll be seeing more of the Galvin family soon as Charlize Theron has contacted Lindsay and is creating a miniseries to raise awareness of schizophrenia.

If you or someone you know are experiencing signs of schizophrenia, call 1-800-273-talk or 911.

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How To Support People With Mental Illness – Scary Mommy

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Supportive women hug while attending a group therapy session
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I’m very lucky. I have bipolar 2 disorder, but I’m surrounded by people who understand what that means. It’s difficult enough to have mental illness: you’re overlooked; you’re derided; you’re never quite “enough” to modern society, especially if, like me, you can’t work an eight-hour day outside the home (not that I can’t work much longer than eight hours, I just can’t stand the stress of doing it somewhere else or for someone else). Mental illness is hard and isolating. You lose touch with friends. People misunderstand you.

Living around people who don’t know how to deal with someone who has moderate to severe mental illness  — and I have — only worsens it. You become afraid: when will my disease show itself? How bad will it be this time? How will I cope alone, and will it be enough? Thoughts like this can turn even a sunny day dark. It feels like being unloved, and in a sense, it is: a failure to love a whole person.

But my husband understands that once in a long while, I will need him to come home from work: my pill bottle has become more attractive as a whole than as individual doses. I am lucky that his administrative staff understands he has a wife with moderate to severe mental illness that occasionally flares up. They don’t ask questions, other than, “Why are you still here?” My best friends understand that I may suddenly go radio-silent. When that happens, I need space, and I’ll get back to them eventually. My own bosses not only tell me to take mental health breaks, but check on me in between. These people make me cry with gratitude. They understand. They take care of me and make my life possible.

People with mental illness need a special kind of support. People may want to give it, but unlike those who surround me — who are all highly educated in how to cope with people who have mental illnesses  — they might not know how. Johns Hopkins estimates that 26% of Americans will deal with mental illness in any given year. 9.5% will deal with depression; 18% will cope with an anxiety disorder. You know someone with a moderate to severe mental health issue. Here’s how to support them.

Acknowledge Their Struggle With Mental Illness

No one I know pretends my brain is wired normally. They do not act as if I don’t have bipolar 2. That doesn’t mean they treat me differently. But they acknowledge that I may react differently to situations or misread tone. Many people often lapse into long silences; when I do that, my husband asks, “Are you okay, or just quiet?” He gives me a chance to talk and acknowledges that I might, indeed, not feel okay.

No one who loves me pretends I’m normal. Why would they? If they love me, they accept all of me, and therefore, they have to accept that I have bipolar 2. They don’t ignore that last month, I spent two weeks miserably adjusting to medication.

Be There If They Need You

Be a resource. If you’re a spouse or close friend, that may mean you need to stay with them at odd times and deal with the messiness of mental illness: the tears, the sadness, the rage. But sometimes, they may just need your physical presence. When I had my last bad episode, I spent some time sitting in my friend Patrick’s garage. We didn’t talk about my recent drop into suicidal tendencies. I think we watched Key & Peele and Matt Baume’s analysis of Priscilla, Queen of the Desert. I left his place feeling far better. He didn’t do anything in particular other than hang out, let me steal some Pall Malls, and be one of my best friends.

The closer you are to someone with mental illness, the more likely you are to see the messiness. That’s okay. The messiness isn’t their sum total. It’s only a part of them, and while it’s not a particularly attractive part of them, you signed on to love them no matter what. Your best strategy: ask that person beforehand what they need most when they’re having problems. My husband and I started doing a lot better when he realized I didn’t want him to fix my problems, but listen to them.

Know That Mental Illness May Make Them Act Differently

Sometimes mental illness may take over, and people may do and say things they wouldn’t normally do or say. It’s not them: it’s their condition. An astute person realizes when the person they know and the reaction they see don’t match. It might not be the best idea to mention it (nothing will make me angrier mid-breakdown than someone telling me that my emotions, which are very real, are only a symptom of my bipolar disorder). But it may be best to simply file it away or forgive it.

For example: the day before my last breakdown, I picked a fight with my boss and refused to back down. She kept telling me that “this isn’t like you.” And a week later, I looked back and realized that was sign #1 I was spiraling. She knew before anyone else that something was up. Maybe she didn’t know I was heading for a breakdown, but she understood I wasn’t acting normally.

Next time someone says that several times, I’ll listen a little differently, I think.

Always Stay Calm

As the person without mental illness, you have to be strong the person. In this particular situation, being the strong person means not arguing (my boss didn’t really argue so much as keep telling me to chill), not crying with them, and most importantly, not losing your patience.

No, we can’t snap out of it. No, we can’t stop thinking that. No, we can’t stop crying. Don’t you think that we’d stop whatever behavior is annoying you if we could? Believe me, it bothers us far more than it bothers you. It may be annoying to hear us say we’re worried the whole family will die in a fiery inferno; it’s far worse to obsessively think about it. You can gently suggest another activity if we’re not weeping. But don’t ever tell us to stop it, say you wish we would stop it, or tell us our behavior inconveniences you.

Mental Illness Is Like Physical Illness

It’s tiring. We might disappear for a while. Understand that we don’t have enough energy to answer your phone call, text message, or email. We’re not trying to ignore you. We’re trying to save our energy to do other hard things, like shower or eat.

If we were recovering from a broken leg, you’d probably offer to bring us a meal. If you know someone is dealing with a breakdown from severe mental illness, GrubHub them a pizza (I’m not saying this for free pizza). They’re tired, and their partner is likely tired from coping with them and any children they may have.

But most of all, give us space and grace. Please don’t think less of us because of our illness: please don’t think we’re less capable, but please realize that sometimes, we may need help. We may need space to hurt, and we may need grace when we fail to live up to societal expectations. We’re not normal, and we never will be. But if you help and support us, we can be our best selves.

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Claremont police shooting spurs questions of training, resources for situations involving mental illness – Valley News

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CLAREMONT — Following Jeffrey Ely’s death in a police shooting late last month, friends and Upper Valley mental health advocates have said they wish he had gotten the help he needed beforehand.

On March 31, Claremont Police responded to reports of shots fired at Ely’s location in a group of industrial and warehouse buildings on Sullivan Street west of downtown Claremont. They called for backup from the New Hampshire State Police SWAT team, and six troopers with the team subsequently exchanged gunfire with Ely, who was barricaded inside one of the buildings. The 40-year-old Windsor-area native died from gunshot wounds to the head, neck, upper and lower extremities and torso.

Friends and acquaintances told the Valley News that they had been worried about Ely’s mental health due to his earlier posts on Facebook mentioning “mind control” and complaining that someone was “harassing him” using voices sounding like people he knew.

Though it’s unclear what, if anything, could have saved Ely’s life, it is clear that access to mental health care in Sullivan County — where Claremont sits — is difficult and that police aren’t mental health professionals.

Roger Osmun, CEO of West Central Behavioral Health, the Lebanon-based community mental health center that also has an office in Claremont, read the news reports about Ely’s death and said they made it sound as though he may have been experiencing paranoia associated with schizophrenia.

“It’s a shame that the system couldn’t react proactively in early days,” Osmun, a psychologist, said in a phone interview last week.

The arrival of the police likely accentuated any paranoia Ely had been experiencing already, Osmun said.

“Police (are) trained to intervene and keep the public safe,” Osmun said. The limited access to mental health care is apparent to Jay Buckey, a public defender serving Sullivan County, when a client needs an evaluation a clinician to conduct it.

“It can’t necessarily be done in a reasonable amount of time,” he said, noting that it can take weeks or even months to schedule an appointment.

“It’s a really grim situation,” Buckey said.

He also said he sometimes has difficult conversations with family members of someone who is struggling with mental illness who call the police in hopes of getting their loved one help without sending them to jail. Other than getting people arrested or sending them to the emergency room, “the options to get help are limited,” he said.

For Newport, N.H., resident Dominick Dephillips, who experiences mental illness himself, Ely’s shooting illustrated the “sad, sad situation for mental health, I think.”

Dephillips has struggled to find mental health treatment but is currently in therapy and on medication he says is working.

“Most mental patients you can talk down,” Dephillips said. “You’ve got to be nice about it.”

Mental illness has played a role in several other recent incidents in Sullivan County, including the killing of Cody LaFont in 2016, who suffered from depression and was shot by a Claremont police officer three times when he walked toward the officer while holding a handgun after calling police to his home. Two other recent armed standoffs in Claremont, one in August 2019 and another in August of last year, ended without injuries. Mental illness was reported to have been a factor in both cases.

“Over the past several years, we have recognized that the mental health crisis and law enforcement intersect on a daily basis,” Deputy Attorney General Jane Young said.

Young, who declined to speak specifically about Ely’s case, also pointed to a rise in the use of methamphetamine, known as meth, as a growing problem around the state and pointed to the need to prevent substance use, rather than react to its effects. Meth can cause a range of neurological symptoms, including anxiety, confusion, memory loss, sleeping problems, violent behavior, paranoia and hallucinations, according to the National Institute on Drug Abuse.

“It is a significant problem that is only going to get worse if we cannot stem it,” she said. “You have to get on the front end.”

Mobile crisis response

Osmun, of West Central, said he’s hopeful that the planned expansion of mobile crisis services across New Hampshire will help to prevent deaths such as Ely’s in the future by bringing teams of mental health providers out to visit with people who are struggling before things escalate to violence.

By July, the Department of Health and Human Services is slated to launch a statewide mental health crisis line, an 800 number for people who are struggling, their friends, loved ones or neighbors, Osmun said. If the issue can’t be handled by phone, the dispatcher will then coordinate with the nearest available crisis team, he said.

The teams, which will be composed of a clinician with a master’s degree, as well as a counselor with a bachelor’s degree or a peer support person, will then go out to meet the person wherever they are. West Central is looking to expand its mobile crisis staff from 4½ full-time equivalents to about 21, Osmun said.

“I’m excited that New Hampshire is really looking at a new way of how crisis (services) can be provided,” Osmun said.

While mobile crisis teams won’t be appropriate for every situation, Ken Norton, director of the National Alliance on Mental Illness’ New Hampshire chapter, said he’s hopeful that they will make a difference.

“There’s a lot of evidence nationally that mobile crisis reduces hospitalization and reduces incarceration and even any contact with law enforcement,” Norton said.

Similarly, he said the national three-digit mental health crisis line 988 is set to launch in July of 2022, which he hopes will further that same effort to ensure that the right people are responding to a mental health emergency.

John Scippa, director of New Hampshire Police Standards and Training Council, said he supports the effort to develop mental health crisis teams, but said he hopes they are developed “with the understanding that we also have to be able to sustain it financially.”

He also pointed to the need for police and mental health workers to coordinate their response.

It is “another variable (you’re) introducing to a very dynamic situation,” he said.

Training for police

In his three decades as a police officer, Scippa said calls for a person in crisis often involve mental illness and/or substance misuse.

“Those two situations clearly are going to alter somebody’s level of reasonableness,” he said.

As a result, he said, “I absolutely recognize the importance of this kind of training to help serve the communities we are sworn to protect. It is definitely a priority here at the police academy.”

Scippa said recruits undergo 16 hours of scenario training. In addition, certified officers are required to undergo two hours of de-escalation training annually.

He also noted that NAMI conducts a 40-hour Crisis Intervention Team training for law enforcement and first responders through a collaboration with the New Hampshire Department of Safety and New Hampshire State Police.

Demand for those classes far outstrips the organization’s ability to provide them, Norton said. He noted that money for additional training is included in Republican Gov. Chris Sununu’s proposed budget, as well as in a bill sponsored by state Sen. Bob Giuda, R-Warren.

Buckey, the Sullivan County public defender, said there’s room for improvement in policing. In his work, he watches a lot of body camera footage. In some cases, he said, he’s impressed by the officers’ restraint, respect and level of professionalism.

“That’s not universal,” he said. “It depends on the (officer’s) experience, personality and training.”

Scippa said that every situation police respond to has “variables” and police often must make decisions very quickly.

“In the end, the police officer can attempt to de-escalate the situation, try to mitigate and control and protect, and despite the very best training, and despite the very best efforts of everybody there, there may be situations where the police officer may be given no other choice but to resort to deadly force,” Scippa said. “That is the tragic reality.”

But Ely’s former girlfriend, Lisa Ockington-Nugent, last week said she worried that living alone at the complex in Claremont had contributed to Ely’s depression in the months and weeks leading up to his death.

Ockington-Nugent said she wishes Ely had been able to get some kind of help for his mental health.

“He was struggling and (police) knew that,” Ockington-Nugent said. “It just shouldn’t have happened. People with mental illnesses shouldn’t be gunned down like that.”

For local resources and information on mental health issues, call New Hampshire’s help line at 1-800-242-6464 or Vermont’s help line at 802-876-7949, text “NAMI” to 741741, or visit www.NAMINH.org or www.NAMIVT.org.

Staff writer Anna Merriman contributed to this report. Nora Doyle-Burr can be reached at ndoyleburr@vnews.com or 603-727-3213.

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