Archive for the ‘mental illness’ Category

“There will come a time when you believe everything is finished; that will be the beginning.”


I wake up. It is blurry. I am in a room with machines going off. There is a curtain. It is blue. There are people talking. I can see them talking. I look over to my right. My mom is there. She’s crying. Not just crying but sobbing. There are a lot of people in blue. They are talking. None of them talk to me.

After a while I am up. Now I remember. I am supposed to be dead. Why am I here? Am I dead? Is this real?

I am alive. I had tried to kill myself the night before by taking every pill in the house; I spent the next day being forced to drink charcoal and throwing up for hours.

But why are all the doctors in my room in the middle of the night?

I learned later that what had happened was I had 3rd degree heart block in the night.

Third-degree heart block limits the heart’s ability to pump blood to the rest of the body. This type of heart block may cause fatigue (tiredness), dizziness, and fainting. Third-degree heart block requires prompt treatment because it can be fatal.

I was 17 years old. I was now remembering and I am angry that I am alive. I yell at my mother, because that is what I did. She loved and loved; she took on all of my anger and pain and I used her as an emotional punching bag. That was her life growing up and that is her life again. So I screamed at her, “Get out of here!!”

She cried more and she took it, as she always did. She always returned love.

I pass out again.

I wake up the next day. In walks this guy. He has blue on. He has brown hair, normal length with a beard. I am watching this guy thinking to myself, “Do not even say anything or I am going to punch you.”

“Hi, I am Tom. I will be the nurse working with you today.”

Ok that’s it, I am going to hit him. I do not say a word.

“Ok I will be here if you need anything. I have a menu here if you want to order food.”

I am not going to eat; I throw the menu away.

The food comes in daily and I do not eat. I think I am angry, but I know now that was not the case.

Day after day this guy says “Hi, how are you? Can I help with anything?” He does his work and I ignore him. My mom is by my side every day as I lash out at her. Tom doesn’t judge me for yelling at her. He does not say a word about it. He talks to my mom because she was an RN as well so she was asking him questions. I didn’t care. I wanted to punch them both was the thought in my mind.

I kept yelling at my mom, but my god I didn’t want her to leave that room. She never did leave. That was her way. A love that cannot be matched by anyone, anywhere, and it was given to me. I may have had hard times, but I had that. I had her. I had a love that everyone should experience as my core. It is what allows me to overcome everything. I would not trade it for anything.

It has been four days at this point. My mom has brought me a sweatshirt. My favorite team, The Minnesota Twins, sweatshirt. I loved baseball and I loved that sweatshirt. My mom knew this. I was going to ask her to bring it, but it was already there. Every time I looked, she was there. She was in tears, but she was there.

I wore the shirt. In comes this Tom guy. He won’t go away. I guess it is his job. But it’s others jobs, too. But they aren’t dumb enough to ask me how I am doing every day. My anger pushes them away as it is supposed to. This idiot Tom doesn’t seem to get it.

“Oh you like baseball? Me too. The Twins are my favorite team, too. Do you think they were better in 1991 or 1987?” (Those were the two years that they won the World Series). I was 11 and 15 when they won and they were moments I will always remember as a child.

I speak. I cannot let this go. “Yeah I like baseball. I think they were better in 1991.”

Tom starts talking to me about baseball, the ins and outs of the sport. I start to give one word answers that become two or three word answers. Then they become sentences.

Tom then says, “I know you haven’t been eating a lot and your mom says you’re a picky eater. Do you think I can make you a special order? I know they say you can’t have a burger yet, but I think I can make sure you get one if you’ll eat it.”

“Ok,” is what I say.

I eat the burger.

The next day. I am actually waiting for Tom to come. Some other lady walks in the room. I am thinking to myself, “where is that idiot who keeps talking to me? What the heck. This is stupid. Where is that corny dude?”

I ask my mom, “where is Tom?”

He has a day off.

“Whatever, he’s a moron anyways.” I say.

Tom is back after 2 days off. I won’t admit it, but I am excited to see him and I have been waiting for him to come back.

“Well you are starting to feel better it looks like we can take you off some of these machines.”

I am eating now and Tom helps me fill out the menu and helps me to understand what is happening.

The psychiatrist from the hospital comes down and I refuse to talk. Tom then walks in.

“I heard you didn’t talk to the doctor. It is really important so they know what to do to help you.”

I have learned to trust this moron. I think he has my best interest in mind. He is on my side. He got me a burger, he likes baseball, and he actually notices me and what I like. He takes time and has taken an interest in me. IN ME. He actually seems to care even though I think he is a corny moron. He is on my side. So I talk to the doctor.

Then I get the news that they want me to go to a psychiatric floor in the hospital. There is no way I am doing that. I am going to get up and leave. No No No No No.

Then Tom comes in and speaks to me. “I need to talk to you about this. You know, if you do not go willingly, they may force you to go and then you have no say in it; you could end up being here even longer that way. You said you hate it at home anyways. Think of it as a vacation. You get to go talk to people, to play games. They have a ping pong table and you said you like ping pong.”

Tom knew I liked ping pong and no one else did because no one else had asked. No one else noticed my sweatshirt, talked baseball, or knew I liked hamburgers. No one else went against the hospital rules and got me a burger. No one else talked to me as a person. So, if he says it is ok, I believe him. I say, “Ok I will go.”

He says, “Great I will walk up there with you. But first I have a surprise.”

In walks Tony Oliva, a retired Twins all star, (who missed the hall of fame by 1 vote in 2014,) with a baseball bat from the world series. He talks baseball with me and Tom for an hour. He signs a bat and gives it to me.

Tom found him visiting someone else in the hospital and went out of his way and bothered him until he would come. Tom did this on his breaks and his off time.

I, being a 17 year old Twins fanatic, thought this was heaven. Baseball was my favorite sport. This was the best thing ever. I smiled. My mom said, “That is the first time I have seen him smile in months” as she sobbed. It is like in her soul, she knew at that point I was going to be ok.

I walked up with Tom to the adolescent psych ward. As I walked I had my bat in my hand. When I opened the doors, my new life was about to begin. It was not the end for me, but the beginning.

I had the idea right. I had to kill myself, but not literally. I needed to kill my false self. That is how you heal.

I walked through those doors. The doors opened and it was the beginning of a long, painful journey. It was the opening to the beginning. Tom was my shepherd . I was the lost sheep.

I never would have made it through those doors without Tom.

It all started with him being present and saying hi. Him noticing things, building a relationship, going out of his way, and not always following the rules. Being invested in me. He had a wife and kids and he had a life, but in that hospital, he made me a priority. For the time I was with him, in that room, at those moments I was the most important thing in the world. When he left, I am sure he moved on. But for the time he was with me, he was focused completely on me. He was not distracted or thinking of other things. He was present completely with me. Before that, he was just there. Saying Hi.

I heard people say Tony Oliva got me to go up there; that he saved my life. While that was great, and it made my day, truth is, I was going with Tom regardless. Tom is the one that saved my life. What happened in those doors is another story for another day.

You think that you save someone’s life like you see on TV or the movies like this:

Someone is on fire; burning in the building. The fireman rushes in to save him. The fireman has all his armor on and has been trained well. He is ready for this and pulls him out of the building.

But it does not really go like that. Sometimes people are burning and dying inside. We do nothing. We let them burn. We all do. We are too caught up in our own lives.

You do not save a life by running into a burning building. You save a life by saying hi.

May you all be someone’s Tom today.

Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution $3.99

taking-the-mask-off-stigma-barriers-mental-health-addiction-spiritual-solution

Taking the Mask Off” is the new book by Cortland Pfeffer and Irwin Ozborne. Cortland Pfeffer spent years as a patient in psychiatric hospitals, treatment centers, and jails before becoming a registered nurse and working in the same facilities. Based on his experience, this story is told from both sides of the desk. It offers a unique and valuable perspective into mental health and addiction, revealing the problems with the psychiatric industry while also providing the solution – one that brings together science, spirituality, philosophy, and personal experience.

“Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution” is available on Amazon, and Balboa Press.

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I just think it is time we try something new,” said the doctor to his patient, “It’s called Abilify.”

But I’ve been doing well,” the patient pleaded, “I have had no problems for over six months and I am feeling fine.”

Well, you are on an involuntary (civil) commitment and I would hate to have to extend that 18 months,” said the doctor, “You understand that the court will always do what the doctor recommends, and I think that you are in need of a switch to Abilify.

This is a conversation that I overheard when I first started working at a county hospital. I was new and trying to learn from these wonderful doctors that I believed were there to help people. This facility saw the “sickest” patients in the county, and I thought this would give me an incredible opportunity to learn. As this was one of the first conversations I heard, I was certainly learning… and slowly discovering that the label of “sick” is being placed on the wrong individual in this context.

Eventually, I worked my way up to a role that included auditing the psychiatrist’s records along with the responsibility of meeting with pharmaceutical representatives who were pushing their free medication samples. The only means of distributing free promotional samples is by the reps being able to talk directly to the psychiatrist along with a signature, and I was like a modern-day gatekeeper. The different reps would visit and provide a pitch as to why they should be able to take the king (psychiatrist) on a date – and unfortunately describing it as a ”date” was far more literal than figurative.

The sales reps entertain psychiatrists with dinners at the finest restaurants in town and grant them access to luxury suites at sporting events in an effort to push their medications. But, they had to get by the guard (me) first. So they started to befriend me and offer similar gifts. They pulled out all the tricks in the book to try to gain access to psychiatrists, just like the Greeks trying to enter the city of Troy. In their finest efforts, the most beautiful women you have ever seen would show up as “sales reps” but they were really no more than a Trojan Horse posing as another false gift to gain access inside the gates. It really is only about one step away from prostitution, and I wouldn’t be surprised if in some cases these reps do take that ‘extra step’.

I had been officially introduced to the dark side of psychiatry, a field I had always believed was a “helping” industry. After battling my own lifelong struggles, I got into the field to help others only to find myself on the truly “sick” side of psychiatry – the side that is fueled by corruption, greed, back-scratching and dysfunction.

And this was just the tip of the iceberg!

Crossing a Line

I met a patient that I will call “Ronelle.” She was in the state hospital and preparing to be discharged after six months. She was assigned to my caseload for when she returns. Ronelle sent me a six-page letter describing herself and her situation. However, the doctor took this from me and informed me of her “delusional thinking patterns” and then coached me as to how to handle her care. He was still her psychiatrist and was ensuring I was aware of the extremity of her “sickness.” I was naïve, and had no reason to question this prominent psychiatrist.

Prior to my first encounter with Ronelle, it was already engrained in my mind that she was sick and delusional. While reviewing her medications, I noticed she was taking four different antipsychotics – one of which was 30mg of Abilify. There it is again, Abilify, the latest atypical antipsychotic. “I really do not need to be on all these medications,” she told me, “I really am not that sick.” Another delusion, I thought. So I blew her off, just as everyone had always done. I didn’t realize I was another cog in the psychiatric industrial machine.

As months went by, our talks were always the same and I was getting tired of hearing how she did not need her medications.

One night, while out on a date at a fancy restaurant – courtesy of the gift cards from the sales representatives – we headed upstairs to check out the view of the city and I recognized the same psychiatrist providing an educational talk to nurses and mental health workers about Abilify. He was sharing all the wonders of this drug and how more people need to be pushed towards this magical medication. As he took his seat, he was embraced and kissed by the same young Abilfy sales rep. I had to take a second-look as I was taken aback by the blatant corruption that sat before the entire crowd. Next day back at the office, I asked other sales reps about this encounter. They laughed and said, “Didn’t you know that? They are married.”

What!?

Shocked, upset, and in disbelief, I came to discover this prominent psychiatrist was pushing a medication on his colleagues that his wife was selling! Is this really about helping people? Or is it about expanding their personal portfolio?

Disease Mongering: The Selling of Sickness

After discovering this new information, I had to find out more about Abilify. Every single doctor I spoke with provided the same answer, “No, it doesnt really work.” One doctor even referred to it as “Vitamin A.” Abilify was introduced as a new atypical antipsychotic medication to treat schizophrenia but never gained the market-share they were expecting. A few years later it was approved to treat bipolar disorder. Later, the FDA approved its use in conjunction with other medications to treat severe depression – which is when it soared to become the top-selling drug in America.[1]

So, following the failed experiment of treating schizophrenia, the pharmaceutical company simply changed the “purpose” of the drug to treat other indications – specifically depression and anxiety – which is what you will see it marketed for today. In fact, you will find it marketed for just about everything.

“In the 12 months ending August 2011, more than [US]$453 million was spent promoting antipsychotics through physician details, direct-to-consumer advertising, and professional advertising. Abilify led with over $174 million, or 38% of the total market… Clearly, Abilify and Seroquel have performed well… in part because of the investments their marketers have made, both in promotion and acquiring expanded indications.” [2]

Yet, despite raking in more than seven billion dollars per year, both the USDI and FDA state the way Abilify works is “Unknown.” This is a very common practice in the pharmaceutical industry. It works like this:

  • Create a new disorder (identify a new market)
  • Hire a firm to spread awareness (disease branding/marketing)
  • Convince the normal person they have this disorder (creating a need)
  • Use a new drug to treat that disorder (solution)
  • The patent for the drug is good for 7 years; apply monopoly prices
  • Once patent expires, repeat step one
  • Repackage the “new” drug under a different name
  • Repeat steps two through five

Patents for new drugs are applicable for 7 years. Once it runs out, it allows the generic brand companies to make the same drug at reduced prices. To avoid this, the large pharmaceutical companies simply adjust a molecule of the drug and repackage it, allowing for a new patent. This process has been repeated throughout the past few decades as the psychiatric industry has abandoned psychotherapy in favor of drug management.

Valium was the highest prescribed drug in the world in 1978 and earned the nickname “Momma’s little helper” as it was marketed to stressed out housewives; and also referred to as “Executive Excedrin” for the overworked businessman. This was the turning point of America becoming a choose-your-mood society. As far as the pharmaceutical industry is concerned, there is a pill for everything, and the goal is to find the right pill for each person.

The 1980s saw the next “breakthrough” — the drug Prozac was released to treat symptoms of depression. And of course, the diagnoses of depression skyrocketed as public campaigns (funded by pharmaceuticals) let us all know that we, or someone we know, may be struggling with depression. Then in 1999 came “news” of the latest epidemic – Social Anxiety Disorder (ie. shyness). A coalition was created to help those suffering from this “disorder” and those targeted were told that there was a drug to alleviate their symptoms – Paxil. What is generally unknown to the public however, is that these coalitions to ‘spread awareness’ are funded by pharmaceutical companies, and psychiatrists are paid to give speeches about the newly devised “illnesses”, along with the accompanying medication.[3]

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The Legal Drug Cartels

Paxil was FDA approved in 1992, and to get approval status, the FDA appointed a board of psychiatrists – all of whom had financial ties with the pharmaceutical companies. In 2001, the infamous Paxil 329 study attempted to “prove” the effectiveness of their antidepressant in adolescents – another then-untapped market. Martin Keller ran this study on behalf of Glaxio Smith Kline and tested 100 children on the drug. There were 22 co-authors of this study, all ‘important’ psychiatrists, which concluded the effectiveness and safety of Paxil. The FDA granted their blessing to the faulty study and within a year, more than 55 million people were taking Paxil.[4][[5]

However, what was omitted from this “study” was that seven of children on which Paxil was tested were hospitalized and another 11 experienced serious side effects. Keller admitted no fault and simply did not count those individuals in the results of the study, and labelled them as either “noncompliant” or noted that they had “dropped out.” In 2004 he settled out of court for $2.5 million dollars for his role in the fraudulent study, but in 2012 the US Department of Justice brought a civil case against Glaxio Smith Kline which resulted in the company being fined US$3 billion dollars! [6] In that same year, however, Paxil brought in US$11.6 billion in sales for Glaxo Smith Kline which, from a business perspective, still made the fraudulent Paxil study a valuable corporate exercise. You can read the guilty plea in the case US vs Glaxo Smith Kline here.

In the book, “Sociology of Health and Illness” by Peter Conrad he writes:

“Marketing diseases, and then selling drugs to treat those diseases, is now common in the “post-Prozac” era. Since the FDA approved the use of Paxil for SAD [Seasonal Affective Disorder] in 1999 and GAD [Generalized Anxiety Disorder] in 2001, GlaxoSmithKline has spent millions to raise the public visibility of SAD and GAD through sophisticated marketing campaigns. The advertisements mixed expert and patient voices, providing professional viability to the diagnoses and creating a perception that it could happen to anyone (Koerner 2002). The tag line was, “Imagine Being Allergic to People.” A later series of advertisements featured the ability of Paxil to help SAD sufferers brave dinner parties and public speaking occasions (Koerner 2002). Paxil Internet sites offer consumers self-tests to access the likelihood they have SAD and GAD (www.paxil.com). The campaign successfully defined these diagnostic categories as both common and abnormal, thus needing treatment.

Prevalence estimates vary widely, from 3 to 13 percent of the population, large enough to be a very profitable pharmaceutical market. The marketing campaign for Paxil has been extremely successful. Paxil is one of the three most widely recognized drugs, after Viagra and Claritin (Marino 2002), and is currently ranked the number six prescription drug, with 2001 U.S. sales approximately $2.1 billion and global sales of $2.7 billion. How much Paxil was prescribed for GAD or SAD is impossible to discern, but by now both Paxil and SAD are everyday terms. While there have been some concerns raised about Paxil recently (Marshall 2004), it is clear that GlaxoSmithKline’s campaign for Paxil increased the medicalization of anxiety, inferring that shyness and worrying may be medical problems, with Paxil as the proper treatment”. [page 484]

Then there was the Cymbalta clinical testing that resulted in five suicides, which somehow still managed to pass through the FDA approval process. 19 year old Traci Johnson had no history of depression, suicidal ideation, or any mental illness. Yet, after being involved in this clinical study she ended her life – one of five suicides resulting from the in clinical testing of Cymbalta. After her death, 20% of the volunteers withdrew from the study, and these ‘dropout’ numbers (again) were simply not accounted for in the final data analysis.[7] In 2013, Cymbalta delivered more than $5.1 billion in sales.

This unsavoury marriage between pharmaceutical companies and psychiatry goes back over 100 years. While it was highly publicised that Sigmund Freud touted the use of cocaine – both recreationally and therapeutically – what is not widely known is that his well publicized passion for this ”magical drug” was actually the result of hefty payments he received from the newly-formed pharmaceutical companies, Merck and Park Davies, for his professional endorsement for their drugs. [8]

Drug Pushers in White Coats

The story I related earlier about the psychiatrist with the penchant for Abilify, is one of possibly hundreds of thousand of other examples of this sort of prescribing within this industry. Drug companies are profiting by more than US$80 billion each year as a result of ‘mental disease mongering’, as well as ludicrous mark-up pricing. These medications are incredibly cheap to manufacture – i.e. the cost to produce 100 Xanax pills is about $0.025 (yes that is 2.5 cents) yet they sell for $136 at the pharmacy – a 500,000% profit margin. [9]

With these kind of profits, the pharmaceutical companies are able to pay enormous settlement fees which hardly crack their bank account. In 2007, Abilify paid a $515 million settlement for illegally marketing their drug in nursing homes, despite knowing that it commonly caused death for patients with dementia.[10]

In April of 2015, Abilify’s patent expired for treating schizophrenia and bipolar disorder and generics can now be purchased at discounted prices. So, in turn, in May of 2015 its maker the Otsuka America Pharmaceutical, Inc. attempted to sue the FDA, claiming that the drug was now an orphan-drug in treating pediatric Tourette’s syndrome and thereby extending its exclusivity period.

So why do we keep prescribing people these medications?

Simply, it is because we have created a gravy train that is producing a lot of money for a lot of powerful people – drug companies, doctors, pharmacies, and investors. In creating a new disorder, it is marketed as a lifelong and incurable disease, creating a customer for life. The first problem for the drug companies in marketing their pharmaceutical ”solutions” is if it kills a person; the second problem is if they actually cured someone – imagine the financial hit they would take. Their aim, therefore, is to create addictive drugs that don’t kill but also don’t cure.

Upon learning more about this dark side of psychiatry, I literally grew nauseous. I started to examine this psychiatrist’s charts to find that nearly every one of his patients was prescribed Abilify. In comparison, other providers prescribed Abilify an average of 4% of the time… compared to his rate of 75%. Then, of course, he is also married to the pharmacy representative for this company. For each prescription he writes, she gets paid a commission. She also gets paid for talking to doctors because of her free pass into the clinic. He also is funded by the same company to give speeches on this drug, and for signing off on peer-reviewed articles and studies on these drugs – again 100% funded by drug companies. They are making exuberant amounts of money by medicating people with a drug that in their own words ”doesn’t really work.”

I was reeling over how it is possible that this level of corruption is happening right before our eyes. But the chief of psychiatry didn’t seem at all concerned — he was busy playing golf with the Risperdal sales representative! Upon hearing this, I was prompted to look into the Risperdal Consta injections that were administered at our facility, only to discover that more than half of our one-thousand patients were being given this drug — a procedure that runs a bill of more than $1,000 per injection. This has all been given the ‘green light’ by our “Chief of Psychiatry” — our facility’s ‘pillar of respectability’ who has been featured in studies in medical journals and other publications and studies for the past fifty years.

This kind of corruption is, unfortunately, not uncommon in the psychiatric/pharmaceutical industry. Peter C Gøtzsche, a physician, researcher and professor of Clinical Research Design and Analysis at the University of Copenhagen, has firsthand experience with the criminal workings of the pharmaceutical industry, which he exposed in his book “Deadly Medicines and Organized Crime: How Big Pharma Has Corrupted Healthcare.” Gøtzsche detailed the corruption behind exorbitant prices for branded drugs, and outlines that clinical drug trials are often fraudulent, with pharmaceutical companies selecting populations and comparison groups that will support the preferred outcome of the study, controlling and filtering data in-house, cherry picking the results to suit their marketing needs, and hiring professional writers to document their “findings”. He also claims it is not uncommon for academics who were not involved in studies to be paid to be listed as contributors, to give the study credibility despite its “shamelessly biased data.”

A number of other prominent scientists — including 2 former editors-in-chief of major scientific journals — have also publicly stated that up to half of published research is biased or simply untrue. Says Dr. Marcia Angell, physician and longtime editor-in-chief of the New England Medical Journal:

“It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of the New England Journal of Medicine.”

Recent Headlines

Recently Martin Shkreli, CEO of Turing Pharmaceuticals made the headlines after he increased the price of the AIDS medication Daraprim from $13.50 to $750 — a 5000% increase. Yet, the drug companies are adding these huge mark-ups all the time. According to a recent article from LiveStrong.com:

“Insight Journal” reports that many of the active ingredients in prescription drugs are manufactured overseas, and that the pharmaceutical industry earns from 2,809 percent markup of the cost of active ingredient in Zestril, to as much as 570,000 percent markup in Xanax; the markup for Xanax is based on a consumer price of $137.79 for 100 tablets and $0.024 for the cost of the active ingredients.

Now, a startling new development comes from the manufacturers of Abilify, Otsuka America Pharmaceutical, Inc. The corporation intends to turn Abilify into a “digital drug”, and are seeking approval from the US Food and Drug Administration to insert a chip into each capsule that can measure whether a patient is taking their medications as prescribed. If approved, this move would give doctors and courts the power to monitor whether people prescribed these drugs are complying with the dictates of their financially-motivated prescriptions. [11]

While the moral and legal implications of this proposal are staggering, the ludicrous insensitivity of such a proposal was highlighted by Comedy Central’s Stephen Colbert who joked:

“Nothing is more reassuring to a schizophrenic than a corporation inserting sensors into your body and feeding information to all those people watching your every move.”

You can read about this development here.

So, who are the sick ones in this industry?

Eventually, I started listening more to what ”Ronelle” had to say about her ‘drugging’ — I felt it only right to hear her out. With some collaborative efforts and a bit of manipulating, we were able to switch doctors. Her new doctor met with the legal drug cartel sales representatives but didn’t ‘buy into’ the shiny objects they tried to use to bribe him. “None of these meds really work,” he told one of the drug dealers, “Maybe 15% of the time at best, so we really shouldn’t use them unless it is absolutely necessary. They are only to be used as a last resort.”

Imagine that?! A doctor who still cared for patients, stands by his morals and ethics, and could not be bought-out. Of course, he often was shunned by his colleagues for his ethical tactics that made waves and exposed their corruption.

However, once he began working with Ronelle, he gradually got her off her medications to see how she would function without being doped up 24 hours a day. Eventually, she was reduced from 4 antipsychotics to a more suitable anxiety medication and an antidepressant. She was doing fine and never returned to the hospital again; she was happy, excited, and managed to lose a lot of the weight she had gained from the ‘doping’ her previous psychiatrist had forced on her to line his own pockets.

Unfortunately, the patient that I described in the beginning of this article was not so lucky. He did not get to switch doctors and was forced to continue taking Abilify since he was on civil commitment. He ended up fleeing for two years, taking a flight to Africa, and doing himself serious damage in the process. From what I have heard from others since, he eventually returned to the United States but his life has been destroyed.

Ironically, this doctor we have been discussing prescribed a cocktail of drugs that literally drove a troubled man to desperation, fleeing to Africa as a last ditch effort to escape his mental torture. Yet at the same time, the doctor responsible for this poor man’s state-enforced over-medication — the ‘professional’ who earned enormous sums of money pairing patients with his preferred drugs — used his ill gotten gains to funds his own vacation to Africa later that year, an expedition to escape the stress of “dealing with the mentally ill.”

In Conclusion…

In rounding out this article, it would be remiss of us to not point out the fact that more people die from overdose deaths from taking ‘properly prescribed’ prescription drugs each year than from illegal street drugs. Writes Scott Bonn, Ph.D., an Associate Professor of Sociology and Criminology at Drew University, in a 2014 article for Psychology Today [12]:

Drug overdose death rates in the United States have more than tripled since 1990 and have never been higher. At least 100 people die from drug overdoses every day in the U.S. More than 36,000 people die from drug overdoses annually and most of these deaths are caused by prescription drugs…

In 2011, the Centers for Disease Control and Prevention reported that the rate of antidepressant use in the United States rose by 400 percent between 1988 and 2008…

The problem is getting worse and, frequently, medical doctors enable their drug addicted patients by frivolously filling prescriptions.

Taking the Mask Off” is the new book by Cortland Pfeffer and Irwin Ozborne. Ebook is only 3.99. Cortland Pfeffer spent years as a patient in psychiatric hospitals, treatment centers, and jails before becoming a registered nurse and working in the same facilities. Based on his experience, this story is told from both sides of the desk. It offers a unique and valuable perspective into mental health and addiction, revealing the problems with the psychiatric industry while also providing the solution – one that brings together science, spirituality, philosophy, and personal experience.

“Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution” is available on Amazon, and Balboa Press.

Reference (1) CDC. Vital Signs: Overdoses of Prescription Opioid Pain Relievers—United States, 1999-2008. MMWR 2011; 60: 1-6.

bipolar-or-gifted-the-modern-day-epidemic-of-medicated-madness

 Have I gone mad?” asked the Mad-Hatter. “I’m afraid so, you’re entirely bonkers”, Alice replied,“but I’ll tell you a secret… all the best people are.”

The exchange above is from Lewis Carroll’s notorious fictional story, Alice in Wonderland, which in my professional opinion stands with more validity than today’s psychiatric and mental health paradigms. In fact, Alice shares the same view as some of the greatest thinkers of all-time, such as Socrates who once declared: “Our greatest blessings come to us by way of madness, provided the madness is given us by divine gift.”Plato too referred to insanity as “a divine gift and the source of the chief blessings granted to men.”

So, to best understand bipolar disorder the modern day epidemic of medicated “madness”, down the rabbit hole we go…

Down the Rabbit Hole

Going back to our friend Alice, on the first page of the classic story, we find Alice is disinterested in the dull, boring, everyday existence in which she resides. She peers into her sister’s book to see it has no illustrations or even conversations, which to Alice has no use or interest. She ponders the idea of making a daisy-chain, but lacks the energy or motivation to take the time to pick the daisies. She is disinterested in ‘normal’ life. Then, suddenly, a talking white-rabbit runs past her; he appears to be late. Of course, Alice is curious about this bizarre occurrence and follows him down the rabbit hole — and most of us will be familiar with the rest of the story.

By today’s standards and diagnostic references, Alice’s disinterest in ‘normal’ life would very likely be diagnosed as a mental disorder. With this diagnosis, she would then be medicated for life, after a brief stay at a psychiatric hospital to stabilize her on the medications that are claimed to be capable of normalizing her mental sickness.

But, is Alice really sick? Or is she a creative, intelligent, deep-thinking, imaginative, or even gifted child? I would wager everything I own on the latter!

Bipolar disorder is one of the oldest recognized ‘mental disorders’, yet it remains one of the most misunderstood. As a psychiatric Registered Nurse, it is my belief that people with bipolar disorder are not “sick” – the real sickness lies in the treatment and medications they receive.

What is Bipolar Disorder?

Formerly known as manic-depressive disorder or manic-depression, bipolar disorder refers to the experience of opposing poles with regard to a person’s mood. Essentially, bipolar disorder is distinguished by the experience of polarity.

At one pole is mania, which includes intense energy, racing thoughts, feelings of euphoria, inflated grandiosity or sense of self, impulsiveness and risk-taking behavior. The other pole includes depression, which presents the opposite symptoms, such as fatigue (to the point of inability to get out of bed), moving or talking so slowly that others notice, a feeling of emptiness, loss of interest in things that were once enjoyable, difficulty concentrating or making decisions, and thoughts of self-harm.

It is important to understand the distinction between moods and emotions here. Moods are essentially emotional feelings that last for a period of time – typically for more than two or three days, which can be difficult to shift. While everyone has their ups-and-downs, bipolar disorder is far more disabling, with symptoms far more severe than a typical mood swing from happiness to sadness. The extremes of bipolar disorder can take you from feeling that you are omnipotent to the point of wanting to end your own life.

Inside The Bipolar Mind

It is no measure of health to be well adjusted to a profoundly sick society” ~ Krishnamurti

Just as Alice does in the opening chapter of her story, many people with bipolar disorder realize that “normal life” is far too phony, boring and constrained. They realize that there is much more to this mundane existence than what is commonly suggested. So, with this insight, one can see how easily it would be to slip into a depressed mood with thoughts such as:

– Why would I want to go through with this life?
Nobody understands me!
– I am all alone.
Why am I the only one who thinks this way?
Maybe they are right, maybe I amcrazy.
What is the point of it all?
– What reason do I have to keep going?

This depression sucks the life out of you, to the point that you lack the energy to even get up and pour a glass of water. If I got up, then I would have to find a glass, wait for the water to filter, and then put the glass away… it is not worth the effort.Furthermore, the person experiencing these thoughts realizes that this thought process is illogical, and destructive, which only creates a tidal-wave effect, inducing further feelings of sadness and dejection.

How Does Bipolar Come On?

At birth, we are free — we are born with a clean slate and we see the world is magical. But as we grow, things change. We are trained to behave a certain way; we are domesticated to a set of standards that our society has agreed are “normal”. We learn to create a mask and put it on every day; To  conform. We learn to use different masks for different groups of people, different occasions, and different times. We are taught that this is “normal life”, and that wearing these masks is “normal” human behavior.

And yet this mask, this image that we create and send out to the world, is our false self. It is a learned function of the ego. It is only behind the mask that we find our true self — our soul.

Manic episodes — those times of euphoria, grandiosity and impulsiveness — are triggered by the collapsing of the ego or mask. It is as though the soul is allowed to be free for the first time. Just like a dog that is tied to a chain its entire life and then finally breaks free, it runs wild, explores, and does whatever it can, because it can finally be the animal it was meant to be.

A spiritual awakening is much the same process. Like those times of mania, it involves taking off the mask and living as our true self for the first time. If treated as a spiritual dis-ease, this is the unexpected gift that bipolar disorder can offer — a short-cut to enlightenment. The mania pole can reveal to us our strongest and deepest desires, and exactly how our personal energy truly wishes to be expressed, while the depression pole shows us – in no uncertain terms – the areas of our lives that are not being lived in total alignment with our most honest truth.

But, like the dog that just got off its leash and is running wild without care, there can be great danger if those manic episodes that are not controlled. Experiencing and freely expressing the impulses of your true self for the first time, you may begin to test reality in life-threatening ways, such as trying to fly out a window, walking into the middle of traffic, etc. In contrast, if the dog (the soul) has always been allowed to roam freely, it learns not to run in traffic or to chase people, and knows how to regulate its natural energy and exuberance for life.

The key is balance; learning always to roam free, not just in moments of mania.

Bipolar Disorder: Science, Medicine, and Statistics

According to the National Institute of Mental Health (NIMH), 5.7 million Americans (or 2.6 percent of the population) have bipolar disorder.[1] This is the highest rate of any country in the world. The official position of the NIMH is also that bipolar disorder cannot be cured. As stated on the NIMH website:

“Bipolar disorder cannot be cured… Because it is a lifelong illness, long-term, continuous treatment is needed to control symptoms.” [2]

With the United States having the highest prevalence of bipolar disorder, which is deemed incurable by the mental health establishment, it would make sense that the United States would have the finest diagnostic tools and science available, wouldn’t it? However, contrary to popular belief, there is no science involved in the diagnosis of bipolar disorder, rather it is diagnosed from a subjective set of criteria. There are no scans or medical tests, nor is there anything scientific about the process. Patients are simply asked questions in a brief consultation, and someone with a license makes a subjective interpretation as to whether or not they have a “lifelong, incurable disease”.

The primary treatment for bipolar disorder is the prescription of psychotropic medication(s), mood-stabilizers, atypical antipsychotics, or antidepressant medications. A government study published in 2005 reported that just 11% of mental health facilities provided psychotherapy to all patients diagnosed with bipolar. [3]

Regrettably, the medical establishment’s preference for treating bipolar disorder with medication over psychotherapy has less to do with results than one would like to think. When it comes to this disorder, it would seem psychiatric pay-checks and pharmaceutical profits rate far more highly than patients’ needs. In the past, psychiatrists would tend to the needs of 40 to 50 clients at most, conducting 45-minute sessions with each one. Today, they see up to 1,200 clients, holding only 15-minute appointments that focus on refilling medication prescriptions.

Why Are So Many Diagnosed with Bipolar?

In 1955, about one in every 13,000 people was diagnosed with bipolar disorder or manic-depression. [4] Today, that number has skyrocketed to nearly one in every forty!

Are there really that many more people displaying symptoms of such a disease, or could there be another factor accounting for this sharp rise in diagnoses? Let’s look at some statistics:

  • In 1970, the U.S. Food & Drug Administration approved the first mood-stabilizer medication Lithium (althoughmany U.S. physicians were already prescribing it in the late 1960’s without seeking an investigational new drug permit (IND) from the FDA, meaning its initial introduction to the U.S. population was entirely unregulated.) Following the official release of this new medication, an increase in the rate of official diagnoses of bipolar disorder naturally followed.
  • In 1995 Zyprexa was the first of the atypical antipsychotic medications approved for treatment of mania, and again, a surge in diagnosis ensued.
  • America is home to only 5% of the world’s population, yet it is currently prescribed more than 50% of all pharmaceutical drugs worldwide.
  • In 1976, Americans owned just 18.4% of the world market-share in pharmaceutical interests, but by the year 2000, that figure had climbed to 52.9%. [5]
  • In 2001, worldwide revenue for pharmaceutical drugs was around $390.2 billion U.S. Ten years later (2011), this figure stood at almost one trillion U.S. dollars.

With BIG money to be made from the prescription of pharmaceutical drugs, it’s not difficult to see why the mental health establishment’s treatment of bipolar disorder with psychotherapy waned — It was a question of financial incentive not effective treatment.

While United States has the highest rate of lifetime diagnosis of bipolar disorder, population-based surveys show that New Zealand is in second place [6], where a startling rate of almost 5% of the nation’s Maori (indigenous) population is diagnosed with bipolar disorder. Outside the U.S. and New Zealand, no other country even comes close.

Importantly, high bipolar rates are not the only thing these two countries have in common. In 1997, the United States became the second country — New Zealand was the first — to allow Direct-to-Consumer (DTC) advertising of pharmaceuticals, enabling drug companies to advertise their products directly to consumers. [7] By doing so, the U.S. FDA loosened the regulatory chains that previously kept drug companies in check, allowing them to advertise their “products” on television, radio and other media. This kind of marketing (like all mass-marketing) creates a sense of need where one previously did not exist; it allows the consumer to become familiar with the drugs available and their supposed “benefits”, to specifically ask their doctor for that medication, and if the doctor refuses, to find another doctor that will fulfil their request.

Of course none of this has anything to do with science. What it does involve is a multi-million dollar marketing scheme. And if you wonder why you never hear anything about this on the TV news, that’s because doing so would constitute a massive conflict of commercial interests for the media corporations that are heavily funded by pharmaceutical advertising. And despite the clear conflict of moral interests here, media corporations and the shareholders who ultimately benefit from this kind of direct-to-consumer marketing, prefer not to bite the hand that feeds them.

Are Prescription Drugs Actually Helping?

Psychotropic pharmaceutical drugs, like all drugs, can initially relieve symptoms of bipolar disorder, in the same way that alcohol or any number of illicit substances can be used to mask symptoms. Such substances artificially relieve us of unwanted feelings or states of mind, by affecting the brain’s chemistry. But as with all consciousness-altering drugs, relief is only temporary. You only get to ‘rent the relief’. In other words, everything that the drug gives you will eventually have to be paid back at some time.

The brain is always working to create balance – known as homeostasis – and when conditions change, the brain’s neurology also changes. Therefore the perceived positive effects of pharmaceutical intervention are therefore short-lived.

According to the reductionist medical and mental-health paradigms, a medication is deemed successful when the patients’s symptoms diminish. Although the do nothing to address theroot cause of psychosis, antipsychotic drugs can remove or mask the symptoms at first. This is the same principle that applies to alcohol, which can temporarily remove feelings of anxiety or depression — but it is by no means a long-term solution. In fact, what happens is that the brain quickly develops a tolerance to the substance and the individual taking it then needs more of the drug in order to feel the same effects. Eventually, a threshold is reached at which the individual no longer feels any effect and cannot be prescribed an increased dosage; the drug becomes the ‘new normal’. Then, when you try to stop taking the drug, your body suffers serious physical, mental, and emotional effects, because it has grown dependent on it. The body then needs to create homeostasis again, to cope without the drug. This is what is known as withdrawal.

In an August 2014 letter to The Psychiatric Times, psychiatrist Sandra Steingard M.D. (the Medical Director of Howard Center and Clinical Associate Professor of Psychiatry at the University of Vermont College of Medicine in Burlington) compared a number of different studies that demonstrate just how those suffering bipolar disorder and other psychoses are actually more effectively treated without antipsychotic drugs. She compared studies of individuals who stayed on antipsychotic drugs with studies of those who stopped using the medications after a period of two years.

According to Dr. Steingard’s research, after two years the results were initially fairly even, with 74% of those who stayed on antipsychotic medications showing psychotic symptoms, compared with the 60% of individuals showing psychotic symptoms in the group that stopped taking their medications after two years. However, as time went on, the gap grew exponentially larger. At 4½ years, 86% of those who continued to take the medications displayed psychotic symptoms, compared to 21% of those who continued to abstain after the two year mark. And after 20 years, the difference was 68% compared to 8% respectively.[8] Says Dr. Steingard:

This raises troubling questions for psychiatry… Psychiatrists are assigned a powerful role in our society; we can force patients into treatment, and this sometimes includes forcing them to take these drugs… In taking on this task, it seems that psychiatry should be assiduous in assessing risk and utterly transparent in our disclosures. This risk includes not only the failure to treat but also the consequences of our treatments. Yet, this has not been our history. Our profession has been slow to address the limitations of our drugs. We were slow to acknowledge tardive dyskinesia [a neurological disorder that occurs as the result of long-term or high-dose use of antipsychotic drugs] and slow to address the metabolic impacts of the newer antipsychotics. Will we be equally slow in addressing their impact on long-term recovery?

Clearly, pharmaceutical intervention is no solution to mental health disorders such as bipolar. All drugs, legal or illegal, have adverse effects on the body’s chemistry. Yet, with the support of regulatory bodies such as the U.S. Food & Drug Administration, pharmaceutical companies label the desirable short-term effects as the “main” effects and the unwanted ones as “side effects.” But, as the science has clearly demonstrated, all antipsychotic drugs will bring about changes in the body that are unnatural and undesirable, which ultimately prolong the suffering of the patient.

Blaming The Patients, Not The Drugs

We’ve all seen those stories on mainstream news where someone has committed a heinous or violent crime, and we are subsequently informed that the cause of their violence was because the individual did not follow their medication plan. The diagnosis of ‘insanity’ and the individual’s failure to medicate is blamed as the cause for their psychotic behavior. But people in true psychosis are not typically violent; that perception is simply not true. It is generally once they stop taking their prescribed antipsychotic medications (perhaps due to the undesirable side-effects being experienced) that the withdrawal/side-effects create these suicidal or homicidal behaviors.

In other words, far from helping the patient, the taking of drugs as a “solution” to their condition actually leads to further problems, sometimes involving the tragic loss of life.

Drugging Adolescents and Children

Like all good product marketers, companies search for untapped markets and seek to create customers for life. This is known as ‘cradle to grave’ marketing; a corporate term that bears an eerie interpretation when viewed in the context of the medical and pharmaceutical industry.

In 1995, around 25 out of 100,000 adolescents aged 19 and under were diagnosed with bipolar disorder. By 2002, less than a decade later, that number had risen to 1,679 diagnoses out of 100,000 visits. [9] This increase is staggering!While the medical establishment shrugs its shoulders, unable to determine a scientific cause for such a sharp increase, realistically, the one factor that has actually changed in that time period is the ready availability and social acceptability of antipsychotic medications.

But this startling trend doesn’t stop with adolescents; there has also been a steady increase in the diagnosis of pediatric bipolar disorder. Yes, you read that right – infants! In my experience, diagnosis goes a little like this:

Does your child act silly and crazy at some times? Then other times are they sad or angry? They might have bipolar disorder. Our drug can help you stabilize your child.

In reality, these young children do not have a diagnosable mood disorder — they are four-year-olds! Four-year-olds are simply not meant to always sit still, pay attention to one thing for extended periods, or regulate their own natural moods and emotions the way “socialized” adults do. Adding to this problem, up to 40 percent of U.S. schools are now cutting back on recess — the time when children get to go outside and be children!

And yet, prescribing antipsychotics has become the overwhelming norm, being regularly prescribed for so-called “behavioral disorders” like ADHD and ADD. According to Dr. Michelle Kmiec, an holistic health practitioner and regular contributing writer for Wake Up World:

Since 1990, according to some estimates, there has been a 300% increase with pharmaceuticals used to treat children diagnosed with ADHD. Now doesn’t that statement alone scream that there is something wrong with our medical establishment? It seems the trend is not to question why so many children (and adults) are diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), but instead to simply keep developing more drugs to counteract the “symptoms”.

Dr. Peter Breggin, a psychiatrist from Ithaca, N.Y., elaborates:

These drugs damage developing brains. We have a national catastrophe… This is a situation where we have ruined the brains of millions of children. In controlling behavior, antipsychotics act on the frontal lobes of the brain — the same area of the brain targeted by a lobotomy… These are lobotomizing drugs. Of course, they will reduce all behavior, including irritability.

It should also be noted that long-term use of the antipsychotic risperidone, commonly prescribed to young children, is associated with serious side effects including headache, uneven heartbeats, fatigue, insomnia, weight gain and increased risk for type 2 diabetes.

To complete this discussion today, I would like to share a personal account of my time with one of those 1,679 adolescents out of every 100,000 who are diagnosed as “mentally ill for life”.

Jacob’s Hope

“How can you say he is intelligent and gifted!?”shouts the mother of a 19-year-old adolescent,“He just tried to kill himself, talks crazy, and is emotionally unstable. Do not tell me he isintelligent!”

Jacob stormed out of the room, slammed the phone against the wall, and began pounding his fists into the corner of the room as if he were a caged animal begging to be set free. Quickly the entire hospital staff sprinted – following the culture and protocols of state hospitals – and Jacob was quickly restrained as though he were a criminal. Tears rolled down his cheek and onto the floor.

I was taken aback by what I just witnessed.

“They say I have bipolar disorder,” Jacob told me later that afternoon. “They tell me that I am sick, that I need to be locked up here, and take these medications. I do not think I am sick, but I am not allowed to say that.”

Believing he was a danger to himself and others, Jacob’s family committed him to a state psychiatric hospital following what they believed to be “bizarre” comments and behavior they had witnessed.

“I don’t think like them,” Jacob told me, “All they care about is money. Money is worthless. I do not want to go to college. College is just a façade. They charge thousands of dollars to have you memorize information. They teach you what to think, not how to think. Those who get good grades are just robots, all they do is repeat what the teacher has told them. But I think the government is corrupt. I do not trust them. I do not want to work for my Dad’s business. I want to travel the world, be a vagabond, read, write, and draw. I do not have any desire to work just to own material possessions. It is all phony.”

As this continued, I realized that nothing this child told me was bizarre. In fact, I admired his ability to think freely – outside the box – and respected his deep understanding of his own reality. Jacob is not sick; he is misunderstood, creative, and actually quite gifted.

Other gifted individuals such as Vincent van Gogh, Ernest Hemmingway and Kurt Cobain shared the same diagnosis of bipolar disorder, and gave us some of the greatest art of their respective times. Sadly, each of the aforementioned also ended their own lives due to the depressive pole of the bipolar complex, which brought about overwhelming suicidal tendencies upon which (sadly) they acted.

Jacob had once attempted suicide too.

“There are no people like me. No one understands me. Nobody gets it”, he told me when sharing the story of his suicide attempt, “So what is the point in being here? Everyone is living a fake life, chasing money to buy things they don’t need, to impress people they don’t like. That is not what life is about. I just need an escape from it all and sometimes it feels overwhelming.”

Jacob asked to be taken off his medications because they made him feel like a zombie, feeling nothing at all, just going through the motions of life. But in the psychiatric world, any patient who shares an opinion such as this is simply labeled“resistant to treatment”, and their medication dosage is increased. The only way to be successfully discharged from psychiatric institutionalization is to follow to the letter what the staff believes is best for you, entirely without your input.

For my own sanity, this is a game that I like to call “Saving Normal.” Society and psychiatry have decided what normal is, with no scientific basis or understanding of the human condition, and then we tell ourselves that we are saving people by returning them to a state of mental normalcy.

Understanding his own nature better than any of the so-called experts on staff, Jacob stated that his goals were to stop taking medications, to discuss his feelings with people he trusted which he believed would help to minimize his feelings paranoia. But the staff would not allow it! Jacob was instructed that he can no longer talk about such things as the corruption of government, so he followed his orders and played the game, simply to get discharged.

But is such a protocol really helping people like Jacob? No. We are merely attempting to condition people like Jacob to ‘be’ what they need to be, to meet the expectations of society and to please the people who are empowered by government to run his life for him. This is why no one actually heals in the mental health system. This is why they come back, as life-long customers of the system. And when they do, we repeatedly try to force-feed them our beliefs about ‘normal’, medicate them out of their minds, and punish and restrain them for expressing their most intimate truth.

“I would like to be taken off my medications,”Jacob presented to the staff, “I am not sick. You can keep me here longer to monitor me if you wish. The meds make me sick and all I am asking is for an opportunity. I was depressed because I felt alone and nobody understands me. But I am seeing that there are people out there like me, just not as many. I want to be myself, which is why I use drugs and alcohol – it sets me free. Then I get more depressed and feel that life is not worth living. It has nothing to do with a disorder, I have just felt rejected and keep being told that I am not normal. But that’s ok, too. I’m not even sure I would want to be normal.”

The psychiatric team told him they would consider what he had said, but as soon as he left of the room, they burst into collective laughter. I know this because I was there. I was horrified but not surprised.

During his stay, I befriended Jacob and felt a real connection with him. I found him to be a highly sensitive and intelligent young man. He realized he must do as they told him so he would be granted his discharge and move on with his life. He was doped up with medications that made him sleep all day and, rendered inactive by the drugs that were forced upon him, he gained 20 pounds in just a few weeks. Worst of all, he no longer talked about the things that brought him joy and energy.

As far as the psychiatric staff were concerned, Jacob no longer displayed “psychotic symptoms” which, in their eyes, meant that he was clinically making progress. As his symptom diminished, the staff patted themselves on the back for “curing” this poor child, and the family was happy to have ‘saved normal’.

As for me? I was furious! This was simply not right. This child was intelligent, bright, and naturally gifted, and the “mental health” establishment took that away from him, and outwardly congratulated themselves for doing so.

But, when we scratch the surface of psychiatric institutions, the sad reality is that most psychiatric physicians are inadequately trained even to prescribe the psychotropic medications they so commonly substitute for genuine care — and deep down, they know it.

Dr. Marianne Kuzujanakis, MD, MPH, is a pediatrician with a Masters in Public Health from Harvard, the Director of SENG (Supporting Emotional Needs of the Gifted) and a co-Founder of the SENG Misdiagnosis Initiative. In an article for Psychology Today she described this problem as follows:

Pediatric primary care physicians do much of the psychiatric diagnosis and prescribe most of the psychotropic medicine – but a recent survey showed that only 10% felt adequately prepared by their training to do so. They see these kids for very brief visits, and many are too influenced by drug marketing propaganda – as are parents and teachers. Over-diagnosis and over-treatment are commonplace.

Dr. Kuzujanakis went on to state that pediatric misdiagnoses of ADHD, autism, depressive disorders and bipolar disorder are often attributed to highly gifted individuals; and at the same time, other symptoms go unrecognized, such as learning disabilities in those who do genuinely have them.

Dr. Kuzujanakis also asserts that giftedness does not always equate to what our society deems “positive” experiences. In fact, up to 20% of gifted adolescents drop out of the school system, displaying such “symptoms” as talking a lot, high energy levels, and impulsive, inattentive, or distractable behaviours. [10] Notably, these symptoms of the gifted are remarkably close to the symptoms of a person experiencing the manic pole of the bipolar disorder. And they are the same behaviors I observed in young Jacob, whose only desire was “to travel the world, be a vagabond, read, write, and draw.”

Where Is Jacob Now?

Today, Jacob has a family of his own, lives in the country, spends time in nature and makes enough money to pay the bills. He spends most of his time with his beautiful children, teaching them about life and what he feels is most important. He did end up traveling the world, roughing it with almost no money in his pocket — and he got to experience how other cultures lived, as was his dream.

Jacob rarely sees his immediate family these days, other than at occasional family reunions at which he regularly hears condescendingly mutters about ‘how bad they feel for him and his family’. But Jacob is happy. He knows who he is, and although his family does not understand this, it is Jacob who feels badly for them. While he now enjoys all aspects of the life he has created for himself, they – like most of us – continue to live behind their masks of ‘normalcy’.

So I ask you… Who is the crazy one?

Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution 3.99$

taking-the-mask-off-stigma-barriers-mental-health-addiction-spiritual-solution

Taking the Mask Off” is the new book by Cortland Pfeffer and Irwin Ozborne. Cortland Pfeffer spent years as a patient in psychiatric hospitals, treatment centers, and jails before becoming a registered nurse and working in the same facilities. Based on his experience, this story is told from both sides of the desk. It offers a unique and valuable perspective into mental health and addiction, revealing the problems with the psychiatric industry while also providing the solution – one that brings together science, spirituality, philosophy, and personal experience.

“Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution” is available on Amazon, andBalboa Press.

 

 

“For no amount of our screaming at the people in charge to change things can change them… the powers bent on waging war against the poor and the young and the “other” will only be moved to kinship when they observe it.”

 

By Cortland Pfeffer and Irwin Ozborne

People with bipolar disorder and schizophrenia are the most discriminated against people in the history of the world.

A psycho is a derogatory term for someone who is psychotic.  Someone who is psychotic is a person suffering from psychosis.  Psychosis is characterized by a disconnection from reality.

That is it, that is all there is to it. A psycho is someone who is experiencing a disconnection from reality.

At first the term was “mad,” then we called them “crazy,” then “insane,” which became “lunacy” or “lunatics,” and then of course “psychosis” or “psychotic.”

As I have shared stories of the ancient days and how people with mental illness were mistreated, a large majority of those mistreatments were towards schizophrenics.

Just as humans have always done, when we do not understand something, we label it as different and persecute those people. But, this is the one group of people that are still left in the darkness. We still do not understand it.

Even though we label it as a medical disease, they still end up locked up behind bars and it is the last group of people in society in which it is still socially acceptable to discriminate against.

In the very ancient times, in the shamanistic cultures they viewed schizophrenics as having a connection to the spirit world. They would train them as to how to use this power, this gift, to connect with their higher self and earn them the title of “healer.”

Eventually as civilizations started to form, governments were created, along with rules, laws, and norms were passed down to keep peace and order.

This was meant to conform to those in power. Schizophrenia then became viewed as different, bizarre, chaotic, and mad. People with this “disorder” were then persecuted, drowned, buried alive, burnt at the stake, locked in institutions, cut off parts of their brain, or highly medicated to control these abnormalities.

So what is schizophrenia? Medically speaking, it is a diagnosis that is characterized by abnormalities in the perception or expression of reality and the sense of the self.

These “abnormalities” are described as hallucinations and delusions.

Hallucinations consist of hearing things that do not appear to be there, and seeing things that do not appear to be present.  Delusions are beliefs that appear “strange” and that only the person diagnosed believes them and they refuse to think differently – hence, refuse to conform.

On a side note, the next version of the DSM is planning on including non-conformity of a mental disorder. They have went from trying to be secretive about these things, to just being quite upfront. If you do not act as we want you to do, then you are sick. And if you are sick, you need to take this drug. But this drug is expensive, so you need this insurance coverage.

However, these descriptions are clinical terms used to help give a diagnosis, which allows for treatment in a society and culture that has agreed upon the best way of treatment of any mental illness is a drug. In the past it was hospitalization in which they never treated the person, but rather abused them and labeled them as insane.

What would happen if we were to actually look deeper into what these “symptoms” include in non-clinical terms, but rather, in terms of the client experiencing them?

The hallucinations are nothing more than an over-sharpening of the senses and experiencing unusual sensations. It can feel like an out-of-body experience and having difficulty deciphering the difference from reality and illusion. Everything tends to flow together as one. The wall never ends, but rather flows together with the flooring. Auditory hallucinations or the “hearing voices” which is so often mocked and ridiculed is a part of being in tune with higher frequencies.

It is scientifically proven that we do not see objects as they are, but rather a transformation and interpretation made by our eyes and mind. The brain filters out what it deems to be unnecessary information. This isn’t new age, make-belief information, this is physics.  Some physicists have estimated that the percentage of light we see on the spectrum is between 1.5 percent and 2.3 percent! That means that there is up to 98-percent of things that we are incapable of seeing.

We communicate daily via invisible radio waves through internet, cell phones, television, and radio. Radio refers to sending energy with waves. Energy is transmitted across the globe without any direct connection. The end result is an announcer speaks into a microphone and the signal travels at the speed of light via radio waves, is received by another signal, and if we tune our radio dial to the right frequency we can hear their voice without any direct connection.

With all this being said, is it possible that if someone has heightened senses to see part of the 98-percent of the world we do not see? Or to hear things at a different frequency in which we are not tuned in? I would say it is almost certain.

Psychosis, such as schizophrenia and mania, has to do with cracking the ego.

The experience is so intense that words can not describe. The ego, also known as the false self, is everything that we thought we knew to be true about ourselves. The reality, as we know it, is breaking right before our eyes. The ego, or mask, is put in place to protect us from danger – but it also is incredibly limiting.

During this experience, you break out of this mask you have been wearing your entire life. You feel an intense amount of energy that takes you to the depths of your soul. Your soul is set free for the first time since you were an infant, which is the reason for such rapid changes. As a part of this, all your senses are incredibly heightened and you start to question everything around you. You ask things such as “Is this real?” “Am I going crazy?” “Did I Die?”

If we are able to resist nothing and allow this experience to continue we will feel other symptoms such as feeling connection and a sense of oneness with the universe. You begin to feel that you are everyone and everything, and they are all you. An intense level of understanding takes over and everything makes sense, you finally see to just “get it.” All the answers to life are in the grasp of your finger tips. Along with the heightened senses of vision and hearing, you also are in tune with those around you almost to the point of feeling their senses, emotions, and thoughts. The sense of time disappears, all that exists is the present moment. All worries seem to disappear as an intense sense of love for everything appears and everything becomes incredibly sacred.  Along with this connection, you also may begin to feel that everything is a test from your creator and you no longer see people in their worldly form, but rather see their souls and see the message they are bringing to you.

As this state of consciousness comes down, it changes everything. Your priorities and values change quite dramatically. It is as though you have been given the answers to all of life’s mysteries and to return to the worldly form can be depressing.

I would like you to now go back and read the last three paragraphs and take them out of context. Just read what this experience of psychosis feels like to the person. Now, instead of saying psychosis refers to cracking of the ego, change the word “psychosis” for “enlightenment.”

“Enlightenment refers to cracking of the ego.” Now read those same three paragraphs describing the sensory experience. It is the exact same thing.

The difference is with enlightenment, people try many ways to achieve this experience through deep meditations, vision quests, soul dances, and psychedelic drugs, etc. Yet, those who are labeled as mentally ill and who have been discriminated against more than any other group of people, tend to have this same experience happen to them naturally. In fact, if you were to experience bipolar mania and explain it to someone the most common response is “I think you need help.”

And by “help,” in our society means to medicate the person so they no longer have these mystical experiences. Now, I do acknowledge that sometimes these hallucinations and delusions can be quite harmful in the sense they are asking people to act violently and they are seeing demons. This is likely due to the either trauma or repressed feelings. It is still a good sign that the person is breaking away from their ego, but they need to be guided by someone with experience so they can get closer to the enlightenment side of the spectrum.

This is the story of the lunatic on the grass:

Every week we would have our team meetings in which we go over treatment plans of the 16 patients in our “Intense psych rehab.”   

I had been off for a while since a huge relapse. I was now back and this was the first treatment meeting I had been to since. My mind was empty and blank. I didn’t know anything to be true for sure, I had given up. Which, as it turns out, was a good thing.

We would have the mental health practitioner present the patients and their goals and progress.

We talk about this new patient, a schizophrenic, and we discuss his goals. It is said that this is a career schizophrenic that goes to hospitals over and over. His goal is to marry Paris Hilton and play golf on the European golf tour.

Well everyone cracks up. The laughing is intense, everyone teases, ridicules, and assasinates his character.

20 mostly privledged white kids in their 20s sitting in this board room with their first psych job determining the fates of these patients.

I am a little intrigued because I love golf. I am terrible at it. However to be outside in nature with the sun for 4 hours I love.

The lessons it taught me was like exercise for my mind. Every shot matters in the same way that every moment matters. If I hit the ball by a tree, then because of that, if I get angry and impulsive, and try to smack it out of the woods, it will likely hit a tree and I’ll be in worse shape. However, if I let my ego down, and chip it out, then I will be better off.

It all adds up, little things matter, have patience, and the only shot that matters is the one in front of you. Swing soft and the ball will go further, nothing is as it seems. Do the opposite of what the ego tells you to do.

You can’t beat nature, go with it. Use your talents, don’t try to be like the other players. Stay within yourself, and be humble.

This is why I loved golf. It was some sort of meditation for me. Those things I learned in golf, could be said for life as well.

I walk upstairs and I see these ratty old shoes hanging over one of the couches.

I look over and there is the guy, the golfer Paris Hilton guy we talked about. He wears the same clothes every day, it is likely all he owns.

He says he’s not sick but he has to take medications. He gets angry if anyone tries to talk to him, about his “illness.”

I just walk by daily for about 2 months. The whole time thinking this guy is a typical schizophrenic so let’s write our notes, get him out of here and go home. Lets get our checks and continue living the lie. I was so embarrassed to be there, after the relapse. I just didn’t want to talk to him. I felt like a fraud.

It was nice outside early that spring so I brought my clubs in one day as I was going golf after work. They were brand new fancy clubs. I tried to act like I was the man, because truly I hated myself at the time and didn’t know why.

Now I know because that was one of my false selves. A mask I was wearing, it wasn’t who I really am. When you run from who your true self is, you suffer.

So at times I talked to him about golf to measure his awareness. He knew a lot so I was surprised. Just person to person talks.

He had started coming down to talk to me more because it was more of a friendship than me just asking him about his “coping skills” and his “goals,” and the bull they teach you to say in school and at these expensive trainings.

He didn’t feel threatened by me or that I was against him, or that I was writing things down in his chart. When patients do that, we are taught to think:

“See they are paranoid.”

However, is that really paranoid? We read their charts and decide who they are without ever getting to know them.

I think lacking trust and not wanting us to write things down is a perfectly normal response based on the circumstances they are usually in. If they say the wrong thing to the wrong person, then its another forced treatment and commitment.

I swung my clubs inside that day. He saw me, and said “Whoah, you got a good swing, not bad.”

He saw my clubs and said ” Hey can I take a swing?”

Now what I was doing here was something that most places would say is inappropriate and me displaying poor boundaries. The people mostly running these places would say that I should be discussing his treatment and goals and his plan. Teaching him the “coping skills” that the book says.

However, no one will talk to you if you don’t build a relationship first. We seem to miss that in mental health.

I think it’s funny that we ask people to tell us everything, and about the worst moments in their lives. When we give nothing. We force releases of information to be signed by court order, and we use the information against them. Then we call the patients non complaint if they refuse.

I wasn’t purposely manipulating a relationship either, I was genuinely talking to him like an equal, without regards to the societal roles we were playing.

So, I said “”yeah, take a swing, let’s see.”

This was the beginning of one of the most deep and profound moments in my life in which my false selves would all die. Was it in a church, in a school, in a huge moment, no. I was about to learn about life from a lifelong schizophrenic at a golf couse. Not quite how I had it dreamt it.

He swung the club and it was one of the nicest swings I had seen in person. I was shocked. Of course that didn’t mean he was a European pro.

I did start to doubt my own pre conceived notions as an “expert.” Could I, the all mighty one be wrong? It brought me back to a time when I was working at the county hospital.

One of the doctors training me said, “You don’t treat the diagnosis, you treat the patient, everyone is different.”

I then went to get support from the program director to take him and anyone else to the driving range. The university where I got my golf lessons, it was close and I was familiar with this place.

I got the ok and so we drive the van to the driving range. We arrive and there is is bunch of young kids with fancy clubs and clothes looking as we walk on the course, a group of mentally ill patients.

They had that look like “Umm I think you guys are lost” or the “Not in our neighborhood” looks.

Here is this schizophrenic guy with 20 year old shoes, long hair, and 10 year old jeans. We had no clubs, except mine. All the course can give him is a 9 iron for kids, which is typically hit about 150 yards by professional golfers. I’m sure they had better clubs to offer. They didn’t want the lunatic ruining their clubs. They didn’t want the lunatic on the grass.

He says ok, he wasn’t arguing. This man is 6’5. The club doesn’t fit him very well but he is just happy to be there as is everyone. He has a 20 year old club used by a kid.

Then there is that moment, the one that changes everything.

He puts the ball down. All these young kids, with their 3000 dollar clubs and their fancy clothes are all chuckling and watching, I am watching, the other patients are watching.

 

He says “Wow, I haven’t swung club in a long time.”

I was so nervous at this point, because I could see all the people watching, and I was watching. I was wondering, was this a delusion? Am I hurting this guy and embarrasing him? I felt my body get tighter. My teeth clenched, heart racing, I could feel it.

 

I look at his face, I watch his eyes, they aren’t schizophrenic eyes. His tongue was tightly wrapped on the outside left side of his mouth. He has this grimace on his face, it was extreme like focus. I look at his feet, they are not schizophrenic feet anymore, they are solid, on the ground, perfect stance. His arms are not schizophrenic arms, the grip is well, but the club does not fit him.

I sense the tenison and the energy as everyone was watching this “freak.” The thing is, he couldn’t sense it. He already knew what we were about to find out. He wasn’t hitting the ball for just him, he was hitting it for me, to give me hope. He was hitting it for the other patients. He was hitting it for the kids watching. The18 to 22 year olds who already have their mind made up, they want to laugh. He was hitting it for them.

 

He hit the ball. It goes well over 175 yards, with a kids 9 iron. The ball flew soo high in the air, like when you watch a pro golfer hit it. It towered over the earth, and the ball was soo beautiful in flight, it was like you see on tv. I could not believe it and you could hear a pin drop. Complete and total silence. Everyone was still.

 

The world stopped, and mine had changed forever. Had the first shot been a miss, no one watches again. The first shot was the key. This wasn’t a ball you could say was just struck well by an amateur. It had the look of a real talented golfer. He hadn’t swung a club in years, he had a girls jr club, and he didn’t have fancy equipment or shoes or a glove. He had a sweatshirt, jeans and those old raggedy shoes.

Then this happened over and over and over again. Eventually people were not whispering anymore. They eventually went back to hitting their balls.

Then more magic happened. At a driving range like this, you see all these golfers hitting all these balls. They all are in flight and all hit well.

There continued to be one ball that towered over the rest and made the others look like little kids.

Then, I started watching the kids, they started swinging and missing, and hitting terrible shots. He’s not supposed to do that. I could barely move. I had been shown the truth yet again. I hit some ok shots, but it didn’t really matter anymore.

 

Then he walked over and started giving me tips on my golf swing and they all worked. I couldn’t believe this. Then I look back, there is 20 kids watching him hit the ball, and watching him teach me. It was that impressive. Of course on the side you had our other patients trippng, laughing, running around. The world had been moved.

 

Then a moment that still tears me up as I write this happened. One kid with extreme courage and bravery comes up and asks him advice on his swing. What courage to do this on front of his shaken peers. Instead of teasing, he came and asked for help.

They had teased and judged, but our guy didn’t care. He said sure, and he loved helping.

Before you knew it you had the schizophrenic giving golf tips to these college golfers. I will never be the same and I knew it when it happened.

I remember getting back to the facility and sitting down. My co workers said “You must really like golf, I’ve never seen you so alive and energized.”

I could not describe what I had just seen and I am still not doing it justice.

All I could say was “yeah I like golf.”

We went again maybe 3 times. We had long talks in the car. He started talking about his life growing up, how he got involved in the system. I started teaching him about schizophrenia.

Eventually, he said to me, “Well I’ve been going to these hospitals and group homes for over 20 years, and no one has ever explained it to me like that. I think I do have that disease, actually maybe they are right.”

I think other people had explained, he hadn’t listened, becasue no one had ever listened to him. He was open, without fear to me.

I only talked to him by chance. I had ignored him for 2 months.

Everyone played a role, the negative mental health practitioner who tried to make a joke of his treatment plan, the great program director. It all played a part.

 

Then I started to listen carefully to what he said when he went on rants instead of just having preconceived notions. I heard him talk about the college he went to.

I decided to look it up, then there it was. I saw a picture of him, clean cut, very well groomed and dressed. He had a 4.0 and was captain of a division 1 golf team. I wanted to be his caddy and get him in tounaments. That never happened.

 

Did he have the talent ot be a pro golfer?, I don’t know, but good enough to make money for sure.

 

My life changed forever, for that first swing was the swing hat changed the world. It came when I had given up on mental health and thought it was a fraud.

Then I realized this wasn’t always a terrible business. Yes there are terrible things that happen, terrible abuse. Horrible things happen. That was not a reason to give up, that was the reason to stay. To stay on the inside and do my best to create change. It is only a fraud if we make it one.

We have the power over every present moment we are in. That will always build on the past moment, much like golf. We can find evil if we look for it.

However as socrates said “Our energy is better spent on focusing on positive future than on the negative past.”

I think ghandi also said that “The best criticism of the bad is the practices of the good.”

Maybe it wasn’t Ghandi, however I know it wasn’t me. Everyone is a human, we are all connected, and we all have things to offer.

If we start to treat people as equals, who deserve respect and love, instead of superiors and inferiors, you start to change.

When you drop everything the ego tells you to truth, magic happens.

When we take that leap, or are forced into it. What we happens is a freedom and beauty that I can’t explain woth words.

My greatest teacher was a “schizophrenic,” that had been committed for over 10 years by the court as crazy. I almost closed myself to him as a teacher because society had labeled him as sick and delusional. That’s how labels destroy.

When we lose the mask, the world becomes beautiful again.

This is my 42 year old cousin Jon tonight, on a respirator, in the ICU barely hanging on.

Gifted people are not those that can act and are good at sports. It is those sensitive, caring, loving people who have been given hate, pain, and abuse their whole lives. Yet they still return with love for the world. They hold the key.

 Currently how our society is set up, is we treat the most caring sensitive souls like garbage. The ones who could save humanity are in psych wards, detox facilities, and  treatment centers. Until we learn to embrace these gifted souls, our problems will continue to mount and destroy us. We embrace the wrong things and this is the result. We are killing  them off. When they become extinct, we will all go away. 
It can be cured. The solution is simple.  Love. Find an addict or someone with “mental illness” and give them pure love today. It will change the world. You won’t see the results, but it will

This pucture is my cousin Jon tonight. This is what an accidental drug overdose looks like. He is on a respirator right now. He is not a celebrity, so people won’t notice. But this happens to people every day and it is an epidemic. 
As a child he was tortured and abused. His stepmother didn’t want him so he was treated that way. His father wanted his wife to be happy so he was beaten and abused. 

Then at 16 everyone said he was “crazy.” He came to live with us and became my hero. He loved us and saved us.  

If Jon makes it out of this, he may never speak to me again or kill me. But at least he will be alive.
This is Jons story.

“The hero, it might be said, is called into being when perception of a need and the recognition of responsibility toward it are backed up by the will to act.” – Mike Alsford

Twelve-Years-Old; Here I am screaming, hitting, kicking, and throwing anything within eyesight. Filled with rage, I only hear the echoes of laughter from my amused audience of family members and a handful of neighborhood kids. It was a show to them, their entertainment for the evening, all while I am crying inside.

“He can not hurt you,” they cackled to each other.

Then the yelling and screaming turned to tears. That was the real pain, I was a hurt and confused teenager and expressing it the only way I knew; with anger and rage. More chatter and laughter from the enthralled crowd intensified my inner torture. While this was outwardly conveyed with more violence and destruction, I am slowly dying on the inside, scared, and lost.

I grabbed a baseball bat. It stopped being funny.

One person in that room saved me from killing myself, or perhaps others in that room. I’ll share exactly how this all transpired at the end of this article.

First, I want to tell you about the story of two boys. The story begins when they are around 7-8 years old. We will call them “Boy A” and “Boy B,” for simplicity.

“Boy A” awakes in the middle of the night with typical late-night hunger and heads to the kitchen to make a sandwich and accidentally cuts his finger on the knife. Scared, he rushes into his father’s room to cry and tell him something is wrong. The father responds by hitting him and telling him that he is, “too fat anyway,” followed by a couple more smacks to the face.

In childhood, we are trying to figure out if the world is safe or unsafe and it is our primary caregivers that give us this message. The message being received is, “you are a bad person, you are overweight, don’t come to me with your problems.” As these regular beatings continue, the neurological pathways are put into place in the developing brain reaffirming his perception of himself and the world. He fears the world, he is not allowed to cry or show emotions, and express how he feels. Everything is stored deep within his subconscious, but he has been trained that it is not OK to be himself.

His mask has been created.

Now, there is “Boy B,” at age 7-8 his father comes home and tosses around the football with him. He teaches him about football as well as life lessons associated with the game; such as being a part of a team, work ethic, discipline, sacrifice, fighting through pain, perseverance, and commitment. His mother offers warmth, kindness, compassion, along with unconditional love and support.

Encouraged to do well in school, treat others with respect, and do the right thing, “Boy B” receives positive reinforcement. He trusts the world, believes in himself, and his life is filled with meaning, purpose, and hope.

Back to “Boy A,” his father decides to get re-married and his new wife wants to start a family of her own. To her, “Boy A” is a reminder of this man’s past life and interrupts with her vision of a happy family. She takes it out on him by abusing him with electrical cords and whipping him with curling irons.

The same message comes around again, “I am a bad person, a jerk, and I am no good. I am getting in the way again.”

Already engrained in his mind and belief system, the same thing comes up again and only deepens his self-perception. During adolescents is when our personality is created as these neurological pathways are created, strengthened, or dropped altogether based on experiences and reactions. The teenager also acts first on emotion rather than on analytical thinking or rationale (due to the natural evolution of the brain) which naturally means more “acting out.” When “Boy A” acts out, everyone’s perception of he being a bad person or jerk is vindicated. Including his own perception of himself.

At the same time, “Boy B” is excelling in school while his parents are putting in extra time communicating with teachers and coaches to ensure their son is growing from child to an adult. The teachers see that they are involved and care about their son, and in turn, spend additional time with their child making sure he is successful. He is applauded for his extra efforts, given awards, and is generally liked by most people. He is free to explore the world on his own, views the world as a safe place, and optimistic about the future. Whenever he is in need, his family is there for him for any advice, assistance, or general support.

And, “Boy B” happens to be naturally gifted in athletics. Along with his revered genetics, he has been raised to work hard, study, and strive for greatness. As he gets older, he begins to receive specialized instruction from the finest coaches around the country. And while he has a burning passion for football and for success, if all fails in college he still has a loving family and community that will forever be supportive.

 

“Boy A” is now growing up with the negative labels connected to his name and any good act is ignored. Like the Hell’s Angles motto, “When we do right nobody remembers, when we do wrong nobody forgets.” Only seeking acceptance he acts goofy, outrageous, and spontaneous. This is the only thing that gets attention, and any type of attention is good for him. A beating is better than nothing at all.

He misses school and gets in different kinds of trouble. As the struggles progress, he becomes more scared, hurt, and alone with nowhere to turn. His father’s disgust for him hasn’t faded, if anything, has intensified. His father destroys gifts the child receives from his biological mother, not allowed to see his mother and is beaten and left outside the house all day on a nearly daily basis.

In school, he has no support. He is in fights, disrupting class, failing grades and the teachers only see a lost cause. Still seeking acceptance, he willingly puts on any mask for approval – the clown, rebel, etc. Anything that grants him the love that every person deserves, the love that he was cheated out of during his childhood.

Looking at the two stories of “Boy A” and “Boy B,” as adults they are souls from two different worlds. People who have been through abuse are living an entirely different reality, how are they supposed to just wake up one day and “just get it?”

This is why we need to look behind the mask.

The adult survivor of child abuse has altered brain chemistry. Early childhood development begins with the primitive structures of the brain known as the limbic system. This deals with emotional learning and survival. Our body has a natural hormone, Cortisol, which is sometimes called the “stress hormone” as it is released to help our body regulate stress. In childhood abuse, the system becomes altered as the child is under chronic stress which constantly sends cortisol throughout the brain and body. At this time, the brain is rapidly developing and the child is dependent on their caregiver for protection – which has significant long-term impacts on these primitive systems. And then as he ages into adolescence and young adulthood, these constant reminders that he is a “bad person” strengthens these already disrupted pathways.

Back to the stories, “Boy B” has graduated high school with honors, receives a football scholarship and has support from friends, family, and his community. He is well-prepared with education, specialized training, financially, and ongoing support and guidance. He succeeds again at the highest level of college football and is dubbed a “real life superhero!” He is strong, athletic, intelligent, handsome, and he pretty good at throwing a football and has a real possibility of becoming a professional athlete.

We call professional athletes, “real life superheroes.” I see it on a daily basis. In fact, just the other night Don Cheadle’s exact words on the Thursday Night Football telecast were, “these guys are real life superheroes.”

Then I watch my son put on his power rangers costume and he hits and punches. From day one we are told there are “good guys” and “bad guys.” We teach them that it is OK for the “good guy” superheroes to punch bad guys. We think it is cute. To me, it has been disturbing to see him enamored with these shows and then fired up to “get the bad guys and punch them.”

So I can bash the system which does no good or I can try to focus on the future. Which is what I am trying to do is to teach him about real life superheroes.

Back to “Boy A.” He escapes the abuse by finding a job and secretly saving money. Once he has enough he drives four hours to his Aunt’s house, which happens to be my home as well. He is confused, lost, lacks acceptance or any belief in himself. He has had a “bad guy” mask tattooed on his skull and has grown to believe that it is true.

Our house is crowded with five children, extended family, neighborhood kids, along with a number of chaotic pets. In the basement lives a 13-year-old child that is incredibly shy, but also remarkably intelligent. This is my older brother, he has basically withdrawn from the world at this point and is also scared and lost.

Then there is a 12-year-old boy who is angry, acting out, constantly in serious trouble, and recently expelled from school – this is me. Then there was another boy, much younger, and painfully terrified of the world, but also very loving – this is my younger brother.

And, now enters “Boy A” into this home. It is a frightening situation to the outsiders in fear that he is going to destroy this home and these kids. They don’t need a “Boy A,” they need a “Boy B.” A Super Hero!

Meanwhile, “Boy B” is excelling in the classroom and setting records on the football field. His fun-loving, down-to-earth, good-humored personality makes him loved my just about anyone who encounters him. He is a good man with true humility. He is not a bad person, we do not get to choose our family and whether or not we receive love and affection – he should not be hated for that. He is an amazing man and is an exceptional role model.

Right now, his biggest concern is where is he going to fall in the NFL Draft? What kind of offense do they run? Will he be able to start right away? Again, to him, these are true worries that create anxiety. It is not his fault, it is just his reality. But in terms of real-life trauma, trials and tribulations, tests of strength, willpower, or character are not likely as significant or battle-tested as “Boy A.”

“Boy B,” could be one of many quarterbacks we see each Sunday, such as Peyton Manning. Great man, good heart, hard-working, and humble. One of the best in the world in the history of his given profession – NFL Quarterback. He is often labeled, “A Hero.” In fact, quite frequently.

In researching a few different studies over the years, athletes and celebrities usually top the list of people we consider “heroes.” Currently, LeBron James tops the lists of a survey of 2,500 people age 16-35. From everything that I have read, seen, and heard, LeBron James seems like a wonderful person with an inspirational story. But a hero?

So, who is “Boy A?” This is my cousin, known to me as Little Jon, although his birth certificate reads Jon Kosiak. He enters this home, goes downstairs to the withdrawn teenager and shows him love and acceptance. He authentically cares about him, spends time with him, listens to his thoughts and interests, and gives him genuine love. He brings him out of his withdrawn sense, talks to him openly and honestly about things, and takes interest in his life. He teaches him not to be afraid of anything and befriends the kid who had all but given up on the world.

By the end of the four years that “Boy A” lived in our home, the withdrawn child is now brave and strong. He goes on to earn a master’s degree, has a family with three children and living an excellent life. He is smart, a good man, and an amazing father. At a moment in his life when he was in greatest need, Little Jon was able to recognize that and willing to act upon it. Not because he felt obliged to do so, but because he wanted to do so. And not because it was difficult, but because it was natural. Little Jon showed him not to fear the world, to love himself, and rise above.

And the younger, scared child is no longer scared. He ends up excelling at sports, receiving scholarships, and now works as a counselor. This is my younger brother. He has been transformed from a terrified child to a fearless leader. He is strong and smart, and at a time in which he needed to toughen up and face the world – Little Jon saw the perceived need, recognized it, and was willing to act.

“Boy B”, Peyton Manning, well he went on to the NFL and is called a “superhero.” He is idolized, loved, adored, and celebrated by people around the globe. He is a great man, with a unique sense of humor, oh and he can throw a football pretty well. But superhero? No.

However, I believe that Little Jon does fit that label. He spent four years in our home and molded us into better people. He was our hero.

And as for myself, well I was the angry little boy. My tendency was to smash things, threaten people, destroy property, and sabotage the entire house. People would either bail or they gave in to my demands in efforts to eradicate my behavior. But, I never was really angry. Anger is just a secondary emotion disguised as many different things – for me, I was sad, lost, and scared. It is an emotional response to an injustice (either perceived or real). That is the response, the rage is the reaction to the response. So the final product may be taking a baseball bat to a mirror, but deep down I felt an injustice creating pain and hurt.

In the opening story, we reached the climax of the action scene. Swinging around the bat, projecting anger, and spreading fear into those who have brought me pain. Then steps in the one person that changed the course of many people’s lives in that moment.

Yep, Little Jon is there. And he refuses to move. This pisses me off to the point that I grab a baseball bat and start smashing and destroying things throughout the house.

The laughter has stopped, the show is over. The bear had been poked one too many times and all hell was about to break loose. And when the bear breaks free of the den, everyone takes off, bails, and hides in the hills.

What would “Boy B” do if they saw something like this? He wouldn’t know what to do. That makes it tough to label him a superhero. We do not know who we are until we see how we handle adversity. When it comes to reading a zone blitz on a 3rd down in a playoff game, sure, Peyton Manning knows how to handle that “adversity.” So we know how he is as a football player. But real adversity, such as the situation above, can not be practiced or coached up.

This is the fight-or-flight system, the most primitive part of the brain. You do not have time to act on logic, you go on instinct, emotional learning, and survival. Nobody else in the room had the necessary tools to defuse the situation, they have not had the intense emotional learning he endured.

Most of the “Boy B’s” of the world have no idea what is going on inside the head of someone who needs love. They have never felt that and that is not their fault and does not make them less of a person. However, stop calling him a hero. If we keep calling him a hero and telling our kids he is the hero, then we have brainwashed them.

Little Jon did know what was going on in my head.

He said, “I am not going anywhere and you need to put the bat down.”

Everyone else is in fear, bailing out, and in full-blown panic. We got these two “messed up” kids about to go at it with a baseball bat and tempers flaring.

The crowd shouts, “Jon!! Jon!! Get out of there!! Leave him alone he is crazy!”

Little Jon did not budge. He said, “Listen, put it down. I know how you are feeling. It is ok Betsy.” (That is what he always called me, “Betsy.”)

I said “I am going to smash your face.”

“No you’re not,” He responded, “You just need love. Give me a hug.”

“No!” I shouted. Then, I started crying.”

The room is empty, everyone is gone into hiding or calling the police – or searching for the “hero.” But, the problem is that the hero was already in the room with me.

“Come here,” Said Jon as he approaches me with a hug.

Complete silence fills the room.

I drop the bat. I hug him and begin to cry and then the floodgates spring open and tears kept flowing. I have no idea what we talked about or what was said. I did not even know why I was so angry on that particular occasion.

But, what I do know is how I felt. Not alone. And loved.

He saw a need, recognized his responsibility, and was willing to act. Just like all other neural circuitry pathways in our brain, these continued heroic actions, develop into a habit, create character, and essentially define the person.

Little Jon has a tendency to bring this feeing to everyone he is around. He gives people that feeling of acceptance and love even though it was never given to him.

He is a true superhero. He is the one we should be telling our kids about, not Batman, not Superman, not Peyton Manning.

But, Little Jon. Jon Kosiak. That’s who I want to teach my kids about. He is a superhero.

It’s time to redefine the definition of a superhero.

Everyone thought Little Jon was a trouble-maker and a bad seed. He is not. He is a good man that gives love, despite the only thing has ever received is abandonment, emotional/physical abuse, pain, and suffering. Prominent motivational speaker/author Wayne Dyer states that the most difficult thing to do in life is to return love for hate. Little Jon exemplifies that without any effort, he does so because it is natural.

By definition, if he instinctively flourishes at man’s most demanding task (returning love for hate), is there any other way to accurately portray and define a superhero?

I Love You Little Jon.

thank you.

The end.

Written by a retired police officer who wishes to remain anonymous.

“Every addiction stems from an attempt to cover up, mask, or alleviate emotional pain. Therefore, the drug war is a systematic policy of locking up people who are in pain, have been abused, abandoned and neglected. They are not being offered treatment, but rather furthering their pain and suffering.”

– Irwin Ozborne



I wanted to be a police officer. I applied, and became one. The city I chose to work for was well-known for its violence. Despite attending a “tough” and “demanding” academy, I was woefully unprepared.


I was excited to work this job. They said, “stay on the south side it will be busy.” A constant array of shootings, stabbings, domestic violence, vehicle pursuits, and assaults of all kinds confirmed this to be true. I was in the front row, seeing it all. I was indeed busy.


As a young officer and a young man, I was taught that drugs are an evil, and we must declare war on them. In the course of my employment I would learn differently. From day one I started my study of human nature, and conducted thousands of informal surveys. Tragedy and trauma were my baptism in this new and strange culture. At the focal point was the issue of drugs, prescribed and not prescribed.


I sought different assignments and got them. I investigated crimes against children; I also conducted domestic violence investigations, missing persons, and a slew of whatever else they threw at you. I was also privileged, in my career, to work among the addicted, the homeless and the mentally ill. I did many things in my career, but I actively sought these groups out. I tended to them, and I arrested them.


My most favored assignment was working and spending time with the mentally ill and addicted. I heard story after story of physical abuse, sexual abuse, trauma of all types, and even abandonment. I talked with prostitutes and listened to their horrid stories. I also spoke with veterans of wars, those of all walks of life, and those who suffered PTSD. Schizophrenia, oppositional defiant disorder, suicidal issues, and personality disorders were prevalent.


 I learned that these people used drugs of all types. And, in the final analysis, they were self-medicating. In these people’s life, and as I started to pull my own mask off, drugs were an out. A moment of not having to endure some form of hideous emotional pain, or a review of their reality.


 Drugs were the medicine, but not the cure. And criminalizing this problem is not the answer.

Police models do not typically take into account any serious mental health model. As I advocated for the mentally ill, I was met with stiff resistance, and all kinds of biases. Again, I was slowly peeling the mask away-it hurt. Far too many people were being invalidated and still are. The police are even invalidated by their own-at all levels.



In the end, what really happened? Well, it was an experience about myself. I learned that it can be a tough thing and a good thing to have to look into the mirror, I had to exercise self-care. The first thing I had to do was chase the suicidal thoughts from my head. Then, as I took off my mask, I had to acknowledge my own PTSD, my own traumas, my own disassociations, and of my inept bonding issues.


This world of sickness had brought me to my knees.

In the end I did it. I pulled off the mask. The world, while not perfect, is now a better place for me. Somedays I wonder if it would have been easier to suppress all this stuff. The answer is no. Please pull of the mask. Life without the mask is better. And, it’s just the beginning.

robinwilliamslarge 

“The intuitive mind is a sacred gift and the rational mind is a faithful servant. We have created a society that honors the servant and has forgotten the gift. We will not solve the problems of the world from the same level of thinking we were at when we created them.” -Albert Einstein

By Cortland Pfeffer   Photo by Brian Meyer @artbybrianmeyer

Robin Williams didn’t kill himself, stigma killed him. It kills many people like him everyday. Here is how:

STIGMA, that is the reason people do not ask for help. STIGMA is the reason people do not go to the doctor and say I’m depressed, or I’m an addict, or I do not feel things like anyone else. Who wants to say that they feel all these intense emotions?

Especially when you know what the result is likely going to be. When you know likely what will happen is the doctor will likely give you medication. People will tell you to change, or to just feel better.

The issue is we have it backwards, the depressed and mentally ill don’t need to change, society and our culture needs to change.

We, as a society, we do this. This is why people with great talents still kill themselves. Much has been written about Robin Williams; however why do you think he was such a good actor?

I’ll tell you what I think, it is because he got to wear a mask and pretend he was somebody else. That is easy to do when you do not like yourself.

Why don’t they ask for help? STIGMA. Why do people kill themselves? STIGMA. We are all Co responsible for this, and until we take responsibility for our part, things will never change.

A few years ago I was sitting with a patient. I’ll never forget as I watched her as she sat with her hands in her head crying. She was crying like I had never seen anyone cry before. She had just been told by her husband that he was leaving her and he would be taking her child with him. He would be divorcing her if she didn’t “change.” This child was 6 years old at the time.

I remember the look on her face like it was yesterday.She had a look of pain and anguish that I have never seen before. Her lips were shaking. I could see her chin trembling. Her knees were banging into each other as her feet were shuffling back and forth. The tears were coming down her face. They were clear tears, very clear and big tears. Her eyes were squinted and almost closed. Her mouth was leaning towards me as she trembled in fear as if to say to me, “do something, I don’t know what to do.” It took everything I had not to cry. I still cry as I write this.

That day, I did not. I sat and I was there for her. She said to me, “I don’t know what to do. My husband’s going to leave me if I don’t change and I don’t even know what that means.”

She paused as she saw me pause. Looking at me with eyes like a child saying “make me feel better, help my soul, this isn’t fair.” I didn’t save the world this day. However, for this moment, I was able to take away some pain, or teach her how to do this for herself in the future. That is good enough, because that is all we can do. That is how we can cause a mass ripple affect and stop suicides and pain. One moment at a time, every single action and every single moment matters, every single one.

So what I told her was “I know you’re feeling like somebody just hit you in the stomach and you have a dull aching pain that will not go away and you just want to keel over and surrender.” I knew this because I have been there. I spoke from the heart, not from a book.

However in my experience, this kind of pain is a beautiful thing. Why I say that is because in the moments like this in my life, this is when the truth entered me. Rumi says it best in my favorite quote of all time, “The wound is where the light enters you.” There have been times in my life where everything was ripped away. When I lost all the things that I thought that were important. Things like cars, houses, fake friendships and relationships with family members. These were the things I grasped to. I was certain I needed them or I would die. The beautiful thing about adversity is that it will rip away everything, so you can see what really is important. However, I wouldn’t recommend saying that to someone while they are going through this, unless you want to get punched in the face. It is painful, but it is beautiful if you let it be, then it becomes a wonderful gift.

She said “All I want to do lay down and go to bed.”I know she meant forever. The pain she was experiencing was shame. She felt like she was not ok. She had to change. She was sick. Her whole life as she knew it, her husband, her son, and everything she had ever known was going to be taken away from her because she was sick. She then put her hands on her head and cried.

She looked at me and I said to her,
“Sammy, just look at me.”

She put her face up, she stopped crying, her hands stopped shaking, and her chin stopped shaking. I had her attention. She paused, and she looked at me.

I said, “Sammy, there is nothing wrong with you.” She looked at me like this was the first time anyone had ever said that to her in her life. She sobbed and put her head in her hands.

Then she pulled her head back up and said, “I don’t know what to do! I don’t know what to do!”

Her husband was offered talks, education, and all other kinds of resources and ways to find out about her illness. He declined this every time he was offered. He always stated that he had to work or something else.

I said to her “We don’t know that he’s going to leave you. He’s probably stressed out because he has a kid all by himself for the first time and he’s working full time.Maybe he had a bad day.Good days come and go, and bad things come and go. That is life. We try to do our best with what we know at the time. Life flows.”

She shook her head yes. A sign to continue.

Then I said to her, “I’m sure you’ve had hard times before and it didn’t last forever. What you are doing is healthy because you are feeling your feelings. You aren’t running from the pain, you are taking off your mask; you are being strong and healthy. You aren’t cutting, you aren’t drinking and you are not gambling.You are feeling your true feelings and it sucks and it hurts what you are going through. You aren’t blaming anyone, you aren’t telling anyone they have to “change.” You are just being loving and hurting, you are being real.”

I told her a lot that day, but the only thing that really mattered is when I said, “There is nothing wrong with you.” That was the moment of clarity and truth.

I am going to finish her story towards the end of this. I have to talk about something else first.

The reason I tell this story is because of the stigma and how stigma destroys people, and stops the patients who are suffering from asking for help. It prevents people from wanting to get help because they are scared they are going to lose everything. They are scared that people are going to look at them weird and tell them to just get better. Stigma, that’s what it is. People don’t want to ask for help because of STIGMA.

Stigma is created by us. So we are the ones that can end it.

Loud, opinionated, yet uniformed people have power. They assume everybody in psychiatry is faking an illness. That is why we must stop stigma by education, not by hating. If we treat them the way they treat those with mental illness, then we are no different. As Martin Luther King Jr. Said, “Anger does not stop anger, hate does not stop hate. Only love can do that.”

So you look for opportunities to educate and you use them wisely. If we just randomly spout of at the mouth we lose credibility, even if what we are saying is accurate. If we try to reach people that are not ready to hear the truth, we will lose them. When you see an honest opportunity, we must use it, and jump on it. Educate every chance we get. You prepare yourself through reading and knowledge, then you will see more opportunities come, and that’s when you jump at them.

I want to talk about the most stigmatized illness in mental health. It is the illness that “Sammy” had. We call it a “disorder,” however, I want to try and show you how it is a gift, and not a “disorder.”

I want to talk about Borderline Personality Disorder. This is what they say is the single most difficult mental health diagnosis to treat, and the most difficult illness to have as a patient.

What is said is that those with this illness depend completely on the external enviornment for clues as to what emotion to feel. We say that they are manipulative, they are gamey, and they are attention seeking. We say they want everybody to love them and that they feel like it’s up to everybody else to make them feel good. We say that they don’t know how to feel. They feel intensely connected to everything therefore, affected greatly by everything. We say we need to teach them how to handle emotions. If you ask me, the wrong people are in the role of teacher.

The truth is that science is finding out very quickly that we ALL ARE IN FACT connected. Science and studies have found out that we are breathing the same air that people breathed in and breathed out thousands of years ago. The air we breathe is composed of mainly nitrogen, gas, and oxygen gas. Very little is lost in space, and only occasionally is there a new source of carbon or oxygen introduced into this planet. So every breath you take has atoms that have been here for billions of years.

There was a computer program set up in various spots around the world. It would shoot off random numbers, there was no pattern ever seen for years.This is called a Random Number Generator. However when the September 11th attacks happened, or other moments that human consciousness became coherent, things changed. For instance, in the case of a severe tragedy in which all humans are thinking about similar things and having similar emotions, all the numbers become structured and organized. They show an unpredictable sequence of one’s and zeroes.The odds of this happening by chance is one in a trillion.

Some people still think that Darwin said evolution was about competition, survival of the fittest.However, that’s just the part that got popularized by people who had a hidden agenda. The truth is he said compassion and cooperation is what is essential. This is truly what he was about.

Every single thing you can see around you. The rocks, the birds, and the trees all are comprised of the same atoms. Just expressed differently.

There is science out there that shows if bees were to go extinct, that humans would not last more than 10 years. This is debatable, however we would suffer greatly, that is for sure. Albert Einstein once said that humans would not last 5 years without bees. One third of our food needs to be pollinated. That is mostly done by bees.

Science has also proved we are all connected in other ways.

Humans and chimps have 90% identical DNA.

Humans and mice have 88% identical DNA.

Humans and cows have 85% identical DNA.

Humans and dogs have 84% identical DNA.

Humans and Zebra Fish have 73% identical DNA.

I could go on and on. My point is, we are all connected. We use our genes differently, express them differently.

Science is figuring out what borderlines and great sages and philosophers have always said. We are all connected. So why is this a disorder again?

What we do is tell the people with this “Disorder” we call BPD, who have always felt connected to everything and everybody. We tell them that they are too emotional. What we are doing is we are telling these people with a gift, the gift of the truth, that they are crazy.

There is a trick that I see, especially in the hospitals. Someone comes in with Borderline Personality Disorder, and it is very easy to look at the mood swings and say “It is a chemical issue.” Which is another myth. Chemical imbalances do not exist. The APA admitted this in 2005. It is used as a marketing tool by drug companies.

We then use this to diagnose them with Bipolar Disorder. Then what we can do is give them these “mood stabilizers” or these “antipsychotics,” and they will be sleeping and tired all day. Then what we say as we pat ourselves on the back is “Look, no more behaviors, we cured them!”

We have chemically restrained them and shut them up because they speak the truth.

Marsha Linehan said they are like 3rd degree burn victims, if you just walk by them you can hurt them. My biggest questions and concern is, why do we call that a disorder? They are the ones that know the truth and we don’t, we lie; we put a mask on them because we do not like what they have to say.

How Borderline personality disorder is developed is very simple. We are all born with an innate temperament which can be on one of many different levels. We can be born not very emotional, slightly emotional, or normal emotional, (whatever that is). Then there is highly emotional and extremely emotional.

Once again, there are studies that prove this. They tested babies when they were first born and followed them. There were babies that cried more when their mothers would leave the room. When they were tickled by a feather they were much more affected by it. These babies grew up and continued to have the same innate temperament. It is something we are born with, like blue or brown eyes.

Temperament alone will not cause Borderline Personality Disorder. We all know emotional people, you know those people who we say “Wow they took that harder than anyone else.” The pain that they feel is intense.

Imagine you are eating a pizza, and you feel it is luke warm. The guy you are eating it with thinks it is burning hot and it is burning his mouth. We don’t understand him, we do not get it, and we roll our eyes and we make jokes and tell him to settle down, “What is wrong with you,” we say.

That is invalidation; we all do that from time to time to each other. That alone does that cause BPD.

Let’s pretend there is a boy named little Johnny. He is a very emotional person or perhaps an extremely emotional person. He has some “weird” instinct and/or intuitiveness where he can feel everything around him in his environment. He is in a family that is perhaps functional or dysfunctional. Regardless, the family and his friends do not understand his emotional states of being. Let’s say little Johnny is very connected to something he finds very important and we don’t understand his attachment. Then one day, he loses this item and he is crying continuously. An invalidating environment forces him to stop. We tell him that it is not OK, we tell him to quit being a baby. What we are really saying to him in other words is to “quit being yourself little Johnny.” Johnny now feels like something is wrong with him and he is not OK. Now he looks to the external environment to tell him how to feel.  He watches for cues on how to feel and how to act because he does not trust himself or his feelings.

Congratulations to society, he now is wearing a mask. The intense feelings are still there, just because they are hidden, does not mean they are gone. In fact this makes it much worse. The emotions are building up over time. He can’t take it so he gambles, he drinks, he cuts, he overeats, he steals, or he becomes hyper sexual to mask the feelings. The behavior depends on what’s most acceptable to his certain environment.

The next step is then the judgments come in about this behavior, the criticisms, and it’s usually from the ones that caused the behavior that are doing the most judging. The original shame about who he is, still is with him. Now he wakes up and he feels worse, he has more guilt and more shame. The intense emotions are worse now, so what does he do again? Well, first he fakes and fakes and fakes until he blows.What they call this in the books is “unrelenting crisis” what I call it is blaming the victim.

We have it backwards; it is hard to see someone go through all this and especially when we do not understand. However, to say “It’s all attention seeking and drama,” is really making it much much worse.

Sometimes the only way anyone understands is if he attempts suicide. This may be the only time he gets reinforced by family. Still no one ever tells him he is OK. What we have done accidentally is told him that he has to be somebody else.

One invalidating moment will not cause Borderline Personality Disorder, it is repeatedly invalidating someone and telling them who they are is not OK is what causes it. We must remember that these are the people that understand life and connections. Instead of validating them, what we do is we drug them up until then they have no behavior, when really they have a gift.

That’s where stigma comes in. Let’s shut them up.They don’t play pretend like the rest of us. They don’t play grown up very well. They just speak the truth so we get them drugged up and we put them in hospitals, and we call them names behind their backs.

What we think of them is something which affects how we treat them. This, in turn, affects the reaction we get. We have made it so that they don’t think they are OK. What we have done is we have tricked them.

The truth is, we are not OK. Another thing we are told is that this is the toughest mental health diagnosis to work with. I was told this before I knew what it was. It would frighten me. The behavior frightened me. When I first started about 20 years ago and I was training in, I was told this was all attention seeking behavior and manipulative. I watched the elder staff roll their eyes so then I started doing it. I thought it was fake and I didn’t want to deal with it. I didn’t want to have to dig deep.

We train our mental health professionals that these people are “bad.”

Then it was explained to me this is a trauma disorder. 100% of people with this disorder have suffered trauma. The statistics say 70%, I do not believe that for one second, I am convinced it is 100%.What is a trauma is different to each person. What is a trauma to me may not be a trauma to you. If you are on the top of a ladder when you fall down, it is a lot more painful to fall than if you were only on the first step . I believe that they have powers and they are locked in darkness, like a genie in a bottle.

I am NOT saying this is easy to deal with. I have had relationships with some of them and it is difficult to understand. They are not bad, they have a gift. They know your emotions instinctively and they sense and feel things that we can’t feel. They know how to make people happy, they can read your soul.

In a way they are lucky, and in a way they are not. The way they are not is the way that our society treats them and tells them that it’s not okay.

Back to the story I started with. This patient was crying with her head in her hands and trembling in fear while her husband was about to take her life away because she was sick. How is this justice?

I said “What do you need to change Sammy?” and she said “I don’t know.”

I said for the second time “There is nothing wrong with you.”

I didn’t save her life. A few months later, she killed herself.

However, for that one day she felt she was ok. I know this because she was brighter, and happier.She looked better. She felt ok.

That is all we can do is embrace every moment with each other and make it the best moment possible. In that room, for that day, she felt ok for once in her life. She got better and was discharged in a week.

So to all you Sammy’s out there, and all the Sammy’s I will meet in the future. My message is you are ok, we are not.

She didn’t kill herself, Stigma killed her. This is the same thing that killed Robin Williams. He will get enough attention, the Sammy’s of the world will not.

We will never change the problems of the world until we start embracing diversity and gifts.We have these intuitive, special people and they are invalidated and abused. We continue to abuse and punish them. We need to stop punishing them. I agree, yes , the behaviors are tough. But there is truth in their behavior.There is a truth that sometimes we do not want to deal with.

We have to simply change or reframe the way we see things. See beyond the mask. To do this, sometimes we have to forget all the knowledge we think we think we have.

Sammy, there was nothing wrong with you, there is something wrong with us.

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“I am only one; but still I am one. I cannot do everything; but still I can do something; and because I cannot do everything, I will not refuse to do the something that I can do.”

I walk into the jail. It is my first day as the new supervisor of the medical unit. What a great opportunity to change things with this job. I did not know why they hired me to do this job. I had at the time 10-12 years working in psychiatry and this was a jail, which is mostly medical I thought.

I was there for a few minutes, and met the staff members. Right away there is a behavior code called and we are to rush to the cell to see what it is. I follow along and watch. We get to the cell and there is where I would first meet Anastasia. She was a 21 year old Russian female. She was cutting herself with an object she had stolen.

“Anastasia, give us the scissors NOW!” screamed the guard.

“No, you guys don’t care. No one does, I want to die anyways.”

She continues to cut and the guards with the riot gear on jump on her all at once and put her down. She is screaming and screaming and crying, “get off of me, get off of me, I will give it to you.”

“Too late for that!” Scream the guards and the nurses.

They bring her into the medical unit and she is checked out by one of the nurses. The nurse, as she goes over to check Anastasia’s blood pressure and her wound is furious. It is obvious. She came into work, and she was just getting her coffee started, listening to her music, and catching up on the gossip of the day. She rolls her eyes as she walks shaking her head towards Anastasia.

Anastasia is sad and crying and asks the nurse, “Are you mad at me now.”

The nurse replies, “Well why do you keep doing this?”

This would be typical of what I would see in my time at the jail. I heard many of the staff say things like, “They get free care and I do not.” Or “They are taking our tax dollars every time we have to call the ambulance.”

I watched my boss come in and yell at an inmate who was going through withdrawal. “Shut up!! You are annoying! Just shut up and leave us alone.” He had paperwork to do and she was interrupting him.

What would happen when an inmate made a self-harm gesture as Anastasia did is that we would place them on intense observations. Meaning they had to come in to talk to someone at least once per day and we would have a series of questions to ask them to gauge how they are doing. Then we would decide if it was to continue. Great idea I thought, this will be fun.

However, I soon realized that no one really wanted to do this, and no one really made any effort when doing it. However, you are less likely to help someone if you have it in your head that they are just a bad person instead of taking the time to get to know them.

“She just wants attention.” “She is a manipulator, a baby and playing games. Now we have to do all this paperwork.” These were things some of the staff would say.

I began to see why they hired me. By diagnosis, about 75% of the jail inmates had mental illness. But I can tell you from my lifetime of experience, it was 100%. That is not an exaggeration. This is now where we are housing our Mentally Ill. In jails. Across the country and this was my first taste of it personally. It costs 1,000 dollars to send a patient to CD treatment or to Mental Health treatment per day, whereas the jail only costs about 100 dollars.

Every single inmate that I encountered would have benefited from mental health or CD treatment. The charts are all similar. Abuse and neglect as a child. Then drugs, alcohol, cutting, gambling, some sort of escape. Then fights, crimes, and then jail. Then back in jail, again and again and again.

We have this high recidivism rate and we wonder why? The reason is the system. We don’t treat the underlying conditions, and we punish the result of the condition. That would be like punishing someone for having a heart attack, but not telling them about the heart disease or helping them with diet modifications and lifestyle changes. Then when they have another heart attack, we punish them again and say “they just do not get it.”

We are the most incarcerating society in the history of mankind. We have private prisons that make money of people being jailed. We have people who lobby congress to make tougher laws so we can lock up more people and everyone makes more money. Most of these people that are locked up are mentally ill.

So we are taking those that were abused and traumatized, and we are not treating them. We are locking them back up, and making money off of it.

So how did Anastasia get here, and how do we solve this issue of locking up the mentally ill?

You see the picture at the top. That is a Russian orphanage. That is where Anastasia spent the first 4 years of her life. In a crib, with no human touch or affection. Fighting for food. Forming no bonds with anyone.

“Child maltreatment has been called the tobacco industry of mental health. Much like smoking directly causes or triggers predispositions for physical disease, early abuse may contribute to virtually all types of mental illness.”

There was also a study done using monkeys regarding early bonding and its significance and how it affects our future development. It showed that lack of early maternal interaction, and early adversity in life, as well as lack of bonding significantly increases your chances of developing addictions and mental health issues, and behavioral issues later in life. Here is the full study if you want to read it.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3161556/

So, in Anastasia’s case, she was in an orphanage the first 4 years of her life. Which altered her brain development significantly. Russian orphanages are well known for their lack of resources, neglect, and abuse of the children. Some have been shut down. There are many awful images that can be seen online and article about it.

She then was adopted by her American adopted parents. They were excited to bring home this child, to be helping out the less fortunate. However, as in many cases with these adoptions from Russia or other countries, they did not get what they thought they were getting. They were not equipped to handle this young girl.

She was 4. 4 years old. Imagine a 4 year old. They are exploring life, starting to gain independence, asserting themselves. Many studies state that the personality is almost fully developed by age 3, some say by age 6. No one argues that it is fully developed very early on.

So now imagine a 4 year old sitting in a crib most of the day with no one to bond with or hold, no one to love her, or care for her. No one to ask questions to. No one to smile at or to play with. How is that fair that when she gets older we expect her to just have somehow magically “figured it out.”

She gets home and she is not a typical 4 year old. She screams, she throws fits, and she yells, hits, and kicks. She has no idea where she is or what is going on and she is scared and does not trust the world, nor should she.

Her adoptive parents were sold on the idea of bringing this kid to America and giving her a better life. They were not ready for this.

So, by around age 5 or 6, Anastasia’s new mom is holding her down, locking her in her room, and making her stay outside. Almost hiding her from the world. She is once again punished when she has emotions, or feeling. If you scream and feel, you are hit, held down, or locked outside. That was the message that was being sent to Anastasia. What this teaches the developing brain is that when you are feeling something, you deal with it by inflicting pain. It is how her young brain was molded over and over again.

When a child is abused like this over time, the hippocampus sometimes shuts down, that is the part of the brain that involves memory of events. However, there is also proof that the chemical reactions in a child’s brain at this time are similar to that of heroin withdrawal. So what I am trying to say is imagine a child going through this much pain over and over, and getting this sick over it. No one is explaining any of this to her. She doesn’t understand why she is dying inside. Then the memory part of the brain shuts down almost so she doesn’t have to remember all of the events. I would ask her all the time about the orphanage, she didn’t remember. But I read the chart. So I knew, but she didn’t. It is probably best that she didn’t.

So we see these children as adults and we say, “Well only half of them were traumatized.” I am certain that is false, you still see the behavior, because the body remembers. The brain does not always remember the things that happened. But the body does.

Just like an alcoholic or drug addict learns to use the substance when emotions come up. Someone who self-harms usually has learned at an early age that when emotions come up, you inflict pain and punishment. Then it goes away and the surge of dopamine happens much like it does in an addict. However, the feelings stay inside. They are never released. So now, this temporary relief has actually made things worse. Now there is shame over the self-harm, and the original emotions stay. Now you have someone with all these emotions bottled up. Eventually it’s going to explode.
Anastasia began cutting herself at age 7. I asked her how this started. She said “It just made the pain go away, when my mom would hit me, I would not be sad about whatever I was sad about anymore.”

She was eventually sent to groups homes. Her first one was at age 11. She would cut and self-harm. She has scars all up and down her arms.

She has tried to walk into traffic, and she had tried to overdose. She has tried to stab herself with a knife.

Her life has been this. Placement after placement, event after event.

Now in the jail, the staff when she is not around state that she is “attention seeking” and “manipulating” and “playing games.”

They are not motivated to help heal her because they believe in their head that it is made up. I think she does want attention, because she has never gotten it. What you think of someone in your head affects the way you treat them.

Some of the oppressors of the mentally ill and addicted walk around like they are superior, like they did something to have this privilege. Like it was earned. They were born on 3rd base and act like they hit a triple.

I learned all of this about her life as I talked to her, and confirmed it by reading her chart. I would get my eyes rolled at by the staff and guards, and told “You spend too much time with the inmates.” and “You are causing issues because now they expect everyone to spend time with them.”

However, some agreed with me. That’s another thing I learned, there is usually a silent majority that agrees with being kind to people. Everyone has this at their core. They are more willing to do this if they have a partner in doing this. So by acting out of love, you usually bring out the others that have been fearful to do things different.

The oppressors of the mentally ill and addicted take someone abused, who never had near what they had, and lock them up. Then they punish them and do not treat them. However, they continue to make laws and laws to punish and punish. Prison is a big business here. We have people making 100,000 a year. In their minds, they need to keep making that money, and more if they can. They do this at the expense of the mentally ill and traumatized and addicted.

The oppressors say, “They do not want to get better, they keep coming back.”

That couldn’t be further from the truth.

When Anastasia was 18. She was in an adult foster care program. She had a staff member that was very strict and had this attitude like the staff at the jail. She felt Anastasia’s behavior was purposeful and deliberate. She ordered Anastasia around. She bossed her around, she had power and abused it, much like the jail staff.

How did this staff member grow up? She was told she was a princess and got everything she wanted. She was told she was special. She was told she deserved all that she had. She was a victim of all of us also. She was also told lies as a child. She ran her house since she was little. She was abused in another way. We create this, our society creates this. We are all co responsible for the staff, and for Anastasia.

How is it all of our faults, some say to me. Silence is consent, if we say nothing and do nothing, we are consenting to it. Some live in excess, and as a whole, we have a lot that we do not need. We spend billions per year on Christmas, and the super bowl alone costs billions of dollars. We as a country and society have all this money. We see the suffering in the other parts of the world and we do nothing. We say we can’t change things. We are only one person. So we sit on our couches, and we watch TV and we over consume. We pay entertainers billions of dollars. We are using up all the resources.

We are acting like a virus. Viruses attach on to the host. Viruses eat, multiply, and use up the hosts resources, then move on.

There are people suffering all over the world. They are the future Anastasias. Or worse. We can prevent the next school shooting, or the next serial killer. We are capable of this.

We also see the spoiled little girl and think it is “cute.” We watch the shows that encourage this, we show children by our actions. We consume and teach young girls what beauty is, by how you look. You have to be skinny, you have to look a certain way. You have to act a certain way. Very rarely do I see someone just accepting their young daughter for who they are.

The young spoiled staff members are victims of the lies as well. We all see it, but do we do anything? NO.

It’s hard, I do it. I try my hardest not to and I am getting better at it. But it is all over and it is hard not to become a part of it. You have to be aware. I am not always, it is a process.

We sit and wait for people to come along and change all of this.

But, what if we are the ones we have been waiting for? What if you do something each day, and someone sees it and it continues. The effect of one kind act or word is much larger than you can ever imagine.

So yes, you are only one person, but you can change the world if you want to.

Anastasia was hurting one day, and having intense emotions. So she left to the store. She came back late and was yelled at by this staff member. She told Anastasia she cannot eat supper. The staff was mad that Anastasia was not following “the rules” which really were “her rules.” She did not like Anastasia doing her own thing and going off. This was not the first time Anastasia has disobeyed her. No one had ever challenged her. These 2 people and their generations of pain collided on this day.

Anastasia was doing poorly on this day. She had bought a knife. She pulled it out. She was going to hurt herself. The staff member was scared, this was not how it was supposed to go.

The staff called the cops and they surrounded the house. They broke in and arrested Anastasia because they had to evacuate the house. The staff was angry, and said she felt threatened. That was enough for felony terroristic threats.

What happened was they then officially charged Anastasia for felony terroristic threats. She did not know what to do, Anastasia had a public defender that was overwhelmed with cases so he got her to plead guilty. No one really advocated for her. You have this young, law abiding staff member that was scared and this brutal criminal that tried to hurt her. Lock her up. That was the perception.

So now Anastasia is at jail. A felony terroristic threat. She was getting punished more in jail. She was not getting any treatment. She was continually shamed by staff. She never had visitors. She was now a mentally ill person in a jail. This is how it happens. This is just one story, but there are many like it that result with mentally ill being in prisons all over.

What will they think 100 years from now about us? I hear people of this generation always say, “I can’t believe they had slaves,” and “I can’t believe they didn’t let women vote and men just did what they wanted to their wives.”

What do you think this says about us? We take people who were abused, and traumatized. We charge them with crimes and lock them up. For money. We do not treat them either. We make money off of it. We are taking sick people and locking them up, we are the most incarcerating society in the history of mankind. Most of which are mentally ill and have been traumatized and we do not treat them. We can fix it, we choose not to.

Anastasia and I talked daily. I read her chart, got her records, and got to know her. She was a kind, loving caring young lady that never had a chance. Now she was not perfect, as none of us are. I still heard the talk from staff and guards, “She just wants attention, game player, and attention seeker.”

So, at times she was afraid to report symptoms because she was convinced that she “made things up for attention.” That’s what she was told her whole life.

One day, during clinic, she passed out in the hallway. A medical code was called. They all rolled eyes and said “Anastasia again.” She would say she was ill at times to get an opportunity to talk was the perception of many.

We went down to the code, but this time she wouldn’t wake up. If she was faking it, it sure was a good job. We called 911. She went in.

She was in the hospital for a few days. She would have to go back and get tests done.

It turns out she had developed cancer that had spread all over her body.

She was not going to make it. She was going to die.

She was placed in the hospital ward for end of life care. At age 22.

Everyone was surprised by how she handled the news that she was going to die in 6 months. She said to me, “I hope my dad visits me now.”

I lost it. I lose it again now writing this. I cry every time I think about this moment.

That’s all she wanted was a visitor.

She came into the hospital ward as we had to monitor her hourly now.

What I saw from everyone was their humanity. Everyone was truly sad over this. They started to see her every single hour on the hour as they had to, due to her illness. Since she was now in the ward right next to us. So the staff were almost “forced” to interact with her and get to know her.

They got to know the true Anastasia. They treated her so gently and kindly. Everyone was laughing with her.

Everyone got to know her quirks. They got to know who she was. Because of this, they all knew when there was a change in her behavior, so they knew when she needed attention. They knew her so well they could see when she needed extra when she needed time alone.

They knew her favorite foods. Some would sneak her in treats and pop and everyone was breaking the rules for this kid. Some of those that were the roughest on her were truly the ones with the softest hearts.

I saw so much beauty in this such painful moment. Everyone had their masks off.

Why does it take this for it to happen? Why did this kid have to die for people to see her for who she was?

They were forced to get to know her. It was amazing.

At one point during all of this, I sat down at the desk next to the oldest meanest nurse in the building (my false perception.)

Her name was Dorothy. I just started small talk. Her head was down, she was shaking. I said “what is it?”

I looked in her eyes, now this was probably the toughest woman I’ve ever met. Smart and rough and tough. You know, old school. She was crying.

She said “you know it just hurts. I lost my daughter at age 21 to a drug overdose and I see a lot of her in Anastasia. I was mad Anastasia was wasting her life and going to kill herself like my daughter.”

I never would have guessed that is where all her anger towards Anastasia came from. Everyone has things that lead them to be who they are, give them their beliefs, and things that dictate their behaviors.

Which is why we all are co responsible for each other.

When Anastasia died, she died with all the nurses and guards around her crying. Everyone came in on their days off to say goodbye. She finally had her family. It was us.

I sat next to her as she passed away. She had this huge smile on her face.

I said “What the heck are you smiling for?” That was our relationship. We teased a lot and goofed off. Even as she was going away.

She put her hand out, she held my hand gently, which was very unlike her. She looked at me dead in the eyes and said. “This was the best 6 months of my life.”

She finally got treated the way she should have been her whole life.

She finally got what she always wanted, and what she never had gotten.

Love.

Anastasia means resurrection.

item03gl1

“When the student is ready, the teacher will appear.”

Hopeless. Given up, throwing in the towel. This is pointless and I cannot do this anymore. This is a feeling we all have at times. I remember a time when I was working at a rehabilitation facility. I was sitting in a staff meeting and it all boiled over. I screamed at all the staff, “What is the point of this, what are we even doing for these patients! We just take their money, give them 80 dollars a month, and do not help anyone! This is a complete fraud. We write notes so we get paid, not because we care!” “Someone tell me what we have done for Bill!” No one answered. “See we do not help anyone, this is a complete joke and it is wrong.”

The looks on everyone’s faces said it all. It was a small room packed with many people as we had the projector on as we were required to go through all the patients. Some had agreement on their faces. Others disappointment, but mostly shock. People had their heads down. It looked like shame. No one said a thing and after this went on for 10 minutes I walked out in disgust. I went to my office upstairs and closed the door in complete defeat. It was over. I am done.

After years of working in the field of psychiatry and addiction. I had quit internally. I watched over and over as patients would come in and leave. They would come back. No one seemed to be getting any better. We made money either way. We were told to write notes, because that way we could get paid money for that day. It was all about money and filling beds. We had to fill the beds.

At times, it did not seem like the patients cared at all. They had a place to stay for a few months while they attempted to get into new places. The social workers in the community did not care, because they just wanted a place for their patients to be so they did not have to worry about them. The hospitals did not care, they discharged people to us because they needed placement. Hospitals did not care about how a patient was doing, they only cared if the patient had a place to go.

I watched the other staff. They came in and sat in their offices, basically the walking dead. They sit in the offices and stare at the computer, and in the 5 minutes that the patient wanted to talk, they would blow the patients off. They would come to work, goof-off at times, but basically dead on the inside. It was like zombies walking all over the place in a dark dreary place. They would talk about how this whole system is a fraud, how we are making money, patients do not want to be here, the staff themselves do not want to be there. I would listen to this, and then as it got in my head, I would look and that is what I would see.

I gave up. My whole life was a fraud. It was a scheme and what I had lived for, my passion, was now exposed as a complete fraud. It was painful, and defeating.

We had a patient at this time and his name was “Bill.” Well, “Bill” came to us, he would not even talk. He would not eat because he thought food was poisoned. The man was about 90 pounds. Can you imagine thinking your food was poisoned? How scary that must be. He would go into the bathroom and spit until he had no saliva because he thought we were trying to kill him. He would hold his bladder because he feared going to the bathroom. He had a look of fear in his eyes, he was scared of everyone and everything. Then we had to force him to take medications. In his mind, he was at a place that was trying to kill him, poison his food and kill him. He then is told he has to take medication that makes him sick, tired, and shaky. Then he is told he has to take it and is locked up if he refuses. Imagine that as your reality for a moment. He would not even sleep. It was torture I am sure. It was heartbreaking. He had no family to come visit, he would never come to groups, and he would never participate. No one really cared. We got his money every month, we wrote a note on him every day and got paid. He had a place to stay. His social worker figured he was ok and would work on a new placement for him. But treatment? How was he getting any treatment? Staff did not care, they got through their shift. I did not care anymore, this was the blow that was ending it all for me. It is official, this is a fraud and I cannot help anyone or anything. I give up.

Then the staff meeting I described above in which I let loose on everyone. I blew up and it all came out in an angry speech in front of all staff at the meeting.

As I sat in my office with my heart pounding and my heart racing and emotions all over the place. I hear a knock on the door. I say “come in.”

It was Lonny. Lonny was the business manager of the place. He was the one that collected the money and paid the bills. He was a kind and direct man. I always wondered how he could take money from these people who had nothing. He did it every day, which was his job. He was not a bad man, he was a good man. He had a difficult job. He did not speak often, but when he did, it was important and meaningful.

So my thought as he walks in is “Oh my god he is going to give me a lecture about this, but I do not care I am quitting anyways.”

He said, “Can I sit down.”

I said “sure.”

He said to me, “I was thinking about what you said. What have we done for Bill? What are we even doing? And I think I have an answer for you.”

I said, “Ok.” I was thinking, “I cannot wait to hear this one.”

He said, “Well maybe if we do well, Bill will have a place that he can go back to some time in his life and say, you know the world is a scary place, but there is a place that I was at for 90 days that was not so scary. People were nice to me, they took care of me and listened to me. So maybe the whole world is not so bad. Maybe we can plant seeds in his mind that he will use later.”

I said “How do we get to that, he will not even talk. He is scared and no one cares.”

He responded. “Start by saying hi every day. Smile at him. Regardless of his response. Let’s just start with hello.”

This conversation changed my life. I am rarely speechless, but this was one of those times. My mind went blank. It was all still. All the emotions were gone and my mind was blank. It was like once again in my life when I could not take anymore. I was delivered a message to continue and to go on. I was given a spark of hope and a different way of thinking from a most unlikely source.

Every moment in life can teach us lessons, and every person is a possible teacher. If we are not fully present in each moment, we miss out on the lesson. IF we have preconceived notions about others, we miss the lesson. If we are elsewhere in our mind, we miss the moment. If we miss the moment, we mess with the future. Every moment builds on the next, which is how the future is built. Moment after moment.

I never thought this man had this life changing lesson for me. When I was broke, defeated, and had given up on my life’s passion. The man who pulled me up was Lonny.

I started to listen to this advice. I said hi. Nothing at first. For a couple weeks. Hi how are you doing? Then one day, it happened. “Bill” looked up at me, and said hi. Then he smiled. Then he would say he is “doing fine.”

I watched him start to talk to other people as well. Others would talk to him and be good to him. Now the same staff that were zombies were still being zombies. But my mind was not focused on them anymore. It was focused on the 2 or 3 staff that were trying every day to make a difference in each moment that they had. These were the people that I was not noticing before, because my inner turmoil did not want to see it. Now I saw it.

One staff. Her name was “Rochelle,” would give everything she had to each patient and in each moment. If they wanted to walk, she would go for a walk, they were the most important people to her in that moment. She also heard all the negativity, however it did not disturb her. I was in awe of how she did this. Maybe it did bother her, but it did not seem like it. For each patient, the moment they were with her, they were the most important person in the world. How had I not noticed this before?

“Bill” eventually got better. I mean not completely. He shaved his head, he was smiling and talking to us about his life. He actually was eating. He would still eat as fast as possible and cover it up, but he would eat. He was no longer afraid of the bathroom. It was amazing.

I go back to Lonny’s words often. Planting seeds. Sometimes we just need to do the best we can do and let go of the results. Sometimes we won’t see the results. Sometimes the results we see for other people will not be what we want for the other person, but it is not about us. It is about them. It may be that they got the result that they wanted. We cannot define another person’s success by our expectations and standards. What is their goal, and how can we help them. Do they even want help? We are like the passenger with a road map that points out things. They are the driver, it is their journey. Sometimes all we can do is make someone feel safe, or plant seeds. Or make them feel like the most important person in the world for that moment.

I thought for a long time that I planted seeds in “Bill.” Maybe I did. I let go of the results because I did the best I could.

What I know happened is that “Bill” planted seeds in me. So did Lonny. Thank you Lonny.

I thought I was the gardener, however I was the flower.

Or maybe, I was both. Maybe we all are both at all time.

The end.

dickens

 

” .. Since I knew you, I have been troubled by a remorse that I thought would never reproach me again, and have heard whispers from old voices impelling me upward, that I thought were silent forever. I have had unformed ideas of striving afresh, beginning anew, shaking off sloth and sensuality, and fighting out the abandoned fight. A dream, all a dream, that ends in nothing, and leaves the sleeper where he lay down, but I wish you to know that you inspired it.”-    Charles Dickens

Every interaction we have matters. We may not see it, but it does

Here is a story of how one patient saw 2 different doctors. With the exact same problem. The reaction was completely different, and so was the result. You do not have to be a doctor or social worker or health care worker to have this impact. It is just this example. Every day we encounter people that as simple as it may seem, just a hello or a smile can make the difference. Sometimes, just knowing someone notices you are not doing well is a big deal.

Patient walks into Dr. D’s office. Patient is a 29 year old. He has depression, has a history of suicide, drug use, and addiction. He is in good physical health. He has not asked for help for a long time. He was in the psychiatric hospital as a teenager multiple times.

Dr. D comes into the office right at 8 am as the day starts. He gets his coffee, and asks for his first patient. He walks into the room and looks at the patient. He says “what can I do for you today?”

The patient says, “I am very sad, I have low energy, and I do not feel normal.” The patient is shaking and is embarrassed to be at this point in his life.

The patient says, “I have struggled with drinking and drugs and do not feel good about myself. I am scared to talk to anyone about anything, but especially this. I am at an end, I have to get help or I am going to die.”

Dr. D says, “Ok, well let’s draw some blood. Have you ever been checked for diabetes, low blood sugar, or thyroid problems?”

Patient says, in a trembling voice. “No. I don’t seem to have any of the other problems that would go with diabetes though. I work in the health care field.”

Dr. D says, “Well I am going to run some blood tests. I also see you once had a positive PPD test, so we will give you some INH.”

A ppd test is when you are tested for exposure to tuberculosis. If you are positive it usually means it is in your system but not active.

So Dr. D has the patients’ blood drawn and has given him the INH. The blood tests come back normal. No problems.

The clinic nurses call the patient and state everything is ok. Dr. D said to follow up if you have any concerns. They as a clinic have so many patients, they forgot why the patient came in the first place. They get a list of lab results, so when they see them come through, they never think of the patient. They see the results and make the call that they are ok. This is not their fault. They are completely overwhelmed with a huge volume of lab reports of patient’s to call.

This patient was anxious and depressed and afraid to ask for help to begin with. Now with this call and this response,  the patient is basically pushed aside, IF the patient wants help, he will have to make the call again and go through the embarrassment and shame of asking for help again.

Now, the patient does not go for the INH. He is now feeling hopeless. He never even went for medical problems, then when the results came in, the clinic never even thought that it was to rule out anything. The patient got lost in the pile of papers. Basically became a number, not a person. This is normal these days. They want the Doctors to see as much patients as possible, as fast as possible. So give them a pill and get them out of here. It is our medical system, and it has become a business.

In this case, the patient now goes on another binge, and gets more depressed. If anyone has been through this they know any binge can result in death to self or someone else. Thinking again about suicide month later, the patient calls up the clinic. The patient has lost hope in Dr. D. However the patient is afraid to ask for another provider. Because he will be considered “difficult.”

The patient, using all the courage that they have, gets another appointment. This  is months later. So at this next appointment, Dr. D walks in, and he does not recognize the patient.  He treats him as if he is a new patient. He asks again if he has any medical problems.

This time. Dr. D says “Let me draw blood for some things” once again. Checks his heart. He does not know the patients name, or occupation, or any of what had happened before.

The patient is a number, he now feels worse and is upset that he even came back. He gets his blood drawn.

The patient gets a phone call back. He is to come see Dr D again, he must come in to go over the results. They cannot tell him over the phone the results. However, there is also some hope. He feels that maybe they found a reason he has felt like this his whole life.

The patient is scared, he knows if you have to come in to go over results it is not good. Saturday morning Dr. D walks in as he is the on call MD this weekend. His eyes are bloodshot and red, Dr. D did not sleep last night you can tell. He does not recognize the patient, his name, or anything. He feels he is just seeing all emergency patients as they are the Saturday clinic this month and he is on call. Dr. D has no idea he is talking to his own patient.

He then asks the patient, why he is here.

Then Dr. D still not knowing the patients name says “oh yeah, well, looks like you have chronic fatigue syndrome and there is really nothing we can do. Maybe go to groups, or exercise.”

Just what the patient wants to hear right? You are chronically tired and out of luck. You are not depressed or any of that. Sorry, go to groups.

The patient puts his head down, that’s it. You can see him, the thoughts are something like, “I guess I never was depressed, I’m just tired,” that is what he is feeling.

Any of us can tell these things in watching people if we just watch and are truly present with them. If we take time for one another it is easy.

Then Dr. D says well I can give you Provigil to keep you awake during the day and trazodone to help you sleep. SO let’s do that and check back in a few months. We are now giving a patient with severe anxiety a pill that they used to give to pilots to keep them awake during long flights.

The patient gets the pill to stay awake. His depression and anxiety have still not been addressed. He has learned that this is what happens when you ask for help. The patient now feels hopeless, sad, anxious, and like a fool for asking for help. There is nothing they can do for him.

First they tell him he has tuberculosis, then its chronic fatigue. They spend 15 minutes with him each time because management wants doctors to see 4 patient per hour so they can bill for that. Then they make more money. Dr. D is considered more productive if he sees more patients in a day because he makes the clinic money then.

The patient then with this depression history, drug abuse history, has made his last ditch efforts to get help. It took everything he had to even ask for help. He was pushed aside, they didn’t know his name. He got lost as a number. Then he was told different things by the same doctor each time he went in.

Why would someone go seek help after this? Dr. D never even asked him about his depression or anxiety or his history. He was a number, and he pushed it off like it was not depression. Just give him a pill and get him out. I don’t blame Dr. D, this is our system. I have seen Doctors get scolded for taking too much time with their patients.

This patient would then go into severe depression and his drinking and self-destructive behaviors would intensify over the next few years. He had many near death experiences, he got a DUI and spent more time in jail. He got to a point in which he almost died and his family had given up on him completely. He was basically going to fade away to the world. You could tell, he had given up on himself and everyone else had given up on him.

About 3 years later after Dr. D. This patient called the clinic. They said “So you see Dr. D, would you like to see him again.”

The patient has an opening and says, “No anyone is fine.” Simple stroke of luck.

The patient is set up with Dr Broeker. This is his real name he still practices for Allina. It is at the end of May. The patient has made up an excuse to go in he says he is having urinary problems.

He is in the clinic office in the room waiting. Dr. Broeker knocks on the door, he says, “hey XXX, I just want you to know I am running a little bit late but I will be in as soon as I can.”

The patient is shocked, Dr Broeker knew his name and just knocked on the door to tell him that he was running late.

Then during their meeting, the patient is comfortable, and feels at ease. Dr Broeker comes in and says his name, what his experience is and does not have a clipboard. IS not looking at the computer. He asks “what are you here] for?”

Dr Broeker then says “what else can I do for you?”

The patient starts to cry and says “I am anxious, nervous and afraid to ask anyone for anything. I hate myself, I cannot stop drinking and I want to get help for feeling depressed.”

Dr Broeker spent the next hour talking with this patient. It was amazing. He talked to the patient about life. Dr Broeker talked about his time as an MD and how he wants to get this right. He explains the depression scale, the anxiety scale and fills it out with the patient.

It was like this patient had been waiting years for someone to say, “It’s ok to be sad, let’s talk about it.” Finally after, years and years of internal torture. Dr. Broeker had released this man from his own internal prison. It was amazing. Words will never do it justice what Dr Broeker was doing for this patient.

It was supposed to be a 15 minute appointment. Dr Broeker knows the patient has been seen by Dr D because he read the chart, he says “why were you tested for all of this?”

The patient says,” I don’t know that’s what he thought.”

Dr. Broeker says “well, ok, let’s start you on celexa and come back in 2 weeks to make sure you are not having any side effects.” Dr. Broeker did not judge the other physician and was respectful and kind about what the other MD had done. When someone is truly great like this, they do not need to question anyone else. He is pure, there is no competition for people like Dr. Broker, he practices out of love, and he is a doctor for the right reasons.

The patient was so much at ease with Dr. Broeker that he was able to tell him everything and open up about the drinking, drug use and all other issues that he was facing.

Dr Broeker wanted him back in 2 weeks just to check on side effects. The patient felt he had a new lease on life.

Then in 2 weeks Dr Broeker pops in and knows the patients name. He talks to him for a while like they are old buddies and shakes his hand and is friendly with him.

This patient has had a history of no shows throughout his life, but never with Dr Broeker. Usually if we have a patient with no shows, we label the as non-compliant or as not really wanting to get help. But, could it be that the problem is in the provider and how we treat patients? Or at least say it is 50/50? In a few months the patient was in rehab, and able to look at people. Dr Broeker then eventually recommended therapy to this patient.

This patient was willing to listen because he trusted Dr Broeker. He believed in him. The same recommendation could have come from another Doctor and it would have gotten a different reaction. The difference is in the relationship, not in the knowledge. Dr Broeker took time, he did not care about the 4 patients an hour.

Dr. Broker is special, he is in it for the right reasons. He takes time. That is true productivity.

He saves lives, He saved this patients life.

 

I know this, I watched it. The patient was me.

The Doctor is Dr Michael Broeker.

He saved my life. He is one of the “fab 5” that I refer to that changed my life. That is number 1. The magical Michael Broeker.

 

If it was not for him, I would not be alive today. The patients that tell me I saved their lives and changed them forever, my friends and family and everyone that I have touched, it is all not possible without him.

 

I almost died and did not want to ask for help ever again. He sat down and listened. And talked. He didn’t follow the 15 minute rule. In my moment, lost in the woods, he gave me the light and pointed me in the right direction. All because he took time to get to know me and did not judge me.

 

I am alive today because of him.

 

Thank you Dr Broeker.

 

The End