Posts Tagged ‘stigma’

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In Episode 5: Beyond Meds, We talk with Monica Cassani a person who has been a social worker in the mental health system as well as a patient. She talks about her time as a patient, her own healing , transformative healing, and epigenetic trauma. As well as what she sees as the holes in the psychiatric system and how we can make it better for those seeking help now. Monica has an award winning website with over 6 million views. https://beyondmeds.com/

 

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Art by Pamela Spiro Wagner

In Episode 004: Unmasking Schizophrenia, We talk to Pamela Spiro Wagner, someone who has been diagnosed with schizophrenia for 36 years. She discusses her voices, other symptoms, and how she feels they started. She talks about her treatment by society and staff at mental health hospitals, and medications. She also speaks about how she has been able to get her life to place where she is comfortable and content. You can find her art, poetry, music, and books on her blog. You can follow Pams Blog as I do at https://pamelaspirowagner.com/  

Links to her Book At Bottom of Page. Her Blog is Amazing I follow it, there is nothing else like it.

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Taking the Mask Off Podcast Episode 2:

I interviewed a Paramedic that says she should not have to give Narcan to addicts who have overdosed on Heroin. She believes addiction is a choice and Addicts are “Asking to Die.” Stigma at its Finest. This is a healthcare provider saying this.

 

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 Podcast Episode 2 Narcan Interview

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.

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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.

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

 

 

saving-drowning-man

“Sometimes our inability to control our instincts gives us a level of courage we don’t normally have.” -Jason Whitlock

We all try to hide ourselves with the mask, even if we do not know we are doing it. However, there are times that we cannot hide our true nature. It is usually in a crisis or a moment when our instincts take over. The true self bursts out despite our best efforts. Usually, it is a beautiful thing to witness. It is like seeing a picture of love. It is a rare occurrence. I was thinking of this example the other day and decided it might be a good moment in my life to share.

The courtroom was full. The custody battle has been long and complicated. Judge Harrington has heard this go on in his courtroom for months. Everyone was finally done presenting their cases and the evidence. It was full of emotion but silent. Judge Harrington is to address the court and the hundreds of people that are there with an emotional, vested interest.

He stands up and says “Tom, you are the mother’s father, you have been here for every single event in the courtroom. You have come to all the conferences and meetings. You have missed work for this, you are a dedicated man. What is your opinion on what should happen with the child?”

What? He is asking Tom what he thinks. He is the Judge and he is asking Tom what Tom thinks? Tom was the father of “Ally” who is the mother. “Ally” was his only daughter. He has one grandchild, and that was Kayla. He has been a large part of Kayla’s life up to this point. Kayla is the child in question here, she is 5 years old. Kayla and “Ally” live close to Tom, Kayla goes fishing with him, and she knows him so well. She hugs Grandpa Tom every time she sees him. He loves having Kayla around, she brings life to everyplace she is, like most 5 year old little girls.

Tom and his daughter “Ally,” have a great relationship. She has gotten involved in drugs recently, and he is trying to help her. He has always been a loving father. When “Ally” was young, she was emotionally abandoned by her mother, who never wanted children. So Tom raised her most of his life and was a loving, caring man. He was not perfect, as none of us are, but his heart was pure.

Is this why the Judge was asking him? I didn’t know. I did not like it. I was the one on the other side. I wanted my daughter and had been waiting my whole life for this moment. Her mother, “Ally,” was a full blown drug addict, and had been failing drug test after drug test. This should be a slam dunk. I was very upset that the Judge was asking Tom this.

I yelled at the Judge, “What the hell is this Bull****, why is it up to him? Why are you even asking him?” My heart was trembling in fear. I was shaking, I was sweating and nervous. I looked back at my mother and her lower lip was quivering. My father was standing in silence. All my siblings were looking. We were all so young. Ages from 16-24. No one had been in a situation like this.

Judge Harrington said “I suggest you settle down or you will be held in contempt of court, do you even know what that is young man?”

My lawyer had me leave the room. He said, “It may be best if you are not here for this, you are too emotional and you will be perceived in a poor manner.”

I am thinking to myself, “What the heck is going on here. I am not the one addicted to drugs. I am the one trying to go to school, I am recovering for my daughter.” My daughter was gone for years in Florida, then she had come back. I had started to get better and prepare for this. Now it seemed everything was falling apart right before my eyes. “I am going to lose this thing now,” is all I could think.

After doing the right thing, after going through the pain of losing Kayla, then getting her back in my life. Then I dedicate myself to bettering myself to become a good father. I tried to help her mother “Ally,” get into treatment, and still after this I am still going to lose her again? My heart was broken and I was in distress. The anxiety, fear, anger, sadness, embarrassment, and everything from my past was all coming up, and making me look to Judge Harrington like an out of control emotional kid. I had already lost her, my child, once, and I had thought forever. Now this second chance was being taken from me is what I felt.

Why was I so afraid of him asking Tom? Well in the beginning, I was good friends with Tom. But I was also a 17 year old punk that got his 16 year old daughter pregnant. We then fought for years. I said some horrible things to him and was rude and a jerk to him. He was the same to me. He did not like me and it was clear. Now he was going to decide my fate? How is this justice?

When “Ally” came back to the Midwest, and was getting involved in drugs. I was not trying to take the child away. This got Tom to respect me a little bit and earn a little trust. I was trying to get her in to treatment. I was trying to help. However, when you are not healthy yourself, and you are trying to help someone it is much like if a surgeon is bleeding while they are doing surgery. You are trying to help, but really you end up just injecting your own poison into that person.

I had no idea about addiction, mental health or anything. Yet here I was trying to understand it all and help someone who was a full blown meth addict and shooting up daily. I couldn’t understand why someone would leave their child for weeks at a time. I couldn’t understand why someone would say they wanted treatment then ditch out when they realized the cops were not after them anymore. I didn’t understand why someone would keep using after all the consequences. I didn’t know who this person was that was neglecting, and abusing my daughter.

The “Ally” I knew was a caring, and loving person who had been abandoned basically by her mother emotionally her whole life. Then her mother left for Florida when she found out her 16 year old daughter, “Ally” was pregnant. “Ally” was abused in many ways as a child, physically, emotionally, and sexually. But her heart was pure. I could not understand this person she had become. I was trying to help her. We all were. However it was not going well, and speaking for myself only, I was making it worse and I did not realize it at the time.

Tom was surprised that I was not coming down and just trying to get custody. We started to talk, we bonded as we tried to help “Ally” together for the child. Tom loved his daughter “Ally” and was a great father. We were so frustrated, she was calling everyone names, bringing up everyone else’s dirty laundry. We didn’t understand. Tom saw me prevent her from being arrested. Eventually, I had given up and we were now in this long drawn out custody dispute.

It got to a point that I bailed “Ally” out of jail once, and Tom had become mad at me for helping her too much. Everyone really was doing their best but we were all brining our own stuff into this situation and the years of mistrust and fear and anger were all present.

As I look back now, I realize we were all fighting because we all wanted to love this child. If you take away the fear, anger, anxiety and other negative emotions, we could have solved this ourselves. But here we were in a recess at court after my blowup in the courtroom with the Judge asking Tom of all people what he thinks. This was it, I was the crazy one. This was all going to be taken away and I knew it.

I sat alone in a room at the courthouse. I refused to talk to everyone. I was alone. This was one of those points in my life that I realized I really have no control over anything what so ever. It was not a painful thing. Well, at first it was frustrating, I could not talk my way out of anything, I could not throw a fit and get my way, and I could not manipulate. I could not take Kayla and run, I would be in jail then. This was completely out of my hands, I had no control. The funny thing is, we never do. We only think we do. Control is a human illusion.

This was one of my first forced third steps. Forced to surrender. I would forget it later, but also go back to it throughout my life when it was needed. I was receiving a painful gift. I got on my knees and I cried, first about how unfair it was, then about how mad I was, then about what I was going to do if things didn’t go my way. Then when all the garbage was out, it was just tears. Crying and hoping for the best. I was hoping that the best happens and just trusting that if I am a good guy and my intentions are pure and I do it with love in my heart that it will turn out ok. I surrendered that day. I was not mad, instead all the anxiety, fear and negative emotions were gone. What I felt was a freedom I had not felt before. I realized that I was allowed to love my daughter regardless of where I was or who she was with. No one could take that from me. This was not going to be the end. No one can take my heart or my soul. I felt an immense freedom.

I was calm and came back to the courtroom. I apologized to the Judge. The Judge continued, “Before we were interrupted by the outburst, I had asked Tom what he thought. Tom, where do you think Kayla should be. With you, with the uncles, or the mother or the father, what is your opinion?”

Tom stood up, everyone was looking at him, He had tears in his eyes, and his voice was shaking. This was a large man, he works on the railroads and has his whole life and loved life. His voice trembling as the courtroom was in silence, he said, “She should be with her father.”

Whoa, that was me. This man could have said his daughter “Ally”, and believed he could get her help. He could have said his son, the uncle, or himself. He did not. To stand up in a courtroom and say something like that when it held so much weight was one of the most amazing acts of unselfishness I have ever seen. This was true love. He had no idea if I would ever let them see Kayla again if I had custody. We had a rough history which was getting better. He knew this could be the end of his family and ever seeing his only grandchild. He still said what he thought was best for her.

Because of this I was granted custody. There are times that we cannot hide our true nature, we all try to hide ourselves with the mask, but at times, the true self bursts out despite our best efforts. Tom’s true character is that of one of the best most amazing people in the world. He is pure. He is real.

Why did the Judge care about what Tom thought so much? I was told this story after the fact. When Tom and the Judge were 6 years old. The judge was drowning in a lake. No one was around. Tom was the kid that pulled him out of the water and saved him. Tom had shown his true character before to this judge, so he knew he would get the truth. It was a small town, they grew up together.

Kayla still to this day, goes and sees Grandpa Tom all the time. He has been a major part of her life since that day. Tom and I used to talk a lot until “Ally” got out of prison. When ”Ally” went to prison, Tom saw Kayla every other weekend and summers and talked all the time. He was able to keep their family involved for when “Ally” eventually got out of prison.

The rest of the story is for another day.

Thank you Tom for showing me what love and unselfishness looks like.

Thank you Judge Harrington for showing me to treat everyone with kindness at all times, you never know when the tide will turn. To love each other always.

Thank you that day for forcing me to surrender my will for a moment, so I would have that to go back on later in my life when it was needed.

Thank you crisis. You helped awaken me.

On this day, I saw what real love was.

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“I do not like that man, I must get to know him better.” -Abraham Lincoln

I often hear people wonder out loud why there is such a high rate of recidivism, why do our patients come back, and why is there a high rate of repeat “offenders” in the Mental Health System. We can’t fix Mental Illness they say. We can’t “cure” it. The problem is we are trying to cure the wrong people. It is the staff that needs to be “cured,” or fixed. Not the patients. The patients are not the problem. The staff members and the stigma of society is the problem. I can give many examples of my over 20 years as a staff and patient to describe it. This is one that really sticks out to me.

She walks in she is wearing and old dress, it has stains on it. It may be the only dress she owns. It is green, with tan. She has hair that is getting gray, but it is still brown. She has attempted to put it in a nice pony tail. It is off to the side, the left side. The hair is still very frizzy and sticking up. She is trying so hard. This is a big day for her. She is interviewing to get into this program that will likely get her into an apartment.

That has been her dream, this is the way to accomplishing her ultimate dream, her own apartment. She enters the room with the “team”, she comes to the interview.

She farts, and farts loud. She laughs, it is a loud loud laugh. She says she is sorry that it keeps happening. It happens throughout the interview. She answers all the questions, she seems very nervous. She is trying hard to look her best and be on her best behavior. She has a whiny screechy voice. I watch and I see the “team” roll their eyes and shake their heads in disgust.

After she leaves, the team of Doctors, psychologists, OT workers, Social workers then are to evaluate her and decide if she is a “fit” for their program.

They all are dressed up in their fancy clothes, and they all laugh. They all grab the hand sanitizer and clean their hands, because “she touched my hand.” They laugh and tease her. They mock her hair, they laugh about her dress. They say “ick” and shake their bodies like they just touched a rat.

They are really feeling good about themselves. Remember, these are the so called healthy ones that need to “fix” and “stabilize” this patient. They are all getting paid over 100 dollars an hour, each of them, to analyze this woman. If they accept her, their program gets 8500 dollars a month to “treat” her.

The owner is there, she teases the patient as well. The owner goes to France 3 times a year. They all tease her. I know, I was in the room. I was new, I was watching. They accept her to their program, only because they had 3 open beds and they needed the money to pay for their vacations, they said this. Then they mocked her. Money, Money, Money, Money.

After her admission, I got to know her. She had a screeching type whiny voice that sounded like fingernails against the chalkboard. That loud laugh, then the farting, the gas was nonstop. It was a big joke to the staff and the patients.

Everyone blew her off, and no one wanted to talk to her. She annoyed everyone. So she isolated. She was crying uncontrollably one day and came into my office and sat down.

I wanted to say I was busy, but for some reason I didn’t. She said, “Please help, just listen to me.”

She told me about her dream and how nice she thought she looked that day of the interview. She told me that was the best dress and she saved it for so long for her big day. She wanted to impress these guys so much. She practiced for hours about what she wanted to say. She did practice interviews. She told me how she would do whatever staff wanted. She wanted that apartment so bad.

The thing is, they didn’t really care. They didn’t listen to her. They rushed it, it didn’t matter what she said, and they were focused on how “icky” she was.

They were feeling superior. They took her because they had open beds, they wanted money. This was the biggest day of her life, and the “team” they didn’t really care not one bit. What they cared about was getting her out in the hour, so they could admit her and leave on time.

She heard the mocking, the teasing. She had to take it. She wanted the apartment. The counselors never really met with her, the groups only lasted 10 minutes, and no one really asked her about her medications or what was going on.

They didn’t want to deal with her. They were annoyed. She was a thorn in the side of their day in which they did nothing and collected pay for it.

She made them pay attention and that bothered people.

I sat down and talked to her. She cried. She knew, she heard. Why was she always farting? Was it a medication?

N0.

When she was 4. She was raped by her father continually. Then he beat her when she told. He slammed the kitchen table against her stomach, over and over and pinned her against the wall with the table. This all crushed her insides.

He jumped on top of her and beat her. She was age 4. Around the same time that the doctors at the same age were worried about what was for dinner and where they were going on vacation that year. This was happening. This is happening somewhere near us every day. It is happening to someone right now.

She had to have most of her insides removed. This created the farting. But no one cared. The staff were “annoyed” The doctors and psychologists were worried about filling the bed. They don’t want staff to: “feed into this attention seeking behavior.” They said “use your boundaries.” “We don’t need to talk to her when she is doing this for attention.”

This is how they guide treatment. Well, I didn’t listen. This story was then confirmed by records we were able to get.

This is why the mental health system is broken, not because of medications, not because it is untreatable. Not because of people that were institutionalized. Not because they are so “violent” and “dangerous.” In fact mentally ill people have less occurrences of violence than the general public.

The term Mentally Ill is a terrible term. Mental Illness in this culture, in America, is considered this bad thing.

In other cultures it is a healer waiting to be born, in other cultures mentally ill is a term used for those that live in excess.

The reason the system is broken is because of 75% of the people that work in the system are like this. This is changing, I want it to change more, it is coming, and the revolution is coming.

This is why I will keep writing about these things. I have sat in team meetings for the last 18 years hearing stuff like this.

This won’t be over, and I will not be done until we have stopped the feeling of superiority and labels and trying to find what’s “wrong” with people.

Until we stop treating people like this it will never change. Sure we will react when there is a school shooting, or some tragedy happens. We love to react. To over react after the crisis. When we do that, we completely screw it up. We are having an emotional reaction to an event so we overdo it.

We can prevent that by dealing with it right now, everyday. Simply by engaging people and talking to them and showing them that we have love.

Next time you see someone that annoys you, or that you just seem to not like for no reason. Maybe it’s time to get to know them better.

That is how we change things. Sometimes people do whatever they can to “get attention.” A whine, a cry, a yell, a fart.

Either way, it is just that, a cry for attention.

When we see that, it is not time to “put up our boundaries,” as the so called professionals will say, it is the opposite, it is time to let our guard down and remember we are all in this together.

Boundaries create division. Money creates division.

Love brings us back to humanity.

Fight on.

Til the end.

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“When you start to sit on your throne and decide who is good and who is evil, you become capable of doing great evil, without even thinking of it as evil.” -unknown

Relationships are the key. Relationships. By that I do not mean an “I’m above you” type relationship. Not uppers and lowers. Relationship, me getting to know you, you getting know me. No regard to rank. No one’s better, no one’s worse. When I talk about relationships, I mean a relationship in which we both can challenge each other when we think it’s time. We have to get away from this “I’m the wise healer and you are the lowly patient that needs help.”

That is the attitude of many in the field of psychiatry. That’s why they have phrases like “professionalism,” and “Boundaries.” I love it when they say to the patient, “tell me all about the worst times of your life and I will write it down and make decisions about your life, but I am not allowed to tell you anything.”

That is why it doesn’t work. Martin Luther King Jr. said something like, “you get justice fastest by rendering justice to the other party.” Who is going to open up to you as a provider when they have no trust in the system to begin with and we tell them no, we don’t talk about ourselves? There is a reason for that, of course. Some people end up making it about themselves, however we need to teach this skill. It is a skill that when used and well-timed and for the benefit of the patient is an amazing tool. It is what I call a “relationship.”

We told a patient the other day that she cannot high five staff. The rationale for it was, because it is a “boundary.” This person has not gotten a hug in probably 15 months. Then we wonder why things go wrong.

It’s not about one person walking in the room with a hundred thousand dollar a year job. The provider has a Mercedes, a fancy suit, and giving medications to the other person. We do this by reading a book that tells us how to label people. That is what the DSM is. It is a book written by rich privileged people that guides us on how to label and control those that have not had opportunities. It is an evil book. It takes special people, takes away their person and tells them what is “wrong” with them. It is essentially a “how to be like us” book.

The bell curve theory says that about 96% of the population is inside this box. The DSM helps those in power to pull anyone who is different and special into that box. They do this to anyone that they can influence and change and take advantage of. It uses shame, medications, and even brute force if necessary.

We are getting this all wrong. We are trying to make everyone safe, and the same. Not a threat to those in power.

I remember a time in my life when I was working at a rehab center for mentally unstable kids and I learned this first hand. I was trained by many people coming out of my recovery. Some say to me now, “you were lucky to have the people train you that trained you.”

I disagree; I think we choose who trains us. We have these beliefs already, and we have everyone throwing knowledge our way. We choose who we cling to and who we take ideas from. If we are gifted with humility, (which I was not,) we learn a bit from everyone. If we see everyone as good and bad, and every experience and person as a teacher, we become amazing. Even if someone does something wrong and bad in our eyes, is it really bad if we learn from it and become better? It is a rare person that can learn from everyone that they meet.

We are taught to listen to authority and to think like the teachers and elders tell us to from the time we are young. We get rewarded when we repeat what the adults want us to say. With positive reinforcement, we are basically domesticated early. In school, we teach children to remember, repeat, and memorize what the teacher wants. You are labeled “good” if you are able to do this. If you question them, you are a non-conformist and a rebel and get a bad grade. It is passed on throughout the school that we need to “keep an eye on him/her.” It starts early. We reward conformity.

However, we need to be careful when blindly obeying authority. I have a very good example of when I made a huge error and ended up learning a lot about this whole psychiatry, psychology, mental health and addiction field. My lesson came in the form of an 8 year old boy and a 55 year old woman. Not exactly who they tell you who the wise teachers are.

This happened at a point in my life when I was in full recovery mode. I thought I had this addiction/mental health whooped. In my mind, I am now on my way to becoming the great healer. I had been cured in my mind. As the great man I’ve mentioned before “PVD” says, you can become complacent, or addicted to thinking you are recovered. He warned me, I didn’t listen.

I get this huge supervisor job at a rehab center. I am the man. I now will teach my great wisdom. This is what I am telling myself. My ego was through the roof.

In pops Deborah. She is dressed very nice, walks the walk. She is the ultimate “professional”-she hired me. I feel I owe it to her to listen to her and keep her on my side. She seems legit. I am in the big time now, so I need to last here, so I look like I have made it.

She is very adamant about making sure we know who the staff is and who the patients are. She tells me I need to dress up more. That If I dress nice, that I’ll perform better. She says “studies show this is a fact.” I was her puppet. The truth is that studies that evaluate this do not take in to consideration other factors, like those that are evaluating the person’s performance, likely has a biased. They want people to play grown up professional like them.

In my heart, I didn’t believe this, what I noticed is, it causes separation. But she’s the boss, maybe she’s right. So I get dressed up. I’m making all this money, dressing nice, feeling special. I went out and got myself a BMW, and a Mercedes. I am now the rich healer. “Look at me! Look everyone, I’m not a loser! Accept me! Accept me! Tell me I’m ok!”

I’ve arrived. The money of course is to try to prove I’m not that addict. I’m a success. Problem was that I was living for other people. I wanted acceptance from family. I also wanted acceptance from others. I wanted an image. I have heard it said, “It is better to be hated for who you are than be loved for who you are not.” I found out that this is not just a saying, it is a fact.

My ego loved this. I had made the full comeback. I told myself that I don’t need any more recovery talk. I beat it. I don’t need no “PVD.”

Deborah had taught me, that what we do is go into offices, go to meetings, make up committees, and more meetings. Socialize with the big shots, find the good staff, and befriend them. Show off at meetings. Get information from the staff, use it to our advantage, and manipulate the numbers. This is why money should not be involved in this. It is not a business, it is people.

Something felt icky about this. But of course it was another addiction. Not booze, drugs, women, but image.

Now I learn the game, let’s label all the patients, look at the DSM and categorize everyone. We did this and it would make me feel superior. I got to sit back and label people in need and determine who they were. If they didn’t get better, it was because they weren’t ready. I learned these neat phrases on how to say things and how you can use words like that and manipulate and cover up your deficiencies.

We were making money. We didn’t track success by recovery, but by beds, and cash flow.

When I did do a lecture, people didn’t listen. I wasn’t getting to anyone. What happened? I didn’t get it, that’s what I thought my strength was. But I wasn’t me anymore. They just weren’t ready I told myself. “I know this stuff; I used to be an addict I told myself.”

Then the magic happened over the next year and a half.

In walks this kid with his mom. Jonah is his name. She says he’s tough. He also has Asperger’s. He’s almost impossible. No one has ever been able to get to him; he has been kicked out of many placements. He is only 8.

Well I have to meet all new patients within 72 hours. Or I need to just sign off. So, as Deborah taught me, just sign off. So I did. They just needed my signature.

Then I can’t get over it, for some reason, I’m interested in this Asperger’s, so I look it up in the manual. “Wow, this is interesting,” I think to myself. So I get books on it and read them. I read them over and over. I got this figured out. We are going to do this! We will be the ones. I had a spark.

Meanwhile, the kid is wreaking havoc and we don’t know what to do with him. Everyone is at a loss, they said at one time or another, “discharge him, send him up the river, and lock him up. He’s a future ax murderer.” My ego wanted to be the one to figure it out.

But I, the self-proclaimed expert, have read the book. So I know how to treat him. I set up organized activities. Make sure he understands what people mean when they are talking to him. I say, don’t give him negative consequences, because of his Asperger’s, it won’t work. These are the theories I’ve learned. I had this master plan to fix this. I had done hours and hours of reading as well as research.

I decide after coming up with my master plan to meet the kid. But of course, I’ve already got him figured out. I’ve read about him. I have also read his chart and asked EVERYONE ELSE what they think about him.

So in this research, I had read the diagnostic criteria for Asperger’s. Here it is:

(I) Qualitative impairment in social interaction, as manifested by at least two of the following:

(A) Marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction

This kid, he made weird movements, had weird facial expressions. He didn’t make eye contact. He didn’t regulate social interaction like most people.

So here I am and I have already read his diagnosis. He has Asperger’s. So I did not take into account that maybe he was shy, maybe he was just quirky, and maybe he was just a goofball. He would say weird things to start interaction. Maybe he didn’t know how, maybe he has been told he is no good and to shut up his whole life. So he doesn’t know.

What I also failed to realize is that we all have these traits sometimes, and the phrase here is “marked impairments.”

I never questioned the word impairment. Who gets to decide what impairment is? It is worded here like it is a defect. Really, Impairment? Would we say that about Bill gates, that he is impaired?

I looked it up and impaired means being diminished, or weakened. Why is it that because this kid did things different that he was diminished or weakened? Who decided this? Why does the APA have the power to tell us what “normal” is? And if we don’t meet their standards we need medication?

But I did not take any of this into consideration. He was labeled, so I didn’t think about other possibilities. I attached it all to the “Asperger’s” label. This is what we do. This is what we teach in school. We label, we teach to find what’s “wrong” with people. Then we reward those that remember and repeat. We reward conformity even in the psychiatry and psychology schools. We do not reward free thinkers and truth seekers. The students want to be the next great healers, so they learn what the elders want them to learn. This is the only way to stop the issue. We have to change the way we teach.

The problem in this case is it is not a “problem.” It is not an ”impairment,” at all. We have a bunch of old white guys who are paid by drug companies to come up with these “problems.” We all feel superior being able to label people and sit on our throne and decide how we need to “fix” everyone.

(B) Failure to develop peer relationships appropriate to developmental level

Well this kid definitely met this standard. He did not develop peer relationships normally. So, it’s got to be Asperger’s, right?

Yes! Of course it is! He already was labeled so that is who he is. He is “impaired,” poor kid. I say to myself, “I’ll fix him, and I am going to be the one to get this.”

What I never took into account was that maybe he was smarter than the other kids, so he was on another level. Or perhaps, he was very sensitive, and got his feelings hurt easily. Or perhaps he was just ok with being alone more, like maybe a very introverted kid and a deep thinker.

But he had been labeled by someone that read books about how to discover what is wrong with people, and I wanted to feel superior. Of course this poor kid can’t develop relationships. We think “It must be Asperger’s.”

Or maybe he doesn’t want to do it like the rest of us; maybe he is not domesticated like us.

I didn’t think of this, I didn’t have the capacity.

I love in this criteria they use the word “appropriate.”

What is the definition of “appropriate?” -particularly fitting or suitable.

So this means if you do things how most people do things, you are “appropriate.” If not, you need to be looked into and maybe medicated. Maybe you are dangerous.

If it were not for people that were not “appropriate,” women still would not be allowed to vote, we would still have slaves, and many other atrocities would still be happening. I could name a million things that “inappropriate,” thinkers at the time changed.

Do you think Bill Gates or Martin Luther King or mother Theresa did things how everyone else wanted? Or Gandhi? You see what we are doing here to this kid? What I was doing?

I didn’t know any better, and most of us in the system truly think that those they are helping are still in the same boat. No one does this intentionally. It is just that absolute power corrupts. In psychiatry, we have built it so one side has absolute power.

 (C) Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

So this kid did this as well. Of course he is the impaired Asperger’s kid in my mind. So I ignore the fact that he does not always do this.

He didn’t show interest in others things sometimes; this is a trait we all have. Some people are obsessed with certain interests and thank god for them. That is how we come up with cures for diseases and how we fix serious issues, is those obsessed with their own interests.

What would we do without people that are obsessive? Michael Jordan? He was so obsessed with himself and basketball he became the greatest basketball player of all time. So I guess he may have had Asperger’s as well? We need to fix him also.

Or others like him…

Einstein

Bill Gates

Just to name a couple.

Think about some of these obsessive people. How about instead of finding what is wrong with people, we start to find what is good and pure about them.

(D) Lack of social or emotional reciprocity

The kid I am discussing did this as well. He did not always want to listen to others’ opinions, or care what their opinions were. If you didn’t do what he wanted, he just did his own thing.

I did not take into account that maybe he was just sure of himself, and liked what he liked. Or that we all do this sometimes, which is true, we are all selfish at times and it can be seen as healthy.

We are also told to take care of ourselves and we only have one life. So maybe he was happy with his own stuff and talking to people with the same interests. Maybe we just didn’t like this kid deciding what he liked and wanted.

Maybe he was sensitive and a loner, but why there is such a need to make our children extroverts when they don’t need to be? It is poured into peoples’ heads that you need a lot of friends, you need to be popular. This is done even if it is completely against your nature. So you are taught that who you are is wrong. Voila, the mask!

We all get selfish at times. It is self-preservation, and we all have different levels. In fact, we call a high degree of unselfishness a disorder known as “codependency.” If you’re too selfish, you’re wrong. If you’re too unselfish, you need help. We listen to these psychiatrists and therapists like they have all the answers. The truth is, they mostly read a book passed down with studies made by people that manipulated them to favor their own beliefs. They repeated and remembered. Now not all of them, there are great ones out there. I am simply saying look around and don’t blindly follow. Not all therapists and psychiatrists are created equally. Don’t judge someone by the plaque on their wall.

If it wasn’t for great doctors and therapists, I wouldn’t be here. They saved my life, but bad ones exist. I’m saying they are like every other profession. Some are robots. Some are people. If someone diagnoses you right away, then run, run, run.

(II) Restricted repetitive & stereotyped patterns of behavior, interests and activities, as manifested by at least one of the following:

As I had him diagnosed and as I read this, I started to think, “Man, this sounds like me. I don’t make eye contact a lot, I get selfish. I am inappropriate at times.”

I started to think, “Wow. Maybe I have Asperger’s and that is what has been wrong with me my whole life. Maybe this was me.” However, I thought that as I went through every diagnosis. So apparently I am a Borderline Narcissistic Anti-Social Asperger’s with some major depression and a little ADD with some Bipolar.

(A) Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

“Yes!” I said, “This is it!” He was preoccupied with reading, and with nature and animals. He was very obsessed with many things.

Some would say “abnormally obsessed” but I start to ask myself….

What is normal and who gets to decide this?

Normal- conforming to a standard.

So if he is abnormally preoccupied with things, can’t that be good? Why is there this need to “fix” this, and to place everyone in the “normal” box?

(B) Apparently inflexible adherence to specific, nonfunctional routines or rituals

He loved things the way he wanted them. We would say, “ Must be the Asperger’s, must be a defect.”

I did not think for a second that maybe he was abused and needed to have some kind of control over his environment. Or that he was just rigid, and liked structure and having a voice. A voice that maybe he was denied his whole life.

A lot of these criteria are also that of a gifted person. But I did not consider it. He was at our mercy, and we had him labeled and we had to fix him and get paid for it as well.

 

(C) Stereotyped and repetitive motor mannerisms (e.g. hand or finger flapping or twisting, or complex whole-body movements)

Sometimes he had weird movements so check mark on this one also. What is “weird” though? It is a term used to shame people that we don’t understand. If Bill Gates wasn’t famous, you would call him a weirdo, same as Einstein.

However, we all have weird ticks, I pick my head, I chew my nails, and people that truly love me just laugh and say that is me being me. My brother chews his tongue, some people grind their teeth. But that is “normal.” If the loud powers that be have a tic, they market it as normal. It is all about the language we use.

“We need to stop him from his movements,” we say. So we give him more meds that make him sick, but he is not allowed to complain. So he is now sick and told to be quiet. Then he is angrier and we say “Boy, they were right, he is very difficult.”

Some people move more often. They are hyper. I did not even consider this because I already had him figured out. See I read in his chart he had Asperger’s. So, that is what he had.

(D) Persistent preoccupation with parts of objects

Preoccupation of things, yes he had this, He was very obsessive about things he likes.

But aren’t we all?

So why do we need to fix this? Why is this even a disorder?

I started to think, “Ok he only needed to have a couple of these, he has almost all of them, wow!” I am thinking how this diagnosing and labeling was going to help us deal with him.

We ignored the fact that sometimes he did some of these things, sometimes he did not.

For instance, when he showed empathy, we ignored it because it went against our preconceived notions. When he showed eye contact, we ignored it because it went against our label; we do this with everything in psychology and psychiatry.

So as time goes on, I spend time with him. I have come up with a plan on how to help this poor Asperger’s child. I am going to be the one that helps him, that was what was in my heart.

People want to help and there is ego and superiority involved, wanting to focus on others’ problems as an escape from yourself. There is a sickness in that.

So I gave him a routine. He needs that, which is what is written. I had him talk about his feelings, he needs that. I watched him and watched him and spent hours and hours with him. Fascinated, (must be my Asperger’s.)

It occurred to me, as this master plan was not working, that half the time he does not do this stuff. He does show empathy, he does smile, he does share, he is not always obsessed, and he is not always rigid.

I realized I was always looking for this stuff as he was labeled. So I attached everything he did to that label; and if he did something contrary to the label, I ignored it. If he did something neutral, my own mind twisted it to what I wanted it to be. I was becoming aware of this.

After hours and hours I thought, “This isn’t working because he DOES NOT HAVE Asperger’s. It’s a poor diagnosis.” Now that is something that is upsetting to most in the field. I told them their label was wrong.

So he goes on to another series of tests and analysis, they come back with agreement. He does not have Asperger’s. Of course I told them in my report that I do not believe it and gave specific examples. I of course gave them the referral that was paying their money. I represented future business. So that of course influenced their minds. Same as my mind was influenced previously.

I told them the things we tried and how they didn’t always work. It says to not discipline the Asperger child, and to let it out and he will stop, that he needs routine. I had evidence he was not by the hours that I spent with him and the notes that my biased mind had made.

They came back with something new. Now I was invested in this diagnosis because I had helped fix it and get him the correct diagnosis. I had to make sure this was the right diagnosis, and manipulate the chart so it seems like I was right so I can keep making more money. That is what happens. I was a part of it.

His new diagnosis was Oppositional Defiant Disorder.

Here is the criterion:

Diagnostic criteria for 313.81 Oppositional Defiant Disorder

 

  1. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present:

(1) Often loses temper:

He did that for sure. First we were sure it was the Asperger’s and he was throwing Asperger’s fits. Not anymore, now that we know he does not have Asperger’s. It was just the fact that he was angry and had temper issues.

We didn’t look at his history of abuse, isolation, inability to speak up. Or his sensitivity that caused hurt. Why would we, he was oppositional. That is not good.

You see how most of these diagnoses revolve around conformity and normalcy and appropriateness? As defined by the powers that be.

 

(2) Often argues with adults

He did this almost nonstop. We thought before it was because he didn’t understand, he had Asperger’s and didn’t get things the same way others did. Now we were convinced it was just defiance.

He argued with me all the time.

We now knew he understood, he just wanted to be in control. He was basically a punk.

We didn’t think about him being hurt, sensitive, caring and afraid of being hurt or punished. We didn’t have to, especially me. And this was my monster.

(3) Often actively defies or refuses to comply with adults’ requests or rules

This kid did this very often, almost nonstop. However as you see some of these are the exact same as Asperger’s, just written differently. With Asperger’s, he “doesn’t get it” with this label he is just a “rebel.”

So here we are again with conformity. We teach kids in school to listen and obey. Repeat and remember. Do as we want you to do. We domesticate them. Those that do not believe the lie or buy into it are labeled in one of many ways.

Maybe he didn’t trust the system because of the abuse he endured, the isolation and terrible life he had. We didn’t want to think of that, we had to find out what was “wrong” with him, so we would know how to “fix” him.

Maybe he was scared.

(4) Often deliberately annoys people

He did this to everyone every day. So he met these criteria for the disorder already.

We never thought that maybe he is in great need of attention, had never gotten it, and was doing whatever he needed to in order to get his need met. Maybe his soul was screaming to be heard, “Someone pay attention to this!”

We had to fix him, we had to fix that.

This is a dangerous diagnosis. It sets kids up to be labeled as “trouble.” If they have this diagnosis and then trouble as an adult, it is an almost automatic diagnosis of “Anti-Social.” Or “Sociopath.” Basically, life over. You are not reversing that.

Martin Luther King may have met the criteria for this, Gandhi, and Mother Theresa. They were all oppositional as well.

This is only a bad thing for people that want to control the masses and keep everyone in a box.

(5) Often blames others for his or her mistakes or misbehavior

Yes he did that. This 8 year old never took responsibility for his actions. Maybe because monsters are not born, they are created by other monsters and the APA labeling system.

With Asperger’s, he didn’t understand. Now we think it’s intentional.

Maybe he was scared of rejection, or that no one would love him if he said he was wrong, or the things that he notices, or maybe he didn’t know. Maybe he learned that this was a way to stop abuse or get it spread out to others to escape a beating for one night.

We don’t think like that in the west. We think, “What is wrong with this person, how can we label them and come up with a plan to help them.”

(6) Is often touchy or easily annoyed by others

He was bothered by a lot of things. Again, this is almost the same criteria as Asperger’s, just worded different. He got upset by people and things in his environment very easily. He was highly sensitive to the environment. Even this is now a disorder.

Why would a kid be this angry? Maybe hurt, pain, abuse, or fear. We don’t focus on that, we focused on his “problem” because he is the “identified patient.” We come up with these “problem statements” that guide us in how to repair these, in our minds, “defective” people.

(7) Is often angry and resentful

Yes, he was an angry kid. Mad all the time. (Guess he is oppositional.)

The same possibilities exist that we ignored as we focused on his “problem,” and how this will guide us in saving him and correcting him.

(8) Is often spiteful or vindictive

. We are limiting ourselves out of ego. We know what’s wrong with others, we are superior. WE GET PAID. We have the fancy cars. We are above them. That is the attitude.

It is very rare to hear someone say, “Why would a kid be this way. What caused it?”

No one looks at the family system. That is the last thing the family wants. They have identified their family problem. Don’t bring them into it, just fix the broken piece.

Often the kid reacting to the dysfunctional home is the strongest and healthiest. They see it and act out. They do not know how to verbalize it, so they act out.

We take the strongest and most sensitive, tell them they are ill, and label them. This leads to a lifetime of labels going from chart to chart.

This labeling is sick. And this was my doing. This was my error, one that will never leave me.

Note: Consider a criterion met only if the behavior occurs more frequently than is typically observed in individuals of comparable age and developmental level.

I love this one. It says only if it is more frequently than individuals of comparable level. Well how can we compare a kid that has been abused and isolated to a kid who has not. Again, conformity is normal. Be like we tell you to be and you will survive this world. Domesticate or suffer.

So how do you treat oppositional defiant disorder, the opposite of Asperger’s? So one week we are convinced he shouldn’t have consequences, he should have routine, have him talk about things.

Now with the next diagnosis he needs order and discipline and consequences.

To my surprise, after a few months, it did not work. I was astounded. I got to know him after even more hours and hours. I saw the anger, but I also started to see the caring and loving kid. He lowered his guard. He cried. He was scared, nervous, and shy. He said that he wanted to die. A 9 year old that wanted to die and said he hated himself. He said that he was not ok, that no one loved him.

His sister never got the abuse; he did, so he was of course spiteful of her.

I’m watching this kid crumble with this discipline and my heart is breaking. I watch his family when they visit. When they come in, they want a diagnosis; they want him to be sick. It takes responsibility away from any of them.

If he is sick, they have an excuse. They take the strongest most sensitive family member, the one who speaks up through his actions, and place him in therapy and in centers. They then get mad when I say, after 8 months now, “I’m sorry, but I think this is a systems issue. I do not think he has Asperger’s and I do not think he has oppositional defiant disorder.” They want Asperger’s, because that opens up funding for in home care. So they get people to come in and “deal with his stuff.”

What is it then? What is wrong with him? His mom is raging. Can’t you see what I see? He acts different here than he does at home, and she is mad that we aren’t diagnosing him. What is wrong with us?

He cries and clings to us. We are all starting to get to know him. He is obsessive, strong willed, funny, caring, sensitive, and a very gentle soul. He also gets mad when things don’t go his way, and he doesn’t make eye contact. He has a hard time connecting and he can be selfish. He also wants to die and hates himself. I think I would call him, “human.”

I went into his room. I said Jonah; I want you to write down 10 good things about yourself.

He couldn’t come up with one. It broke my heart. I cried. I said ok, I’ll make a list. I did. He hung it up and framed it. Of course, he later got mad and ripped it up.

Then we gave him structure, we talked it out after he had outbursts, he wrote out feelings and what they meant, how his body felt, what he could do, what he could do to stop it.

I realized we were now incorporating some of the Asperger’s and some of the ODD treatments. And it was a mixture that was working. I was starting to see the picture of the truth.

The next one was ADD. That made sense to us all. I won’t go line by line but he met them all and that guided our treatment. Now we got it.

Medication and organization again, we were treating this kid on a label. Now it was all ADD, we were convinced. That didn’t vulcanize him or make him unaware.

He didn’t respond to our perfect treatment plan. We never asked him, so now as more time goes on, we are at almost a year with this kid now.

Yes he may have had ADD, maybe some of everything. I didn’t know.

He was scared of adults, he lived with a man that locked him in his room at night and abused him. The daughter got none of it.

He loved rocks, science, video games, organization, and rules. He was strong willed and sensitive.

We came up with lists of why he likes his sister because he got jealous. We gave him complements. When there was an outburst, we processed it. The feelings, and processed what happened.

We did discipline him and took things away, but also gave more positive reinforcement and caught him being good. I do not think he needed discipline, I think he needed something else.

He absolutely loved animals and little kids. He was wonderful to anyone who was helpless. He was such a loving kid; he was so sensitive and had a hard time with criticism. Ghandi once said, “You can tell everything you need to know about someone by the way they treat animals and those that can never pay them back.”

We treated him, not some fake label, but the person, who has traits of all of these. We found his strengths, things he liked and talked about that.

He was seriously abused. Never allowed to speak for himself, hit, thrown, and never told anything good.

He started reading his “good things about himself” list, the one he made. He loved reading it to me. He grew, he smiled, and it was his favorite time. He started adding to it. It was my favorite time as well.

I watched him get well and start to thrive, and then he would act up just so we can talk. I realized I was failing and needed to give him time when he was doing well.

He had taught me more than I taught him. I don’t believe in these labels and diagnoses anymore. I believe in people.

If you get diagnosed with bipolar, schizophrenia, bpd, major depression, you get major funding. It’s a money making scheme.

This is not supposed to be about money, but about people.

I wondered to myself, why was I so invested in this case? He was teaching me. I enjoyed the time, and it was like watching me at age 8.

I acted up, got in trouble, didn’t want friends, and didn’t know how to communicate or make eye contact. Wet myself at times in school, afraid to ask the teacher, trembling in fear.

You could have diagnosed me with all of these at one point. In fact in preschool and kindergarten they thought I was mentally retarded because I didn’t talk or participate.

No one said “That is odd, whey won’t he participate?” I was scared, then I acted up and got expelled from junior high, then I didn’t graduate. The labels continue.

The family wants you to be sick.

I became very attached to him. I would not diagnose him or follow Deborah’s rules anymore. I stopped dressing up, I realized I was not above anyone, it was about getting to know people and talking to them and teaching them what I had learned through my life’s trials and tribulations.

I survived by luck. So I broke rules of “dress,” “professionalism,” “self-disclosure,” and I didn’t follow their rules. They decided to get rid of me. Once again, I was not following the script.

I gave up the house, the cars, all of it.

The kid taught me more than I ever taught him. It was like going back to the 8 year old me and understanding the pain I was in and it made me feel ok.

It was an equal relationship. When I screwed up, I said “I’m sorry, I screwed that up.” I got serious eye rolls from Deborah and she told me that I cannot apologize to patients like that. You should have seen the look on his face when I apologized. That was worth it.

He wasn’t Asperger’s, ODD, or ADD. He was a person, as we all are. He was not a label.

When the Dali lama came to west and met with western psychologists and he was baffled. He said “What is this, you are always trying to figure out what is wrong with people, and all people are beautiful.”

It is a good thing the DSM wasn’t around for these people:

Einstein was four years old before he could speak and seven before he could read.

Isaac Newton did poorly in grade school.

When Thomas Edison was a boy, his teachers told him he was too stupid to learn anything.

  1. W. Woolworth got a job in a dry goods store when he was 21. But his employers would not let him wait on a customer because he “Didn’t have enough sense.”

A newspaper editor fired Walt Disney because he had “No good ideas”

Caruso’s music teacher told him “You can’t sing, you have no voice at all.”

Leo Tolstoy flunked out of college.

Verner Von Braun flunked 9th grade algebra.

Admiral Richard E. Byrd had been retired from the navy, as “unfit for service” until he flew over both poles.

Louis Pasteur was rated as mediocre in chemistry when he attended the Royal College.

Abraham Lincoln entered The Black Hawk War as a captain and came out a private.

Fred Waring was once rejected from high school chorus.

Winston Churchill failed the sixth grade.

I was fired and learned many lessons from this. Jonah actually was hospitalized multiple times. He took his own life at age 14. At the wake, they all talked about how he was “messed up.” I sat in the back of the room, waited for everyone to go away and, as they do at any wake, go about their gossiping and use it as a social event. I went up to his casket and said “Thank you Jonah. I am sorry, and I love you. I will take this with me everywhere. There won’t be another Jonah.”

Deborah finally got her wish and got to open her own treatment center. It was run into the ground within 7 months.

I have since researched this. I think it was actually a different kind of label that fit him.

That label is gifted. This is a list of gifted traits:

High moral standards.

As a gifted person, you have a strong sense of what is right and wrong and how others should be treated. It hurts you to see others mistreat each other, animals or the environment.

As I said, he was great with animals and helpless people. He knew what was right and wrong. That’s why he acted up when things went wrong at his home. Instead he got pushed around and beaten and blamed.

So in this case it is called a strong sense of what is right and wrong. I if you look at the ODD criteria that would call this behavior as actively defiant of adult’s requests or rules.

I ask you, what if the things that the adults are doing is wrong? So he was gifted and standing up against that, but we called it “defiant.”

It is all about perceptions.

Passionate devotion to what interests you.

What absorbs you. You easily devote your energies to what moves you.

He did this.

But look at the Asperger’s diagnosis criteria.

If you’re labeled as “gifted” it is about passionate devotions.

If it is Asperger’s it is called:

“Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus.”

See it depends on the one doing the labeling.

One says passionate devotions, the other says abnormal preoccupation.

It’s the same behavior.

 

Independent, tend not to be a follower.

You may not do well in groups or have much patience for processes or ineffectual leaders. You tend not to admire authority figures. You seem them for who they really are. You value people for their gifts, not their positions.

Again he did this. He did not want to participate if it was not something he believed in.

So here it says if you are gifted, you do not admire authority figures and you are independent.

Now let’s look at the ODD and Asperger’s definition of the same behavior:

Asperger’s calls this same behavior:

Apparently inflexible adherence to specific, nonfunctional routines or rituals

So, what they are saying in the DSM is that he is inflexible and not a follower? It is the same behavior, not always following.

Here is what ODD says:

Often argues with adults.

Again, what if the adults are wrong and he is just smart enough to see through it all?

So he is labeled as “not a listener.”

Whereas someone not obsessed with labeling or that looked at the whole person AND gets to know him MIGHT SEE THIS as gifted.

It’s the same behavior labeled differently.

 

High degree of sensitivity to inner and outer stimulus.

Whether or not what you attune to is relevant, you can easily be overwhelmed by stimulus – visual, auditory, mental, emotional, physical or energetic.

This is another hallmark sign of “Asperger’s” and “ADD.”

They say it is impairment, and that it is not normal.

They are right, it is not normal. It is gifted.

This is the same behavior and is labeled as a “good” thing and sign of being gifted

So we take someone who is in tune with their environment and notices thing that do not make sense, is sensitive, doesn’t know what to do, so acts out. Instead of thinking of this as special, we say it is a problem.

The problem is the whole practice of psychology and the DSM.

 

 

Depression or boredom if you are not engaged.

Because much of what is in the world is simply noise for the gifted person, you may avoid stimulus. In fact, as a gifted person you require stimulus in the areas of your passions. Without the proper stimulus, your gifts can turn against you.

So this says that if you are gifted, you like to tune out the world and focus on the areas you are passionate about.

ODD would call this defiance.

Asperger’s would call this preoccupation abnormality.

 

Feeling something is wrong with you because you are unlike others.

Living as a minority, it can take a great effort to stop comparing yourself to others. One tends to compare one’s level of energy, number of friends, activity level, and personality with that of others.

So these kids, in tune but in an environment that does not know what to do with them, act out and WE want to know what is wrong with the kid.

The answer is nothing.

So this kid doesn’t have a LOT of friends. We say it is Asperger’s, it means he doesn’t get social cues. Maybe there is something wrong with society that he understands.

In ODD they would call this pre antisocial behavior, trouble maker.

It is easy to label and write it down and walk away. These kids are different, but it is not a bad thing.

Elaborate inner dialogues, thoughts or imaginings.

Whether it is what you think when you watch a movie, read a book, hear a lecture, or what you dream – you have a rich inner world. You have rich inner dialogues or imaginings.

If a kid like this is obsessed with his inner life and is an introvert, we think that is wrong. We say he is shy like it is a disease, we have to fix him. He needs friends.

Maybe he doesn’t, maybe he needs a couple and that is it. That doesn’t mean he is socially awkward. Maybe he gets the world and what is important.

But we label it. Call it a disease.

In ODD we call this antisocial behavior, manipulation, or trying to scheme.

It’s all in the person doing the labeling.

Seeing the underpinnings of things.

You tend to think about, explore and see the place of origins. You look at the causal level of interactions in the field of your gifts – whether human interactions, agents of disease, warring countries or foundational aspects to color. You are aware of the place of essence, the place before things have form.

We call this being a weirdo or an introvert, thinking deeply, being quiet and analyzing. Of course someone like this would not have a lot of friends their age level.

But it is certainly not a disease.

Seeing outcomes before they occur.

You tend to jump ahead. This can occur when you read, listen to someone talk, or when you consider an issue. You often see what has not happened yet. Outcomes seems obvious to you because you are considering the variables in a way many are not.

When someone jumps ahead in ADD is a bad thing. We have to stop calling that ADD, a disorder, when really it is someone who figured things out quicker and has more thoughts in 4 hours than most do in 24. But we want to “slow them down” instead of embracing it.

Interrupting is a hallmark of ADD, which we call a disorder.

Little interest in much of what interests others.

You don’t find yourself easily absorbed in what interests others – events, activities, news or reading matter. You want to go deeper than most.

Remember what Asperger’s says about this behavior:

“Lack of social or emotional reciprocity.”

But we like to jump to this label. It is superiority and ego. We can find someone who is sick, and then they go back to the same sick environment and wonder why they keep coming back.

They don’t need meds, they need a therapist that gets it and they need a “system fixing.”

A rapid learner in the fields of your gifts.

You tend to have natural abilities without formal training. You are a rapid learner in the area of your gifts and a creative thinker – seeing beyond the given.

So you do things differently, you make your own rules, do things your own way, don’t conform.

What did ODD say about this behavior?

“Often actively defies or refuses to comply with adults’ requests or rules.”

What did Asperger’s say about this behavior?

“Lack of social or emotional reciprocity. Doing things their own way means these poor kids with Asperger’s are “socially clueless” when in fact they may just be advanced.

 

A maverick.

Because you process in a different manner than most and tend to attend to many different directions of thought or experience at once, you may find it difficult to be part of organizations or situations that value consensus.

So someone that doesn’t blindly follow is gifted.

We know that is not what Asperger’s and ODD say. They say they are impaired and abnormal.

Many skills or interests.

Many (but not all) gifted people find themselves gifted in more than one area. This can make focusing energies and prioritizing very difficult.

So disorganization is a sign of giftedness.

The APA would have you believe that it is lack of empathy, ADD, or something that needs to be fixed.

You approach the world and problems differently than others. You may be concerned about things that do not concern others.

So if you are different than others it is a gift.

Other phrases that may describe you: too smart, feelings of despair, alienation from culture, authentic existence, meaningful life, critical inner voice, highly motivated, driven.

Or Asperger’s, ODD, anti-social, bpd, bipolar, depression, etc.

If you meet a mental health professional that diagnoses you in the first visit, run.

We need relationships, not criteria. Treat people, not symptoms.

And in the end, all of these so called “disorders” have an antidote:

LOVE.

End the DSM.

DSM2

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“You know in this hotel room they have food every day and I knock on the door. Every day they open tha door to let me see the party, let me see that they throwin’ salami, throwin’ food around telling me there’s no food. Every day. I’m standing outside tryin to sing my way in- “We are weak, please let us in. We’re weak, please let us in.” After about a week that song is gonna change to, “We’re hungry, we need some food.” After two, three weeks it’s like “Give me some of that food! I’m breakin down that door.” After a year it’s like, “I’m pickin’ the lock, comin’ through the door blastin.” It’s like, “I’m hungry

– Tupac Shakur

It is my hope that we have a silent army building. The revolution will not be televised. But I see the replies I get, and it gives me hope.

I saw an article in the New York Times basically saying there would be less shootings if the mentally ill had less privacy and were more easily forced to be hospitalized. This is the New York Times! Who are the sick ones?

I’m going to tell a story. 2 stories, of 2 different people. They are both true stories. Then you can see how this all begins and becomes a problem. I’ll go back and forth between the stories until their paths meet.

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Here’s Dusty, I don’t know, age 3 to 5. Happy kid, plenty of love. Just loves everyone and loves the world. He doesn’t see color, sex, religion. He has nokind of discrimination, all he sees is love.

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Here’s the second story. This is my cousin Donald. The man he is with is my father. Donald also loves the world, he sees no race, sex, and discriminates against no one. He is a very loving and giving kid.

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Dusty gets older. He still loves everyone and everything. However, Dusty grew up in a home that was infested with cockroaches, and had been condemned 2 to 3 times. There was about 7 or 8 kids living there, they had no food. Dusty was the kindest of the group. He got beaten by his brothers, picked on, and thrown around. He was told “You are a loser, give me your money, do my work.” He did not understand, he gave whatever he had to others.

When I met Dusty he was about 8 or 9 years old. He had 4 brothers and sisters, they all smoked pot, drank, and never went to school. Everyone walked around this place with almost no clothes. They had only 2 bedrooms. The house was full of smoke.

Cockroaches were all over. They had no shower, and a bathroom with only a curtain covering it. The old guys would come around drinking, smoking weed, and getting physical. The older kids were getting worse also.

There was something special about Dusty, his heart. He was born with an amazing heart. He loved everyone, and gave all he had. To tell you of this kids strength, words won’t do it justice. As a 9 year old, he was growing up in a house in which every adult was punching, smoking weed, drinking, and stealing. Also, the gangsters knew where the weed was.  THE house, that’s where they were. But Dusty, at age 9, he refused to smoke weed or drink or do any of that. However, being sweet and sensitive, he was an easy target. He did not stop loving though, he still loved them all. He saw through it, through everything, even as a kid. So what happens when you are extra sensitive, caring, and loving? You get pushed down, forced to create a mask, his was the goofy guy. This is the same house where I met Joe. Dusty and Joe were cousins and best friends.

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Here is Donald. He is my cousin. He was a great kid. His father was a doctor in a small town, he made lots and lots of money. That doesn’t make Donald bad, and he is not bad. In fact, he’s a wonderful human being. I know this story puts him in privileged category. But, that is not his fault, he is still a caring, kind, and considerate human being. His father, my uncle, was once in jail for stealing cars and grew up to be a doctor. The thing about Donald was, he was born gifted, and extremely smart. He was above the genius level. He may have skipped a grade, I can’t remember. He was and is not a bad person.

However, while Dusty was seeing what he saw, Donald was going on trips, and getting the best life had to offer. He worried for nothing, he could be a kId and thrive.

Thrive he did. He is a talented, smart, and funny guy that had charisma. He didn’t have to worry about gangsters, getting food, getting raped, or having mice and cockroaches sleep on him. He had a huge bedroom, went on vacations, had all he ever wanted. He had great parents.  Now another thing I noticed about Donald was that when I went to spend 2 weeks with him when I was 12, was that in this small town everyone drank,  and did drugs, at age 12. Which is common for a small town. They were 12 and flung this. All of his friends.

One time we went to his friends house, the kid was sleeping and the kid woke up, and lifted his pillow and there was jack daniels. They all smoked and drank, except  Donald. His parents taught him this.

Dusty did it on strength of character. Donald friends said “man your dad is always getting thanked in the paper.” That was true, small town legend.

Donald’s pressure was to follow his father, and that is a different kind of pressure. One that is often not considered a problem, the gifted child.

However, that is just as hard as raising a troubled child. People don’t want to hear that, but it’s true. What they both had in common was they were gifted.

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Dusty then ended up going away for a while after missing so much school. His brothers would go just enough to not get sent away. Dusty was the extra sensitive one, he didn’t care. Me and Dusty and Joe had a bond, we all loved each other and saw behind each other’s masks.  One time, on the phone, Dusty had called his mom and said, “tell mike I lo, well never mind,” he wanted to tell me he loved me, but he was afraid. I stopped hanging out there.

That’s another story, this isn’t about me. Dusty eventually surrendered and started using drugs. Then, they had a guy from Arizona living at the drug house, his name was Carl. He had packages of drugs delivered to the house all the time. The police got involved, and a sting was set up. So the package is delivered, they all have Dusty answer because he is kind and wants to help. So he always does, and he did on this case as well.

Well, he signed, and he gets arrested, and now he has a felony. They knew it was not him, he gets interrogated, and interrogated. Does he give Carl up?, nope, never. This was when Dusty was 19. That’s his booking photo.  He went to jail, then he just got off probation recently.

This is someone you may see in jail, or at the shelter, or with the dirty clothes. That’s what you see, but this is what you’re missing when you make that judgement. These are the kids that come into our neighborhood, come to school, to church. We say get them out, those dirty kids with no manners. We don’t want to look at them, it’s like clutter in our clean house. We don’t want to deal with it, we want to pretend it’s not there. Then we may have to do something. So we ignore them and label them and call them losers or dirtbags. That’s much easier, isn’t it?

But that is how we all are part of the problem and we ask are co responsible for the inequality. You see these kids, these people, and no action is am action. Silence is consent.

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Here’s Donald at age 19. He had a child. Now that’s a disaster if he’s in Dusty’s situation. However, Donald had great supports in place. His mom and dad helped the teenagers adjust, made sure everything was taken care of.

Donald was able to go to school and while Dusty was in jail, Donald was excelling. He finished college in 3 years and went on to medical school and finished. He’s a doctor. Now again, he’s not bad, not a superstar yet, I don’t think.

He is now starting to isolate,  he is on a different level than others and he gets told that alot. So he believes it, so does his wife. So now the good doctor moves and starts dominating the medical profession.

They told me his iq is 156.  I’m sure they told him too. He then joined the army like his father and got lots of medals and accolades.

Which is not bad. This is simply to show how we start to label and separate.

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Here is Dusty taking care of his dying mother. He gets out of jail, meets a girl, and they have kids. He didn’t know how to have a relationship, he is on his own with no college, no skills, no understanding of life. Just love.

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Then you have Donald with his 500 thousand dollar house that got egged.

How do I know this? Well his wife posted on Facebook that someone egged their 500 thousand dollar house but she wasn’t worried because they had security cameras all over the house. You know, to keep the “bad criminals out.”

Like clutter, she didn’t want to see that.

I also saw her post once that she was very upset with the mayor in the town they live in because he allowed a Wal-Mart to be built by their house. Her quote was “who else has to look out their 500 thousand dollar house and see a Wal-Mart, someone needs to stop this guy, do not vote for him.”

See as the separation is almost complete. What did dusty do to be placed below donald?

Nothing. But we see them each walking down the street and we treat them differently. That’s how we all contribute.

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Dusty getting older, he split with his kids mom. He suffers from depression, severe depression. He feels rejected all the time, he smokes weed to forget, to not be himself.

He talks about suicide all the time. He misses Joe more than anyone.  His heart is broken. Dusty and Joe spent all their time together. They even moved 2 blocks down from me for 2 years. I would drive by and wave. Really? Yes. I was no better than Donald. Even worse, because I drive by, and we still talked from time to time, but I was trying to get my life together. I could have said hi.

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The doctor and his family. Now this is not an attack in Donald at all. It is about how we create separation. He worked hard, he’s caring, and  he is a good man. He just started to believe he was different and better. He got told lies.

Lies we all believe, like, you need this huge house, cars, medals, and everyone to see how awesome you are.

So he fell in the trap. Here we are, the “look at us” photo. 

You know how the native americans defined mental illness? They said anyone who lives in excess of what they need is mentally ill.

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The doctors wife at the ritz.

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Dusty and his kid at the laundromat.

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The doctor and his boat.

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Dusty at the playground. Having fun.

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The doctors daughter with one of her trophies, she had special tennis lessons, beauty pageants, and she going to Oxford college on scholarship.

Same thing as Donald, smart talented kid. No fault of her own, the cycle continues. She is being brainwashed like he was.

He had a mask on as well. Still does.

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Dusty being a dad and loving. He never knew life would be so hard when all he wanted to do was love.

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The doctor is now continuing to serve and get accolades. To bad it’s all a lie.

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Now this part is not real, but an example of what would likely happen from what I’ve seen in my years being in both worlds……

Now what happens if Dusty walks into Dr. Donalds office? How in the world can the doctor understand what Dusty is saying. Dusty says “Life isn’t worth living, I need to smoke weed.” 

The doctors response is usually, “He just doesn’t care, he doesn’t want to work, he wants disability.” The thought process I’ve seen a million times.  All the time, it’s the rule, not the exception.

So, let’s say Dusty had attempted suicide 2 times, and keeps coming back. He has to in order to get benefits and to get housing for himself.

The doctor is frustrated, in his mind he’s trying hard. That’s what life is, you just don’t behave like that in his opinion. In his world, you get up, work hard, and get it done. He can’t understand why Dusty complains that no medications work, yet continues to use drugs, and goes to the hospital.

He thinks Dusty has children,  and he’s not taking care of them, he’s a “Predator” or a “Manipulator” or “Gamey.”

This is when I hear things like, why do they get free healthcare and we don’t. Almost a resentment at the patients. This is something that I see daily. The caring staff keep their mouths shut in fear.

So now Dusty has to be forced to take meds. He doesn’t get it, we have to help him. So we will put him on meds, and we aren’t going to listen to his side effects stories. We are going to force injections if he doesn’t comply with orders.

He can’t take care of himself.  We have to in the doctors opinions.

Oh and, let’s charge insurance about 1500 dollars a day to do this. If the drugs give him diabetes, that’s too bad because he needs to be safe.

Good job young doctor, you’re saving the world.

Now Dusty has not been without weed for years, so asking him to stop is asking him to feel all these feelings that he has never felt before. Forcing him to take his mask off without support.  The feelings he had been told to block his whole life, the feelings that have made him an outsider and not accepted.

Then give him a med that makes him feel no better for at least 6 weeks.  Then it might not be the right medication, so we may have to start all over.

He will have side effects like drooling, sedation, diarrhea, and tremors. That occurs right away. Plus feeling all these emotions. Then when he sleeps too much we say that he is lazy,  or non compliant with his treatment.

So we force him out of bed, and we make him go to groups with someone explaining all these “skills” he needs to use. Then he can’t participate due to the meds, the side effects, being off drugs his brain had coffee to rely on, and now having to freak with all these suppressed emotions.

So he is said to be non interested. So we need to give him more medications.

Of course we do.

Now he’s angry. No one listens, he’s sensitive, but he has had enough. He explodes from this and other patient’s likely taking advantage of him,  and staff telling him when he can shower, piss,  and treat him like a criminal.

Because, we say, look at his record, he is a felon. No one asks why or what happened, and they won’t believe him anyways, he’s a “manipulator.”

True story…

We had a young man admitted to our place the other day. I’ll call him “kev.” Abused age 1 to 3. A ward off the state at age 3. Picture a 3 year old being abused and taken from home, then a 3 year old in a privileged  home, they’re is no difference, why do we seem to think as adults that there is?  He was in foster homes his whole life, sexually abused, and beaten.Then at age 19 he committed an armed robbery,  and he was shot 3 times. Then he Went to max security prison for 7  years. In prison, he cuts himself enough to need surgery, he has been known to swallow glass,  and toothbrushes requiring surgery.

The assessment by “the team.” Is that he is “smooth, and manipulative.” He swallowed these things to get to go to hospital, a trip out of jail.

This is dangerous to call him manipulative. If I think you are manipulative then everything you do I take as a con. If we instead think of him as this kid who has a desparate need for acceptance and love,  you will treat him differently. Then he will react differently. Then he gets better treatment.  Our staff are young, impressionable, and eager to learn about psychiatry since it is romanticized on the media at times.

However if you work in government, they need to save the taxpayers money, they don’t want us spending “their” money.  We have to hire inexperienced staff, because they are cheaper. We train them by what they see. The cycle continues.

So why would someone like Dusty shoot his doctor? It’s not so black and white if you look deep enough.

What’s the difference between…

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This 19 year old young dad.

And this…

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This young dad? (This is Joe and Anthony from last post)

The answer is nothing. Until we divide them. When we divide, we create class, uppers and lowers. When really we are all connected.

It won’t end. It can’t. Until people start fighting back. The battle is not going to be easy, we won’t see the end. We won’t see the victory. That will come after we’re gone.

But there is going to be a fight, we know that there is going to be a fight  because we are going to start it. We will lose some, as we lost Joe. We won’t stop. Love always wins. Always.

If I’ve made you mad, then I’ve done my job. Happy people don’t create change. You have to be angry, you must have discontent to create change. So be angry. Then do something about it.

If 1 person reading this gets 1 thing and does something, that’s perfect. The ripple effect will be huge.

Love you Dusty.

The end.

If you want to see this in video.
Here it is..10 minutes I think.

The Problem With the Mental Health System

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