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Strict Standards: Declaration of JParameter::loadSetupFile() should be compatible with JRegistry::loadSetupFile() in /home/billbmn/public_html/wcmi1/libraries/joomla/html/parameter.php on line 512

Warning: Cannot modify header information - headers already sent by (output started at /home/billbmn/public_html/wcmi1/plugins/system/advancedmodules/advancedmodules.php:28) in /home/billbmn/public_html/wcmi1/plugins/system/admintools/admintools/badbehaviour/screener.inc.php on line 9

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Strict Standards: Only variables should be assigned by reference in /home/billbmn/public_html/wcmi1/plugins/content/fb_tw_plus1/fb_tw_plus1.php on line 43

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Strict Standards: Only variables should be assigned by reference in /home/billbmn/public_html/wcmi1/components/com_sef/sef.router.php on line 115

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Strict Standards: Only variables should be assigned by reference in /home/billbmn/public_html/wcmi1/administrator/components/com_sef/classes/seftools.php on line 949

Strict Standards: Only variables should be passed by reference in /home/billbmn/public_html/wcmi1/components/com_sef/joomsef.php on line 378

Strict Standards: Only variables should be assigned by reference in /home/billbmn/public_html/wcmi1/components/com_sef/sef.ext.php on line 68

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That's the thing I want to make clear about depression: It's got nothing at all to do with life. In the course of life, there is sadness and pain and sorrow, all of which, in their right time and season, are normalunpleasant, but normal. Depression is an altogether different zone because it involves a complete absence: absence of affect, absence of feeling, absence of response, absence of interest. The pain you feel in the course of a major clinical depression is an attempt on nature's part (nature, after all, abhors a vacuum) to fill up the empty space.
Elizabeth Wurtzel, Prozac Nation
   

FAQ  


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Strict Standards: Only variables should be passed by reference in /home/billbmn/public_html/wcmi1/components/com_sef/joomsef.php on line 378

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Word Cloud  


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Latest Additions  


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Alternative Paradigms

Alternative Explanations for madness

Alternative Understandings

113183285902001

There have always been many 'M odels of Madness'; All the old ones are still there, but in the last years of the 20th Century the 'Iron Curtain' started to fall; the one between mainstream humanistic and behavioural learning and people with 'Severe Mental Illness' who had for most of that century been the exclusive property of Psychopharmacologists.

Many of the people tearing that curtain were the Experienced, working with (or as) the Trained.

If 'Chemical Imbalances' werenot causing people'e experiences, then can we find explanations the way we explore other behaviours, by observation, analysis and beyond all by assuming that somewhere, in some way they serve a purpose?


Coping with Psychosis: a new paradigm
Headless_00272010

Coping with Psychosis: a new paradigm

http://www.intervoiceonline.org/about/campaigns/coping-with-psychosis-a-new-paradigm 

The need to develop new kinds of interventions other than those offered by psychiatry is paramount and should be based on embracing the following:

That the most valuable information is provided by the people experiencing psychosis. It is their perspective and experience that should have paramount importance, especially over any psychiatric theory

It follows that those people experiencing psychosis; those who have experienced psychosis in the past; those who have been patients; those who have survived psychiatry; those who have avoided psychiatry and who have given much thought to their experiences and problems – and – to the value of psychiatric interventions should be the basis of new knowledge and practice

That a new way of thinking about "mental illness" is required, a conceptual leap away from professional theories to patient's experienc

That we need to stop thinking about specific diseases such as schizophrenia etc. As these are just labels, part of a mindset and not scientifically valid. They are the mental constructs of professionals.


For a new direction for psychiatry to be realised the following issues need to be addressed:

Symptoms psychiatry considers part of mental diseases can be reinterpreted as coping strategies and psychoses are sometimes more of a survival strategy than a disease

The new paradigm for psychosis understands experiences, behavioural patterns and symptoms as having meaning; that behavioural patterns are coping strategies, and that causes of "symptoms" can be found in the persons' life

Therefore psychosis should not be the object of treatment but instead the persons' behaviour should be interpreted as personal strategies for coping with overwhelming life experiences

It is pointless to look for a specific cause for a specific kind of psychosis, because they are reactions to problems in life and reactions are just as unique as peoples problems are

The psychiatry of the future would start from the premise that "symptoms" are not the effects of specific diseases, but signals of the different ways in which people come to terms with problems in life, which although serious, are common to us all

This approach will give much needed attention to the problems behind psychosis and to experiences like hearing voices and hopefully create possibilities for solutions.

It is up to the person experiencing these phenomena to determine if they wish to make the journey of self-discovery, it is their voyage and the role of mental health workers is to help them plan it and if asked to support them through it.

Based on a speech given by Professor Marius Romme in January 1999 at a conference entitled "Coping with Psychosis" held to honour of Marius's retirement from the Maastricht Mental Health service.



Accepting Alternative Realities
lab_d01_02ab

Accepting Alternative Realities

http://rufusmay.com/index.php?option=com_content&task=view&id=84&Itemid=9

Reflecting on my own experience of alternative realities as well as my experience as a psychologist helping others, I will consider how we best assist people experiencing other worlds of reality we find hard to relate to. I will first consider the philosophy of assisting people withunusual beliefs and ways of incorporating self help approaches into daily living to promote healing. This will be followed by looking at:

1) How to help people live more freely with their unusual beliefs.

2) The importance of increasing social connectedness and creating safety.

3) Reducing anxiety related to unusual beliefs.

4) Understanding the social and emotional meanings that the unusual beliefs represent. In the examples I will discuss the ways psychotherapeutic work can be helpful in understanding and addressing unusual beliefs.

Rufus May


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Alternative Understandings

113183285902001

There have always been many 'M odels of Madness'; All the old ones are still there, but in the last years of the 20th Century the 'Iron Curtain' started to fall; the one between mainstream humanistic and behavioural learning and people with 'Severe Mental Illness' who had for most of that century been the exclusive property of Psychopharmacologists.

Many of the people tearing that curtain were the Experienced, working with (or as) the Trained.

If 'Chemical Imbalances' werenot causing people'e experiences, then can we find explanations the way we explore other behaviours, by observation, analysis and beyond all by assuming that somewhere, in some way they serve a purpose?





Headless_00272010

Coping with Psychosis: a new paradigm

http://www.intervoiceonline.org/about/campaigns/coping-with-psychosis-a-new-paradigm 

The need to develop new kinds of interventions other than those offered by psychiatry is paramount and should be based on embracing the following:

That the most valuable information is provided by the people experiencing psychosis. It is their perspective and experience that should have paramount importance, especially over any psychiatric theory

It follows that those people experiencing psychosis; those who have experienced psychosis in the past; those who have been patients; those who have survived psychiatry; those who have avoided psychiatry and who have given much thought to their experiences and problems – and – to the value of psychiatric interventions should be the basis of new knowledge and practice

That a new way of thinking about "mental illness" is required, a conceptual leap away from professional theories to patient's experienc

That we need to stop thinking about specific diseases such as schizophrenia etc. As these are just labels, part of a mindset and not scientifically valid. They are the mental constructs of professionals.


For a new direction for psychiatry to be realised the following issues need to be addressed:

Symptoms psychiatry considers part of mental diseases can be reinterpreted as coping strategies and psychoses are sometimes more of a survival strategy than a disease

The new paradigm for psychosis understands experiences, behavioural patterns and symptoms as having meaning; that behavioural patterns are coping strategies, and that causes of "symptoms" can be found in the persons' life

Therefore psychosis should not be the object of treatment but instead the persons' behaviour should be interpreted as personal strategies for coping with overwhelming life experiences

It is pointless to look for a specific cause for a specific kind of psychosis, because they are reactions to problems in life and reactions are just as unique as peoples problems are

The psychiatry of the future would start from the premise that "symptoms" are not the effects of specific diseases, but signals of the different ways in which people come to terms with problems in life, which although serious, are common to us all

This approach will give much needed attention to the problems behind psychosis and to experiences like hearing voices and hopefully create possibilities for solutions.

It is up to the person experiencing these phenomena to determine if they wish to make the journey of self-discovery, it is their voyage and the role of mental health workers is to help them plan it and if asked to support them through it.

Based on a speech given by Professor Marius Romme in January 1999 at a conference entitled "Coping with Psychosis" held to honour of Marius's retirement from the Maastricht Mental Health service.



MANIA


The symptoms were there, that over-excited feeling, that don’t-need-any-sleep syndrome and that sharp, acutely observant mind. My wife had brought this to my attention too, but it just didn’t feel like mania and whilst I acknowledge that it was similar to mania, this experience was distinctly different. There was no flightiness to my thoughts, no sense of getting ahead of myself and jumping prematurely from one subject to another. But most telling was the fact that there wasn’t an underlying irritability. All of my earlier episodes, with their spasms of disjointed and perplexing thoughts, ignited a maddening irritability in me, which these didn’t. And I also know that I couldn’t have sustained an episode of that intensity for long without crashing. In fact every previous manic episode I’d ever had was followed by a massive depression, but this one wasn’t.


Although I understand if you’re now thinking that all this was actually mania and had nothing to do with any genuine spiritual awakening and I confess that I struggled with this for years. Because the synchronicity and illumination eventually slowed and finally ceased altogether and because it proved so elusive, so difficult to retain, I thought for a long time that it was mania. I was also sceptical because I’d stopped taking my medication before it all started, but I’ve since learned that the first rays of enlightenment are as impossible to recapture as a first kiss.


So right about now, you’re either pissing yourself laughing at me, frowning at my lapse in treatment compliance or questioning the authenticity of my story. I’ve already explained how my earlier manic episodes had begun with a rush of intrusive thoughts that were, in the main, trivial and nonsensical, but over time had crystallised into something specific. It’s like listening to a radio that won’t stay on frequency and keeps shifting to other stations, whirring around madly and picking up signals from all over the place, but eventually locking onto the one station I want to listen to, clearly, loudly and without static. Whether this was my doing or whether it’s how this exquisitely mysterious enlightenment stuff works I have no idea.


I can’t help but believe that this illness unlocked a gateway to grander things within, to places I would never have otherwise visited, to visions realised only in moments of what others would call psychosis, but that I would describe as fleeting moments of omniscience. Professionals describe psychosis as being out of touch with reality, but could it also be that it puts us in touch with a reality beyond the realm of ordinary consciousness? Again, all I can tell you is that to this day it all felt genuine and authentic and, delusional or not, it has served me so well. It was the final remedy, the key that opened the door to my recovery.


Think about that for a moment and think about it very carefully. Remember what Peck said, quoted back in chapter thirty-three, and how I told you in the previous chapter about my psychiatrist trying to explain that the bipolar could actually be a positivephenomenon? Go back and read it again because what I’m telling you is very important.

You, the reader, have two choices here. Either you’ve decided that this was not mania and that I have had a genuine awakening of spirit or alternatively you’ve decided that this was indeed all mania-inspired and delusional. And if you chose the latter then you will have to accept that the illness, or the symptoms thereof, actually granted me the key to my recovery. You will have to acknowledge that the most significant aspect of my recovery wasn’t medication or any of the things I listed before. It actually was the illness itself. I have come to believe that it was both.

David O'Neill

http://whenangelscry.com.au




lab_d01_02ab

Accepting Alternative Realities

http://rufusmay.com/index.php?option=com_content&task=view&id=84&Itemid=9

Reflecting on my own experience of alternative realities as well as my experience as a psychologist helping others, I will consider how we best assist people experiencing other worlds of reality we find hard to relate to. I will first consider the philosophy of assisting people withunusual beliefs and ways of incorporating self help approaches into daily living to promote healing. This will be followed by looking at:

1) How to help people live more freely with their unusual beliefs.

2) The importance of increasing social connectedness and creating safety.

3) Reducing anxiety related to unusual beliefs.

4) Understanding the social and emotional meanings that the unusual beliefs represent. In the examples I will discuss the ways psychotherapeutic work can be helpful in understanding and addressing unusual beliefs.

Rufus May



1.3 Ways of viewing mental distress

http://openlearn.open.ac.uk/mod/oucontent/view.php?id=398076&section=1.3

The first point to note is that there are two key competing ways of viewing mental illness or distress: physical and social. One of the functions of this unit is to draw together aspects of these accounts in order to cross the boundaries that they create and maintain. Our aim in this respect is to devise a third way, a more rounded and holistic approach that brings together the best of both worlds. In the meantime, though, the physical and social explanations predominate. Physical explanations are based on, for example, notions of brain dysfunction or genetic predisposition. Mental distress, in those terms, is a disorder of the mind, akin to a physical illness. Social explanations, on the other hand, are based on an understanding of difference and discrimination: on structural factors in society that separate people and may come to oppress them. Another way of understanding mental distress – and this links with our ‘third way’, the holistic (whole person) approach – is to view it from the standpoint of those who have experienced it. This is an important vantage point. The next activity invites you to read, and reflect on, the personal experiences of one woman who has experienced mental distress.

Activity 4: Personal experiences of mental distress

0 hours 30 minutes

Read the short extract below by Veronica Dewan. Make notes on how she explains the origins of her mental distress.

Veronica Dewan

I became engaged in an official system of care at birth, a system that denigrated my Indian heritage, a system that made meaningless my true identity. It was my first encounter with social services in 1957 at six weeks of age – an illegitimate, ‘mixed race’, hard-to-place baby. […]

Several inpatient admissions to an acute psychiatric ward compounded childhood and adult experiences of racism, misunderstanding and intimidation. I persisted with suicidal plans and attempts, and was severely depressed, with psychotic episodes of manifestations of my adoptive mother's attempts to kill me as a child. The underlying requirement of the psychiatric system appeared to involve fully internalising the racism, to make me completely ill forever. […]

As I challenge more and more my own perceptions, question their origins and try to understand my place in the world, I believe that the official care system tried to silence me into living a life that was not my own. While institutional racism continues, by its insidious nature, to cause so much unarticulated pain, I have to be vigilant in holding onto my right to exist, as a Black woman of dual heritage. The people who have no interest or motive in controlling me, but only a willingness to engage through mutual love, acceptance and respect, are those who remain in my life.

(Source: Dewan, 2001, pp. 44–9)

Is mental distress a cry for help? Is it a form of resistance? Or is it a response to ‘unarticulated pain’?



Is psychotherapy an alternative to medications? What role does trauma play in madness?

“ . . . here your will is upright, free, and whole,
and you would be in error not to heed
whatever your own impulse prompts you to:
lord of yourself I crown and mitre you.”

Dante's Cure


—Dante, The Purgatorio

Catherine, nineteen years old and suffering from severe schizophrenia, sat in a mental hospital—mute, catatonic, and hearing voices. Her psychiatrist, Dr. Daniel Dorman, was convinced that his patient’s psychotic behavior was rooted not merely in chemical imbalances but rather in the dramatic circumstances of her family history. He was therefore determined to avoid the mind-numbing medications that had been so detrimental to Catherine’s well being. Dorman fought adamant opposition and criticism from his peers and superiors for a chance to guide Catherine out of madness.

As much the story of a young doctor finding his own path in a controversial new world of antipsychotic drugs, where patients’ advocates have nowhere to turn, Dante’s Cure is the true account of a therapeutic process that took place six days a week, for seven years. Thanks to Dorman’s devotion, persistence, and self-understanding of his role as a therapist aware of his own limitations, Catherine was able to set out on a life of her own. She is now a psychiatric nurse in southern California living free of medication; she speaks out on behalf of patient rights and humanity in the medical profession. Dorman re-creates Catherine’s early life and the onset of her illness in striking detail, covering her treatment prior to his meeting her as a resident at UCLA Hospital, through her recovery and work as a nurse and activist.

Dante’s Cure offers a story of courage and hope. It reveals how madness is inherent to the human condition and therefore ought to be treated as such. To restore patients’ trust in their power to recover, rather than robbing them of their agency in the name of medical knowledge, is the true moral of this remarkable journey out of madness.

http://www.madnessradio.net/madness-radio-schizophrenia-psychotherapy-cathy-penney


Finnish Open Dialogue: High recovery rates leave many psychiatric beds empty

MARCH 21, 2011
by giannakali

This is a guest post written by Daniel Mackler the filmmaker. His three films show alternative methods of healing people with psychosis. In all the films relationships are ultimately what heal. Loving, healing relationships. Please visit these posts to look at the trailers and read a bit about each of his films. Here and here and here. You can purchase the films here.

This article was written as a result of a conversation that Daniel and I had. He revealed that the psychiatric hospital he visited when making his last film, built in the 1950s was mostly empty. They don’t need the beds because their success rate is so high!

I started asking particulars about this issue given that in the United States all we hear about is how there are never enough psychiatric beds in hospitals. The fact is if we were healing people like the Finnish people are, we might end up with mostly empty hospitals too.

My Reflections on the Finnish Open Dialogue Project
Daniel Mackler

In June of 2010, I visited Western Lapland in Finland for two weeks. My goal was to make a documentary film on the Open Dialogue project. Although the film is now complete, and I feel it tells their story fairly well, there remains a lot that I left out — things I somehow, for one reason or another, couldn’t capture on camera.

I want to share a few of those missing things here. I first want to share my impressions of arriving at the Keropudas Hospital in Tornio, Finland, which is the nerve center for Finnish Open Dialogue. It all began there, almost thirty years ago. I actually stayed on the hospital grounds for my two weeks in northern Finland, so I had a lot of time to spend wandering around the hospital, talking with patients, and just watching how life unfolded on a day-to-day basis, and in the evenings too. Because of the Finnish confidentiality rules, however, I was not allowed to film patients — which was very disappointing and frustrating for me — but the administrators did let me talk with whomever I wanted, ask whatever questions I wished, walk freely inside the hospital without a pass or escort, and even visit their locked ward whenever I wanted, which I did often. Oddly, no one seemed to mind what I did there, or where I went — they really let me go free. I also sat in on many Open Dialogue therapy sessions, which, again unfortunately, I couldn’t film, but I did come away with impressions. Many.

Meanwhile, my first impression of arriving at the hospital: it was shocking. The reason: the first people I saw when I arrived at the hospital were several — maybe six or eight — very troubled looking, middle-aged or elderly men and women shuffling around outside the hospital entrance and inside the hospital lobby looking quite drugged, and some seeming to be experiencing serious long-term neurological side-effects from anti-psychotic drugs. Also, some were mumbling to themselves, and a few immediately recognized me as a new visitor, approached me, and begged for cigarettes.

What shocked me was that I had trouble believing that this was Open Dialogue, the place supposedly getting the best results in the world for the treatment of psychosis. To be frank, this looked like one of the worst hospitals I’d ever been to!

Interestingly, I’d come to Finland armed with questions and criticisms, and ready to really “get to the bottom” of Open Dialogue — to find out, at some level of confidence for myself, if they were really any good, or if their great results and reputation were really all a fantasy. But I certainly wasn’t expecting this. I thought I was going to have to dig, and dig hard. Instead I found the criticisms right on the surface.

Meanwhile, I talked with several of these patients — in their broken English, as I spoke no Finnish (except for the word “neuroleptic,” that is, “antipsychotic,” which sounds similar in Finnish). I shared a few cigarettes, and found them friendly, but still, quite disabled, presumably by the drugs.

What I found out later, however, was fascinating, and quite the opposite of my first impression. These folks had been long-term hospital patients at Keropudas Hospital back from the days prior to Open Dialogue. Some of them had been around since the 1970s — back when Western Lapland, I have since been told, was getting some of the worst outcomes for schizophrenia in Europe, back when there was no Open Dialogue, and back when everyone with issues labeled as psychotic was getting heavily medicated. These folks I met were the people who didn’t recover — and hadn’t been able to integrate living in the community. These were the people labeled as “failures” of a failing and quite traditional psychiatric system.

I also learned that in recent years, since the development of Open Dialogue, the therapists and psychiatrists had tried, sometimes several times with different people, to help these long-term patients taper off their neuroleptics, with often terrible results. They simply were too neurologically impaired by the drugs themselves, over too many decades, to be able to get off them. So presently they were on the lowest doses they could tolerate.

That was the first point: that these people were actually no reflection whatsoever on the success of Open Dialogue, but instead reflected the horror of the previous system. But over time, when I thought about it more, I actually learned that they were a reflection on the Open Dialogue system, in some key ways. First, they were not kept on locked wards. They could come and go as they pleased. They were not confined. This was their home, and they actually had a lot of freedom in it. Second, I talked with many of them more over the subsequent two weeks, and many said they liked it here — because people were kind, because they felt respected, and because they felt safe and secure.

Also, I realized that for a short-time visitor, someone who only came for a day or two, who couldn’t get a chance to explore the significance and history of these people who were a product of the old system, these folks risked being, in a way, terrible public relations for the Open Dialogue system. Had I only visited Western Lapland for the day, I would have been left with the impression that these neurologically damaged people were the face of Open Dialogue. Certainly the Open Dialogue clinicians recognized this too, and recognized that these people were the first people their many visitors met when they arrived! (And they get a lot of visitors. For example, there were eighteen Danish clinicians visiting the day I arrived.) And yet they did nothing to hide them, or to warn people about them, as I suspect many other programs might do, for political or promotional reasons. These folks were as welcome there as anyone else — welcome to interact with you or me, welcome to ask for cigarettes, welcome to talk, welcome to hang out and do whatever they wanted. I became quite friendly with several of them over my two weeks there. And we shared a lot of smokes.

Doing a little digging, I asked the clinicians if they felt any motivation to keep these folks out of the public eye, and they looked at me horrified. “Why would we do that?” they replied. “They have as much right to be here as anyone else!”

I smiled. I agreed.

A second key thing I learned about Keropudas Hospital, which, like most mental hospitals, is placed on the far outskirts of town (in their case, on the edge of the forest), is that it’s a rather large hospital that is relatively unused. There are one or more whole wards that are unused. I remember visiting one. It looked like an average, spacious hospital unit, but it was silent — and empty. It was dusty. Nothing was happening there. And the reason: they no longer have patients for them. They’ve developed such an effective system of helping people get well from psychosis, and get permanently out of the psychiatric system, that they no longer need so many beds. (No wonder they have some of the lowest per capita spending for psychosis anywhere in Finland — at least that’s what I’ve heard. When people get fully well, and are able to get off all their psychiatric drugs, they save the system a lot of money.)

Also, much of the work they do helping people with psychosis, most of it, in fact, has nothing to do with the hospital itself. In most cases they don’t prefer that people in crisis come to the hospital, and they don’t even do much therapy in the outpatient clinic that is located at the hospital. In fact, their hospital outpatient clinic has only one therapy room — one therapy room to serve a population of around 70,000 people!

Granted, the Open Dialogue clinicians do have an outpatient therapy clinic in each of their catchment area’s two largest towns (Tornio and Kemi), but they even prefer to avoid using these clinics for therapy, if at all possible. Their best preference is to meet in people’s homes. The therapists, usually a team of two or three trained family therapists, travel to the homes of the people in crisis. The clinicians made a point of telling me repeatedly that they saw no value in having people come to the hospital for therapy, because of the stigma. They felt that if they could help people get better at home, in their natural environment, then it was all for the good. Also, the clinicians told me repeatedly that they learned far more from people by seeing them in their homes than they could ever learn by seeing them in such an artificial place as a hospital or clinic.

So, although some of what I’m writing overlaps with the content of my film, I feel this is important enough to bear repeating. In two weeks of staying in Western Lapland, I really came to believe that this program is what it claims to be: a program that helps a lot — a lot — of people get well from psychosis, without meds. Although in one sense I gained this belief by talking with clinicians, who said things that people who have never watched someone go through the process of recovery (or who hadn’t lived it themselves) could have known, I gained it more from talking to the people they worked with.

As I said, I sat in on many Open Dialogue sessions, and although they were mostly in Finnish (sometimes, when the people coming for help felt comfortable, they adjusted and spoke in English for me), I still was able to gather a surprising lot — about their openness, their humanity, and their respect. Also, sitting in the sessions gave me an entrée to talk afterward with the people coming for help, the so-called clients and their families. One thing that struck me profoundly, even in really complicated and sticky emotional situations — situations that would have ended up with someone getting heavy medicated almost everywhere in the United States, but weren’t ending up that way here — was that I didn’t meet a single person seeking psychiatric help here who was bitter, or even unhappy, about the treatment they were getting. In fact, I didn’t find “treatment” to be a dirty word in Western Lapland. Nor was “psychiatry.” That struck me as bizarre, because for me both of those words have an inherent dirtiness for me, the second especially. And that’s entirely because of my own experience with each, both personal and professional.

What I heard from the Finnish people seeking help was that they felt the Open Dialogue system was fair — and honest. They also told me repeatedly that it felt “normal” to them. They used those words repeatedly. Interestingly, most of them seemed to have no idea that psychiatry was commonly hated and mistrusted in many other parts of the world, and even in parts of their own country. In fact, when I explained this to them many were genuinely surprised, as it contradicted their experience. This led them to tell me other things they liked best about their system. And they liked many things.

They liked the openness and frankness of the therapists. They liked it that above all else their own voices were heard and valued. They liked it that they had a key say in the decision about whether or not psychiatric drugs might be of benefit to them or not. They liked it that they had alternative options to drugs presented to them. They liked it that when they were in crisis they could invite their family and friends and other important people from their lives into therapy meetings — if they wished.

They also liked it that the therapists worked in teams, right in session — because they liked listening to what the therapists had to say to each other, in the middle of session. They told me that they felt they deserved to know what the therapists were thinking! And doesn’t it make logical sense?

They also told me that they liked it that their therapists met with them immediately in their crises, and didn’t put them off for months on endless, bureaucratic waiting lists. They liked it that therapists gave them the choice of meeting in their own homes or in clinics. They liked it that hospitalization was only used in cases of dire safety issues, and that hospitalizations were generally quite short. And they also liked it that visitors like me were so interested in what was going on with Open Dialogue — and were also interested in their lives. Many of them wanted to know what I myself thought of their lives, their situations, and of their therapy too. And, because it was Open Dialogue, and because I felt safe there, I shared my opinion. And they valued it. And it even felt therapeutic — which felt good to me.

One young Finnish man, who, along with his family, sought help in an emotional crisis, shared something interesting with me after I asked him what he thought of their Open Dialogue psychiatric system. He replied, “Well, it’s kind of like the town’s water-works — they do a good job. When you turn on the faucet in your kitchen sink, you know that good, clean water comes out and you can drink it or cook with it. You trust that it will work, and that you won’t get sick from the water. It’s the same with psychiatry here — we trust them. When we have problems, we go to them. They are reliable, they care about us, and they do a good job. They help us. They make our lives better. It’s just normal. But really, we don’t think about it too much. Mostly, it’s really just like the water-works — we expect it to work, and it does.”

The Open Dialogue trailer:

For more information about Open Dialogue there are a few posts on this blog look here andhere.



 

angerabstractfacea

Thoughts, behaviors and chemical imbalance


http://www.anxiety-and-depression-solutions.com/insight_answers/chemical_imbalance.php 

The most promising is the theory that chemical imbalance actually stems from our own thoughts and actions.

You might be asking yourself, "How can my own thoughts and behaviors affect the balance of brain chemicals?"

Everything we do and every thought that goes through our minds happens as a result of the production, release and absorption of naturally occurring chemicals in our brain like hormones, neurotransmitters and amino acids.

Imagine you are driving along the highway at 55 mph. The car in front of you slams on its brakes— as a result, your brain immediately responds with a command for your foot to hit the brake peddle too. At the same time, your brain may begin rapidly releasing neurotransmitters like norepinephrine, which, in this situation, may lead to the production of adrenaline. Your awareness immediately increases. And in what feels like a split-second, you feel nervous; an immediate tenseness falls across your entire body. Your eyes widen, your palms begin to sweat. Your heart is pounding.For example:

Your car comes to a stop and you realize the accident has been avoided.

However, your body still feels a little tense, nervous of what could have happened. You take a deep breath, and then exhale. As traffic starts moving, the chemicals in your brain slowly begin to re-balance, and your thoughts and bodily responses eventually return to a normal state.

In this example, we were presented with a stressor. The body's fight-or-flight response interpreted the brake lights ahead of us as imminent danger and responded by releasing neurotransmitters to tell the brain what actions to take. More often than not, our immediate interpretation of a stressor and the behaviors that follow as a result commonly stem from fear, which can be either rational or irrational.

The complex sets of chemicals in the brain are designed to process incoming information and create a response. All of these processes happen extremely quickly in the brain. And, though the effects of chemical imbalance may lead to undue stress, nervousness and worry, they are an important part of being human. Without an 'imbalance' of chemicals in the brain, we would never know laughter, sadness, worry, nervousness or love. Chemical imbalances, or fluctuations, cannot be avoided because we are supposed to interpret and react to situations, whether they are stressful or joyful; this is simply human nature.

Managing Chemical Imbalance

Prescription medication has been the main course of treatment for chemical imbalance tied to emotional disorders. Prescription drugs, however, have failed to be the silver bullet that the drug manufacturers have hoped they would be. Synthetic drugs have been reported to work only about 50% to 60% of the time, while individuals have reported negative side effects that far outweigh any benefit. Additionally, prescription drugs only target the chemical imbalance. Medication cannot treat the underlying cognitive and behavioral roots of the problem.

Though they are not approved to treat anxiety or depression, natural alternatives may provide some relief for chemical imbalance. Natural supplements like St. Johns Wort, 5-HTP and SAM-e are believed to directly affect the availability of neurotransmitters in the brain. Clinical studies have shown that, over periods of 7 days to 12 weeks, individuals taking natural reuptake inhibitors saw significant clinical benefit. Moreover, botanical sedatives like Valerian Root, Kava Kava, Passion Flower and Ashwagandha root have been shown to quickly act on and relax the central nervous system, helping to reduce stress and symptomatic anxiety.

Clinical research into other, non-synthetic methods of coping with chemical imbalance have come to light in recent years and have shown very positive responses from patients. The theory behind these coping techniques is that chemical fluctuations are actually caused by our own thoughts and behaviors. One such treatment, cognitive-behavior therapy, focuses on addressing the thinking patterns that we have when faced with stressful or depressing situations. CBT helps one to provide evidence for creating new thought patterns, and, when these new thought patterns are applied during certain situations, they help to trigger completely different behavioral responses to the stress.

In theory, cognitive-behavioral therapy actually targets the underlying causes of chemical imbalance. When we are able to control our thought patterns and understand why we feel the way we feel, our brain begins to respond differently when faced with anxious or depressive situations. Just as the anxiety and depression we may experience now took many months or years to develop, reversing the hard-wired thought patterns may take some time to take effect.

Learning about the specific thought patterns that trigger our stress, anxiety or depression is one of the most important steps for coping with chemical imbalance. Once we identify the negative interpretations and thoughts we have in these situations, we can begin to develop and apply positive thinking patterns and behaviors that can help us to manage chemical fluctuations.


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The '23 Big Issues' for Mental Health Services as defined by People who use them


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