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Truly Terrible News

Apr 3 2012 | Comments 21

butterfly

When I heard that there were headlines saying fast food can trigger depression, I shrugged my shoulders. Oh well. I don’t eat fast food anyway. But wait! What’s this? The study also includes “commercial baked goods (doughnuts, cakes, croissants).” I practically live off those! From PsychCentral:

The results also showed that those participants who ate the most fast food and commercial baked goods were more likely to be single, less active and have poor dietary habits (eating less fruit, nuts, fish, vegetables and olive oil). It was also common for individuals in this group to smoke and work over 45 hours per week.

Well, yes, that does sound like a rather depressing way to live. Do they watch crappy TV too? Sigh.

Fast Food Linked to Depression [Psych Central]


liz | 12:01 PM | depression

Newt Gingrich and Bipolar Disorder Redux

Jan 24 2012 | Comments 10

I wrote about the issue of bipolar diagnosis and whether it matters for a presidential candidate. Check it out here.


liz | 12:52 PM | Uncategorized

Women: Gluten Allergy Might Make You Depressed

Jan 5 2012 | Comments 31

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When I was a kid, I was aware that my grandmother was frequently sick as a result of something called “sprue.” It meant she had a weird diet, and was very thin. Sadly, she also had no sense of smell, so the world of food was entirely unremarkable for her. No one else we knew had sprue, an autoimmune disorder, but it made sense because she had other autoimmune stuff going on too.

In 11th grade I went on a trip to what was then the Soviet Union. I made the mistake of eating something from a street vendor. I got very sick, and the sickness lasted through senior year. Regular ol’ tourist bacteria was quickly ruled out, but when the gastroenterologist found out my grandmother had sprue, he got excited: It skips a generation, he said, and might be the cause of my problems. I underwent endless tests and then a biopsy of my small intestine. The results were inconclusive. But a gluten allergy has very specific symptoms—very. Trust me, you don’t want to know what they are, because they’re related to poop, but they are pretty unmistakable and I had them. The doctor diagnosed sprue.

I was put on a gluten-free diet. In high school, that kind of sucks. It’s hard to go to pizza joints and Burger King with all your friends and be so limited. My parents took me to a celiac sprue support group, and I can only tell you that we laughed all the way home. This was 1985, remember, and the delicious! “cornbread” they served to prove that it wasn’t so bad to be gluten-free was not encouraging. The conversation was unintentionally hilarious.

The weird thing was, I got better. My symptoms disappeared. Then, at my high school graduation party, I unthinkingly plucked a piece of macaroni from a bowl of macaroni salad on the sideboard and popped it into my mouth. As soon as I realized it was gluten, I started to cry. What had I done? I told my mom in a panic and she said she thought it was okay. And it was. Gradually, I introduced gluten back into my diet. And you know what? Nothing happened. From that day to this I’ve been eating gluten and never had a problem again.

Nowadays the mysterious sprue is known as gluten allergy and it’s everywhere. It seems half the people I meet are allergic to wheat, and the allergy has spawned an industry of foodstuffs and cookbooks. (For a funny take on this kind of thing, check out the Allergy Pride Parade on the new season of Portlandia.)

Dealing with allergies of any kind can get you down, but when the allergies pertain to something we do every day—something as fundamental as eating—it can truly be a pain in the ass. Now a new study says it’s rather more serious than that for women. From MedPage Today:

In celiac disease, ingested gluten can damage the surface villi and impede nutrient absorption, but 37% of women with the condition met the clinical threshold for depression on the 20-item Center for Disease Studies Depression Scale, according to Joshua M. Smyth, PhD, of Pennsylvania State University in University Park, and colleagues.

Moreover, 22% also met the criteria for disordered eating assessed on a 29-item questionnaire, the researchers reported online in Chronic Illness.

Following a gluten-free diet is the usual recommended treatment for celiac disease, however, because of the near ubiquity of gluten in common foods, many patients with the immune disorder have difficulty keeping to their diet.

And even those who do adhere to the diet can remain symptomatic, which can interfere with normal functioning and lead to psychological difficulties.

Unsurprisingly, women who are forced to focus on food due to the disease can get consumed by the worry, and segue into eating disorders like anorexia and bulimia. Given that eating disorders are frequently about control issues, this makes sense—you have no control over your celiac diet but you exert control otherwise. Also, women who are on the celiac diet have excessive concerns about weight, according to the study. On the other hand, I don’t know one single woman who doesn’t worry about her weight.

More:

Worse celiac symptoms were associated with poorer physical functioning and mental health (P<0.001 for both).

Correlations also were seen between different areas of psychiatric functioning, such as depression and stress (r=0.54, P<0.001), as well as stress and eating concerns (r=0.85, P<0.001).

The average level of depressive symptoms was 14.93, with a cutoff for clinical depression of 16.

The 65 women whose depression scores were at or above the cutoff had worse celiac symptoms (P<0.001), greater stress (P<0.001), lower dietary adherence (P<0.05), and worse quality of life for both physical and emotional domains (P<0.001 for both). ....

The study confirmed that women with celiac disease are at risk for psychiatric distress, implying that screening may be useful and that psychosocial support may be an important aspect to overall care for these patients, they observed.

Lesson to be learned from the study? Women who adhere to the diet and do not obsess about their weight are far less likely to experience depression.

Depression Common in Celiac Disease


liz | 12:15 PM | depression, eating disorders, celiac disease, celiac sprue, depression and gluten, gluten allergy, gluten-free diet

Rape Scene in “The Girl With the Dragon Tattoo” (MAJOR SPOILERS)

Jan 4 2012 | Comments 34

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I had never read the books or seen the other films. I knew very little about the movie except that David Fincher (whose work I respect) directed it and the person I live with wanted to see it. Someone warned me there was a rape scene, which was kind of them. I’m a rape survivor (weird term, but it does the job) and I generally avoid seeing movies with rape scenes. If you don’t know ahead of time, it generally means it’s a small plot point and it’ll go by very quickly and stupidly. But I heard David Fincher tell an interviewer that he deliberately made the rape scene more graphic than it was in the book. I should have heeded my better instincts and not gone to the film. But because social plans were made around seeing the film on New Year’s Eve, I felt uncomfortable asking everyone to change the agenda. I felt likewise unable to say I couldn’t go. I was apprehensive but decided to tough it out. How bad could it be?

Very bad. It was, without question, the most brutal rape scene I’ve seen in an American movie. It was agonizing. It wasn’t just a rape; it was a particularly violent and sadistic rape involving hand and ankle restraints, a mouth gag and vicious anal penetration. The victim is screaming. The chains that attach her to the bed rattle as she tries to free herself. It seems to go on FOREVER.

Then, as if that weren’t enough, there’s a Clockwork Orange-style revenge-rape scene, in which the victim returns to her rapist and restrains him, gags him and anally rapes him. She also tattoos him. It’s great to imagine she gets revenge, but frankly, if you’re disturbed by images of rape and sexual violence, it doesn’t much matter if it’s happening to a man or a woman. It’s still going to be traumatic. One rape scene was really hard for me. Two was almost unbearable.

Then there was the overall plot, which focuses on the investigation of a serial killer who disfigures women’s corpses in the most gruesome ways. Photos are shown.

It’s a funny thing about trauma, the way the body remembers. I went through several stages of feeling when I saw that rape scene, and even writing about it now I can feel my body responding: my heart rate is up and my legs are shaky. In the theater, when it was happening, I started to feel so panicky. My muscles got tense and it was hard to breathe. Tears filled my eyes. I kept squeezing my toes together and reminding myself to breathe. I found it hard to focus on the rest of the film. I tried, but I kept hearing her screams and then I’d have to squeeze my fists and toes and breathe. As soon as the credits came up, I fled to the bathroom. I was overwhelmed with nausea but didn’t throw up. It was hard to pee because I was starting to dissociate and leave my body. I felt so angry too. I sent some really evil text messages to a friend who’d texted something benign. I was furious. I wanted to tear down the stalls and kill people. It was such a fierce anger.

As the evening went on, the anger got less and the distance between myself and my body got more acute. By the time I got home, I was completely gone. Nothing was real, I wasn’t real, I wasn’t there. I sat staring into space for a really long time, but it wasn’t a long time because there was no such thing as time. My hands, when I looked at them, were freakish bony protuberances just sitting there on my lap. What were they? I knew there were things in front of me, but I couldn’t see them.

I tried to talk about what was going on, but it made me too sad. Then I started to get weepy. After all, after I was raped, my life went to hell. I blame it for everything. Nothing was ever the same because it brought on the illness. I can’t think of it separately. I lost my mind after that rape. I was a lost girl.

Trigger warnings can’t be placed anywhere and everywhere. The world is a hard place and we just have to take our chances. But I’m still feeling the aftereffects of the film. So I would say if you’ve been a victim of sexual violence, DO NOT SEE THIS FILM. It’s just too hard.


liz | 2:40 AM | Uncategorized, girl with the dragon tattoo rape scene, ptsd, rape, trauma

Hate the DSM? Boycott Normal!

Jan 3 2012 | Comments 6

From one of my most beloved organizations, MindFreedom, comes an effort to challenge notions of normalcy as the American Psychiatric Association meets to unveil the DSM-5. From MindFreedom.org:

Free thinkers unite in an international campaign to question how psychiatric corporations try to control us and our democracy through their misguided idea of “normal.”

Be part of peaceful protest of the American Psychiatric Association, everywhere, especially Philadelphia, on 5 May 2012.

Occupy the American Psychiatric Association!

MFI calls on mental health consumers, psychiatric survivors and allies to Boycott Normal in response to the American Psychiatric Association’s preparation for a fifth edition of Diagnostic and Statistical Manual of Mental Disorders.

DSM-5 would be the latest edition of what is widely known as psychiatry’s “label bible,” used to determine if people can be diagnosed with mental ‘disorders’ or ‘illness.’

Today, we challenge normality and celebrate creativity and diversity. Please join us!

Want to get involved? If you’re in Philly, email Susan Rogers at srogers@mhasp.org. She’s the nicest person on earth, so you won’t be sorry. Also, click HERE.


liz | 3:35 PM | BIG PHARMA, hospitals / hospitalization, meds, politics, stigma, boycott normal, dsm-5, mindfreedom

Shortage of Drugs for ADD/ADHD

Jan 3 2012 | Comments 5

adderall-pills

I was in CVS the other day waiting to fill my prescription for Dexedrine, when I overheard the guy in front of me being told they were out of Adderall. The pharmacy tech suggested he go to another store, but the guy said he’d been to every place in the city and couldn’t get Adderall anywhere. Fortunately, CVS did have Dexedrine, but the fact that there is a shortage of drugs for attentional issues is completely appalling and unacceptable in a supposedly first-world healthcare system.

The problem is that the Drug Enforcement Administration only allows a certain amount of Ritalin and Adderall to be produced because of the abuse potential, particularly by college kids who take the stuff like candy to stay up at night studying. The FDA, which monitors supply of the meds, is particularly distressed by the shortages and has tried to get the DEA to change its quotas. But the DEA is claiming there’s no problem, and that patients who encounter a shortage can just switch meds.

Ooh boy. I think we all know how that goes. Yeah, sure, just switch from Adderall to Ritalin–that’ll work. I remember the only time I tried Ritalin, my tongue swelled up and I ended up flat on my back in a CD store, having passed out with some weird allergic reaction. Adderall, however, was benign in terms of side effects for me. The DEA seems to be oblivious to the fact that children (who are the majority consumers of these drugs) can’t just switch around.

While there are more branded meds in supply, not everyone can afford them. This means people go without treatment, another devastating problem for kids (and for adults too, of course).

The article detailing all of this is by Gardinar Harris in the New York Times and can be found HERE.


liz | 8:39 AM | ADD/ADHD, BIG PHARMA, addiction, meds, adderall shortage, adhd drug shortage, gardinar harris, ritalin shortage

Fantastic Article Illustrates the Personal Impact of MH Cuts

Dec 29 2011 | Comments 8

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The Chicago News Cooperative takes up the problem of Mayor Rahm Emanuel’s decision to cut six of Chicago’s 12 mental health centers. In Philly, that would be devastating, so I can’t imagine it’s any different there. Of course the government is saying that people will be taken care of somehow, but that’s the kind of thing they always say, right? They say they patients from the other centers can just go to the ones that will stay open. But, um, that would mean a 71 percent increase in patients for the remaining clinics and a 0 percent increase in resources. Sounds like a plan.

Go here to read the stories of the people whose lives will be impacted by the cuts. Interestingly, though you’d imagine they’re depressing, they’re actually stories of hope. People with these illnesses are so strong, they are such survivors. They’re remarkable, and they deserve better.


liz | 2:14 PM | SCHIZOPHRENIA, bipolar disorder, depression, hospitals / hospitalization, meds, suicide

Does Newt Gingrich Have Bipolar Disorder?

Dec 28 2011 | Comments 12

UPDATE: I go into this a bit further over at the Philly Post. Check it out, and thanks for your comments.

In today’s Daily Beast, Gail Sheehy writes about the exhaustive interviews she did with Newt Gingrich and his family members some years ago in preparation for a Vanity Fair article. Newt’s mother was living in Dauphin, Pa., at the time, and confessed to Sheehy that her son had a rough childhood—one she called “a heck of a mess.”

Newt’s was a rootless boyhood as his stepfather’s military career moved the family around the U.S. and abroad. His mother became more and more emotionally fragile. How did she survive? I asked Kit Gingrich.

“I almost didn’t,” she blurted out. “I had manic-depressive illness.”

“Oh, sure. My life was moving from one post to another and another doctor and more medicine,” she told me. “You name it,” she said, referring to all the medications she was given for bipolar disorder, “and I was on it.” When a new doctor took her off all medication, she said, “I almost fell apart.” Bob Gingrich was furious and demanded that she be medicated again. But in that brief window of clarity, she told me, she saw him with new eyes. “Bob is a tyrant,” she declared. “No question about it.”

Oddly, though Sheehy questions the impact that Bob (and Newt’s biological father) had on the politician, she goes on to say:

His mother’s legacy of manic-depression may be even more relevant. The condition is inherited in about 80 percent of cases. I asked Gingrich if he thought he had a genetic predisposition to bipolar disorder. He didn’t blink. He said he didn’t know, then applauded the special powers of leaders who are thought to have been bipolar.

“Churchill had what he called his ‘black dog,’” he said. “Lincoln had long periods of depression. You go down the list …” He speculated that leaders who are able to think on several levels at once may have a different biochemical makeup. “You have to have a genetic toughness just to take the beating,” he concluded.

Bizarrely, Sheehy spends the rest of the article essentially arguing that Newt may, in fact, have bipolar disorder. It’s pretty ridiculous and borderline offensive. She even quotes Frederick Goodwin, who should be ashamed of himself for stooping this low, as saying, “Gingrich’s quickness, his ability to pick things up quickly, is consistent with studies of first-degree relatives of manic-depressives.”

It’s veiled character assassination. I dislike Newt Gingrich very much, but political careers have been torpedoed by accusations of mental illness. Is that Sheehy’s agenda? I wonder if she’d treat a liberal politician the same way.


liz | 2:23 PM | bipolar disorder, politics, kit gingrich bipolar disorder, newt gingrich bipolar disorder

Emergency Rooms Struggle to Cope With Surge

Dec 28 2011 | Comments 4

emergency-room-sign
A combination of service cuts and recession job losses is flooding hospital ERs with people suffering from psychological crises. This is in addition to the people who already rely on ERs for psych services and who are already taxing the system because there is a lack of alternatives. People who use crisis centers are not being given the appropriate tools to manage crisis on their own or to minimize crisis in their lives. People who use the ER because they’re uninsured are victims of a negligent healthcare system that forces people to wait until things turn dire. Then there are people who are homeless who are seeking food and shelter and have nowhere else to go. If you want to see how massively this country fails its citizens, a few nights at your local ER will do it. The new population is an added problem.

From Reuters:

“These are people without a previous psychiatric history who are coming in and telling us they’ve lost their jobs, they’ve lost sometimes their homes, they can’t provide for their families, and they are becoming severely depressed,” said Dr. Felicia Smith, director of the acute psychiatric service at Massachusetts General Hospital in Boston.

Visits to the hospital’s psychiatric emergency department have climbed 20 percent in the past three years.

“We’ve seen actually more very serious suicide attempts in that population than we had in the past as well,” she said.

Perhaps most disturbing is that people who come for care often don’t get it:

And many hospitals are not prepared for the increased caseload of psychiatric patients, says Randall Hagar, director of government affairs for the California Psychiatric Association.

California cut $587 million in state-funded mental health services in the past two years, the most of any state, according to the National Alliance on Mental Illness, a patient advocacy group.

“They don’t have secure holding rooms. They don’t have quiet spaces. They don’t have a lot of things you need to help calm down a person in an acute psychiatric crisis,” Hagar said.

“Often you have a patient strapped to a gurney in a hallway outside of the emergency department where social workers are desperately trying to find an inpatient bed,” he said.

My emphasis. Can you imagine anything more troubling than going for help and then getting restrained instead?

The reader who brought this article to my attention said:

I fear for too long the mental health system has been considered infinitely elastic. Sadly, my peers and I are not. I wish the general population was more familiar with the nature, timing, and extent of the services our nation’s mental health system provides and the outcomes it fosters. I fear a great many have come to believe with the advent of “safer and effective medications” consumers need little more then a pill. If this was true the system could be viewed as infinitely elastic. As you know, things are not so simple.

Though he was able to get media coverage for this issue in 2009, admissions in the county hospital in his area continue to increase, from 4,639 in 2009 to 5,693 in 2011. And from what we’re reading, the trend seems likely to continue.


liz | 10:18 AM | hospitals / hospitalization, mentally ill ERs, psych hospitalizations

Depression Confessions: 2011 Celebrity Mental Health News

Dec 27 2011 | Comments 2

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Health.com has come up with a list of celebrities who confessed in 2011 to having serious health issues, which is great because poring over back issues of People magazine would be enough to make me increase my meds. What strikes me is that those celebs with behavioral health issues are treated the same as those with issues like autoimmune illnesses. That’s progress. Instead of being deemed “crazy,” they’re being characterized as dealing with a health problem. So Catherine Zeta-Jones’ bipolar disorder is on the same list of health issues as Kim Kardashian’s psoriasis. The only problem with this is that Kim Kardashian exists at all. Also mentioned: Daniel Radcliffe (Harry Potter), who struggled with alcohol dependence but now seems to be doing well. He told People in July:

“I’m actually enjoying the fact that I can have a relationship with my girlfriend [Olive Uniacke] where I’m really pleasant and not fucked up totally all the time … As much as I would love to be the person that goes to parties and has a couple of drinks and has a nice time, that doesn’t work for me. I’d rather just sit at home and read, or go out to dinner with someone, or talk to someone I love, or talk to somebody that makes me laugh.”

As for Zeta-Jones, she wasn’t planning to discuss her bipolar disorder openly, but was forced to when the tabloids would did the job for her. Pretty despicable. When Michael Douglas appeared on Oprah, he blasted to tabs for “outing” her. Not all celebs want to serve as poster children for their conditions—nor should they have to. It was probably the last thing she needed after a psychiatric hospitalization.


liz | 10:00 AM | addiction, bipolar disorder, celebrities, catherine zeta-jones bipolar, celebrity bipolar, celebrity depression, daniel radcliffe alcohol, depression confession

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