mental health

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She had a look on her face that read of fresh crying, and the latent ability to tear up at any second. I only know of her through brief encounters, and consider her a friend-of-place, the kind of friends we make between the specific hours of sharing space, and keep no contact once we part. I hadn’t seen her for awhile, so I welcomed her (late) arrival.

I’m naturally nosy and interested in the human condition, this is what led me to professional social work. This was not a professional circumstance, and yet, within moments of asking what was going on, I slipped into the standards, “How much sleep are you getting every night?” “When these mood shifts happen, how long do they last?” I stepped back within myself when I caught myself cutting into her talking to me with a question unrelated to what she was saying.

I was more concerned with checking off symptoms on my list (in order to find the cause and solution) than just listening to her. Have I always been this way? Is this not the same kind of treatment that disgusted me when I was in the consumer’s chair?

I’m not the only one to have done this and been caught. A few weeks ago, while sharing my art class table with two other people (all with human services history), we discussed how we’ve observed others in the therapy profession, in casual conversation, pull out their stock questions. We hope we’re never the ones doing that, but it’s impossible to not do it sometimes.

I’m grateful I caught myself when I did. I realized today that asking the stock questions, filling out the psychosocial evaluation and treatment plan in my head, fills me with a sense of competence. I know how to do this. Even better, if I know how to do this, certainly I know how to make this person’s pain abate! These questions – the professional in me – feels empowered, but also safely distanced from sitting in the pain that is right in front of me.

I had to acknowledge to my friend that the finest distillation of this situation was the fact that it sucks. It sucks, it’s here, it feels bad, and that’s all there is to it. Channeling my inner Pema Chodron, and crying a few tears of my own, I asked her if a friend came to her in pain, would she tell her she wasn’t working hard enough, was lazy, was a failure, and all that other bad stuff we tell ourselves. She agreed that she wouldn’t do that to a friend, that she’d be kind, generous, and care for that person. I tear up just thinking about it, because that kindness and compassion is what she (and I) lack in ourselves. So many people are good friends to others, and horrible friends to themselves. And Pema Chodron would of course remind, I’d imagine, to not get on ourselves about how horrible we can be about being good to ourselves – but rather just let it go. What’s going on right now? I’m hunched in my chair, my neck is tight, I’m looking forward to lying down in bed. There is no failure in this moment.

We both cried. She thanked me later for listening, but because I didn’t have those forms filled out in my head, I’m still not sure if I did the right thing, or if I helped ease her pain at all. I joked that our encounter was ultimately self-serving. I don’t like seeing people in pain, so I have this tendency to try to fix the problem so they’re not in pain anymore. She dismissed this idea.

Speaking for myself, one of the best things someone did for me this past year was just sit there and let me cry, and talk, and cry some more. It was the best therapy I could ask for, and therapy I didn’t have to pay for. It’s the kind of thing that the four therapists I’ve tried so far this year would take a hint from. It’s not about filling out the forms and getting the most intimate information within the first two sessions. Sometimes it’s about sitting there and knowing that there may not be a solution or anything to solve, but there is this moment, right now, surrounding you. As terrifying as that may be sometimes, stopping and just sharing in that can do wonders.

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Since I don’t have time to write a full post about these links, I thought I’d share some bits with you anyway.

E. Coli Outbreak Traced to Company That Halted Testing of Ground Beef – A great continuation on the issue of ground beef and where it comes from, and what is being done to keep it safe.

Tests Find Wide Range of Bisphenol A in Canned Soups, Juice, and More – brought to my attention by NY Times food writer Mark Bittman, BPA – the reason why you stopped drinking out of plastic bottles – is lining your food cans and getting in your food.

Media creates concept of media psychologists, encourages them to be unethical, then acts amazed when they are – a friend of mine used the magic of Google Reader to let me know of this blog post. It sums up some of my issues with credentials in the helping professions.

What We’re Eating – Mark Bittman references some interesting data and links to it about current trends in food purchases.

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I have something like $150 in credit at our local used book chain. Since my recent loss, I’ve been recommended a small handful of books, ranging from the helpful to the horrific. The best recommendation, though, came from a misreading of a title (Creative meaning from loss?) and a slightly askew book on a shelf. Making Loss Matter : Creating Meaning in Difficult Times was this book.

By the first page, I was already sniffling. I purchased the book right away, and read it over the course of a few weeks. As I went through the book, it occurred to me that anyone who has experienced a kind of loss could do well with this book. Rabbi Wolpe talks about the losses that everyone experiences. Loss of home, dreams, self, love, faith and life. Sometimes those losses encompass more than one of those things. Certainly, my own did.

Don’t let the fact that this is written by a religious man deter you, whether you consider yourself an atheist or non-Jewish. In fact, as a former Christian, atheist and solid agnostic, I found his views on faith and God unbelievably refreshing, especially compared to some of the previous books I’ve been handed that deal with my more specific kind of loss. In his chapter on Faith, Rabbi Wolpe writes:

The root of many problems of faith is a misunderstanding encourages by religion itself. We are often told that if only we are good, or act a certain way, God will reward us. Then we are struck by the losses of life. We see that there is no power that will save us from loss. Our means of navigating through the difficult times, the certainty of meaning, is snatched from us. If the universe has no guidance, whether we call it God or not, then how can our loss have meaning?

Establishing ourselves in the universe on the basis of quid pro quo cannot be right, however. There must be a better basis for relationship than the simple exchange of goods that some imagine is what being close to God is truly about. Meaning must be based on something deeper than my hope to be helped to success. Love is focused on the other, and on the transformation of the beloved to become worthier.

Rabbi Wolpe uses stories from the Bible, Jewish scholars, his own life and friends, history and literature to illustrate loss and it’s universal nature. These stories illustrate the unavoidable truth of loss, but also the ways those losses can create meaning in our lives and those of others. Personally, the book encouraged my own efforts to accept loss as a part of my life, but also to do something towards finding my own meaning in this cosmos.

I highly recommend this book. I believe it’s especially valuable for those who find themselves grieving, but don’t know what for, or why. This book is easy to approach, with a great deal of humanity and poignancy. I’m grateful to the person who didn’t quite put it back in the right place, for bringing it to my attention.

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from the Seattle PI

Unfortunately, nothing else in the article seems to clarify this. Given that Seattle and King County (heck, even Washington State!) continues to lose resources for the mentally ill, this might be an important statistic.

Original article found here.

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Seattle P-I: County’s mentally ill fade into the system, Homes are closed, more people cycle from jail to street and fixes far away

Even as county mental health officials herald an ambitious new plan to spend sales tax money to expand housing for people with mental illness, they’ve quietly let the boarding homes close because they no longer fit the preferred model, which emphasizes independent living.

In a memo to the buildings’ owner last month, mental health director Amnon Shoenfeld said the county didn’t want to invest in repairing the debilitated boarding homes because they weren’t consistent with its “recovery principles.” Recovery refers to a philosophy that people with mental illness can and do improve with appropriate treatment, housing and support.

Meanwhile, waiting lists for mental health housing in King County — and around the state — continue to grow.

Plymouth Housing Group, one of the largest providers of such housing, has 800 people on its list and a two-year wait, said Tara Connor, Plymouth’s policy director.

The lack of housing has created backups at Western State Hospital, where more than 100 patients are cleared for discharge but have nowhere to go.

The problem is even more acute for those not leaving a psychiatric facility. Western State patients have priority for community housing. Others may have to wait months to years for supported housing, said Robert Fors, a probation officer with Seattle’s mental health court.

I’ve worked at both Western State Hospital and within the District Mental Health Court of King County. During the past three years, I got first-hand experience with these difficulties while working as a social worker in these systems. During this same time as the counties scramble for funding for serving their clients locally, this funding was siphoned off of Western State Hospital, and wards have been closed, eliminating some of the capacity. Within the King County system, we were promised earlier this year that we were going to see an increase in funding that would help pick up the slack. We saw the start up of the PACT teams (Program for Assertive Community Treatment) which were understaffed and overburdened within the first 6 months, and in my personal experience, some members of the teams were counter productive in their goal of supporting client independence and self-sufficiency.

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