Showing posts with label treatment. Show all posts
Showing posts with label treatment. Show all posts

The Gate




May 2, 2019

The other day, I accidentally drove by the state prison. Right in my line of vision, there were those giant steel gates again.

I don't think I exhaled for a full minute.

But you may be wondering how this happened by accident. Here's how: I had been blindly following my GPS directions to a workshop on Trauma. 

I know. The irony is not lost on me. 

Without thinking at all, I just hopped in my car, plugged in the address, and began to drive. Before I knew it, I was right there looking again at those giant, steel gates topped with swirls of barbed wire.

Seeing them brought lead to my belly and metal to my tongue.  

And, though my car windows were rolled all the way up, for just a moment, I could almost hear the inmates yelling, banging on the window bars, calling out their last-minute declarations to their visitors headed to the parking lot after visitation time was up.

A whirred blend of dread, anticipation, fear, hope, and love made up those Sunday afternoon visits to the prison.  With ever-varying amounts of each ingredient in this recipe, the concoction was never quite the same from week to week.  

Seeing those gates again triggered me. 

And they reminded me what it felt like to be on the outside looking in, not able to alter the reality of what I knew was on the other side. I could only show up to visit and hold the telephone receiver, stare into my boy's eyes and utter mother-ramblings and anecdotes about the family cat, ignoring the reality that a thick wall of plexiglass divided us.

But this post isn't about driving by the prison gates the other day and feeling triggered.

And it's not even about Trauma, though I should mention that my state officially declared May as Trauma Awareness Month. That, paired with the national observance of Mental Health Awareness Month during the month of May ought to give us plenty to talk about.

But no, this post isn't about Trauma, either. Not exactly.

When I was teaching middle school, I read a great book with my students that included this quote from an old poem:

"Stone walls do not a prison make, nor iron bars a cage."

It appeared in the book when the young protagonist was pondering whether or not to help break someone out of jail. No, this post has nothing to do with breaking someone out of jail. 

But that quote matters. I can't stop thinking about it. Some people can physically be inside prisons, yet feel emotionally and spiritually free. And, some people may put themselves in prisons of their own making. But what about the walls, or gates, or bars that exist between us and the ones we love that we can't seem to penetrate? 

A barrier still stands between my son and me. It's thicker than the plexiglass and fiercer than the barbed wire-topped fencing. This barrier exists because of his illness and because of his repeating pattern of agreeing to and then refusing treatment.

I'm sitting on one side of the barrier and I can see him there on the other, but I just can't get through to him. I can almost hear him calling out a declaration of hope and acceptance, but then I realize I'm only dreaming.

For now, I wait. And gently stir my new recipe: equal parts anticipation, fear, grief, frustration, and love. And, I hope that someday he'll break through that stone wall, say he's ready, and this time, he'll mean it.


Examining Fear


Nov. 4, 2018

Today I dug up an old post from six years ago. Looking back, I still identify with a lot of it, but there are a couple of key differences. First, I claimed that "I am speaking out for all other parents..." yet, at that time, I was still writing blog posts anonymously fearing the stigma. Eventually, I would find the courage to overcome my anonymity. And second, in this post, I am really fearful. I remember, six years ago my son was so unpredictable. He'd already shown that he was potentially dangerous. I lived in a constant state of fear. At the time, he had not yet been arrested, but his erratic behavior was increasing and his arrest was imminent. Of course, I did not know that then.

But looking back, perhaps the fear I expressed here is less about him being dangerous and more about the uncertainty I felt. Not knowing what might happen terrified me. Today, six years later, I cannot say that my son's situation has completely stabilized. But in a way, I think I have. My stability comes from gradually accepting the uncertainty of serious mental illness, not only his illness but mine. That fear came from not knowing. My evolving courage comes from accepting the fact I may never know.
---

Sometime in early 2013


If my twenty-year-old son knew I was writing this, I'm not sure what he'd do. Bipolar disorder can be a dangerous thing when it goes untreated. I am a mother who is afraid of her son, but I am speaking out for all the other parents out there who fear their own children.

First, you should know something about me. I have bipolar II. I was diagnosed in 2011, a year after my world crumbled. A year after my older son walked out my door. With a right-for-now cocktail of medications plus a wonderful therapist, I function well day to day. My colleagues would never guess that I have bipolar II. They probably attribute my high spirited antics to being a creative teacher. They don't know there is electricity tingling underneath my skin when I'm hypomanic. And when the melancholy settles in, I rely on my finest acting skills at work and my peers are none the wiser. From the outside, I seem just fine. But on the inside, I struggle.

Thanks to a proper diagnosis and treatment I manage my life better now than I ever did before. Unfortunately, I cannot say the same for my older son. Though his diagnosis came over two years ago, he has refused any treatment. Instead, he self-medicates with drugs and alcohol. He dropped out of college. Twice. And he's usually unemployed. He is trapped by his own apathy and sees no way out. And I am powerless to help him.

His story is my story and I want to share it with you. His story, my story is one of heartache and tragedy, broken promises and last chances. But it is also a story of hope. I am still hopeful that he will get help for himself. I am still hopeful that his life will turn around. I am still hopeful that he will become whole again. I am his mother and I will always love him. But because I fear him, for now, I will have to love him from a safe distance.

This post was originally used as a blogger biography on http://ibpf.org/blog/stillhopefulmom.

An Open Letter to Mr. Andy Parker, Father of Slain Journalist Alison Parker

August 31, 2015

Dear Mr. Parker, 

First, let me extend my deepest sympathies for your loss of your beloved daughter Alison. No parent should ever outlive their child, but to lose a child in this horrific way must be the worst hell on earth. Please know you and your family are in my thoughts and prayers.

I am writing in support of your mission to do "whatever it takes" to stop guns from getting into the wrong hands in our country. Mr. Parker, five years ago, a loaded handgun got into my 18 year old son's hands.

My son was an outpatient at a mental health facility being treated for what at first was diagnosed as depression. Though he'd been physically threatening to me and his younger brother, he was able to charm the intake nurses into admitting him to the day program rather than the inpatient program of this reputable facility. He was to attend sessions between 9:00am and 3:00pm Monday through Friday for three weeks.  And because he had just turned 18, he was grouped with adults of various ages and diagnoses.

During this program, my son befriended a fellow patient who met him in the mental health facility's parking lot during a break one day and sold him a loaded handgun.

My son came home intending to kill himself, however, that's not what happened.

My younger son, then 13, found the gun in his older brother's room, and, thinking it was an Airsoft gun, held it up as if to shoot it. By the grace of God, my older son came into the room just at that moment and stopped him, admitting that the gun was real and that it was loaded.

Mr. Parker, my two teenage sons kept the secret of this loaded handgun in my house for several weeks.  I had no idea it even existed.

Thankfully, my younger son eventually did tell me about the gun before anyone used it. Unfortunately, though, when my older son was faced with the choice of being admitted to a different, hopefully better, mental health facility as an inpatient or leaving my home for good, he chose the latter. He walked out my door on December 31, 2010.

Today, my son is in prison.

Mr. Parker, I am writing to you because I want to be sure you know our story, just one of so many stories that have not ended well in our country. It is the story of gun control as well as mental illness.

The issues are intertwined, yes, however, it is not as easy as requiring universal background checks to curb the gun violence in our country.

My son would have passed a background check. He'd never had more than a speeding ticket in his life. But Mr. Parker, remember, my son bought this gun illegally, so a background check, even if it would have flagged him, would not have been done anyway.

The heart of this matter lies so far beyond gun control itself. While I am a firm believer that we do not need the same Second Amendment that once allowed our country's citizens to protect themselves against the British so long ago, there are so many more things to consider.

First and foremost, our country's mental health care system must change. We need to identify mental illnesses sooner and much more comprehensively. American teenagers need to be educated about the signs of mental illness and what to do if they recognize them in themselves or others.

Secondly, the stigma associated with mental illness in our country must end. People need not fear what others will think of them. Mental illness occurs in one out of four adults in our country, yet people are ashamed and afraid of judgment. Years ago, people whispered the "C" word. Now they boldly announce: I have cancer. Why can't people see that mental illness is a physical illness just like diabetes or cancer? And it is treatable, very treatable, but those who are diagnosed have to seek the treatment, thus, they have to challenge the stigma. And the three in four American adults who are not diagnosed have to end the stigma and embrace our loved ones with support rather than shame.

Finally, our insurance companies must be forced to provide proper and thorough treatment for those diagnosed with mental illnesses. Even if someone is brave enough to seek treatment and is diagnosed, there is no guarantee that they will receive the essential care they need.

Mr. Parker, I stand beside you in your commitment to stop gun violence. I urge you not only to advocate for legislative measures with gun laws, but also advocate for our mental health community. We need better preventative measures to identify and treat mental illness. We need more comprehensive insurance coverage for it. And we need to encourage our citizens to recognize and end its stigma.

If there is anything I can do to help you continue your mission, please let me know. You have my deepest sympathies as well as my utmost respect.

Sincerely,

Anne Slease
Wilmington, Delaware






Two Sets of Bars

August 30, 2013


It isn't easy to find the right medication for mental illnesses. Some people try for years to get just the right "cocktail" of meds to work for them. They call their doctors, report the side effects, and try again until they get it right. But they eventually will get it right.

But when you're in prison with a mental illness, the rules change.

When you're in prison with a mental illness, there are certain medications that are not allowed at all. Medications that are easily abused are not permitted. These medications may be what you took before, but that doesn't matter. The rules change when you're in prison.

When you're in prison with a mental illness, you get what they give you when they give it to you. If you complain of side effects, you risk being taken off all meds completely.

When you're in prison with a mental illness, you are visited by psychiatrists once a month if you're lucky. You might get to see a counselor or you might not. Your symptoms might get reported accurately or they might not. You might receive adequate treatment or you might not. The rules change when you're in prison.

When you're in prison with mental illness, there are two sets of bars: the ones that keep you from the world and the ones that keep you from the you you used to be.


"So Maybe You're Not Bipolar"

August 6, 2013

Seek Treatment. That's what we hope people with mental illnesses do. We want them to feel free to acknowledge their condition and seek treatment. Talk to a therapist. Try medication. Follow a doctor's plan to treat your illness. "You can feel better if you seek treatment." Isn't that what we say?

Well, that's what my 21 year old son has done. Finally. After over two years of ignoring his diagnosis, he's finally acknowledged it and sought treatment. In prison.

See where it's gotten him.

He is currently incarcerated in our state prison. Inside, he has had to convince the DOC psychiatrists that his Bipolar Disorder is real. The psychiatrists on the payroll who are expected to treat inmates for mental illnesses have been less than helpful.

All this time, while my son has been in prison, he's been trying to tell them he's "Bipolar". At first, they believed him and gave him a generic anti-depressant and a low dose of a mood stabilizer. Not the meds he'd been on in the past, but at least they were something. Then he was experiencing bad side effects so he reported them to the psychiatrist making her rounds on his tier that day. This was her response:

"So maybe you're not Bipolar!"

You can imagine my shock when my son told me a medical professional said this to him. Isn't it her job to diagnose and treat mental illnesses? Yet she can speak to a patient like this?

But the worst part was what she did next.

She took him off the anti-depressant completely. She told him that in order to receive any more treatment, his doctor needed to contact her and inform her of his Bipolar diagnosis. She left him on the low dose of mood stabilizer which he said did "nothing". Subsequent visits from her and other psychiatrists doing their rounds on his tier did nothing to improve the limbo in which he'd been damned.

So for the last several months I've been trying to acquire all of his records to prove that he IS, in fact, Bipolar. First, I called his regular doctor who was unable to call the doctor at the prison- this is because the diagnosis did not come from his regular doctor, it came from a psychiatric hospital. Makes sense.

So then I went the route of requesting his medical records. Sounds easy enough. But consider the fact that he's 21 years old. This means every single medical professional he saw in his lifetime required a separate release form signed by my son. So, through snail mail, I began my quest of accessing the forms, sending them to him to be signed, having him send them back to me, and then sending them to the correct establishments in hopes of receiving the records. This was a nightmare. Thankfully, the nurse at his regular doctor's office helped me with this and eased the stress considerably.

We were almost home free when we realized that the release forms we'd been using were not accepted at certain mental health facilities. 

Back to the drawing board.

Thankfully, at this point our attorney stepped in and worked his magic to acquire the records more quickly. It's amazing what attorneys can accomplish. What took us months took him less than a week. So now, we may have finally struck gold. The last of the records have been acquired and presented to the prison mental health ward director along with a personal note from our attorney.

After FIVE MONTHS, my inmate son may finally be given the proper medication for his Bipolar Disorder.

So Maybe he IS Bipolar like he's been saying all along.