My last blog post referenced those with mental illness and addiction issues under the same umbrella of “behavioral health.” A fellow blogger had the insight to question use of the term “behavioral health” which is used widely in the US but perhaps not elsewhere. She is at: https://mentalhealthathome.org.
The challenge for me is finding a term that includes mental illness and addiction in the same breath. At first glance “behavioral health” does that – include mental health and addiction diagnoses. But as my fellow blogger and friend pointed out “behavioral health” is a weird way of describing mental illness and addiction. The use of the term “behavioral health” seems to imply that all that us mental illness or substance abuse sufferers need to do is change our behavior and all will be well.
Further, the term “behavioral health” does not include the more common understanding that both mental illness and addiction are associated with or caused by a chemical imbalance in the brain. The chemical imbalance is clearly an illness.
While there is room for behavioral change in any illness diagnosis including cancer and heart disease, the idea that a diagnosis can be reversed through behavioral change is missing the point. If I have heart disease, I can change my diet and exercise regime. If I have cancer, I can also adopt a healthier diet and exercise. However, my diagnosis of heart disease or cancer is not defined by my behavior. It is defined by the diagnosis and prognosis of the illness itself. If you are dying of heart disease or cancer, no one says “change your behavior and all will be well.”
So why should we term mental illness and addiction as “behavioral” issues? The key to understanding mental illness and addiction is in understanding there is a chemical malfunction in the brain. Sure, you can mitigate this some with behavioral changes, but that does not mean that mental illness and addiction are explained best by our behaviors or changes to our behaviors.
What are your thoughts on using the term “behavioral health?” Is there another term you choose to use to describe mental illness and addiction?
Here goes nothing….
- I wish for psyche meds to be 100% therapeutic 100% of the time.
- I wish for no side effects to meds like drowsiness or weight gain or Type II Diabetes.
- I wish to recover all those times when I was emotionally inaccessible to those closest to me due to my bipolar illness condition – this is mostly having to do with family and definitely has to do with my daughter.
- I wish for my bipolar condition not to be genetically an issue for my daughter.
- I wish to undo any harm / make amends for any harm I have brought to people because of or during my bipolar condition.
- I wish for the stigma associated with mental illness and addiction in society to magically disappear.
- I wish for the United States to have a healthcare plan that covers everybody at a reasonable cost including pre-existing conditions and including mental health and addiction benefits.
- I wish for the covid-19 virus to become a thing of the past as quickly as possible since it has so many emotional components that impact my mental health and the mental health of others.
- I wish for a covid-19 vaccine in the next 4 to 6 weeks or better yet now.
- I wish for a support team for anyone experiencing any sort of mental health or addiction diagnosis / symptoms and that that support team is always there for you.
- I wish for everyone with mental illness or addiction issues to never feel alone or never feel separate from the rest of the world.
- I wish the world to embrace and include all people no matter what their diagnosis, skin color, religion, etc.
- I wish I could return to the weight I was when I married or close to it…..
What would your wish list look like?
Becoming a Mom has been the greatest gift God has ever given to me.
I got married at 38, got pregnant at 39 and had my child at 40. I often talk and think about how as a person with a behavioral health diagnosis I have done everything “late.” I have to talk with myself about how life events like graduating from Ivy College or graduating from Business School or obtaining my professional project management certification may have occurred on God’s timeline rather than on my own.
Perhaps I am not late in achieving these life events any more than I am early in my perceptions or thoughts about time and matter and anti-matter. Perhaps all of these thoughts and events and timelines are under control with the ultimate project manager – God himself.
Still, I have a hard-time accepting that these successes are on God’s timeline rather than my own. I want to be able to say “I’m normal” and therefore “my successes have occurred in the way I have prepared for, planned and executed.” In reality these successes are contingent upon allowing myself some “grace” and the opportunity to pursue my accomplishments in an elongated timeframe. There are many goals that I have currently that I continue to pursue – the message to myself along these pursuits is that God is in control of these developments, even though I would prefer to be in control myself. I would prefer to be in control just as that ten-year-old child within does so as perhaps despite myself to take full blame when things don’t go according to plan. If my child within is six and/or if God is in control, I am no longer in control of the outcomes of my life. If I give my life over truly to God, then every outcome including the potential for child abuse at age six is part of his plan for me and I need not accept any particular outcome as “my doing” or “my fault.” Perhaps my role in God’s eyes is to tell my story of abuse so that others will not have to endure such happenings or at a minimum can feel some solidarity surrounding those events.
So it was with having my daughter — the biggest accomplishment of my life. For years, I heard that Lithium was contra-positive toward being pregnant and carrying a child. For years in my twenties and my thirties, I asked to change my meds so that I might be ready once I got married to carry a child. When I met my husband, we talked at length about the fact that bipolar illness has a huge genetic component and that there would be some risk of passing the illness along to my child. I considered this strongly and even looked into the idea of surrogate eggs and surrogate Moms. In addition, there was a study occurring at a local university hospital which posited that risks to the fetus for heart impacts associated with lithium use by the mom were grossly overstated. My husband was not keen on the surrogate or adoption alternatives, so about 7 months after we were married, we started to try through traditional methods to get pregnant. I was 39 at the time. I believe that prior to this time, I may not have been ready to be a Mom, at the same time I do not really advise people to wait too long to have kids. My husband and I were very blessed to become pregnant within two months of trying. For most people at the age of 39 in vitro and other pregnancy/fertilization tactics would have been needed.
Even amidst the throes of postpartum depression and related problems, having my daughter in my life and experiencing her as part of my family with my husband continues to be the greatest blessing in my life. Even now in the midst of the teen years and our occasional head-butting, my daughter continues without a doubt to be the love of my life tying with my husband.
Note – several names and places have been changed throughout this text in order to keep my story somewhat private. Thanks for understanding that need. I hope you will tell me what most interests you from my story so I can focus on that moving forward.
Although I had had no prior fear of flying, my first episode of bipolar illness was in a tiny airport near my Ivy League college (hereafter known as Ivy College). While I was waiting for the plane to get ready to taxi off the runway and take me to my first interview for a job after college in advertising, I was consumed by runaway thoughts. My thoughts were anywhere but on my interview for an Account Executive position at Chicago Avenue Advertisers. I had no specific directions for my fears but I took out some papers I was working on for my undergraduate thesis at Ivy College and was writing and writing furiously in and around the margins of the pages of the papers I previously had written. The thoughts seemed to co-mingle with the characters in the fiction as well as characters or people I knew in real life. The writing was fast and furious until I finally heard the flight that I was to take to Chicago on the puddle-jumper called.
For some reason I did not feel safe in myself enough to board the plane once the flight was called and I came to the conclusion that the plane was going to crash. I did not communicate this fear with anyone. Instead I determined that I did not want to get on a plane that was going to crash, so I got my suitcase together and asked the airplane attendant if I could check my bags on the plane but not board the plane myself. For some unknown reason, the contents of my suitcase were of paramount importance. I recall a navy suit that I had packed and feeling like that suit should reach a friend who I was going to see in Chicago. The label on the suit became extremely important at the time – it was an Evan Picone double-breasted navy wool suit. The airport personnel immediately got suspicious and asked me why I was putting my suitcase on the plan and asked me to move away from the plane with them. When I refused, the safety patrol man exerted more force and tried to get me to go with him. In my fears, I turned to run down the runway away from the scene of the fears and ran completely down the airport runway up into a stand of pines, one shoe flying off in the process and resting in the snowy runway. I recall exactly what I was wearing – a plaid pleated wool skirt in muted tones, a long sleeve silk blouse and a double breasted woolen gray or taupe sweater. I don’t recall a coat or over-coat. The safety patrolmen at the airport followed me into the woods with snow all around and made a chair with their arms for me to sit on. I was in some stage of delirium and thought they were providing me some sort of throne to safety.
Instead the next thing I knew I was being handcuffed to the backseat of a patrol car with the patrol lights flashing blue and white and was being escorted to the police station down the road. When I arrived at the police station I kept telling the police that I was a Senior and straight A student at Ivy College and they must have made some mistake. On the walls there were pictures of wanted criminals – I kept trying to figure out what the pictures meant. There were three pictures: a young woman who I thought looked like Ayn Rand, a man with a long beard who looked in my state to be like a long-haired Jesus and one other picture of a youngish man whose face I cannot recall. What I do recall is feeling like a criminal and being treated like a criminal until a kind policeman named Michael started to ask me questions. Once I started to talk with Michael I began to calm down.
After what felt like days of swirling and runaway thoughts and a myriad of questions, the police finally called my family and called the school clinic and I was escorted there. Soon after, several of my college roommates arrived to be with me while the admission process continued. After talking briefly with the clinic staff, I was transferred to the local hospital’s Psychiatric Unit.
Within the next few hours my parents arrived in town and tried to begin to make sense of what had happened. I recall my parents visiting me in the hospital mostly my Dad whose anxiety I could sense was through the roof. Within a couple of days, we made arrangements to go back home to Augusta, Georgia. I unenrolled from classes and moved back home to live with my parents for the spring and summer of 1985. No one was sure yet if this was a temporary reaction to stress as a Senior and as a Senior thesis writer or the beginning of a lifelong behavioral health diagnosis and challenge.