My Sojourn through Bipolar Illness – Cohort Model Proposed

Adequate resources for mental health in my book would include funding allocated to the development of a Cohort Model to assist those experiencing a debilitating health event to gradually reenter society.  In my opinion, it would be less expensive for the State (at the State and Federal levels) to offer a Graduated Reentry Program than it is to provide disability insurance payments for all those who are unable to work a full-time job due to some sort of behavioral health or developmental disability.  This might include a mood disorder and/or an addiction issue.  In my opinion, people with behavioral health diagnoses ought to be able to work a 10 to 20 to 25 to 30 hour week and bring home enough pay so as to be a valid contributor to a family’s income.    Today this is generally not the case.  There are few part-time jobs available in the market today and the ones that are available do not provide a living wage or health insurance or occur during times of the day that are generally associated with sleep or family time. Also, disability payments in the US are few and far between and very difficult to qualify for.

The idea of a “Graduated Reentry Program” is that behavioral health consumers would progress from a 10-hour work week to a 20-hour work week to a 30-hour work week to a 40-hour work week depending on their health.  Participants would still be eligible for health insurance during this time provided they were engaged in all prescribed wellness activities.  When the hourly work week is at a reduced level, participants are expected to attend any given number of behavioral support meetings with their doctors or their therapists or in their community in order to prevent a repeat occurrence.  The reduced work week would be coupled with a regime of self-stewardship that might include mood support and recovery meetings, meetings with a therapist and/or meetings with a psycho-pharmacologist.  This time might also be time spent developing an exercise regime to reduce stress and limit unwanted thoughts.

The idea of a “Graduated Reentry Program” assumes:  1) behavioral health patients have serious work to do that is not part of a paying job typically and 2) it should be cheaper in the long-run for the State to sponsor a partial work week for behavioral health patients until such a time that they are ready to work a 20, or 30 or 40 hour week.  3) This type of program would allow people who manage a serious behavioral health disability or addiction to still earn a “living wage” even if they were working 25 or 30 hours of work per week.  4) This ability to work at a reduced level in order to dedicate time to managing aspects of the prescribed illness through support groups and support group programs, exercise and diet regimes, talk therapy programs and med management programs is hugely different than how that juggling act occurs today. 

Many people with mental health conditions, including myself, may not be able to work a full-time work schedule.  These people should have the sponsorship in society of working a 10 or 20 or 30 hour a week job as they are able.  Many people with mental health conditions seek financial assistance through Social Security Disability Insurance payments.  While this is often considered a critical financial development for some people with a mental health diagnosis, consider if more emphasis was additionally provided on programming to reentry society and the economy. 

Again, it is my belief that such a Graduated Reentry Program would pay for itself by increasing the productivity of workers who may move from a disability status to a 10 or 20 or 30 or 40 hour a week job status.  If it does not pay for itself, I believe the cost savings from the Paranoia Hotline / Paranormal Institute would pay for this Graduated Reentry Program. (See prior post regarding Paranoia Hotline).

Through the on-going development of this text, I am becoming more and more clear to myself and in myself as to my current emotional challenges.  While I am clear that a high paying job in project management is not a fit, I am not completely clear what type of job might be a fit for me.   While just a few years ago I was a keen advocate for a Graduated Reentry into society of working first 10 hours, then 20 hours then 30 hours a week, I currently am of the mindset that applying for Disability Insurance may be an important option for many people particularly in the absence of the Cohort Model in today’s America. If I am to continue to place a premium on our daughter’s development and on my own health, this may mean not working a job in the traditional sense.  This leaves the door wide open as to the possibility of making writing like the writing of this text to become “my work.”

My Sojourn Through Bipolar Illness – Smelling Like a Dog

The idea of paranormal thought and healing was referenced in a book suggested to me by a friend from college, also a Medical Doctor, about twenty years ago.  The book called The Holographic Universe by Michael Talbot [1] suggests that paranormal thought and healing may be more common than we realize.  This is a tricky insight, but I think one that is worth exploring.

Consider thought as if it were on a continuum from normal logical thought on one extreme to paranoid thought on the other extreme.  Where would we place the thoughts of autistic people who are on the spectrum and able to compute incredible math equations or know any date in time without any degree of difficulty?   What if every person with bipolar illness or a behavioral health disorder has or had an autistic or quasi-autistic child within?  What might be needed to give room to this quasi-autistic child within to develop and gain confidence to move forward in life with the accompanying adult?  What if the adult with bipolar illness or a behavioral health challenge could regain health by honoring this quasi-autistic child and his/her inherent fragility?  Perhaps if the quasi-autistic child within had an audience who listened to these fragile thoughts, communication exchange might be able to occur before thoughts reach the other end of the spectrum at paranoia? Perhaps if the child within is acknowledged for having some extra set of insights, care givers might recognize those abilities and acknowledge them, perhaps stopping the paranoid thought process before it occurs. This is a hugely large question and one that requires behavioral health scientists to review and explore and evaluate.

I talk about this “paranormal thought” in terms of a dog’s abilities to smell or to hear because we readily accept that a dog can smell and hear things that we don’t smell and hear.  However, it is much more difficult for us to believe that some of us humans may see or hear things beyond that of a “regular” person or differently from a “regular” person much like a blind person may have a corresponding enhanced musical ability.  For every disability might there be a corresponding ability? The paranormal thought process may also be linked to the age of my inner child who for these purposes may be about six years old – more discussion on that later.

Shortly after reading The Holographic Universe, I wrote a letter to physicist David Bohm requesting that a study be performed that looked at human perceptions of time, including circular time (the world of dreams) and linear time (the world of events).   I had no idea that David Bohm was deceased when I wrote that letter to him in the mid-1990s but have felt and continue to feel over the years that work in quantum physics and work in paranormal thought are somehow intrinsically linked.  Matter and anti-matter may correlate loosely to real time and to dream time.  

Recently in the past few years I have come to understand my six-year-old child within through these lenses.  I feel that I must learn to listen to what this child has to say or what she is feeling.  I feel that by listening to this child I may be able to connect to the child and the vulnerability before my thoughts have migrated to full-blown paranoia.  This is an extremely important but difficult path.  There is a huge amount of research out there about honoring the child within.  However, there is not a lot of research out there about how honoring extra-sensory perceptions or thought patterns may help quell or disperse or render neutral paranoid thoughts and paranoid perceptions. In addition to dispersing paranoid thought before it begins, this approach may potentially shed light on some insights that are down the scale from logical thought but not at the other end of paranoid thought either.

During the past few years as I have been locating and holding up that six-year-old child, I have felt extraordinarily vulnerable, prone to having extreme bouts of tears as past fears have come unglued.  During this time of elevating this child of six, I have sought more frequent meetings with my therapist in terms of translating this new dynamic of an elevated inner child to everyday realities of a job search, helping my sixteen-year-old child with homework, getting a healthy dinner on the table, taking and managing meds, getting an exercise regime established and managing moods in general.

Quite late in my own emotional development, I have concluded that this six-year-old child may have certain insights beyond normal sensory perception.  The challenge now is to find the means and wherewithal to listen to that child within rather than minimize that child’s “doglike” abilities.  The impetus in this world is to discount any sort of extra sensory perceptions we may have (that that child may have) in preference for logic and all things explainable through reason in this world.  So far, it is clear that as a society we value perceptions that are logical and shun perceptions that may arise through intuition or some alternate form of perception not related to logic. 

I call this type of intuition or perception “unknowledge” or “illogical communication” or “ecological communication.”  We don’t expect nature or feelings to follow the linear laws of logic.  We expect nature to follow cycles and courses of development that are multi-dimensional and cyclical.  It follows that some of us, perhaps those with a bipolar or other mood disorder diagnoses, have trains of thought that are ecologically informed rather than logically informed.  Perhaps a lack of reason may not necessarily be a bad thing if we can tease out the dangerous components that are correlated with paranoia before they can even exist or present. Perhaps if we catch illogical and ecological thought at the onset before connections to paranoid perceptions, this illogical and ecological thought can provide insights and awareness that the logical mind cannot perceive.


[1] Talbot, Michael,  The Holographic Universe, copyright 1991 by Michael Talbot (Harper Collins Publishers: New York, NY). “Chapter 6: Seeing Holographically:” pp 162-193.