Joining a Support Group

By Debra Hoppe

This is part five of the recovery plan. To join a group means that you are serious about your recovery plan. You are willing to take that step toward a better you. I myself have been in groups since I was 14 years old. In and out of psychiatric hospitals since that time so I know a few things about group settings.

The one that helped me the most was the one in Amarillo, Texas when I was just a kid. I learned that I could accomplish anything I set my mind toward without anyone laughing at me or pointing a finger at me. I have since learned that people are cruel and do laugh at you but that is because they don’t understand what you are going through and don’t take into consideration the feelings you may be experiencing. Remember, people with mental illnesses are people too and deserve to be treated the same way as people that don’t suffer from a mental illness. The stigma that is so prevalent out there needs to be broken and we are the only ones that can do that. That is why a group setting is so important. It will teach you how to overcome stigma and join in the fight against people that want to look at you as disabled.

I have a certification to mentor a gathering called Peer to Peer. It is a nine week course that teaches a person how to deal with their disorders be it bipolar disorder, schizophrenia or major depression. It is a peer run course that is a very comfortable setting and I enjoyed mentoring a group of 7 people. It taught me how to not be only an inspiration to myself but to others as well. I learned a great deal about myself and the whole group. If you ever have the opportunity to experience a Peer to Peer course then please don’t hesitate. You will find the experience to be utterly refreshing.

I also have a certification in In Our Own Voice which gives me the opportunity to tell my personal story. It is an hour and a half long group that deals with my feelings all the way back to when I was a child to present day. I tell about how I was put into a mental facility and how I survived two comas all in the 52 years I have lived. I can tell you some happy and sad times of my life but the main thing is that I am not letting my disorder pull me down. I am making a difference in people’s lives as well as people making a difference in mine. I hope I have made a difference in yours.

Until next time when we will be studying how not to give up in your everyday life and how to keep fighting for what you believe in. Thank you for your time and I will see you next time. Take care and God bless.

"Of Two Minds" will be Making Its Montana Premiere on April 24th

On April 24th, the movie "Of Two Minds" will be making its Montana premiere at 7:00 pm in the Carroll College Cube at 7:00 pm. The movie examines the experiences of bipolar disorder through firsthand testimony from people living and coping with it.

Lisa Klien, the co-director, writer, and producer will present the film and be available for questions after the showing. Don't miss it

Watch the movie's trailer now!

 



OF TWO MINDS Official Trailer from Douglas Blush on Vimeo.

Please Take Five Minutes to Help Insure Montana's Working Poor

NAMI Montana friends and supporters,

After a lot of back and forth, the Montana Senate passed a bipartisan compromise bill (House Bill 623) to provide a private health insurance option for the working poor who cannot afford health insurance. It was an amendment onto Representative Liz Bangerter’s earlier bill. Republican Senator Ed Buttrey of Great Falls says the proposal the proposal does not expand Medicaid, but rather simply would use the expanded federal Medicaid money starting next year to buy health insurance for thousands of Montanans earning less than 138 percent of the federal poverty level — about $15,400 for a single person.

Here's an article that describes the compromise bill in-depth.

This bipartisan bill will allow Montanans to take advantage of the federal government’s investment in healthcare for the working poor without increasing the state’s long-term investment in Medicaid. Please take a moment to contact Representative Bangerter asking her to approve the amendment to House Bill 623.

Representative Bangerter is in an interesting spot because this was not her original intention for the bill. She is going to need to hear from her constituents and people from across Montana about why this is a good idea. Representative Bangerter is a great person with a huge heart. She’ll really appreciate hearing your thoughts.


Thank you,

matt

UPDATE: Representative Bangerter voted for the bill, but unfortunately it still died on the House floor. Here is a link to an article about the vote.  It's a sad day for Montanans who cannot afford health insurance, but we're truly thankful to legislators like Representative Liz Bangerter who are willing to cross party lines to do the right thing.




Matt Kuntz
Executive Director
NAMI Montana
www.namimt.org

(406) 443-7871

Please “Like” our NAMI Montana facebook page, www.facebook.com/namimontana, to stay involved with the fight against mental illness in Montana.

Please Support SB 11: Mental Illness and Criminal Justice System

Senator Mary Caferro’s Senate Bill 11 to make Montana’s criminal justice system deal more effectively with offenders with mental illness is in front of the Senate Public Health, Welfare and Safety Committee on Friday, January 11^th at 3:00 PM in Room 317 at the Capitol.  Please contact the Committee and individual legislators either online or by telephone before that meeting to let them know you support Senate Bill 11.  (I’ve included a description of what the bill does below my signature.)

Here is a link to the bill, but we did pull out Sections 5-7 in order to gain the support of the LCPCs and Social Workers. There will also be an amendment to make it clear that Guilty But Mentally Ill parolees who have their parole revoked will be directed into the exact same process of being committed to the head of DPHHS as when they were convicted without any additional placement requirements.

 Here are the legislators on that Committee: Jason Priest, Terry Murphy, Mary Caferro, Greg Jergeson, Fred Thomas, Dave Wanzenried, and Art Wittich.

Online: You can leave a message for the Committee or individual legislators with the online message form at this link. http://leg.mt.gov/css/Sessions/63rd/legwebmessage.asp

By telephone: The Legislative Information Desk’s regular office hours during the session are 7:30 a.m. to 5 p.m. weekdays and 8 a.m. to adjournment on Saturdays. Callers may leave messages for legislators or acquire general legislative information by calling the Information Desk at (406) 444-4800. Callers may leave messages for up to 5 individual legislators or 1 legislative committee per call.

Please share this email message with anyone who you think might be interested in helping reform Montana’s criminal justice system.

Thank you,

Matt Kuntz

Executive Director

NAMI Montana

www.namimt.org

(406) 443-7871

Please Support Senate Bill 11

Senate Bill 11 is sponsored by Senator Mary Caferro. The bill revises the parole and probation system to work more effectively for offenders that have a serious mental illness. The bill’s main focus is on prisoners who have been convicted as Guilty but Mentally Ill and sentenced to the custody of the Department of Public Health and Human Services. This is only roughly 1% of the Correction population, but the reason for their unlawful actions are different than other prisoners, so their release dates and the supervision requirements should reflect that difference. It is critically important make this system as effective as possible for public safety, the impact on the offender’s lives, and the significant costs to the State of Montana of both keeping offenders in institutions longer than necessary and having them repeatedly return to the institution.

The Bill also provides for overall training and Parole Board requirements that will help the Corrections system deal with all prisoners with mental illness.

·         The main function of the bill will be to make it clear that offenders committed to the Department of Public Health and Human Services can utilize supervised mental health treatment programs in order to help them qualify for parole. MCA 46-23-101(6)

·         The bill will help get offenders who are deemed ready of the of the expensive institutions and back in the communities in supervised programs that will ensure the offenders continue treating the mental illness symptoms that made them dangerous. MCA 46-23-101(6). The current system of paroling these inmates has a 60% recidivism rate.

·         This bill will make the parole standard for offenders who are deemed Guilty But Mentally Ill solely depend on their ability to be safe in the community through participation in a supervised mental illness treatment system, by excluding them from the broad requirement that offenders must serve a quarter of their sentence before being eligible for parole.

·         This bill will mandate mental illness training for the Parole Board, probation, and parole officers. It will also require two members of the Parole Board to be mental health providers.

·         This bill will make it clear that an offender may have a mental illness and another co-occurring brain conditions such as developmental disabilities and substance abuse conditions. 

Beyond Firing Rates and Magazine Sizes

America is in horror again over another mass shooting.  The twenty-four hour news channels know the drill. This time it was Newtown, Connecticut; before that, tragedy struck Aurora, Colorado; before that, Tucson and Virginia Tech. Examples go back to the University of Texas sniper in 1966 and beyond. With each event, our nation ponders why did this happen and what could we do to prevent future attacks.

This tragedy has sparked a strong conversation about gun control, but it is important to note that any proposed regulation would likely focus on limiting how fast guns can legally fire and how many bullets can be held in a magazine. If successful, these restrictions would decrease the number of casualties in mass shootings; not prevent the shootings from happening. Gun rights proponents recommend the converse – arm more people to fire back at shooters. Security is important and it is worth considering more school resource officers and other options. But again, this is a reactive strategy meant to limit the scope of the violence.


As someone who works with people who live with mental illness and their families, I hope that our nation can look at the broader solution – not the politically easy answer. People who live with mental illness are more likely to be victims of violence than to commit violent acts, but it is also a reality that serious mental illness is linked to some of the nation’s worst acts of violence. The tragedy does not stop there. Untreated mental illness also leads to suicide, homelessness, broken families, and a variety of other criminal acts. Dr. Thomas Insel of the National Institute of Mental Health conservatively estimates that total direct and indirect annual costs of mental illness at well over $300 billion.


The only way to truly prevent these tragedies, not just to the scope of the tragedies, is to focus on the mental illnesses at their root. The current process of diagnosing these brain conditions based upon subjective tests and symptom clusters is simply not good enough. It is common practice for a person exhibiting signs of serious mental illness to receive different diagnoses and treatment recommendations from different treatment professionals.  


Our society knows that this is a problem. We blame doctors, psychologists, drug companies, individuals affected by these conditions and their families. But in reality this is a medical technology problem that our country must solve. We must develop methods of diagnosing these brain conditions that are specific and precise. Methods based upon the actual biology and circuitry of the brain – not just clusters of symptoms.  Methods capable of detecting brain conditions well before the person begins experiencing potentially dangerous delusions and hallucinations. Methods capable of guiding treatment decisions.


White House spokesman Jay Carney correctly stated that “no single piece of legislation, no single action will fully address the problem” of mass violence. But the federal government can and must focus resources on the task of developing effective biologically-based diagnostic procedures for serious mental illnesses. There is promising research in blood testing, brain scans, and other screening technology; but our nation does not have a concerted and well-funded effort to move this research beyond the lab and into the hands of clinicians and the desperate families they serve.


America cannot afford to wait for someone else to solve this medical technology problem. As we were reminded again in Newtown, there is simply too much at stake. It’s time for the President and Congress to step up to the challenge. The results will not be quick or easily implemented. It might take five or ten years, but eventually it will lead to a safer America.


Please sign this online petition to tell the White House that it is time to find a better way to identify and treat serious mental illnesses. 
https://petitions.whitehouse.gov/petition/launch-coordinated-national-effort-identify-biological-markers-serious-mental-illness-fight-these/6z4w0zvV


Thank you,


Matt Kuntz
Executive Director
NAMI Montana

Using Online Recovery Resources

By Debra Hoppe

Online resources can be incredibly valuable for your recovery.  There are many websites to look at one being www.namimt.org.  There are several ideas and links that instruct you on how to succeed with your recovery plan.  That is what this series is all about recovery.

Another site is DBT Self Help.  There you will find a vast amount of information that shows you how to use your coping skills and interpret your mindfulness exercises both which are helpful tools in ones recovery plan.

My coping skills happen to be deep breathing and taking a walk.  Also reading and exercising.  They get the endorphins going and that makes me happy which is a stress reducer.  Also listening to music and watching my favorite symphony band play in the park.  They both calm me down and help me to function better.

Since I have bipolar disorder, I access www.bipolar2.com.  It brings up several sites about bipolar and what to expect from having this disorder.  I find that the more you know the better you can deal with the problem at hand.  That is why I stress so much on the recovery plan and what to do to help a person overcome their struggles.  I am struggling with my disorder so I figure I am not alone in this matter.  I just hope that I can help one person and that person helps one person and so on.  I am not an expert, but I do know that I have to tell my story to someone and what better way to do that is by directing them to the things that work for me.

Another site that I have found helpful is www.brainyquotes.com.  There you will find the quote of the day that helps a person with depression.  I find that it helps just about everyone.  It helps me to go hmmmm.  I think about the meaning of them and come up with my own conclusion.  It makes me think about how wonderful this society is to make such a simple website as this that has such an impact on my life.  What a great way to spend just a few moments of your time.

Once again, thank you for your time and I hope you are enjoying this series as much as I am enjoying writing it.  If I can help you in anyway then my goal in life has been a success.  I do have many other goals so my mission is not complete but at least I can say I have done my best at least once in my life.  Thanks again and stay tuned for the 5^th part of the series on joining a group.  

What online resources do you take advantage of in your recovery.

A Peek at the Future: Mental Illness Early Detection and Prevention

by Matt Kuntz

Note: This story is a fun look at what mental illness detection and prevention might be like in the future. None of the screening methods described in the story are up and running yet, but they are all based on actual research in the field. Check the links at the end to find out more.

Timmy dribbled the basketball down the court, ten steps behind another dribbling student. The student did a right handed layup into the basketball hoop. A few seconds later, Timmy’s ball bounced off the rim and fell through the net.

It was basketball week at sixth grade gym class. The P.E. teacher drilled them on the fundamentals for the first three days before the next two days of games.

“Timmy Johnson!” a female voice hollered from a door on the other side of the gym.

A female student ran away from the school nurse and Jimmy ran towards her.

“Hi Mrs. Woolridge,” Timmy said.

“Hi Timmy,” she replied. “I’ve just got a few quick tests for you. All of our students have to take them during their sixth grade year.”

“Mr. Cory told us all about it.”

“Great, it’ll just take a few minutes. Start by sitting down and putting on a headset and glasses.”

Timmy took a seat then slipped on the Electroencephalography (EEG) headset and the dark glasses.

Mrs. Woolridge looked at the screen in front of her to make sure the EEG sensors on the headset had a clear read of Timmy’s brain waves.  She turned the system on. “Do you see the blue dot?”

“Yes.”

“Good. All you have to do follow that dot with your eyes.  When it moves left, you look left. Got it.”

“Yes.”

After completing the eye movement test, Timmy stood in front of a screen and copied the movements of a little cartoon boy. The cartoon boy raised his left foot. Timmy raised his left foot.  The cartoon boy rotated his arms in circles. Timmy rotated his arms in circles. A motion sensor instantly recorded and analyzed Timmy’s gross motor skills.

Then Timmy moved over to the table in front of a small black computer that measured fine motor skills.  The computer timed Timmy while he rotated a round sensor between each of his fingers. After finishing that test, Timmy had to trace a line through a circular maze on the computer as fast as possible without touching the borders of the maze. Finally, he tapped the screen each time a purple frog appeared. The purple frogs started appearing slow, then they sped up. Timmy’s hand moved across the screen tapping frogs wherever they appeared.

After running through the frog test three times, Mrs. Woolridge let Timmy go back to class.

One week later, Timmy and his parents sat in chairs in Mrs. Woolridge’s office.

“First of all, I want to let you know that this isn’t something that should scare you. Timmy did come up on one of our health screening tests as vulnerable to serious mental illness, but there’s no reason to be frightened.

Timmy’s mother put her hand on Timmy’s father’s knee. “Stan’s mother had schizophrenia. He died from suicide when Stan was just a boy.”

Mrs. Woolridge nodded, “We have a lot of families with mental illness susceptibility. With a little prevention, there’s no reason to worry.”

Mrs. Woolridge handed each of them a piece of paper. “I screened Timmy’s eye movements, skin conductance, gross motor skills, and fine motor skills last week.  His eye movement and gross motor skills were fine, but Timmy’s skin conductance was a little low and had some difficulty with his fine motor skills.”

“Stupid frogs,” Timmy grumbled.

“Stupid frogs,” Mrs. Woolridge agree with a wink.

Mrs. Woolridge continued, “Mental illnesses are basically disruptions in neural circuits in the brain. If you think of the brain as a big set of wires with information passing through them, sometimes things go wrong with the wires. Those disruptions affect how people, think, feel and act. They also affect overall nervous system through the basal ganglia and other areas.”

“The basal what?” Timmy’s father asked.

“The basal ganglia. It’s a group of nerves in the center of the brain. You’ll see that it’s highlighted in red on your picture. When something affects the basal ganglia, it can impact a person’s ability to control their muscles. So basically we test the students eye movements, galvanic skin response, major body movements and delicate finger movements as a way of checking the function of the basal ganglia.

“So problems with fine motor skills mean somethings wrong with the basal ganglia?” Timmy’s mother asked.

“Not for sure,” Mrs. Woolridge responded, “But it is an indicator that something may be going on. Same thing with the galvanic skin conductance. After Timmy’s failed the fine motor portion of that exam, we ran some of his blood that you deposited with the school health center at the beginning of the year through a genetic scan for mental illness susceptibility.

“Not surprising that it turned something up,” Timmy’s mother said.  “I’ve also got depression and anxiety issues on my side.”

“So I have mental illness?” Timmy asked.

“Not full blown mental illness, but maybe the beginning stages. We can’t say that for sure Timmy without a full brain scan. You could run one of those, but it’s not necessary. The medical field is pretty hesitant in scanning young brains.  There’s a lot of radiation in a scan so we try to avoid them if possible.”

“So what can we do?” Timmy’s father asked.

Mrs. Woolridge pointed to the sheet. “We’re basically trying to prevent any potential neural disruptions into expanding into a major brain disruption event - psychosis. Some of the ways to avoid that are pretty simple. You can start off by eating well, taking Omega 3 vitamins, exercising and keeping regular sleep patterns. Oh, and don’t do any recreational drugs. Seriously, anything that messes around with the brain to make a person feel high could be really, really dangerous for you. That includes marijuana.”

“We’ll pick up some Omega 3 vitamins on the way home,” Timmy’s mother said.  “The rest of it shouldn’t be a problem.  Timmy’s a good kid, but we’ll keep an eye on him.”

“I will too,” Mrs. Wooldridge said with a smile. “Timmy, I’ve got a present for you.”

“A present?”

Mrs. Woolridge pulled a box out from under her chair. The box had a picture of a boy wearing a headset while looking at a small handheld video game tablet. “It’s a fun way to make sure that you’re brain is doing okay. It’s got one of the EEG headsets that you used when you put on the goggles and followed the dot. Basically, you just put on the headset, breath in the holes on the side of the machine, play the video game, then breath in the holes in the side of the machine again.”

“What kind of games do you have,” Timmy asked.

“They’re fun,” Mrs. Woolridge promised. “Way more fun than the dot and frog tests. It’s basic cognitive training along with some relaxation through mindfulness and neurofeedback.”

“How often does he have to use it?” Mrs. Johnson asked.

“We’ll start out with just twice a week, maybe Monday and Thursday. If he’s doing well, then we’ll drop it down to once. If things aren’t going well, then we’ll boost it up to three times. The exercises are great for the brain even if you don’t have a susceptibility to mental illness.”

“What do you mean if I’m doing well?” Timmy asked.

“The machine will automatically report back to me on your galvanic skin response, brain waves, stress hormone levels and cognitive skills. It’ll wave the flag if there’s excess anxiety, depression, or other dramatic changes in thought processes. We’ll increase the frequency of the exercises if either of those variable suggests we need to.  If things really get out of line, I’ll recommend a therapist for relaxation and communication skills training. If the neurons are still struggling to talk with each other, then you’ll have to go to a psychiatrist to take a closer look at what’s going on and maybe even prescribe something.”

“Prescribe something? I remember my mother’s medication had some pretty horrible side effects,” Mr. Johnson said.

“There probably won’t be any need for medication.” Mrs. Woolridge said. “But in the worse case, the medication that they give before psychosis now doesn’t have anywhere near the same side effects as the old ones. The ingredients in one of them, that focuses on the neurotransmitter glutamate were even sold over the counter to treat people that had taken too much aspirin.”

“Thank God,” Mr. Johnson said.

Timmy wasn’t listening anymore. He already had the box half open. “This looks awesome,” he mumbled.

End Notes

Eye Movement - http://www.iovs.org/content/28/2/366.full.pdf

Motor Proficiency in Children with Psychosis - http://ptjournal.apta.org/content/63/2/194.full.pdf

EEG Symmetry Patterns Predicting Anxiety and Depression - http://www.ncbi.nlm.nih.gov/pubmed/16223557

Basal Ganglia - http://en.wikipedia.org/wiki/Basal_ganglia

Prospective Biomarker for Schizophrenia - http://psychcentral.com/news/2012/03/29/prospective-biomarker-for-schizophrenia/36687.html

Using Biomakers to Identify and Treat Schizophrenia - http://www.sciencedaily.com/releases/2012/07/120711134557.htm

Cortisol levels Increased in Youth with Psychosis - http://www.medwire-news.md/47/101079/Psychiatry/Cortisol_levels_increased_in_youth_at_high_risk_for_psychosis_.html

Attention, Memory and Motor Skills as Childhood Indicators of Risk of Schizophrenia - http://ajp.psychiatryonline.org/article.aspx?articleID=174316


Palau Early Psychosis Study: Neurocognitive Functioning in High Risk Adolescents - http://www.ncbi.nlm.nih.gov/pubmed/17005375

Neurocognition in Early On-Set Schizophrenia and Schizoaffective Disorders - http://www.ncbi.nlm.nih.gov/pubmed/20215926

Electrodermal Predictors of Functional Outcome and Negative Symptoms in Schizophrenia - http://www.ncbi.nlm.nih.gov/pubmed/16008777

Distinguishing Youths At Risk for Anxiety Disorders From Self-Reported BIS Sensitivity and its Psychopsysiological Concomitants - http://www.ncbi.nlm.nih.gov/pubmed/23016527

Effects of Stress, Depression, and Their Interaction on Heart Rate, Skin Conductance, Finger Temperature, and Respiratory Rate: Sympathetic-Parasympathetic Hypothesis of Stress and Depression - http://www.ncbi.nlm.nih.gov/pubmed/21905026

Glutamate, Shizophrenia and other CNS Disorders - http://www.promentispharma.com/technology/Glutamate/index.html