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The Struggle. The Black Dog. Loony Bin. So many absurd names and so few solutions. Many famous, and infamous people, have suffered, and continue to suffer, with depression, bipolar and other mood disorders. In fact, the NIH says one in four have experienced a mood disorder in their lifetime. Neurology and psychiatry don’t fully understand the massive intricacies of brain chemistry and each case must be treated individually. Look at the historical efforts to quantify the source in the bible, the Diagnostic and Statistical Manual of Mental Disorders, over the last fifty years. We still know so little in the scope of human experience.

Some nations say that depression does not exist. There are their citizens who say otherwise.

We are lobbying for stiffer gun controls in the midst of horrific shootings that have robbed us of our best, brightest, and most innocent.

With the most recent nightmares in Aurora and Newtown, people are fighting for quick movement on gun control. But they are avoiding the most obvious wounded elephant in the room: those with mood disorders or other mental health issues that are not being adequately addressed.

Suicide is rampant among our Wounded Warriors and Silicon Valley geniuses.

In my work, I meet people from all different backgrounds. There is still so much shame and stigma about mental health issues, that many don’t seek help or avoid taking their medication. Others cannot afford the rising patent and insurance costs associated with antidepressants and antipsychotics. Some patients require a combination of medication and therapy to carry on a functioning life. The price of one antidepressant alone can be $1500 per month! Mental health disorders can strike anyone at any age, gender, orientation, nationality and religion.

The next time you see a homeless person who screams and swears at you, remember that is not some “crazy person.” Perhaps, that is someone who is unwell and not receiving treatment. Consider taking a more charitable view and remember that there but for the grace of G-d, medical treatment, or a dear supportive loved one, go we.

People have lost homes, jobs, families, and lives. Far too many have a dual diagnosis of drug or alcohol addiction in attempts to self-medicate and “escape.”

The medical and insurance red tape that keeps people, and doctors, from accessing or administering medical care affordably, is at crisis proportions. Many of our wounded lost their access to medication and their homes trying to afford it. Many are hiding in shame, and stigma, rather than seeking help in fear of losing their standing in the community or among their colleagues.

I sat with someone yesterday who was suffering from multiple mood disorders. She shared the story of living with one sibling after another until they could not care for her anymore. She told me how she went back to her husband because he has health care coverage that she needs to seek help from a psychiatrist. She told me that he drinks until he passes out at night, and has been arrested repeatedly for DUI with 126 days of jail time. But she cannot leave him because she will not be able to get mental health care. She told her life story, grateful for the comfort of someone listening, with abandon. She had so much pain and had lived with it for most of her 59 years. She has worked as a nurse for 32 years but cannot afford to get the pills she needs and is grateful that the psychiatrist gives her free samples.

I have met a parent of a 9 year old who has tried to commit suicide three times.

I have met a woman who still suffers from mental health issues that include panic attacks, severe depression, and paranoia due to spousal abuse.

Don’t look away and think that this is not your problem. If you have not been afflicted personally, look around you; someone in your circle has, and is, struggling and hiding.

If you are able to get help, thank a therapist, social worker and/or psychiatrist. If you or someone you love is suffering, seek help, call 911, take your medication……….lobby and write to your elected officials for affordable Mental Health Care……you cannot wish this away. You cannot pray this away. You cannot look at the bright side, nor can you just snap out of it.

The tag line of my favorite medical show no longer on TV is “Everybody Lies.” When it comes to Mental Health, it is the truth.

Thank you for stopping by! I appreciate it more than you know.



  1. …your wisdom proven true with yet another senseless shooting spree in Washington DC today… Mental health needs to become a national issue NOW!

    • Thank you Itty. I wish we could be heard. You know if I knew where to forward my letters, I would begin writing en masse right now.

      Today’s shooting is in my backyard. Sadly, it is another example of a national scale shooting where help should be given proactively, not after the fact. Our Health Insurance system is severely broken.

      Proactive care and treatment would not only save money in the long run, avoiding hospitalizations and need for long term chronic care, it would literally save lives.

      • I hear you. I’ve been socially/politically active for 40 years. My senators cringe when they hear my name! The White House telephone operators are polite… But nothing, nothing seems to change. šŸ’€

      • Emergency rooms and staff should not be a replacement for competent mental health professionals and therapists helping people to cope and improve their lives before a tragedy occurs. There are so many tragedies that the public and press will never hear about.

      • Did I ever mention my interests in mental health? It began when I worked in Texas Children’s Hospital. When I was 30. We had a child on a vent we suspected crashed after visits from his mom because of Munchausen by proxy.. I was asked to join Social Services to further the investigation. Our suspicions were validated on tape on a subsequent visit. I never left the team, eventually leaving TCH to work inpatient adolescent psych services…

      • Thank you for your service and commitment! It is so necessary. The National Institutes of Health have determined that 1 in 4 have a mental disability of some sort. What people forget is the size and scope of need from depression, bipolar disorder and schizophrenia to dyslexia, ADHA, Asperger’s, and those on the Autism spectrum. The needs and concerns are too big to be denied, nor should people think that the range of Mental Health issues don’t affect them.

      • It’s a matter of national priority. Money follows special interests, and our population is polarized, believing their interests trump everything else. It’s very hard to watch and an exhausting mindset to fight.

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