Adventures in Mental Health Care

You may have noticed from the fact I’ve flaked recently, but Wellbutrin stopped working in a big way. It did a great job removing depression at first – which unmasked an underlying anxiety that increased and increased and increased. Then it stopped working on the depression. Sigh.

My day job has spent the past several months jabbing the rage, depression, and anxiety buttons nearly constantly. It’s got to the point where I have nightmares about it, which added insomnia to the list. Double sigh.

And my doctor is on sabbatical so she can spend time with her kids. Triple sigh.

Image is a cat collapsed face-down on the back of a sofa. Caption says, "I love you, couch. You understand me."

It’s really hard to cope with change when you’re super-depressed and anxious, so it took me a while to work up the courage to go through the process of getting a new doctor. Luckily, a friend at work went from all storm clouds all the time to near-blissful happiness, and her doctor was accepting new patients. I saw her Tuesday. I bloody love both her and the new clinic. She was a lot more prompt and thorough than my previous doctor. She found me something that will, with any luck, destroy both the anxiety and the depression in one go. We’re phasing out Wellbutrin. I’ve got some Xanax to fill in the gaps while the new stuff gears up to full effect. She listened to me when I told her my tiny little body burns through ordinary doses of drugs in a flash, and dosed accordingly. And she also sent me down the hall to the lab to get my thyroid tested, which I’d meant to ask for and completely forgotten. I love docs who actually look for other underlying causes rather than just assuming you’re mental. [Read more…]

I Wish I’d Had These Words

Back when my best friend and I had our final falling-out over his utter lack of concern about the lives of young women, I wish I’d had this post to send him. It might have gotten through. He might have understood why I was raging.

When you express opposition to abortion on demand, your words mean that you view all of this as perfectly fine: My death. Their deaths. Their poverty. Their children’s poverty. You would condemn real people to death, to a life of misery and suffering. And for what? For this:

Image shows an embryo. Image courtesy UNSW Embryology, via Iris Vander Pluym.

Image courtesy UNSW Embryology, via Iris Vander Pluym.

OH WAIT, I’m sorry. I got mixed up. That’s ^ a mouse embryo up there, not a human embryo. Sure looks a lot like that human embryo, though. And yet, nothing like a mouse. Weird.

Read the whole thing, and bookmark it, and send it on to that person in your life who either cares more about little globs than they do actual women, or those who are so indifferent to women that their health and safety doesn’t matter as much as voting the way their church wants them to vote.

What Secular Anti-Choicers Are Really Saying

Giliell,  professional cynic, -Ilk-, has decoded the language of those secular people who think women (or trans men) who had the temerity to have sex (or get raped) should carry the resulting pregnancy to term:

Secular arguments against abortion I’ve heard are usually:
-She had sex, so she should bear the consequences*
-Bäbeeeeez!
-She had sex, so she should bear the consequences**
-Adoption!
-She had sex, she should bear the consequences
-It’s a continuum and I’m going to dismiss the one actual clear-cut point that we have which is birth
-She had sex, she should bear the consequences
-There aren’t enough healthy white babies for us to adopt
-She had sex, she should bear the consequences
-The straw-abortion of a healthy, almost-term fetus because the woman has suddenly decided she’d like to go clubbing at the weekend
-She had sex, she should bear the consequences
-I don’t know anything about pregnancy, HELLP, Potter syndrome, childbirth, ectopic pregnancies, post-partum depression, but I held a baby once and handed them back to their loving mother when they cried/pooped.
*Fuck them for thinking of children as “consequences”
**Quite often combined with the idea that men shouldn’t have to pay child-support for the offspring of their one-night stand, because consequences are for women only

I think that explains matters clearly enough. I encourage you to read the rest of that comment, which is an education for anyone who thinks they can decide when a pregnant person can no longer choose to become not pregnant. If you have time, read that entire thread. And for those hot and heavy about the “it’s fine until 20 weeks” bullshit, read this right now.

Oh, and Dave? You can fuck right off. You don’t get to throw my reproductive rights under the bus to attract more assholes to the movement. American Atheists won’t have my support unless and until your organization makes a woman’s right to abortion non-negotiable. Think about what’s more important: trying to win the support of a tiny number of conservatives who are probably going to tell you to piss up a rope regardless, or keeping the support of the much larger number of atheist women who are already here – but won’t be for long if leaders in this movement keep throwing us away.

Man-and-Horse-that-Built-Civilization-71449154125

 

Sunday Sorrow: What We Can Do

No songs today. Something broke this time.

These mass killings have gone on since before I was born, and somehow I accepted them. Outrageous, horrible, tragic: can’t do anything about them in our gun-obsessed, health care-deprived, bullying, class-ridden society. Moving on, then.

Not this time.

These mass killings have gone on since before I was born. I want them to stop before I die.

And I will need your help. We are going to have to start pushing hard together for a great many things. [Read more…]

You’re Under No Obligation to Read This

I didn’t even mean to post it. It’s just a person pouring out pain on the internet. But if you want a look at what it means to deal with mental illness, then you can read on. If not, amuse yourself with my cat, partake of the other excellent offerings on the toobz, and wait for Los Links.

[Read more…]

Mental Illness Strikes Home. Again.

Funny we should be having this conversation about skepticism and mental illness now. I called my mother for her birthday today, and it’s clear she’s on her way to another psychotic break.

We’ve been down this road a thousand times. She’s severely bipolar, and her medications frequently stop working. She ends up anxious and paranoid and confused. It’s painful to watch. There’s nothing you can do except ensure she’s getting treatment. They’ll probably hospitalize her soon to stabilize her, and for a while, she’ll be okay. Then the vicious cycle will begin again.

[Read more…]

Grab Some Tissues and Watch This. Then Take Action.

JT Eberhard, my darlings. One of the bravest fucking human beings I know. Watch his Skepticon IV talk and read his post.

I’ve got nothing much to add to this. I wrote up a whole big post on it once and then never posted it, because honestly, my occasional tussles with depression are stubbed toes compared to what others go through. It may not always be like that. Bipolar disorder runs in my family right alongside the heart disease and cancer and Alzheimer’s. I’ve learned to watch the highs and lows with minute attention, because it’s off to the doctor the instant they cease to be within normal range. I refuse to go through what my mother did, descending into a hell we didn’t know enough to rescue her from until it was almost too late.

[Read more…]

It’s a Matter of Life and Death

Neil Gaiman tweeted a link to this article recently.  It’s about a young woman who died, alone and in pain, of a heart attack, because she didn’t have health insurance.

As imperfect as the Affordable Care Act is, it’s a step closer to ensuring that people like Melissa don’t die so needlessly.  And I’d rather see us take that step forward than make no move at all.  I’d rather see us make progress toward the day when there are no more tragedies like this.  We need to start somewhere.

It’s a matter of life and death.

It’s Not That Easy Addendum

Saw this at Digby’s after I’d written the previous post:

All over TV today, I’m hearing the gasbags fret about the fact that Obama hasn’t brought up gun control. It’s a good question, but they know the answer to it very well: the Democrats have given up that issue, the only problem is that the Republicans refuse to accept their surrender. They have nothing more to say about it.

I’m more curious about why they aren’t all over this:

Gov. Jan Brewer’s plan to roll back state Medicaid coverage would leave thousands of Arizona’s most mentally fragile without health care. 

An estimated 5,200 people diagnosed with a serious mental illness and thousands more who qualify for other behavioral-health services would be among 280,000 childless adults losing health-care coverage under the governor’s plan.

But, Jan sez, she’ll allocate $10 mil or so to cover psych meds.  Well, that’s nice, Jan.  Too bad you’re cutting out all the other services that go along with the meds.  You don’t seem to realize that it’s not just a matter of chucking pills down people’s throats.  Meds have to be prescribed, they have to be monitored, they have to be adjusted, they stop working and have to be changed, above all they have to be taken.  Funny thing about mental illness, paranoid people often won’t swallow the pills you hand them.

Without intensive monitoring, without counseling appointments, and without a support system that will help these poor ill people get well enough to achieve some level of function, you might as well be hosing them down with homeopathy for all the good it will do.

Just like with transplants, Jan Brewer doesn’t get it.  Jan Brewer doesn’t care.  That’s the takeaway lesson here, people: do not get sick in Arizona, because Jan Brewer doesn’t care if you suffer and die.  She and her merry band of fucktards do not believe the great state of Arizona needs to waste its money on you.

Suzanne left a comment on the last installment I want to make sure all of you see:

very well said dana. in the past, i’ve had to try to navigate the california mental health system for family and friends in addition to my experiences on the pd.

even before the draconian cuts that have happened in ca, the cops had to determine that the person was (1) a danger to themselves (suicidal); or (2) a danger to others (homicidal); or (3) gravely disabled (ie dementia/alzheimer) in order to place an involuntary 72 hour psychiatric hold. the patient would then be transported by ambulance to the county contracted mental health facility where the docs would either agree or disagree.

more times than i can recount, if ya didn’t have good insurance, that 72 hour hold was ignored the patient would be discharged early — many times later that same day.

it is heartbreaking what is happening to our safety net in the country.

its not that easy — and it is being made harder and harder each and every day.

And that was in California, which according to some was a socialist paradise.

If you want to see what the Republican ideal of health care is, watch Arizona.  And consider carefully whether that’s what you want for this country the next time you go to the ballot box.

Imaginary Death Panels vs. The Real Deal

I’ve been trying for several days now to figure out how to capture my outrage in words, but it’s impossible to do it.  Let’s just say that if I ever get a chance to do it, I will gladly punch Arizona’s political overlords in the face.

The same pieces of shit who have no problem going on and on about imaginary death panels in order to defeat health care reform also have no problem with creating death panels of their own (h/t):

The only political effort to implement death panels since Obama got his health reform bill passed has been in the state of Arizona. There the Republican-controlled legislature with the approval of GOP Governor Jan “there are headless bodies turning up all over our desert” Brewer has told 98 people waiting for transplants that they must die.

Those 98, who are either poor or uninsurable by private insurance due to pre-existing conditions, need bone marrow, lung, heart, and other forms of transplants. They were told by the state’s Medicaid program—Arizona Health Care Cost Containment System, or AHCCCS—that they qualified for coverage. But, this October 1, AHCCCS said it could not in fact pay for their transplants. Facing a billion-dollar-plus budget deficit, the Arizona legislature cut out all state funding for transplantation retroactively!

This means that people who were told they had a chance at life had the rug pulled out from under them without any warning. The Republican legislature not only acted as a death panel; it chose to balance the budget on the backs of the poorest and most desperate of Arizonians by welshing on a promise.

Just to be clear, the legislature and governor did not say there would be no more transplant funding going forward. They said they are telling those to whom coverage has already been promised to drop dead.

I hope Arizonans have the decency to realize just what kind of murderous assclowns they’ve elected, and remedy that the next time they go to the ballot box.  Otherwise, my old home state will gain a deserved reputation as the worst place in America to live.  Jan Brewer & Co. seem intent on proving that when it comes to treading on the poor and immigrants, nobody stomps harder than they do.  Once suspects she and her cronies rather enjoy the sound of bones breaking under their boots.

This, America, is what it looks like when the modern Cons get their way.  This is what they think this country should be.  If it doesn’t horrify you, then there is no trace of morality or decency left in your shriveled little soul.